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Potential Breakthroughs in Neurotherapeutics: Alzheimer’s Disease, Parkinson’s Disease, Depression, Bipolar Disorder, and Schizophrenia

Published by: CHI Insight Pharma Reports

Published: Oct. 1, 2006 - 198 Pages


Table of Contents


CHAPTER 1 INTRODUCTION: NEUROLOGICAL DISORDERS HAVE CLEAR UNMET NEEDS

1.1. Clarifying the Problems

1.2. Translating the Research




CHAPTER 2 CURRENT STATUS AND TRENDS IN TECHNOLOGY TRANSFER

2.1. The Nature of Technology Transfer Today

2.2. Effects of Government Policy on Technology Transfer


Dry-eye Therapeutic Agent

Blood Glucose Monitoring


2.3. Problems Surrounding Technology Transfer

2.4. Translational Medicine Comes to Academia




CHAPTER 3 BACKGROUND INFORMATION ON DISEASES TARGETED FOR THIS REPORT

3.1. Alzheimer¡¯s Disease


Key Findings Translated into Therapeutic Advances

State of the Art in Drug Therapy


3.2. Parkinson¡¯s Disease


Key Findings Translated into Therapeutic Advances

State of the Art in Drug Therapy


3.3. Unipolar Depression


Key Findings Translated into Therapeutic Advances

State of the Art in Commercial Applications


3.4. Bipolar Disorder


Key Findings Translated into Therapeutic Advances

State of the Art in Drug Therapy


3.5. Schizophrenia


Key Findings Translated into Therapeutic Advances

State of the Art in Drug Therapy




CHAPTER 4 CURRENT BASIC RESEARCH FINDINGS WITH HIGH POTENTIAL FOR COMMERCIAL APPLICATIONS

4.1. Alzheimer¡¯s Disease


Compounds and Targets Currently in Discovery or Development

Disease-Modification Approaches

Acetylcholine Receptor Modulation

Other Approaches

Miscellaneous Mechanisms

Recent Advances Potentially Leading to New Therapies

p25/Cdk5

GSK-3

Fyn

ERK Pathway

Wnt Pathway

LR11

Amyloid and Ion Channels

A©¬ Degrading Enzymes

Oxidative Stress

Microtubule-Associated Proteins

Prostaglandin E2 E Prostanoid Subtype 2 (PGE2 EP2) Receptors

Cholesterol Metabolism and the LDL Receptor

Cannabinoid Receptors


4.2. Parkinson¡¯s Disease


Compounds and Targets Currently in Discovery or Development

Recepter Agonists and Antagonists

Gene Therapy

Other Approaches

Recent Advances Potentially Leading to New Therapies

Leucine-Rich Repeat Kinase 2 (Lrrk2)

Parkin

PINK1

PPAR¥ã

p53

Heme Oxygenase-1

Nicotinic Acetylcholine Receptors (nAChRs)

NADPH Oxidase


4.3. Unipolar Depression


Compounds and Targets in Discovery or Development

Neurotransmitter Modulation

Recent Advances Potentially Leading to New Therapies

Microtubule Stabilization

Cannabinoid CB1 Receptor

The Fibroblast Growth Factor (FGF) System

p11 (S100A10)

PAR-4

PSD-95

Galanin


4.4 Bipolar Disorder


Compounds and Targets in Discovery or Development

Recent Advances Potentially Leading to New Therapies

PSD-95

PACAP

FAT Gene

Protein Kinase C (PKC)

BAG-1

GSK-3

Inositol Metabolism

Arachidonic Acid Cascade


4.5. Schizophrenia


Compounds and Targets in Discovery or Development

Serotonin Receptor Antagonists

Multiple Factors in Causation

Recent Advances Potentially Leading to New Therapies

COMT and PRODH

Protein Kinase C (PKC)

Neuregulin 1

DISC1

Dysbindin-1

PSD-95




CHAPTER 5 COMMERCIAL POTENTIAL OF SELECTED RESEARCH FINDINGS

5.1. Alzheimer¡¯s Disease


p25/cdk5

Glycogen synthase kinase-3 (GSK-3)

Fyn

ERK Pathway

Wnt Pathway

LR11 (SorLA)

Amyloid Ion Channels

A©¬ Degrading Enzymes

Inflammation and Microglia

Oxidative Stress

Microtubule-Associated Proteins

Prostaglandin E2 E Prostanoid Subtype 2 Receptors (PGE2EP2)

Cholesterol Metabolism and the LDL Receptor

Cannabinoid Receptors

Summary


5.2. Parkinson¡¯s Disease


Lrrk2

Parkin

PINK1

PPAR¥ã

p53

Heme Oxygenase-1 (HO-1)

Nicotinic Acetylcholine Receptors (nAChRs)

NADPH Oxidase

Summary


5.3. Unipolar Depression


Microtubule Stabilization

Cannabinoid CB1 Receptor

The Fibroblast Growth Factor (FGF) System

p11 (S100A10)

PAR-4

PSD-95

Galanin

Summary


5.4. Bipolar Disorder


PSD-95

PACAP

FAT Gene

Protein Kinase C (PKC)

BAG-1

GSK-3

Inositol Metabolism

Arachidonic Acid Cascade

Summary


5.5. Schizophrenia


COMT and PRODH

Protein Kinase C (PKC)

