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Hepatitis C Virus And Therapeutics

Published by: Global Industry Analysts

Published: Apr. 1, 2009 - 466 Pages


Table of Contents


I.INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS

Study Reliability and Reporting Limitations

Disclaimers

Data Interpretation & Reporting Level

Product Definition and Scope of Study

Hepatitis C Virus

II. EXECUTIVE SUMMARY

1.Industry Overview

Market Outlook

Table 1: World Recent Past, Current and Future Analysisfor Hepatitis C Virus Therapeutics Market - AnnualSales Figures in US$ Million for the Years 2006through 2015 (includes corresponding Graph/Chart)

Market Overview

Pegylated Alpha Interferon Plus Ribavirin -The Standard Therapy

Approved Drugs for HCV Combination Therapy

Table 2: HCV Treatment Market in the US(2007-2010): Number of Patients UndergoingTreatment with PEG-IFN and Ribavirin Drugs(includes corresponding Graph/Chart)

Alpha Interferons and Ribavirin are Here to Stay

Interferon-based Drugs in Pipeline by Companyand Development Stage

Table 3: HCV Treatment Market in Europe (2007): Percentage of Patients Treated with InterferonDrugs in Select Countries (includescorresponding Graph/Chart)

Albuferon - Rising Above the Standards

Viramidine - Next-Generation Ribavirin Drug

High Mutation Rates Keep HCV Elusive

Genotype I - Least Responsive and Most CommonVariant of HCV

Table 4: Distribution of Genotypes: As a Percentage of Total Infected Population in Select PharmaceuticalMarkets - USA, France, Germany, Italy, Spain, andGlobal (includes corresponding Graph/Chart)

Protease Inhibitors (PIs) - Way Above Others

Protease Inhibitor Drugs in Pipeline by Companyand Development Stage

SCH 900518 - Schering’s Next-GenerationProtease Inhibitor

Telaprevir (VX-950) - The Most PromisingPipeline HCV Protease Inhibitor

Boceprevir - Schering’s PI Class Lead Candidate

Comparison Between Telaprevir and Boceprevir

Telaprevir and Boceprevir - A Comparison

Polymerase Inhibitors (PLIs) - Adding More Teethto HCV Pipeline

Viral Polymerases

Polymerase Inhibitor Drugs in Pipeline by Company,Category, and Development Stage

Comparison of Antiviral Properties in SelectPolymerase Inhibitor Drugs

R7128 - A Promising PLI Class Drug

Development of PLIs Remains a Challenge forHCV Researchers

Industry in Search of Novel STAT-C Drugs

Specific Antiviral Activity of Select HCV DrugClasses

Select NS5A Inhibitors, Entry Inhibitors, andThiazolides in Pipeline by Company andDevelopment Stage

Researchers Show Continued Appetite forImmunomodulators and Other Classes

Immunomodulators in Pipeline by Company,and Development Stage

Adjuvant Therapies to Compete with MainlineTherapies

Cyclophilin Analogs and Fibrosis/InflammationInhibitors in Pipeline by Company

Vaccine Development Remains at Low Scale

HCV Vaccines in Pipeline by Company, andDevelopment Stage

Decisive Factors For Success of New HCVTherapeutics

HCV Treatment Costs to Escalate

Table 5: HCV Treatment Market: Cost Structurefor Years 2007 through 2016 and Beyond(includes corresponding Graph/Chart)

Roche & Schering - Dominant Players in HCVTherapeutics Market

HCV Drugs from Roche & Schering

Partnerships in R&D Become Order of the Day

Select Partnership Deals in HCV Drug DevelopmentPrograms

Market Drivers/Constraints

Treatment-Experienced Patients - A PotentialOpportunity for Developers

Education Campaigns to Magnify PatientDiagnosis Rates

Stigmatization and Discrimination - Major Hurdlesfor HCV Treatment

Treatment with Current Therapies Plagued bySide Effects

Side Effects Associated with HCV TreatmentTherapies

Hemolytic Anemia - A Key Side Effect withRibavirin

Epidemiology

Quick Facts about HCV Infection

Table 6: Recent Estimates for HCV Infected Populationin Millions By Region - Far East Asia, South East Asia,East Mediterranean, West Europe, Africa,South America, USA, Canada, and Australia



