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The Future of Targeted Therapeutics: Key technologies, new therapy area applications and leading players

Published by: Business Insights

Published: Mar. 1, 2008 - 157 Pages


Table of Contents


The Future of Targeted Therapeutics
Executive Summary
Emergence of targeted therapeutics
Analysis of stakeholder incentives
Types of targeted therapeutics
Role of targeted therapeutics in selected therapy areas
Chapter 1 Emergence of targeted
therapeutics
Summary
Introduction
Decline of the blockbuster model
The “nichebuster” model
The emergence of targeted therapeutics
Convergence of biotechnology and pharmaceutical companies
Licensing incentives
Risk management
Role of biomarkers and diagnostics
Academic research and technology transfer
Chapter 2 Analysis of stakeholder
incentives
Summary
Introduction
Institutional payors
Regulators
Patients and patient advocacy groups
Physicians
Pharmaceutical companies
Chapter 3 Types of targeted therapeutics
Summary
Introduction
Innovative small molecules
Mechanism of action
Examples
Gleevec
Lapatinib (Tykerd/Tyverb)
SNS-032
PLX4032
Market synopsis
Protein/Peptide drugs
Mechanism of action
Examples
AGRO100
PRX321
Market synopsis
Monoclonal antibodies and antibody-like structures
Mechanism of action
Examples
Rituximab (Rituxan)
Alemtuzumab (Campath)
Erbitux/cetuximab
Avastin/bevacizumab
Herceptin/trastuzumab
Ibritumomab tiuxetan (Zevalin)
Tositumomab (Bexxar)
Market synopsis
Nucleic acid therapies
Mechanism of action
Examples
Genasense (oblimersen sodium)
Nexagon
4-Thio FAC
Market synopsis
RNA interference
Mechanism of action
Examples
CALAA-01
siRNA AV-34
Bioral SiRNA
Market synopsis
Stem cell therapies
Market synopsis
Future therapeutic applications
Regulatory concerns
Gene therapy
Drug delivery and nanotechnology in targeted therapeutics
Mechanism of action
Examples
BioVant
ATI-1123 (docetaxel)
Rexin-G
Abraxane
131I-TM-601
Market synopsis
Conclusion
Chapter 4 Role of targeted therapeutics in
selected therapy areas
Summary
The cancer market
Targeting cancer cells for destruction
Blocking growth signalling pathways
Epidemiology
Current treatments
Unmet needs and innovation
Medical Needs
High toxicity and side effect profiles
Variable efficacy rates
The multifactorial nature of disease
Targeting brain tumors
Economic Needs
Reimbursement policies
Targeted therapeutics in cancer
Antineoplastics
Innovative small molecule therapies
Monoclonal antibody therapies
Proteins and Peptides
Application of genetic technology
RNAi in cancer
Applications of nanotechnology
Novel drug delivery approaches
The Cardiovascular Market
Epidemiology
Current market scenario
Unmet needs and innovation
Pill burden and patient compliance
Inefficient mechanism of action
Drug delivery technology limitations
Targeted therapeutics in cardiovascular diseases
Protein and nucleic acid therapies
Targeted small molecule drugs
Monoclonal antibody therapies
Stem cells
Nanotechnology
The CNS Market
Epidemiology
Current treatments
Unmet needs and innovation
Crossing the blood-brain barrier
Improving specificity and affinity
Accuracy in determining drug bioavailability
Improved side effect profiles
Appropriate clinical trial design - defining target patient subsets
Diagnosis-specific unmet needs
Depression
Schizophrenia
Sleep disorders
Alzheimer’s disease and other dementias
Epilepsy
Parkinson’s disease and movement disorders
Pain therapeutics
Targeted therapeutics in CNS
Innovative small molecules
Nucleic acid therapies
Monoclonal antibodies
Stem cell and gene therapy
Novel therapeutic mechanisms of action
Synthetic toxins
Targeted viral delivery systems
Innovative diagnostic devices
The Infectious Diseases Market
Epidemiology
Viral Infections
Hepatitis
Influenza
Herpes simplex virus
Bacterial infections
Fungal infections
Current market scenario
Unmet Needs and Innovations
Efficacy
Emerging resistance to existing treatments and lack of innovation
Immunoglobin (vaccination) drug delivery mechanisms
Targeted therapeutics in infectious diseases
Innovative small molecules
Applications of genetic technology
Therapeutic proteins and peptides
RNAi in infectious diseases
Antibodies
