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The Diabetes Market Outlook to 2011

Published by: Business Insights

Published: May. 1, 2006 - 176 Pages


Table of Contents


Executive Summary

Patient potential

Global market analysis

Analysis of potential future blockbusters

Leading players in the global diabetes market




Chapter 1 Patient potential

Summary

Introduction

Disease description


Type 1 diabetes

Type 2 diabetes

Diabetic complications


Prevalence of diabetes


Type 1

Type 2


Incidence

Mortality

Diagnosis

Treatment




Chapter 2 Global market analysis

Summary

Introduction

Market analysis by country

Anti-diabetic licensing trends

Antidiabetic drug classes

Leading brands in the global diabetes market

Key events in the global diabetes market, 2005-6


Introduction

Product launches and discontinued products

Reported side effects of marketed drugs

Innovation in glucose testing

Cell transplantation and innovative therapies

Innovation in drug delivery technology


The insulin market


Human insulins


Fast-acting insulin analogs

Intermediate insulin analogs

Long-acting insulin analogs

Intermediate and fast-acting insulin analogs

Intermediate and long-acting insulin analogs


Animal insulins

Insulin devices

Sales forecast for human insulin and analogs


Oral anti-diabetics (OADs)


Thiazolidiniones (TZDs)

Sulfonylureas

Biguanides

Combined sulphonylurea and biguanide antidiabetics

Alpha-glucosidase inhibitors

Thiozolidiniones (TZDs) and other oral antidiabetics

Other oral antidiabetics

Sales forecast for OADs


Other drugs




Chapter 3 Analysis of potential future blockbusters

Summary

Introduction

Key trends in R&D


Non-invasive human insulin

New drug classes in the OAD market


Profiles of key insulin pipeline compounds


Inhaled Insulins


Exubera

AERx iDMS

AIR


Oral insulin


Oralin

Emisphere Oral insulin

HIM2


Insulin patches

Profiles of key OAD pipeline products

Dual PPAR agonists


Pargluva


GLP-1 agonists and DPP IV agonists


Byetta

Galvus

Sitagliptin


Amylinomimetic agents


Product forecasts


Factors affecting forecasts


New product launches

Patent expiry dates

Clinical trial results


Human insulin sales forecasts

OAD’s sales forecasts




Chapter 4 Leading players in the global diabetes market

Summary

Introduction

Novo Nordisk


Antidiabetic sales focus

Marketed product portfolio


NovoRapid/ NovoLog

Novolin/Insulatard/Actrapid/Mixtard

Prandin/NovoNorm

Levemir


R&D pipeline analysis


NovoMix 50 & 70

AERx iDMS/ NN1998


Strategic analysis


Drivers of growth

Resistors of growth



Takeda


Antidiabetic sales focus

Marketed diabetes product portfolio


Actos

Basen

TCV-116

TAK-428

TAK-128


Strategic analysis


Drivers of growth

Resistors of growth



Sanofi-Aventis


Antidiabetic sales focus

Marketed diabetes product portfolio


Lantus

Amaryl


R&D pipeline analysis


Acomplia

Exubera


Strategic analysis


Drivers of growth

Resistors of growth



GlaxoSmithKline


Antidiabetic sales focus

Marketed product portfolio


Avandia

Avandamet


R&D pipeline analysis

Strategic analysis


Drivers of growth

Resistors of growth



Eli Lilly


Antidiabetic sales focus

Marketed product portfolio


Humalog

Humulin

Actos


R&D pipeline analysis


Arxxant

Pulmonary insulin (AIR)


Strategic analysis


Drivers of growth

Resistors of growth



Servier


Antidiabetic sales focus

Marketed product portfolio


Diamicron


R&D pipeline analysis


S-15261

Glufast


Strategic analysis


Drivers of growth

Resistors of growth



Merck KGaA


Antidiabetic sales focus

Marketed product portfolio


Glucophage

Glucophage XR

Glucovance


R&D pipeline analysis

Strategic analysis


Drivers of growth

Resistors of growth



Bayer


Antidiabetic sales focus

Marketed product portfolio


Precose


R&D pipeline analysis

Strategic analysis


Drivers of growth

Resistors of growth



Novartis


Antidiabetic sales focus

Marketed product portfolio


Starlix

Metformin HCl


R&D pipeline analysis


Galvus


Strategic analysis


Drivers of growth

Resistors of growth



Bristol-Myers Squibb


Antidiabetic sales focus

Marketed product portfolio

R&D pipeline analysis


Pargluva


Strategic analysis


Drivers of growth

Resistors of growth





Chapter 5 Appendix

IMS data

Index




List of Figures

Figure 1.1: Estimated number of new cases of diagnosed type 2 diabetes in people aged 20 or

over, by age group in the US, 2005

Figure 1.2: Diabetes mortality in the US, 1999-2003

Figure 2.3: Global diabetes market share by geography, 2005

Figure 2.4: Sales of types of antidiabetic brands, 2004-5

Figure 2.5: Breakdown of global diabetes sales by drug class, 2004-5

Figure 2.6: Competitive dynamics of the leading 10 brands in the global diabetes market, 2004-


