It
will soon be 50 years since the publication of Dr. David Reuben’s Everything
You Always Wanted to Know about Sex: But Were Afraid to Ask had its profoundly
liberalizing effect on our attitudes toward sex. The best seller helped bring
the discussion on sexual behavior out of the bedroom and into other, more
public forums. Its timing was opportune. In 1969, when it made its first
appearance, America was already in the throes of a ‘sexual revolution’.
Reuben’s
opus aligned with the emerging anti-Puritanical thinking that sexual desire was
not something to be ashamed of. However, despite raising awareness that the
desire for sexual satisfaction is acceptable, his manual was, unfortunately,
silent on the pathologies that may plague sexual activity. Now it’s left to
biopharmaceutical companies like Palatin Technologies, Inc. (NYSE MKT: PTN) to
advance the ‘sexual revolution’.
Palatin
Technologies has been doing just that for 20 years, ever since it started its
biopharmaceutical operations in 1996. The company is focused on developing
targeted, receptor-specific peptide therapeutics for the treatment of diseases
with significant unmet medical need and commercial potential. Its lead product
is Bremelanotide, which it is developing for the treatment of female sexual
dysfunction (FSD). Bremelanotide is currently undergoing phase III clinical
trials for a type of FSD known as hypoactive sexual desire disorder (HSDD) in
pre-menopausal women. The essential feature of female HSDD is a deficiency or
absence of sexual fantasies and desire for sexual activity resulting in marked
distress and/or interpersonal difficulty.
The
prevalence of HSDD is extensive. A publication in Sexual Medicine Reviews
(http://nnw.fm/d3QB2) states that ‘HSDD is present in 8.9% of women ages 18 to
44, 12.3% ages 45 to 64, and 7.4% over 65.’ Other estimates
(http://nnw.fm/FcE8i) put its occurrence at up to ‘one-third of adult women in
the U.S.’ And a groundbreaking paper of 2011 on female HSDD
(http://nnw.fm/bc2JB) claimed ‘lack of sexual desire or interest in sexual
activity affects up to 43% of the adult American female population’ going on to
say that ‘hypoactive sexual desire disorder (HSDD) is considered the most
prevalent sexual disorder in women, and one of the most challenging to
overcome.’
If
even the most modest appraisals of HSDD’s extent are considered, it is apparent
that the condition is an unmet medical need that presents a multi-billion
dollar market opportunity. The last Census Bureau (2010) figures indicate that
there are some 60 million pre-menopausal women in the U.S. Consequently, the
potential market for Bremelanotide could be at least six million and may be as
high as 24 million. Palatin estimates a market size of eight million with
anticipated sales of $1.3 billion by 2020.
Palatin
has already completed enrolling patients in two North American phase III
pivotal trials for Bremelanotide. All patient visits in these phase III pivotal
trials have been completed and top-line results are expected late in the third
quarter of 2016. The company expects to file a New Drug Application (NDA) for
Bremelanotide in the first half of 2017.
Palatin
has other promising drugs in its pipeline. PL-3994 is a candidate for improving
treatment outcomes in heart failure. Two phase I studies have already been
completed for PL-3994 and a phase II trial is at the point of starting. For
treatment of a variety of inflammatory diseases, the company is working on a
melanocortin receptor-1 (MC1r) peptide drug. MC1r may have application in the
treatment of inflammatory bowel disease, nephritis (inflammation of the
kidneys), rheumatoid arthritis, and certain ocular and dermatologic
indications. In addition, a melanocortin receptor-4 (MC4r) peptide candidate
has had clinical proof-of-principle established. Proof-of-principle studies are
an early stage of clinical drug development when a compound has shown potential
in animal models and early safety testing.
For
more information, visit www.Palatin.com
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