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Forecast Insight: Asthma/COPD - Little long-term future for long-acting single-agent inhalers?

Published by: Datamonitor

Published: Aug. 7, 2008 - 125 Pages


Table of Contents


CHAPTER 1 EXECUTIVE SUMMARY

Strategic scoping and focus

Datamonitor insight into the disease market

Contributing experts

Related reports



CHAPTER 2 MARKET DEFINITION AND OVERVIEW

Market definition for this report

Indication sales split

Current seven major market assessment

The asthma/COPD market totaled almost $20 billion in 2007

Advair/Seretide tops the market with sales of $5.8 billion

Short-acting beta2-agonist (SABA) class reached highest number of standard units sold

The US was the largest market with most rapid growth between 2003 and 2007

Future seven major market assessment

Comparison with previous forecast

Datamonitor expects the asthma/COPD market to reach sales of almost $25 billion

Novartis/Schering-Plough’s once-daily ICS/LABA product predicted to be best-selling product

Short-acting beta2-agonist (SABA) class will continue selling highest number of standard units

Market growth in most countries to slow down, except in Japan

Rest of the World snapshot

Rest of the world sales account for one-fifth of the respiratory market

Advair/Seretide also best-selling product in small and emerging markets with sales of almost $1.3 billion



CHAPTER 3 BRAND DYNAMICS

Launch of generics continue to be difficult across the respiratory market

Nebulized drugs represent a small share of the overall respiratory market

Nebulized corticosteroids

Nebulized bronchodilators

Nebulized short-acting bronchodilator combinations

ICS/LABA combinations

Combination patents are under fire

LABA safety issues to threaten ICS/LABA combinations?

Advair/Seretide (fluticasone/salmeterol)

COPD indications are gained and expanded

Forecast assumptions for Advair/Seretide (7MM)

Symbicort (budesonide/formoterol)

Symbicort faces an uphill struggle in the US

Forecast assumptions for Symbicort (7MM)

Foster (beclometasone/formoterol)

Forecast assumptions for Foster (Europe only)

Overview of once-daily ICS/LABA combination products

GlaxoSmithKline and Novartis/Schering-Plough’s race to launch the first once-daily ICS/LABA combination product

QMF149 (mometasone/indacaterol)

Forecast assumptions for QMF149 (7MM)

Beyond Advair (fluticasone furoate/642444)

Forecast assumptions for Beyond Advair (7MM)

Overview of me-too ICS/LABA combination products

Two me-too ICS/LABA combination products are coming close to regulatory filing

Flutiform (fluticasone/formoterol)

Forecast assumptions for Flutiform (7MM)

MFF258 (mometasone/formoterol)

Forecast assumptions for MFF258 (US and Europe only)

Alvesco combo (ciclesonide/formoterol)

Oral anti-inflammatories

Singulair (montelukast)

Multiple setbacks for montelukast franchise

Forecast assumptions for Singulair (7MM)

Accolate (zafirlukast)

Forecast assumptions for Accolate (7MM)

Onon (pranlukast)

Forecast assumptions for Onon (Japan only)

Long-acting anticholinergics (LAMAs)

Spiriva (tiotropium bromide)

Spiriva Respimat has entered the market

Forecast assumptions for Spiriva (7MM)

Novel LAMA pipeline has not moved much since last forecast

Forecast assumptions for aclidinium bromide (US and Europe only)

Forecast assumptions for glycopyrrolate (7MM)

Inhaled corticosteroids (ICS)

Traditional inhaled corticosteroids

Forecast assumptions for Flixotide/Flovent (7MM)

Forecast assumptions for all beclometasone-based products and Azmacort (7MM)

New once-daily corticosteroids

Alvesco and Asmanex’s battle over the once-daily ICS market

Forecast assumptions for Alvesco (7MM)

Asmanex (mometasone)

Forecast assumptions for Asmanex (7MM)

Nebulized corticosteroids

Pulmicort Respules (budesonide)

Success of Pulmicort Respules under threat

Forecast assumptions for Pulmicort Respules (nebulized) (7MM)

Unit Dose Budesonide

Forecast assumptions for Unit Dose Budesonide (UDB) (US only)

