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Chemotherapy Market Insights, 2006-2016: A Critical Analysis of Cancer Research, Treatments, Pipelines and Commercial Opportunities

Published by: Spectra Intelligence

Published: Apr. 1, 2006 - 369 Pages


Table of Contents



List of Tables

List of Figures

List of Abbreviations

Executive Summary

Objective of the Report

Research Methodology

Chapter 1. Introduction to Cancer: Epidemiology, Pathophysiology, Diagnosis, and Treatment

Cancer Epidemiology

Global Epidemiology of Cancer

Global Statistics (World Health Organization - WHO)

Cancer Incidence and Mortality by Geographical Regions Worldwide

Cancer Epidemiology, United Kingdom (Office of National Statistics)

Cancer Incidence and Mortality

United Kingdom: Current Incidence Trends

Incidence by Age Group, United Kingdom

Current Mortality Trends in the United Kingdom

Survival Trends for Most Common Cancers in the United Kingdom

Current Cancer Statistics in the United States - American Cancer Society and Surveillance, Epidemiology and End Results Program (SEER)

Current Incidence and Mortality Rates for the Most Common Cancers in the United States

Current Cancer Estimates in the United States, 2005

Incidence and Mortality Rates by Racial Group, United States

Aetiology, Pathophysiology, and Diagnosis of Cancer by Type: Europe, United Kingdom and United States

Lung Cancer

Aetiology of Lung Cancer

Risk Factors for Lung Cancer

Pathophysiology of Lung Cancer

Diagnosis of Lung Cancer

Treatment of Lung Cancer

Lung Cancer: Outcome

Colorectal Cancer

Aetiology and Pathophysiology

Risk Factors for Colon Cancer

Diagnosis of Colon Cancer

Treatment of Colon Cancer

Colon Cancer: Outcome

Breast Cancer

Aetiology of Breast Cancer

Risk Factors for Breast Cancer

Pathophysiology of Breast Cancer

Diagnosis of Breast Cancer

Treatment of Breast Cancer

Breast Cancer: Outcome

Prostate Cancer

Aetiology of Prostate Cancer

Pathophysiology of Prostate Cancer

Diagnosis of Prostate Cancer

Treatment of Prostate Cancer

Prostate Cancer: Outcome

Incidence and Mortality Rates for Other Common Cancers: Europe, and North America

Cancer Staging and Grading: Diagnostic and Therapeutic Criteria

Common Solid Tumour Malignancies

Chemotherapy for Leukaemias and Lymphomas: Standard Treatment Options

Leukaemias

Lymphomas

Chapter 2. Drug Development Challenges

Tumour Biology

Important Discoveries in Tumour Biology: Viruses, Genes and Cancer

Cancer Genetics

Towards a Model on the Genetic Origins of Cancer

Pharmacology

Pharmacology of the Important Groups of Chemotherapeutic Drugs Used in the Treatment of Cancer

Mechanism of Action of Major Groups Chemotherapy Drugs and Treatment Applications

Antimetabolites

Antibiotics

Alkylating Agents

Vinca Alkaloids

Other Alkaloids

Platinum Compounds

Treatment Resistance

General Parameters of Drug Resistance

Pharmacological Parameters of Chemosensitivity - Drug Delivery Applications

Genetic Components of Drug Resistance Mechanisms

Acquired Drug Resistance Mechanisms

Current Biological and Pharmacological Obstacles to the Successful Treatment of Cancer

Biological Complexity

Pharmacological Challenges

New Research/Technologies

Gene-Targeted Therapeutic Approaches

Angiogenesis

Apoptosis

Application of New Technologies to Chemotherapy Research and Development

Chapter 3. Chemotherapeutic Treatment Options: Clinical Management and Drug Development Issues

