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The Asthma, COPD & Allergic Rhinitis Market Outlook to 2011

Published by: Business Insights

Published: Jul. 1, 2006 - 163 Pages


Table of Contents


Executive Summary

Patient potential

Global market analysis

Analysis of future potential respiratory blockbusters

Leading players in the respiratory market




Chapter 1 Patient potential

Summary

Introduction

Asthma


Overview

Diagnosis, treatment and management

Epidemiology


Chronic Obstructive Pulmonary Disease (COPD)


Overview

Diagnosis, treatment and management

Epidemiology


Allergic rhinitis


Overview

Diagnosis, treatment and management

Epidemiology




Chapter 2 Global market analysis

Summary

Introduction

Respiratory market analysis by drug class

Leading respiratory brand dynamics

Asthma/COPD market analysis


Introduction

Asthma/COPD drug classes

Leading brands in the asthma/COPD market

SABA/LABA therapies


Leading brands in the global SABA/LABA market

Overview/market dynamics

Key brands analysis


Inhaled corticosteroids


Leading brands in the global ICS market

Overview/market dynamics

Key brands analysis


Combination LABA/ICS products


Leading brands in the global combination LABA/ICS market

Overview/market dynamics

Key brands analysis


Leukotriene antagonists


Leading brands in the global leukotriene antagonist market

Overview/market dynamics

Key brands analysis


Anticholinergics/anticholinergics combination products


Leading brands in the global anticholinergic market

Overview/market dynamics

Key brands analysis


Asthma/COPD class forecasts to 2011


Allergic rhinitis market analysis


Introduction

Allergic rhinitis drug classes

Leading brands in the allergic rhinitis market

Anti-histamines


Leading brands in the global antihistamines market

Overview/market dynamics

Key brands analysis


Nasal corticosteroids


Leading brands in the global nasal corticosteroid market

Overview/market dynamics

Key brands analysis


Allergic rhinitis class forecasts to 2011




Chapter 3 Analysis of future potential respiratory blockbusters

Summary

Introduction

Major approaches to R&D

Drug profiles


Phase II pipeline drugs


Super Advair (fluticasone/salmeterol)

EPI-12323


Phase III pipeline drugs


QAB149 (indacaterol)

Allermist/Avamys (fluticasone furoate)

Flutiform (formoterol/fluticasone)


Drugs in registration


arformoterol

Alvesco (ciclesonide)

Daxas (roflumilast)

Ariflo (cilomilast)


Recently marketed drugs


Xolair (omalizumab)

Asmanex (mometasone)



Forecast sales potential




Chapter 4 Leading players in the respiratory market

Summary

Introduction

Global market shares

GlaxoSmithKline


Marketed products

R&D compounds

Respiratory portfolio sales forecasts to 2011


Merck & Co.


Marketed products

R&D compounds

Respiratory portfolio sales forecasts to 2011


Boehringer Ingelheim


Marketed products

R&D compounds

Respiratory portfolio sales forecasts to 2011


AstraZeneca


Marketed products

R&D compounds

Respiratory portfolio sales forecasts to 2011


Schering-Plough


Marketed products

R&D compounds

Respiratory portfolio sales forecasts to 2011


Sanofi-Aventis


Marketed products

R&D compounds

Respiratory portfolio sales forecasts to 2011


Pfizer


Marketed products

R&D compounds

Respiratory portfolio sales forecasts to 2011


Novartis


Marketed products

R&D compounds

Respiratory portfolio sales forecasts to 2011




Chapter 5 Appendix

IMS sales data

Glossary

Index




List of Figures

Figure 1.1: Estimated proportion of patients presenting with asthma that are correctly diagnosed by physician visit

Figure 1.2: Typical treatment patterns in the treatment of asthma

Figure 1.3: Typical treatment patterns in COPD

Figure 1.4: Classification of allergic rhinitis

Figure 1.5: Treatment of allergic rhinitis across different stages of disease progression

