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Ophthalmological Therapeutics: A Promising and Profitable Market

Published by: CHI Insight Pharma Reports

Published: Jan. 1, 2008 - 140 Pages


Table of Contents


Chapter 1

A BRIEF INTRODUCTION TO OPHTHALMOLOGY AND ITS MARKETS

1.1. The Eye and Its Disorders

1.2. The Ophthalmology Market

1.3. High Unmet Medical Need and Scientific Challenges

Chapter 2

THE HUMAN EYE: A UNIQUE THERAPEUTIC TARGET

2.1. Anatomy of the Visual Apparatus

2.2. Characterizing and Quantifying Vision

2.3. Eye Surgery

Surgery for the Inner Eye

Surgical Correction of Opacification or Refractive Deviations

2.4. Ophthalmological Drug Delivery: Barriers and Strategies

Chapter 3

DISORDERS OF THE ANTERIOR EYE: WHAT YOU CAN SEE IS NOT ALWAYS EASY TO TREAT

3.1. Dry Eye Syndrome

Existing Products for Dry Eye

Restasis

Advanced-Stage Investigational Drugs for Dry Eye

Early Experimental Therapeutic and Diagnostic Approaches to Dry Eye

3.2. Allergic Conjunctivitis

New Developments

3.3. Corneal Lesions and Dystrophy

3.4. Superficial Eye Infections

Infectious Conjunctivitis and Other "Simple" Anterior Eye Infections

AzaSite: The First Ophthalmic Azithromycin

Antibiotic and Combination Products in Development

3.5. Tropical Eye Infections Make Inroads

Atypical Keratitis: A Growing Problem in Temperate Climate Zones

Trachoma: The World's Leading Cause of Preventable Blindness

River Blindness

3.6. Cataracts: Aging and Denaturation of the Lens

A Sector Dominated by Surgery

An Uphill Struggle for Drug Development

Pharmacoprevention for Posterior Capsule Opacification

Lens Regeneration and Tissue Biotechnology

3.7. Glaucoma: Pressure in the Front, Neurodegeneration in the Back of the Eye

Drugs for Intraocular Pressure Reduction

The Current Drug Landscape for Glaucoma

New Developments in the Glaucoma Drug Field

Chapter 4

DISORDERS OF THE POSTERIOR EYE: AT THE SITE OF VISION

4.1. Vitrectomy: Radical Back-Eye Surgery for Multiple Causes

Vitreous Replacements

Preventing Formation of Cataracts as a Complication of Vitrectomy

Vitrase/Vitragan: A Potential Alternative to Vitrectomy for Hemorrhages

4.2. Diabetic Retinopathy and Retinal Vein Occlusion: A Lifestyle Disorder That Blinds

Laser Photocoagulation

Triamcinolone: Not Approved, but Widely Used, for DME

Ruboxistaurin: A Troubled Oral Drug Candidate for DME

More Experimental Drug Candidates for Retinopathy: The New and the Old

4.3. Age-Related Macular Degeneration: The Leading Cause of Blindness in the Industrialized World

Blood Vessel Sensitization to Phototherapy in Wet AMD

Visudyne: The Pioneer

Photrex and Optrin: 2 Follow-Up Photosensitizers

Biotechnology Anti-VEGF Products: Rise of a Class

Macugen

Lucentis

Avastin: Off-Label Use in AMD and the Supply Restrictions Controversy

Follow-Up Developments in Ocular VEGF Control

Beyond VEGF: A Failure, and Many Hopes

Noninvasive Clinical Product Developments for AMD

Vigorous Preclinical and Patenting Activity Indicates More Approaches Under Way

4.4. Retinitis Pigmentosa: The Most Frequent Inherited Eye Disease

4.5. Intraocular Melanoma and Retinoblastoma: Posterior Eye Oncology

Choroidal Melanoma

Retinoblastoma

Chapter 5

SIZE, STRUCTURE, AND DYNAMICS OF THE OPHTHALMOLOGICAL PHARMACEUTICAL MARKET

5.1. Small Innovators, Large Marketers

Alcon Laboratories

Allergan

Bausch & Lomb

Senju Pharmaceutical

Fovea Pharmaceuticals

ISTA Pharmaceuticals

MacuSight

Novagali Pharma

Ocularis Pharma

OSI Eyetech

OPKO Health

Othera Pharmaceuticals

Sirion Therapeutics

5.2. A Habitat for Specialized CROs

Iris Pharma and Clirophtha

PharmaNet Ophthalmology Group

Rx Development Resources

Global Clinical Trials Ophthalmology Research Services

5.3. Ophthalmological Market Dynamics and its Drivers

