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Cancer Drug Discoveries: What the Future Holds: Non-Small Cell Lung Cancer Chapter
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Description: |
Non-small cell lung cancer (NSCLC) is one of the leading causes of death, resulting in the worst survival rates for all cancers and killing more patients than breast, colon and prostate cancer together, accounting for nearly 30% of all cancer deaths. According to the WHO, NSCLC affects more than 1.2 million patients a year, with around 1.1 million deaths annually and around 500,000 in the US, Europe and Japan.
The NSCLC market was estimated to be worth US$3.7 billion in 2006 with a growth rate of 14% YoY. According to PhRMA it is one of the most actively researched cancers with nearly 100 drugs in the US being evaluated in clinical trials during 2006.
As researchers begin to understand the processes involved in NSCLC formation several new targeted therapies have evolved which modulate growth factor pathways. Two small-molecular tyrosine kinase inhibitors, Iressa (AstraZeneca) and Tarceva (Roche/Genentech/OSI Pharmaceuticals), and the anti-angiogenic vascular endothelial growth factor inhibitor, Avastin (Roche/Genentech/Chugai), are gaining credence in third-line therapy and are beginning to migrate to second-line therapy.
By 2012, we anticipate at least four new chemotherapeutic agents will be launched including sanofi-aventis’ Eloxatin, Hana Biosciences’ Talvesta, Cell Therapeutics/Novartis’ Xyotax and AstraZeneca/Abraxis BioScience's Abraxane. These may have been approved to be used in combination with existing treatment protocols and in some cases may replace older products.
Key questions answered include: The addressable NSCLC market will increase by 17% by 2012 – what are the factors driving this? By 2012, products yet to be launched will account for over 50% of global NSCLC drug sales. What are they, who’s developing them and when are they expected to launch? What are the prospects for CancerVax, Biomira, Alfacell, Transgene and others in the hotly contested NSCLC vaccine market? How will the newer cytotoxics such as Eloxatin (sanofi-aventis) and satraplatin (GPC Biotech/ Pharmion/Spectrum Pharmaceuticals) fare against currently available therapies? CURRENT PRODUCTS EVALUATED AND FORECAST CHEMOTHERAPY Taxotere (sanofi-aventis) Taxol (BMS) Navelbine (GSK) Gemzar (Eli Lilly) Alimta (Eli Lilly)
TARGETED THERAPIES Iressa (AstraZeneca) Tarceva (Roche/Genentech) Avastin (Roche/Genentech/Chugai)
UP AND COMING PRODUCTS EVALUATED PHASE III Recentin (AstraZeneca) Eloxatin (sanofi-aventis) Erbitux (BMS/Merck Serono/ImClone Systems) PF-3,512,676 (Pfizer/Coley Pharmaceutical) Stimuvax (Merck Serono/ Biomira) Talabostat (Point Therapeutics) Xyotax (Novartis/Chugai/Cell Therapeutics) Zactima (AstraZeneca)
PHASE II Abraxane (AstraZeneca/ Abraxis BioScience) EP-2101 (IDM Pharma) Matuzumab (Merck Serono/ Takeda) Onconase (Alfacell) Satraplatin (GPC Biotech/Pharmion/Spectrum Pharmaceuticals) Talvesta (Hana Biosciences) TG4010 (Transgene) ¨ Velcade (J&J/Millennium Pharmaceuticals). |
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Contents: |
NON-SMALL CELL LUNG CANCER EXECUTIVE SUMMARY
THE FACTS What is NSCLC and how does it affect patients? Figure 41: Schematic of the Lung Stages of the disease Table 41: Stages of NSCLC and Survival Rates PATIENT STATISTICS Incidence, diagnosis rates and treatment; now and in the future Figure 42: Estimates New Cancer Deaths (2006E)* Table 42: European prevalence of NSCLC Table 43: Japanese prevalence of NSCLC PATIENT MODEL The addressable NSCLC market will increase by 15% by 2012 Table 44: Summary of Global NSCLC Patient Population Forecasts In Top 7 Countries (2005A-2012E) Figure 43: Tobacco Use in the US 1900-2002 DRUG GROWTH DRIVERS DRUG GROWTH RISKS/DAMPENERS
GLOBAL CANCER MARKET Figure 46: Global Cancer Drug Sales (including Supportive Care) in 2006 (US$472 billion) Figure 47: Global Cancer Sales 2004A-2012E