Current Chemotherapies

Chemotherapy Treatment Overview

Treatment Options

Clinical Assessment of Solid Tumours

Organ-Specific Chemotherapy

Lung Cancer

Colorectal Cancer

Breast Cancer

Prostate Cancer

Ovarian Cancer

Testicular Cancer

Cancers of Haematopoetic Origin - The Leukaemias

Leukaemias

Hodgkin’s Disease

Non-Hodgkin’s Lymphoma

Chemotherapy Drugs Approved by the United States Food and Drug Administration

Chemotherapy Side Effects

Clinical Treatment Administration Protocols

Chemotherapy Drugs and Market Opportunities

Chemotherapy Drug Reformulation

Novel Drug Delivery Systems

Chapter 4. The Market for Cancer Chemotherapies

The Market for Chemotherapies

The Global Cancer Market: Trends, Estimates, Economics, and Outlook

Cancer Market: Overview

Best-Selling Oncology Products

Pharmaceutical Product Growth in Oncology

Licensing and Chemotherapy Products

Cancer Treatments and Pharmacoeconomics

Critical Factors Affecting the High Pricing of Patented Cancer Drugs

Generic Erosion

High Costs of the New Super Drugs

Healthcare Costs: United States

Prescription Drug Costs and Coverage

Healthcare Reimbursement Issues: United States

Local Community Health Services

Private Sector Health Programs: Managed Care

Healthcare Purchasing Cooperatives: Federal Employers Health Benefits Program

Uninsured Americans

Current Issues in United States Healthcare Policy

Healthcare Policies: United Kingdom

National Health Service/National Institute for Health and Clinical Excellence

Healthcare Policies: United States versus United Kingdom

Healthcare Costs: Europe

Future Trends in the Cancer Market Based on Cancer Incidence

General Assessment of Future Trends in Cancer Therapeutics

Cancer Incidence, Survival and Mortality Rates: General Trends

Future Trends Based on Successful Treatment Approaches

General Considerations

Market Outlook for New Cancer Drugs

Current Chemotherapies: Product Review and Commercial Outlook

Genentech/Roche: Newly Approved Cancer Drug

Avastin

Tarceva

Rituxan

Herceptin

Genentech Bio-Oncology Market Data: 2004-2005

Roche

American Pharmaceutical Partners: Abraxane

MGI Pharma/Guildford Pharmaceuticals: Aloxi/Gliadel Wafer

Sanofi-Aventis: Taxotere/Eloxatin

Pfizer

Aromasin

Other Drugs in Pfizer’s Portfolio

AstraZeneca

Arimidex

Faslodex

Zoladex

Iressa

Novartis

Gleevec

Zometa

Sandostatin

Femara

Schering-Plough

Temodar

Intron A

GlaxoSmithKline

Zofra

Hycamtin

Bexxar

Arranon

Genzyme

Clolar

Thyrogen

Imclone: Erbitux

3M Pharmaceuticals: Aldara

Supportive Therapies

MGI Pharma

Other Support Therapies

Cancer Market Outlook: Summary

Chapter 5. Chemotherapies in Research and Development

General Trends in Global Oncology Markets Considered to Impact Chemotherapies in Research and Development

Important Therapeutic Areas Targeted for Research and Development

Promising New Oncology Drugs Poised for Market Entry

Therapeutic Clinical Oncology Candidates: Product Review

Cancer Vaccines: Gardasil (Merck) and Cervarix (GlaxoSmithKline)

Sutent - Pfizer

Sorafenib (BAY43-9006) - Bayer/Onyx

Panitumamab - Amgen/Abgenix

Prospective Oncology Drugs in Research and Development: Challenges for Drug Development

Promising Cancer Drugs in Late-Stage Clinical Trials

GlaxoSmithKline (GSK): Pipeline Products in Late-Stage Development

Tykerb (Lapatinib)

Eltrombopag

Casopitant

Novartis

Femara

PTKZK

Introgen Therapeutics: Advexin

United Therapeutics: OvaRex

GPC Biotech AG: Satraplatin

Cell Therapeutics: Xyotax

NeoPharm: LEP-ETU

Genta Pharmaceuticals: Genasense

SuperGen: Orathecin

Dendreon: Provenge

Bayer: Sorafenib

Promising Oncology Portfolios in Clinical Development

GlaxoSmithKline

Iboctadekin

Vestipitant

Ispenesib

Pazopanib

Relacatib

Elacridar

Novartis

RAD001

Patupilone

PKC412

ST1571

Gimatecan

AMN107

AEE788

INGN225

INGN241

INGN401

Eisai

Phase-III Products

Phase-II Products

Phase-I Products

Abbott Laboratories

Xinlay (Atrasentan)

