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Antibody Therapeutics: Product Development, Market Trends, and Strategic Issues, Revised Edition


Description: Several new developments have taken place in the Antibody Therapeutics in the last two years. These developments are primarily in the antibody market place and in clinical development areas as opposed to in the antibody discovery field as was observed in the early part of this decade. That the emphasis in the field has shifted from the discovery area towards product development is obvious by the fact that many of the companies are now involved in building product based collaborations and in some cases major antibody discovery companies have become attractive enough that some of those have been acquired by large pharma organizations.

While some of the recently introduced antibody products have already achieved blockbuster status in the marketplace, two new ones have been approved for marketing in 2006, which make a total of 20 approved antibody therapeutics available for the treatment of various diseases. It is important to emphasize that one of these two antibodies, Tysabri(R) of BiogenIdec (Cambridge, MA) and Elan Pharmaceuticals (Dublin, Ireland), was originally approved in 2004 but was withdrawn from the market in 2005 due to adverse effects in certain patient segments, and has recently been reintroduced in both US and European markets. The most recently approved antibody product is Lucentis™ of Genentech/Roche and Novartis. Lucentis™ was approved by the FDA in June 2006 and by the regulatory authorities of Switzerland.

This report provides an update on the current market environment including clinical study status, progresses made in the area of collaborations and partnerships, patent situation, and finally the market status. These developments are primarily in the antibody market place and in clinical development areas as opposed to in the antibody discovery field as was observed in the early part of this decade.

Key Points

- Sales of biotech protein therapeutics in 2005 reached $44.5 billion, while revenue from therapeutic antibodies was $13.6 billion. This constituted about 30.5% of the total recombinant protein product sales, up from only 13% in 2001.
- The antibody therapeutics market is expected to grow by about 30% annually reaching excess of $22 billion by 2007.
- Sales of therapeutic antibodies in 2005 increased by about 152%, 92% and 28% over that of 2002, 2003 and 2004, respectively. While most of the revenues were generated in 2002 from five antibodies, i.e., ReoPro(R), Rituxan(R), Remicade(R), Synagis(R) and Herceptin(R). Humira™ was added in the contributory list in 2003, with further addition of Avastin™ and Eritux™ in 2004 and 2005, respectively.
- Many new alliances involving several antibody and bio/pharmaceutical companies have been recorded, although the rate of such alliance formation involving discovery technology has slowed down somewhat over the previous periods. Several antibody companies with either antibody discovery or antibody modification platforms have undergone acquisition by big pharma.
- Companies with antibody modification technologies directed to generating higher antibody efficacy are becoming attractive partners for those focused in the development of antibodies as therapeutic products.
- The worldwide half yearly sales of Herceptin(R) during the first half of 2006 has grown to $1.45 billion, which is an increase of 105% over that in the same period in 2005. The US sales were up by 116% and the non-US sales were up by 98%. Further growth in the Herceptin(R) market is predicted and the annual peak sales is expected to be about $3 billion.
- The worldwide half yearly sales of Rituxan(R) during the first half of 2006 has grown to almost $1.9 billion, which is an increase of 16% overall over the same time period in 2005. The US sales were up 11% and the non-US sales were up by 22.6%. The annual peak sales are expected to be around $4 billion.
- Humira™, the first fully human recombinant antibody for the treatment of rheumatoid arthritis by Abbott Laboratories and CAT already became a blockbuster drug within the third year of its introduction into the market reaching sales of $1.4 billion in 2005. The worldwide half yearly sales of Humira™ during the first half of 2006 has grown to $883 million, which is an increase of 46% over that in the same period in 2005. The US sales were up by 42% and the non-US sales were up by 53%. Further growth in the Humira™ market is predicted and the annual peak sales is expected to be about $1.9 billion in 2006
- More remarkable is the market capitulation by Avastin™, the first anti-angiogenesis antibody developed by Genentech and marketed by Genentech and Roche. Avastin™'s worldwide sales grew to more than a billion dollar within the second year of its introduction in the market reaching sales of almost $1.3 billion in 2005. The drug is doing extremely well in the worldwide market thus generating $1.11 billion within the first six months of 2006. With such growth Avastin is expected to generate more than $2 billion revenue by the end of 2006.

