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US FDA approves Merck's therapy for rare lung condition

Published 03/26/2024, 05:11 PM
Updated 03/27/2024, 01:28 PM
© Reuters. FILE PHOTO: The Merck logo is seen at a gate to the Merck & Co campus in Rahway, New Jersey, U.S., July 12, 2018. REUTERS/Brendan McDermid/File Photo

(This March 26 story has been corrected to remove reference to follicle-stimulating hormone, in paragraph 8)

By Leroy Leo and Michael Erman

(Reuters) - The U.S. Food and Drug Administration on Tuesday approved Merck's treatment for adults with high blood pressure due to constriction of lung arteries, adding another potential blockbuster drug to the pharmaceutical giant's portfolio.

Shares of Merck were up more than 4% in extended trading.

The therapy, branded Winrevair, is approved for treating pulmonary arterial hypertension (PAH), which affects about 40,000 people in the United States.

"We look forward to making a significant difference for these patients that are left with a disease where the five year mortality is 43%," Jannie Oosthuizen, president of Merck's U.S. Human Health business, told Reuters.

Winrevair will carry a list price of $14,000 per vial, Oosthuizen said. According to data from the company's trial, most patients will use a single vial every three weeks, which would translate to $238,000 per year.

The drugmaker expects to be able to bring the drug to the market by the end of April.

Merck received the rights to Winrevair as part of its $11.5 billion acquisition of Acceleron Pharma (NASDAQ:XLRN) in 2021. It has been beefing up its portfolio of cardiovascular drugs as part of its strategy to counter a possible hit to sales to its cancer treatment Keytruda, the world's top selling medicine, from biosimilars later in the decade.

Winrevair, chemically known as sotatercept, becomes the first treatment to secure FDA approval from its class of drugs, which target a type of protein called activin.

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PAH is caused by a constriction of arteries in the lungs, leading to high blood pressure and symptoms such as shortness of breath, chest pain and dizziness.

The hypertension also makes the heart work harder to pump blood, eventually causing heart failure.

"We see sotatercept having a strong initial launch and quickly becoming part of the standard of care for eligible PAH patients," J.P. Morgan analyst Chris Schott (ETR:1SXP) wrote in a note.

Schott estimates the therapy to reach peak sales of about $5 billion by 2030.

Approval for Merck's drug was based on a 24-week long late-stage trial of 323 patients with PAH.

In the trial, patients treated with the drug showed a significant improvement in exercise capacity, increasing their 6 minutes walking distance by 40.8 meters, compared to the placebo.

Latest comments

"high blood pressure due to constriction of lung arteries" Whoever wrote this article clearly knows very little about medicine or physiology...
Tell us more, doctor. What is pulmonary arterial hypertension?
The description "high blood pressure due to constriction of lung arteries" made it sound like it is simply a specific cause of "normal" high blood pressure. Pulmonary hypertension is a much more serious diseases than than essential hypertension (or hypertension caused by renal artery stenosis, or hyperaldosteronism, etc.). When the term "hypertension" or "high blood pressure" is used without specification, it is assumed to be referring to blood pressure as measured in a peripheral artery (most commonly the brachial artery in the upper arm, although there is an emerging movement for clinicians to begin using central aortic blood pressure instead, which can now be indirectly measured noninvasivley and accurately unlike in the past and shows a greater correlation with morbidity, mortality, and medication response than does peripheral blood pressure). The type of hypertension Merck's new drug is meant to treat is pulmonary hypertension. The heart has two sides; one pumps oxygenated blood away from the heart to all the parts of the body where the oxygen is used (hypertension in these arteries is "normal" high blood pressure). The other side of the heart pumps de-oxygenated blood away from the heart and to the lungs, where it becomes oxygenated. High pressure in these arteries is called Pulmonary Hypertension, and reduces life expectancy *far* more than peripheral hypertension does, not that it isn't to be taken seriously as well, of course. If someone with peripheral high blood pressure were to take this drug it would almost certainly offer them no benefit. Pulmonary hypertension and peripheral hypertension have different causes and are treated with very different types of medication. People with pulmonary hypertension will inevitably need supplemental oxygen, as well.
TLDR: The author doesn't seem to understand that pulmonary hypertension is distinct from, and not a type of what is generally called simply 'high blood pressure.' For example, the author said 'PAH is caused by a constriction of arteries in the lungs, leading to high blood pressure and symptoms such as shortness of breath, chest pain and dizziness.' Which is NOT true. Pulmonary hypertension does NOT cause what is generally called 'high blood pressure' (the shortness of breath, chest pain, and dizziness parts are, however, accurate)
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