Merck

SAHA

Promising Biopharmaceutical Oncology Products in Clinical Development

Market Outlook for New Oncology Products in Late-Stage Development

Chapter 6: Cancer Research - Evaluating Drug Development and Market Opportunities

Current Themes and Trends in Cancer Research

Cancer Therapeutic Approaches in Research and Development

Supportive Therapies

Stem Cell Therapy

Immunotherapy

Emerging Biotechnologies

Recombinant Vaccines

Antisense Technology

Humanized Monoclonal Antibodies

Gene Therapy

Nanoparticle Technology

Current Biotechnological Cancer Therapeutic Approaches

Therapeutic Cellular Vaccines

Antigen/Adjuvant Vaccines

Whole Tumour Vaccines

Viral Vectors and DNA Vaccines

Idiotype Vaccines

Dendritophages

Molecular Targets of Therapeutic Vaccines

Therapeutic Vaccines in Clinical Trials

Passive Immunotherapy: Monoclonal Antibodies

Therapeutic Classes of Monoclonal Antibodies

Anti-CD20 Monoclonal Antibodies

Anti-Epidermal Growth Factor Receptor Monoclonal Antibodies

Cell Death Targets

Small Molecule Targeted Anticancer Agents

Promising Small Molecule Therapeutic Targets in Research and Development

Tyrosine Kinase Inhibitors

Heterodimerization Inhibitors

STAT-3 Inhibitors

Cyclin-Dependent Kinase Inhibitors

Apoptosis Inducers

Hypoxia Inducible Factor-1 Pathway

Dipeptidyl Peptidase Inhibitors

Small Molecule Therapies for Cancer Cachexia

Small Molecule Immunostimulatory Agents

Small Molecule Adhesion Targets

Small Molecule Inhibitors: Resistance Mechanisms

New Chemical Entities - Standard Chemotherapy Approaches

New Investigative and Experimental Oncology Products

Novel Oncology Products: Nontargeted Experimental and Investigational Agents

Novel Drug Delivery Approaches in Research and Development

Novel Molecular Tumour Targets in Research and Development

Antisense Therapeutics

Novel Treatment Approaches in Early Preclinical Stages of Development

General Experimental Approaches

Chemopreventive Approaches

Development Outlook for Investigative/Experimental Oncology Products

General Considerations

Comparison of Therapeutic Treatment Modalities

Standard Chemotherapy

Small Molecule Inhibitors

Monoclonal Antibodies

Therapeutic Vaccines

Novel Treatment Delivery Approaches

Antisense Technologies

Chapter 7. Companies Developing Cancer Drugs

Leading Companies and Oncology Pipelines

Leading Multinational Companies and Oncology Products

Roche/Genentech

Novartis

Sanofi-Aventis

AstraZeneca

Eli Lilly

GlaxoSmithKline

Pfizer

Bristol-Myers Squibb

Schering-Plough

Johnson & Johnson

Other Oncology Focused Multinationals with Promising Pipelines

Abbott Laboratories/TAP Pharmaceutical

Merck & Co.

Takeda

Wyeth

Leading Biopharmaceutical Companies and Oncology Therapeutics

Amgen

Genentech

Genzyme

Serono

Medimmune

Chiron

Millennium Pharmaceuticals

Specialty Oncology Drug Discovery and Development Companies

Antigenics

Antisoma

Celgene

Cell Therapeutics

Ecopia Pharmaceutical Company

Helix Biopharma

ImClone Systems

Immunogen

Immusol

Inovio

Kosan Biosciences

MediGene

Milagen

MorphoSys

Myriad Pharmaceuticals

NeoRx

Protherics

Receptor Biologix

Regeneron Pharmaceuticals

Starpharma

Syrrx

U3 Pharma

Vertex Pharmaceuticals

Viventia Biotech

Xoma

Zymo Genetics

Other Discovery and Development Companies Specializing in Oncology Therapeutics

Reference Sources

List of Tables

Table 1.1 Highest Mortality Rates for Common Cancers

Table 1.2 Common Cancers in the United Kingdom Relative to Gender, 2004

Table 1.3 Incidence Trends for the Common Cancers in the United Kingdom (1990-2001)

Table 1.4 Mortality Rates in the United Kingdom, 2003

Table 1.5 Changes in 5- and 10-Year Survival Rates for Common Cancers, United Kingdom (1971-1999 Diagnosis)

