Somaxon Pharmaceuticals in Bed with Proctor & Gamble
    August 26, 2010  PSW Staff
    Somaxon Pharmaceuticals (SOMX) announced on Wednesday, August 25 that Proctor &
    Gamble (PG) will be Co-Promoting the company's only drug, Silenor.  Silenor was approved
    by the FDA in March of 2010 for the treatment of insomnia characterized by difficulty with sleep
    maintenance.  Somaxon will likely transform from a development stage company to one with
    actual revenues during the last quarter of this year as Silenor is slated to launch in late
    September.  We take a look at how the deal with Proctor and Gamble is structured, how
    Silenor is different from other insomnia drugs, and what kind of revenues the product could
    bring in for Somaxon.

    The Agreement with P&G will double Silenor's sales and marketing reach to 35,000 high
    prescribing doctors of insomnia products.  P&G exited the pharmaceutical business last year
    to focus on it's core business, but retained 15% of that divisions sales force.  Those
    individuals will be primarily focused on Silenor.  P&G's sales force will engage primary care
    and other high prescribing physicians, as well as 25,000 pharmacies, while Somaxon's
    smaller force will be able to focus primarily on specialists and other physicians who treat
    insomnia.  There was no money exchanged in the deal and both parties will maintain their
    own sales force.  P&G will not be responsible for any other cost's to commercialize the
    product, and Somaxon insists that it will maintain long term control of Silenor.  They will pay
    P&G fees and royalties based on net sales, and company executives say that these fees will
    not exceed 15% of total sales.  P&G was also granted first negotiation rights to market
    Silenor as an Over the Counter medication, although a product is not expected anytime soon.

    Silenor was approved to treat a specific, although wide reaching type of insomnia known as
    sleep maintenance difficulty.  These are people who wake frequently during the night or wake
    up too early and have trouble falling back asleep.  Clinical trials of the drug showed people
    were able to sleep through the seventh and eighth hours of the night with little or no next day
    residual effects.  Silenor also demonstrated a lack of abuse potential and withdrawal effects,
    and has not been flagged by the U.S. Drug Enforcement Agency.  Silenor works differently
    than any other FDA approved insomnia drug by binding to histamine receptors.  The
    company believes that this differentiation will lead to advantages in a large and growing
    insomnia market.  It is estimated that 70 million Americans suffer from insomnia, and only
    about 20% are currently being treated with medication.

    The company faces competition form major drug companies that currently have insomnia
    products, and in some cases companies already offering generic versions of those
    products.  Silenor may have an advantage over these products with effectiveness, but many
    more drugs are in the works that may better compete with it.  Silenor is currently expected to
    be the first of these to reach the market, which gives them a huge advantage getting their
    name out there.  The possibility of Silenor generating a lions share of revenues from the
    insomnia market does exist, although it's life cycle may be limited.  P&G will help with the
    promotion in the short term, and also with a way to further market the product as an OTC
    medication as their patents expire and generic competition ensues.

    The major competitors that Silenor will face if it comes to market on schedule later this year
    are Sanofi-Aventis' (SNY) Ambien CR, King Pharmaceutical's (KG) Sonata, Sepracor's
    (SEPR) Lunesta and Takeda Pharmaceutical's (TKPHF.PK) Rozerem.  Sanofi-Aventis'
    controlled release version of Ambien, Ambien CR did total sales in 2009 of just under $1
    billion, a 14% increase over 2008.  Lunseta saw sales of over 800 million last year, a 6%
    increase from 2008.  So how big of a bite in this multi-billion dollar market will Silenor be
    able to swallow?  It may depend on several factors, including cost.  The company says that
    they will be selling the product for less than the average price of their major competitor's
    insomnia drugs.  The biggest factor, however, may be whether or not any major adverse side
    effects are reported.  The current drugs have all had their problems with side effects, the
    major ones being dependency and suicide risk.

    Any revenues approaching a billion dollars will be enormous for this very small company.  
    There are currently just 35 million shares issued and outstanding giving Somaxon a market
    cap of around $150 million.  The company is well positioned to take full advantage of any
    profits with no debt on their balance sheet and 55 million dollars in cash and equivalents.  
    The company's operating expenses have remained consistently small, and Somaxon has
    said the P&G deal will not increase their expense forecast for the year, which is $28-32
    million.  Pharmaceutical companies often experience high gross profit margins in the 50-
    80% range, however expenses, particularly selling expenses, bring their net margins way
    down to an average of 15%.  This could spell big net margins for Somaxon, but only if the
    percentage of sales given to P&G remain as low as the company says they will.  Keep in
    mind that they have another significant sales force to pay from Publicis Touchpoint Solutions
    that was announced in July.

    The stock popped from $4.00 to $10.00 back in March when FDA approval was announced.  
    Over the next five month's, however, it trickled back down to just below $4.00.  To get an idea
    where the stock is currently valued, a 10% penetration into the insomnia market next year
    with a 25% net profit margin would give this stock a forward P/E of as low as 2.  Numbers
    remotely close to this would almost have to send the market cap higher considering the
    average P/E of 28 for Drug Manufacturers.  Dilution may be mostly off the table for now given
    their strong financial position.
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