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Angiogenesis Modulators: Strategies for Drug Discovery


Description: This Report provides an up-to-date assessment of current directions and prospects in the angiogenesis modulators field. After three decades of research in this field, human trials of angiomodulatory compounds are at last beginning to yield commercial products with proven efficacy. Many diverse drugs targeting angiogenesis are in clinical development. This report offers a comprehensive review of targets for angiogenesis modulation, identifies the most promising approaches, and assesses the prospects for angiogenesis modulators in different therapeutic areas.

The Report highlights commercial opportunities for angiogenesis inhibitors such as new therapeutic modalities in cancer, ophthalmic diseases, vascular skin diseases, and chronic inflammatory diseases. It also assesses current and potential applications of angiogenesis stimulators in tissue revascularization.


Contents: Chapter 1: Executive Summary

Chapter 2: Introduction To Angiogenesis
Overview of Angiogenesis
The Process of Angiogenesis
Molecules Involved in Angiogenesis
Growth Factors and Other Angiogenic Proteins
Receptor Tyrosine Kinases
Proteases
Cell Adhesion Molecules
Endogenous Antiangiogenic Proteins
Role of Angiogenesis in Disease
Approaches to Angiogenesis Modulation
Types of Drugs under Development
Small-Molecule Drugs
Biopharmaceuticals
Assays for Angiogenesis

Chapter 3: Angiogenesis In Cancer
Overview of Cancer
Cancer Therapy
Molecular Targeted Therapies
Angiogenesis in Cancer
Angiostatic versus Angiolytic Therapies
Targets for Angiostatic Therapies
Growth Factors and Their Receptors
VEGF-A
VEGFR Family
EGFR Family
Small-Molecule Drugs
Monoclonal Antibody Drugs
Other Growth Factors/Receptors
Tie2 Receptor
IGF1R
FGF-2
VEGF-C, VEGF-D/VEGFR-3
PDGF(R)
Multi-Target Strategies
Applications in Hematologic Malignancies
ECM-Degrading Enzymes
Matrix Metalloproteases
Heparanase
Proteases (other than MMPs)
ADAMs Family
uPA
Other Proteases
Cell Adhesion Receptors
Alpha(v) Integrins
Other Cell Adhesion Receptors
Agents Based on Human Antiangiogenic Factors
Endogenous Antiangiogenic Factors
Antiangiogenic Gene Therapy
Agents of Non-Human Origin
Miscellaneous Agents
Thalidomide-Related Drugs
Other Drugs
Angiolytic Vascular Targeting Agents
Small-Molecule VTAs
Tubulin-Binding Agents
Other Small-Molecule Agents
Ligand-based and Other VTAs
Exploiting Angiogenesis for Drug Delivery

Chapter 4: Angiogenesis In Cardiology
Overview of Cardiovascular Disease
Coronary Artery Disease
Established Treatments
Myocardial Infarction
Current Treatments
Peripheral Vascular Disease
Current treatments
Congestive Heart Failure
Current Treatments
Angiogenesis in Ischemia
Physiological Responses to Ischemia
Stimulation of Angiogenesis in Ischemia
Transmyocardial Revascularization
Therapeutic Angiogenesis
Cell Therapy
Challenge of Pathologic Angiogenesis
Atherogenesis and Atheroscleropathy
Percutaneous Coronary Interventions
Approaches to Restenosis Prevention
Angiogenesis Modulators
Angiogenic Products in Commercial Development
Protein and Small Molecule Therapies
Gene Therapies
Cell Therapies
Stem and Progenitor Cell Therapies

Chapter 5: Angiogenesis In Ophthalmology
Eye Diseases Involving Neovascularization
Age-related Macular Degeneration
Diabetic Retinopathy
Other Disorders
Angiolytic Photodynamic Therapy
Angiogenesis-targeting Drugs
Angiostatic Drugs
Targeting VEGF/VEGFR
Miscellaneous Targets
Vascular Targeting Agents

Chapter 6: Other Applications Of Angiogenic Modulation
Introduction
Skin Diseases
Chronic Wounds
Vascular Lesions
Psoriasis
Rosacea
Other Vascular Lesions
Chronic Inflammatory Diseases
Rheumatoid Arthritis
Periodontitis
Inflammatory Bowel Disease
Inflammatory Lung Diseases
Complex Regional Pain Syndrome
Fibrodysplasia Ossificans Progressiva
Transplant Rejection
Orthodontic Applications
Spinal Cord Injuries
Other Potential Applications
Endometriosis
Obesity
Erectile Dysfunction
Benign Tumors

