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Home > Report Information
U.S. Markets for Obesity Drugs and Bariatric Surgical Devices
Medtech Insight
February 1, 2007 402 Pages - Pub ID: MDIN1539883
Countries covered: United States Obesity is a global epidemic, afflicting more than 66 million people in the United States (U.S.) and an estimated 300 million people worldwide. Obesity directly contributes to several life-threatening conditions, including cardiovascular disease, cancer, diabetes, hypertension and stroke and costs for treating obesity in the U.S. surpass $120 billion.
This report discusses current and emerging anti-obesity drugs and bariatric surgical devices. In 2005, the U.S. market for obesity drugs and bariatric surgical devices was estimated at more than $350 million. This market is expected to grow at a compound annual rate of approximately 36%, reaching more than $1.6 billion in 2010.
While the obesity drug market has had a checkered history due to serious or unwanted side effects and several major product withdrawals, several new improved drugs are emerging that are expected to turn this segment into a significant growth market. Dozens of pharmaceutical companies have promising anti-obesity compounds under clinical trials and the competitive landscape will no doubt change dramatically over the coming decade. A blockbuster obesity drug—if proven safe and effective long-term—has the potential to achieve annual sales in excess of $1 billion. It is expected that one or more leading obesity drugs, including sanofi-aventis’ ACOMPLIA, will hit the market over the next five years.
Bariatric surgery—although typically reserved for the morbidly obese with no other options—is continuing rapid growth due to the increase in the obese population and increase in bariatric surgery advertising, surgeon training, insurance coverage, and public awareness. While gastric bypass comprised approximately 80% of all bariatric surgery procedures in 2005, gastric banding is expected to continue double-digit growth due to the popular LAP-BAND, as well as the introduction of competitive systems. In addition, less invasive intragastric balloons may serve as a “bridge” to bariatric surgery and new and emerging noninvasive weight loss devices are under development. Finally, less invasive gastric nerve stimulators, pioneered by Medtronic, are expected to be introduced on the market in 2008 and may initially achieve annual sales of more than $100 million.
This dynamic report from Medtech Insight includes analyses of products, technologies, current and forecast markets, competitors, and opportunities. Covered topics in this report include: obesity drugs, gastroplasty, gastric bypass, gastric banding, intragastric balloons, general and laparoscopic surgical instruments, body contouring, gastric nerve stimulators and emerging noninvasive weight loss devices.
Table of Contents
EXECUTIVE SUMMARY
i. Causes of Obesity
ii. Obesity as a Component of Metabolic Syndrome
iii. Obesity-Related Comorbidities
iv. Obesity Statistics
v. Emerging Obesity Drugs
vi. Obesity Drugs Market
