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New Developments in Cancer Therapeutics

Published by: BCC Research

Published: Sep. 1, 2001 - 278 Pages


Table of Contents


Introduction


Study Goal And Objectives


Reasons For Doing The Study


Contributions Of The Study And For Whom


Scope And Format


Methodology


Information Sources


Related Bcc Reports


Bcc On-Line Services

Summary

Overview


The Cellular Basis Of Cancer


Causes Of Cancer


Definitions


Cancer Statistics


Worldwide Cancer Deaths


U.S. Cancer Statistics


Types Of Cancer


Breast Cancer


Cervical Cancer


Colorectal Cancer


Head And Neck Cancer


Leukemias


Liver Cancer


Lung Cancer


Hodgkin's Lymphoma


Nonhodgkin's Lymphoma


Melanoma


Ovarian Cancer


Pancreatic Cancer


Prostate Cancer


Cost Of Diagnosing And Treating Cancer In The U.S.


Primary Treatment Modalities For Cancer


Surgery


Radiation Therapy


Radiopharmaceutical Therapy


Pharmaceutical Therapy


Chemotherapy


Main Types Of Chemotherapeutic Drugs


The Problem Of Drug Resistance


Biological Therapy


What Biological Therapies Are


Advantages Of Biological Therapies


History Of Biological Drug Development


The Development Of Biological Drugs For Cancer


Biological Response Modifiers


Endocrine Therapy


Types Of Biological Drugs For Cancer


Hyperthermia And Cryotherapy


New Technologies And Approaches To The Treatment Of Cancer


Angiogenesis Inhibitors


Background


Products In Development


Matrix Metalloproteinase Inhibitors


Tyrosine Kinase Inhibitors


Epidermal Growth Factor Inhibitor


Other Anti-Angiogenesis Agents


Monoclonal Antibodies


The Importance Of Antibody Drugs And Diagnostics


Major Technical Issues


The Hama Problem And Its Resolution


Building A Better Mouse . . .


. . . And Goat


Using Monoclonal Antibodies As Carriers For Cytotoxic Drugs


New Directions In Antibody Research


Signal Transduction Inhibitors


Telomerase Inhibitors


Thymidylate Synthase Inhibitors


Topoisomerase Inhibitors


Vaccines


Gene Therapy


Why Gene Therapy?


Delivery Of Genes As Drugs


Synthetic Vectors And Viral Vectors


Gene Expression Systems


Antisense

Products


Categories Of Products


Cytotoxic Drugs


Antimetabolites


Alkaloids


Alkylating Agents


Antibiotics


Biological Drugs


Hormones And Anti-Hormones


Innovative Products


Cancer Drugs Commonly Used In The U.S.


