Devices & Diagnostics

For Boston Scientific, approval of subcutaneous ICD couldn’t come soon enough

For the last year, Boston Scientific’s (NYSE:BSX) stock has hovered between $5 and $6, and no amount of share buybacks have nudged the price up much. In the company’s second-quarter earnings call last week, analyst Michael Weinstein of JP Morgan asked chief financial officer Jeffrey Capello whether repurchasing shares was the best use of Boston Scientific’s […]

For the last year, Boston Scientific’s (NYSE:BSX) stock has hovered between $5 and $6, and no amount of share buybacks have nudged the price up much.

In the company’s second-quarter earnings call last week, analyst Michael Weinstein of JP Morgan asked chief financial officer Jeffrey Capello whether repurchasing shares was the best use of Boston Scientific’s cash instead of issuing a dividend.

In response, Capello remarked that shareholders will benefit greatly because of the buybacks once Boston Scientific’s revenue shows some growth. He added that the stock price is tied to revenue growth and not share repurchases.

So where will meaningful revenue growth come from?

For that all eyes are on the subcutaneous ICD product that the Cameron Health  acquisition brought to Boston Scientific. Executives believe that Cameron’s novel implantable defibrillator represents disruptive technology because it is the first and only ICD that is delivered subcutaneously and has no leads in the heart. It is approved in Europe and available in a few locations.

In April, the product  won the recommendation of a regulatory panel for approval in the U.S. On Thursday, Boston Scientific’s President Mike Mahoney, who heads up its Cardiac Rhythm Management business, told analysts that the product is expected to get approval in the first half of the year, maybe even sooner.

Mahoney added that he estimates the market for the so-called S-ICD is $750 million worldwide.

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A Deep-dive Into Specialty Pharma

A specialty drug is a class of prescription medications used to treat complex, chronic or rare medical conditions. Although this classification was originally intended to define the treatment of rare, also termed “orphan” diseases, affecting fewer than 200,000 people in the US, more recently, specialty drugs have emerged as the cornerstone of treatment for chronic and complex diseases such as cancer, autoimmune conditions, diabetes, hepatitis C, and HIV/AIDS.

“We do believe this will drive share, not only in de novo implants with primary and secondary patients, but also in replacements, patients who already have transvenous lead systems who would need a revision procedure,” he said.

Given the $3.04 billion loss the company suffered in the second quarter, winning U.S. approval to market the S-ICD is likely going to be key in getting the stock to turn around.