vii. Bariatric Surgical Devices
viii. Bariatric Surgery Market
ix. Gastric Stimulators
x. Gastric Stimulators Market
xi. Total Obesity Drugs and Devices Market
xii. Methodology
Exhibit ES-1: Obesity Classification, by Body Mass Index
Exhibit ES-2: Causes of Obesity
Exhibit ES-3: Cellular Mechanisms Involved in Lipid Deposition and Mobilization
Exhibit ES-4: Macronutrient Modulation Theories of Obesity
Exhibit ES-5: Obesity Comorbidities
Exhibit ES-6: 2005, Obesity, Facts and Figures
Exhibit ES-7: Increase in Overall Prevalence of Overweight and Obesity in Adults, 1976 to 2004
Exhibit ES-8: 2007, Selected Obesity Drugs Under Development
Exhibit ES-9: 2007, Most Promising Obesity Drugs Expected to Launch in the Next 5 Years
Exhibit ES-10: Prescription Obesity Drugs, Patient Volumes Forecast, 2005-2010
Exhibit ES-11: Prescription Obesity Drugs, Market Forecast, 2005-2010
Exhibit ES-12: 2007, Selected Gastric Banding Devices
Exhibit ES-13: Bariatric Surgery, Procedure Volumes Forecast, 2005-2010
Exhibit ES-14: 2005, Bariatric Surgeries, by Type
Exhibit ES-15: 2010, Bariatric Surgeries, by Type
Exhibit ES-16: Bariatric Surgical Devices, Combined Market Forecast, 2005-2010
Exhibit ES-17: Overview of Gastric Stimulation
Exhibit ES-18: 2007, Selected Current and Emerging Gastric Stimulators
Exhibit ES-19: Gastric Stimulators, Market Forecast, 2005-2010
Exhibit ES-20: Total Obesity Products Market, Market Forecast, 2005-2010
Exhibit ES-21: 2005, Total Obesity Products Market, Share of Sales, by Application
Exhibit ES-22: 2010, Total Obesity Products Market, Share of Sales, by Application
1. CLINICAL AND STATISTICAL OVERVIEW
1.1 Overview of the Digestive System
1.2 Obesity Defined
1.2.1 Body Mass Index
1.2.2 Waist Circumference and Visceral Obesity
1.3 Causes of Obesity
1.3.1 Hormonal Factors
1.3.1.1 Cholecystokinin
1.3.1.2 Ghrelin
1.3.1.3 Leptin
1.3.1.4 Obestatin
1.3.2 Genetic Factors
1.3.3 Behavioral and Environmental Factors
1.3.4 Other Causes of Obesity
1.3.5 Obesity as a Component of Metabolic Syndrome
1.4 Obesity-Related Comorbidities
1.5 Obesity Statistics
1.5.1 Incidence
1.5.2 Prevalence
1.5.2.1 Prevalence by Age
1.5.2.2 Prevalence by Gender
1.5.2.3 Prevalence by Ethnic/Racial Group
1.5.2.4 Prevalence by Economic Status
1.5.2.5 Prevalence by State
1.5.2.6 Prevalence of Morbid and Super Morbid Obesity
1.5.2.7 Prevalence in Children and Adolescents
1.6 Economic Impact
1.7 Treatment and Prevention
1.7.1 Drug Therapy
1.7.2 Surgery
1.8 Medicare Coverage
1.9 Societal and Legal Issues
Exhibit 1-1: Obesity Classification, by Body Mass Index
Exhibit 1-2: Obesity Classification, by Body Fat Distribution
Exhibit 1-3: Causes of Obesity
Exhibit 1-4: Cellular Mechanisms Involved in Lipid Deposition and Mobilization
Exhibit 1-5: Hunger-Affecting Hormones
Exhibit 1-6: Macronutrient Modulation Theories of Obesity
Exhibit 1-7: Obesity Comorbidities
Exhibit 1-8: Proportion of Cancers that May Be Attributed to Obesity
Exhibit 1-9: Prevalence of Selected Medical Conditions in Men, by Body Mass Index
Exhibit 1-10: Prevalence of Selected Medical Conditions in Women, by Body Mass Index
