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New PublicationsCOLORECTAL CANCER THERAPEUTICS MCP-1689
A GLOBAL STRATEGIC BUSINESS REPORT
CONTENTS
I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS
Study Reliability And Reporting Limitations I-1
Disclaimers I-2
Data Interpretation & Reporting Level I-2
Quantitative Techniques & Analytics I-2
Product Definitions And Scope Of Study I-3
Cytotoxic Therapies I-3
Targeted Therapies I-3
II. EXECUTIVE SUMMARY
1. Industry Overview II-1
A Curtain Raiser II-1
Table 1: New Cases of Colorectal Cancer Diagnosed in the US
for 2003-2006 (includes corresponding Graph/Chart) II-1
Table 2: Mortality Due to Colorectal Cancer in North America
(2000-2003)-Breakdown by Region-United States, Canada and
Mexico (includes corresponding Graph/Chart) II-2
Table 3: Mortality Due to Colorectal Cancer in Latin America
(2000-2003)-Breakdown by Region-Brazil, Argentina, Venezuela,
Peru, and Chile (includes corresponding Graph/Chart) II-2
Table 4: Mortality Due to Colorectal Cancer in Asia-Pacific
(2000-2003)-Breakdown by Region-China, Japan, India,
Indonesia, Philippines, Australia, Thailand, South Korea,
Malaysia, Hong Kong, New Zealand, Singapore and Taiwan
(includes corresponding Graph/Chart) II-3
Table 5: Mortality Due to Colorectal Cancer in Western Europe
(2000-2003)-Breakdown by Region-Belgium, Austria, Denmark
and Finland (includes corresponding Graph/Chart) II-3
Table 6: Staged Incidence of Cancer in the US by
Race/Ethnicity: (1992-2000) (includes corresponding
Graph/Chart) II-4
Why Screening Rate is Low in Colorectal Cancer? II-4
Strategies to Increase Screening Rate II-5
Early Screening & Detection- A Antidotes to Beat the Odds II-5
Test at Home II-5
Breakdown of Colorectal Cancer Cases Based on the Risk
Category II-6
Guidelines for Screening & Surveillance For Early Detection
of Colorectal Cancer II-6
Who is at a Greater Risk of Developing Colorectal Cancer? II-7
Genetic Disposition II-7
Table 7: Selected Risk Factors and their Relative Risk
Percentage in Colorectal Cancer (includes corresponding
Graph/Chart) II-7
Happy Days are Here Again II-8
Table 8: Five Year Disease -Free Survival Rate of Various
Cancers by Type- Colorectal Cancer, Cervical Cancer, Ovarian
Cancer, Breast Cancer, and Malignant Melanoma (includes
corresponding Graph/Chart) II-8
An Insight into Colorectal Cancer Therapeutic Alternatives II-9
2. Market Pulse II-10
Is Huge Cost of Drugs a Major Concern? II-10
Price Comparisons Among Leading Cancer Drugs Currently
Available II-10
Is Cytotoxic Therapy Heading Towards the Sunset? II-10
An Insight into Cytotoxic Drugs Available in the US
Colorectal Cancer Market II-11
Expiry Period of Leading Cytotoxic Drugs- Camptosar,
Eloxatin, and Xeloda II-11
5-FU Struggling to Hold Share II-11
Xeloda on a Rise with Growing Indications II-11
Ongoing Phase III Clinical Trials to Evaluate Efficacy of
Xeloda in Colorectal Cancer II-12
Edotecarin-An Evolving Cytotoxic Therapy II-12
Targeted Therapies-All Set to Stake a Claim Over the Future II-12
Avastin- The Wonder Drug II-13
Table 9: Key Parameters that Promote use of Avastin (includes
corresponding Graph/Chart) II-13
PTK787 (vatalanib) II-13
ABX-EGF II-14
Targeted Therapies Add Value to Treatment Strategies II-14
Panitumumab- A Key Contender to Erbitux II-14
PTK787 v/s Avastin- Serious Warfare II-15
Combination Therapy- Offering a Lucrative Option II-15
A Peek into Standard Combination Therapies in Colorectal
