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The Pain Market Outlook to 2011


Description: The patient populations for neuropathic and nociceptive pain are large, and are driven by separate disease trends that necessitate pain relief; across the seven major markets in 2005 it was estimated that 37.6m individuals suffered from neuropathic pain and 170.1m suffered from nociceptive pain.

The major constituents of the neuropathic pain market are lower back pain, neuralgia/fibromyalgia, diabetic neuropathic pain and pain associated with multiple sclerosis. The nociceptive pain market is driven by the prevalence of the major indications of arthritic pain, particularly osteoarthritis and rheumatoid arthritis, post-operative pain, cancer-related pain and HIV-related pain.

Current management of pain is mostly pharmacological consisting of the use of opioids, non-opioids and non-steroidal anti-inflammatory drugs (NSAIDs), as well as adjuvant therapies such as anti-depressants and anti-convulsants.

Although pain is not a new phenomenon, misdiagnosis and under-treatment continue to prove deleterious to the pain market. Increased education for patients, physicians, nurses and pharmacists is an on-going unmet need that must be addressed. Across the seven major markets, it is forecast that the prevalence of both the neuropathic and nociceptive markets will increase modestly. It is forecast that the prevalence of the neuropathic pain market will increase to 39.1m individuals, which is complimented by the forecast growth of the nociceptive market to include 164.8m individuals in 2011.

The Pain Market Outlook to 2011 provides in-depth insights into the key market and competitive dynamics in 8 major pain indications. This report’s latest sales data and 6-year forecasts will enable you to benchmark the strategies behind the market leading products of today and predict how recent and upcoming product launches will be best positioned for growth.

Use this report to understand how changes in market dynamics will impact the competitive position of industry leaders over the period 2006-2011 and ensure you exploit emerging opportunities.

"Newron Pharmaceuticals SpA, an Italian research and development company focused on novel CNS therapies, is currently developing ralfinamide for the treatment of neuropathic pain. Ralfinamide is a novel compound of the alpha-aminoamide family with potent sodium channel blocker properties..."

Just some of the key findings of the report...

- Within the pain therapy market there remains a substantial unmet need for drugs with improved efficacy and superior side-effect profiles, however there are few novel drugs in the pipeline and companies are heavily dependent on reformulations of existing drugs targeting better drug delivery, more convenient dosing schedules and specific patient populations.

- Over the 2001-05 period, the global pain market expanded at a CAGR of 7.9%, accounting for a net growth in sales of $9,571m. While the pain market has experienced several years of continuous growth, over 2004-05 sales dropped by 7.0% due to the withdrawal from the market of COX-II inhibitors, Vioxx and Bextra for safety reasons. Sales in this drug class plummeted by 66.2% in 2005.

- Currently the pain market is led by the anti-convulsant class, hich accrued sales of $11,574m in 2005 with the majority of revenue being derived from off-label use. Although the anti-convulsant class will maintain its leading position through 2010, future growth in the pain market will be driven by a small number of blockbuster drugs and the re-uptake of COX-II inhibitors

- Pfizer’s current dominance of the pain market is forecast to continue through 2011 due to the evolving success of its blockbuster drug, Celebrex and the recent launch of Lyrica, which promises market success comparable to its predecessor, Neurontin.

"The most prevalent tumor-related nociceptive cancer pain syndrome is bone pain. The spine is the most common site of bone metastases, which results in back pain as a highly prevalent problem among cancer sufferers..."

Key questions answered in this report

- Which new compounds are forecast to gain rapid market penetration and which indications are forecast to see the greatest levels of development from new therapies?
- How have recent patent expiries affected blockbuster brands such as Duragesic, Ultram, OxyContin, and Celebrex?
- Which products were the key performers in the pain market in 2005 and what were the factors underpinning their performance?
- Which companies are best positioned to succeed in the global pain market over the period 2005-11 and why?
- How will the composition of the pain market change over the period 2005-2011 and how will recent and future events affect the major drug classes?
- How have the withdrawals of Cox-II inhibitors, Vioxx and Bextra, impacted the pain market at a brand, drug class and company level?

"Novartis’ Prexige, a highly selective COX-II inhibitor, is indicated for the treatment of OA, RA, pain and dysmenorrhea. Prexige has managed to differentiate itself from existing COX-II inhibitors that have been withdrawn from the market due to an associated risk of adverse cardiovascular events..."

Top five reasons to order your copy today:

1. Identify the pain indications with the greatest growth prospective and key factors impacting their prevalence, enabling you to align your portfolio to meet patient needs.

2. Understand how recent events are affecting the performance of major products and discover how their marketers are confronting competitive changes in the pain marketplace.

3. Gain a competitive edge, identify your main competitors and discover critical success factors, ensuring you are up-to-date with market developments and can exploit emerging opportunities.

4. Analyze up-to-date global IMS sales data with comprehensive information on current marketed products and key brands, allowing you to assess your organization’s position in the competitive market-place.

5. Predict future top selling products by examining detailed product forecasts, future patent expiries and current innovation in the pain market.

