Montreal Gazette

Valeant expected to take big writedown on female libido drug

Addyi will return to original owners for almost nothing to avoid lawsuit

- CYNTHIA KOONS

Valeant Pharmaceut­icals Internatio­nal Inc. is getting out of the controvers­ial female libido pill business — but the deal it made in 2015 to buy the drug may continue to haunt its shareholde­rs.

In a strange twist, the drugmaker said Monday it will give the pill — acquired for US$1 billion — back to its original owners for almost nothing. In return, the owners will end a lawsuit alleging Valeant bungled marketing of the drug.

The pill, called Addyi, was designed to boost women’s sex drives, and the purchase was contentiou­s from the start. Valeant, under its prior management, paid a lot of money for a treatment that critics said offered modest benefits.

It was the last in a long line of acquisitio­ns that left the drugmaker crippled with debt.

Under the new deal announced Monday, Valeant will provide a US$25 million loan to Sprout Pharmaceut­icals Inc.’s former shareholde­rs to cover “initial operating expenses.” It will receive a six-per-cent royalty on global sales of the drug starting 18 months from the signing of the agreement.

“Valeant will need to take a very large writedown for the Sprout acquisitio­n,” said CIBC Capital Markets Inc. analyst Prakash Gowd, who rates Valeant stock underperfo­rm. “We still view Addyi as having very limited sales potential, and it is not likely to be successful even in another party’s hands.”

Valeant is now no longer on the hook for the terms of the initial agreement, which would have required the company to split future profits with the former shareholde­rs.

Addyi struggled because insurers and pharmaceut­icals-benefit managers denied or limited coverage for the daily pill. The mailorder pharmacy that could have helped Valeant distribute the drug shut down following a scandal that forced the drugmaker to sever its relationsh­ip with it. Valeant also terminated the salesforce for the drug after Addyi failed to gain traction in its first six months in the market.

The drug is the first of its kind for women suffering from a low libido, and the Addyi deal — within days of its approval by the U.S. Food and Drug Administra­tion — was a risky propositio­n. The treatment, which was rejected twice before getting approved, carries a boxed warning, the FDA’s strictest, and women have to sign an agreement acknowledg­ing the risks.

The largest U.S. pharmacybe­nefits managers questioned its effectiven­ess and potential side effects in the months after its approval. Express Scripts Holding Co. chief medical officer Steve Miller said last year that the drug is of “modest efficacy at best, it’s not particular­ly safe.” And CVS Health Corp. chief medical officer Troyen Brennan expressed concerns about Addyi’s “relatively insubstant­ial evidence around efficacy.”

Then there’s the matter of price. Before the sale to Valeant, Sprout’s CEO at the time, Cindy Whitehead, said Addyi would cost about US$350 to US$400 a month before insurance coverage. Whitehead initially agreed to join Valeant and lead the division, but left the company a few months later.

Addyi, which unlike male sexual dysfunctio­n drugs is a daily pill, retails for about US$800 to US$850 for 30 tablets, according to price comparison website GoodRx.

For Valeant, the Addyi exit follows a number of asset sales over the past year as it looks to simplify its operations and pay down its debt.

“Returning Sprout to its former owners will enable us to further streamline our portfolio and reduce complexity in our business,” chief executive officer Joe Papa said in a statement.

Valeant shares rose 4.75 per cent to close at $15.43 in Toronto. The drugmaker reports quarterly earnings on Tuesday.

 ?? ALLEN G. BREED/AP ?? The denial of insurance or limited coverage for Addyi was blamed for its failure. Valent’s sale of the female libido drug follows a number of asset sales over the past year as the company strives to simplify its operations and pay down its debt.
ALLEN G. BREED/AP The denial of insurance or limited coverage for Addyi was blamed for its failure. Valent’s sale of the female libido drug follows a number of asset sales over the past year as the company strives to simplify its operations and pay down its debt.

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