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Albanese government moves ahead with election pledge to cap prescription medicines to $25

Albanese government moves ahead with election pledge to cap prescription medicines to $25

SBS Australia27-07-2025
The Albanese government says it will introduce legislation this week to cap the cost of Pharmaceutical Benefits Scheme (PBS) prescriptions to $25, down from $31.60 from next year. It means the cost of medicines on the PBS could be reduced by over 20 per cent from 1 January, 2026.
Pensioners and concession cardholders will continue to pay just $7.70 for their prescriptions until at least 2030.
Prime Minister Anthony Albanese said it builds on a pledge for cost of living relief. "The size of your bank balance shouldn't determine the quality of your healthcare," he said. Health Minister Mark Butler said the general patients medicines haven't been this cheap since 2004. In 2024, Australia exported roughly $2.1 billion of medicinal and pharmaceutical products to the United States, Australian Bureau of Statistics data shows. If the US were to put tariffs on medicinal exports, this could make Australian drugs more expensive. Driving down demand could also force manufacturers to move overseas, where the costs of operations are cheaper. The party promised an $8.5 billion boost aimed at strengthening the system and incentivising more clinics to bulk bill. This included $3.5 billion in direct incentives to GPs and medical centres, and $400 million for training more nurses and doctors in primary care settings, outlined in the March federal budget .
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Dr Boreham's Crucible: Telix has homework but remains dux of radioimaging class
Dr Boreham's Crucible: Telix has homework but remains dux of radioimaging class

