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Dendreon's Saving Grace

Dendreon (NAS: DNDN) shares fell Thursday and Friday mostly because of data from potential competitor Johnson & Johnson (NYS: JNJ) . There was also a disclosure of an SEC investigation about its lowered guidance, but that seems to be a lesser concern than J&J's Zytiga stealing all of its potential customers away.

The data is from the American Society of Clinical Oncology abstract previewing Zytiga's use in pre-surgical prostate cancer patients. In the phase 2 trial, about 34% of patients taking Zytiga for six months saw their tumors eliminated or nearly eliminated. The trial didn't have a control arm, but that's impressive given the aggressiveness of the tumors. You couldn't get that level with the current available medication.

That current medication isn't Dendreon's Provenge though. These are patients earlier in the development of the disease; Provenge isn't used until the tumor metastasizes. Rather than competing, you could argue that these patients won't progress far enough to need Provenge, but I don't think there's enough data on these patients to say that. They might not need surgery either, but I didn't see Intuitive Surgical (NAS: ISRG) tumbling on the news.


More likely, investors are worried that the data implies that Zytiga and Medivation's (NAS: MDVN) MDV3100, which works in a somewhat similar way, are very potent and might compete directly with Provenge for metastatic patients. J&J has already said Zytiga is successful in this patient population and further details are expected at the ASCO meeting.

Dendreon's saving grace is the possibility that doctor won't pick one or the other, but treat patients with both Zytiga and Provenge. The biotech is running that trial now, testing the treatments in succession.

There's a hypothesis that immunotherapies might be good at mopping up after other therapies. It makes sense that the weakened cells would be good targets for the immune system, which is how Provenge works, but we'll have to wait and see the data.

Until investors are convinced that Provenge has a long-term role in the treatment paradigm, any good news by other prostate cancer treatments will be viewed as bad news for Dendreon. Buying at this level could produce some decent profits, just don't expect an immediate breakout.

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At the time this article was published Fool contributor Brian Orelli holds no position in any company mentioned. Click here to see his holdings and a short bio. The Motley Fool owns shares of Dendreon, Johnson & Johnson, and Intuitive Surgical. Motley Fool newsletter services have recommended buying shares of Intuitive Surgical and Johnson & Johnson, as well as creating a diagonal call position in Johnson & Johnson. The Motley Fool has a disclosure policy.
We Fools may not all hold the same opinions, but we all believe that considering a diverse range of insights makes us better investors. Try any of our Foolish newsletter services free for 30 days.

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Theodore Cohen

Brian, with all due respect, the recent Phase 3 Zytiga trial was stopped when the drug achieved ONE of two agreed-upon endpoints: progression-free survival (PFS). Importantly, the trial did NOT achieve stat sig on overall survival (OS). And now, with patients in the placebo arm crossing over and taking Zytiga, the chances that the trial will achieve stat sig OS are sinking by the day. JNJ even stated on their last conference call that their late-breaker presentation at ASCO 2012 in June won't have updated trial data. We will see OS data as of the interim look. Zytiga approval in Provenge's space (pre-chemo) is not a 'done deal.'

As for the price action in Dendreon last week, I chalk it up to manipulation. The reason given was that the SEC had opened in investigation regarding the company, but in fact, that was old news...Dendreon stated so, and provided background in their 10Q issued on May 7, 2012. Importantly, someone 'suddenly' discovered a week later...after the market closed on Wednesday...that this had occurred, and the MMs started dropping the bid. That Friday was options expiration, of course, had nothing to do with what was happening (and if you believe that, I have a bridge in Brooklyn I would love to sell to you). Here's my take of what was going on:

http://seekingalpha.com/article/600561-dendreon-timing-of-news-story-release-is-interesting

I'll let your readers be the judge. The whole things smells worse than the Blue Plains Sewage Plant in Washington, DC, on a day in August.

Ted

May 21 2012 at 5:46 PM Report abuse rate up rate down Reply