Recent Approvals


Aromasin


Bulsulfex


Camptosar


Ellence


Mylotarg


Nipent


Ontak


Panretin


Targretin


Temodar


Trisenox


Uvadex


Viadur


Top-Selling Cancer Drugs


The Market For Cancer Products By Therapeutic Class


Sales Of Products By Geographic Area


Drugs In Development To Treat Cancer


Cytotoxic Drugs


Innovative Cytotoxic Drugs


Xeloda


Generic Paclitaxel Approved


The Problem Of Multidrug Resistance


The Market For Cytotoxic Drugs


Cytotoxic Drugs In Development


Biological Therapy Market


Market By Product/Technology Type


Immune-Based Products


Colony-Stimulating Factors


Interferons


Interleukins


Monoclonal Antibodies


Herceptin


Panorex


Rituxan


The Market For Monoclonal Antibodies To Treat Cancer


Nonimmune-Based Products


The Market For Biological Drugs Used In The Treatment Of Cancer


Market Share Of Companies Supplying Biological Drugs For Cancer


Biological Cancer Drugs In Development


Immune-Based Therapies


Interferons


Tumor Necrosis Factor


Nonimmune-Based Therapies


Hormone Drugs


Tamoxifen—Impact Of Prophylactic Use And Generic Competition


Designer Estrogens


The Market For Hormone Drugs Used To Treat Cancer


Hormone Drugs In Development For The Treatment Of Cancer


Innovative Products


Angiogenesis Inhibitors


Monoclonal Antibodies


Monoclonal Antibody Products


3622w94


Abx-Egf


Anti-B4-Dc1


Anti-Cd15 Pm81


Anti-Cd33


Anti-Cea


Anti-Cgh


Anti-Egfr


Anti-Tissue Factor/Factor Viia


Anti-Vegf


Bec-2


Bexxar


Brevarex


C225


Campath


Cea-Cide


Ceavac


Cmb 401


Cotara


Eric-1


G250


Gliomab-H


Hctm01


Huc242-Dmi


I-125 Mab A33


Lmb-7


Lymphocide


Mdx-11


Mdx-22


Mdx-210


Mdx-220


Mdx-447


Melimmune


Monoclonal Antibody Conjugate


Monopharm C


Mrk-16


Novavac-M1


Oncolym


Oncolysin Cd6


Oncolysin S


Oncopurge


Ovarex


Prostascint


Rigscan Cr49


Smart 1d10


Smart M195/Bismuth 213 Antibody


Theragyn


Tm 27


Tnt-1


Triab


Trigem


Ttma


Vegf Receptor 2 Mab


Vitaxin


Zd 0490


Zevalin


Photodynamic Drugs


Vaccines


Gene Therapies


The Market For Gene Therapy Treatments Of Cancer


Antisense


Antisense Drugs In Clinical Trials


The Market For Innovative Cancer Therapies


New Drug Delivery Technologies


Liposomes


Wafers

Drugs In Development By Type Of Cancer


Adenocarcinoma


Detox-B Adjuvant


Bladder Cancer


Dfmo


Blood-Based Cancers


Neovastat


Brain Cancer


Gliadel


Xcytrin


Breast Cancer


Aptosyn


Caelyx/Doxil


Faslodex


Colorectal Cancer


Avicine


C225


Su5416


Gastric Cancer


Marimastat


Head And Neck Cancer


Ci-1042


Foscan


Ingn 201


Intradose


Promysin


Kaposi's Sarcoma


Leukemias


Amdray


Glivec


Ldi-200


Maxamine


Peg-Intron


Smart M195 Antibody


Tiazole


Lung Cancer


Alimta


Onconase


Melanoma


Allovectin-7


Gmk


Melacine


M-Vax


Nonhodgkin's Lymphoma


Nipent


Zevalin


Nonsmall Cell Lung Cancer


Prinomast


Tirazone


Ovarian Cancer


Hmfg1


Theragyn


Pancreatic Cancer


Gastrimmune


R115777


Rubitecan


Prostate Cancer


Abarelix


Cypat


Leuprogel


Metaret


Provenge


Renal Cell Carcinoma


Other Cancers


Mx6


Spartaject


Thymitaq


Zinecard

Industry


Leading Companies In The Cancer Drug Market


Market Leaders By Cancer Drug Category


The Pharmaceutical Industry In 2001


The Japanese Pharmaceutical Market


Leading Companies In The Worldwide Pharmaceutical Market


Speaking Of Mergers . . .


The Shrinking Period Of Market Exclusivity For Innovator Drugs


The Effect Of Generics On The Cancer Drug Market


Percentage Of The Market Held By Generic Drugs


Percentage Of Prescriptions Held By Generic Drugs


Generic Drug Market By Therapeutic Category


Patent Expirations Of Leading Anticancer Drugs


The Market For Generic Anticancer Agents


Pricing Restrictions


Drug Prices And Consumer Spending On Pharmaceuticals


Recent Happenings At The Fda


The Worldwide Regulatory Environment


Biotechnology Products Enter The Pharmaceutical Mainstream


Pending Product Approvals In The U.S.


A Steady Increase In The Number Of Biotechnology Drugs


A Biotechnology-Based Cancer Treatment Scenario In 2010, 2020 And 2040


The Future Looks Bright For The World Pharmaceuticals


Genomics Revolutionizes Drug Discovery And Future Disease Treatment


How Is Genomics Revolutionizing Healthcare?