News.com.au

time4 minutes ago

  • News.com.au

Dr Boreham's Crucible: Telix has homework but remains dux of radioimaging class

With multiple clinical trials and approval applications in train, nuclear medicine superstar Telix Pharmaceuticals (ASX:TLX) is like one of those irritatingly brilliant all-round students. We're thinking of the straight-A school captain who stars in the school play, whilst padding up for the First XI in between clarinet lessons. But when Goody Two Shoe's Latin grade slips to B+, panic ensues – mainly on the part of overbearing 'parents' (investors). Last month, Telix experienced the corporate version of such angst when it revealed the US Securities and Exchange Commission (SEC) had varied subpoenaed 'various documents and information'. These relate mainly to Telix's disclosures about its prostate cancer therapeutic program. While the company dubbed the entreaty a 'fact finding request', investors birched the stock by 15%. Telix has a nearer-term focus on winning US Food & Drug Administration (FDA) approval for two imaging products and says the longer-term therapy programs will continue unchanged. But the mysterious episode is not the first time that Telix has slipped up. In April, the FDA knocked back Telix's marketing application for its brain cancer (glioma) diagnostic, telling the company to do more homework. Management said the setback (by way of a Complete Response Letter) was merely temporary and the company would do what Headmaster requested. A year ago, the FDA also rejected the company's filing for its kidney cancer diagnostic Zircaix, on account of an 'unacceptable' manufacturing defect. Telix founder, CEO and head prefect Chris Behrenbruch dubbed the glitches 'relatively minor and fixable'. Indeed, the company re-filed the application and the market awaits an FDA decision by the end of the month. Telix machine is clicking along To date, Telix has derived most of its revenue in the US, from its approved prostate cancer imaging agent Illuccix. Illuccix is a kit for preparing gallium-68 gozetotide – more commonly known as a PSMA-11 injection – for positron emission tomography (PET) scans. Illuccix is used for prostate cancer patients suspected of having either metastasised growths, or a recurrence based on elevated PSA (prostate-specific antigen) levels. Elevated levels in the blood of PSA, a protein, can be a marker of prostate cancer. PSMA (prostate-specific membrane antigen) is a protein found on the surface of prostate cancer cells. Illucix is approved in 17 countries, including the US, the UK, Brazil, Germany, France, Canada and here. In March, the FDA approved second diagnostic, Gozellix (for metastatic castrate resistant prostate cancer). Telix hopes to launch Gozellix in the US in the current quarter. A bit of history Dr Behrenbruch founded Telix in 2015 out of a 'deep frustration' that there was a burgeoning interest in nuclear medicine technologies, but few commercial players. In early 2017 Telix acquired the Dresden-based radio-pharmaceutical outfit Therapeia, founded by Dr Andreas Kluge. Dr Kluge retired from the board in September last year. Telix listed in November 2017, after raising $50 million at 65 cents apiece. In November 2024 the company listed on Nasdaq, having abandoned a $300 million IPO in favour of a $650 million non-US corporate bond issue. Dr Behrenbruch was the executive director of the now defunct Factor Therapeutics and was also on the board of the very un-defunct pancreatic cancer tearaway, Amplia Therapeutics. In 2020, Telix inked a 10-year deal with China Grand Pharmaceutical, worth 'up to' US$225 million from market authorisation. The Hong Kong-based entity became the exclusive partner in greater China for any approved Telix therapy. Telix remains Melbourne based, but most of its commercial activity is in the US. Good golly, it's Gozellix In March this year the FDA approved the company's gallium isotope-based Gozellix, for PET scanning of lesions showing PSMA. While not an expansion to a completely new indication, Gozellix extends the company's US prostate cancer imaging market reach by an estimated 5-10%. Gozellix is for prostate cancer patients with suspected metastasis, who are candidates for initial definitive therapy (prostate removal or broader radiation treatment). It's also for those with suspected recurrence, based on elevated PSA levels. 'The ability to reliably deliver the product much further from its point of production means Gozellix can reach PET cameras that are currently not served by any PSMA imaging providers,' the company says. Gozellix has a longer shelf life of up to six hours, about three times more than Illucix. It can also be used on older scanning machines. On the acquisition trail To expand its repertoire and bolster its manufacturing oomph, Telix has continued an acquisitive splurge. In January Telix acquired a 'proprietary novel biologics technology' from antibody engineering company Imaginab Inc. The platform avails of small, engineered antibody formats that enable specific radiation targeting of cancer. The deal delivers a 'state-of-the-art' research facility in Los Angeles, adding to existing capacity at Sacramento, Angleton (Texas) and across the border in Vancouver. In September 2024 Telix spent $388 million to acquire RLS Radiopharmacies, to expand its North American manufacturing and distribution footprint. RLS derives revenue from providing radiopharmacy products to third party clients. In April, the company bought the Austin-based Isotherapeutics (radio-chemistry services) and the Canadian radio-isotope producer Artms Inc. Let's get clinical It's hard to do justice to Telix's extensive clinical program in a few paragraphs, but here goes … By the end of the year, the company should unveil an initial safety and dosing readout pertaining to its phase III prostate cancer therapy candidate, the lutetium-based TLX-591. The study, Prostact Global, has enrolled 30 men for the part one phase. These patients have PSMA-positive metastatic castrate-resistant prostate cancer. These men are also treated with the standard-of-care chemotherapy drugs, or the standard-of-care alone. To date, TLX-591 has been evaluated in 242 patients across eight phase I/II studies, with 'evidence of anti-tumour effect and a clear dose response profile for key measures of efficacy.' Telix also has mid-stage brain and kidney cancer therapy programs and another one for bone marrow conditioning. Telix also runs earlier stage programs for musculo-skeletal conditions including soft tissue sarcoma, bone metastases and 'pain palliation'. Readers should peruse the company 127-page investor presentation from June 11, but only if they are feeling strong. Finances and performance Telix reported revenue of US$204 million for the June 2025 quarter, up 63% year on year and a 10% increment on the March 2025 quarter. (As of January this year, the company reports in US dollars.) Sales of Illuccix accounted for US$154 million, up 25% year on year. RLS contributed US$46 million of sales, 39% higher than the March quarter. Dr Behrenbruch notes Illuccix dose volumes rose 7%, quarter on quarter. He says despite 'emerging competitive pricing pressure', Telix has 'effective strategies' to maintain average selling prices. Not irrelevantly, Gozellix in July was granted a permanent Healthcare Common Procedure Coding System code. Telix expects to obtain Transitional Pass-Through (TPT) payment status, which provides additional Medicare reimbursement to hospitals using innovative medical devices or drugs. TPT should apply from October 1 with reimbursement of around US$1000 per dose, almost twice that applying to Illuccix. In calendar 2024, Telix expended US$195 million on research and development, up 50%. This year the number should be 20-25% higher again. Telix has maintained calendar 2025 guidance of US$770-800 million, having chalked up first half revenue of US$390 million. We'll know about the innards of Telix's financials at its full-year results on August 21. Over the last 12 months Telix shares have irradiated between $17.44 (early September last year) and a record $31.14 in late January this year. In November 2017 the shares were worth 13 cents. Telix trumps tariffs with US manufacturing Telix says it won't be affected by Trump's drug pricing and tariff proposals. Given Telix's just-in-time products are made in the US out of necessity, they are as American as apple pie and a Colt AR-15 rifle under the bed. 'This will continue to be the case for new products the company expects to launch in 2025,' the company says. As for drug pricing, The Trump administration plans to benchmark certain local therapeutics against those charged in the cheapest of the industrialised nations. Telix reckons it's in the clear because 'localised production makes international pricing comparisons challenging to benchmark'. In any event, the company promises 'pharmaco-economically defensible' pricing. What the brokers say Broking analysts maintain their faith in Telix, despite the distraction of the SEC probe (if we can call it that) and stiffening prostate imaging competition. Broker Jefferies says such SEC entreaties are common, but the issues might take two years or so to resolve. UBS suggests any disclosure shortcomings may relate to Telix's dual ASX/Nasdaq listing, with the company needing to satisfy different requirements across the Pacific. On competition, UBS notes the 7% uptick in Illuccix sales shows Telix is winning market share in a hotter market. The firm believes the launch of Gozellix (and its TPT status) has relieved some of the pricing pressure. UBS values Telix at $36 a share, while Jefferies and Bell Potter plump for a $34 price target. The latter does so on the expectation of FDA approval of Zircaix. UBS says the current valuation assumes 'total scientific and clinical failure' of the therapeutic programs. Valuing the stock at $35, Wilsons says Gozellix provides 'exciting upside' and Telix has 'so many options available to it both competitively and operationally'. The only Grumpy Bob is Morningstar, which in April described Telix as overvalued by about 40%. The research house opined Telix's product pipeline remained 'commercially unproven in an increasingly competitive market'. Dr Boreham's diagnosis Telix faces a pile of homework, but we concur the company can remain dux of the radioimaging class despite the regulatory issues. We should stress that Telix is solidly profitable: UBS plugs in a net profit of $138 million for the 2024-25 year just gone, rising to $480 million within two years. Telix cites a current US prostate cancer imaging market at US$2.5-3.5 billion. But with expanded indications, this figure swells to US$6.7 billion across 1.7 million scans annually. One might think the medical world had nuclear diagnostics down pat by now, but evidently there are isotopes and there are isotopes. In the past, Dr Behrenbruch has described Zircaix as potentially bigger for Telix than Illuccix. Not that he expects the prostate business to slow down. Beyond imaging, if Telix can crack a better therapy for the key cancers in its remit, then its $7 billion market valuation looks only the start. At a glance ASX Code: TLX Share price: $18.53 Shares on issue: 338,399,059 Market cap: $6.27 billion Co-founder and CEO: Dr Christian Behrenbruch Board: Tiffany Olson(chair), Dr Behrenbruch, Dr Mark Nelson, Jann Skinner, Marie McDonald (chairman Kevin McCann retired in May 2025) Financials (June quarter 2025): revenue US$204 million (up 63%) Calendar 2024 year: revenue $783 million (up 56%), adjusted earnings before interest, tax, depreciation and amortisation $99.3 million (up 70%), net profit $49.9 million Major shareholders: Gnosis Verwaltungsgesellschaft (Dr Kluge) 6.88% Elk River Holdings (Dr Behrenbruch) 6.2%, Grand Pharma (China Grand Pharmaceuticals) 3.3%.