Exhibit 1-11: 2005, Obesity, Facts and Figures
Exhibit 1-12: Increase in Overall Prevalence of Overweight and Obesity in Adults, 1976 to 2004
Exhibit 1-13: Historical Prevalence of Obesity, by Age and Gender, 1988-1994 and 1999-2000
Exhibit 1-14 Historical Prevalence of Overweight, Obesity, and Morbid Obesity, by Gender, 1988-1994 and 1999-2000
Exhibit 1-15: Historical Prevalence of Overweight and Obesity, by Racial/Ethnic Group, 1988-1994 and 1999-2000
Exhibit 1-16: Obesity Prevalence, by Education Level, 1991, 1998, 2000, and 2001
Exhibit 1-17: Prevalence of Obesity, by State, 1991, 1998, 2000, and 2004
Exhibit 1-18: Prevalence of Morbid and Super Morbid Obesity, by Gender and Racial/Ethnic Group, 1988-1994 and 1999-2000
Exhibit 1-19: Prevalence of Morbid and Super Morbid Obesity, by Age, 1990-1991 and 2000
Exhibit 1-20: Prevalence of Morbid and Super Morbid Obesity, by Level of Education, 1990-1991 and 2000
Exhibit 1-21: Prevalence of Obesity in Children, 1971-1974, 1988-1994, and 1999-2000
Exhibit 1-22: Prevalence of Obesity in Children, by Racial/Ethnic Group
Exhibit 1-23: 2005, Obesity-Related Standards in Schools
Exhibit 1-24: Estimated Obesity-Related Disease Costs to Medicare, 1992, 2000, and 2004
Exhibit 1-25: 2005, National Institutes of Health Funding, by Selected Areas
2. OBESITY DRUGS MARKET
2.1 Drug Safety and Efficacy
2.1.1 Drug Safety History
2.1.2 Efficacy
2.2 Regulatory Approval Process
2.2.1 Enhancing Drug Safety and Innovation Act of 2006 and Fair Access to Clinical Trials Act
2.3 Insurance Reimbursement
2.4 Current Obesity Drugs
2.4.1 Benzphetamine Hydrochloride/Didrex
2.4.2 Diethylpropion Hydrochloride/Tenuate
2.4.3 Mazindol/Mazonor and Sanorex
2.4.4 Phentermine/Adipex
2.4.5 Orlistat/Xenical
2.4.5.1 Alli
2.4.6 Sibutramine Hydrochloride Monohydrate/Meridia
2.5 Emerging Drugs
2.5.1 Cannabinoid Antagonists
2.5.1.1 Bristol-Myers Squibb and Solvay Pharmaceuticals/Solvay
2.5.1.2 Glenmark Pharmaceuticals
2.5.1.3 Merck
2.5.1.4 Pfizer
2.5.1.5 sanofi-aventis
2.5.2 Lipase Inhibitors
2.5.2.1 Alizyme
2.5.2.2 Genzyme and Peptimmune
2.5.3 Melanin-Concentrating Hormone Antagonists
2.5.3.1 Amgen
2.5.3.2 GlaxoSmithKline
2.5.3.3 Neurocrine Biosciences
2.5.3.4 Neurogen
2.5.4 Peptide YY3-36
2.5.4.1 Amylin Pharmaceuticals
2.5.4.2 Nastech Pharmaceutical
2.5.5 Selective Serotonin Receptor Agonists
2.5.5.1 Arena Pharmaceuticals
2.5.5.2 Biovitrum and GlaxoSmithKline
2.5.5.3 EPIX Pharmaceuticals
2.5.5.4 (OSI) Prosidion/OSI Pharmaceuticals
2.5.6 Other Emerging Drugs
2.5.6.1 AdipoGenix and Johnson & Johnson
2.5.6.2 Amylin Pharmaceuticals
2.5.6.3 BioLineRX
2.5.6.4 Biovitrum and Amgen
2.5.6.5 ChemGenex Pharmaceuticals
2.5.6.6 CytRx
2.5.6.7 Daiichi Pharmaceutical/Daiichi Sankyo
2.5.6.8 Eisai
2.5.6.9 FASgen
2.5.6.10 Forbes Medi-Tech and Merck
2.5.6.11 Glenmark Pharmaceuticals and Merck KGaA
2.5.6.12 Karo Bio
2.5.6.13 Manhattan Pharmaceuticals
2.5.6.14 Metabolic Pharmaceuticals
2.5.6.15 OREXIGEN Therapeutics
2.5.6.16 Surface Logix
2.5.6.17 VIVUS
2.5.7 Delayed or Discontinued Drug Programs
2.5.7.1 GlaxoSmithKline
2.5.7.2 Johnson & Johnson
2.5.7.3 Eli Lilly