Table 1.6 Incidence Rates for Common Cancers in the United States and United Kingdom

Table 1.7 Incidence and Mortality for Most Prevalent Cancer in the United States, 2005 Estimates for Men and Women

Table 1.8 Trends in Cancer Incidence, 2005 (% Total New Cases)

Table 1.9 Incidence, Mortality, Survival Trends, and Risk Factors for 10 Less Common Cancers in the United States

Table 1.10 Chemotherapy Options for Common Solid Tumour Malignancies by Disease Stage

Table 2.1 Viruses Implicated in Human Cancers

Table 2.2 Genes Most Commonly Identified in Human Cancers

Table 2.3 Genes Most Commonly Implicated in Major Human Cancers

Table 2.4 Chemotherapy Drugs Most Commonly Used to Treat Cancer

Table 3.1 General Staging Criteria Relevant to Chemotherapy Treatment Options in Solid Tumour Malignancies

Table 3.2 Chemotherapy Drugs Most Commonly Used to Treat Lung Cancer

Table 3.3 Most Common Treatment Options for Limited Small Cell Lung Carcinoma

Table 3.4 Most Common Treatment Options for Extensive Small Cell Lung Carcinoma

Table 3.5 Less Common Treatment Protocols for Extensive Small Cell Lung Carcinoma

Table 3.6 Most Common Treatment Protocols for Nonsmall Cell Lung Carcinoma

Table 3.7 Experimental Chemotherapy for Advanced Lung Cancer

Table 3.8 Chemotherapy Drugs Most Commonly Used to Treat Colorectal Cancer

Table 3.9 Breast Cancer Chemotherapy Treatment Options

Table 3.10 Hormonal Therapies Used in the Treatment of Advanced Prostate Cancer

Table 3.11 Chemotherapy Drugs Most Commonly Used to Treat Ovarian Cancer

Table 3.12 Second-Line Treatments for Ovarian Cancer

Table 3.13 First-Line Combined Treatment Options for Advanced Ovarian Cancer

Table 3.14 Second-Line Combined Treatment Options for Resistant Ovarian Cancer

Table 3.15 Combined Chemotherapy Treatment Protocols for Acute Myeloid Leukaemia

Table 3.16 Common Drugs Used to Treat Chronic Myeloid Leukaemia

Table 3.17 Standard Treatment Options for Chronic Lymphocytic Leukaemia

Table 3.18 Standard Treatment Options for Hodgkin’s Disease

Table 3.19 Treatment Options for Advanced Low-Grade Non-Hodgkin’s Lymphoma

Table 3.20 Treatment Options for Early-Stage Fast-Growing Non-Hodgkin’s Lymphoma

Table 3.21 Chemotherapy Drugs Approved by the United States Food and Drug Administration

Table 3.22 Drugs Administered to Combat Dose-Limiting Side Effects of Chemotherapy

Table 4.1 Estimated Global Sales (US$) and Forecasts of Leading Cancer Chemo- therapies, 2005-

Table 4.2 Approximate 2004 Expenditures for Chemotherapy Treatment of the Most Common Cancers Based on Incidence Rates

Table 4.3 Comparative Assessment of Positive Outcomes and Problems in Healthcare Systems, United States/United Kingdom

Table 4.4 Accessibilty Ratings to New Cancer Drugs in Europe by Country

Table 4.5 Global Incidence and Mortality Ratios for the Most Common Cancers by Gender

Table 4.6 Global Incidence of Cancer by Site, Males and Females

Table 4.7 Estimated Percentage of Cancer Cases by Type in Men and Women, United States, 2005

Table 4.8 Predicted Average Lifetime Risk for Developing Cancer in Men and Women, 1999-2001 Estimates

Table 4.9 Five-Year Relative Survival Rates for the Most Common Cancers, United States, 1995-2000

Table 4.10 Comparison of 5-Year Survival Rates (%) for Most Common Cancers Over Three Time Periods, United States

Table 4.11 Death Rates from the Most Common Cancers in Men and Women, United States, 2005 Estimates

Table 4.12 New Anticancer Drugs with Strong Commercial Outlook Based on Clinical Efficacy

Table 5.1 New Drug Application Submissions (Oncology), United States Food and Drug Administration, 2005

