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Pipeline Insight: Substance Dependence - Part I: Nicotine

Published by: Datamonitor

Published: Nov. 14, 2007 - 91 Pages


Table of Contents


CHAPTER 1 EXECUTIVE SUMMARY
Scope of the analysis
Datamonitor insight into the nicotine dependence market
Key metrics
Datamonitor Pipeline Assessment Summary
Contributing experts
Upcoming reports
CHAPTER 2 NICOTINE DEPENDENCE - MARKET POTENTIAL
Definition of nicotine dependence
Epidemiology of nicotine dependence
Nicotine dependence is estimated to affect over 115 million people in the seven major markets
Prevalence is expected to slowly decrease over time
Few nicotine dependent individuals seek help with quitting from their primary care physician
Diagnostic criteria for nicotine dependence are rarely used in clinical practice
Current market overview
Nicotine dependence market demonstrates sharp growth after a period of decline
The US dominates sales revenue of the nicotine dependence market
These is an absence of prescription nicotine dependence products in Japan
The UK has overtaken France as the largest nicotine dependence market in the 5EU
Only two prescription treatments are currently marketed for nicotine dependence
Over-the-counter products represent barrier to prescription market growth
Unmet need in nicotine dependence
Reduction in relapse rate
CHAPTER 3 PIPELINE OVERVIEW AND DYNAMICS
Pipeline overview
Vaccines are the most prevalent drug class in the current pipeline
Definition of current comparator therapy
Pfizer’s Chantix is Datamonitor’s comparator therapy
Forecasts to 2016
Clinical trials
Phase II study
Phase III comparative trials: Chantix versus bupropion
Long-term abstinence
Chantix’s major competitors and key strengths and weaknesses
Classification of pipeline products
Recently discontinued or failed projects
ADX10061
Rimonabant
Taranabant
NC-001
Clinical trial design
Primary and secondary endpoints
Patient populations
Inclusion criteria require participants to smoke ten or more cigarettes per day
Opinion leaders recommend inclusion of more heterogeneous participant samples
CHAPTER 4 VACCINE LATE-STAGE DRUG ANALYSIS & FORECASTS
Overview for vaccine class
Pipeline summary
NicVAX (nicotine conjugate vaccine)
Drug overview
Forecasts to 2016
Datamonitor drug assessment summary
Marketing factors
Nabi will benefit from the expertise of the commercialization partner it is seeking
Novel mechanism of action will generate strong interest among physicians
Patient potential
Individual variability in immunological response
NicVAX has potential for prophylactic use
Satisfaction of unmet needs
NicVAX demonstrates comparable efficacy to Chantix
Convenient dosing regimen will increase compliance
Long-term irreversibility of NicVAX will reduce relapse rate
Favorable side-effect and safety profile
Clinical trial data
Phase IIb data at 12 months
Phase IIb data at 9 months
NIC-002
Drug overview
Forecasts to 2016
Datamonitor drug assessment summary
Marketing factors
Novartis’s marketing and sales experience bodes well for the launch of NIC-002
Second-to-market vaccine for nicotine dependence
Patient potential
High immunological response will lead to high patient potential
NIC-002 has potential for prophylactic use
Satisfaction of unmet needs
NIC-002 demonstrates strong efficacy
Convenient dosing regimen will increase compliance
Long-term irreversibility of NIC-002 will reduce relapse rate
Favorable side-effect profile
Clinical trial data
Clinical dose-optimization study
Phase II trial — 6 month and 12 month follow-up
TA-NIC
Drug overview
CHAPTER 5 OTHER LATE-STAGE DRUG ANALYSIS AND FORECASTS
Overview for other pipeline nicotine dependence drugs
Pipeline summary
Dianicline
Drug overview
Forecasts to 2016
Datamonitor drug assessment summary
Marketing factors
Seven week treatment course is a strong competitive advantage
Sanofi-Aventis has established relations with key prescribers
Dianicline will experience fierce competition from established brands
Patient potential
Satisfaction of unmet needs
Dosing regimen
Dianicline does not satisfy the need for a reduction in relapse rates
Side-effect and safety profile
Clinical trial data
Ongoing clinical trials
Nalmefene
Drug overview: opioid antagonist
GW-468816
Drug overview: glycine receptor antagonist
Ongoing clinical trials
Surinabant
Drug overview: cannabinoid receptor antagonist
Ongoing clinical trials
BIBLIOGRAPHY
APPENDIX A
Methodology
Datamonitor forecast methodology
Epidemiology forecasts
Product forecasts
Definition of a standard unit
Contributing experts
APPENDIX B
Methodology
Definition of nicotine dependence market
About Datamonitor
About Datamonitor Healthcare
Datamonitor Healthcare’s therapy area capabilities
About the Disease analysis team
Disclaimer

Abstract

Introduction

The high prevalence of nicotine dependence, strong uptake of Pfizer’s Chantix (varenicline), and the launch of new innovative therapies will cause the nicotine dependence prescription drug market to grow to $4.6 billion across the seven major markets by 2016. Innovative therapies are set to offer patients a convenient dosing regimen and thereby carrying the potential for improved compliance.

Scope

Analysis of patient potential, unmet needs and clinical trial design in nicotine dependence Overview of the current nicotine dependence market, covering both prescription and OTC products Overview of drugs in late stage clinical development for nicotine dependence Profiles of key compounds in development for use in nicotine dependence, with forecasts of drug revenues to 2016 and insight from key opinion leaders

Highlights

Nicotine vaccines are the most prevalent drug class in the late-stage pipeline. This represents a move away from nicotine replacement and nicotine agonist therapies, which have historically dominated the market. Datamonitor predicts nicotine vaccine companies will be important players in the market by 2016, led by Novartis’s NIC-002. Nicotine vaccines are designed to prevent nicotine from entering the brain and thus reduce the pleasurable effect of smoking. The utility of vaccines in nicotine dependence lies in the long-term protection they provide along with minimal patient compliance and carry the potential for prophylactic use. With two compounds in late-stage development for the treatment of nicotine dependence, it is evident that Sanofi-Aventis is keen to penetrate this market. Although possessing a similar mechanism of action to Chantix, Datamonitor believes that the drug’s shorter treatment course than the market leader represents a strong competitive advantage.

Reasons to Purchase

Understand unmet needs and opportunities in this market based on the comments of interviewed key opinion leaders. Benchmark key late-stage nicotine dependence compounds against the current market leader. Assess the seven major market total sales forecasts of key late-stage pipeline drugs; and examine their clinical and commercial potential

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