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Drugs of Tomorrow: HIV - Managing Portfolio Growth During Sector Slowdown

Published by: Datamonitor

Published: Mar. 14, 2003 - 244 Pages


Table of Contents


CHAPTER 1 Executive

Summary

1.1 Scope

1.2 Datamonitor insight into the HIV market

1.3 Key metrics

CHAPTER 2

Patient potential

2.1 Overall HIV/AIDS population

HIV and AIDS

Commercial Imperative

Definition of AIDS

Commercial utilization of demographic data

Seven Major Market Prevalence of HIV/AIDS

Strategic considerations for non-treated patients

CHAPTER 3

Diagnosis

3.1 Diagnosis, treatment and

compliance rates

Overall HIV and AIDS diagnosed patient populations

Epidemiology by mode of transmission

Implications for the pharmaceutical

industry

US epidemiology by race/ethnicity

Segmentation of the HIV/AIDS population by associated co-morbidity

Impact of comorbidities on patient management

Commercial Implications

3.2 Future trends in the incidence and prevalence of HIV

3.3 Unmet needs in HIV

Ranking of unmet needs

Unmet needs by class

NRTIs

NNRTIs

PIs

Case Study 1: Two or more drugs in one pill - the GSK strategy

Case Study 2: BMS - Once Daily Dosing, reducing pill burden

Case Study 3: Abbott - PI boosting, reducing toxicity

Case Study 4: Novel pipeline therapeutics - The fusion inhibitors

Analysis of all commercial strategies and unmet need

CHAPTER 4 R&D Approach

4.1 Classification of pipeline products

Nucleoside reverse transcriptase inhibitors (NRTIs)

Non-nucleoside reverse transcriptase inhbitors (NNRTIs)

Protease inhibitors (PIs)