Cancer and their Status II-15
Reoccurrence of Cancer -A Prime Concern II-16
Table 10: Revenues from Adjuvant Colorectal Cancer Therapies
in the US 2004-2007 (In US$ Million) (includes corresponding
Graph/Chart) II-16
Table 11: Number of Colorectal Cancer Patients in Adjuvant
Settings in the US: 2001-2007 (includes corresponding
Graph/Chart) II-16
Adjuvant Therapy in Colon Cancer II-17
Adjuvant Therapy in Rectal Cancer II-17
Colorectal Cancer Drugs in Adjuvant Settings II-17
3. Clinical Trials II-18
Prominent Products Still in Pipeline II-18
A Snapshot of Potential Drugs in the Pipeline II-18
4. Clinical Studies II-20
Adapalene (CD271) Retinoid Agent Induces Apoptosis in Colon
Cancer Cells II-20
Laparoscopic Surgery Vs Open Surgery II-20
Discontinuation of Chemotherapy Drugs Raises the Chances of
Reoccurrence II-20
Colorectal Cancer and Natural Substances II-20
Magnesium II-20
Vitamin D Protects Development of Tumor in Colon II-21
High Intake of Vitamin B Reduces Risk in Women II-21
Diet Rich in Flavonoids Fights Well Against Colorectal Cancer II-21
Colorectal Cancer and Other Medications II-21
NSAIDs Reduce the Risk of Colorectal Cancer II-21
Efficacy of Cancer Vaccine, ALVAC-CEA/B7.1, in Colorectal
Cancer II-21
Insulin Therapy in type 2 Diabetic Patients Increases Risk II-22
5. Product Overview II-23
Colorectal Cancer-An Insight II-23
Colorectal Cancer . What is it .!!! II-23
What are the Symptoms? II-23
Risk Factors II-24
Selected General Risk Factors and their Relative Risk Rate
in Colorectal Cancer II-24
Screening and Treatment II-25
Screening Options II-25
Digital Rectal Examination (DRE) II-25
Fecal Occult Blood Test II-25
Flexible Sigmoidoscopy II-25
Barium Enema II-25
Colonoscopy II-25
Additional Screening Options Of Recent Origin II-25
DNA-based Stool Test II-25
Virtual Colonoscopy II-26
A Comparative Analysis of Various Colorectal Cancer
Screening Options Based on Parameters Such as
Complexity, Risk Element, Potential Effectiveness,
Overall Performance and Significant Limitations II-26
Appropriate Time Frame for Screening and Surveillance of
Colorectal Cancer for Both Women and Men in the Age
Group of 50 or More II-26
Supportive Diagnostic Tests II-27
Diagnosis/Treatment Options II-27
Partial Colectomy II-27
Chemotherapy II-27
Surgery II-27
Radiation Therapy II-27
A Structural Analysis of Available Treatment Options in
Colorectal Cancer II-28
Staging II-28
Colorectal Cancer Therapies-At a Glance II-29
Cytotoxic Therapies II-29
5-FU (Fluorouracil) II-29
Camptosar (Irinotecan) II-29
Eloxatin (Oxaliplatin) II-29
Xeloda (Capecitabine) II-30
Targeted Therapies II-30
Angiogenesis Pathway II-30
Avastin (bevacizumab) II-31
EGF Pathway II-31
Erbitux (cetuximab) II-31
Cell Proliferation/Apoptosis II-32
Immune Response II-32
Cancer Vaccines II-32
Monoclonal Antibodies & their Function II-32
An Insight into the Targeted Therapies II-33
A Synoptic Review of Available Drugs Indicated in
Treating Colorectal Cancer II-33
6. Product Approvals /Launches II-34
Chugai Applies for Quick Approval of Avastin in Japan II-34
Genentech Obtains FDA Approval for Avastin in Combination
Therapy II-34
US FDA Approves Adjuvant Status for Roche's Oral Xeloda II-34
Antisoma's AS 1404 and Avastin Combination Therapy Proves
Effective in Colon and Lung Cancer II-35
ImClone Systems and Bristol-Myers Squibb Receive Approval for
Erbitux Injection II-35
John Hopkins Develops Colorectal Cancer Blood Test Jointly
