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June 27, 2008 (updated with reply from
company) --
In a posting today, CNBC's Mike Huckman cites a research note that
Boston
Scientific
(NYSE: BSX) is now bundling its TAXUS paclitaxel-eluting stent
for $1,100 each -- less than half of its original price.
Huckman's source
for his article, Boston
Scientific: Hurry To The Pre-4th of July Sale On Stents!?,
is FBR Capital Markets' analyst Christopher
Warren, who sent out a research note this morning, stating that
the company is selling its flagship stent to hospitals,
as part of a bundle with defibrillators and ultrasound devices.

Boston Scientific's
TAXUS drug-eluting stent |
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Sales of drug-coated
stents have dropped precipitously, ever since concerns about
increased
rates of late stent thrombosis surfaced 18 months ago. Late stent
thrombosis is an acute condition where the blood forms a clot
inside the stent a year or more after implantation, a phenomenon
seldom seen in the older bare metal stents. The clot can cause
heart attack or death a third or more of the time.
Further studies,
the latest published in this week's Journal of the American
Medical Association, have vindicated drug-eluting stents for
the most
part, demonstrating that the thrombosis problem is very small,
and is more than offset by the reduction in restenosis, or
re-blocking, over bare metal stents. |
However, drug-eluting stent penetration
of the U.S. market,
which
had
reached
90%,
has dropped
into
the
60's over the past year, although the device seems to be gaining
back some ground slowly. Additionally, the perception exists that
the first generation drug-eluting stents, Boston's TAXUS and J&J's
CYPHER, may be surpassed in both safety and maneuverability by a
new breed
of thinner devices. One, the Endeavor by Medtronic, was approved
by the FDA in February and has
already claimed 20% market share.
A second, the XIENCE by Abbott, has passed FDA panel approval
and is on board for final approval this year. No doubt the XIENCE
will further erode the sales of first generation devices.
Boston Scientific, assuming the research report is correct (company
spokespeople have not confirmed it) obviously is counting on the
cost-savings to hospitals of $1,000 per stent. As for the TAXUS
being first generation and older, the company will most likely point
to that as an advantage, as does Johnson
& Johnson
/ Cordis when discussing the CYPHER: these devices have been implanted
in hundreds of thousands of patients and their safety and efficacy
record is well-established, unlike the newer devices.
Whether that will be a big sell to interventional cardiologists,
who are famous for wanting to try the newest technology around, will
soon be seen.
Late Update, July 1, 2008: CNBC's
Mick Huckman
reported
today that Boston Scientific spokesperson "Paul Donovan
sent me another
email last night asking in the subject line, 'What were you smoking?'
He took me to task for repeating "an unsubstantiated claim we're
(BSX) selling stents for $1,100. We sell stents for about double
that,
and often more.'"
Reported by Burt Cohen of Angioplasty.Org,
June 27, 2008 -- updated July 1, 2008
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