Figure 2.7: Innovation in drug delivery technology, 2005-6

Figure 2.8: Competitive dynamics of the global insulin market, 2004-5

Figure 2.9: Competitive dynamics of OADs in the global diabetes

Figure 3.10: Positive and negative factors affecting forecasted sales of antidiabetics

Figure 3.11: Expected patent expiry dates for major antidiabetics in the US, Japan and EU, 2006-

2015

Figure 4.12: Competitive dynamics of the leading players in the global diabetes market, 2005

Figure 4.13: Novo Nordisk’s antidiabetic sales, 2005

Figure 4.14: Takeda’s antidiabetic sales, 2005

Figure 4.15: Sanofi-Aventis’ antidiabetic sales, 2005

Figure 4.16: GSK’s antidiabetic sales, 2005

Figure 4.17: Lilly’s antidiabetic sales, 2005

Figure 4.18: Servier’s antidiabetic sales, 2005

Figure 4.19: Merck KGaA’s antidiabetic sales, 2005

Figure 4.20: Bayer’s antidiabetic sales, 2005

Figure 4.21: Novartis’s antidiabetic sales, 2005

Figure 4.22: Bristol-Myers Squibb’s antidiabetic sales, 2005




List of Tables

Table 1.1: Prevalence of overweight and obese adults by country, 2005-11

Table 1.2: Prevalence of Type 1 & 2 diabetes in the 7 major markets, 2004-5

Table 1.3: Prevalence of Type 1 diabetes in the 7 major markets, 2005-11

Table 1.4: Prevalence of Type 2 diabetes in the 7 major markets, 2005-11

Table 2.5: Global diabetes market sales by country/region, 2001-5

Table 2.6: Leading brands in the global diabetes market, 2004-5

Table 2.7: Characteristics of the key types of insulin

Table 2.8: Fast-acting insulin analogs in the global diabetes market, 2004-5

Table 2.9: Intermediate insulin analogs in the global diabetes market, 2004-5

Table 2.10: Long-acting insulin analogs in the global diabetes market, 2004-5

Table 2.11: Intermediate and fast-acting insulin analogs in the global diabetes market, 2004-5

Table 2.12: Intermediate and long-acting insulin analogs in the global diabetes market, 2004-5

Table 2.13: Insulin devices in the global diabetes market, 2004-5

Table 2.14: Human insulin and analogs sales forecast, 2005-11

Table 2.15: Thiazolidiniones in the global diabetes market, 2004-5

Table 2.16: Sulfonylureas in the global diabetes market, 2004-5

Table 2.17: Biguanides in the global diabetes market, 2004-5

Table 2.18: Combined sulphonylurea and biguanide antidiabetics in the global diabetes market,

2004-5

Table 2.19: Alpha-glucosidase inhibitors in the global diabetes market, 2004-5

Table 2.20: Glitazone and other oral antidiabetics in the global diabetes market, 2004-5

