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This report assesses the available therapeutic procedures for skin, along with the drugs and technologies currently being used for various skin treatments. The role of public agencies, the regulatory environment, and non-governmental stakeholders has also been examined. Skin disorders have a high active as well as passive morbidity in most human populations across the world. Yet, most dermatology manufacturers and dermatologists rely on cosmetic applications and procedures for survival.
This report:
TABLE OF CONTENTS
Chapter- 1: SUMMARY
SUMMARY TABLE GLOBAL DERMATOLOGICAL THERAPEUTICS REVENUE FORECAST BY MARKET SEGMENT, THROUGH 2013 ($ BILLIONS) |
SUMMARY FIGURE GLOBAL DERMATOLOGICAL THERAPEUTICS REVENUE FORECAST BY MARKET SEGMENT, 2008 AND 2013 (%) |
Chapter- 2: OVERVIEW
HUMAN SKIN |
TABLE 1 FUNCTIONS OF THE SKIN |
SKIN DISORDERS |
TABLE 2 DISORDERS OF THE SKIN |
ACNE |
TABLE 3 TYPES OF ACNE |
ROSACEA |
TABLE 4 TYPES OF ROSACEA |
TABLE 5 DRUGS AND THEIR ACTION AGAINST ACNE AND ROSACEA |
BACTERIAL INFECTIONS OF THE SKIN |
TABLE 6 TYPES OF BACTERIAL INFECTIONS OF THE SKIN |
TABLE 7 SOME PRESCRIPTION DRUGS PRESCRIBED TO TREAT BACTERIAL SKIN INFECTIONS |
BENIGN SKIN GROWTHS OR TUMORS |
TABLE 8 TYPES OF BENIGN SKIN GROWTHS OR TUMORS |
TABLE 9 SOME PRESCRIPTION DRUGS USED TO TREAT BENIGN SKIN GROWTHS |
BULLOUS DISORDERS OR BLISTERING DISEASES |
TABLE 10 TYPES OF BULLOUS DISORDERS |
TABLE 11 SOME PRESCRIPTION DRUGS USED TO TREAT BULLOUS SKIN DISORDERS |
SKIN CANCERS |
TABLE 12 TYPES OF SKIN CANCERS |
Types of Melanoma |
Lentigo Maligna Melanoma |
Superficial Spreading Melanoma |
Nodular Melanoma |
Acral-Lentiginous Melanoma |
TABLE 13 SKIN CANCER INCIDENCE IN THE U.S. |
TABLE 14 SOME PRESCRIPTION DRUGS USED TO TREAT CUTANEOUS CARCINOMAS |
CORNIFICATION DISORDERS |
Calluses and Corns |
TABLE 15 TYPES OF CALLUSES AND CORNS |
Ichthyosis or Dry Skin |
TABLE 16 TYPES OF ICHTHYOSIS |
Keratosis Pilaris |
TABLE 17 TYPES OF KERATOSIS PILARIS |
Sebaceous Cysts |
Dermatitis |
TABLE 18 TYPES OF DERMATITIS |
TABLE 19 SOME DRUGS PRESCRIBED FOR DERMATITIS |
Fungal Infections of the Skin |
TABLE 20 TYPES OF FUNGAL INFECTIONS OF THE SKIN |
TABLE 21 SOME DRUGS PRESCRIBED TO TREAT FUNGAL INFECTIONS OF THE SKIN |
HYPERSENSITIVITY AND INFLAMMATORY DISORDERS |
Acute Febrile Neutrophilic Dermatosis (Sweet’s Syndrome) |
Drug Eruptions and Reactions |
TABLE 22 TYPES OF DRUG REACTIONS AND TYPICAL CAUSATIVE AGENTS |
Erythema Multiforme |
TABLE 23 TYPES OF ERYTHEMA MULTIFORME |
Erythema Nodosum |
Granuloma Annulare |
Panniculitis |
Pyoderma Gangrenosum |
Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis |
Bed Sore |
Pityriasis Rosea |