Nucleotide reverse transcriptase inhibitors

Immune based therapies

Fusion inhbitors

Vaccines

4.2 Clinical trials endpoints in HIV

Endpoint 1 HIV RNA

Endpoint 2 Immunological status

Target population dependent endpoints

HIV therapies and Drug to Drug Interactions

Additional Endpoints

4.3 Clinical trial design in HIV

Inclusion/Exclusion Criteria

Use of Placebos

Trial Size

Duration of Trial

Randomization and Blindness

CHAPTER 5 HIV

Pipeline Analysis

5.1 Pipeline overview

5.2 Key companies involved in the disease pipeline

Current Market Performance of traditional HIV market leaders

Portfolio Composition

Class composition of pipeline

Origination and Licensing of Pipeline products

Level of Portfolio Advance

5.3 R&D company strategy 101

Key drug delivery strategies in HIV

Once daily dosing

Combination products

IV administration

Key niche population strategies in HIV

Mother to Child Transmission - MTCT

Post Exposure Prophylaxis - PEP

Developed and Developing World Markets

Key Ethnic Groups

Specific Co-morbidities

Specific Resistance Patterns

Key line of therapy strategies in HIV

CHAPTER 6 HIV

Pipeline Analysis By Class

6.1 NRTI Product Pipeline

Coactinon

Performance relative to comparator

Coviracil

Performance relative to comparator

Ziagen / Epivir Combination

Performance relative to comparator

DAPD

Performance relative to comparator

ACH-126443

MIV-310

Performance relative to comparator

6.2 NNRTI Product Pipeline

Calanolide A

Capravirine

Performance relative to comparator

DPC-083

Performance relative to comparator

TMC-125

Performance relative to comparator

6.3 PI Product Pipeline

Zrivada

Performance relative to comparator

Amprenavir pro-drug

Performance relative to comparator

Tipranavir

Performance relative to comparator

TMC114

Performance relative to comparator

6.4 Entry Inhibitor Product Pipeline

Fuzeon

Performance relative to comparator

FP-21399

Performance relative to comparator

PRO-542

Performance relative to comparator

S1360

Performance relative to comparator

Viraldon

Performance relative to comparator

T-1249

Performance relative to comparators

Cytolin

6.5 Immunotherapeutic Product Pipeline

Proleukin

WF10

HE2000

Performance relative to comparator

Reticulose

6.6 Biologics Product Pipeline

Remune

AIDSVAX B/E & B/B

MVA-BN HIV NEF

HGTV-43

VIR201

L.E.A.P.S. with HGP-30

hNM01

6.7 Other Products in Pipeline

Ampligen

Memantine

6.8 Recently discontinued Developmental Compounds

DMP-450

AMD3100

CHAPTER 7 Late Stage Drug Analysis & Forecasts

7.1 Late Stage Drug Market Forecasts

Commercial attractiveness by class

7.2 Late Stage Drug Forecasts by Class

NRTI New Entrants, 2003-2010

NNRTI New Entrants, 2003-2010

PI New Entrants, 2003-2010

Other New Entrants

CHAPTER 8 Innovative Early Stage Projects

8.1 Early Stage NNRTI Pipeline

8.2 Early Stage NRTI Pipeline

8.3 Early Stage PI Portfolio

8.4 Early Stage Entry Inhibitor Pipeline

8.5 Early Stage Immunotherapeutic Pipeline

8.6 Early Stage Biologics Pipeline

CHAPTER 9 Appendix A

9.1 List of tables

9.2 List of figures

9.3 Bibliography

9.4 Datamonitor Opinion Leader Panel

Antonio Antela - HIV/AIDS

Richard Pollard - HIV/AIDS

Professor Christine Katlama

Dr Graeme Moyle

Professor Brian Gazzard

Professor Andrew Phillips

Professor Jay Levy

Dr Giuseppe Pantaleo

Mr Jorma Koskinen

Dr Nicola Mackie

9.5 Pipeline analysis

9.6 Market forecasts

9.7 R&D research methodology

Introduction

Hypothesis formulation

Hypothesis testing

Ongoing information update

Product specific primary research

Data verification and quality control

Quantification of data reliability

Date of research completion

Confidence ratings

9.8 Forecast methodology

Current drug forecast methodology

Methodology

Market events

Validation

Pipeline drug forecast methodology

Predicting initial market share

Forecasting future growth

Influencing factors

CHAPTER 10 Appendix B: About Datamonitor

10.1 About Datamonitor

About Datamonitor Healthcare

Datamonitor Healthcare’s research and analysis methodologies

10.2 Datamonitor Healthcare’s therapy area capabilities

About Disease analysis team

Datamonitor Healthcare’s Consulting expertise

Datamonitor’s Therapeutic Consulting expertise

Key therapy team members

Simon Hemsworth, Director of TherapyArea Analysis

Steve Birch, Director Infectious Disease

David Abramson, Therapeutic Lead Consultant

Disclaimer

Abstract

Introduction:
The HIV sector is experiencing a slowdown following high growth rates during its early years, but the R&D pipeline is set to deliver products onto the market to 2010 with the potential to fundamentally alter the competitive dynamics of the current market. This Pipeline Analysis provides in-depth knowledge of potential future market leaders and the strategies adopted by the product developers.

Scope:
* Analysis of the R&D pipeline for HIV, covering sales forecasts for late phase II & III stage products through to 2010.

* Analysis of strategic aspects of trial design in HIV, launch strategies and company portfolio composition.

Report Highlights:
Current market leaders are reappraising their positioning within the HIV market, with direct impacts on the level and composition of investment in pipeline portfolios.

The HIV sector is experiencing a slowdown following high growth rates during its formative years, leading to negative growth rates for three of the seven HIV portfolios currently on the market

New market entrant in the HIV sector is faced with a major choice between usurping existing market share by substituting a current HAART component, or attempting to create additional market potential.

Reasons to Purchase:
* What can the pharmaceutical industry do to improve the capture of non-diagnosed patients?

* Understand the factors involved in the development of a compound that yield the best potential for subsequent commercial success

* Analyze the commercial impact of the approval of late stage pipeline products on the HIV market



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