Table 7: Global HCV Market (2006): Prevalenceand Incidence Rate of HCV Infected Populationby Select Country - Australia, Canada, China,New Zealand, and Switzerland (includescorresponding Graph/Chart)

Low-Treatment Rates vis-à-vis Patient Population

Table 8: HCV Epidemiology in Major Pharmaceutical Markets: Patients in Thousands Collectively inthe US, France, Germany, Italy, Spain andthe UK (includes corresponding Graph/Chart)



Table 9: HCV Prevalence in Europe (2006): Numberof Total, Reported and Un-diagnosed Cases ofHCV Infection in Select Countries (includescorresponding Graph/Chart)

Factors Influencing HCV Treatment Market

Drivers

Bottle Necks

2.HCV Medication - Approved & Pipeline Drugs

Approved Drugs for HCV Treatment

Interferons - The Backbone of HCV Treatment

FDA Approval of Interferons for Use asMonotherapy in Chronic Hepatitis C Treatment

Ribavirin - Antiviral Drug for HCV Treatment

Table 10: Global HCV Therapeutics Market: AnnualSales of Select Interferons & Ribavirins offered byMajor Players - Roche and Schering forthe Years 2003 through 2008 (In US$ Million)(includes corresponding Graph/Chart)

Drugs in Pipeline for HCV Treatment

Select HCV Drugs Under Pipeline (Phase III/Phase II)by Company

Select HCV Drugs Under Pipeline (Phase I)by Company

Select HCV Drugs in Pre-Clinical/Research Stageby Company

Select HCV Drugs with Cancelled Clinical Studiesby Company

3.Hepatitis C Virus - An Overview

Hepatitis A Virus

Hepatitis B Virus

Hepatitis C Virus

History

Structure

Components of HCV Genome

Life Cycle

Genotypes

Prevalence of HCV Genotypes in SelectGeographic Regions

Table 11: Percentage Breakdown of Viral LoadLevels (High and Low) in Common Genotypes

Physicochemical and Morphology Properties

Transmission of HCV

Injection Drugs

Sexual Contact

Tattoos and Body Piercing

Contaminated Medical Equipment

Occupational Risks

Personal Care Goods

Mother-to-Baby

Blood and Blood Products

Transmission of Hepatitis Virus

HCV Risk Groups

Types of Infection

Chart: HCV Infection Outcome

Acute Hepatitis C

Figure: Natural History of Hepatitis C

Chronic Hepatitis C

Stages and Symptoms

Stages in Chronic HCV Condition

Symptoms of Liver Disease in ChronicHCV Condition

Complications Due to Chronic HCV Infection

Diagnosis

Tests to Confirm HCV Presence

HCV IgG Antibody Test

HCV RNA Test

HCV Core Antigen EIA

Genotype Tests

Liver Biopsy

Treatment for HCV Infection

Monotherapy

Brief Description of Approved Drugs forMonotherapy Treatment

Comparison of Response of Interferon BasedDrugs in Chronic Hepatitis C Treatment

Combination Therapy

Table 12: Major Side Effects Associated withHCV Treatment with Pegasys + CopegusCombination Therapy and Pegasys Monotherapy (includes corresponding Graph/Chart)



Table 13: Comparison Between PEG-Intron andPegasys in Monotherapy and CombinationTherapy in HCV Treatment (includes corresponding Graph/Chart)



Table 14: Data for 20-Year Risks and OtherRelated Aspects in Treatment Given andUntreated HCV Patients

Alternative Therapies

Vaccine

Liver Transplantation

Treatment Costs

Types of Treatment Responses

Sustained Response

Relapsing (Transient) Response

Breakthrough Response

Null Response

Monitoring Tests

Laboratory tests

Medical Examinations

Prevention

4.Regional Perspective

United States

Table 15: HCV Infection in the US: Number of InfectedPeople for the Years 2006, 2007 and 2008 (in '000s)(includes corresponding Graph/Chart)