with Howard Hughes Medical Institute and Indivumed II-35
Genentech Receives FDA Approval for Avastin II-35
Oxford BioMedica Gains Approval for Phase II Trial of TroVax II-36
Roche's Xeloda Gets Clearance as First-Line Colorectal Cancer
Treatment II-36
LabCorp Introduces DNA-based Colorectal Cancer Test II-36
7. Recent Industry Activity II-37
Amgen Acquires Abgenix II-37
Chiron Merges with Novartis II-37
Bayer to Acquire Schering AG II-37
Biosite Collaborates with Oxford Genome II-37
Medarex Collaborates with Oxford Genome Sciences II-37
Pharmexa Acquires GemVax II-38
AstraZeneca to Acquire KuDOS Pharmaceuticals II-38
Aphton Corporation Acquires Igeneon II-38
IDM S.A. and Epimmune Merge to Form IDM Pharma II-38
Hybridon Renamed as Idera Pharmaceuticals II-38
Merck KGaA Acquires Rights for Taiho Pharmaceutical's UFT II-38
Novartis and Schering Co-Promote PTK787/ZK 222584 Cancer Drug II-38
TWTI and Genzyme Genetics Set Up a Marketing Association II-39
Callisto Receives Patent for its Colon Cancer Drug II-39
Amgen and Abgenix Receive FDA Approval for Panitumumab in
Metastatic Colorectal Cancer II-39
ADVENTRX Receives MHRA Approval to Initiate Phase IIb
Clinical Trial II-39
Sanofi Acquires Aventis to Form Sanofi-Aventis II-39
8. Focus on Select Players II-40
Amgen Inc. (USA) II-40
Bristol-Myers Squibb (USA) II-40
F.Hoffmann-La Roche Ltd. (Switzerland) II-40
Genentech, Inc. (USA) II-40
Imclone Systems Inc. (USA) II-41
Novartis AG (Switzerland) II-41
Oxford Biomedica (UK) II-41
Pfizer Inc. (USA) II-41
Sanofi-Aventis (France) II-42
Schering AG (Germany) II-42
9. Global Market Perspective II-43
Table 12: World Recent Past, Current & Future Analysis for
Colorectal Cancer Therapeutics by Geographic Region/Country -
United States and Rest of World Markets Independently
Analyzed with Annual Sales in US$ Million for Years 2001
through 2010 (includes corresponding Graph/Chart) II-43
Table 13: World 10-Year Perspective for Colorectal Cancer
Therapies by Geographic Region/Country - Percentage Breakdown
of Dollar Sales for United States and Rest of World for Years
2001, 2006 and 2010 II-43
Table 14: World Recent Past, Current & Future Analysis for
Cytotoxic Therapies for Colorectal Cancer by Geographic
Region/Country - United States and Rest of World Markets
Independently Analyzed with Annual Sales in US$ Million for
Years 2001 through 2010 (includes corresponding Graph/Chart) II-44
Table 15: World 10-Year Perspective for Cytotoxic Therapies
for Colorectal Cancer by Geographic Region/ Country -
Percentage Breakdown of Dollar Sales for United States and
Rest of World for Years 2001, 2006 and 2010 II-44
Table 16: World Recent Past, Current & Future Analysis for
Camptosar in Colorectal Cancer by Geographic Region/ Country -
United States and Rest of World Markets Independently Analyzed
with Annual Sales in US$ Million for Years 2001 through 2010
(includes corresponding Graph/Chart) II-45
Table 17: World 10-Year Perspective for Camptosar in
Colorectal Cancer by Geographic Region/ Country - Percentage
Breakdown of Dollar Sales for United States and Rest of World
for Years 2001, 2006 and 2010 II-45
Table 18: World Recent Past, Current & Future Analysis for
Eloxatin in Colorectal Cancer by Geographic Region/ Country -
United States and Rest of World Markets Independently Analyzed
with Annual Sales in US$ Million for Years 2001 through 2010
(includes corresponding Graph/Chart) II-46
