Lilly’s prasugrel could face new delay-WEB ONLY

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A stock analyst says Eli Lilly and Co’s potential blockbuster drug
prasugrel could face another Food and Drug Administration delay,
Bloomberg News reported this morning.

The experimental blood thinner may not receive U.S. action until the
second quarter after regulators said they made a “mistake” removing a
critic of the drug from an advisory panel at the company’s urging,
Bloomberg said.

The FDA removed panel member Sanjay Kaul after Lilly complained about
research reports written by Kaul questioning prasugrel’s effectiveness
and safety, Janet Woodcock, director of the FDA’s Center for Drug
Evaluation and Research, told Bloomberg. The FDA removed him because
they feared he might be biased, she said.

Jon LeCroy, an analyst with Nataxis Bleichroeder in New York, said the
controversy could delay FDA action until the second quarter.

The advisory panel backed prasugrel’s approval 9-0 on Feb. 3 after
advisers downplayed potential risks of bleeding and cancer, LeCroy said.

LeCroy described the meeting as a “love fest,” according to Bloomberg,
and said in a report today that the FDA may add stricter label warnings
than those recommended by the advisory panel that would “significantly
slow the drug’s uptake.”

Kaul is director of a heart research laboratory at Cedars-Sinai Medical Center in Los Angeles.

“We were well prepared to answer any and all questions from the panel,
regardless of who the members were,” Tamara Hull, a Lilly spokeswoman,
said in an e-mail to Bloomberg today. “Panel membership is at the sole
discretion of the FDA. We made the FDA aware that Dr. Kaul had
previously published abstracts and made many public statements
regarding prasugrel.”

Prasugrel, if approved in the United States, could take as much as 20
percent of market share from Plavix, which brought in $8.1 billion in
2007 for Bristol-Myers Squibb Co. and Sanofi-Aventis SA.

European regulators yesterday approved the drug to be sold under the name Efient.

Lilly will split revenue from the drug with Tokyo-based Daiichi Sankyo Co.

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