Table 16: HCV Infection in the US (2007): Percentage Breakdown of Infection Sources by Medium- InjectionDrugs, Sexual Contact, Transfusions, Occupation -Related Exposure, and Others and Unknown(includes corresponding Graph/Chart)

HCV Infection - Ethnicity

Table 17: HCV Prevalence in the US (1999-2002): Prevalence Rate by Age and Race (includescorresponding Graph/Chart)

African-Americans React Poorly to Treatment

Genotype 1 - The Most Prevalent HCV Strain

Table 18: HCV Prevalence in the US (2005):Prevalence by Genotype (In %)

Falling HCV Incidences in the US

Table 19: Acute HCV Infection Incidences in the USfor the Years 1996 through 2007 (includescorresponding Graph/Chart)



Table 20: US HCV Market (2006): Incidence ofAcute Hepatitis C by Age Group and Gender(includes corresponding Graph/Chart)

Canada

Australia

Table 21: Modes of HCV Infection Transmission inAustralia (includes corresponding Graph/Chart)



Table 22: Hepatitis C Infection in Australia (2000):Rate of Incidence by Age Group and Gender(includes corresponding Graph/Chart)

India

Egypt

France

The Netherlands

Table 23: HCV Infection Prevalence in Risk Groupsin the Netherlands

Central and Eastern Europe

HCV Prevalence Rate Higher in Injection Drug Users

Alarming Rates of HIV/HCV Co-Infection

Table 24: HIV/HCV Co-Infection in CEE (2005):Number of HIV Patients and Percentage ofHIV Patients infected with HCV inSelect CEE Countries (includescorresponding Graph/Chart)