TABLE 24 SOME DRUGS PRESCRIBED TO TREAT HYPERSENSITIVITY AND INFLAMMATORY DISORDERS |
PARASITIC INFECTIONS OF THE SKIN |
TABLE 25 TYPES OF PARASITIC INFECTION OF THE SKIN |
TABLE 26 SOME DRUGS PRESCRIBED TO TREAT PARASITIC INFECTIONS OF THE SKIN |
PSORIASIS AND SCALING DISEASES |
TABLE 27 TYPES OF PSORIASIS AND SCALING DISEASES |
Psoriasis Treatment |
PIGMENTATION DISORDERS |
TABLE 28 TYPES OF PIGMENTATION DISORDERS |
Birthmarks |
Poison Ivy |
TABLE 29 SOME PRESCRIPTION DRUGS FOR PIGMENTATION DISORDERS |
REACTIONS TO SUNLIGHT |
Aging |
Actinic Keratoses |
Skin Cancers |
Photosensitivity |
TABLE 30 TYPES OF PHOTOSENSITIVITY |
Sunburn |
SWEATING DISORDERS |
TABLE 31 TYPES OF SWEATING DISORDERS |
VIRAL SKIN DISEASES |
TABLE 32 TYPES OF VIRAL SKIN DISEASES |
TABLE 33 SOME DRUGS PRESCRIBED TO TREAT VIRAL DISEASES OF THE SKIN |
COMMON DIAGNOSTIC TESTS FOR SKIN DISORDERS |
DERMOSCOPY |
PATCH TESTING |
SKIN BIOPSY |
CULTURE |
PHOTOTESTS |
MORBIDITY/PREVALENCE |
TABLE 34 SKIN DISORDER MORBIDITY IN THE U.S. BY AGE AND CAUSE (THOUSANDS) |
THERAPEUTIC PROCEDURES FOR THE SKIN |
CANCER SURGERY |
Excisional Biopsy to Remove Skin Cancer |
Curettage and Electrocautery |
Mohs Micrographic Surgery (MMS) |
Wide Local Excision |
Skin Grafting |
Lymph Node Removal |
CHEMICAL PEELS |
CRYOTHERAPY/CRYOSURGERY |
Ice Packs |
Cold Gel Packs |
Ice Immersion |
Ice Massage |
Vapocoolant Sprays |
RADIOTHERAPY |
CHEMOTHERAPY |
Chemotherapy Creams |
Chemotherapy into a Vein |
LASER SURGERY |
TABLE 35 SKIN CONDITIONS REQUIRING ONLY LASER SURGERY |
Carbon Dioxide Laser |
YAG Laser |
Pulsed Dye Laser or Argon Laser |
Excimer Laser |
TABLE 36 ADVANTAGES AND DISADVANTAGES OF EXCIMER LASER |
PHOTODYNAMIC THERAPY |
TABLE 37 VARIOUS CANCERS TREATABLE BY PDT |
Application in Dermatology |
TABLE 38 VARIOUS SKIN DISORDERS TREATABLE BY PDT |
Goeckerman Treatment |
PUVA |
Ultraviolet B Phototherapy |
Broadband |
Narrowband |
TABLE 39 ADVANTAGES AND DISADVANTAGES OF UVB THERAPY |
SCLEROTHERAPY |
Chapter- 3: PRESCRIPTION DERMATOLOGICAL DRUGS
SYSTEMIC DRUGS |
ACITRETIN |
CLINDAMYCIN |
ERYTHROMYCIN |
CYCLOSPORINE |
TABLE 40 ADVANTAGES AND DISADVANTAGES OF CYCLOSPORINE |
METHOTREXATE |
TABLE 41 ADVANTAGES AND DISADVANTAGES OF METHOTREXATE |
THALIDOMIDE |
SYSTEMIC ANTIBACTERIAL AGENTS |
Antileprotic Drugs (Including Dapsone) |
Antimalarial Drugs (Including Hydroxychloroquine) |
SYSTEMIC ANTIFUNGAL AGENTS |
SYSTEMIC ANTIHISTAMINES |
SYSTEMIC ANTIPARASITIC AGENTS |
SYSTEMIC ANTIPRURITIC AGENTS |
SYSTEMIC ANTIVIRAL AGENTS |
SYSTEMIC CORTICOSTEROIDS |
SYSTEMIC INTERFERONS |
SYSTEMIC RETINOID |
OTHER SYSTEMIC DRUGS |
6-Thioguanine |
Hydroxyurea |
Mycophenolate Mofetil |
Sulfasalazine |
BIOLOGICAL THERAPIES (BIOLOGICS) |
