Two phrases that drug companies almost never want to see in the same
sentence: “clinical trial” and “side effects.” Almost any time an
experimental drug has an effect other than the intended one—treating
heart disease, diabetes, whatever—it’s bad news, which is why the huge
majority of drugs flame out in clinical trials and never reach the
market (or get pulled from the market, as Vioxx was when it was found
to raise patients’ risk of heart attacks).
But every once in a great while, a side effect offers new possible
uses for a drug. The most famous example is minoxidil—better known as
Rogaine—which opens up blood vessels and was initially developed to
treat high blood pressure. But when men began developing an interesting
side effect—growing hair—the manufacturer (Upjohn, whose remnants have
since become part of Pfizer) saw whole new possibilities, and the rest
is hirsute history.
Now Allergan, Inc., best known as the maker of
Botox (though it also makes Lap-Band, placed around a patient’s stomach
as a treatment for obesity), may be in the same happy position, and
Maybelline might want to look over its shoulder: a glaucoma drug that
Allergan sells under the name Lumigan turns out to grow eyelashes that
a model would kill for. At a conference in New York this week, the
company announced that it would seek approval for this use of Lumigan
by the end of the third quarter of 2008.
The company suspected it might have a hit on its hands when “no one
in the clinical trial” returned the unused portion of the drug,
Allergan’s head of R&D, Scott Whitcup, told me when he dropped by
this morning. The company expects approval for this use—the drug would
be applied to the base of the lashes, with each application lasting
maybe three or four weeks—by next year.
The pharmaceutical industry has good reason for taking such side
effects seriously, rather than abandoning a drug that does unexpected
things. Although pharma R&D spending has soared past $40 billion a
year (inventing, developing and testing a new drug costs something
north of $800 million, if you include all the busts), the number of new
FDA approvals has stagnated. “More and more,” said Whitcup, “people are
realizing that ‘side effects’ might be effects,” as in something a
company can market a drug for.”
Lush eyelashes aren’t exactly a cure for cancer, but the principle
is a sound one: these days, drug companies can't afford to let any
biological effect of a compound go unexplored.