THE NSCLC MARKET GLOBAL NSCLC SALES SPLIT Figure 48: Global NSCLC Market By Region (2006) Figure 49: Global NSCLC Market By Therapy Class (2006) Figure 410: Global NSCLC Market by Region (2012E) Figure 411: Global NSCLC Market by Therapy Class (2012E) US market Figure 412: NSCLC US Drugs Sales Split (2006) European market Figure 413: NSCLC European Drugs Sales Split (2006) Japanese market Figure 414: NSCLC Japanese Drugs Sales Split (2006) THE PLAYERS Figure 415: Market Share of NSCLC Players By Sales (2006) Players and Products in 2006 Players and products in 2012 CURRENT TREATMENTS SURGERY RADIATION CHEMOTHERAPY Table 45: Standard NSCLC therapy Table 46: Platinum-Based Regimens Table 47: FDA-Approved Regimens for Advanced NSCLC Table 48: Doublet Regimens Leading Brands Current Products’ Patent Exposure Table 49: Patent Exposure of Leading Brands ANALYSIS OF LEADING BRANDS Chemotherapies Taxotere (sanofi-aventis) Novelty/rationale for mechanism of action Proof of concept/clinical data Figure 417: Summary of pivotal clinical trial data with Taxotere Figure 418: TAX317 Survival Kaplan-Meier Curves – Taxotere 75mg/m2 vs Best Supportive Care Figure 419: TAX320 Survival Kaplan-Meier Curves – Taxotere 75mg/m2 vs Vinorelbine or Ifosfamide Control Figure 420: Taxotere-treated patients as % of patient potential (Top 7) Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Taxol (Bristol-Myers Squibb) Novelty/rationale for mechanism of action Proof of concept/clinical data Figure 420: Efficacy Parameters in Phase III Trials Management/clinical expertise Figure 421: BMS Developmental Product Pipeline Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Navelbine (GlaxoSmithKline) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Gemzar (Eli Lilly) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Alimta (Eli Lilly) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Novel Targeted Therapies Targeting EGFR Figure 424: EGFR Signal Transduction in Tumour Cells Table 410: EGFR Expression In Solid Tumours Targeting VEGF Figure 425: Angiogenesis is the Formation of New Blood Vessels Figure 426: Agents Targeting the VEGF Pathway Current Products Patent Exposure Table 411: Patent Exposure of Leading Brands ANALYSIS OF LEADING BRANDS Novel targeted therapies Iressa (AstraZeneca) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Table 412: Clinical Development of Iressa Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Tarceva (Roche/Genentech/OSI Pharmaceuticals) Novelty/rationale for mechanism of action Proof of concept/clinical data Figure 427: Tarceva Lung Cancer Development Programme Figure 428: Key Combination Targeted Therapy Programmes Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Table 413: Tarceva Filings and Indications Sales forecasts and assumptions Competitor Ratio Analysis Avastin (Roche/Genentech/Chugai) Novelty/rationale for mechanism of action Proof of concept/clinical data Figure 429: Avastin Lung Cancer Development Programme Figure 430: Key Combination Targeted Therapy Programmes Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Table 414: Proposed Filing of New Indication for Avastin Sales forecasts and assumptions Competitor Ratio Analysis Sales Forecast of Current NSCLC Drugs Table 415: Global NSCLC Sales of New Products 2005A-2012E (US$ millions)
RESEARCH & DEVELOPMENT OF NSCLC DRUGS Figure 431: 2006 Survey: Medicines in Development for Cancer Table 415: Products in Clinical Development for the Treatment of NSCLC ANALYSIS OF PHASE III DRUGS Table 416: New Drugs in Phase III Development to Treat NSCLC Recentin (AstraZeneca) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Eloxatin (sanofi-aventis) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Erbitux (Bristol-Myers Squibb/Merck Serono/ImClone Systems) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Table 417: Clnical developmental programme for Erbitux Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis PF-3,512,676 (Pfizer/Coley Pharmaceutical) Novelty/rationale for mechanism of action Figure 432: PF-3,512,676 Mechanism of Action Through TLR Modulation Proof of concept/clinical data Figure 433: Survival benefit of TLR-9 monotherapy in NSCLC Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Stimuvax (Merck Serono/Biomira) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Talabostat (Point Therapeutics) Novelty/rationale for mechanism of action Figure 434: Schematic of Talabostat’s mechanism of action Proof of concept/clinical data Figure 