Neuregulin

DISC1

Dysbindin-1

PSD-95

Summary




CHAPTER 6 EXPERT COMMENTARIES

6.1. Mark A. Smith, PhD, Professor of Pathology, Case Western Reserve University

6.2. Maryka Quik, PhD, Professor, The Parkinson¡¯s Institute

6.3. Ross L. Stein, PhD, Director, Laboratory for Drug Discovery in Neurodegeneration, Harvard Center for Neurodegeneration and Repair

6.4. Susan L. Stoddard, PhD, Licensing Manager, Mayo Clinic

6.5. Michael Palfreyman, PhD, DSc, Vice President, Program Management and Drug Development, En Vivo Pharmaceuticals

6.6. C. Anthony Altar, Ph.D., President and CSO, Psychiatric Genomics

6.7. Robert G. Urban, PhD, President and CEO, Acretia

6.8. Pamela Sklar, MD, PhD, Associate Professor of Psychiatry, Harvard Medical School




CHAPTER 7 COMPANY PROFILES

7.1. Acadia Pharmaceuticals

7.2. Axonyx

7.3. Biomind

7.4. Cortex

7.5. Cytos Biotechnology

7.6. Elan

7.7. En Vivo

7.8. ExonHit

7.9. GlaxoSmithKline

7.10. Lay Line Genomics

7.11. Memory Pharmaceuticals

7.12. Merck & Co.

7.13. Neuro3D

7.14. Neurochem

7.15 Nymox

7.16. Panacea Pharmaceuticals

7.17. Psychiatric Genomics

7.18. Roche

7.19. sanofi-aventis

7.20. TorreyPines Therapeutics




References




Index




List of Tables and Figures

Table 4.1.Potential Alzheimer¡¯s Disease-Modifying or Preventing Compounds in R&D

Table 4.2.Potential Ion Channel Modulating Compounds in Development for Alzheimer¡¯s Disease

Table 4.3. Compounds in Development for Alzheimer¡¯s Disease, Miscellaneous Mechanisms

Table 4.4. Potential Targets and Target Classes for Alzheimer¡¯s Disease

Table 4.5. Compounds in Development for Parkinson¡¯s Disease

Table 4.6. Potential Targets and Target Classes for Parkinson¡¯s Disease

Table 4.7. Compounds in Development for Unipolar Depression

Table 4.8. Potential Targets and Target Classes for Unipolar Depression

Table 4.9. Compounds in Development for Bipolar Disorder

Table 4.10. Potential Targets and Target Classes for Bipolar Disorder

Table 4.11. Antipsychotic Compounds in Development

Table 4.12. Genes That Have Been Linked to Susceptibility for Schizophrenia

Table 4.13. Potential Targets and Target Classes for Schizophrenia

Abstract

Current therapies for neurodegenerative and psychiatric diseases leave much to be desired. Alzheimer’s and Parkinson’s diseases are an increasing burden on the health care systems of the developed countries as the proportion of their elderly population rises. As for psychiatric disorders, their social and economic impact can be measured by the fact that antipsychotics and antidepressants account for nearly a quarter of total sales for the world’s top 10 best-selling drugs. Potential Breakthroughs in Neurotherapeutics: Alzheimer’s Disease, Parkinson’s Disease, Depression, Bipolar Disorder, and Schizophrenia, a new CHA Advances report, provides a comprehensive assessment of truly innovative, early-stage research that we feel will translate into significant advances in neurotherapy. Specifically, it:
  • Surveys current basic academic research relevant to drug or target discovery
  • Highlights topics that show promise of future commercial potential
  • Examines conditions in the technology transfer milieu relevant to these emerging opportunities
  • Assesses the commercial potential for these emerging opportunities
  • Seeks the views of individuals in industry and academia with insight into the foregoing issues
The report begins with an analysis of the technology transfer process that bridges university research and the commercial world ¯ its triumphs, but also its difficulties operating in the current risk-aversive commercial environment. Although industrial R&D activity focused on CNS disorders is intense, progress toward significant innovation remains slow and largely dependent on new leads generated from academia. Potential Breakthroughs in Neurotherapeutics describes one research program in neurology that is turning out to be a ‘poster child’ for translational medicine.

For each of the 5 diseases, Potential Breakthroughs in Neurotherapeutics reviews consensus thinking about the pathophysiological mechanisms, targets, and the state-of-the-art in drug therapy. Then it launches into a review of significant research findings in each disease ¯ the compounds and their targets already in discovery or early development with potential therapeutic value. In evaluating the commercial potential of each target or compound, the report relies on a proprietary scoring system based on the following criteria:
  • Stage of the project
  • Number of directly related citations in PubMed
  • Strength of the mechanistic story and theoretical support
  • Efficacy probability based on studies in cells, tissues, or animal disease models
  • Overall rating from 1 (worst) to 10 (best)
More than 125 compounds and more than 40 targets, sponsored by 82 companies, are subjected to this rigorous evaluative process. Moreover, early stage research within each disease area is given an overall rating, and particularly strong compounds, targets, or therapeutic approaches are singled out for discussion. The report supplements this rich analysis with interviews with 8 thought leaders in neurotherapeutics from industry and academia, plus profiles of 20 companies at the forefront of CNS research.

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