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Diabetes Drug Discoveries

What the Future Holds

Publication Date   January 2007
Publisher   Espicom
Product Type  
Pages   128
ISBN Number   not applicable
Product Code   ESP988
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Price £1,495.00

approximately: $2,640 | €1,896

Summary


The diabetes market will grow significantly over the next 5 years to US$31.4 billion - who are the companies and what are the market trends and products that will drive growth?

There are a number of drivers in the diabetes market that are fuelling growth:

Product Innovation

New classes of drugs such as GLP-l agonists and DPP-lV inhibitors have already been launched and the pipeline is well stocked. Combination therapies will play their part in the future as will novel drug delivery technology.

Emerging Markets = Rapid Growth

Some of the fastest growing markets for diabetes are in emerging economies - India, China and Indonesia are in the top 5 for disease prevalence. The impact for both branded and generic drugs is considerable.

Unmet Clinical Need Will Keep Developed Markets Strong

While the number of patients diagnosed has gone up it is estimated millions are still to be identified. In the UK alone, it is estimated that up to a million Type II sufferers are undiagnosed.

Strong Annual Growth Expected For The Next Five Years

With many new products yet to realise their full potential, and the high incidence of Type II diabetes expected in emerging markets, prospects for the sector look strong. Estimated at US$22 billion in 2007, it is forecast to grow to US$31.4 billion by 2011, with generics performing strongly as time moves on.

This Report Answers Key Questions

  • What revenue is Pfizer's novel Exubera forecast to achieve by 2011 in the hotly-contested insulin market?
  • What are the strengths and weaknesses of Merck & Co's Januvia and Novartis' Galvus in the new DDP-IV inhibitor sector?
  • Which markets are showing the highest growth in terms of disease prevalence?
  • What impact might combination therapies have in the future?
  • How well will Bristol-Myers Squibb and Merck KgaA be able to protect future Glucophage (metformin) revenues from generic competition?

Current Treatment Options

  • Insulin
  • Metformin
  • Sulphonylureas
  • Thiazolidinediones
  • Glinides
  • Alpha-glucosidase inhibitors
  • Amylin agonists
  • GLP-l agonists
  • DPP-lV inhibitors

Outlook For Current And Expected Therapies To 2011

  • Insulin and insulin analogues
  • Humulin (Eli Lilly)
  • Humalog (Eli Lilly)
  • Novolin, Velosulin etc (Novo Nordisk)
  • Lantus (sanofi-aventis)
  • Levemir (Novo Nordisk)
  • NovoRapid/NovoLog (Novo Nordisk)
  • Apidra (sanofi-aventis)
  • Exubera (Pfizer)
  • AERx iDMS (Novo Nordisk/Aradigm)
  • Metformin and sulphonylureas
  • Glucophage (BMS/Merck)
  • Amaryl (sanofi-aventis)
  • Thiazolidinediones
  • Avandia (GSK)
  • Actos (Takeda)
  • GLP-l agonists
  • Byetta (Eli Lilly)
  • Liraglutide (Novo Nordisk)
  • AVE0010 (sanofi-aventis)
  • DPP-IV inhibitors
  • Januvia (Merck & Co)
  • Galvus (Novartis)
  • saxagliptin (BMS/AstraZeneca)
  • Cannabinoid Type I receptor blockers
  • Acomplia (sanofi-aventis)

Novel Competitor Ratio Analysis Puts Products Into A Wider Market Context

For a number of new and future drugs, Espicom has provided a competitor ratio analysis, based on our assessment of the following five criteria:

  • Novelty/rationale for mechanism of action;
  • Proof of concept/clinical data;
  • Management expertise;
  • Competition within the marketplace;
  • Risks associated with drug development in therapeutic class.

Each of these criteria attracts a maximum of ten points, resulting in a maximum score of 50 overall and allowing you to compare and contrast the prospects for each product.

Providing

  • Unique 5 year sales forecasts by product
  • Critical assessment and estimates, where appropriate, for 19 new and current compounds
  • A review of upcoming products and research strategies
  • Prevalence and background data

Industry and investor interest in the diabetes sector has been rekindled
Public awareness about the causes of Type II diabetes, an ageing population and improving diagnosis rates are fuelling market growth. Around the globe, an estimated 246 million people are living with diabetes today. By 2025, it is anticipated this number will increase to around 380 million. Each year, diabetes-related causes account for 3.8 million deaths and claim the lives of as many people as HIV/AIDS.

In 2007, the prevention and treatment of diabetes and its complications will cost at least US$232 billion according to current estimates. By 2025, this is likely to increase to more than US$302.5 billion. Unmet clinical need in developed markets and a rapidly-expanding market in emerging economies will drive market growth.

Innovation Coming To The Market

Equally significant has been the introduction of new classes of drugs. The GLP-l agonists and DPP-lV inhibitors introduce a new approach while delivery technology continues to play a role with the introduction of Pfizer's Exubera - the first inhaled insulin product.

