Pharmaceutical R&D eBriefing

Pharmaceutical Digest
31st October 2006

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Both Pfizer and Johnson & Johnson have both received boosts this week in the battle to protect their patents on Lipitor and Topomax respectively. Pfizer has received a favorable opinion from the European Patent Office supporting the company's calcium salt patent covering Lipitor. Meanwhile a US district court has granted the request of J&J for a preliminary injunction against Mylan Laboratories, prohibiting the generic drug manufacturer from launching a copycat version of the drug Topomax.

Vampire bats and jellyfish may not be everyone's favorite creatures, but they could offer new treatments to diseases. Quincy Bioscience has found that a compound from a protein found in jellyfish is neuro-protective and may be effective in treating neurodegenerative diseases, including Alzheimer's. Forest Laboratories and Paion AG are developing Desmoteplase, a genetically engineered model of a protein found in vampire bat saliva, although the study into its effects on acute ischemic stroke patients has been put on hold because of safety concerns about the drug.

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Edited by
Sarah Routledge

 
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IN THIS ISSUE

 
COMMENT: Schwarz: promising results for lacosamide...
ANALYST'S VIEW: Pfizer: still biggest player in highly prized indication...
INDUSTRY NEWS: Bristol-Myers falling profits caused by generic competition...
REGULATORY DEVELOPMENTS: FDA rejects Replidyne antibiotic...
RESEARCH AND DEVELOPMENT: Curry spice may help arthritis...
ALLIANCES & LICENSING: Crucell and Aeras start TB vaccine trial...
MONTHLY RANKINGS: Generic drugs makers: Teva tops the list...
COMPANY SPOTLIGHT: Cambrex Corporation
MARKET TRENDS Transplantation: a growing but problematic market...
RESEARCH STORE: The latest reports and research
SUBSCRIPTION INFO: Subscription, refer a colleague, editorial and contact details
 
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SPONSOR'S MESSAGE

 

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LATEST COMMENT

 

Schwarz: promising results for lacosamide

Schwarz Pharma has announced positive second phase III trial results with epilepsy drug lacosamide.

The impressive top-line results for lacosamide as adjunctive treatment of epilepsy could be important news for epilepsy specialist pharmaceutical company UCB, which is negotiating a takeover of Schwarz. These results support Datamonitor's opinion that UCB should continue to develop lacosamide if its proposed acquisition of Schwarz is confirmed. Read full article
Company information: Schwarz Pharma

AstraZeneca: dropping another drug

AstraZeneca has announced it no longer plans to develop NXY-059 for acute ischemic stroke.

AstraZeneca has dropped its stroke treatment NXY-059 after the drug failed to show statistically significant reduction in stroke-related disability in a recent study. The news is yet another high-profile setback for the pharmaceutical company which has seen several drug failures recently and, with other pipeline projects looking risky, there may be more to come. Read full article
Company information: AstraZeneca

Novartis: Gleevec gains approval for five more indications

The FDA has approved Novartis' targeted drug Gleevec, for five rare diseases simultaneously.

Novartis' Gleevec has now garnered simultaneous approval for the treatment of one solid tumor and four rare blood disorders. However, given the relatively small patient population groups within these diseases, expansion into these indications is unlikely to significantly enhance Gleevec's sales. Read full article
Company information: Novartis

Altana: allergy drug faces obstacles despite approval

Altana's nasal steroid spray Omnaris has been approved in the US for allergic rhinitis.

Altana's Omnaris, an intranasal corticosteroid based on ciclesonide, has been approved in the US for the treatment of seasonal and perennial allergic rhinitis in patients 12 years of age and older. However, given the major products already on the market and the recent patent expiry of Flonase, Omnaris is likely to have a limited impact on the field of allergic rhinitis treatment. Read full article
Company information: Altana

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ANALYST'S VIEW

 

Pfizer: still biggest player in highly prized indication

The success of neuropathic pain drug Neurontin earned Pfizer its reputation as the "neuropathic pain company" and the US pharmaceutical giant faced very little competition in a relatively untapped market for ten years. Neuropathic pain is now one of the most attractive indications in the pharmaceutical industry but Pfizer still dominates the market.