Figure 2.6: Competitive dynamics of drug classes within the global respiratory market, 2005

Figure 2.7: Competitive dynamics of leading brands in the global respiratory market, 2005

Figure 2.8: Competitive dynamics of drug classes within the global asthma/COPD market, 2005

Figure 2.9: Competitive dynamics of leading brands in the global asthma/COPD market, 2005

Figure 2.10: Competitive dynamics of drug classes within the allergic rhinitis market, 2005

Figure 2.11: Competitive dynamics of leading brands in the AR market, 2005

Figure 3.12: Leading recently launched respiratory products and compounds in R&D, 2006

Figure 3.13: Prevailing R&D approaches, 2006

Figure 4.14: Key players in the global respiratory market, 2001 & 2005




List of Tables

Table 1.1: Estimated prevalence of asthma in across seven major markets, 2005

Table 1.2: Forecast epidemiology of asthma across the seven major markets, 2005-11

Table 1.3: Estimated prevalence of COPD in across seven major markets, 2005

Table 1.4: Forecast epidemiology of COPD across the seven major markets, 2005-11

Table 1.5: Estimated prevalence of allergic rhinitis in across seven major markets, 2005

Table 1.6: Forecast epidemiology of allergy rhinitis across the seven major markets, 2005-11

Table 2.7: Breakdown of the global respiratory market by drug class, 2001-05

Table 2.8: Leading products in the global respiratory market, 2004-05

Table 2.9: Breakdown of the global asthma/COPD market by drug class, 2001-05

Table 2.10: Leading asthma/COPD products in the global respiratory market, 2004-05

Table 2.11: Leading SABA/LABA brands in the global respiratory market, 2004-05

Table 2.12: Leading ICS brands in the global respiratory market, 2004-05

Table 2.13: Leading combination LABA/ICS brands in the global respiratory market, 2004-05

Table 2.14: Leading leukotriene antagonist brands in the global respiratory market, 2004-05

Table 2.15: Leading anticholinergic brands in the global respiratory market, 2004-05

Table 2.16: Sales forecasts for classes in the asthma/COPD market, 2005-11

Table 2.17: Breakdown of the global allergy rhinitis market by drug class, 2001-05

Table 2.18: Leading allergic rhinitis products in the global respiratory market, 2004-05

Table 2.19: Leading antihistamine brands in the global respiratory market, 2004-05

Table 2.20: Leading nasal corticosteroid brands in the global respiratory market, 2004-05

Table 2.21: Sales forecasts for allergic rhinitis classes, 2005-11

Table 3.22: Sales forecasts for promising pipeline and recently launched compounds in R&D, 2005-11