Understand This Key Market Sector

The diabetes market is taking an increasingly important role in industry's and investors' plans which is why Espicom has published this critical analysis Diabetes Drug Discoveries: What the future holds. The report puts the spotlight on current and future drugs that will be used in the treatment of Type I and Type II diabetes as well as related conditions, and provides industry and investors with a complete and comprehensive overview of the market in the medium term.

Content


  • Foreword
  • Executive summary
  • What is diabetes?
    • A global problem
    • Where in the world?
    • The economic burden
    • Unhealthy lifestyles; a worrying trend
    • Additional health risks for young people
    • The diabetes therapy market
  • Diabetes management
    • Current treatment options
      • Insulin
      • Metformin
      • Sulphonylureas
      • Thiazolidinediones
      • Glinides
      • Alpha-glucosidase inhibitors
      • Amylin agonists
      • GLP-1 agonists
      • DPP-IV inhibitors
    • What's in the pipeline?
      • Further development of launched products
      • Potential new drugs
      • Competitor ratio analysis
    • Insulin and insulin analogues
      • Humulin (insulin human [rDNA origin])
      • Sales forecast
      • Humalog (insulin lispro)
      • Sales forecast
      • Lantus (insulin glargine)
      • Sales forecast
      • Clinical trials
      • LANMET
      • INSIGHT
      • AT.LANTUS
      • Apidra (insulin glulisine [rDNA origin])
      • Further development
      • Sales forecast
      • Clinical trial results
      • Novo Nordisk's insulin analogues
      • Sales forecast
      • Levemir (insulin detemir)
      • Clinical trial results
      • PREDICTIVE
      • NovoRapid/NovoLog (insulin aspart [rDNA origin])
      • NovoMix/NovoLog Mix
      • Clinical trial results
      • PREFER
      • Exubera (insulin human [rDNA origin]) inhalation powder
      • Sales forecast and assumptions
      • Competitor ratio analysis
      • Novelty/rationale for mechanism of action
      • Proof of concept/clinical data
      • Management/clinical expertise
      • Competition within the marketplace
      • Risks associated with drug development in therapeutic class
      • Clinical trial results
      • Ongoing studies in Type I and Type II diabetes
      • Diabetes patients with respiratory infections/exposure to cigarette smoke
      • Type I diabetes
      • Type II diabetes
      • AERx iDMS (NN1998)
      • Sales forecast and assumptions
      • Competitor ratio analysis
      • Novelty/rationale for mechanism of action
      • Proof of concept/clinical data
      • Management/clinical expertise
      • Competition within the marketplace
      • Risks associated with drug development in therapeutic class
      • Clinical trial results
      • AERx iDMS compared to sc insulin aspart and sc human regular insulin
      • AIR Insulin System
      • Clinical trial results
      • Technosphere Insulin
      • Clinical trial results
      • Phase III
      • Phase II
      • Oral-lyn
    • Metformin and sulphonylureas
      • Glucophage (metformin)
      • EASD/ADA consensus recommends metformin at diagnosis of Type II diabetes
      • Sales forecast
      • Recent Research
      • Metformin effective for non-obese Type II diabetes patients
      • Generic competition
      • Amaryl (glimepiride)
      • Sales forecast
      • Generic competition
    • Thiazolidinediones
      • Avandia (rosiglitazone)
      • Sales forecast
      • Clinical trial results
      • ADOPT
      • DREAM
      • RESULT
      • Rosiglitazone+atorvastatin
      • Rosiglitazone+fenofibrate
      • Safety issues
      • Actos (pioglitazone)
      • Sales forecast
      • Safety issues
      • Clinical trial results
      • Pioglitazone in NASH
      • CHICAGO
      • PROactive
      • COMPLEMENT
      • Patent challenges/generic competition
    • GLP-1 agonists
      • Byetta (exenatide)
      • Sales forecast and assumptions
      • Competitor ratio analysis
      • Novelty/rationale for mechanism of action
      • Proof of concept/clinical data
      • Management/clinical expertise
      • Competition within the marketplace
      • Risks associated with drug development in therapeutic class
      • Clinical trial results
      • Exanatide versus biphasic insulin aspart
      • Exenatide as adjunctive therapy with thiazolidinedione
      • Long-acting release (LAR) formulation
      • Liraglutide
      • Sales forecast and assumptions
      • Competitor ratio analysis
      • Novelty/rationale for mechanism of action
      • Proof of concept/clinical data
      • Management/clinical expertise
      • Competition within the marketplace
      • Risks associated with drug development in therapeutic class
      • Clinical trial results
      • Phase IIb
      • AVE0010
      • Sales forecast and assumptions
      • Competitor ratio analysis
      • Novelty/rationale for mechanism of action
