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The Diabetes Market Outlook: Market Analysis Of Future Growth And Leading Players By Sector

Published by: Business Insights

Published: Jan. 1, 2005 - 156 Pages


Table of Contents


Table of Contents

The Diabetes Market Outlook: Market analysis of

future growth and leading players by sector

Executive summary 12

Epidemiology analysis 12

Global diabetes market analysis 13

Insulin market analysis 14

Oral antidiabetic (OAD) market analysis 15

Leading players in the diabetes market 16

Chapter 1 Epidemiology analysis 18

Summary 18

Introduction 19

Disease description 19

Type 1 diabetes 19

Type 2 diabetes 21

Current and future prevalence of diabetes 22

Diagnosis 24

Fast-track review for diabetes drugs 25

Current and future treatment patterns 26

Insulin prescribing 27

TZD prescribing 28

Chapter 2 Global diabetes market analysis 32

Summary 32

Introduction 33

History of antidiabetic drugs 33

iv

Current growth drivers 34

Insulins 35

TZDs 36

Combination therapies 37

Future growth drivers 39

Non-injected insulin 41

Inhaled insulins 42

Oral insulins 43

Insulin patches 44

Dual PPAR agonists 45

GLP-1 agonists and DPP IV inhibitors 46

GLP-1 agonists 46

DPP IV inhibitors 47

Amylinomimetic agents 48

Chapter 3 Insulin market analysis 51

Summary 51

Introduction 52

Insulin categories and sales 52

Company market share 54

Brand market share and sales 55

Human Insulins 58

Brand analysis 58

Humulin (human insulin) 58

NovoLin (human insulin) 60

Fast-acting human insulin analogs 61

Brand analysis 61

Humalog (insulin lispro) 61

NovoLog (insulin aspart) 63

Apidra (insulin glulisine) 64

Long-acting insulin analogs 66

Brand analysis 66

Lantus (insulin glargine) 66

Levemir (insulin detemir) 68

Chapter 4 Oral antidiabetic (OAD) market

analysis 71

Summary 71

Introduction 72

v

OAD categories and sales 72

Company market share 76

Sulfonylurea products 77

Brand market share and sales 77

Brand analysis 80

Amaryl (glimepriride) 81

Glucotrol XL (glipizide) 82

Biguanide products 83

Brand market share and sales 83

Brand analysis 86

Glucophage & Glucophage XR (metformin) 86

Combined sulfonylurea & biguanide products (and other combination

therapies) 88

Sulfonylurea + biguanide single-pill combination drugs 90

Glucovance (glyburide + metformin) 90

TZD + other OAD single-pill combination therapies 92

Thiazolidinedione (TZD) products 93

Brand market share and sales 94

Brand analysis 97

Drug analysis 97

Actos (pioglitazone) 97

Avandia (rosiglitazone) 99

Avandamet (rosiglitazone + metformin) 100

Alpha glucosidase inhibitor (AGI) products 102

Brand market share and sales 102

Brand analysis 105

Precose/Glucobay (acarbose) 105

Basen (voglibose) 106

Glyset/Diastabol (miglitol) 107

Other OAD products (the prandial glucose regulators) 108

Brand market shares and sales 108

Brand analysis 110

Prandin/NovoNorm (repaglinide) 111

Starlix (nateglinide) 113

Chapter 5 Leading players in the diabetes

market 117

Summary 117

Introduction 118

Eli Lilly 119

Therapeutic focus 119

Insulin market share 120

Marketed products 121

vi

R&D pipeline 121

Exenatide (synthetic exendin-4) 122

Ruboxistaurin 123

Pulmonary insulin (AIR) 123

Oralin 124

LY-818 (naveglitazar) 124

Novo Nordisk 125

Therapeutic focus 125

Insulin market share 126

Marketed products 127

R&D pipeline 128

NovoMix 50 and 70 (NN1185): Injectable insulin formulations 128

AERx iDMS (NN1998): An inhaled insulin 129

Liraglutide (NN2211) 129

Sanofi-Aventis 131

Therapeutic focus 131

Insulin and OAD market shares 132

R&D pipeline 133

Exubera 134

DiaPep277 135

Takeda 135

Therapeutic focus 135

OAD market share 136

Marketed products 136

R&D pipeline 137

Actos/metformin combination 137

ATL-962 138

TAK-559 138

TAK-654 138

TAK-428 138

GlaxoSmithKline 139

Therapeutic focus 139

OAD market share 140

Marketed products 140

R&D pipeline 141

Avandaryl 141

Avandamet XR 142

HIM-2 142

677954 142

Bristol-Myers Squibb 143

Therapeutic focus 143

OAD market share 144

Marketed products 144

R&D pipeline 145

Muraglitazar 146

Basulin 146

Inhaled Insulin 147

Pfizer 148

vii

Therapeutic focus 148

Marketed products 148

R&D pipeline 149

Exubera 149

Novartis 150

Therapeutic focus 150

Marketed products 150

R&D pipeline 150

LAF237 150

Merck KGaA 151

Therapeutic focus 151

Marketed products 151

R&D pipeline 152

Index 154

viii

List of Figures

Figure 1.1: Prevalence of obese and overweight adults in US, 1976-2000 23

Figure 1.2: Proportion of type 2 diabetics diagnosed, 2003 24

Figure 1.3: Management of type 2 diabetes by physician type, 2003 26

Figure 1.4: Proportion of drug treated type 2 diabetics treated with insulin in monotherapy or

combination, 2003 27

Figure 2.5: Development timeline for antidiabetic drug classes, 1920-2004 33

Figure 2.6: Overview of diagnosis rates, treatment rates and insulin prescribing trends in six

major markets, 2003 35

Figure 2.7: Approved combination therapies for type 2 diabetes, 2003 37

Figure 2.8: Positive and negative developments influencing the antidiabetics market, 2004 &

