If you have a teenager, a doctor has quite possibly offered them Gardasil, a vaccine against the virus behind most cervical cancers. Gardasil is made by Merck, which in Europe goes by another name, MSD. Its vaccines sit in doctors' fridges on both sides of the Atlantic.
The medicine that matters most to Merck, though, is one most people meet only when someone close to them falls ill. Keytruda is a cancer treatment: it helps the body's own defenses find and attack tumors. Today it brings in about half of everything Merck sells.
In the United States, Keytruda still enjoys protection, that is, years in which rivals cannot copy it and the government does not set its price. That protection starts to wear away late in this decade, on dates already fixed. Merck has launched new medicines and bought others to prepare. Can those medicines grow large enough in time?
