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Drugs of Tomorrow 2001: Diabetes
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Description: |
The key unmet need in the diabetes market is centred around drug delivery formulations. Insulin, not only the gold standard treatment for type I diabetes, but also an increasingly recommended treatment for type II diabetes, must be administered by injection. Injection drug delivery is painful for and unpopular with patients, and results in poor compliance. The current insulins on the market face increasing threat of competition from products in the R&D pipeline which address this unmet needs. Indeed, the imminent arrival of the inhalation and oral insulins, which, for the first time, offer patients requiring insulin therapy a means of administering the drug by a formulation other than injection could change the face of insulin therapy and of the diabetes market as a whole. However, by no means do pipeline drugs address all the unmet needs in the current diabetes market: analysis of the pipeline highlights the gaps that remain and the potential available to the drug developer. Drugs of Tomorrow 2001: Diabetes provides an in-depth, critical evaluation of the key R&D compounds currently in development for the treatment of type I and II diabetes. In particular, the report evaluates the commercial prospects for the launch of innovative new products against the level of existing unmet needs in the diabetes market. |
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Contents: |
EXECUTIVE SUMMARY
Scope
Datamonitor insight into the diabetes market
Key metrics
TABLE OF CONTENTS
PATIENT POTENTIAL
Definition of disease
Future trends in the incidence and prevalence of diabetes
Diagnosis, treatment and compliance rates
Diagnosis
Treatment
Compliance rates
Unmet needs in diabetes
Drug delivery
Efficacy
Side effects
Compliance
Awareness and education
Glucose monitoring
R&D APPROACH
Classification of pipeline products
Insulins
Sulphonylureas
Biguanides
Glitazones
Alpha glucosidase inhibitors (AGI)
Prandial glucose regulators (PGR)
Summary
Definition of current ‘gold standard’ / comparator therapies
Clinical trials endpoints in diabetes
Control of average blood glucose levels (HbA1c)
Control of fasting and postprandial glucose levels
Reduction in incidents of iatrogenic hypoglycemia
Reduction in development of diabetic complications
Reduction in diabetic-associated mortality
Prevention of weight gain
Critique of clinical trial design in diabetes
DIABETES PIPELINE OVERVIEW
Pipeline overview
Key drug delivery strategies in diabetes
Key licensing strategies and licensing opportunities in diabetes
Pipeline analysis by class
Pipeline analysis by individual company
LATE STAGE DRUG ANALYSIS
Comparison of key compounds in diabetes
Drug delivery formulation and its effect on compliance
Efficacy and its effect on compliance
Side effects and their effects on compliance
Marketing strength
Insulin drug profiles
Overview table for insulin
NovoMix 30 (injectable insulin)
Insulin Detemir (NN 304) (injectable insulin)
Exubera/HMR 4006 (inhaled insulin)
AeroDose (inhaled insulin)
AERx (inhaled insulin)
AI401 (oral insulin)
M2 (oral insulin)
Macrulin (oral insulin)
Oralin (oral insulin)
Comparative analysis of the insulin class
Drug delivery formulation
Efficacy
Side effects
Overall performance
Comparative analysis of inhalation insulins
Drug delivery formulation
Efficacy and side effects
Marketing strength
Comparative analysis of oral insulins
Drug delivery formulation
Efficacy and side effects
Marketing strength
Biguanides drug profiles
Overview table for biguanides
Metformin GR
Metformin XT/ADX 155
Metformin/miglitol combination therapy
Comparative analysis of biguanides
Drug delivery formulation
Efficacy
Side effects
Marketing strength
Overall performance
Glitazones, AGI and PGR
Overview of glitazone, AGI and PRG drug classes
MCC–555 (glitzone)
BAY o 1248/MKC 542/emiglitate (AGI)
KAD–1229/mitiglinide (PRG)
Hormonal (non-insulin) drug profiles
Overview of hormonal (non-insulin) drugs
Ergoset – development on hold
Symlin (pramlintide acetate - amylin hormone analog)
SomatoKine (novel insulin-like growth factor)
Leptin (hormone)
RF 1051 (DHEA Phosphocholine)
Betatropin (recombinant GLP-1)
Exendin-4/AC2993 (GLP-1 like peptide)
Comparative analysis of hormonal (non-insulin) drugs
Drug delivery formulation
Efficacy
Side effects
Marketing strength
Overall performance
Insulin sensitizers
Overview of insulin sensitizers
NN 622/DRF 2725
JTT–501 (PNU-716-MET-0096/PNU-182716)
INS 1/D-chiroinositol carbohydrate derivative
CLX–0901
Comparative analysis of insulin sensitizer class
Drug delivery formulation
Efficacy
Side effects
Marketing strength
Overall performance
Enzyme inhibitors
Overview of enzyme inhibitors
Xenical/oristat (lipase inhibitor)
NVP–DPP 728/LAF 237 (dipeptidyl peptidase inhibitor)
P32/98 (dipeptidyl petidase inhibitor)
Comparative analysis of enzyme inhibitors
Drug delivery formulation
Efficacy
Side effects
Marketing strength
Overall performance
Others
Overview of others
BAY 27-9955 (glucagon receptor antagonist)
DiaPep277 (immune system)
Recently discontinued development projects
GI262570
INNOVATIVE EARLY STAGE PROJECTS
Key phase I and preclinical compounds in diabetes
Beta-3 adrenoceptors
Growth hormone releasing hormone (GHRH) analogues
Glycogen phosphorylase inhibitors (GPI)
Cell technology
Retinoid X receptor modulators
Others
THE FUTURE DECODED
Methodology
Predicting initial market share
Forecasting future growth
Influencing factors
Market drivers in diabetes
Prospective drug launches in diabetes
Launch forecast methodology
Forecast launches in diabetes from 2001 to 2008
Key R&D product forecasts
Xenical
Mitiglinide (KAD–1229)
Symlin
Metformin XT/GR
NovoMix 30
Betatropin
Exubera
Insulin Detemir
AERx
Oralin
Somatokine
M2 and Macrulin
LAF 237
APPENDIX
Datamonitor's Immune Disorders and Inflammation (IDI) Business Unit
Contributing experts
Table of tables
Table of figures
Bibliography
R&D research methodology
Introduction
Hypothesis formulation
Hypothesis testing
Data verification and quality control
Quantification of data reliability
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