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Devices and Drugs of Tomorrow 2002: Prevention and Treatment of Coronary Restenosis
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Description: |
‘Devices and Drugs of Tomorrow 2002: Prevention and Treatment of Coronary Restenosis’ provides an in-depth, critical evaluation of the key device and drug-based products currently in phase I development and beyond for restenosis. The scope of this report covers the following: * drug-eluting and drug-coated stents * ultrasound therapy * drug therapy * gene therapy * antisense therapy. Analysis in this report is based on material available up to the end of March 2002, including information from the Xxii Annual Congress of the European Society of Cardiology, September 2001, American Heart Association Scientific Sessions, November 2001, and the American College of Cardiology 51st Annual Scientific Session, March 2002. Analysis is supplemented by primary research conducted with opinion leaders in the field of interventional cardiology and medical equipment industry executives. |
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Contents: |
EXECUTIVE SUMMARY
Scope
Datamonitor insight into the restenosis market
Key metrics
TABLE OF CONTENTS
PATIENT POTENTIAL
Definition of disease
The development of restenosis
Future trends in the prevalence of PCI and stenting
Number of PCI procedures
PCI involving stenting in the seven major markets
PCI patients with diabetes
Additional epidemiology data
R&D APPROACH
Definition of current ‘gold standard’ therapies
Unmet needs in restenosis
More effective prevention and treatment options for restenosis
Increased availability of more cost-effective care
More complete understanding of the pathology of restenosis
Improved diagnosis of restenosis
Clinical endpoints in restenosis trials
Measurement of restenosis rate
Event free survival
Clinical trial design specifics
RESTENOSIS PIPELINE OVERVIEW
Overview of the restenosis R&D pipeline
Restenosis pipeline analysis by type of therapy
Breakdown by type of therapy
Breakdown by phase of development
Breakdown by region of develoment
Pipeline analysis by company type
Pipeline analysis by licensing strategy
Overview of licensing strategies
Key marketing opportunities
DEVICE-BASED PIPELINE
Classification of devices pipeline
Drug-eluting and drug-coated stents
Overview of developmental drug-eluting and drug-coated stents
Cordis: sirolimus-eluting stent
Potential strategic alliances for Cordis
Will drug-eluting stents prove too costly?
Cook Incorporated: paclitaxel-eluting stent
Strategic alliances to maximize potential revenue
Boston Scientific: paclitaxel-eluting stent
SCORE trial terminated
Increasing presence within the medical device market
Other promising phase I drug-eluting stent programs
Ultrasound therapy
Overview of developmental ultrasound therapy
Pharmasonics: intravascular sonotherapy treatment
Recently discontinued developmental devices
Guidant: Actinomycin-D-eluting stent
Biocompatibles: Batimastat-coated stent
Quanam Medical: paclitaxel-eluting stent
DRUG-BASED PIPELINE
Classification of drug therapy pipeline
Drug therapy
Overview of developmental drug therapies
AtheroGenics: AGI-1067
Other promising developmental drug therapies
Gene therapy
Overview of developmental gene therapies
Valentis: VEGF-165
Cardion Pharmaceuticals: NOStentin
Antisense therapy
Overview of developmental antisense compounds
AVI BioPharma: Resten-NG
Recently discontinued developmental compounds
Drug therapy
Antisense compounds
COMPARATIVE ANALYSIS
Introduction
Comparative analysis of devices versus drugs
Clinical development through to approval
The Role of CE-Marking
Medical Device Vigilance (MDV)
Comparative analysis of the most promising devices and drugs
Efficacy
Cost
Overview of likely market entry
Prevention and/or treatment of restenosis
Marketing strength
Overall performance
Conclusion
THE FUTURE DECODED
Forecasting methodology
Calculating patient populations for different types of stents
Calculating conventional stent market sizes
Calculating individual drug-eluting stent brand share and sales
Forecasts based on 1.5 stents per patient
Coronary stent market forecasts
Individual drug-eluting stent brand forecasts
APPENDIX
Datamonitor's Cardiovascular Business Unit
Table of tables
Table of figures
Bibliography
Clinical trial data
Key conferences and associations
Epidemiology methodology
Number of PCI and stenting procedures
Forecast methodology for prevalence of PCI and stenting
References
R&D research methodology
Introduction
Hypothesis formulation
Hypothesis testing
Data verification and quality control
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