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Multi-Targeted Therapies - New Wave of Combination Therapies in Late Stage Development for Lung Cancer Offer Promise - Product Image

Multi-Targeted Therapies - New Wave of Combination Therapies in Late Stage Development for Lung Cancer Offer Promise

  • Published: July 2012
  • 55 Pages
  • GBI Research

GBI Research, the leading business intelligence provider, has released its latest research, “Multi-Targeted Therapies - New Wave of Combination Therapies in Late Stage Development for Lung Cancer Offer Promise”, which provides an overview of the discovery and development of therapeutic drug combinations and multi-target drugs for oncology. The report is built using data and information sourced from proprietary databases, primary and secondary research and in-house analysis by GBI Research’s team of industry experts. The report provides an insight into different methods and techniques used to identify and design drugs that act upon multiple targets in the treatment of cancer. It also focuses on the design and development of combination therapies to address multiple targets in oncology and the challenges surrounding this.

Pipeline analysis of the Phase III oncology pipeline focuses on indications such a lung cancer, breast cancer, colorectal cancer, prostate cancer, ovarian cancer, leukemia, lymphoma, head and neck cancer and multiple myeloma. The most common types of drug combinations used to treat these indications are highlighted and promising molecules in READ MORE >

1.1 List of Tables
1.2 List of Figures

2 Multi-Targeted Therapies - Overview
2.1 Introduction
2.1.1 Biological Networks
2.1.2 History of Multi-component Drugs
2.1.3 Types of Multi-Targeted Therapy
2.1.4 Many Small Molecule Drugs are Promiscuous
2.1.5 Off-target Effects and Drug Repositioning
2.2 Promiscuous Drugs versus Combination Therapies

3 Designing Multi-Target Drugs
3.1 Lead Generation Approaches
3.1.1 Knowledge-based Approaches
3.1.2 Screening
3.1.3 Fragment-based Approach
3.1.4 In Silico Screening Methods
3.1.5 Conclusions
3.1.6 Challenges of Lead Optimization
3.2 Multi-Target Protein Kinase Inhibitors
3.2.1 Early Marketed Kinase Inhibitors
3.2.2 Newer Designed Multi-kinase Inhibitors
3.2.3 Oncogene Addiction
3.2.4 Overcoming Resistance

4 Designing Combination Therapies
4.1 Which Products to Combine?
4.1.1 Cell-based Phenotypic Assays
4.1.2 Synthetic Lethality
4.2 Designing Dual Novel Drug Combinations
4.3 Challenges for Development and Design of Combination Drugs
4.3.1 Combined Toxicity
4.3.2 FDA Guidelines for Development of Drugs for Use in Combination
4.3.3 Clinical Trial Design
4.3.4 Developing Drugs in Collaboration

5 Pipeline Analysis of Late Stage Oncology Combination Therapies
5.1 Phase III Oncology Pipeline by Number of Drugs in Combination
5.2 Phase III Oncology Pipeline by Indication
5.2.1 Overall
5.2.2 Lung Cancer
5.2.3 Breast Cancer
5.2.4 Colorectal Cancer
5.2.5 Lymphoma
5.2.6 Multiple Myeloma
5.2.7 Ovarian Cancer
5.2.8 Prostate Cancer
5.2.9 Leukemia
5.2.10 Head and Neck Cancer
5.2.11 Squamous Cell Carcinoma
5.2.12 Other Oncology Indications

6 Appendix
6.1 Abbreviations
6.2 Sources
6.3 Research Methodology
6.3.1 Secondary Research
6.3.2 Primary Research
6.3.3 Expert Panel Validation
6.4 Contact Us
6.5 Disclaimer

1.1 List of Tables

Table 1: Clinical Trial Design Considerations for Three Typical Scenarios Combining Drug A and Drug B
Table 2: Combination Therapies in Oncology, Phase III Pipeline by Number of Drugs in Combination. 2012
Table 3: Combination Therapies in Oncology, Phase III Pipeline by Indication, 2012
Table 4: Phase III Pipeline Combinations in Lung Cancer
Table 5: Phase III Pipeline Combinations in Breast Cancer
Table 6: Phase III Pipeline Combinations in Colorectal Cancer
Table 7: Phase III Pipeline Combinations in Lymphoma
Table 8: Phase III Pipeline Combinations in Multiple Myeloma
Table 9: Phase III Pipeline Combinations in Ovarian Cancer
Table 10: Phase III Pipeline Combinations in Prostate Cancer
Table 11: Phase III Pipeline Combinations in Leukemia
Table 12: Phase III Pipeline Combinations in Head and Neck Cancer
Table 13: Phase III Pipeline Combinations in Squamous Cell Carcinoma
Table 14: Phase III Pipeline Combinations in Remaining Oncology Indications