With just five approved drugs on the market and millions of patients worldwide, neuropathic pain is one of the most attractive indications in the pharmaceutical industry. Estimated to be worth over $1.68 billion in 2005, the neuropathic pain market is forecast to grow to $5.5 billion by 2015, driven in the US by strong uptake of Pfizer's Lyrica (pregabalin), Eli Lilly's Cymbalta (duloxetine), and Endo's Lidoderm (lidocaine 5% patch). Indeed, the pipeline for new treatments is one of the most active in the central nervous system (CNS) arena, with more than 90 compounds in development.

On 18 September 2006, Pfizer received approval from the European Agency for the Evaluation of Medicinal Products to add central neuropathic pain to the label of its new neuropathic pain and epilepsy drug, Lyrica (pregabalin), marking yet another key milestone for one of the industry's fastest growing brands. For almost a decade Pfizer has dominated the market with its anti-epileptic drug and Lyrica's predecessor, Neurontin (gabapentin), which has been used extensively off-label for a variety of neuropathic pain syndromes, such as painful diabetic neuropathy.

Almost entirely as a result of the success of Neurontin, which at its peak generated $1.32 billion in disease-specific sales across the seven major markets, the neuropathic pain market has become one of the most sought-after indications in the pharmaceutical sector. Coupling several million patients with a strong demand for approved therapies, the growth prospects for a new drug in this market are very attractive.

Neuropathic pain occurs when the nerves malfunction and send pain signals in spite of there being no bodily damage to trigger them. Neuropathic pain frequently presents itself in the limbs of advanced diabetes and HIV sufferers (peripheral neuropathic pain), lower back pain sufferers, and is a characteristic of shingles - also known as post herpetic neuralgia.

The neuropathic pain company

With Neurontin, Pfizer fashioned itself as the "neuropathic pain company", with established relationships with prescribing physicians and patients alike. The pharmaceutical giant has also enjoyed relatively little competition from other drug companies over the past ten years. However, the success of Neurontin did not come immediately. For the first three years after launch in 1993 as an adjunctive therapy for epilepsy, sales growth was modest as many neurologists regarded the drug as a relatively 'weak anticonvulsant' that was also quite expensive. It was not until the mid-1990s that studies demonstrated an application for neuropathic pain, which, at the time, was a relatively untapped patient group.

The presentation of controlled trial data in journals and at medical conferences, in addition to the questioned promotional practices of Parke-Davis's sales representatives (for which Pfizer, which had since acquired Parke-Davis, had to pay a huge fine of $430 million in June 2004), signified the impressive rise in off-label Neurontin prescriptions for the neuropathic pain from 1997 onwards. In order to appease the FDA, Pfizer sought approval for post herpetic neuralgia in 2002.

Succeeding Neurontin

In October 2004, Alpharma and Teva launched generic gabapentin capsules despite the fact that Pfizer's motion for a preliminary injunction was still pending. In response, Greenstone Limited, a wholly owned subsidiary of Pfizer, also launched a generic version of Neurontin. This strategy, which is becoming increasingly popular among the big pharmaceutical firms, is helping to recapture some of the gabapentin market share and lessen the impact of rival generic incursion, which has been more severe in the US compared to the EU.

However, the delay in getting Lyrica onto the market was a major setback for Pfizer. There was a 13-month gap between the launch of generic gabapentin in the US and the launch of Lyrica and this saw a huge drop in revenues - global sales of Neurontin fell by 82% to $236 million in 2005 and continued to fall in 2006. Pfizer had originally intended to switch physicians straight from Neurontin onto its follow-on product before generic incursion took place.

In a sensible move to recapture share from generic gabapentin, Pfizer launched Lyrica at a competitive price point. Indeed, because of the less frequent daily dosing, long-term treatment with Lyrica may actually be cheaper than with generic gabapentin in the US. For companies looking to launch a reformulation of an older drug, this strategy is even more important amid the ever-increasing cost sensitivities in the pharmaceutical industry. As shown with Lyrica, such tactics have become commonplace in campaigns requiring rapid patient switching, particularly in instances where reformulations are poorly differentiated from their predecessors.

Blockbuster by 2007

Despite the impact of generic gabapentin, Pfizer is doing a great job of playing catch-up in the market and the uptake of Lyrica has been strong to say the least. Total brand sales are expected to pip the billion dollar mark in 2007, just two years after launch, making it one of the most successful product launches in history.