"Opioids, widely used in the treatment of multiple forms of pain, accrued $8,311m in sales during 2005, an increase of 2.5% over previous year sales of $8,109m. Opioids continue to form the mainstay of severe pain therapy, but with levels of new product introductions being low, the class as a whole is struggling to generate significant levels of sales growth against a background of generic competition..."


Contents: The Pain Market Outlook to 2011
Executive Summary
Patient potential
Global market analysis
Analysis of potential future blockbusters
Leading players in the global pain market

Chapter 1 Patient potential
Summary
Introduction
Neuropathic pain
Lower back pain
Background
Diagnosis, treatment and management
Epidemiology
Neuralgia/fibromyalgia
Background
Diagnosis, treatment and management
Epidemiology
Diabetic neuropathic pain
Background
Diagnosis, treatment and management
Epidemiology
Pain associated with multiple sclerosis
Background
Diagnosis, treatment and management
Epidemiology
Nociceptive pain
Arthritic pain
Background
Diagnosis, treatment and management
Epidemiology
Post-operative pain
Background
Diagnosis, treatment and management
Epidemiology
Cancer-related pain
Background
Diagnosis, treatment and management
Epidemiology
HIV related pain
Background
Diagnosis, treatment and management
Epidemiology

Chapter 2 Global market analysis
Summary
Introduction
Pain market analysis
Leading brands in the global pain market
Opioid market analysis
Leading brands in the global opioid market
Long-acting opioid market analysis
Key brands analysis
Short-acting opioid market analysis
Key brands analysis
Class sales forecast to 2011
Non-opioid market analysis
Leading brands in the non-opioid market
Key brands analysis
Class sales forecast to 2011
Non-steroidal anti-inflammatory drugs
Leading brands in the NSAID market
Key brands analysis
Class sales forecast to 2011
Cox-II inhibitor market analysis
Leading brands in the COX-II inhibitor market
Key brands analysis
Class sales forecast to 2011
Anti-convulsants market analysis
Leading brands in the anti-convulsant market
First-generation anti-convulsants
Key brands analysis
Second-generation anti-convulsants
Key brands analysis
Class sales forecast to 2011
Global pain market forecasts to 2011

Chapter 3 Analysis of potential future
blockbusters
Summary
Introduction
Major approaches to R&D
Leading drugs in development
Drug profiles
Phase II pipeline drugs
NW-1029 (ralfinamide)
Phase III pipeline drugs
Tapentadol (CG5503/R33133)
Bicifadine
Transacin (NGX-4010)
Neurodex (dectromorphan/quinidine)
Chronogesic (sufentanil)
Lacosamide
M6G (morphine-6-glucuronide)
Licofelone (ML3000)
Recently marketed drugs
Lyrica (pregabalin)
Prialt (ziconotide)
IONSYS (fentanyl iontophoretic transdermal system)
DepoDur (morphine)
Prexige (lumiracoxib)
Forecast sales potential

Chapter 4 Leading players in the global pain
market
Summary
Introduction
Global market shares
Pfizer
Marketed products
R&D compounds
Pain portfolio forecasts to 2011
Johnson & Johnson
Marketed products
R&D compounds
Pain portfolio forecasts to 2011
Novartis
Marketed products
R&D compounds
Pain portfolio forecasts to 2011
GlaxoSmithKline
Marketed products
R&D compounds
Pain portfolio forecasts to 2011
Mundipharma Int.
Marketed products
R&D compounds
Pain portfolio forecasts to 2011
Abbott
Marketed products
R&D compounds
Pain portfolio forecasts to 2011
Boehringer Ingelheim
Marketed products
R&D compounds
Pain portfolio forecasts to 2011
Sanofi-Aventis
Marketed products
R&D compounds
Pain portfolio forecasts to 2011

Chapter 5 Appendix
IMS sales data
Index
Glossary

List of Figures
Figure 1.1: Types of diabetic neuropathy
Figure 1.2: Types of pain in multiple sclerosis
Figure 1.3: Types of nociceptive cancer-related pain
Figure 1.4: Sources of nociceptive HIV-related pain
Figure 2.5: Competitive dynamics of the global pain market by drug class, 2005
Figure 2.6: Competitive dynamics of the leading products in the global pain market, 2005
Figure 2.7: Competitive dynamics of the leading opioid products in the global pain market, 2005
Figure 2.8: Competitive dynamics of the leading non-opioid products in the global pain market,
2005
Figure 2.9: Competitive dynamics of the leading NSAID products in the global pain market, 2005
Figure 2.10: Competitive dynamics of the leading COX-II inhibitor brands in the global pain
market, 2005
Figure 2.11: Competitive dynamics of the leading anti-convulsant products in the global pain
market, 2005
Figure 3.12: Leading recently launched products and late-stage R&D compounds indicated for the
treatment of pain, 2006
Figure 4.13: Key players in the global pain market, 2001 and 2005