Table 19: World 10-Year Perspective for Eloxatin in
Colorectal Cancer by Geographic Region/ Country - Percentage
Breakdown of Dollar Sales for United States and Rest of World
for Years 2001, 2006 and 2010 II-46
Table 20: World Recent Past, Current & Future Analysis for
Xeloda in Colorectal Cancer by Geographic Region/Country -
United States and Rest of World Markets Independently Analyzed
with Annual Sales in US$ Million for Years 2001 through 2010
(includes corresponding graph/chart) II-47
Table 21: World 10-Year Perspective for Xeloda in Colorectal
Cancer by Geographic Region/Country - Percentage Breakdown of
Dollar Sales for United States and Rest of World for Years
2001, 2006 and 2010 II-47
Table 22: World Recent Past, Current & Future Analysis for
Targeted Therapies for Colorectal Cancer by Geographic
Region/Country - United States and Rest of World Markets
Independently Analyzed with Annual Sales in US$ Million for
Years 2004 through 2010 (includes corresponding graph/chart) II-48
Table 23: World 6-Year Perspective for Targeted Therapies for
Colorectal Cancer by Geographic Region/Country - Percentage
Breakdown of Dollar Sales for United States and Rest of World
for Years 2004, 2006 and 2010 II-48
Table 24: World Recent Past, Current & Future Analysis for
Avastin in Colorectal Cancer by Geographic Region/ Country -
United States and Rest of World Markets Independently Analyzed
with Annual Sales in US$ Million for Years 2004 through 2010
(includes corresponding graph/chart) II-49
Table 25: World 6-Year Perspective for Avastin in Colorectal
Cancer by Geographic Region/Country - Percentage Breakdown of
Dollar Sales for United States and Rest of World for Years
2004, 2006 and 2010 II-49
Table 26: World Recent Past, Current & Future Analysis for
Erbitux in Colorectal Cancer by Geographic Region/ Country -
United States and Rest of World Markets Independently Analyzed
with Annual Sales in US$ Million for Years 2004 through 2010
(includes corresponding graph/chart) II-50
Table 27: World 6-Year Perspective for Erbitux in Colorectal
Cancer by Geographic Region/Country - Percentage Breakdown of
Dollar Sales for United States and Rest of World for Years
2004, 2006 and 2010 II-50
III. MARKET
1. US III-1
A.Market Analysis III-1
Introduction III-1
Market Accelerators III-1
Market Challenges III-1
Market Inhibitors III-1
Why Cost of Cancer Drugs is Too High in the US? III-1
Free-market Healthcare System- "For" & "Against" III-2
Erbitux- Making a Way Through the Colorectal Cancer Market III-2
Erbitux-A Blockbuster Drug in Third-Line Therapy III-2
Erbitux Enters the Genre of Second-Line Therapies III-3
Who Leads the Pack? III-3
Sanofi-Aventis- The Clear Leader III-3
Table 28: US Colorectal Cancer Market (2004): Percentage
Breakdown of Leading Players-Sanofi-Aventis, Genentech,
Pfizer, ImClone Systems/Bristol Myers-Squibb, Roche, and
Generic Manufacturers-Ranked by Revenue (includes
corresponding Graph/Chart) III-3
Table 29: US Colorectal Cancer Market for Cytotoxic
Therapies (2004): Percentage Breakdown of Leading
Players-Sanofi-Aventis, Pfizer, Roche and Generic
Manufacturers-Ranked by Revenue (includes corresponding
Graph/Chart) III-4
Table 30: US Colorectal Cancer Market for Targeted
Therapies (2004): Percentage Breakdown of Leading
Players-Genentech and ImClone Systems/Bristol
Myers-Squibb-Ranked by Revenues III-4
Crucial Statistics III-4
Table 31: Incidence of Colorectal Cancer in the US