Unlike with Neurontin, Pfizer has been able to promote the use of Lyrica for neuropathic pain as soon as it launched. Given that neuropathic pain contributes the majority share of sales, it is unsurprising that the marketing emphasis is more on this indication than for its epilepsy labeling. This is exemplified by the Lyrica homepage, where the majority of text is dedicated to information relating to diabetic neuropathic pain and post herpetic neuralgia.

When assessing the potential of Lyrica in the market, the huge marketing resource of Pfizer cannot be underestimated: Pfizer has the strongest and largest CNS portfolio in the industry, worth over $6.3 billion in 2005, which, despite some key patent expiries, is set to grow over the next 10 years, driven by success in the neuropathic pain and insomnia markets.

The legacy of Pfizer in neuropathic pain has also laid the groundwork for other companies looking to enter the market. Pharmaceutical groups are now more confident to make neuropathic pain the primary indication for their drug candidates and this is reflected in the busy R&D pipeline in 2006. Additionally, the work Pfizer has done with regulatory bodies and clinical trial design has provided a clear route as to how to gain approval for neuropathic pain drugs. Moreover, through the marketing of its products and supporting clinical education seminars, Pfizer has helped to improve physician education and, to some extent, public awareness.


Related research: Commercial Insight: Neuropathic Pain - A Plethora of Patient Segmentation and Product Differentiation Opportunities priced $15,200

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INDUSTRY NEWS

 

Bristol-Myers falling profits caused by generic competition
Bristol-Myers Squibb has said that its third quarter earnings have fallen as key drugs in its pipeline are facing increasingly strong generic competition. Read full article
Company information: Bristol-Myers Squibb Company

US court protects Pfizer's Lipitor patent
A US federal appeals court has denied a petition by Indian drug company Ranbaxy for a rehearing of a previous decision to uphold a patent protecting Pfizer's cholesterol drug Lipitor. Read full article
Company information: Pfizer Inc

Qiagen acquires Genaco Biomedical Products
Qiagen has acquired all outstanding shares of Genaco Biomedical Products, an early-stage company applying multiplexing technology, Tem-PCR, to develop Templex molecular diagnostic tests.
Read full article
Company information: Qiagen

J&J granted generic injunction against Mylan
A US district court has granted the request of Johnson & Johnson, for a preliminary injunction against Mylan Laboratories, prohibiting the generic drug manufacturer from launching a copycat version of the drug Topomax. Read full article
Company information: Johnson & Johnson
Mylan Laboratories Incorporated

 

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REGULATORY DEVELOPMENTS

 

FDA rejects Replidyne antibiotic
The US Food and Drug Administration has said that it will not approve Replidyne and Forest Laboratories' antibiotic faropenem medoxomil unless further studies are carried out on the drug.
Read full article
Company information: Forest Laboratories

FDA extends review period for Genasense
The FDA has notified Genta that it has extended the review period for the currently pending new drug application for Genasense injection plus chemotherapy for patients with relapsed or refractory chronic lymphocytic leukemia. Read full article
Company information: Genta Incorporated

GSK wins approval for extended release heart drug
GlaxoSmithKline and Flamel Technologies have won approval for its Coreg CR extended release tablets for the treatment of cardiovascular conditions such as hypertension and heart failure. Read full article
Company information: GlaxoSmithKline

Health Canada grants priority review for Lucentis
Health Canada has granted a priority review for Lucentis in wet age-related macular degeneration, the eye health unit of Novartis has reported. Read full article
Company information: Novartis

 

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RESEARCH & DEVELOPMENT

 

Curry spice may help arthritis
Turmeric, a spice often used in curries, may have an anti-inflammatory mechanism similar to anti-arthritic pharmaceuticals currently under development. Read full article

Jellyfish protein could treat Alzheimer's
Wisconsin biotech company Quincy Bioscience has found that a compound from a protein found in jellyfish is neuro-protective and may be effective in treating neurodegenerative diseases. Read full article

AstraZeneca stroke drug fails study
AstraZeneca's phase III study of NXY-059 in stroke patients has failed and the company has dropped the product from its pipeline. Read full article
Company information: AstraZeneca

