As much as I think Arena Pharmaceuticals' investors are overestimating the near-term potential for the biotech's obesity drug Belviq, I think it's underestimating the potential for the pipeline.

Arena's market cap is about $200 million more than its closest competition, VIVUS , but Arena has four other drugs in its pipeline. VIVUS doesn't have any; it does have an erectile dysfunction drug, Stendra, but considering that it received FDA approval more than a year ago and VIVUS still hasn't launched it, the biotech doesn't seem to think it's all that valuable.

Investors' focus on Belviq is understandable:

  • Belviq is already approved. The pipeline drugs could flop in clinical trials.
  • Belviq is producing royalties and manufacturing revenue from Arena's partner, Eisai, right now. The pipeline drugs are years away from generating revenue.

But Arena's long-term valuation has to take the pipeline into account.

Fortunately, Arena is making progress, moving its pipeline closer to generating revenue for the company. On Wednesday, Arena said it completed a phase 1b trial for APD811, a treatment for pulmonary arterial hypertension, a form of high blood pressure.

The trial was only in healthy volunteers, but it seems to have met its goals for safety, tolerability, and pharmacokinetics, which measures how much of the drug is taken up by the body and how quickly it's removed.

The next step is for Arena to start a phase 2 trial in patients with pulmonary arterial hypertension. We may see two phase 2 trials, one to try and nail down the correct dose and then a second with more patients at the dose the company plans to use for phase 3 trials. Sometimes they're run as one phase 2a/b trial.

The potential market for APD811 isn't nearly as large as the obesity market. Only 0.001% of Americans have pulmonary arterial hypertension compared with 35% of Americans who are obese.

Despite the small population, it'll be a lot easier for Arena to get doctors to prescribe a pulmonary arterial hypertension drug than an obesity drug. Obesity creates long-term problems for patients, but there's generally no rush to treat patients immediately. By contrast, a little less than half of pulmonary arterial hypertension patients don't survive five years from diagnosis.

Arena should also be able to charge more for APD811 than it can for Belviq, creating a decent market despite the small number of people with pulmonary arterial hypertension. Pfizer's Revatio, for instance, brought in more than half a billion dollars last year before it went generic.

Beyond generic Revatio and a few other options, APD811's main competition will be United Therapeutics Remodulin, which works through the same general mechanism acting on the prostacyclin receptor. Fortunately, APD811 is taken orally while Remodulin needs to be infused, giving it a substantial advantage if the efficacy is the same or better.

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The article Arena Pharma Pushes Forward originally appeared on

Fool contributor Brian Orelli has no position in any stocks mentioned. The Motley Fool has no position in any of the stocks mentioned. Try any of our Foolish newsletter services free for 30 days. We Fools may not all hold the same opinions, but we all believe that considering a diverse range of insights makes us better investors. The Motley Fool has a disclosure policy.

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Ralph Allen

You are too funny. Equating an obesity drug (Belviq) which has over 100 million potential obese clients and also has substantial reductions in HbA1c levels, regardless of weight loss, with a potential hypertension drug that is 4 years out is ridiculous. There is a 90% overlap between diabetics/prediabetics and obesity. The market for drugs to control HbA1c levels is over 6 billion and those drugs are not as good Belviq.

There are another 100 million overweight people the market in the US alone plus the huge vanity market. Yet somehow you think that diabetes is not a long term treatable disease.

August 31 2013 at 11:03 AM Report abuse rate up rate down Reply