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Commercial Insight: Osteoarthritis & Rheumatoid Arthritis - New Growth In A Mature Market

Published by: Datamonitor

Published: Jul. 29, 2003 - 129 Pages


Table of Contents


TABLE OF CONTENTS

CHAPTER 1 EXECUTIVE SUMMARY 3

Scope of the analysis 3

Datamonitor insight into the arthritis market 4

Despite facing adversity in the past year, including continued negative publicity surrounding the cardiovascular side-effect profile of Vioxx and the delayed launch of key second-generation product Arcoxia, Merck will remain a strong competitor for Pfizer/Pharmacia in the future and the COX-II inhibitor class will continue to flourish through 2011. 5

The alleviation of Enbrel’s supply shortage through the FDA approval of a new manufacturing facility in early 2003 will enable Amgen to regain a significant portion of sales lost to J&J’s Remicade although Humira is presenting formidable competition for both of these market leaders; Enbrel sales were $802m in 2002, representing growth of 5% from 2001 sales, while Remicade sales were $1,513m, representing year-on-year growth of 78%. 7

Summary 9

Key metrics 11

CHAPTER 2 MARKET SEGMENTATION AND DEFINITION 21

Strategic scoping and focus 21

Market definition 21

Celebrex: the gold standard in osteoarthritis 22

Associated pharmaceutical markets 24

Enbrel: the gold standard in rheumatoid arthritis 24

Associated pharmaceutical markets 26

CHAPTER 3 GLOBAL MARKET OVERVIEW 27

Key findings 27

Global arthritis market analysis 28

Global market forecast 31

Forecast scenario analysis 33

NSAID class analysis 33

NSAID class market performance 33

Company reported vs. IMS reported growth 36

NSAID market forecast 36

Growth of first-generation COX-II inhibitors Celebrex and Vioxx, launch of second-generation COX-II inhibitors Bextra and Arcoxia 37

Cardiovascular concerns 37

DTC advertising 37

R&D drugs in the NSAID class 40

Celebrex (celecoxib) analysis 40

Celebrex: 12-month event screen 41

Celebrex strategic analysis 41

Celebrex forecasts to 2011 43

Bextra (valdecoxib) analysis 46

Bextra: 12-month event screen 46

Bextra strategic analysis 47

Bextra forecasts to 2011 49

Vioxx (rofecoxib) analysis 52

Vioxx: 12-month event screen 52

Vioxx strategic analysis 53

Vioxx forecasts to 2011 54

Arcoxia (etoricoxib) analysis 56

Arcoxia: 12-month event screen 57

Arcoxia strategic analysis 57

Arcoxia forecasts to 2011 58

Mobic (meloxicam) analysis 60

Mobic: 12-month event screen 60

Mobic strategic analysis 61

Mobic forecasts to 2011 62

DMARD class analysis 64

DMARD class market performance 64

Company reported vs. IMS reported growth 65

DMARD market forecast 66

DMARD class market forecast events to 2011 68

R&D drugs in the DMARD class 68

Enbrel analysis 69

Enbrel: 12-month event screen 69

Enbrel strategic analysis 70

Enbrel forecasts to 2011 72

Remicade analysis 75

Remicade: 12-month event screen 75

Remicade strategic analysis 76

Remicade forecasts to 2011 78

Kineret analysis 81

Kineret: 12-month event screen 81

Kineret strategic analysis 82

Kineret forecasts to 2011 84

Arava analysis 86

Arava: 12-month event screen 86

Arava strategic analysis 87

Arava forecasts to 2011 89

Humira analysis 92

Humira: 12-month event screen 93

Humira strategic analysis 93

Humira forecasts to 2011 95

HA viscosupplement class analysis 96

HA viscosupplement market forecast 97

Synvisc (hylan G-F 20) analysis 99

Synvisc: 12-month event screen 100

Hyalgan (sodium hyaluronate) analysis 101

Supartz (sodium hyaluronate) analysis 102

CHAPTER 4 PORTFOLIO AND LIFECYCLE MANAGEMENT 104

Key findings 104

Portfolio management 105

Market attractiveness 105

Comparative attractiveness of the arthritis market 105

Class attractiveness in the arthritis market 107

Positioning of the major arthritis players 109

Portfolio analysis 112

Pfizer/Pharmacia 114

Merck 116

Amgen 118

Johnson & Johnson 120

Novartis 122

Aventis 124

Lifecycle management in arthritis 125

The arthritis product lifecycle 125

Osteoarthritis 125

Rheumatoid arthritis 126

Launch strategy and market penetration 127

Case study: unsuccessful vs. successful strategies for the early phase of a me-too arthritis drug’s launch 128

