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Market Overreacts to Intercept Pharmaceutical Letter

The letter the drugmaker sent to prescribers about Ocaliva didn't include any new information, yet it fed market fears about the drug's commercial potential.

We are maintaining our $205 fair value estimate for

We believe the market is being overly sensitive to the contents of this letter. OCA is a bile acid analog, meaning that similar to naturally occurring bile acids, it is circulated from the liver to intestines. In highly compromised livers--the most advanced stages of cirrhosis--the circulation of bile acids is disrupted and leads to toxic buildup in the liver. Given this phenomenon where more of the drug is accumulated in the liver than in noncompromised liver situations, Intercept recommends more gradual and less frequent dosing for the most advanced PBC patients (specifically, those with Child-Pugh B and C staging). These represent a very small proportion of PBC patients (less than 5% by Intercept’s estimates), but because some doctors were incorrectly dosing with the wrong schedule, Intercept issued the letter to highlight the protocol outlined in its label. Considering the small PBC patient population to which this situation applies and no indication for label changes, our outlook for OCA in PBC is unchanged.

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About the Author

Kelsey Tsai

Equity Analyst

Kelsey Tsai is an equity analyst for Morningstar Research Services LLC, a wholly owned subsidiary of Morningstar, Inc. She covers biotechnology companies. Before assuming her current role in 2016, Tsai was an associate equity analyst, supporting Morningstar’s coverage of the healthcare sector. She joined Morningstar in 2013 as a data analyst and specialized in exchange-traded funds and variable annuities.

Tsai holds a bachelor’s degree in economics from Georgetown University. She also holds the Chartered Financial Analyst® designation.

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