Table 2.21: Other oral antidiabetics in the global diabetes market, 2004-5

Table 2.22: OAD sales forecast, 2005-11

Table 2.23: Other drugs in the global diabetes market, 2004-5

Table 3.24: Expected product launch dates, 2005-11

Table 3.25: Current diabetes trials, 2000-9

Table 3.26: Human insulin and analogs sales forecast, 2005-11

Table 3.27: OAD sales forecast, 2005-11

Table 4.28: Leading players in the global diabetes market, 2004-5

Table 4.29: Novo Nordisk’s diabetes product portfolio, 2004-5

Table 4.30: Novo Nordisk’s diabetes R&D product pipeline, 2006

Table 4.31: Takeda’s diabetes product portfolio, 2004-5

Table 4.32: Takeda’s diabetes R&D product portfolio, 2006

Table 4.33: Sanofi-Aventis’ diabetes product portfolio, 2004-5

Table 4.34: Sanofi-Aventis’ diabetes R&D product pipeline, 2006

Table 4.35: GSK’s diabetes product portfolio, 2004-5

Table 4.36: GSK’s diabetes R&D product pipeline, 2006

Table 4.37: Lilly’s diabetes product portfolio, 2004-5

Table 4.38: Lilly’s diabetes R&D product portfolio, 2006

Table 4.39: Servier’s diabetes product portfolio, 2004-5

Table 4.40: Servier’s diabetes R&D product portfolio, 2006

Table 4.41: Merck KGaA’s diabetes product portfolio, 2004-5

Table 4.42: Merck KGaA’s diabetes R&D product portfolio, 2006

Table 4.43: Bayer’s diabetes product portfolio, 2004-5

Table 4.44: Bayer’s diabetes R&D product pipeline, 2006

Table 4.45: Novartis’ diabetes product portfolio, 2004-5

Table 4.46: Novartis’ diabetes R&D product pipeline, 2006

Table 4.47: Bristol-Myers Squibb’s diabetes product portfolio, 2004-5

Table 4.48: Bristol-Myers Squibb’s diabetes R&D product pipeline, 2006

Abstract

Diabetes mellitus is a chronic metabolic disorder that is caused by a failure of the body to produce insulin and/or an inability of the body to respond adequately to circulating insulin; type 1 diabetes occurs most often in children or young adults and accounts for 5-10% of the diagnosed diabetes patient population. Type 2 diabetes, or adult-onset diabetes, accounts for 90-95% of diagnosed diabetes cases worldwide, typically developing in middle-aged adults. There are several risk factors associated with type 2 diabetes including age, obesity, high blood pressure, genetics, level of exercise, and a history of cardiac disease. Type 2 diabetes is more prevalent than type 1 and is growing at a faster rate across the 7 major markets, with a forecast prevalence of 49.2m people in 2011, compared to 39.4m people in 2005. Drivers for increased type 2 prevalence include the aging demographic profile and an increase in obesity. Diabetes is the sixth leading cause of death in the US (based on number of death certificates, NIDDK). The global diabetes market was worth $18.6bn in 2005, which was an 11.5% increase from 2004 sales of $16.6bn. The US has the dominant share in the global diabetes market, with 49.6% of 2005 global sales. The large US market share is mainly due to the large population and the high prevalence of diabetes, the increasing incidence of diabetes associated with Western diets and an aging population. OADs represent 58% of the global diabetes market in 2005, with the remainder of sales being from insulins and analogs (40.1%) and other drugs with 1.9%. However, insulins and analogs have seen the largest sales growth at 17.3% in 2005. There has been a high level of innovation in drug delivery technology within the diabetes market during 2005-6. Key events include advances in inhaled insulins, funding into insulin pills, patch technology and pain free needles for injection. The top 10 leading antidiabetic brands consist of 6 OADs (Actos, Avandia, Amaryl, Basen, metformin HCl, and Avandamet) and 4 insulins (Lantus, Humalog, NovoLog/NovoRapid and Novolin 70/30/actraphane).

Key findings of the report:
  • The US has the dominant share in the global diabetes market, with 49.6% of 2005 global sales, this is due mainly to the high prevalence of diabetes in the US, the increasing incidence of diabetes associated with Western diets and an aging population.
  • TZDs are the market leading class of OADs, and consist of pioglitazone and rosiglitazone, with the dominant leading brands being Takeda/Lilly’s Actos and GSK’s Avandia.
  • Sanofi-Aventis’ Lantus is the highest selling insulin, with sales of $1,490.4m in 2005, and a high growth rate of 47.5%. Lantus has high sales mainly due to its positive effects on lipid profiles and its side effect of weight loss.
  • The global diabetes market has seen a high level of innovation, particularly in non-invasive methods of insulin delivery, including inhalable, oral and patch technology. These non-invasive methods are seen as favorable by patients and are likely to result in an increase in compliance, thus improving glycemic control and leading to a reduction in diabetic complications.
  • There are 3 key new OAD classes; PPAR agonists, GLP-1 agonists/DPP IV inhibitors, and amlinomimetic agents. High forecasted sales are anticipated in 2011 for the GLP-1 agonist Exenatide LAR and the DPP-IV inhibitor Galvus at $2,902.9m and $1,228.7m, respectively.
Key questions answered in this report
  • Which country has the highest prevalence of type 1 and 2 diabetes?
  • What were the key events in the global diabetes market in 2005-6?
  • What drug classes within the diabetes market are outperforming and underperforming the current market sales growth?
  • What are the current and future leading brands in the global diabetes market?
  • Who are the leading players in the market and what are their drivers and resistors of growth?
  • What strategies are the leading companies implementing to protect off patent drugs and extend product lifecycles?
  • What are the major diabetes drugs expected to go off patent in the next 5 years?


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