Table 5.2 Comparison of Angiogenesis Inhibitors

Table 5.3 Major Projected Competitors: Oncology Drugs for Advanced Colon Cancer that Target Growth Factor Signal Pathways

Table 5.4 Tykerb: Summary of Clinical Trial Studies

Table 5.5 Late-Stage Oncology Products in Clinical Development Grouped by Mechanism of Action

Table 5.6 GlaxoSmithKline’s Portfolio of Oncology Products in Research and Development

Table 5.7 Histone Deacetylase Inhibitors in Clinical Trials, 2006

Table 5.8 Biotechnological Oncology Products in Clinical Development by Clinical Phase

Table 5.9 Top Prospects for Market Success in the Oncology Pipeline

Table 6.1 United States Federal Drug Administration Approved and Investigational Monoclonal Antibody Therapeutics for Cancer

Table 6.2 Small Molecule Cancer Therapeutics in Research and Development by Clinical Phase

Table 6.3 Novel Druggable Tumour Targets in Research and Development

Table 6.4 Antisense Therapeutics in Research and Development

Table 7.1 The Top 50 Global Pharmaceutical Companies (2004 and 2005 Revenues)

Table 7.2 Global Portfolio Revenues and Market Share of Cancer Chemotherapies, 2005 (US$m)

Table 7.3 Roche`s Key Chemotherapy Portfolio and Product Sales, 2005 (US$m)

Table 7.4 Novartis` Key Chemotherapy Portfolio and Product Sales, 2005 (US$m)

Table 7.5 Sanofi-Aventis` Key Chemotherapy Portfolio and Product Sales, 2005 (US$m)

Table 7.6 AstraZeneca`s Key Chemotherapy Portfolio and Product Sales, 2005 (US$m)

Table 7.7 Eli Lilly’s Key Chemotherapy Portfolio and Product Sales, 2005 (US$m)

Table 7.8 GlaxoSmithKline`s Key Chemotherapy Portfolio and Product Sales, 2005 (US$m)

Table 7.9 Pfizer`s Key Chemotherapy Portfolio and Product Sales, 2005 (US$m)

Table 7.10 Bristol-Myers Squibb`s Key Chemotherapy Portfolio and Product Sales, 2005 (US$m)

Table 7.11 Schering-Plough`s Key Chemotherapy Portfolio and Product Sales, 2005 (US$m)

Table 7.12 Johnson & Johnson`s Key Chemotherapy Portfolio and Product Sales, 2005 (US$m)

Table 7.13 Amgen`s Key Chemotherapy Portfolio and Product Sales, 2005 (US$m)

Table 7.14 Genentech`s Key Chemotherapy Portfolio and Product Sales, 2005 (US$m)

Table 7.15 Additional Discovery and Development Companies Specializing in Oncology Therapeutics

List of Figures

Figure 1.1 Total Cancer Mortality (Age Standardized Rates)

Figure 1.2 Total Cancer Incidence (Age Standardized Rates)

Figure 1.3 Averaged Incidence of the Most Common Cancers in the United Kingdom for Men and Women

Figure 1.4 Incidence and Mortality of the 10 Most Common Cancers in the United States, 2005 Estimates

Figure 1.5 Lung Cancer Incidence (Age Standardized Rates)

Figure 1.6 Colon Cancer Incidence (Age Standardized Rates)

Figure 1.7 Breast Cancer Incidence/Mortality (Age Standardized Rates)

Figure 1.8 Prostate Cancer Incidence/Mortality (Age Standardized Rates)

Figure 1.9 Bladder Cancer Incidence (Age Standardized Rates)

Figure 1.10 Stomach Cancer Incidence (Age Standardized Rates)

Figure 1.11 Cervical Cancer Incidence/Mortality (Age Standardized Rates)

Figure 1.12 Melanoma Incidence (Age Standardized Rates)

Figure 1.13 Larynx Cancer Incidence (Age Standardized Rates)

Figure 1.14 Hodgkin’s Disease Incidence (Age Standardized Rates)

Figure 1.15 Non-Hodgkin’s Lymphoma Incidence (Age Standardized Rates)

Figure 1.16 Ovarian Cancer Incidence/Mortality (Age Standardized Rates)

