L Sellers - The Suicide Effect

Monday, April 12th, 2:35 p.m.

Sula started to walk away, but the conversation in the conference room grew loud and pulled her back. Karl Rudkers salesman-smooth voice was stretched thin with stress. As CEO, he rarely made a point to speak with her-or anyone without a VP in front of their title-but Sula avoided him anyway. The other frustrated voice behind the door belonged to Diane Warner, the head of research and development. She was a petite woman with a surprisingly big sound. The two most powerful people in the company were arguing about Nexapra, an antidepressant Prolabs had been working on for years but now everyone was suddenly excited about.

A mention of JB Pharma made Sula step closer to the door. She glanced down the short hallway to see if anyone had noticed her. The door to the human resource department was closed, and the elevator was silent.

Not that it made a difference. She had a right to be here. Rudker and Dr. Warner had agreed to meet her in the conference room to give statements for the press release Sula was working on. JB Pharma, based in Seattle, was acquiring their company and as a public relations assistant, it was her job to write up the announcements. She had cranked out quite a few high impact press releases lately. First, Nexapras amazing clinical trial results had set the research and investor community buzzing. Then the big drug companies had come calling. JBs $2.5 billion dollar offer had won the bidding.

The voice was a little muffled, but Sula was certain she heard Diane Warner say, We have to tell them about the first set of data. It could change everything.

The declaration sent a tingle up her neck. What could change everything? Was something wrong with the data? She had been sending out glowing press releases about the drug for weeks. Were they all wrong? She needed to know what they were talking about. Sula remembered the conference room opened onto a smokers balcony on the other side and the exterior door was almost always open this time of year. She moved quickly, afraid the argument would be over before she got there.

Serves you right, she heard her mothers voice say in her head.

Sula kept moving. She had a right to hear the conversation. She had created the promotional material that encouraged doctors to enlist their patients in the Nexapra trials. If there was a problem with the drug, she needed to know.

Down the hall and through the executive lunchroom, the steady click of her low-heeled pumps echoed in the empty rooms. Sula slipped out onto the balcony and glanced at her watch. Fifty-two seconds. A weak April sun filtered though the clouds and warmed the rain-soaked cement. Staying close to the building, she moved toward the conference room doors. She wished she had a cigarette to explain her presence in case anyone came out while she was lurking around, but she had quit smoking six months ago. Mostly.

The argument was still in full swing. From her new position next to the partially open door, Sula caught glimpses of Warner as she paced back and forth in front of the window. Middle-aged with close-cropped silver hair, the doctor gestured with both hands.

The new owners have a right to know about the deaths in the early trials, Warner insisted. She held out her hands and used her fingers to tick off her points. The two patients who committed suicide in the Puerto Rico study were cousins, and I think I found a genetic marker that made them susceptible. Two: Developing a screening test can be accomplished in less than two years.

Warner paused, and Sula was grateful. She was still reeling from hearing that people taking Nexapra had killed themselves. Warner seemed to think it was the drugs fault. How could that be? The medication was supposed to help people who were depressed. She thought of the patients families, the grief they had experienced and were still feeling. The why? questions that would never be answered. She knew first hand what they had gone through. Those questions still haunted her.

Then the guilt hit her. She had helped bring those patients in!

Sula noticed the notepad still in her hand. She reached into her jacket pocket for a pen and instead found the tape recorder shed brought for her session with the two executives. She pressed the record button as Warner continued, If we get the 3,000 patients we need for the Phase III trials, the incident rate could be high enough to cause FDA to reject our application anyway.

Horseshit, Rudker thundered.

Sula aimed the microphone toward the open door.

The percentage of suicides in the Puerto Rico trial was lower than the national average. You cannot conclude that Nexapra caused those deaths.

Warner stopped pacing for a moment and drew in a long breath. Goddamn it, Karl. They killed themselves within a month of starting on the drug. We have an ethical responsibility to find out why. Under the anger, the doctor sounded tired. Sula wondered if the recorder had picked up her counter argument.

Rudker suddenly moved into view. He had thinning blond hair and sharp Nordic features, and at six-foot-two he towered over Warner. JB Pharma might not see it that way, he said, his voice nasty with sarcasm. As far as theyre concerned, Nexapra is a potential blockbuster with a very good side-effect profile. If we tell them differently, theyll withdraw their offer. We dont have the cash to continue on our own. Do you want to bring this company down?

But weve only-

Rudker cut her off. If we develop a screening test, were obligated to use it. And that jacks up the cost of R amp;D, slows down the FDA approval process, complicates marketing and prescribing, and in the end, substantially limits the market. And for what? A statistically insignificant risk for people who are prone to kill themselves anyway.

Sula sucked in her breath, stunned by the mans coldness. The room was silent, and she wondered if Dr. Warner had walked out. Unbelievable. Prolabs tag line was Putting Patients First. Sula had bought into that motto. She had felt like she was part of something bigger and better than herself. Clearly, the slogan was just corporate branding, a pretty package wrapped around a pile of deceit and greed. At least for Rudker, anyway.

Were going ahead with Phase III clinicals, he said with a dismissive wave of his hand. Youd better not tell anyone else about your theory.

Warner didnt respond.

The merged company doesnt need two heads of R amp;D.

Warner stiffened. So? Im good at what I do and I get job offers all the time.

That could change. Rudker lowered his voice to a mean whisper. Too much is at stake here. Dont cross me on this.

After a long silence, Warner spun around and headed into the interior hallway.

Sula clicked off the recorder and re-pocketed it. Anxiety shot through her in waves. She had to get away. Before she could backtrack, Rudker strode toward the opening. She lunged away from the door, dropping her notebook. As she scooped it up, Rudker stepped out to the balcony.

What are you doing out here? His pale face had gone pink.

I was looking for you and Dr. Warner. Sula glanced at her watch. She had been out here three and a half minutes. It felt more like fifteen.

His gray eyes bored into her, and Sulas stomach turned to mush. She began to chatter. Im putting together a press release about the acquisition. I was hoping to get a statement from you and Dr. Warner. We had a meeting scheduled.

You were listening.

No. I was just hoping to get your attention from here. Heat surfaced in her face, but her armpits had gone clammy.

With lizard-like quickness, he reached out and snatched her notebook.

Hey. It came out more of a squeak than a protest.

Rudker glanced at the blank page, then stared with expressionless eyes. Do not fuck with me. You will regret it.