While there is little doubt that the FDA's letter adds some risk to Intercept's outlook, analysts at BMO Capital Markets continue to hold a bullish stance on the stock. The firm's M. Ian Somaiya maintains an Outperform rating on Intercept's stock with a price lowered from $221 to $160.
Of particular note, the FDA's letter is unlikely to be followed up with a label change related to liver severe adverse events, Somaiya commented in a research report. The warnings in the letter already describe the risks, required monitoring and dose-adjustment requirements. Nevertheless, it is likely that doctors will be "more cautious" in prescribing Ocaliva mostly in patients with moderate-to-severe hepatic impairment patients (2 to 3 percent of addressable PBC) but also in the no/mild impairment segment.
This does create some commercial risk ahead and investors should be paying attention to new prescriptions/total prescriptions in the coming week for any signs of headwinds, the analyst added. Also, the FDA's letter should have a "limited read-through" to NASH but the company could still see "increased scrutiny" from the regulatory body in the Phase 3 readout, especially since NASH utilizes a 25mg/day dose.
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