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Healthy Skepticism Library item: 11650

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: news

Simons J.
Lessons from a Big Pharma downfall
CNNMoney.com 2007 Oct 1
http://money.cnn.com/2007/10/01/news/companies/wyeth_ceo.fortune/


Full text:

Bob Essner deserves a lot of credit for turning around Wyeth. In the end, however, the departing CEO may have been a victim of his own hype, writes Fortune’s John Simons.

Wyeth’s recent announcement that chief operating officer Bernard Poussot would be taking over as CEO was abrupt and unceremonious. But the unexpected departure of Bob Essner, who will soon turn 60, signaled the end of an era at the country’s fifth-largest pharmaceutical company.

In his roughly six years years on the job, Essner reinvented Wyeth – selling off non-pharmaceutical businesses and changing the company’s name from American Home Products – all in the wake of a massive product liability lawsuit. More importantly, Essner invigorated the company’s research labs. He also boosted revenue 30 percent, to $20.4 billion.

So why the sudden exit?

Early reports speculated that Essner fell victim to investor discontent after the FDA failed to approve three Wyeth medicines this year.

But the reasons for Essner’s departure, announced last week, are more complicated. Regulatory setbacks are hard to take, but anyone who invests in Big Pharma these days expects rejections and delays. Ever since Merck recalled its Vioxx painkiller medication in 2004, the FDA has been stingy about rubber stamping new drugs. CEOs aren’t to blame for that – and investors know it.

This doesn’t mean that Essner didn’t make mistakes. Indeed, he appears to have landed in the hotseat for a common CEO sin: Excessive hype.

Wyeth’s ad headaches
Straightforward, stout and sporting a gray beard, Essner exudes a grandfatherly sense of calm. But, while he is hardly a Steve Jobs-like hypemeister, he’s been trumpeting Wyeth’s pipeline over the last three or so years, including the three drugs recently held up by the FDA: Pritiq, an antidepressant; the antipsychotic bifeprunox; and Vivant, an osteoporosis treatment.

Wyeth’s pipeline appeared plentiful. Essner, with the help of chief scientist Robert Ruffolo, had revamped the company’s labs, and Wyeth’s scientists were investigating more compounds than many of its peers.

Investors took the bait, driving Wyeth’s stock up 55 percent from October 2004 to June, when it hit an all-time high of $58 a share. Investors were hopeful that the upcoming drugs would help Wyeth offset the loss of patent protection for two of its top-selling drugs – the antidepressant known as Effexor XR and Protonix, an antacid medicine.

Both medications, which accounted for more than a quarter of Wyeth’s $20.3 billion in 2006 revenues, could face generic competition as soon as 2010.

With Wyeth’s recent FDA rejections, investors woke up to the fact that the company’s pipeline won’t be able to make up for the coming patent losses.

Why a Pfizer-Wyeth merger is a bad idea
Even if the drugs had been approved, some analysts question whether they would ever have reached the blockbuster status that Essner promised. He had estimated, for instance, that bifeprunox could garner as much as $2 billion at its peak. Some analysts predicted sales of the schizophrenia drug would be roughly a quarter of that.

Says Deutsche Bank analyst Barbara Ryan: “The company was extraordinarily bullish about the pipeline. Our view of those products was poor, even without the regulatory issues, the products were not all that compelling.”

To be fair, Wyeth’s board insists that Essner’s departure in January is part of a planned succession. But many observers believe that plan was hurried along by Essner’s perceived overselling of the pipeline.

There were other factors at work too. According to sources familiar with the company, Poussot, a 21-year veteran of Wyeth who takes over as CEO in January, had been courted for the chief executive job at Bristol-Myers after Peter Dolan was ousted in September 2006.

Some observers speculate that, in order to placate Poussot, the company promoted him to chief operating officer in January 2007, and promised that the CEO job would soon be his.

It doesn’t hurt that Poussot, a 55-year-old native of France who is now an American citizen, is seen as a somber, rather understated presence. Is there even a French word for “hype”?

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909