Figure 1.17 Chemotherapy Regimens Used to Treat Non-Hodgkin’s Lymphoma

Figure 2.1 Origins of Chemotherapy Resistance

Figure 2.2 Pharmacological Parameters of Drug Resistance

Figure 2.3 Proliferative Cell Cycle: Genes and Drug Targets

Figure 3.1 Factors Associated with Successful Chemotherapy Outcome

Figure 4.1 Best-Selling Chemotherapies, 2005 (US$m)

Figure 4.2 Market Share of the Top 10 Cancer Chemotherapies, 2005 & 2010

Figure 4.3 Growth Rates of Best-Selling Cancer Chemotherapy Drugs, 2005

Figure 4.4 Total Healthcare Costs: % Gross Domestic Product (GDP) by Country (2002)

Figure 4.5 Key Parameters of Cancer Drug Market

Figure 5.1 Therapeutic Classes of Oncology Drugs in the Product Pipeline

Figure 6.1 General Clinical Research Areas in Cancer Therapeutics

Figure 6.2 General Categories Of Therapeutic Enhancement Approaches

Figure 6.3 Biotechnology Approaches to Cancer Therapeutic Research and Development

Figure 6.4 Types of Therapeutic Cancer Vaccines in Clinical Research and Development

Figure 6.5 Tumour Antigen Targets Used in the Development of Therapeutic Cancer Vaccines

Figure 6.6 Monoclonal Antibody Therapeutic Targets

Figure 6.7 Small Molecule Therapy Targets

Figure 6.8 Combined Chemotherapy Treatment Possibilities

Figure 6.9 Cell Targets of Experimental Cancer Therapeutics: Drugs and Delivery Mode

Figure 7.1 Leading Oncology Companies by Chemotherapy Portfolio Revenues, 2005 (US$m)

Abstract

This comprehensive report is designed to present a state-of-the-art view of chemotherapy approaches to the treatment of cancer and an assessment of the critical parameters of drug discovery and development that may lead to the introduction of new oncology drugs with great therapeutic and market potential over the next decade. The oncology market is currently the fastest growing in the pharmaceutical industry, driven by the explosion of potential therapeutic targets revealed by the molecular genetic assessments of cancer biology and fuelled by the magnitude of the disease worldwide, which shows every indication of increased incidence and sustained mortality rates over the next decade. Currently, there are 25 million people afflicted with cancer worldwide, and the World Health Organization (WHO) predicts that cancer rates may increase by 50% from 10 million cases in 2000 to 15 million cases in 2015. Moreover, the Association for International Cancer Research (AICR) estimates that by 2020, there will be 10 million deaths from cancer. Even in developed nations, approximately 50% of patients diagnosed with cancer will eventually die of this disease. The challenges are great, but the world of molecular medicine and biopharmaceuticals has presented great opportunities to discover and develop new pharmacological approaches with prospects for greater therapeutic efficacy and more promising clinical outcome.

In this report, Chemotherapy Market Insights, 2006-2016: A Critical Analysis of CancerResearch, Treatments, Pipelines, and Commercial Opportunities, the reader will be presented with an expert perspective on oncology therapeutics, drug development, and commercial opportunities within the field. The introductory chapter is designed to provide a global perspective on the many facets of cancer that will affect the discovery, development and marketing of oncology pharmaceuticals over the next decade. Among the critical disease parameters are the global epidemiology of cancer, which includes current incidence, survival and mortality trends for the most common cancers worldwide. This assessment is designed to focus attention on the types of cancer that may be most appropriately targeted for treatment research and development based on these current global statistics.

These statistics also highlight the types of cancer that continue to be most refractory to current treatment approaches, suggesting areas for future research in drug discovery. Each of the many common cancers is assessed in this chapter with respect to its aetiology, pathophysiology, diagnosis, current treatment options, and clinical outcomes.

Objectives of the Report

The objectives of this report are to provide an in-depth assessment and analysis of the global cancer therapy market. Included in this study are critical analyses of key therapeutic areas, epidemiological, aetiological, and healthcare data, pipeline programs, and innovating companies and products. It is hoped that the reader will benefit from critical review, market forecasts, pooled knowledge of recent industrial activities and events, and from analytical discourse, which is intended to stimulate growth and create new market opportunities.

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