Optimizing peak sales 130

Large marketing investment early on enables Vioxx to stay strong in the face of negative publicity 130

Remicade: biologic DMARDs maximize sales through expanded indications 132

Revenue protection strategies 135

Novartis’s Voltaren: revenue protection through product reformulation 136

CHAPTER 5 STRATEGIC PRODUCT POSITIONING 139

Key findings 139

Physician-focused product positioning 140

Physician targeting strategies 140

Brand positioning for key products in the osteoarthritis market 142

Celebrex 142

Vioxx 142

Bextra 143

Case study: Celebrex - the most successful launch in history 144

Targets of Celebrex promotion 144

Messages 144

Lifecycle 145

Product 145

Promotional mix 145

Competition 145

Budget 146

Conclusions 146

Brand positioning for key products in the rheumatoid arthritis market 147

Enbrel 147

Remicade 148

Kineret 148

Humira 149

Case study: Enbrel - promotion is meaningless in the face of poor market-sizing evaluations 149

Road to success 149

Success stunted by supply shortages 150

Remicade profits from Enbrel’s mistakes 151

Humira learns from Enbrel’s mistakes 152

Patient targeting and influence 153

Patient sub-group positioning analysis 153

Brand imaging: osteoarthritis 153

Celebrex: “the number 1 prescribed arthritis pain medication” 153

Vioxx: “one pill for 24-hour relief” 154

Bextra: “this powerful pill will change the way arthritis pain is treated” 154

Summary 154

Patient advocacy initiatives 155

Brand imaging: rheumatoid arthritis 156

Enbrel: “the first and only TNF inhibitor approved … and it can be used alone” 157

Remicade: just the facts 157

Kineret: “successfully manage RA through new scientific thinking” 157

Humira: “RA changed your life, now you can change it back” 158

Summary 158

Patient advocacy initiatives 159

Pricing and reimbursement 160

Health economic considerations 160

NSAIDs 161

DMARDs 161

Pricing strategies: osteoarthritis 162

Pricing data for key products in the osteoarthritis market 162

Case study: why are COX-IIs twice as expensive in the US than in Europe? 163

Treatment cost analysis: osteoarthritis 166

Pricing strategies: rheumatoid arthritis 167

Pricing data for key products in the rheumatoid arthritis market 169

Treatment cost analysis: rheumatoid arthritis 170

APPENDIX A - MARKET DATA 172

Global arthritis market data 172

NSAID market data 173

DMARD market data 175

HA viscosupplement market data 177

Antirheumatic steroid market data 179

APPENDIX B 180

List of tables 180

List of figures 183

About Datamonitor 186

About Datamonitor Healthcare 186

Datamonitor Healthcare’s research and analysis methodologies 187

Datamonitor Healthcare’s therapy area capabilities 187

About the arthritis analysis team 188

Datamonitor Healthcare’s Consulting expertise 189

Datamonitor’s Therapeutic Consulting expertise 190

Key therapy team members 191

Simon Wright, Director Immune Disorders and Inflammation 191

Disclaimer 192



Abstract

Introduction
This analysis focuses on the changing landscape of the commercial environment in the global arthritis market and investigates key strategies required to succeed. Analysis of company portfolio strategies and product positioning provides in-depth knowledge of how specific company strategies result in varying levels of commercial returns.

Scope
* Detailed case studies featuring company portfolio, product development and launch strategies of leading global players in arthritis

* Global sales data for the major classes used in treating arthritis - NSAIDs, DMARDs, HA viscosupplements and steroids

* Event-based forecasts to 2011 for the top selling drugs in each class

* SWOT analyses of key arthritis drugs, along with 12-month event screens - providing detailed knowledge of events specific to each product

Report Highlights
Despite facing adversity in the past year, including continued negative publicity surrounding the cardiovascular side effect profile of Vioxx and the delayed launch of Arcoxia, Merck will remain a strong competitor for Pfizer/Pharmacia in the future and the COX-II inhibitor class will continue to flourish through 2011.

The alleviation of Enbrel’s supply shortage through the new manufacturing facility approved in early 2003 will enable Amgen to regain a significant portion of sales lost to J&J’s Remicade although Humira is presenting formidable competition for both drugs.

Reasons to Purchase
* Target current and future growth areas through identification of the strongest product lifecycle and pricing strategies

* Learn from case studies analyzing details of the most successful drug launches in the arthritis market

* Plan future product positioning through utilization of event-based forecasts for all major arthritis drugs



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