Drug Discovery And Development


Diagnostics


Pharmacogenomics


Impact Of Pharmacogenomics On Drug Development


Competitors In Pharmacogenomics


Where Genomics Is And Where It Is Going


Genomics In Cancer Diagnostics And Monitoring


The Market For Brca1/Brca2 Testing

Profiles


Abgenix, Inc.


Aphton Corp.


Astrazeneca Plc


Bristol-Myers Squibb Co.


Corixa Corp.


Genentech, Inc.


Glaxosmithkline Plc


Idec Pharmaceuticals Corp.


Ilex Oncology, Inc.


Eli Lilly And Co.


Medarex, Inc.


Millennium Pharmaceuticals, Inc.


Myriad Genetics, Inc.


Neopharm, Inc.


Novartis Pharmaceuticals Corp.


Pharmacia Corp.


Protein Design Labs, Inc.

Appendix A: Company Names And Addresses


List Of Tables



Summary Table:

Products For Cancer Treatment: Worldwide Sales, Through 2005


1 Environmental Causes Of Cancer


2 Worldwide Incidence And Mortality Of Cancer, 2000


3 Cancer Deaths Per 100,000 Population In Selected Countries, 1994-1997


4 Incidence, Mortality, And Survival Rates For Common Cancers: U.S., 2000


5 Cancer Prevalence Rates: U.S., 2000


6 Projected New Cancer Drug Launches, 2001-2005


7 Percentage Of Patients With Egf Positive Cancers


8 Major Antisense Technologies


9 Anti-Cancer Drugs Commonly Used In The U.S.


10 Currently Marketed Cancer Drugs With Sales Exceeding $50 Million, 1999


11 Sales For Currently Marketed Cancer Drugs, 2000


12 Cancer Products By Therapeutic Class: Worldwide Sales, Through 2005


13 The Estimated Worldwide Cancer Product Market By Geographic Area, 2000


14 Cytotoxics: Worldwide Sales, Through 2005


15 Cytotoxic Agents In Phase Iii Development Or Submitted For Marketing Approval


16 Monoclonal Antibodies Used To Treat Cancer: Worldwide Sales, Through 2005


17 Biological Cancer Drugs And Their Indications


18 Biological Drugs Used To Treat Cancer: Worldwide Sales, Through 2005


19 World Market Shares And Sales For Companies Supplying Biological Cancer Drugs, 1999


20 Biological Drugs In Phase Iii Development Or Submitted For Marketing Approval


21 Hormone And Anti- Hormone Drugs Used In The U.S. For The Treatment Of Cancer


22 Hormonal Drugs Used To Treat Cancer: Worldwide Sales, Through 2005


23 Hormone Drugs In Phase Iii Development Or Submitted For Marketing Approval


24 Innovative Products In Phase Iii Development Or Submitted For Marketing Approval


25 Anti-Angiogenesis Drugs In Development


26 Angiogenesis Inhibitors: Worldwide Sales, Through 2005


27 Matrix Metalloproteinase Inhibitors: Worldwide Sales, Through 2005


28 Selected Therapeutic Antibody Products In Development For The Treatment Of Specific Cancers


29 Therapeutic Antibody Products In Development For The Treatment Of Multiple Types Of Cancer


30 Antibodies In Development For Cancer And Related Conditions


31 Cancer Vaccines In Development By Developer And Indication(S)


32 Selected Gene Therapy Clinical Trials Currently Underway For The Treatment Of Cancer


33 The Market For Cancer Gene Therapy Drugs: Through 2005


34 Selected Antisense Drug Clinical Trials With Cancer Indications Currently Underway


35 Companies Developing Antisense Drugs For The Treatment Of Cancer


36 Innovative Therapies: Worldwide Sales, Through 2005


37 Estimated Drug Launches By Type Of Cancer: Worldwide, 2000-2005


38 Selected Drugs In Phase Iii Development For Adenocarcinoma


39 Selected Drugs Phase Iii Development For Bladder Cancer


40 Selected Drugs In Phase Iii Development For Blood-Based Cancers


41 Selected Drugs In Phase Iii Development For Brain Cancer


42 Selected Drugs In Phase Iii Development For Breast Cancer


43 Selected Drugs In Phase Iii Development For Colorectal Cancer


44 Selected Drugs In Phase Iii Development For Gastric Cancer


45 Selected Drugs In Phase Iii Development For Head And Neck Cancer


46 Selected Drugs In Phase Iii Development For Kaposi's Sarcoma