Vampire bat stroke trial halted over safety concerns
Desmoteplase, a genetically engineered model of a protein found in vampire bat saliva, has been put on hold by its developers Forest Laboratories and Paion AG because of safety concerns about the drug. Read full article
Company information: Forest Laboratories

 

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ALLIANCES & LICENSING

 

Crucell and Aeras start TB vaccine trial
Dutch biotechnology company Crucell has started the phase I clinical trial of the AdVac-based tuberculosis vaccine it is developing in partnership with The Aeras Global TB Vaccine Foundation.
Read full article
Company information: Crucell

Sapphire licenses cancer drug for Asian market
Private biopharmaceutical company Sapphire Therapeutics has licensed a novel drug candidate for treating cancer patients with the wasting disease cachexia and anorexia to Ono Pharmaceutical.
Read full article

Millennium, Ortho Biotech enter US co-promotion for Velcade
Millennium and Ortho Biotech have said they intend to jointly promote cancer drug Velcade in the US as part of a co-promotion agreement. Read full article
Company information: Millennium Pharmaceuticals

ViroPharma and Wyeth commence phase II hepatitis study
ViroPharma and Wyeth have commenced patient dosing in a phase II study of HCV-796, an inhibitor for the treatment of hepatitis C. Read full article
Company information: Wyeth

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SPONSOR'S MESSAGE

 

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MONTHLY RANKINGS

 
Generic drugs makers: Teva tops the list

The global generics market is dominated by Israeli-based Teva and Novartis' Sandoz division, which generated $5.3 billion and $4.7 billion, respectively, in sales in 2005. Both Teva and Sandoz are truly global companies, with sales being derived from North America, Europe and, increasingly, emerging markets in Asia.

Recent large acquisitions made by both companies - Teva's acquisition of Ivax and Sandoz's Eon and Hexal buys - have also helped diversify the companies' geographic reach while solidifying their positions as market leaders.

However, the generics market is rapidly evolving, with traditionally local or regional players becoming ever more important. Watson is expected to cement its position in the US market with the pending acquisition of Andrx, while Barr could expand its geographic scope to Europe through the possible acquisition of Pliva. Significantly, Indian manufacturers are also becoming more influential in the global generics market, with companies such as Ranbaxy mounting aggressive patent challenges and many players, including Dr Reddy's, Wockhardt and Ranbaxy, participating in the wave of consolidation by buying European companies.

Indeed, the wave of consolidation that has swept through the generics market recent is unlikely to end anytime soon.

The table below ranks the top 5 generics firms by sales value in 2005.

Top 5 Generics Firms by Sales Value, 2005

Ranking

Teva

1

Novartis

2

Merck KGaA

3

Ratiopharm.

4

Watson

5


Source: Datamonitor, company reported sales


Related Research: Global Generics Guide: Part 2 - Benchmarking country markets and strategic issues
 

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COMPANY SPOTLIGHT

 

Cambrex Corporation

Cambrex is to sell its biopharma and bioproducts businesses for $460 million to Swiss chemicals group Lonza. Upon completion of the transaction of its biotech businesses, Cambrex said that it will concentrate on deploying its resources to maximize the potential of its human health business through reducing overheads by approximately $8 million per year.

This will be an attempt to offset the reduction in size and complexity of the Cambrex business. The company also recently announced the sale of its subsidiaries based in Ireland and Belgium.

Assuming financing can be arranged on favorable terms, Cambrex expects the special dividend to be approximately $13.50 to $14.50 per share.

The agreement is a positive step for Lonza and could help the company sell more advanced drug products to pharmaceutical companies. Combined 2005 sales from the biotech businesses accounted for 42% of the Cambrex's total sales of $452 million.

Under the terms of the agreement with Lonza, Cambrex may consider superior acquisition proposals, subject to a customary break-up fee.

