Buprenorphine to become generic on or after October 2009

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Bluelighter
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I've first heard it from my doctor and then read about it online. Since people keep asking for the source of my claim it seems that no one yet knows of this. If its incorrect or has been posted before, sorry about that.


http://www.baltimoresun.com/news/nation/bal-te.orphan18dec18,0,3140054.story

Drug earning millions despite 'orphan' label
Status granted before law increased use of 'bupe'


By Fred Schulte and Doug Donovan | Sun reporters
December 18, 2007

The company that makes buprenorphine holds exclusive rights to market the drug in the United States for two more years, after which competitors can make cheaper generic versions.

The rights stretch until 2009 because of a federal decision to classify buprenorphine as an "orphan drug," a medicine that is expected to have little chance of making money.

Yet the drug has earned millions of dollars in profits for Richmond, Va.-based Reckitt Benckiser Pharmaceuticals Inc., and its parent company.

The product "is doing extremely well," said Bart Becht, chief executive officer of Reckitt Benckiser PLC, a British household cleaning products company, in a July conference call with analysts. The company makes the drug in England and sells it in this country mainly as a tablet called Suboxone.

About 170,000 Americans take buprenorphine pills, which can cost $300 a month or more.

Current sales "are a mark of the company's success in working with health care providers to increase access for opioid dependence treatment to hundreds of thousands of individuals across the country," said spokeswoman Harriet Ullman.

Reckitt Benckiser's pharmaceutical division, whose sole drug product is buprenorphine, reported net revenues of about $180 million for the first six months of this year. That was a 51 percent improvement over the same period in 2006. The company said "exceptional growth" was driven by U.S. sales of Suboxone, though it didn't give a figure. The improved sales resulted in an operating profit of about $100 million, the company said.

Reckitt Benckiser's exclusive rights, which would have expired without buprenorphine's orphan drug status, last until October 2009. Within a year after that, its drug division expects to lose 80 percent of its U.S. sales, according to a company presentation for investors.

In the meantime, "You can charge whatever you want," said Dr. Henry Startzman, a team leader with the U.S. Food and Drug Administration's orphan drug division.

Reckitt Benckiser Vice President Rolley E. Johnson said the drug's price "is consistent with typical costs of other medications for serious chronic conditions." He said the price of the drug has risen in line with inflation since its launch in early 2003.

The FDA, which grants orphan status, can't rescind it in the event that a drug turns out to be highly profitable. "The status really depends upon conditions at the time of designation," Startzman said.

The orphan drug process is supposed to reward companies that produce medicines for treating rare diseases -- usually for 200,000 people or less -- with "no reasonable expectation" of earning a profit. As a financial incentive, the manufacturer gets seven years of exclusive rights -- four more than usual -- before facing competition.

Charles O'Keeffe, a former drug control director in the Carter administration and a past president of Reckitt Benckiser Pharmaceuticals, said the company spent at least $100 million to bring the drug to market for addiction treatment. National Institute on Drug Abuse officials, in a partnership deal with the company, spent at least $26 million.

O'Keeffe said the company "rightly should be attempting to recover its development costs. It's not a philanthropic organization. They spent an awful lot of money," he said.

Reckitt had said the target population was 115,000, which in the 1990s was the total number of addiction "treatment slots" in state and federal programs. Most of those "slots" were for treatment with low-cost methadone, and FDA officials expected buprenorphine to compete with that drug.

Though the FDA concluded that the potential market for buprenorphine actually was 1 million to 1.5 million people, it approved the company's request for orphan status in 1994. FDA officials said it was the first time that status was granted for a medicine intended to treat a condition afflicting more than 200,000 people.

As justification, the FDA cited what agency records call buprenorphine's "limited commercial potential." The FDA does not make public a drug applicant's sales projections. The federal Department of Health and Human Services said in congressional testimony that the company "indicated to FDA that it wishes such information to be kept confidential."

Suboxone's fortunes soared with passage of the Drug Addiction Treatment Act of 2000, which allowed private doctors to prescribe drugs such as buprenorphine to treat addicts. Two years later, the FDA approved the drug for that use, marking the beginning of the seven years of exclusive rights.
 
True, they extended the patent for 2 more years so that they milk the cash cow a little longer.

I still hope it's true. Some thing really DO happen.

My sub doc told me this also. Wonder where he found out, I'll ask him.
 
those fucking dooschbags.. More people like myself deserve access to this drug & they should have access to that life savers without paying 500$ a bottle.
 
"100 million to bring to market"
What the hell did they spend 100 million on? The drug was long used in other countries.

"orphan status was granted in 1994"
So why did it only become available in '02?



I'm also curious as to how they managed to convince prohibitionists to allow it to be used for OST outside of the methadone clinic system. Not that it shouldn't be, it just seems like Reckitt is getting a lot of breaks in their favor. I guess it helps when the former president of your drug company, which only has one drug(!), has political ties.
 
No, suboxone and subutex didn't come to market before there. Buprenorphine was on the market long before then.
 
"100 million to bring to market"
What the hell did they spend 100 million on? The drug was long used in other countries.

"orphan status was granted in 1994"
So why did it only become available in '02?



I'm also curious as to how they managed to convince prohibitionists to allow it to be used for OST outside of the methadone clinic system. Not that it shouldn't be, it just seems like Reckitt is getting a lot of breaks in their favor. I guess it helps when the former president of your drug company, which only has one drug(!), has political ties.

Perhaps it also has to do with the fact that suboxone is less euphoric than methadone. Just a guess.
 
"100 million to bring to market"
What the hell did they spend 100 million on? The drug was long used in other countries.