List of Tables
Table 1.1: Estimated prevalence of neuropathic and nociceptive pain in the seven major
pharmaceutical markets, 2005
Table 1.2: Estimated prevalence of neuropathic lower back pain in the seven major
pharmaceutical markets, 2005
Table 1.3: Forecast prevalence of neuropathic lower back pain across the seven major markets,
2005–11
Table 1.4: Estimated prevalence of neuralgia/fibromyalgia pain in the seven major
pharmaceutical markets, 2005
Table 1.5: Forecast prevalence of neuralgia/fibromyalgia across the seven major markets, 2005–
11
Table 1.6: Estimated prevalence of diabetic neuropathic pain (DNP) in the seven major
pharmaceutical markets, 2005
Table 1.7: Forecast prevalence of diabetic neuropathic pain across the seven major markets,
2005–11
Table 1.8: Estimated prevalence of multiple sclerosis (MS) in the seven major pharmaceutical
markets, 2005
Table 1.9: Forecast prevalence of pain associated with multiple sclerosis across the seven major
markets, 2005–11
Table 1.10: Estimated prevalence of OA-related pain in the seven major pharmaceutical markets,
2005
Table 1.11: Estimated prevalence of RA pain in the seven major pharmaceutical markets, 2005-11
Table 1.12: Forecast prevalence of OA and RA related pain across the seven major markets, 2005-11
Table 1.13: Estimated prevalence of post-operative pain in the seven major pharmaceutical
markets, 2005
Table 1.14: Forecast prevalence of post-operative pain across the seven major markets, 2005–11
Table 1.15: Estimated prevalence of cancer-related pain in the seven major pharmaceutical
markets, 2005
Table 1.16: Forecast prevalence of cancer-related pain across the seven major markets, 2005–11
Table 1.17: Estimated prevalence of HIV-related pain in the seven major pharmaceutical markets,
2005
Table 1.18: Forecast prevalence of HIV-related pain across the seven major markets, 2005–11
Table 2.19: Breakdown of the global pain market by drug class, 2001-05
Table 2.20: Leading brands in the global pain market, 2004–05
Table 2.21: Leading brands in the global opioid market, 2004–06
Table 2.22: Sales forecasts for opioids in the global pain market, 2005–11
Table 2.23: Leading non-opioid products in the global pain market, 2004–05
Table 2.24: Sales forecasts for non-opioids, 2005–11
Table 2.25: Leading NSAIDs in the global pain market, 2004–05
Table 2.26: Sales forecasts for NSAIDs in the global pain market, 2005–11
Table 2.27: Leading COX-II inhibitor brands in the global pain market, 2004–05
Table 2.28: Sales forecasts for COX-II inhibitors, 2005–11
Table 2.29: Leading anti-convulsant products in the global pain market, 2004–05
Table 2.30: Sales forecasts for anti-convulsants in the global pain market, 2005–11
Table 2.31: Sales forecasts in the global pain market, 2005–11
Table 3.32: Sales forecasts for key recently launched products and R&D compounds, 2005–11
Table 4.33: Key players in the global pain market, 2005
Table 4.34: Pfizer’s marketed pain portfolio, 2005
Table 4.35: Pfizer’s pain R&D pipeline, 2006
Table 4.36: Forecast sales for Pfizer’s pain portfolio, 2005-11
Table 4.37: J&J’s marketed pain portfolio, 2005
Table 4.38: J&J’s pain R&D pipeline, 2006
Table 4.39: Forecast sales for J&J’s pain portfolio, 2005–11
Table 4.40: Novartis’ marketed pain portfolio, 2005
Table 4.41: Novartis’ pain R&D pipeline, 2006
Table 4.42 Forecast sales for Novartis’ pain portfolio, 2005–11
Table 4.43 GSK’s marketed pain portfolio, 2005
Table 4.44: GSK’s pain R&D pipeline, 2006
Table 4.45: Forecast sales for GSK’s pain portfolio, 2005–11
Table 4.46: Mundipharma’s marketed pain portfolio, 2005
Table 4.47: Forecast sales for Mundipharma’s pain portfolio, 2005–11
Table 4.48: Abbott’s marketed pain portfolio, 2005
Table 4.49: Abbott’s pain R&D pipeline, 2006
Table 4.50: Forecast sales for Abbott’s pain portfolio, 2005–11
Table 4.51: Boehringer Ingelheim’s marketed pain portfolio, 2005
Table 4.52: Forecast sales for Boehringer Ingelheim’s pain portfolio, 2005–11
Table 4.53: Sanofi-Aventis’ marketed pain portfolio, 2005
Table 4.54: Sanofi-Aventis’ pain R&D pipeline, 2006
Table 4.55: Forecast sales for Sanofi-Aventis’ pain portfolio, 2005–11


Companies Mentioned Companies Mentioned Include: Pfizer Johnson & Johnson Novartis GlaxoSmithKline Mundipharma Int. Abbott Boehringer Ingelheim Sanofi-Aventis Drugs Mentioned Include: NW-1029 (ralfinamide) Tapentadol (CG5503/R33133) Bicifadine Transacin (NGX-4010) Neurodex (dectromorphan/quinidine) Chronogesic (sufentanil) Lacosamide M6G (morphine-6-glucuronide) Licofelone (ML3000) Lyrica (pregabalin) Prialt (ziconotide) IONSYS (fentanyl iontophoretic transdermal system) DepoDur (morphine) Prexige (lumiracoxib)


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