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			 The drug, tested on early stage prostate cancer that does not 
			respond to hormonal therapy, was shown to be safe to use with only 
			fatigue as the most serious side effect, Bayer said on Thursday, 
			citing a phase-three study that could be decisive for regulatory 
			approval. 
 Given the cancer is not yet spreading and patients are still 
			relatively unburdened by the disease, a drug's tolerability is a key 
			concern for the generally elderly men taking it, said Robert LaCaze, 
			Bayer's head of oncology.
 
 "Patients may be on this drug for two to three, maybe four years ... 
			it really does fit this patient population, we feel, much better 
			than maybe some of the alternatives available today," he said.
 
			
			 
			
 Some initial results of the phase three trial were released earlier 
			this week and sparked disappointment. Shares in Finland's Orion, 
			which sold certain rights to the drug in a collaboration deal with 
			Bayer in 2014, fell as a result.
 
 The details showed darolutamide held off metastases for nearly two 
			years when compared to a placebo but analysts doubted this would 
			give darolutamide an edge over approved drugs Xtandi by Astellas and 
			Pfizer as well as J&J's Erleada.
 
 Bayer is in discussions with regulators about a request for 
			marketing approval and estimates annual peak sales of at least 1 
			billion euros ($1.13 billion).
 
 Analysts at UBS and Jefferies said the side effect profile was 
			favorable but questioned whether that would suffice to set the drug 
			apart from its established rivals because efficacy data was roughly 
			on par.
 
 
			
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			Full details on the darolutamide study are being presented at the 
			American Society of Clinical Oncology Genitourinary Cancers 
			Symposium on Thursday.
 An ongoing trial 
			https://clinicaltrials.gov/
 ct2/show/NCT03314324 comparing Xtandi directly with darolutamide, 
			with patients first taking one and then the other, may provide more 
			clarity in about three years.
 
			Among the 160,000 new cases of prostate cancer diagnosed per year in 
			the United States roughly 15,000 fall under the category that was 
			tested in the trial, LaCaze said.
 Darolutamide is also being tested on advanced prostate cancer with 
			metastases, a potentially bigger market.
 
 Bayer is under pressure to strengthen its drug development pipeline 
			as its pharmaceuticals division faces falling sales from 2024 amid 
			likely competition for its two bestselling drugs.
 
 Shares in the German company, which acquired seed maker Monsanto, 
			have fallen amid U.S. lawsuits claiming its Roundup weed-killer 
			played a role in the plaintiffs' cancer.
 
 (Editing by Alexandra Hudson)
 
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