forwards 40

Figure 2.9: Overview of the non-invasive insulin pipeline, 2004 42

Figure 3.10: Insulin brands by company and type, 2004 55

Figure 3.11: US/European* market share of leading insulins (%), 1999-2003 56

Figure 3.12: Humulin SWOT analysis 59

Figure 3.13: NovoLin SWOT analysis 60

Figure 3.14: Humalog SWOT analysis 62

Figure 3.15: NovoLog SWOT analysis 63

Figure 3.16: Apidra SWOT analysis 65

Figure 3.17: Lantus SWOT analysis 67

Figure 3.18: Levemir SWOT analysis 68

Figure 4.19: Sales of OAD categories in Europe* and US ($m), 2003 75

Figure 4.20: Global* market share of leading sulfonylureas (%), 1999-2003 78

Figure 4.21: Amaryl SWOT analysis 81

Figure 4.22: Glucotrol XL SWOT analysis 82

Figure 4.23: Global* market share of leading biguanides, 1999-2003 84

Figure 4.24: Glucophage XR SWOT analysis 88

Figure 4.25: Glucovance SWOT analysis 91

Figure 4.26: US/European* market share of leading TZDs (%), 1999-2003 95

Figure 4.27: Actos SWOT analysis 98

Figure 4.28: Avandia SWOT analysis 100

Figure 4.29: Avandamet SWOT analysis 101

Figure 4.30: US/European* market share of leading AGIs (%), 1999-2003 103

Figure 4.31: Precose/Glucobay SWOT analysis 106

Figure 4.32: Basen SWOT analysis 107

Figure 4.33: US/European* market share of leading PGRs (%), 1999-2003 109

Figure 4.34: Prandin/NovoNorm SWOT analysis 112

Figure 4.35: Starlix SWOT analysis 113

Figure 5.36: Eli Lilly’s therapeutic focus, 2003-2010 119

Figure 5.37: Novo Nordisk’s therapeutic focus, 2003 and 2010 125

Figure 5.38: Sanofi-Aventis’ therapeutic focus, 2003 & 2010 131

Figure 5.39: Takeda’s therapeutic focus, 2003 & 2010 135

Figure 5.40: GSK’s therapeutic focus, 2003 & 2010 139

Figure 5.41: BMS’s changing therapeutic focus, 2003-2010 143

Figure 5.42: Pfizer’s changing therapeutic focus, 2003-10 148

Figure 5.43: Merck KGaA’s changing therapeutic focus, 2003 & 2010 151

ix

List of Tables

Table 1.1: Prevalence of Type 2 diabetes (m), 2003-2012 22

Table 1.2: US and European* Sales by Drug Class ($m), 2002-2003 29

Table 2.3: US/European* sales category totals ($m), 2002-2003 34

Table 3.4: US/European* Sales of insulins by category ($m), 2002-2003 53

Table 3.5: Insulin market share by company and territory (%), 2002-2003 54

Table 3.6: Sales of leading insulins by country ($m), 2002-2003 57

Table 3.7: Branded human insulins 58

Table 3.8: Branded fast-acting human insulin analogs 61

Table 3.9: Branded long-acting human insulin analogs 66

Table 4.10: Frequency and level of dose of OADs 73

Table 4.11: US/European* OAD category market share (%), 2002-2003 74

Table 4.12: US/European* OAD Market Share by Company (%), 2002-2003 76

Table 4.13: Sales of leading sulfonylureas by country ($m), 2002-2003 79

Table 4.14: Branded sulfonylureas 80

Table 4.15: Sales of leading biguanides by country ($m), 2002-2003 85

Table 4.16: Branded biguanides 86

Table 4.17: Proportion of patients receiving monotherapy versus combination therapy treatment

(%), 2003 89

Table 4.18: US/European* sales of sulfonylurea + biguanide single-pills ($m), 1999-2003 90

Table 4.19: Sales of leading TZDs by country ($m), 2002-2003 96

