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Healthy Skepticism Library item: 12630

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

Goldstein J.
What’s Buried In Merck’s Earnings
The Wall Street Journal 2008 Jan 30
http://blogs.wsj.com/health/2008/01/30/whats-buried-in-mercks-earnings/?mod=yahoo_hs


Full text:

Merck reported its Q4 earnings this morning, featuring a quarterly loss driven by its $4.85 billion settlement of Vioxx litigation. The settlement, despite the cost, has been seen as a relatively good outcome for the drugmaker.

But the company release sheds new light on the recent brouhaha over the Vytorin Enhance trial, mentioning for the first time that there are “50 civil class action lawsuits alleging common law and state consumer fraud claims in connection with the sale and promotion of the joint-venture products Vytorin and Zetia.”

Sales of the cholesterol drugs Zetia and Vytorin (split between Merck and Schering-Plough) were up 34% compared with the year-earlier quarter to $1.5 billion.

And then there’s Fosamax, the company’s bone drug that’s about to go generic. The statement mentions that the company has set aside $48 million for legal defense costs in lawsuits over the drug. Many plaintiffs allege that Fosamax caused a condition called osteonecrosis of the jaw, or ONJ.

But the Fosamax litigation could hang heavy on the company. Whereas the connection in individual cases between Vioxx and heart attacks can be very difficult to prove, plaintiffs lawyers “say ONJ is what is known in legal circles as a signature injury, or a type of injury that is easier to link to a drug,” this morning’s WSJ reports.

An attorney representing Merck said “the overwhelming majority of surgeons would say that if there is ONJ induced by oral bisphosphonates, it happens extremely rarely.”

Bonus Blip: Q4 earnings for the vaccine Gardasil were $339 million, down from $418 million the previous quarter, notes Dow Jones Newswires’ Peter Loftus. That’s an odd blip for a growing franchise.

 

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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