1.2 List of Figures

Figure 1: Three Different Approaches to Multi-Target Therapy
Figure 2: Determining if Co-development is an Appropriate Development Option
Figure 3: Combination Therapies in Oncology, Phase III Pipeline by Number of Drugs in Combination, 2012
Figure 4: Combination Therapies in Oncology, Phase III Pipeline by Indication, 2012
Figure 5: Multi-Targeted Therapies, Drug Category and Color Used for Analysis
Figure 6: Multi-Targeted Therapies, Phase III Pipeline Combinations in Lung Cancer, 2012
Figure 7: Multi-Targeted Therapies, Phase III Pipeline Combinations in Breast Cancer, 2012
Figure 8: Multi-Targeted Therapies, Phase III Pipeline Combinations in Colorectal Cancer, 2012
Figure 9: Multi-Targeted Therapies, Phase III Pipeline Combinations in Lymphoma, 2012
Figure 10: Multi-Targeted Therapies, Phase III Pipeline Combinations in Multiple Myeloma, 2012
Figure 11: Multi-Targeted Therapies, Phase III Pipeline Combinations in Ovarian Cancer, 2012
Figure 12: Multi-Targeted Therapies, Phase III Pipeline Combinations in Prostate Cancer, 2012
Figure 13: Multi-Targeted Therapies, Phase III Pipeline Combinations in Leukemia, 2012
Figure 14: Multi-Targeted Therapies, Phase III Pipeline Combinations in Head and Neck Cancer, 2012
Figure 15: Multi-Targeted Therapies, Phase III Pipeline Combinations in Squamous Cell Carcinoma, 2012
Figure 16: Color Map Showing Phase III Pipeline Combinations in Remaining Oncology Indications, 2012
Figure 17 : Color Map Showing Phase III Pipeline Combinations in Remaining Oncology Indications, 2012

Two Stones to Kill One Bird? Combination Therapies Could be the Future of Cancer Treatment.

In the ongoing battle against cancer, the medical community is looking to promising multi-targeted therapies for more effective and enduring treatments, says a new report by pharmaceutical industry observers GBI Research.

According to the report, there is a wave of combination therapies in late stage development that have the potential to revolutionize long-term oncological treatment by addressing the complexities of cancer growth.

In Silico methods (the use of computer simulations) have been instrumental in the generation of biological and chemical data on ligands and targets. These same methods are now being employed to identify and design multi-target compounds, facilitated by the wealth of bioactivity information advanced computer simulations provide.

GBI Research’s intelligence shows that lung cancer treatments represent the greatest share of the Phase III combination therapy development pool with 16%. This relatively high percentage is not surprising considering the disease’s growing prevalence around the world due to an increase in tobacco consumption in emerging economies such as China. The second and third most populous combination therapies in Phase III were breast cancer and colorectal cancer, with 13.4% and 8.5%, respectively.

There are, however, regulatory problems regarding the co-development of novel drugs. The primary concern is that this process will inevitably provide less information about the safety and effectiveness of these agents than if they were developed and tested individually.

The FDA has drafted guidance and recommendations on how combination therapies should be processed, including a proposal that drugs should only be developed in combination when there is a compelling biological rationale for the use of the combination, or where the drugs cannot be developed individually (if this were lead to drug resistance, for example).

Combinations also need to be shown in preliminary clinical studies to provide greater-than-additive activity or a more durable response compared to using the agents alone.

* Multi-Targeted Therapies - New Wave of Combination Therapies in Late Stage Development for Lung Cancer Offer Promise

This report provides an overview of the discovery and development of therapeutic drug combinations and multi-target drugs for oncology.

This report was built using data and information sourced from proprietary databases, primary and secondary research, and in-house analysis conducted by GBI Research’s team of industry experts.

Note: Product cover images may vary from those shown

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