"orphan status was granted in 1994"
So why did it only become available in '02?
that is by definition "funny money"
 
Perhaps it also has to do with the fact that suboxone is less euphoric than methadone. Just a guess.

They also snuck some naltrexone in there. There was a long history of using bupe in france since the 70s and since the 90s in the caucus states. The former had tons of IV subutext problems so Reckitt came out with suboxone.
 
Props to reckitt for conducting some seriously well-played business.

They're still bastards, but its like if you were to get robbed you might at least appreciate the effort that was put behind the robbery.

Its like that show "masterminds"...they're in jail, but we glorify them.
 
which, incidentally, did no good.

+1000

As long as you do not mind a translucent orange liquid as opposed to a tan/brown liquid that even when filtered isnt always translucent (heroin). Although I don't IV my suboxone due to a lack of rush and shortened half life.

on a seperate note I got a bottle of naloxone (legally) to save lives if flives need to be saved, and the vial is .4mg/ml Everybody should consider shooting overdose victims withsuboxone. Done right it will undoubtedly save a life.
 
^^Shooting overdose victims with suboxone? You don't think the agonist effect would make it worse or would only the naloxone/antagonistic effects work on the od patient?

Anyway, I'm sick of paying $350 for #60 suboxones a month. It may be the only prescription drug they make, but they do make Mucinex, which has a label on the bottle about prescription drug abuse and a phone number for people to seek help. Ain't that some shit there?
 
Shooting someone who overdosed up with suboxone would probably save their life.. Granted it's probably always better to call 911, sometimes the situation might call for quicker action to be taken..

I too used to get a vial of naloxone from my local needle exchange and used it to save quite a few lives. But I don't see why shooting suboxone wouldn't have the same effect? If you shoot enough suboxone the naloxone will overpower any effect the bupe might have, that's the whole reason they put it in the pill in the first place. If the bupe could still have an effect even with the naloxone in there, then people would probably be shooting suboxone in greater quantity.

When I was on suboxone I didn't shoot it, only because I would have had to shoot too much to feel anything, and i found that if i tried to shoot anything over two pills, (16mg), i would start to feel sick from the naloxone.

But either way, to comment on the article.. I hope to god it goes generic soon. When I kicked heroin my parents were paying $735 a month out of pocket for my prescription. God bless them for doing it, it probably saved my life.. But if these guys are just out to get money from people, they're doing it to the wrong group of people. That's like going to a Sally Struthers country and trying to make money selling them bread at jacked up prices.
 
If you shoot enough suboxone the naloxone will overpower any effect the bupe might have, that's the whole reason they put it in the pill in the first place. If the bupe could still have an effect even with the naloxone in there, then people would probably be shooting suboxone in greater quantity.

No, bupe has a higher affinity than naloxone and so the naloxone does nothing (after about 30 mins the bupe displaces the naloxone, which only works to reduce the rush in non-dependent users who have a low tolerance). They use it as a scare-tactic.
 
Shooting someone who overdosed up with suboxone would probably save their life.. Granted it's probably always better to call 911, sometimes the situation might call for quicker action to be taken..

But either way, to comment on the article.. I hope to god it goes generic soon. When I kicked heroin my parents were paying $735 a month out of pocket for my prescription. God bless them for doing it, it probably saved my life.. But if these guys are just out to get money from people, they're doing it to the wrong group of people. That's like going to a Sally Struthers country and trying to make money selling them bread at jacked up prices.

I agree with both of these statements. Call 911. Put away the subs. I wouldn't chance dosing an OD with more drugs since I'm not an EMT nor a Doctor. My parents too, have spent over $500 a month for my Subox doc and prescription out of pocket and it did save my life as well. I'd still be spinning my wheels if I didn't have it. Now life is so much better. I'm finally on the right track again. That feels good.
 
^^Shooting overdose victims with suboxone? You don't think the agonist effect would make it worse or would only the naloxone/antagonistic effects work on the od patient?

The naloxone will displace the heroin out of the receptors, and so will the buprenorphine. At the ratio the naloxone is in, you are not going to kill the overdose victim, but you will end their high and maybe bring on precipitated wd. I have a bottle of naloxone and had to useit recently. it took 1.6mg of naloxone to bring them back (IM). Bupe by itself could save a life due to the fact that it has a higher affinity than both naloxone and heroin. It will displace the drug that is going to kill the person....a squirt up the nose won't hurt the person who might die bfore the ambulance arrives.

I am not a doctor, but Bupe is a partial agonist and will displace the full agonist. Am I making sense to anyone>? Why else would they have solutions of naloxone made to be squirted up OD victims noses? The faster you respond the better chance they have of living
 
^It makes sense. When an agonist like Heroin is on your opiate receptors Bupe will displace it rather quickly. If the options are limited I think it would be better for the person to have Bupe/Naloxone in their body. I think their chances of survival will be higher than having an OD amount of agonist. Maybe someone like djsim could comment on that.
 
Theoretically Philly is right. But in all honesty, what sounds like a better option: calling 911, or grinding, filtering and IVing a suboxone tablet? Naloxone can be administrated via IM and is proven to work, but the same cannot be said for suboxone tablets. Ask yourself this; if you OD'd, would you want someone to be shooting you up with suboxone, or calling trained professionals? I know what I'd rather :)
So yes, it COULD work, but I dont want anyone getting the idea this is a better way to go than calling 911. You're not doing anyone a favor by avoiding calling 911
PS. I should add, the patient's tolerance would need to be higher than the ceiling dose. For example, if the person had OD'd on 100mg morphine, 32mg bupe is going to kill them in all likelihood (ie make the OD worse)
 
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