Table 4.23: Key players in the global respiratory market, 2001-05

Table 4.24: GSK’s marketed respiratory portfolio, 2004-05

Table 4.25: GSK’s respiratory R&D pipeline, 2006

Table 4.26: Forecast sales for GSK’s respiratory portfolio, 2005-11

Table 4.27: Merck & Co’s marketed respiratory portfolio, 2004-05

Table 4.28: Merck & Co.’s respiratory R&D pipeline, 2006

Table 4.29: Forecast sales for Merck & Co.’s respiratory portfolio, 2005-11

Table 4.30: Boehringer Ingelheim’s marketed respiratory portfolio, 2004-05

Table 4.31: Forecast sales for BI’s respiratory portfolio, 2005-11

Table 4.32: AstraZeneca’s marketed respiratory portfolio, 2004-05

Table 4.33: AstraZeneca’s respiratory R&D pipeline, 2006

Table 4.34: Forecast sales for AstraZeneca’s respiratory portfolio, 2005-11

Table 4.35: Schering-Plough’s marketed respiratory portfolio, 2004-05

Table 4.36: Schering-Plough’s respiratory R&D pipeline, 2006

Table 4.37: Forecast sales for Schering-Plough’s respiratory portfolio, 2005-11

Table 4.38: Sanofi-Aventis’ marketed respiratory portfolio, 2004-05

Table 4.39: Sanofi-Aventis’ respiratory R&D pipeline, 2006

Table 4.40: Forecast sales for Sanofi-Aventis’ respiratory portfolio, 2005-11

Table 4.41: Pfizer’s marketed respiratory portfolio, 2004-05

Table 4.42: Pfizer’s respiratory R&D pipeline, 2006

Table 4.43: Forecast sales for Pfizer’s respiratory portfolio, 2005-11

Table 4.44: Novartis’ marketed respiratory portfolio, 2004-05

Table 4.45: Novartis’ respiratory R&D pipeline, 2006

Table 4.46: Forecast sales for Novartis’ respiratory portfolio, 2005-11

Abstract

The prevalence of asthma in 2005 across the US, Japan, France, Germany, Spain, Italy and the UK was estimated at 53.2m people, corresponding to a prevalence rate of 7.7%. The highest prevalence rate for asthma in any country in 2005 was 12.0% in the UK. It is forecast that by 2011, the total prevalence of asthma across the seven major markets will be 58.8m sufferers or 8.0% of the population. COPD is only significantly prevalent in adults, a contrary situation to that of asthma, in which pediatric patients are estimated to represent some 35% of the total asthmatic patient population across the 7 major markets. 56.4m individuals are estimated to suffer from COPD across the seven major markets, although extremely low rates of diagnosis are thought to have resulted in a treated population of less than 10m individuals. Increasingly, COPD is becoming a major disease burden across the seven major markets, with a forecast patient population of 60.8m individuals by 2011, indicating high levels of future patient potential. Currently the treatment of asthma/COPD favors the use of beta-2 agonists and inhaled corticosteroids, with leukotriene antagonists and anticholinergics being positioned as additional therapies in either pediatric or last-line patients. With an estimated patient potential of 1.5bn in 2005, allergic rhinitis (AR) is associated with the largest disease burden of any major chronic respiratory disease by virtue of its high prevalence and its impacts on quality of life and productivity. It is believed that AR and asthma frequently co-exist and AR is a significant risk factor for asthma. Across the seven major markets, the prevalence of AR is forecast to increase to 1.8bn individuals in 2011, driven by the effect of raised levels of allergenic exposure, in both indoor and outdoor environments.

Key findings of the report:
  • The global respiratory market was valued at $34.2bn in 2005, up
  • 10.3% on $31.0bn in 2004. Growth is increasingly dependent on asthma and COPD indications, with the allergic rhinitis market suffering from a lack of innovation and high levels of generic competition.
  • Sales growth in the asthma/COPD market can be deemed to be dependent on the performance of just two products, with 40.7% of total growth in 2005 being derived from leukotriene antagonist,
  • Singulair, and anticholinergic, Spiriva.
  • The respiratory R&D pipeline is dominated by reformulations and
  • “me-too” products, as major players in the respiratory area attempt to emulate GSK’s success in the marketing of Seretide/Advair.
  • The failure of leading companies Sanofi-Aventis, Pfizer and
  • Schering-Plough to evolve failing allergic rhinitis portfolios and exploit opportunities in COPD may provide the impetus for a new wave of companies to establish themselves in the respiratory market.
Key questions answered in this report:
  • What will be the major growth indications in the respiratory area over the period 2005-11?
  • How does the performance of major brands in 2004 compare to that in 2005?
  • How significant is the threat of generic competition to the overall performance of the asthma, COPD and allergic rhinitis markets?
  • Which companies are best positioned to succeed in the global respiratory market over the period 2005-11?
  • What is the forecast market size and growth rates over the period 2005-2011 across the major respiratory indications?
  • Which R&D compounds are likely to make a major impact on the asthma, COPD and allergic rhinitis markets?


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