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Optimizing Targeted Treatment in Cancer

Negotiating the Challenges to Success

Publication Date   September 2005
Publisher   Datamonitor
Product Type   Report
Pages   91
ISBN Number   not applicable
Product Code   DAT371
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Price £1,000.00

approximately: $1,485 | €1,177

Summary


The global cancer market is poised for ongoing expansion with sales set to exceed $60bn by 2010. The emergence of novel molecular-targeted treatments will drive a significant proportion of R&D activity and future sales growth in this sector. While this will provide developers with ample opportunity for commercial reward, it will be fraught by a number of unique challenges.

Highlights

Targeted treatment will not entirely replace traditional cytotoxic treatment and the latter will continue to form the cornerstone of cancer therapy. However, the co-administration of targeted treatment will allow the optimization of cytotoxic doses and so drive the market for both classes over the coming years

Lifecycle management in the era of targeted treatment is becoming increasingly more challenging. The key to future success will be intensified by efforts to identify responsive patient populations at an earlier stage of the drug development process

Given the mechanistic differences between small molecules and antibodies, a logical approach is to combine these two drug classes. While this is an area of active clinical research, key to the success of this economically challenging approach is to identify the best combination of drugs and the patients that will benefit most from treatment

Scope

  • Overview of the clinical and developmental challenges facing players in the oncology sector
  • Expert insight into strategies for improving patient selection and optimizing "go and no-go" decisions in progressing late stage clinical development
  • Lifecycle management case studies of key targeted therapy agents
  • Strategies to overcome pharmacoeconomic challenges hindering the uptake of targeted treatment

Reasons to Purchase

  • Understand the clinical and strategic challenges to the commercialization of targeted treatments
  • Assess opportunities and risks for the continued development of innovative developmental treatments
  • Adopt knowledge from this Analysis to drive strategic planning decisions in oncology drug development

Content


  • Chapter 1 Executive Summary
  • Chapter 2 Introduction
    • A dynamic and challenging oncology market offers significant commercial opportunity
    • The emergence of targeted treatment heralds a revolution in cancer pharmacotherapy
    • Datamonitor's 'Oncology Foresight Seminar' provides vehicle for analysts and key opinion leaders to share their perspectives on challenges to commercialization of MTTs
  • Chapter 3 Meeting Existing Unmet Needs
    • Successful management of advanced disease is relatively limited
    • Improvements in symptom control, quality of life and, above all, cure rates should be the goals of MTT
  • Chapter 4 Optimizing Treatment Approaches Employing Mtts
    • Cancer pharmacotherapy is on the cusp of a paradigm shift
    • Which targeted therapy class offers the greatest commercial potential?
    • Dilemmas persist regarding the optimiziation of combination approaches employing MTTs
    • The emerging 'richness' of targets in oncology
  • Chapter 5 Increased Patient Selection And Market Segmentation In The Era Of Mtt
    • Issues regarding patient selection are now far more complex
    • Improved patient selection: what tumor-specific features can be evaluated?
  • Chapter 6 Optimization Of Go/No-Go Decisions Necessary To Mitigate High Attrition Rates
    • Early development of diagnostic for biologically relevant target is critical
    • 'Proof of concept' paradigm shift
    • The randomized discontinuation trial: a novel, innovative Phase II design
    • Conventially recognized definitions of response need to be re-evaluated in the age of MTT
  • Chapter 7 Mtts Targeting Multiple Oncogenic Signals Is An Area Of Intense R&d Activity
    • Pfizer and Bayer/Onxy sprint to the finish line in the race to commercialize a multi-targeted TKI
    • Inhibition of multiple 'mission critical' pathways is the key to success
  • Chapter 8 Mtt And Drug Resistance
    • De novo resistance to MTTs is almost inevitable
    • Using MTTs to overcome chemotherapy resistant clones
    • The population-based risk assessment with empiric treatment needs to evolve to a more 'personalized' approach
  • Chapter 9 Changing The Paradigm: Cancer As A Chronic Disease?
    • Evolving maintenance therapy to prevent tumor recurrence and improve progression-free survival
    • Long-term toxicities following chronic administration of MTTs
  • Chapter 10 How Will Lifecycle Management Strategies Change With The Introduction Of Targeted Treatments?
    • Herceptin's logical and stepwise approach to indication expansion
    • Rituxan indication expansion from a 'niche' tumor to the backbone of treatment for B-cell malignancies
    • Avastin LCM based on data derived from randomized Phase II studies
  • Chapter 11 The Pharmacoeconomic Challenge
    • Pharamcoeconomic contraints will become increasingly more challenging
    • The rising costs of mCRC pharmacotherapy are disproportionate in relation to improvements in survival
    • Improved pharmacoeconomic analysis will be required to communicate the 'value' of novel MTTs
  • Chapter 12 Appendix
    • Research methodology
    • Disclaimer