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Treatment Algorithms 2001: Prostate Cancer

Published by: Datamonitor

Published: Nov. 30, 2001 - 348 Pages


Table of Contents














ABOUT DATAMONITOR



DATAMONITOR HEALTHCARE



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EXECUTIVE SUMMARY



Scope



Datamonitor insight into the prostate cancer market



Total androgen blockade forms the basis of advanced prostate cancer treatment in



many of the countries such as Japan, Spain and Italy. However, its use at an



early stage remains controversial due to the relative inefficacy and increased



side-effects and it is increasingly being rejected as an effective therapy for



prostate cancer. As a result, physicians are reverting back to hormonal



monotherapy that is less aggressive but equally efficacious as TAB.



The management of hormone-refractory prostate cancer (HRPC) remains a major



unmet need due to extremely poor prognosis of patients with the disease. As



there is no consensus on the most efficacious treatment for HRPC, therapies are



fragmented across the seven countries and consequently, HRPC patients are poorly



served by current treatment strategies. The use of chemotherapy continues to be



controversial due to limited benefits, yet, physicians believe there is no



choice but to use these agents due to the lack of effective treatment.



Despite a number of pipeline drugs with potential for effective treatment of



prostate cancer, most physicians believe that currently launched drugs will have



the most impact in prostate cancer management in the next five years. Of these,



hormonal agents such as bicalutamide monotherapy is expected to be prescribed



increasingly to more carefully selected patients at earlier stage of the



disease. Its use, adjuvant to surgery or radiotherapy, on high risk patients



with high Gleason score or PSA level eliminates any last remnants of the tumor



and thus, minimizes the risk of recurrence.



Key metrics



TABLE OF CONTENTS



INTRODUCTION



The prostate



Risk factors



Screening



Diagnosis



Staging



Patient segmentation



Treatment



Treatment modalities for prostate cancer



Patient treatment segmentation



Treatment of prostate cancer in different countries



THE US



Epidemiology



Treatment Trees



First line treatment by stage



Second line treatment



Hormone-refractory prostate cancer in the US



Population model



Treatment breakdown



Drug regimens



Unmet needs in prostate cancer management



Future issues in prostate cancer management



JAPAN



Epidemiology



Treatment trees



First-line treatment by stage



Second-line treatment



Hormone-refractory prostate cancer in Japan



Population model



Treatment breakdown



Drug regimens



Unmet needs in prostate cancer management



Future issues in prostate cancer management



GERMANY



Epidemiology



Treatment trees



First-line treatment by stage



Second-line treatment



Hormone-refractory prostate cancer in Germany



Population model



Treatment breakdown



Drug regimens



Unmet needs in prostate cancer management



Future issues in prostate cancer management



FRANCE



Epidemiology



Treatment trees



First-line treatment by stage



Second-line treatment



Hormone-refractory prostate cancer in France



Population model



Treatment breakdown



Drug regimens



Unmet needs in prostate cancer management



Future issues in prostate cancer management



SPAIN



Epidemiology



Treatment trees



First-line treatment by stage



Second-line treatment



Hormone-refractory prostate cancer in Spain



Population model



Treatment breakdown



Drug regimens



Unmet needs in prostate cancer management



Future issues in prostate cancer management



ITALY



Epidemiology



Treatment trees



First-line treatment by stage



Second-line treatment



Hormone-refractory prostate cancer in Italy



Population model



Treatment breakdown



Drug regimens



Unmet needs in prostate cancer management



Future issues in prostate cancer management



THE UK



Epidemiology



Treatment trees



First-line treatment by stage



Second-line treatment



Hormone-refractory prostate cancer in the UK



Population model



Treatment breakdown



Drug regimens



Unmet needs in prostate cancer management



Future issues in prostate cancer management



APPENDIX



Staging systems



Physician sample



Second-line treatment



Adjuvant and neo-adjuvant drugs



LIST OF TABLES



LIST OF FIGURES



REFERENCE



OPINION LEADERS



US



Germany



France



Spain



Italy



UK



(c) Datamonitor 2001. All Rights Reserved.









Abstract

For over a decade, total androgen blockade has been considered by some quarters of prostate cancer specialists to be the gold-standard treatment. However, in recent years, the trend has been moving towards the use of less aggressive hormonal monotherapy. This represents a significant opportunity for existing hormonal agents, especially AstraZeneca's Casodex, when its imminent approval for monotherapy use is expected to change the landscape of prostate cancer treatment. This report provides in-depth analysis of the current and future trends in the treatment of prostate cancer and enables you to: * Maximize your sales forecasts and future product positioning through identification the key drivers that affect the prescription of current products in the market for prostate cancer treatment * Strengthen your marketing strategy and market penetration based on comprehensive knowledge of the current treatment patterns in the US, Japan, Germany, France, Spain, Italy and the UK * Expose potential threats to your business through analysis of key future trends in the management of prostate cancer

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