Building a blockbuster without DTC

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With the annual market for diabetes drugs expected to reach at least $25 billion worldwide by 2011, up from $15 billion today, drug makers have been investing heavily in new approaches to treating diabetes. With the recent troubles of oral agents injectable medications are now gaining more attention including Byetta which has quietly seen its market share increase without substantial DTC because of world of mouth about one of Byetta's side effects...weight loss.



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Byetta, introduced in June 2005, has stirred high hopes. The drug causes significant weight loss in many patients — in contrast to most existing diabetes treatments, which cause weight gain that can potentially worsen the disease. In addition, some data in animal studies hints that Byetta may help the pancreas regrow the cells that produce insulin, a crucial process in slowing the course of diabetes. A visit to message boards on Web MD indicated that indeed patients are talking about this medication; "I lost 6 pounds in one month" one patient said another said "I lost 16 pounds in 5 months". There are a lot of people who want to try Byetta but are afraid because of another side effect, nausea. Again patients are talking to each other about this potential side effect, "I got nauseous for a couple of days but then it went it away, it really wasn't that bad", still another said "I didn't have any nausea at all".


Judging from the buzz in Consumer Generated Media I believe that Lilly has a potential blockbuster on their hands, all without a substantial DTC budget. As the Times recently said:


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Even without a big marketing push, prescriptions for Byetta are soaring, as news of the drug spreads among diabetics and doctors. From November to January, monthly prescriptions rose almost 40 percent, to almost 100,000, well ahead of analysts' forecasts. Byetta costs about $170 a month, or $2,100 a year, slightly more than most other diabetes drugs, but most insurers cover it. In addition despite the cautions and drawbacks, some doctors appear to be prescribing Byetta primarily as a weight-loss aid in people who do not have elevated blood sugar. A visit to Google with the keyword Byetta Blog and one finds that there are a lot of diabetics who are talking about Byetta and sharing information. This is the power of Consumer Generated Media and should be lesson to pharma that alternative channels can yield great results when the Internet is used to get people talking to one another.



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