435: Point Therapeutics Pipeline December 2006 Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Xyotax (Novartis/Chugai/Cell Therapeutics) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Zactima (AstraZeneca) Novelty/rationale for mechanism of action Figure 436: Zactima’s Triple Mechanism of Action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Figure 437: Schematic of Zactima’s Pivotal Trial Programme 2006-2008 Sales forecasts and assumptions Competitor Ratio Analysis Another Phase III drug of interest Telcyta (Telik) GLOBAL SALES FORECASTS OF PHASE III NSCLC DRUGS 2006E – 2012E Table 418: Sales Forecasts of Phase III Developmental NSCLC Drugs (US$ million) Model assumptions ANALYSIS OF PHASE II DRUGS Table 419: New Drugs in Phase II Development to Treat NSCLC Abraxane (AstraZeneca/Abraxis BioScience) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis EP-2101 (IDM Pharma) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Matuzumab (Merck Serono/Takeda) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Onconase (Alfacell) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Satraplatin (GPC Biotech/Pharmion/Spectrum Pharmaceuticals) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Talvesta (Hana Biosciences) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Figure 438: Talvesta’s Developmental Status Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions numbers are the same as last time Competitor Ratio Analysis TG 4010 (Transgene) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Figure 439: Transgene Product Pipeline Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Figure 440: TG 4010 Development Timeline Sales forecasts and assumptions Competitor Ratio Analysis Velcade (Johnson & Johnson/Millennium Pharmaceuticals) Novelty/rationale for mechanism of action Proof of concept/clinical data Management/clinical expertise Competition within the marketplace/gaining share of voice Risks associated with developing a drug within a therapeutic class Filings and approval Sales forecasts and assumptions Competitor Ratio Analysis Other Interesting Phase II Drugs Asentar (sanofi-aventis/Novacea) Phase I/II Axitinib (Pfizer) HGS-ETR2 (Human Genome Sciences Inc/Cambridge Antibody Technology) Phase I/II Ispinesib (Cytokinetics/GlaxoSmithKline) KRX-0401 (Keryx Oncology/AEterna Zentaris) Phase I/II LEP-ETU (NeoPharm) MAGE-A3 vaccine (GlaxoSmithKline) Nexavar (Bayer Schering Pharma/Onyx Pharmaceuticals) Phase I/II Omnitarg (Roche/Genentech/Chugai Pharmaceutical) Triapine (Vion Pharmaceuticals) Phase I/II Targretin (Ligand Pharmaceuticals) Torisel (Wyeth) GLOBAL SALES FORECASTS OF PHASE II NSCLC DRUGS 2006A – 2012E Table 420: Sales Forecasts of Phase II Developmental NSCLC Drugs (US$ millions) Model assumptions Sales Forecast of New NSCLC Drugs Table 421: Global NSCLC Sales of New Products 2006A-2012E (US$ millions) COMPETITOR RATIO ANALYSIS - PRODUCTS Table 422: Rating Score for Clinical Rating Figure 441: CR Analysis of NSCLC Agents Approved by 2012 – Based on Drug Class COMPETITOR RATIO ANALYSIS - COMPANIES Figure 442: CR Analysis of NSCLC Agents Approved by 2012 – Based on Company WINNERS & LOSERS Table 423: Summary of Key Companies and Drugs in the NSCLC Market by 2012 Winners (alphabetical) Losers DISCONTINUATION OF NSCLC DRUGS Table 424: NSCLC Drugs Discontinued During Development Appendix 1 Patient Model Table 425: Summary of US NSCLC Patient Population Forecasts Appendix 2 Patient Model Table 426: Summary of Europe (Top 5) NSCLC Patient Population Forecasts Appendix 3 Patient Model Table 427: Summary of Japan NSCLC Patient Population Forecasts Appendix 41 Table 428: Global NSCLC Drugs Sales 2005A-20012E APPENDIX 5 Phase transition probability Table 429: Probability of Launch Appendix 6 Competitor Ratio Analysis Criteria Table 430: Key NSCLC Drugs on the Market by 2012 BIBLIOGRAPHY GLOSSARY Acronyms Table of Contents |
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Summary: |
Lung cancer affects more than 1.2 million patients a year, with around 1.1 million deaths annually and 500,000 in the US, Europe and Japan. Find out more about market developments in this chapter of Cancer Drug Discoveries. |
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