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Event Analysis and Response Service: Cox-2s

Cox-2 Crisis Dents Big Pharma Confidence

Publication Date   June 2005
Publisher   Datamonitor
Product Type   Report
Pages   95
ISBN Number   not applicable
Product Code   DAT325
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Price £6,000.00

approximately: $11,211 | €7,610

Summary


On 30th September 2004, Merck withdrew its blockbuster drug Vioxx from the global market after trial data reinforced the suspicion that it increased the risk of cardiovascular events. Vioxx was a widely used Cox-2 selective non-steroidal anti-inflammatory drug. Its withdrawal has sparked much speculation, regulatory review and a shakedown within the pharmaceutical industry.

Highlights

  • Key clinical trials, including the evidence leading up to Merck's decision to withdraw Vioxx and results from various long-term clinical trials involving other members of the Cox-2 class, are examined.
  • Detailed analysis of the FDA and EMEA evaluations of the Cox-2s, including a review of the three day FDA advisory committee meeting held in February and analysis of the main conclusion with respect to the impact on current and future treatments, are provided.
  • Opportunities and threats within the market, and strengths and weaknesses of the key brands, are identified and used to provide up-to-date global forecasts. The key brands are forecast to 2010 and are based on company reported sales data, with clear positive and negative impacting assumptions.

Scope

  • Seven analysis statements, originally published in response to major events in the Cox-2 story between November 2004 and May 2005
  • Each statement is based on the information available at that time, and captures the rapidly changing market dynamics and current opinion
  • Forecasts are based on the continually updated PharmaVitae Company Comparator forecast tools and company reported global sales
  • The key brands analyzed include Vioxx, Bextra, Celebrex, Arcoxia, Mobic and Prexige

Reasons to Purchase

  • Understand the progression and commercial impact of the safety concerns highlighted by the investigation into the Cox-2 class
  • Cuts through the media 'shock news' and provides an indispensable fact based reference document with clear and non-biased analysis
  • Assess future strategic decisions using this in-depth commercial case study as a benchmark

Content


  • Introduction To The Event Analysis And Response Service (Ears) Format
    • STATEMENT
    • Background to Statement
    • Vioxx pre-withdrawal
    • The APPROVe study
    • What was the immediate reaction of opinion leaders?
    • Limited growth for Cox-2 market?
    • Celebrex and Mobic to see greatest benefit
    • Merck versus Pfizer-diverging fortunes?
    • Contributing experts
    • STATEMENT
    • Background to Statement
    • Who is to blame: Merck or the FDA?
    • A matter of perspective?
    • Is this effect class wide?
    • The future of Merck
    • The future for other current and prospective players
    • Further regulatory developments
    • STATEMENT
    • Background to Statement
    • An indication too far?
    • Adenoma polyps
    • Alzheimer's disease
    • Opportunities and knocks
    • Conclusions
    • STATEMENT
    • Background to Statement
    • EMEA review
    • Two scenarios:
    • 1) the FDA review the Cox-2s and do not advise on the withdrawal of the class
    • 2) the FDA review the Cox-2s and advise on the withdrawal of the class
    • Datamonitor predictions
    • The marketing of Cox-2s
    • Summary of expected FDA action
    • STATEMENT
    • Background to Statement
    • The original premise of Cox-2s
    • Defining a Cox-2
    • The vote
    • European comparison
    • Conclusions
    • STATEMENT
    • Background to Statement
    • External pressures
    • Threats
    • Opportunities
    • Brand analysis
    • Celebrex (celecoxib)
    • Bextra (valdecoxib) and Dynastat (parecoxib)
    • Vioxx (rofecoxib)
    • Arcoxia (etoricoxib)
    • Mobic (meloxicam)
    • Naprosyn/Aleve (naproxen)
    • Prexige (lumiracoxib)
    • Cardiovascular risk factors
    • Clinical trial design
    • Prescription changes
    • STATEMENT
    • Background to Statement
    • Regulatory decisions
    • Stevens-Johnson syndrome (SJS)
    • Bextra re-launch?
    • Merck vs. Pfizer - who emerges top?
    • Forecast assumptions
    • Committee members
    • Arthritis Drugs Advisory Committee
    • Drug Safety and Risk Management Advisory Committee
    • Risk factor resources
    • Hypertension
    • Diabetes
    • Dyslipidimia
    • Obesity
    • Bibliography
    • Publications
    • Websites
    • Disclaimer