47 Selected Drugs In Phase Iii Development For Leukemias


48 Selected Drugs In Phase Iii Development For Lung Cancer


49 Selected Drugs In Phase Iii Development For Melanoma


50 Selected Drugs In Phase Iii Development For Nhl


51 Selected Drugs In Phase Iii Development For Nonsmall Cell Lung Cancer


52 Selected Drugs In Phase Iii Development For Ovarian Cancer


53 Selected Drugs In Phase Iii Development For Pancreatic Cancer


54 Selected Drugs In Phase Iii Development For Prostate Cancer


55 Selected Drugs In Phase Iii Development For Renal Cell Carcinoma


56 Selected Drugs In Phase Iii Development For Other Cancers


57 Worldwide Sales And Market Share Of The Top Cancer Drug Manufacturers, 1999


58 Projected Worldwide Sales And Market Share Of The Top Cancer Drug Manufacturers, 2000


59 Market Leaders In The Four Categories Of Cancer Drugs, 1999


60 World Pharmaceutical Markets, 1999


61 Pharmaceutical Industry Mergers And Acquisitions, 1996-2000


62 Generic Market As A Percent Of The Total Prescription Market, By Country, Through 2003


63 Worldwide Generic Market Value And Percent Share, By Country, 1999 And 2005


64 1999 Sales And Patent Expiration Of Leading Anticancer Agents, 1999


65 Forecast Of The Generic Market Share Of Anticancer Drugs, U.S., Through 2005


66 Biotech Drugs Awaiting Fda Approval


67 Worldwide Sales Of Selected Biotechnology Drugs, 1999


68 The Market For Brca1/Brca2 Testing, Through 2005


69 Abgenix's Antibody Drugs In Clinical Trials


70 Abgenix' S Xenomouse Technology Collaborators


71 Astrazeneca's Anticancer Products In Development


72 Genentech's Cancer Product Portfolio


73 Idec's Collaborative Arrangements


74 Idec's Product Pipeline


75 Ilex's Product Pipeline


76 Lilly's Cancer Product Pipeline


77 Medarex's Drug Development Pipeline


78 Myriad Genetics' Gene-Based Products/Discovery Pipeline


79 Myriad Genetics' Pipeline Of Near-Term Gene Discoveries


80 Myriad Genetics' Strategic Alliances


81 Neopharm's Product Pipeline


82 Pdl's Antibody Products


List Of Figures


Summary Figure:  Ratio Of Older And Newer Cancer Drugs, 2000-2005


1 Cancer Product Market Share By Country, 2000


2 Share Of Leading Competitors In The Worldwide Cancer Drug Market, 1999


3 Projected Share Of Leading Competitors In The Worldwide Cancer Drug Market, 2000





Abstract

Cancer remains the second-leading cause of death in the industrialized world, but the disease continues to be underserved by effective therapeutic agents. Further, many of the available agents act systemically and therefore have side effects that range from uncomfortable to life threatening. At the end of 2000, there were over 350 drugs in development for the treatment of various cancers, more than for any other disease category. Of these, more than 40 were in Phase III trials. This report discusses four primary categories of currently available cancer agents: cytotoxics, biologics (excluding vaccines), adjunct therapies and innovative therapies. Innovative therapies include such products as monoclonal antibodies, vaccines and gene therapy. Market forecasts and trends are provided for these categories. Extended discussion is provided on new technologies involved in the treatment of cancer, such as angiogenesis inhibitors, matrix metalloproteinase inhibitors, signal transduction inhibitors, antibodies to surface markers and growth factors, gene therapies and vaccines. The competitive environment is examined, with a special focus on how new products and technologies as well as acquisitions and mergers are likely to reshuffle the leading manufacturers in the cancer arena. Profiles are provided of current market leaders as well as companies with innovative products poised to enter the sector during the forecast period.

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