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bioworld - Medical Device Daily

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30<br />

Weight loss obsession is not too strong<br />

a phrase to describe the mania connected<br />

with the desire to be thin, and<br />

that obsession is verified by the $200<br />

billion annual expenditure to slim<br />

down by almost any means available.<br />

Everyone is America is estimated to<br />

know at least a dozen people who<br />

have expressed a desire to lose weight<br />

or who are engaged in activities that<br />

target weight loss. And who among us<br />

doesn’t have one or two “miracle”<br />

products stored in the attic, medicine<br />

cabinet, or in use, that purported to<br />

either “melt the pounds away, burn<br />

calories while you sleep, quadruple<br />

your metabolism, or flush the fat right<br />

down the toilet”?<br />

Because of the obsession of people,<br />

young and old, weighing anywhere<br />

from 50 to 500 pounds, this class of<br />

drugs is projected to have tremendous<br />

out-the-gate potential, due to the<br />

appeal of its indication. Everyone wants<br />

to lose weight (even those who don’t<br />

particularly need to) for motives ranging<br />

from health to peer pressure and vanity.<br />

The market for weight loss therapeutics<br />

is expected to explode upon arrival,<br />

inasmuch as the majority of Americans<br />

are already overweight or obese, and<br />

even a portion of the remaining percentage<br />

believe they could stand to<br />

lose a few pounds, even if just for aesthetic<br />

motives, rather than health-related<br />

ones. Although the current therapeutics<br />

are generally prescribed to critically<br />

obese people, some experts<br />

believe that future drugs in this space<br />

may be more widely prescribed, possibly<br />

treating patients who have only 10<br />

to 20 pounds to lose. Market growth is<br />

spurred by afflicted patients who can’t<br />

help themselves and by people affected<br />

by social and personal mores who<br />

just want to help themselves to look or<br />

feel better. Driving this market is not<br />

only a hunger binge trend in developed<br />

nations, but an impulsive consumer<br />

base that is either anxious to be thin or<br />

determined to be healthy.<br />

THE BIOWORLD AND MEDICAL DEVICE DAILY OBESITY REPORT<br />

The expected market boom could<br />

trump the market head starts experienced<br />

by other two broadly anticipated<br />

markets that had lifestyle implications<br />

as well as medical applications:<br />

erectile dysfunction and sleep disorders.<br />

The trend for market success in<br />

the weight loss sector is projected to<br />

exceed the market debut runs of those<br />

cohort sectors that also had lifestyle<br />

implications that help to boost product<br />

revenue opportunities by incorporating<br />

a degree of consumer appeal<br />

with its semi-cosmetic application, to<br />

go along with the more critical medical<br />

application for severely-stricken<br />

patients.<br />

This is a market-in-waiting that is<br />

poised to gallop through the pharmacy<br />

upon approval. This forecast is comparable<br />

to when millions lined up in anticipation<br />

of ED drug market releases, not<br />

entirely for chronic conditions, rather to<br />

experience the promise of increased<br />

sexual stamina, and when many people,<br />

some with dubiously marginal<br />

affliction, overstated their cases in order<br />

to obtain the instant relief of a chemically<br />

induced good night’s sleep rather<br />

than affect a lifestyle change that might<br />

require sacrifice.<br />

Both classes of drugs have serious<br />

medical applications, but both have<br />

lifestyle appeal also. Weight loss<br />

obsession among the socially conscious<br />

and trendy is estimated to<br />

exceed the prurient appeal of even sex<br />

and sleep and is apt to increase market<br />

penetration for the impending round<br />

of obesity products.<br />

The Weight of the World to Come:<br />

Challenges and Issues of the<br />

Future Market<br />

There is little doubt that if everyone<br />

adhered to the BMI, the world’s population<br />

would benefit from the general<br />

and individual weight loss. It wouldn’t<br />

be absolved of disease and health<br />

afflictions, rather it would be just<br />

decidedly healthier than it is now.<br />

However, to supporters of the Disease<br />

Theory, such acknowledgement is not<br />

validation of the BMI or its validity to<br />

identify or predict disease.<br />

Debate may persist regarding how to<br />

define obesity, but the statistics bear<br />

out unmistakable facts: It is costing a<br />

lot of money to treat; it is an onset factor<br />

in most Type II diabetes cases; and<br />

more people are falling into the group,<br />

which has become the largest and<br />

fastest-growing health affliction category<br />

in the world.<br />

There is debate regarding whether or<br />

not obesity warrants the conventionally<br />

defined epidemic label ascribed to it<br />

by many authorities; however obesity<br />

is, at the least, an uncontrolled, spiraling<br />

problem.<br />

The ineffectiveness (on a meaningful,<br />

curative scale) of any individual, voluntary,<br />

organized or government resolution<br />

initiative to curtail or reverse the<br />

obesity problem puts the onus on a clinical<br />

response to address the problem.<br />

Biotechnology is on the forefront of that<br />

battle with innovative research, candidates<br />

poised to tackle the pervasive epidemic<br />

conditions, while med-tech is<br />

already a player with effective products<br />

and services, as well as a roster of novel<br />

technologies in development.<br />

Why hasn’t pharma stirred up a latestage<br />

partnering frenzy for biotech’s<br />

leading candidates? BioWorld concludes<br />

that the poor performance of<br />

the prescription drug market, as well<br />

as the significant number of clinical<br />

near-misses and failures, to date in<br />

the anti-obesity space would still<br />

require too big a leap of faith in<br />

biotech’s R&D at this point for big<br />

pharma to take. The most likely scenario<br />

will be an eleventh-hour Phase<br />

III deal or post-approval M&A activity.<br />

Also, if one of the candidates succeeds<br />

in getting FDA approval, the<br />

other two could then draw a lot of<br />

partnering attention. The three leading<br />

candidates show promise, but are

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