Key Facts

Cambrex Corporation
1 Meadowlands Plaza
East Rutherford
NJ 07073
United States

Tel: 1 201 804 3000
Fax: 1 201 804 9852

www.cambrex.com

New York Ticker: CBM
No. Employees: 1,938
Turnover: (US$ Mn)439
Financial Year End: December

 

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MARKET TRENDS

 

Transplantation: a growing but problematic market
In 2005, the transplantation market across the seven major markets was worth $3.3 billion, and this is predicted to rise to $4.7 billion in 2015. Read full article

Colorectal cancer: Amgen's pipeline drug set to overtake Erbitux
Colorectal cancer remains one of the most common tumor types and over 450,000 patients are expected to be diagnosed in the seven major markets in 2006. Read full article

Big Pharma: turning to reformulation
Product lifecycle management (LCM) is an integral part of portfolio continuation and preservation, and reformulation is a widely employed LCM technique.
Read full article

Schizophrenia: generics influx set to damage revenues
The global schizophrenia market, which currently stands at $3.6 billion, will continue to grow until 2010, when revenues are forecast to reach $3.8 billion.
Read full article

 

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RESEARCH STORE

 

Boehringer Ingelheim: PharmaVitae Profile
26 Oct 2006
Analysis of Boehringer Ingelheim's corporate strategy, marketed portfolio, pipeline potential and financial position in 2005 and to 2011.

Pipeline Insight: Epilepsy - Pipeline drugs struggle to outshine their marketed predecessors
25 Oct 2006
Analysis of drugs in late-stage clinical development for use in epilepsy, including important clinical trial results, patient potential, market potential, and forecasts; supported by key opinion leader comments.

The Cancer Market Outlook to 2011
24 Oct 2006
This report provides detailed analysis on 9 indications in the cancer market, identifying growth brands, key drug classes and leading companies.

Pipeline/Commercial Insight: Colorectal Cancer - Shaping the future dynamics of colorectal cancer management
13 Oct 2006
Overview of colorectal cancer including epidemiology forecasts and unmet needs in the disease, with a
clinical and commercial evaluation of key marketed and late-phase pipeline drugs for colorectal cancer.

Pipeline/Commercial Insight: Molecular Targeted Cancer Therapies - More drugs on the market, more targets in the pipeline
10 Oct 2006
Review of the current targeted therapies market, including profiles, product-specific assumptions and events over the forecasted period.

Stakeholder Insight: Atrial Fibrillation - Limited efficacy and poor safety lead to bleak outlook
9 Oct 2006
Review of the available epidemiology data to assess the patient population of atrial fibrillation and to segment the patient population by type, including an outline of the existing therapy options and current prescribing trends.

Stakeholder Insight: Supportive Care in Cancer Treatment - Some first-generation products proving difficult to dislodge
9 Oct 2006
Treatment trends in the use of supportive care pharmacotherapy, including its association with major tumor types and therapy regimens.

Hip and Knee Replacement Market: Overview of the US and European markets - growth in a mature market
5 Oct 2006
Analysis of the size, value and growth prospects of the US and European hip and knee replacement markets, with a summary of key developments in the field of hip and knee replacement procedures.

The Specialty Pharma Market Outlook: Key players, new company growth models and emerging opportunities
5 Oct 2006
This report evaluates current specialty pharma models, financial performance, core strategies and the future outlook of specialty pharma companies.

Mergers, acquisitions and licensing to continue drive industry growth
3 Oct 2006
Large scale "mega-mergers" have shaped the competitive landscape of the leading pharmaceutical players, but analysis suggests that they may not have delivered the expected returns.

Pipeline Insight: Bipolar Disorder - New treatments for bipolar depression set to drive near-term growth
5 Sept 2006
Stimulated by sales of atypical antipsychotics for bipolar depression, and despite the launch of generic risperidone, the global bipolar disorder market will grow until 2011, when revenues will peak at $6.6 billion.


Company Intelligence Reports of featured companies:

Company intelligence: Apotex, Inc
Company intelligence: AstraZeneca plc
Company intelligence: Bristol-Myers Squibb Company
Company intelligence: Genentech, Inc
Company intelligence: Gilead Sciences, Inc
Company intelligence: GlaxoSmithKline
Company intelligence: Merck & Co, Inc
Company intelligence: Millennium Pharmaceuticals
Company intelligence: Novartis AG
Company intelligence: Pfizer Inc
Company intelligence: Roche Holding AG
Company intelligence: Schering-Plough Corporation


For further information on these, or other pharmaceutical industry reports, please feel free to contact our sales team.
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