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Gastrointestinal Drug Discoveries

Published by: Espicom Healthcare Intelligence

Published: Jan. 15, 2008 - 148 Pages


Table of Contents


Foreword

Executive Summary

Inflammatory Bowel Disease

What is inflammatory bowel disease?

Risk factors in the development of IBD

Where in the world?

The IBD therapy market

IBD management

Current treatment options

Aminosalicylates

Sulphasalazine

Oral Mesalamine

Topical Mesalamine

Olsalazine

Balsalazide

Corticosteroids

Prednisone

Budesonide

Hydrocortisone

Immunosuppressants

6-mercaptopurine

Azathioprine

Cyclosporine

Methotrexate

Tumour necrosis factor alpha inhibitors

What’s in the pipeline?

Potential new drugs for IBD

Competitor ratio analysis

Tumour necrosis factor alpha inhibitors

Remicade (infliximab)

Sales forecast

Clinical trial results

Paediatric Crohn’s Disease

Ulcerative Colitis

Humira (adalimumab)

Sales forecast

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

CHARM

GAIN

CLASSIC

Cimzia (certolizumab pegol)

Sales forecast and assumptions

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

PRECiSE clinical trial programme

RDP58 (delmitide)

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Golimumab

Sales forecast and assumptions

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Cell adhesion molecule inhibitors

Tysabri (natalizumab)

Sales forecast and assumptions

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

ENACT-1/ENACT-2

ENCORE

Alicaforsen

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Phase II

Firategrast (SB683699)

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

MLN0002

Sales forecast and assumptions

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Novel corticosteroids

COLAL-PRED (prednisolone)

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Phase II trial for UC

T-cell modulators

Nuvion (visilizumab)

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Orencia (abatacept)

Sales forecast and assumptions

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Immune system modulators

Alequel

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Interleukin inhibitors

ABT-874

Sales forecast and assumptions

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Cohort 1/2

STA-5326

Sales forecast and assumptions

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

MAP kinase inhibitors

Semapimod

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Others

Traficet-EN

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

AST-120

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

HMPL-004

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Promising early-stage development candidates

Irritable Bowel Syndrome

What is irritable bowel syndrome?

Where in the world?

The IBS therapy market

IBS management

Current treatment options

Antispasmodics

Laxatives

Antidiarrhoeal agents

Antidepressants

Serotonergic agents

What’s in the pipeline?

Potential new drugs for IBS

Competitor ratio analysis

Serotonergic Agents

Lotronex (alosetron)

Clinical trial results

Zelnorm (tegaserod)

Sales forecast

Clinical trial results

IBS with mixed bowel pattern

DDP225

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

DDP733

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Renzapride

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Others

Amitiza (lubiprostone)

Sales forecast and assumptions

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Linaclotide acetate

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Dexloxiglumide

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

DARWIN

Dextofisopam

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Xifaxan (rifaximin)

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Crofelemer

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

Gastro-oesophageal Reflux Disease

What is gastro-oesophageal reflux disease?

The GORD therapy market

GORD management

H2 receptor antagonists

Pepcid/Gaster (famotidine)

Sales forecast

Zantac (ranitidine)

Sales forecast

Axid (nizatidine)

Tagamet (cimetidine)

Proton pump inhibitors

AcipHex/Pariet (rabeprazole)

Sales forecast

Nexium (esomeprazole)

Sales forecast

Prevacid (lansoprazole)

Sales forecast

Losec/Prilosec (omeprazole)

Sales forecast

Protonix (pantoprazole)

Sales forecast

What’s in the pipeline?

Competitor ratio analysis

Potential new drugs for GORD

ATI-7505

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

DDP733

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

OX 17

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

ADX10059

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

XP19986

Competitor ratio analysis

Novelty/rationale for mechanism of action

Proof of concept/clinical data

Management/clinical expertise

Competition within the marketplace

Risks associated with drug development in therapeutic class

Clinical trial results

SOURCES

Espicom Sources

Others

List of Tables

Genes associated with IBD

IBD patient forecasts 2005-2012

Currently available aminosalicylates

Currently available corticosteroids

Immunosuppressants currently used in IBD

Drugs in developmentfor IBD

Competitor ratio analysis summary

Remicade sales, 2002-2006 (US$ millions)

Humira sales, 2003-2006 (US$ millions)

Currently available antidepressants

Drugs in development for IBS

Competitor ratio analysis summary

Competitor Ratio Score: 42

Sales of leading drugs used in GORD management (US$ millions)

Approved H2 receptor antagonists

Gaster Sales, 2003-2007 (¥ & US$ million)

Zantac sales, 2002-2006 (£ & US$ million)

Approved proton pump inhibitors

AcipHex/Pariet sales, 2002-2006 (¥ & US$ million)

Nexium sales, 2002-2006 (US$ million)

Prevacid/Takepron sales, 2002-2006 (¥ & US$ million)

Losec/Prilosec sales, 2002-2006 (US$ million)

Protonix/Pantozol sales, 2002-2006 (EUR & US$ million)

Drugs in development for GORD

Competitor ratio analysis summary

List of Figures

IBD prevalence 2007

Drugs in clinical development for IBD by activity

Remicade projected sales, 2006-2012 (US$ million)

Humira projected sales 2006-2012 (US$ millions)

Cimzia projected sales 2008-2012 (US$ millions)

Golimumab projected sales, 2010-2014 (US$ million)

ABT-874 projected sales, 2009-2014 (US$ millions)

Amitiza, projected sales 2006-2012 (US$ millions)

Gaster projected sales, 2007-2012 (US$ Million)

Zantac projected sales, 2006-2012 (US$ million)

AcipHex/Pariet projected sales, 2007-2012 (US$ million)

Nexium projected sales, 2006-2012 (US$ million)

Prevacid/Takepron projected sales, 2006-2012 (US$ million)

Losec/Prilosec projected sales, 2006-2012 (US$ million)

Protonix/Pantozol projected sales, 2006-2012 (US$ million)

Abstract

This new strategic report from Espicom provides a comprehensive review of current and future treatments for major gastrointestinal therapy areas: inflammatory bowel disease (IBD), irritable bowel syndrome (IBS) and gastro-oesophageal reflux disease (GORD). Over 145 pages of product analysis and forecasts

Unique market share and 5-year sales forecasts for leading products & prospects

A comprehensive examination of major gastrointestinal therapy areas

Critical competitive evaluation and scoring of current and up and coming products.

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