Products Mentioned:
- Reopro
- Rituxan
- Herceptin
- Remicade
- Synagis
- Avastin
- Erbitux
- Xolair
- Raptiva
- Lucentis
- Tysabri

About the author:
Rathin C. Das, Ph.D., M.B.A. is the Chief Business Officer of the human antibody therapeutics company, Affitech AS of Oslo, Norway and President of its US subsidiary, Affitech USA, Inc. of Walnut Creek, CA. He has over 22 years of experience in the bio/pharmaceutical industry in research and development, technology and product licensing, business development and corporate management. Dr. Das is also the Editor of the biotechnology trade journal, the American Biotechnology Laboratory, and has published numerous articles and publications including the Antibody Therapeutics, Antibody Engineering and Display Technologies.


Contents: Chapter 1: Executive Summary
Key Points 2004-2006

Chapter 2: Introduction, Scope, and Objectives
Early Status and Current Products
Driving Forces
Customers
Competition
Scope and Objective

Chapter 3: Hybridoma Technology and Antibody Gene Manipulation
Introduction
Historical Roots
A Long Record of Advance
Founders of Immunology
Classical Antibody Development
Polyclonal Antibodies: Still Standing
Polyclonal Antibodies Detect a Multiplicity of Epitopes
Hybridoma Technology
Origins
Monoclonal Antibody Production
Uses of MAbs
Disadvantages of MAb Technology
Genetic Immunization
Molecular Biology Applied To Antibody Characterization
Production of Antibody Libraries
Display Technologies
Rationally Designed Antibodies
Varieties of Engineered Antibodies
Bispecific Antibodies
Designing Antibodies with Human-like Qualities
Chimeric Antibodies
Humanized Antibodies
Human Antibodies: Transgenic Mouse System
References

Chapter 4: Status of Therapeutic Antibody Products
Introduction
Difficulty in Cancer Treatment
Antibody Engineering: Light at the End of the Tunnel?
Therapeutic Anticancer Antibodies
Panorex® (edrecolomab)
Rituxan® (rituximab)
Herceptin® (traztuzumab)
Mylotarg® (gentuzumab)
Campath® (alemtuzumab)
Zevalin™ (ibritumomab)
Erbitux™ (cetuximab)
Avastin™ (bevicizumab)
Immunoconjugated Anticancer Recombinant Antibodies
Challenges in Developing Immunoconjugated Recombinant Antibodies
Exploiting Apoptosis-related Strategies
Use of Antibody Fragments in Immunoconjugate Technology
Optimizing the Effector Function of Recombinant Antibodies
Signal Regulation Strategy for Improved Recombinant Antibodies
Bifunctional Linkers and Low Molecular Weight Toxins in Recombinant Antibody Design
Alternative Approaches to Immunoconjugates
Cardiovascular Disorders
Infectious Diseases
Inflammatory Diseases
Raptiva™ (efalizumab)
Remicade® (infliximab)
Humira™ (adalimumab)
Xolair™ (omalizumab)
Transplantation
Orthoclone OKT3® (muromomab-CD3)
Simulect® (basiliximab)
Zenapax® (daclizumab)
References

Chapter 5: Clinical Studies
Approved Antibody Therapeutics
Therapeutic Antibodies in Development
Failed Antibody Therapeutics
Catastrophic Clinical Trial
Failed, Cancelled, and Disapproved Clinical Studies
Status of A Few Selected Ongoing Clinical Studies
Phase I Studies
Phase II Studies
Phase III Studies
Products Approved in 200

Chapter 6: Large Scale Manufacturing
Overview
Companies Involved
Risks of Innovation in Biomanufacturing
Bioprocessing Technologies
Production Systems
Escherichia Coli
Q-cell Technology
TAT System
Mammalian Cell Culture
Cell Lines
Bioreactor Technology
Cell Culture Media
Yeast
Insect Cells
Transgenic Plants: Plantabodies
Transgenic Animals
Robotic Peptide Synthesis
Antibody Glycosylation Issues
New Purification Tools
Monitoring Technologies
Is There a Shortage in Manufacturing Capability?
Factors Affecting Biomolecule Production
Insulin: A Case History of Recombinant Protein Production
The Future
References

Chapter 7: Business Development and Partnering
Collaboration and Partnering
Mergers and Acquisitions

