June 28, 2011

New Vertex ads focus on disease, not treatment

One Vertex ad on MBTA buses features an aging rocker. Vertex ads direct consumers to a website and a free nurses helpline. (Vertex Pharmaceuticals Inc.)

By Robert Weisman
Globe Staff / June 28, 2011
 
CAMBRIDGE — The ads began popping up this spring.

An aging rocker, guitar in hand, peers from a poster mounted inside MBTA buses. “I survived disco,’’ the text reads. “I can fight hepatitis C.’’

On the radio, a reassuring voice says: “Hepatitis C is a serious disease, but it can be cured. You can fight it. Now there’s a program to help you get ready.’’

The poster and radio spots appear to be public service messages about a liver-destroying virus few are aware of. But if you look or listen carefully, you’ll notice the name of the sponsor — Cambridge biotechnology company Vertex Pharmaceuticals Inc., which recently won federal approval to sell a new hepatitis C drug.

Its pill, being sold under the brand name Incivek (pronounced inn-see-veck), is expected to quickly become the biggest selling drug from a Massachusetts company in nearly a decade, with annual sales projected to hit $2 billion within three years. But rather than drum up consumer interest in the product itself, Vertex is conducting a so-called unbranded campaign that doesn’t mention Incivek. The idea, company officials say, is to let more people know about hepatitis C.

Educating the public about the disease also is a priority for pharmaceutical giant Merck & Co., which is selling a hepatitis C drug to compete with Vertex’s and has enlisted legendary rocker Gregg Allman for a similar awareness campaign.

The two companies are promoting information about the illness over their brand-name medicines — at least for now — because many of the 3.2 million Americans believed to carry the virus don’t realize they are infected, according to numbers from the Centers for Disease Control and Prevention in Atlanta.

“Three quarters of the people don’t know they have the disease, and most of the people who know don’t get treated,’’ said Pamela Stephenson, Vertex’s vice president for marketing excellence.

“People out there are searching for information. They can be scared. They can be alone,’’ Stephenson said. “At the core of what we’re trying to do is to find people who have hepatitis C and help them lead a better life.’’

Untreated, hepatitis C can eventually cause cancer or liver scarring, and about 10,000 people die from the disease every year in the United States. Many of those at risk are baby boomers who contracted the virus through intravenous drug use or blood transfusions in the 1960s or 1970s, before the blood supply was safeguarded, and have lived for decades without symptoms.

Incivek is the first drug the 22-year-old Vertex brought to market and sold on its own. While the pill is positioned to become a major success for the company — which last week broke ground for a massive corporate headquarters on the South Boston Waterfront — it will compete with a Merck’s drug, which won Food and Drug Administration approval 10 days before Incivek last month.

Both treatments work by blocking the enzyme that allows the hepatitis C virus to replicate. Though Merck’s drug got out of the gate first, Vertex’s did better in clinical trials and is projected to win a larger market share.

The decision to forgo a purple-pill-style marketing blitz in favor of a campaign focused squarely on hepatitis C is somewhat unusual. While drug makers have used unbranded campaigns in the past, it’s typically done when they are first to market with a treatment and don’t have to worry about a rival product. By contrast, drugs for hepatitis C have been around for years, though the new class of drugs — used with existing therapies — promises a more effective treatment with shorter duration.

Vertex ads direct consumers to a website, http://www.bettertoknowc.com/, and a free nurses helpline, 1-855-HEPCINFO , where they can learn more about the virus and treatments. But the focus of the ads is squarely on introducing hepatitis C to the public.

“A lot of drug companies are trying to expand sales of their products even to people who don’t need it,’’ said Rajendra Sisodia, professor of marketing at Bentley University in Waltham. “This campaign is more of a service to the public, promoting awareness of a hidden killer, a hidden disease people aren’t aware of. Companies that come from a place of service can add value and ultimately help themselves. Sales of the drug are a byproduct.’’

Merck, based in Whitehouse Station, N.J., also has launched a consumer awareness website, http://www.allabouthepc.com/. Like Vertex, Merck does not directly promote its new product, Victrelis, but urges consumers to get more information about the disease and consult doctors or nurses. Merck has also teamed with Allman, who was infected with hepatitis C and received a liver transplant. The Allman Brothers Band will perform a World Hepatitis Day benefit concert in New York on July 27.

Though the companies have not collaborated, by increasing the pool of people seeking treatment, both will benefit. Merck and Vertex also run parallel campaigns to educate doctors and nurses about their products.

Another push to educate the public about hepatitis C is being readied by the CDC, which is writing new guidelines that will recommend one-time screenings of people born between 1946 and 1964. Currently, people are tested for hepatitis C only if they are considered high risk.

Given that about 3 percent of that age group — one out of 33 people — is thought to be infected, broader screening makes sense, said Dr. John W. Ward, director of the CDC’s division of viral hepatitis. “These people are aging into a risk period for this disease,’’ he said.

Ward said government officials are not explicitly coordinating their education efforts with the drug makers, though he said they are working toward the same goal. “There’s a huge need to increase awareness about hepatitis,’’ he said. “What’s important is that all these campaigns provide accurate information about the disease, the modes of transmission, and who’s at risk.’’

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