      • Proof of concept/clinical data
      • Management/clinical expertise
      • Competition within the marketplace
      • Risks associated with drug development in therapeutic class
    • DPP-IV inhibitors
      • Januvia (sitagliptin)
      • Sales forecast and assumptions
      • Competitor ratio analysis
      • Novelty/rationale for mechanism of action
      • Proof of concept/clinical data
      • Management/clinical expertise
      • Competition within the marketplace
      • Risks associated with drug development in therapeutic class
      • Clinical trial results
      • Januvia as monotherapy
      • Januvia versus glipizide
      • Januvia with metformin
      • Januvia with pioglitazone
      • Dose adjustment in patients with renal impairment
      • Galvus (vildagliptin)
      • Sales forecast and assumptions
      • Competitor ratio analysis
      • Novelty/rationale for mechanism of action
      • Proof of concept/clinical data
      • Management/clinical expertise
      • Competition within the marketplace
      • Risks associated with drug development in therapeutic class
      • Clinical trial results
      • Saxagliptin
      • Sales forecast and assumptions
      • Competitor ratio analysis
      • Novelty/rationale for mechanism of action
      • Proof of concept/clinical data
      • Management/clinical expertise
      • Competition within the marketplace
      • Risks associated with drug development in therapeutic class
      • Cannabinoid type 1 blockers
      • Acomplia (rimonabant)
      • Sales forecast and assumptions
      • Competitor ratio analysis
      • Novelty/rationale for mechanism of action
      • Proof of concept/clinical data
      • Management/clinical expertise
      • Competition within the marketplace
      • Risks associated with drug development in therapeutic class
      • Clinical trial results
      • SERENADE
      • RIO-Diabetes
  • Towards greater understanding; a future cure?
    • Advances in islet transplantation therapy
    • MicroIslet moves towards clinical trials
    • Northfield Laboratories preclinical study
    • Clinical trial of islet transplantation
    • Key to insulin metabolism discovered?
    • New research shows immune response spreads from one protein to another in Type I diabetes
    • Beta cell regeneration
    • Researchers find enzymatic regulator of insulin pathways
    • Insulin-making protein identified in beta cells
    • TCF7L2 polymorphisms linked to progression of Type II diabetes
    • Insulin signalling defects linked to lipid metabolism
    • Potential cure for recent-onset Type I diabetes?
    • Encouraging preliminary results from animal pancreatic xenotransplantation studies
  • Sources
    • Espicom sources
    • Others
  • List of Tables
    • Prevalence of diabetes worldwide by region, 2000-2030 (000s)
    • Prevalence of diabetes in top 25 countries, 2000-2030 (000s)
    • Leading insulins and insulin analogues by sales value, 2004-2005 (US$ million)
    • Thiazolidinedione sales, 2004-2005 (US$ million)
    • Launched products in development
    • Novel drugs in development
    • Competitor ratio analysis summary
    • Humulin sales, 2001-2005 (US$ million)
    • Humalog sales, 2001-2005 (US$ million)
    • Lantus sales, 2001-2005 (EUR million & US$ million)
    • Novo Nordisk insulin analogue sales, 2001-2005 (DKr million & US$ million)
    • Glucophage sales, 2001-2005 (US$ million)
    • FDA ANDA approvals for generic Glucophage
    • FDA ANDA approvals for generic Glucophage XR
    • FDA ANDA approvals for generic Glucovance
    • Amaryl sales, 2001-2005 (EUR million & US$ million)
    • FDA ANDA approvals for Glimepiride
    • Avandia family sales, 2001-2005 ( million and US$ million)
    • Actos sales, 2002-2006 ( billion and US$ million)
  • List of Figures
    • Diabetes in the top ten countries, 2000
    • Diabetes in the top ten countries, 2030
    • UK diabetes therapy market, 2005 (%)
    • Novel drugs in clinical development by activity
    • Humulin projected sales, 2005-2012 (US$ million)
    • Humalog projected sales, 2005-2011 (US$ million)
    • Lantus projected sales, 2005-2011 (US$ million)
    • Apidra projected sales, 2006-2011 (US$ million)
    • Levemir/NovoLog projected sales, 2005-2011 (US$ million)
    • Exubera projected sales, 2006-2011 (US$ million)
    • AERx iDMS projected sales, 2009-2014 (US$ million)
    • Glucophage family projected sales, 2006-2011 (US$ million)
    • Amaryl projected sales, 2005-2011 (US$ million)
    • Avandia family projected sales, 2005-2011 (US$ million)
    • Actos projected sales, 2005-2011 (US$ million)
    • Byetta projected sales, 2005-2011 (US$ million)
    • Liraglutide projected sales, 2009-2014 (US$ million)
    • AVE0010 projected sales, 2009-2014 (US$ million)
    • Januvia projected sales, 2007-2012 (US$ million)
    • Galvus projected sales, 2007-2012 (US$ million)
    • Saxagliptin projected sales, 2008-2013 (US$ million)
    • Acomplia projected sales, 2007-2012 (US$ million)