Chapter 8: Patents and Intellectual Property Issues
Introduction
Intellectual Property Issues
Antibody Function Modulation Technologies
Litigation between CAT and Abbott
Antibody Humanization
Human Antibody Technology
Antibody Production
Boss Patent, New Cabilly and MedImmune lawsuit
Xoma Patents
Litigations and Co-licensing
CAT vs. Morphosys
CAT vs. Crucell
Cross-licensing between CAT and Xoma
Cross-licensing between CAT and Dyax
Cross-licensing between Xoma and Morphosys
Cross-licensing between Xoma and Dyax
Court Rulings about Importing Data
More Litigations
Xoma vs. Biosite
Applied Molecular Evolution vs. Morphosys
Corixa and GlaxoSmithKline vs. IDEC
Genentech vs. Chiron
Genentech, Novartis, and Tanox Settle Disputes involving Xolair and TNX-901
The Single-Chain Antibody Technology
Recent IP Issuance and Related Activities
Dyax’s Patent Revoked
MorphoSys Obtains Approval for HuCAL® Patent
MorphoSys Obtains Additional U.S. Patents on Antibody Technologies
Peregrine Receives US and European Patent
Genentech and Protein Design Labs Settle Patent License Dispute
A US Patent Issued on Polyclonal Antibody Libraries
Abstracts of the Selected Patents Mentioned in the Text
Patent Number: US 4,816,397
Patent Number: US 4,816,567
Patent Number: US 5,175,384
Patent Number: US 5,223,409
Patent Number: US 5,225,539
Patent Number: US 5,403,484
Patent Number: US 5,427,908
Patent Number: US 5,434,340*
Patent Number: US 5,530,101
Patent Number: US 5,565,332
Patent Number: US 5,571,698
Patent Number: US 5,580,717
Patent Number: US 5,585,089
Patent Number: US 5,569,825
Patent Number: US 5,591,669
Patent Number: US 5,693,761
Patent Number: US 5,693,762
Patent Number: US 5,723,323
Patent Number: US 5,763,192
Patent Number: US 5,814,476
Patent Number: US 5,817,483
Patent Number: US 5,824,514
Patent Number: US 5,837,500
Patent Number: US 5,849,500
Patent Number: US 5,859,205
Patent Number: US 5,885,793
Patent Number: US 5,939,598
Patent Number: US 5,969,108
Patent Number: US 5,976,862
Patent Number: US 6,054,561
Patent Number: US 6,150,584
Patent Number: US 6,162,963
Patent Number: US 6,180,370
Patent Number: US 6,204,023
Patent Number: US 6,248,516
Patent Number: US 6,335,163
Patent Number: EP 368684

Chapter 9: Market Status
Revenues from the Early Products
Reopro®
Rituxan®
Herceptin®
Remicade®
Synagis®
Revenues from the Recently Approved Products
Avastin™
Erbitux™
Xolair™
Raptiva™
New Product Approvals
Lucentis™
Tysabri®