Family grateful for end-of-life care at Rockhampton's Fitzroy Community Hospice
Family grateful for end-of-life care at Rockhampton's Fitzroy Community Hospice

ABC News

time4 minutes ago

  • ABC News

Family grateful for end-of-life care at Rockhampton's Fitzroy Community Hospice

Struggling to breathe, battling a staphylococcus infection and suffering from other age-related illnesses, Neil Robinson's family knew he was nearing the end of his life. His family did not want the 85-year-old to die in hospital, but knew bringing him home could be overwhelming and complicated. "His ailments were complex, and it was very daunting to think about caring for him ourselves," Neil's daughter-in-law Toni Robinson said. A friend suggested hospice care, and it ended up being the solution Neil's family was looking for. "My friend's father was cared for at a hospice, and it was such a comfort to his family," she said. Neil spent his last week at the Fitzroy Community Hospice, the only end-of-life care option outside hospitals or aged care homes between Gympie and Townsville, a stretch of nearly 1,000 kilometres. The community not-for-profit hospice opened its doors in June 2024 to provide better end-of-life care in central Queensland. The second stage of the project opened last month to expand its capacity. The new rooms have more space for families, which means people coming from outside the area to be with loved ones have somewhere to stay. "Some people have confused us with aged care, but those we care for are referred to us through medical practitioners and nurse practitioners," chief executive officer Beth Thomas said. Funding is provided through an agreement with Queensland Health for several public beds and private health insurers, as well as ongoing fundraising. Ms Thomas said the organisation's executives worked with local GPs and the community to get the word out about the specifics of end-of-life care. "It's about taking the burden of care from families and hospitals," Ms Thomas said. "A big difference from a hospital is that we don't have fixed visiting hours. Family members and pets can come and visit any time. "It is meant to be a soothing and calming environment with no bells and whistles and bustling that the hospital has." Allison Leech, a nursing teacher at CQ University and former director of nursing at Toowoomba Hospice, believed more palliative care options were needed in regional areas as it eases the burden for both local health care systems and families. "Many Australians want to die at home, but it's not always possible. So this becomes a home-like environment, and patients and families can do things on their own terms." Fitzroy Hospice clinical nurse Megan Anderson saw the hospice as a place to create memories. "It is holistic and we see the family as a key part of patient care," she said. A Queensland Health spokesperson said hospice care was a critical part of the health care system, providing funding to some non-government organisations for palliative care services. "Our palliative and end-of-life care strategy includes $171 million to fund more palliative care services and boost the workforce across the state," the spokesperson said. Neil died in January this year after spending a week at the hospice. Ms Robinson said the week was spent sitting at Neil's side with Hope, the family dog, resting her head in Neil's hand. She said it was a "peaceful passing for Neil" and a comforting experience for the family. "The staff provided us with everything we needed to know so we understood the dying process," Ms Robinson said. "It was the next best thing to caring for Neil at home."

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