Karen L. Smith - Jazz Pharmaceuticals Plc
Analyst
Yeah. Just to add a little bit onto that and the medical perspective associated with high sodium. I think it's well-documented, well-recognized as a major public health concern. The association between sodium intake and coronary heart disease and stroke has been well established. The AHA recently issued guidance. Their guidance was around reducing it to 1,500 milligrams. When you look at Xyrem, it has 1,640 milligrams per 9 gram dose. And so I think, as a physician, when they see the sodium intake, you look at the guidance being issued by AHA, then from a responsibility and a public health and safety perspective, you would have to look at a lower-sodium option as one that was better for all patients. I think to your question around if a patient were hypotensive, so could you, would you want to give them a higher sodium? There are other ways to treat hypotension beside saying, add salt to your diet. So I don't think the AHA would be inclined to give that recommendation to physicians. So the second half of your question that was more around Vyxeos and sort of considerations for how you would apply that, particularly in light of the other, newer approvals that have come through and the treatment options that are for specific patient populations, when you look at things like Rydapt, it's for newly diagnosed, it's with a FLT3 mutation, and it's with 7+3. And so when you look at Vyxeos and the response rate that has been seen in patients and the statistical significance versus 7+3, then I can see a lot of physicians wanting to leverage that as the backbone treatment for chemotherapy and the backbone for – instead of 7+3. And same for Idhifa, which was the other recent approval, and they were for IDH2 patients with that sort of a mutation or that carrier type, and again when you look at in a relapsed/refractory population. So as a physician, I could see them applying Vyxeos as the backbone – replacement for 7+3, and certainly using it as the add-on treatment, when you look at those defined patient population based on their carrier type, which is how treating physicians now characterize physicians. (42:49) It's what is their mutation, what is their carrier type, are they fit for treatment, are they high-risk, low-risk, and it's just part of the screening panel that is now done for these patients.