Long-acting beta2-agonists (LABAs)

Serevent (salmeterol) and Foradil (formoterol)

Forecast assumptions for Foradil (US and Europe only)

Once-daily LABA pipeline has not moved much since last forecast

Forecast assumptions for indacaterol (7MM)

Forecast assumptions for GlaxoSmithKline’s LABA (7MM)

Forecast assumptions for carmoterol (Europe only)

Nebulized LABA products

Two nebulized LABA products were launched in 2007

Brovana’s new Medicare billing code may give the drug an advantage in the short term

Forecast assumptions for Brovana (US only)

Forecast assumptions for Perforomist (US only)

Biologics

Xolair (omalizumab)

Forecast assumptions for Xolair (7MM)

Short-acting bronchodilators (SABAs and SAMAs)

Short-acting anticholinergics (SAMAs)

Forecast assumptions for Atrovent (7MM)

Short-acting beta2-agonists (SABAs)

US CFC-HFA switch in full swing

Forecast assumptions for (levo)salbutamol HFA products (US and Europe only)

Xopenex nebulized (levosalbutamol)

Sales of nebulized Xopenex do not seem to be affected by launch of nebulized LABAs so far

Reduced Medicare reimbursement rate for Xopenex nebulized may impact sales in the US

Forecast assumptions for Xopenex nebulized (US only)

Short-acting beta-2 agonist/short-acting anticholinergic (SABA/SAMA) combinations

Combivent (Ipratropium bromide/salbutamol)

Forecast assumptions for Combivent and Duoneb (US and Europe only)

Long-acting beta2-agonist/long-acting anticholinergic (LABA/LAMA) combinations

QVA149 (indacaterol/glycopyrrolate)

Forecast assumptions for QVA149 (7MM)

Bifunctional muscarinic antagonist and beta2-agonist (MABA)



BIBLIOGRAPHY

Articles

Press releases

Guidelines

Datamonitor reports



APPENDIX A - MARKET ASSUMPTIONS

New product launches

Patent expiries

Data definitions, limitations and assumptions

Standard units

Japanese market data

Derivation of sales forecasts and pricing trends

Forecast methodology



APPENDIX B

Contributing experts

Report methodology

About Datamonitor

About Datamonitor Healthcare

About the Infectious Disease and Respiratory (ID&R) analysis team

Disclaimer

Abstract

Introduction

The respiratory market will continue to grow with the same rate over the next few years, with a slight dip between 2012 and 2015 due to the patent expiries of leading products. Growth is driven by the expansion of sales in existing classes, the launch of major new products with safety and convenience advantages, and the results of several landmark trials.

Scope

  • Indication based forecasts for asthma/COPD products and significant pipeline drugs
  • Assessment of country-specific drivers and resistors likely to impact the market
  • Future market outlook for individual products taking into account key market events, in particular patent expiry and competitor launch dates
  • Market overview by geographical area, with value analysis of clinical and commercial factors underlying product performance
Highlights
  • Datamonitor expects Asthma/COPD sales in the seven major markets to grow to about $25 billion annually by 2017, with a dip between 2012 and 2015 due to patent expiries of key products. The ICS/LABA class is set to remain the leading class by value throughout, while the LAMA market will experience the strongest growth, particularly in COPD.
  • Novartis/Schering-Plough's once-daily ICS/LABA product will be the top-selling single brand in the seven major markets in 2017. However, the combined sales of GSK's Advair franchise (Advair/Seretide and once-daily Beyond Advair) will dominate the asthma/COPD market over the next ten years.
  • The phase-out of CFC-containing inhalers in the US after 2008 will have a big impact on the market for short-acting beta2-agonists (SABAs), increasing this class' size significantly. The main beneficiary is expected to be Teva/UCB's Salamol/ProAir due to its favorable price compared with other marketed HFA SABAs.
Reasons to Purchase
  • Identify key opportunities and threats that will impact the use and uptake of new and existing products
  • Quantify the future size and scope of the asthma/COPD market and predict the performance of key compounds
  • Understand and capitalize on clinical unmet needs in the market through both lifecycle management of marketed drugs and new product development

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