Table 4.20: Branded TZDs 97

Table 4.21: Sales of leading AGIs by country ($m), 2002-2003 104

Table 4.22: Branded AGIs 105

Table 4.23: Sales of leading PGRs by country (%), 2002-2003 110

Table 4.24: Branded PGRs 111

Table 5.25: US/European* diabetes market share by company (%), 2002-2003 118

Table 5.26: US Insulin Market Share by Company (%), 2002-2003 120

Table 5.27: US/European* sales of Eli Lilly’s marketed diabetes portfolio ($m), 2002-2003 121

Table 5.28: Projected sales of Eli Lilly’s diabetes R&D pipeline ($m), 2007 & 2010 122

Table 5.29: European* insulin market share by company (%), 2002-2003 126

Table 5.30: US/European* sales of Novo Nordisk’s marketed diabetes portfolio ($m), 2002-2003

127

Table 5.31: Projected sales of Novo Nordisk’s diabetes R&D pipeline ($m), 2007 & 2010 128

Table 5.32: US/European* sales of Sanofi-Aventis’ marketed diabetes portfolio ($m), 2002-2003

133

Table 5.33: Projected sales of Sanofi-Aventis’ diabetes R&D pipeline ($m), 2003 & 2010 133

Table 5.34: US/European* sales of Takeda’s marketed diabetes portfolio ($m), 2002-2003 136

Table 5.35: Projected sales of Takeda’s diabetes R&D pipeline ($m), 2007 & 2010 137

Table 5.36: US/European* sales of GSK’s marketed diabetes portfolio, 2002-2003 140

Table 5.37: GSK’s diabetes R&D pipeline, 2003 141

Table 5.38: US OAD Market Share by Company (%), 2002-2003 144

Table 5.39: US/European* sales of BMS’s diabetes portfolio, 2002-2003 145

Table 5.40: Projected sales of BMS’s diabetes R&D pipeline ($m), 2007 & 2010 145

Table 5.41: Projected sales of Merck KGaA’s diabetes R&D pipeline ($m), 2007 & 2010 152

Abstract

Business Insights have teamed up with IMS Health to bring you, 'The Diabetes Market Outlook: Market analysis of future growth and leading players by sector' This unique product offering provides an analysis of changing market conditions and strategic future outlook using the gold standard IMS Health sales data, an unrivalled source of pharmaceutical intelligence on the diabetes market. This report analyzes diabetes market dynamics and provides a country-by-country drug and brand analysis enabling you to assess product success/failure within US and European geographical markets. This report focuses on the market segmentation of key anti-diabetic drugs (insulin and oral anti-diabetic (OAD)), and also reviews the growth strategies of leading players in the diabetics market. Upcoming revolutionary products in development are also investigated, highlighting those expected to drive market growth in the future and transform the treatment options for diabetic patients. Diabetes type 2 has now reached epidemic levels, affecting over 30 million people in the US and Europe, with this figure projected to rise to over 40 million by 2012. Rising rates of obesity and the increasing age demographic are key drivers of this epidemic. Ensure you maximize the opportunities presented by this demographic growth, drive product development and exploit new and existing revenue streams in this rapidly growing market.


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