Novel targeted drug delivery mechanisms
Chapter 5 Appendix
Research methodology
ATC Codes
Cancer Therapies
Antineoplastic and immunomodulating agents
L1: Cytostatics
L2: Cytostatic hormone therapy
L3: Immunostimulating agents
Cardiovascular Therapies
B1: Anti-thrombotic agents
C1: Cardiac Therapy
C2 Antihypertensives
C3 Diuretics
C7 Beta Blockers
C8 Calcium antagonists
C9 Agents acting on the renin-angiotensin system
C10 Hypolipidaemics/Anti-Atheroma Preparations
Index
List of Figures
Figure 1.1: Forecast growth for the top 20 biopharmaceutical companies, 2006-12
Figure 1.2: Evolution of the biopharmaceutical corporation
Figure 1.3: Reliance on licensed products vs. forecast revenue growth, top 20 pharmaceutical
firms, 2006-12
Figure 1.4: FDA new drug approvals and Phase 3 failures, 2006-2007
Figure 2.5: Typical health economic value proposition for innovative or personalized therapies
Figure 3.6: Mechanism of action of targeted small-molecule inhibitors
Figure 3.7: Schematic presentation of targeted delivery of therapeutic proteins and peptides to
antigen-positive tumor cells or tumor vasculature
Figure 3.8: Mechanism of action of monoclonal antibodies
Figure 3.9: Mechanism of post-transcriptional gene silencing by siRNA
Figure 4.10: Global cancer innovatives market, 2003-2006
Figure 4.11: Targeted oncology pipeline by indication, 2006
List of Tables
Table 1.1: Global revenues from blockbuster drugs, top 10 pharma companies, 2006 ($m)
Table 1.2: Complementary strengths of pharma and biotech companies
Table 4.3: Estimated annual incidence of cancer diagnoses (‘000s), global, 2002 census
Table 4.4: Breakdown of the global antineoplastic market by drug class,
Table 4.5: Leading therapies in the global antineoplastics market, 2005-07
Table 4.6: Antineoplastic sales forecast, 2006-12
Table 4.7: Chemotherapeutic siRNA targets in drug development pipelines
Table 4.8: Key pipeline oncology drugs and technologies utilizing nanotechnology, 2008
Table 4.9: Estimated prevalence of CVD across the seven major markets, 2006
Table 4.10: Breakdown of the global CVD market by drug class, 2003-07
Table 4.11: Estimated prevalence of CNS disorders across the seven major markets, 2006
Table 4.12: Global sales of CNS products by disease indication, 2005-2007, $m
Table 4.13: Top 10 CNS brands, sales revenues, global, 2007, $m
Table 4.14: Medicinal chemical properties of a successful CNS drug
Table 4.15: Estimated prevalence of infective diseases across seven major markets, 2005
Table 4.16: The anti-infectives market, global sales revenues, 2003-2007, $m

Abstract

In recent years, the maximization of blockbuster revenues has been compromised by generic price erosion and a decline in new drug approvals. Large pharmaceutical companies are coming under pressure to explore new R&D strategies and implement more cost-effective sourcing methods for innovative new molecules. The biotechnology industry is emerging as a hub of innovation for biomarker and new chemical entity (NCE) identification, and has become a vital component in the preclinical development of new drug technologies. As therapy focus shifts to treating the causal pathway of disease and not merely the symptomology, the majority of emerging targeted therapeutics are large molecule biologics, while monoclonal antibody therapies represents the fastest growing segment within the pharmaceutical industry. The Future of Targeted Therapeutics: Key technologies, new therapy area applications and leading players is a new report published by Business Insights that examines various types of targeted therapy within pharma pipelines, highlighting the molecules of greatest significance to major therapy areas. The key revenue drivers and product focus within targeted technology markets are also assessed. This report also measures the impact of the new model of targeted therapeutic development upon stakeholder demand and health economics. Discover the most promising targeted molecules within each therapeutic area, identify the pipeline potential of leading companies and align your R&D strategies with the latest innovations and development models...

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