Chapter 7: Company Profiles
Introduction
Abbott Laboratories
AEterna Zentaris Inc
Alcon Laboratories Inc
Amgen Inc
Angiotech Pharmaceuticals Inc
Antisoma Plc
AstraZeneca Plc
Bayer AG
Boston Scientific Corporation
Celgene Corporation
Collagenex Pharmaceuticals Inc
Collateral Therapeutics Inc
Corautus Genetics Inc
EntreMed Inc
EyeTech Pharmaceuticals Inc
Genaera Corporation
Genentech Inc
Genzyme Corporation
GlaxoSmithKline Plc
Human Genome Sciences
ImClone Systems Inc
Merck KGaA
Merck & Co Inc
Novartis Pharma AG
OSI Pharmaceuticals Inc
OXiGENE Inc.
Pfizer Inc.
Regeneron Pharmaceuticals Inc.
Sirna Therapeutics Inc
Valentis Inc

Chapter 8: The Angiogenesis Modulation Market To 2009
Introduction
Cancer
Overview
Established Cancer Therapies
The Anti-Cancer Drug Market
Cardiology
Overview
Coronary Artery Disease
Myocardial Infarction
Congestive Heart Failure
Established Treatments
Cardiology drug market
Ophthalmology
Overview
Age-related Macular Degeneration
Diabetic Retinopathy
Other Eye Disorders
Ophthalmology Drug Market
Dermatology
Overview
Psoriasis
Benign Vascular Lesions
Impaired Wound Healing
Dermatology Drug Market
Other Indications
Market Forecasts

Chapter 9: Conclusions, Trends, and Opportunities
Gap Narrows between Experimental and Clinical Data
VEGF Inhibitors Lead the Way
Cancer: Opportunities Expand
Accelerating Approvals
Learning from Clinical Trials
Optimizing Therapies
Towards Pharmacogenomic Testing
Towards Angiogenic Profiling
Taking Advantage of Vascular Targeting
Future Horizons—Cancer Prevention?
AMD: Breakthrough Treatments Emerge
Cardiology: Interest Peaks Despite Slow Progress
Other Diseases: Largely Unexplored Opportunities
Exploiting Unexpected Angiomodulatory Effects

TABLE OF EXHIBITS
Exhibit 2.1 Partial List of Endogenous Angiogenic Factors
Exhibit 2.2 Partial List of Endogenous Antiangiogenic Factors
Exhibit 3.1 Cancer: Inhibitors of Growth Factors/receptors Listed by Drug Target
Exhibit 3.2 Cancer: Inhibitors of ECM-degrading Enzymes, List by Drug Target
Exhibit 3.3 Cancer: Inhibitors of Proteases (other than MMPs), Listed by Drug Target
Exhibit 3.4 Cancer: Inhibitors of Cell Adhesion Receptors
Exhibit 3.5 Cancer: Agents Based on Human Antiangiogenic Factors
Exhibit 3.6 Cancer: Antiangiogenic Substances of Non-human Origin
Exhibit 3.7 Cancer: Miscellaneous Agents with Antiangiogenic Properties
Exhibit 3.8 Cancer: Vascular Targeting Agents
Exhibit 4.1 Cardiovascular Diseases: Angiogenic Therapies
Exhibit 5.1 Vascular Eye Diseases: Antiangiogenic Therapies
Exhibit 6.1 Dermatology: Angiogenic and Antiangiogenic Therapies
Exhibit 6.2 Miscellaneous Indications: Antiangiogenic Therapies
Exhibit 7.1 The 25 Most Active Organizations in Angiogenesis-related US Patenting,
1995 - 2004 (Granted Patents)
Exhibit 7.2 The 25 Most Active Organizations in Angiogenesis-related US Patenting,
2002 - 2004 (Published Applications)
Exhibit 7.3 The 25 Most Frequently Cited Angiogenesis-related US Patents,
1995 - 2004
Exhibit 8.1 World Prevalence Of Angiogenesis-Related Diseases
Exhibit 8.2 World Market For Angiogenesis-Related Diseases
Exhibit 8.3 World Pharma Market In 2004 and 2009
Exhibit 8.4 Angiogenesis-Related Markets By Indication
Exhibit 8.5 World Angiogenesis-Related Market In 2004 And 2009


Companies Mentioned -Abbott Laboratories -AEterna Zentaris Inc -Alcon Laboratories Inc -Amgen Inc -Angiotech Pharmaceuticals Inc -Antisoma Plc -AstraZeneca Plc -Bayer AG -Boston Scientific Corporation -Celgene Corporation -Collagenex Pharmaceuticals Inc -Collateral Therapeutics Inc -Corautus Genetics Inc -EntreMed Inc -EyeTech Pharmaceuticals Inc -Genaera Corporation -Genentech Inc -Genzyme Corporation -GlaxoSmithKline Plc -Human Genome Sciences -ImClone Systems Inc -Merck KGaA -Merck & Co Inc -Novartis Pharma AG -OSI Pharmaceuticals Inc -OXiGENE Inc. -Pfizer Inc. -Regeneron Pharmaceuticals Inc. -Sirna Therapeutics Inc -Valentis Inc


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