Demographics

Lifestyle

Capital Flows into the Ophthalmological Drug Development Market

5.4. Modeling the Ophthalmological Drug Market: Perspectives for 2015-2020

Chapter 6

EXPERT INTERVIEWS: A VIRTUAL ROUNDTABLE

Cedric Francois, MD, PhD

President and CEO

Potentia Pharmaceuticals, Louisville, KY

Avner Ingerman, MD

Vice President and Ophthalmology Team Leader

Regeneron Pharmaceuticals, Tarrytown, NY

Samuel Reich

Executive Vice President of Ophthalmologics

OPKO Health

Miami, FL

Roger Vogel, MD

Cofounder and Chief Medical Officer

Sirion Therapeutics, Tampa, FL

REFERENCES

COMPANY INDEX WITH WEB ADDRESSES




Tables
Table 3.1. Selected Artificial Tear Products Marketed in the United States and Europe
Table 3.2. Advanced Drug Candidates for Dry Eye Syndrome
Table 3.3. Antihistamines and Steroids for Topical Ocular Use in Allergic Conjunctivitis
Table 3.4. Newer Drugs for Intraocular Pressure Reduction Currently Used in the United States
Table 4.1. Sales and Revenue Figures for Visudyne and US Sales Share, 2000-2006
Table 4.2. Recent Patent Publications for Retinitis Pigmentosa
Table 5.1. Selected Alcon IP Documents Directed at Glaucoma and Published in 2006
Table 5.2. Allergan Net Sales for Selected Prescription OpHthalmology Drugs, 2002-2006
Table 5.3. Fovea Pharmaceuticals' Ophthalmological Drug Pipeline
Table 5.4. The Current US Prescription Ophthalmological Drug Market and its Projected Development Through 2015-2020



Figures
Figure 2.1. A Cross-Sectional Schematic of the Human Eye
Figure 3.1. Lens Transparency, Lens Aging, and Cataract Formation
Figure 3.2. Fluid Formation and Outflow Through the Trabecular Meshwork
Figure 4.1. Visual Acuity Changes in the US-European Phase III TAP Study Program for Visudyne

Abstract

The ophthalmology market, although a relatively small niche in the pharmaceutical industry, is more than worthwhile to track for multiple reasons:

It is growing dynamically, and will likely continue this development unbroken for the next 2 or 3 decades.

It offers scientific challenges that are definitely tough but not insurmountable, with the paths to success already discernible.

It is a market that analysts and investors can understand. Severe eye diseases are debilitating but not terminal conditions, and therefore most people know at least 1 person with severe vision impairment and can sympathize—which on the whole creates a more favorable basis for investments.

Ophthalmological Therapeutics: Pipelines, Delivery Technologies, and Markets provides a cutting-edge review of the challenges, achievements, and perspectives that characterize the inseparable therapeutic triad of ophthalmological pharmacology, surgery of the visual tract, and implantable ophthalmological medical devices. At annual sales of less than $10 billion, this is a niche segment by the standards of the drug industry; however, it is a highly prestigious and profitable field. Because nothing that concerns intervention with the visual system is trivial, highly innovative specialist companies dominate development on the pharmacological as well as on the drug delivery side, which is immensely important in ophthalmological medicine.

Specifically, this report covers:
  • A thorough therapeutic pipeline analysis
  • Company profiles, including shifts in the corporate landscape since 2000
  • A full discussion of eye disorders and potential treatments
  • Current market dynamics
  • Market predictions through 2015
  • Expert commentary from leaders in the field
The market for prescription drugs to treat eye disorders will experience considerable and consistent growth throughout the next 10 years. The partial table below shows some of the research and development programs that are part of the growing field.

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