Testing and Counseling Structure Poorly Developed

Depleted Testing Schemes for Prisoners

Scarcity Prevails at Health Care Providers andGovernments As Well

Practical Availability of PEG-IFN Remains Limited

Dearth in Political Commitment

HCV Diagnostic Tests and Treatment in SelectCEE Countries

Bulgaria

Czech Republic

Hungary

Romania

Russia

Ukraine

Availability of Testing Protocols for HCV inSelect CEE Countries

5.Drug Approvals & Clinical Trials

Vertex to Initiate Phase III Trial of Telaprevir

Amarillo and CytoPharm to Initiate Phase II Studyof Novel Oral Interferon

Biolex Releases Locteron® Phase IIa Trial Results

Schering-Plough Releases Details of BoceprevirPhase II Study

Progenics Releases Pre-Clinical Results of PRO 206

ZymoGenetics Reveals Phase Ib Results of IL-29

Phenomix Begins Phase Ia Study of PHX1766

Inovio and Tripep Release Additional Interim Resultsfor ChronVac-C®

InterMune Starts Clinical Study of ITMN-191

Roche and Associates Commence Clinical Trialof All-Oral Dual-Antiviral Therapy

GlobeImmune Announces Phase II Clinical Trialswith GI-5005

Human Genome Gets Encouraging Interim Resultswith Albuferon

Intarcia Releases Study Results of Omega Interferon

Nautilus Biotech Commences Phase I Study forBelerofon®

Migenix Announces Phase II Proof-of-ConceptStudy Results of Celgosivir

Pharmasset Begins Multiple Dose-Escalating Studyof R7128

Transgene Commences Phase I Trial of TG4040

Debiopharm Releases Phase Ib Results of Debio 025

Nabi Biopharmaceuticals Starts Proof-Of-Concept Trialfor Civacir

Peregrine Announces Positive Results for Bavituximab

Jenken to Commence Phase II Trial of JBK-122

Pevion Biotech Initiates Phase I Study ofHepatitis C Vaccine

Intercell Releases Phase II Findings of IC41

6.Recent Industry Activity

Three Rivers Acquires Infergen®

International Consolidated Cos Takes Over China Gene

Hologic Signs Definitive Deal to Acquire Third Wave

GlaxoSmithKline Inks Deal to Take Over Genelabs

Biolex Signs Deal to Purchase OctoPlus’ Stakein Locteron®

OraSure and Schering-Plough Form Global Alliance

Tacere and Oncolys Sign Licensing Agreement

Beckman Wins HCV Diagnostics Rights fromSiemens Healthcare

Anadys Secures FDA Fast Track Designation forits Lead Drug Candidate

Roche Bags European Commission Approval forCombination Therapy

Roche Receives European Commission Approvalfor Shortened Hepatitis C Therapy

iTherX Establishes Advisory Board for Hepatitis CAdvanced Therapeutics

SciClone Terminates Zadaxin®

AstraZeneca Acquires Arrow Therapeutics

Cubist Takes Over Illumigen

China Medical to Take Over Beijing Bio-Ekon

Schering-Plough Collaborates with OraSure

Pro-Pharmaceuticals to Collaborate with Digna Biotech

Medivir and Tibotec Establish Collaboration Deal

VGX Extends Collaboration with University ofPennsylvania

Presidio Wins Exclusive License to NovelHCV Technology

Roche Inks Licensing Deal with Novartis andOrtho-Clinical

Peregrine Opens Subsidiary in China

InterMune Completes Production Milestone

Arrow Expands Hepatitis C Pipeline

Roche Wins Japanese Approval for CombinationTherapy

Schering-Plough Bags European CommissionApproval for Combination Therapy

Abbott Bags FDA Approval for Screening Test

Abbott Bags Canadian Approval for Viral Load Tests

Phynova Bags FDA Approval for IND Application

Worldwide Biotech Bags Chinese FDA Approvalfor HCV Diagnostic Kit

Tibotec Applies to European Regulator to InitiatePhase I Trials

Roche Submits Application for Novel Hepatitis Cto with FDA

Anadys Discontinues ANA975

Cerus Bags NIH Funding for HCV Vaccine Program

7.Focus on Select Global Players

Abbott Diagnostics (USA)

Achillion Pharmaceuticals, Inc. (USA)

Anadys Pharmaceuticals, Inc. (USA)

Boehringer Ingelheim GmbH (Germany)

Bristol-Myers Squibb Company (USA)

F. Hoffmann-La Roche Ltd. (Switzerland)

GlaxoSmithKline plc (UK)

Hayashibara Biochemical Labs, Inc. (Japan)

HemispheRx Biopharma, Inc. (USA)

Human Genome Sciences (USA)

Idenix Pharmaceuticals, Inc. (USA)

Innogenetics NV (Belgium)

InterMune, Inc. (USA)

Intarcia Therapeutics, Inc. (USA)

Medivir AB (Sweden)

Merck & Co., Inc. (USA)

Novartis AG (Switzerland)

Chiron Corporation (USA)

Pfizer, Inc. (USA)

Schering-Plough Corporation (USA)

Tibotec Pharmaceuticals Ltd. (Ireland)

Tripep AB (Sweden)

Toray Industries, Inc. (Japan)

Valeant Pharmaceuticals International (USA)

Vertex Pharmaceuticals, Inc. (USA)

III. COMPETITIVE LANDSCAPE

Total Companies Profiled: 123 (including Divisions/Subsidiaries - 127 )

Region/Country Players

The United States

Canada

Japan

Europe

France
Germany

The United Kingdom

Italy

Spain

Rest of Europe

Asia-Pacific (Excluding Japan)
Middle East

Abstract

This report analyzes the worldwide markets for Hepatitis C Virus And Therapeutics in US$ Millions. Annual forecasts are provided for each region for the period of 2006 through 2015. The report profiles 123 companies including many key and niche players such as Abbott Diagnostics, Achillion Pharmaceuticals, Inc., Anadys Pharmaceuticals, Inc., Boehringer Ingelheim GmbH, Bristol-Myers Squibb Company, F. Hoffmann-La Roche Ltd., GlaxoSmithKline plc, Hayashibara Biochemical Labs, Inc., HemispheRx Biopharma, Inc., Human Genome Sciences, Idenix Pharmaceuticals, Inc., Innogenetics NV, InterMune, Inc., Intarcia Therapeutics, Inc., Medivir AB, Merck & Co., Inc., Novartis AG, Chiron Corporation, Pfizer, Inc., Schering-Plough Corporation, Tibotec Pharmaceuticals Ltd., Tripep AB, Toray Industries, Inc., Valeant Pharmaceuticals International, and Vertex Pharmaceuticals, Inc. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources.

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