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Devices and Drugs of Tomorrow 2002: Prevention and Treatment of Coronary Restenosis


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.


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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