2.5.7.4 Merck
2.5.7.5 Millennium Pharmaceuticals
2.5.7.6 Phytopharm and Pfizer
2.5.7.7 Regeneron Pharmaceuticals
2.6 Alternative Therapies
2.7 Market Analysis
2.8 Competitive Analysis
Exhibit 2-1: Selected Centrally Acting Obesity Drugs
Exhibit 2-2: Safety Risks Associated with Leading Prescription Obesity Drugs
Exhibit 2-3: Efficacy of Leading Prescription Obesity Drugs
Exhibit 2-4: 2007, Leading Prescription Weight-Loss Medications
Exhibit 2-5: 2007, Selected Obesity Drugs Under Development
Exhibit 2-6: 2007, Most Promising Obesity Drugs Expected to Launch in the Next 5 Years
Exhibit 2-7: 2007, Selected Cannabinoid Antagonists Under Development
Exhibit 2-8: 2007, Selected Lipase Inhibitors Under Development
Exhibit 2-9: 2007, Selected Melanin-Concentrating Hormone Antagonists Under Development
Exhibit 2-10: 2007, Selected Peptide YY3-36 Drugs Under Development
Exhibit 2-11: 2007, Selected Serotonin Receptor Agonists Under Development
Exhibit 2-12: Prescription Obesity Drugs, Patient Volumes Forecast, 2005-2010
Exhibit 2-13: Prescription Obesity Drugs, Market Forecast, 2005-2010
Exhibit 2-14: 2005, Prescription Obesity Drugs Market, Share by Supplier
Exhibit 2-15: 2010, Prescription Obesity Drugs Market, Projected Share by Supplier
3. BARIATRIC SURGERY MARKET
3.1 Surgical Risks
3.2 Efficacy
3.3 Regulatory Approval Process
3.4 Insurance Reimbursement
3.5 Bariatric Surgery
3.5.1 Traditional Bariatric Surgery
3.5.1.1 Gastric Bypass
3.5.1.1.1 Laparoscopic Gastric Bypass
3.5.1.1.2 Vertical Banded Gastric Bypass
3.5.1.2 Gastroplasty
3.5.1.2.1 Horizontal Gastroplasty
3.5.1.2.2 Vertical Banded Gastroplasty
3.5.2 Less Invasive Bariatric Surgery
3.5.2.1 Gastric Banding
3.5.2.1.1 Agency for Medical Innovations
3.5.2.1.2 Cousin Biotech
3.5.2.1.3 EndoArt/Allergan
3.5.2.1.4 Ethicon Endo-Surgery/Johnson & Johnson
3.5.2.1.5 Hélioscopie
3.5.2.1.6 Inamed/Allergan
3.5.2.1.7 Médical Innovation Développement
3.5.2.2 Intragastric Balloons
3.5.2.2.1 Hélioscopie
3.5.2.2.2 Inamed/Allergan
3.5.2.2.3 Satiety
3.5.2.3 Emerging Noninvasive Weight Loss Devices
3.5.2.3.1 BaroNova
3.5.2.3.2 BaroSense
3.5.2.3.3 EndoGastric Solutions
3.5.2.3.4 GI Dynamics
3.5.2.3.5 Satiety
3.5.2.3.6 Scientific Intake
3.6 Body Contouring
3.6.1 Syneron
3.6.2 LipoSonix
3.7 General and Laparoscopic Surgical Instruments
3.7.1 Aesculap/B. Braun Melsungen
3.7.2 ConMed EndoSurgery/ConMed
3.7.3 Wilson-Cook Medical/Cook Group
3.7.4 Ethicon Endo-Surgery/Johnson & Johnson
3.7.5 Gore Medical/W.L. Gore & Associates
3.7.6 Olympus Surgical & Industrial America/Olympus
3.7.7 Silhouette Medical
3.7.8 Karl Storz
3.7.9 United States Surgical/Tyco International
3.8 Market Analysis
3.9 Competitive Analysis
Exhibit 3-1: Common Bariatric Surgical Procedures
Exhibit 3-2: Risks Associated With Leading Bariatric Surgical Procedures
Exhibit 3-3: Contraindications for Bariatric Surgery
Exhibit 3-4: Efficacy of Leading Bariatric Surgery Procedures
Exhibit 3-5: Comparison of Mean Weight Loss and Diabetes Resolution of Major Types of Gastric Surgery
Exhibit 3-6: Food and Drug Administration Medical Device Classes, Bariatric Surgical Instruments and Implantable Devices