(2006)-Breakdown by Stages (includes corresponding
Graph/Chart) III-4
Table 32: US Colorectal Cancer Statistics for 2004 & 2003
(includes corresponding Graph/Chart) III-4
Table 33: New Cases of Colorectal Cancer in the US for the
years 2005 & 2006-Breakdown by Cancer Type III-5
Table 34: New Colorectal Cancer Cases in the US in 2004 &
2003-Breakdown by Type & Gender III-5
Product Approvals/Launches III-5
Strategic Developments III-7
Focus on Select Players III-8
B.Market Analytics III-9
Table 35: US Recent Past, Current & Future Analysis For
Colorectal Cancer Therapeutics By Product Segments-
Cytotoxic Therapies (5-Fu, Camptosar, Eloxatin And Xeloda)
And Targeted Therapies (Avastin And Erbitux) Markets
Independently Analyzed With Annual Sales In Us$ Million For
Years 2001 Through 2010 (includes corresponding
Graph/Chart) III-9
Table 36: US 10-Year Perspective For Colorectal Cancer
Therapeutics By Product Segments - Percentage Breakdown Of
Dollar Sales For Cytotoxic Therapies (5-Fu, Camptosar,
Eloxatin And Xeloda) And Targeted Therapies (Avastin And
Erbitux) For Years 2001, 2006 And 2010 (includes
corresponding Graph/Chart) III-10
2. Rest of World III-11
A.Market Analysis III-11
Focus on Select Countries III-11
Canada III-11
Incidence III-11
Vital Statistics III-11
Table 37: Canadian Cancer Market (2005): Percentage
Breakdown of New Cancer Cases Among Men (includes
corresponding Graph/Chart) III-11
Table 38: Canadian Cancer Market (2005): Percentage
Breakdown of Cancer Mortality Among Men (includes
corresponding Graph/Chart) III-11
Table 39: Canadian Cancer Market (2005): Percentage
Breakdown of New Cancer Cases Among Women (includes
corresponding Graph/Chart) III-11
Table 40: Canadian Cancer Market (2005): Percentage
Breakdown of Cancer Mortality Among Women (includes
corresponding Graph/Chart) III-12
Table 41: New Colorectal Cancer Cases in Canada in 2005-
By Gender III-12
Table 42: New Colorectal Cancer Cases in Canada in
2005-Breakdown By Age Group (includes corresponding
Graph/Chart) III-12
Table 43: Colorectal Cancer Mortality Statistics in
Canada in 2005-Ranked By Gender III-12
Table 44: Colorectal Cancer Mortality Statistics in
Canada in 2005-Breakdown By Age Group (includes
corresponding Graph/Chart) III-13
Table 45: Incidence of Colorectal Cancer Among Men in
Canada-By Region: 2005 (includes corresponding
Graph/Chart) III-13
Table 46: Incidence of Colorectal Cancer Among Women in
Canada-By Region: 2005 (includes corresponding Graph/
Chart) III-13
Finland III-14
Overview III-14
Active Screening Programs- A Mission to Fight Against Cancer III-14
Product Approvals III-14
Strategic Developments III-15
Focus on Select Players III-17
B.Market Analytics III-19
Table 47: Rest of World Recent Past, Current & Future
Analysis for Colorectal Cancer Therapeutics by Product
Segments- Cytotoxic Therapies (Camptosar, Eloxatin and
Xeloda) and Targeted Therapies (Avastin and Erbitux) Markets
Independently Analyzed with Annual Sales in US$ Million for
Years 2001 through 2010 (includes corresponding
Graph/Chart) III-19
Table 48: Rest of World 10-Year Perspective for Colorectal
Cancer Therapeutics by Product Segments - Percentage
Breakdown of Dollar Sales for Cytotoxic Therapies
(Camptosar, Eloxatin and Xeloda) and Targeted Therapies
(Avastin and Erbitux) for Years 2001, 2006 and 2010
(includes corresponding Graph/Chart) III-19
IV. COMPETITIVE LANDSCAPE
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