Lonnel Coats
Analyst · Colin Bristow with Bank of America Merrill Lynch
Colin, I will add a couple of things to what Jeff has said, in the work that we are doing right now, because the question was asked earlier about working with payors, we are doing work with payors. Relative to us achieving value proposition of our submission. Should we achieve that, then we think we have a way forward, where you have very few barriers by payors put in place to allow this drug to flow through. So therefore, we should see a pretty nice uptake early. The second reason you should see the uptake early, is to the point Jeff made for; when you start to look at the numbers in terms of -- let me first state, the SSAs work. I want to be very clear about that. Let me first state, that SSAs work, I want to be very clear about that, they do work. But over time, and for some patients, in the very early pay upon in time, maybe 5% to 7% of patients, they don't maintain the benefit. But over time, the vast majority of that maintain a benefit. And so therefore, if they came off SSA therapy, they will be worse. So they have to remain on SSA therapy. However, how do they get better, which is the question? The way to get better, if you add telotristat etiprate on, is what we are showing, is the opportunity for them to improve and get back to where they may have lost ground; because of that, you will see that the vast majority of patients will be in a situation where they are already up titrated to try to control their disease. You are seeing tremendous amount of intervention with other things, that are not approved to try to control patients getting back within reasonable range, that simply does not have good evidence behind it, or good -- no drugs that are proved beyond SSAs. And so the opportunity to bring telotristat etiprate to improve the circumstance, will be quite significant, and there will be quite a number of patients I believe, that will be available to use the drug upfront. And with the payors again, as long as we are able to achieve what we think we are going to achieve and are labeling, I think we should have a pretty good opportunity to get off to a pretty good start, relative to how we price the product, and be able to penetrate the market. Let me also speak to the market, the SGLT market that you talked about; it's not unusual when something like this happens, you have a single drug in a category, it starts to take share in the category. However, I believe, and I am -- this is my own [ph] belief, as the other SGLT2 starts to call out with their data, I think, we will start to see, what I believe will be a very strong class effect relative to cardiovascular improvement. So when that happens, I think that is the opportunity where you will see the class grow. We are in fact, I believe very strongly, that's going to be the case. For us in development, we have every opportunity to look at these factors and build our studies, any way in which we play to win. And what I love about the collaboration with Sanofi, in our engagement, I simply will tell you, they are coming in to win. How we structure our studies, how we put them together, how we approach the marketplace, it all will be relative to what we believe is the strength of this drug and being a dual mechanistic drug, and where we see, there is strengths and opportunities for us to take product market, if not be able to compete in every other marketplace, will be how our phase-III trials will be designed. We are taking the opportunity now to align between the two companies, to do this work, and then we have the opportunity at the end of the year, we will communicate our overall strategy, relative to our Phase-III program for Type-II diabetes. But we feel very strongly we think the market will grow. SGLT2s will grow within -- not just within their class, but within the total marketplace, and we believe that we have every opportunity to be remarkably competitive when we do get to market. Hope that answers all those questions?