Chapter 10: Company Profiles

Exhibit 2.1 Selection of Phage Antibodies from an Antibody Library
Exhibit 2.2 Mechanisms of Actions In Vivo of Therapeutic Antibodies
Exhibit 2.3 List of Companies Involved in the Discovery and Development of Antibody Therapeutics
Exhibit 2.4 List of Therapeutic Monoclonal Antibodies Approved for Additional Indications, September 2006
Exhibit 2.5 Primary Technology Portfolio of a Selected Group of Antibody Companies
Exhibit 3.1 Major Events in the History of Immunology Compiled from Various Sources
Exhibit 3.2 Basic Structure of an IgG Molecule
Exhibit 3.3 A Space-filling Model of an IgG Molecule
Exhibit 3.4 The GENOVAC Technology for the Production of Polyclonal (Steps ) and Monoclonal Antibodies (Steps )
Exhibit 3.5 Choices when Constructing a Binding-site Library
Exhibit 3.6 Scheme Showing the Principle of Selection and Improvement of Binding Sites
Exhibit 3.7 Schematic Diagram of Ribosomal Display
Exhibit 3.8 Comparison of Structural Features of Human Antibody, Camelid Antibody, and Nanobodies
Exhibit 3.9 Schematic Diagram Showing Structural Features of Single Chain Antibody (scFv) and Fab Fragment
Exhibit 3.10 Various Forms of Bispecific Antibodies
Exhibit 3.11 Various Types of Antibodies
Exhibit 3.12 Schematic Diagram of the Generation of Human Antibody Mouse
Exhibit 4.1 Various Mechanisms of Antibody Actions
Exhibit 4.2 Approved Monoclonal Antibodies for the Treatment of Various Cancers
Exhibit 4.3 Schematic Diagram Showing the Mechanism of ADCC
Exhibit 4.4 Schematic Diagram Showing the Structural Feature of Epidermal Growth Factor Receptor and the Binding to its Ligand (egf)
Exhibit 4.5 EGFR Expression in Various Tumors
Exhibit 4.6 Approved Antibody Therapeutic for the treatment of Cardiovascular Disorders
Exhibit 4.7 Summary of Antibody Studies in the Prevention and Treatment of Infectious Diseases
Exhibit 4.8 Approved Antibody for the Treatment of Infectious Disease
Exhibit 4.9 Approved MAbs for the Treatment of Inflammatory Diseases
Exhibit 4.10 Inflammation in the Rheumatoid Joint
Exhibit 4.11 Mode of Action of Xolair™
Exhibit 4.12 Market for Drugs to Treat Asthma in US $ Million
Exhibit 4.13 Approved MAb for the Treatment of Transplantation
Exhibit 5.1 List of Approved Therapeutic Monoclonal Antibodies for Major Markets, September 2006
Exhibit 5.2 List of Therapeutic Monoclonal Antibodies Approved for Additional Indications, September 2006
Exhibit 5.3 Therapeutic Categories of Approved MAbs
Exhibit 5.4 Types of MAbs Approved Between 1986 and 2006
Exhibit 5.5 Types of MAbs Currently in Development
Exhibit 5.6 List of Monoclonal Antibody Therapeutics in Development (assembled by alphabetized company names)
Exhibit 5.7 List of Monoclonal Antibody Therapeutics in Development (assembled by therapeutic indication in alphabetical order)
Exhibit 5.8 Therapeutic Categories of Clinical Trials
Exhibit 5.9 Therapeutic Antibodies at Various Development Stages
Exhibit 5.10 List of Late-Stage Clinical Trial Failures
Exhibit 6.1 Distribution of Cell Culture Reactor Capability by Reactor Volume, Projected for 2006
Exhibit 6.2 Selected North American Contract Manufacturer, Primarily of Biotherapeutics
Exhibit 6.3 Selected Contract Manufacturers Outside of North America
Exhibit 6.4 Selected Manufacturers Offering Excess Capacity Contracts
Exhibit 6.5 Native and Engineered Disulfide Bond formation Pathways in the E. coli Periplasm
Exhibit 6.6 A comparison of Widely Used Cell Lines for the Manufacturing of Biotherapeutics
Exhibit 6.7 Processing of Asn-linked Oligosaccharides to a Representative Biantennary Complex Glycoprotein Structure
Exhibit 7.1 Selected Companies with Antibody Discovery Platforms Which Formed Alliances in the Discovery and Development of Antibody Therapeutics
Exhibit 7.2 Selected Companies with Antibody Engineering and Expression Platforms Which Formed Alliances
Exhibit 7.3 Valuation of Collaborations
Exhibit 7.4 Selected M&As In 2005 And Early 2006
Exhibit 7.5 Detailed List of Alliances Involving a Selected Number of Antibody Drug Discovery and Development Companies
Exhibit 8.1 Issued Patents of Xencor
Exhibit 8.2 Patent Applications of Xencor
Exhibit 8.3 Additional Patent Applications Related to Enhanced Antibody Function
Exhibit 8.4 Issued Patents of Kyowa Hakko and BioWa
Exhibit 8.5 Patent Applications of Kyowa Hakko and BioWa
Exhibit 8.6 Flow-chart Showing Various Technologies Important for MAb Discovery, Modulation and Production and the Primary IP Holders of the Technologies
Exhibit 8.7 Key Antibody Phage Display patents of Cambridge Antibody Technology
Exhibit 8.8 Single-chain Antibody IP Portfolio of Micromet/Enzon
Exhibit 8.9 A Selected List of Relevant US Patents
Exhibit 9.1 Yearly Fundraising by the Biotechnology Industry
Exhibit 9.2 Status of Market Capitalization of a Selected Group of Antibody Companies
Exhibit 9.3 Major Monoclonal Antibody Sales, 200
Exhibit 9.4 Yearly Revenues Earned and Forecasted for Antibody Therapeutics
Exhibit 9.5 Annual Sale of Rituxan® in $ million, 2001 – 2005
Exhibit 9.6 Annual Sale of Herceptin® in $ million, 2000 – 2003
Exhibit 9.7 Revenues Generated by Remicade®, 2000 – 2005
Exhibit 9.8 Revenues Generated by Synagis®, 2000 – 2005
Exhibit 9.9 Quarterly Sales of Synagis® from 2001 to 2005
Exhibit 9.10 Comparative Sales of Humira™ and Avastin™, 2003 to 2005
Exhibit 9.11 Current and Projected Sales of Avastin™


Companies Mentioned - Abgenix - Alexion - Biogen Idec - Cambridge Antibody Technology - ImClone Systems - ImmunoGen - Medarex - MorphoSys - Protein Design Labs - Seattle Genetics - UCB - Xoma


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