Exhibit 3-7: Comparison of Major Types of Bariatric Surgery
Exhibit 3-8: 2007, Selected Gastric Banding Devices
Exhibit 3-9: The Bioring Adjustable Gastric Banding System
Exhibit 3-10: Easyband Telemetrically Adjustable Gastric Banding System
Exhibit 3-11: The Lap-Band Adjustable Gastric Banding System
Exhibit 3-12: Selected Benefits of the Lap-Band Adjustable Gastric Banding System
Exhibit 3-13: The Heliosphère Intragastric Balloon
Exhibit 3-14: The BioEnterics Intragastric Balloon System
Exhibit 3-15: Possible Complications Associated with the BioEnterics Intragastric Balloon System
Exhibit 3-16: Satiety’s Space-Occupying Intragastric Device and Minimally Invasive Anchoring Procedure
Exhibit 3-17: Ethicon Endo-Surgery’s Harmonic Scalpel
Exhibit 3-18: Ethicon Endo-Surgery’s ENDOPATH Endoscopic Linear Cutters
Exhibit 3-19: Bariatric Surgery, Procedure Volumes Forecast, 2005-2010
Exhibit 3-20: 2005, Bariatric Surgery, by Type
Exhibit 3-21: 2010, Bariatric Surgery, by Type
Exhibit 3-22: Gastric Banding Devices, Market Forecast, 2005-2010
Exhibit 3-23: Intragastric Balloons, Market Forecast, 2005-2010
Exhibit 3-24: Bariatric Surgical Devices, Combined Market Forecast, 2005-2010
Exhibit 3-25: 2005, Bariatric Surgical Devices, Share of Sales, by Segment
Exhibit 3-26: 2010, Bariatric Surgical Device, Share of Sales, by Segment
4. GASTRIC STIMULATORS MARKET
4.1 Methods of Gastric Stimulation
4.1.1 Overview of Vagus Nerve Stimulation
4.2 Safety
4.3 Efficacy
4.4 Insurance Reimbursement
4.5 Regulatory Approval Process
4.6 Current and Emerging Gastric Stimulators
4.6.1 Advanced Neuromodulation Systems/St. Jude Medical
4.6.2 Cyberonics
4.6.3 EnteroMedics
4.6.4 GI Dynamics
4.6.5 IntraPace
4.6.6 Leptos Biomedical
4.6.7 Medtronic
4.6.8 MetaCure
4.7 Market Analysis
4.8 Competitive Analysis
Exhibit 4-1: Overview of Gastric Stimulation Technology
Exhibit 4-2: 2006, Selected Advantages and Disadvantages of Gastric Stimulation
Exhibit 4-3: Known Risks/Complications of Gastric Stimulation
Exhibit 4-4: Efficacy of Gastric Stimulation
Exhibit 4-5: 2007, Selected Current and Emerging Gastric Stimulators
Exhibit 4-6: EnteroMedic’s Vagal Blocking for Obesity Control Therapy
Exhibit 4-7: EnteroMedic’s Vagal Blocking for Obesity Control Therapy Compared to Lap-Band and Gastric Bypass
Exhibit 4-8: Medtronic’s Enterra Gastric Stimulation System
Exhibit 4-9: MetaCure’s TANTALUS Gastric Stimulation System
Exhibit 4-10: Gastric Stimulators, Procedure Volumes and Market Forecast, 2005-2010
5. COMPANY PROFILES
5.1 Abbott Laboratories
5.2 Arena Pharmaceuticals, Inc.
5.3 BaroNova, Inc.
5.4 BaroSense, Inc.
5.5 Cyberonics, Inc.
5.6 EndoArt SA
5.7 EnteroMedics, Inc.
5.8 Ethicon Endo-Surgery/Johnson & Johnson
5.9 GlaxoSmithkline PLC
5.10 Hélioscopie SA
5.11 Inamed Corporation/Allergan, Inc.
5.12 IntraPace, Inc.
5.13 Leptos Biomedical, Inc.
5.14 Medtronic, Inc.
5.15 Merck & Company, Inc.
5.16 MetaCure NV
5.17 Pfizer, Inc.
5.18 F. Hoffmann La-Roche LTD/Roche Group
5.19 Sanofi-Aventis
5.20 Satiety, Inc.
5.21 Scientific Intake
5.22 VIVUS, Inc.
APPENDIX: COMPANY LISTING