Colchicine |
CYTOTOXIC AND IMMUNOSUPPRESSIVE DRUGS |
Retinoids |
Hormones and Anti-Androgens |
TOPICAL TREATMENTS |
ACICLOVIR |
TOPICAL RETINOIDS |
ANTHRALIN |
TABLE 42 ADVANTAGES AND DISADVANTAGES OF ANTHRALIN |
COAL TAR |
TABLE 43 ADVANTAGES AND DISADVANTAGES OF COAL TAR |
CORTICOSTEROIDS |
TABLE 44 ADVANTAGES AND DISADVANTAGES OF CORTICOSTEROIDS |
TABLE 45 TOPICAL CORTICOSTEROIDS, 2004 |
RETINOID: TAZAROTENE |
TABLE 46 ADVANTAGES AND DISADVANTAGES OF TAZAROTENE |
VITAMIN D3: CALCIPOTRIENE |
TABLE 47 ADVANTAGES AND DISADVANTAGES OF CALCIPOTRIOL |
CAPSAICIN |
TOPICAL MEDICATIONS IN CLINICAL TRIALS |
MOISTURIZERS AND SCALE REMOVERS |
TABLE 48 DRUG TREATMENTS FOR SKIN DISEASE INTRODUCED IN 2006 |
Chapter- 4: TECHNOLOGY REVIEW
EMERGING TECHNOLOGIES IN DERMATOLOGY |
DNA MICROARRAY TECHNOLOGY IN DERMATOLOGY |
ADVANCES IN THE TREATMENT OF VARICOSE VEINS |
EMERGING TREATMENT OF ATOPIC DERMATITIS |
EMERGING DRUGS FOR ICHTHYOSIS |
PROGRESS IN THE MANAGEMENT OF ACNE |
PLASMA SKIN REGENERATION TECHNOLOGY |
TABLE 49 NEW TECHNOLOGIES IN DERMATOLOGY |
PERMEATION ENHANCEMENT TECHNOLOGIES |
Drug Permeation Enhancement via Buccal Route |
Thiomatrix: Permeation Enhancement |
Merrion’s Technology: Gastrointestinal Permeation Enhancement Technology (GIPET) |
FIGURE 1 GASTROINTESTINAL PERMEATION ENHANCEMENT TECHNOLOGY |
Transdermal Protein Delivery or Measurement Using Low-Frequency Sonophoresis |
RADIOTHERAPY |
External Radiotherapy |
Conformal Radiotherapy |
Intensity Modulated Radiotherapy |
Internal Radiotherapy |
Radioactive Implants |
Radioactive Liquids |
PLASMA SKIN REGENERATION |
Chapter- 5: PATENT ANALYSIS
PATENT ISSUE TRENDS IN UNITED STATES |
FIGURE 2 U.S. PATENT TRENDS, 1990–2001 |
TABLE 50 NUMBER OF U.S. PATENTS ISSUED, 2003 TO JULY 31, 2008 |
TABLE 51 COMPANIES AND NUMBER OF U.S. PATENTS FILED BY THEM, 2003 TO JULY 31, 2008 |
TABLE 52 RECENT DERMATOLOGY U.S. PATENTS |
PATENT ISSUE TRENDS IN EUROPE |
TABLE 53 EUROPEAN DERMATOLOGICAL PATENTS, 2003–JULY 2008 |
TABLE 54 RECENT PATENTS ISSUED BY THE EPO |
Chapter- 6: INDUSTRY PARTICIPANT PROFILES
CHAPTER SEVEN: INDUSTRY PARTICIPANT PROFILES |
MANUFACTURERS OF DERMATOLOGICAL DRUGS |
AGI DERMATICS |
ALLERGAN, INC. |
AMGEN, INC. |
ANACOR PHARMACEUTICALS |
ANIKA THERAPEUTICS, INC. |
ASTELLAS US, LLC |
CHESTER VALLEY PHARMACEUTICALS, INC. |
CORIA LABORATORIES, LTD. |
CORIA LABORATORIES, LTD. |
DERMIK LABORATORIES, INC. |
DUSA PHARMACEUTICALS, INC. |
EISAI, INC. |
FERNDALE LABORATORIES, INC. |
GALDERMA LABORATORIES |
GENENTECH, INC. |
ISOLAGEN, INC. |
LEO PHARMA A/S |
MEDICIS PHARMACEUTICAL CORP. |
MEDIMETRIKS PHARMACEUTICALS, INC. |
MERZ PHARMA UK, LTD. |
NEOSIL, INC. |
NYCOMED U.S., INC. |
OBAGI MEDICAL PRODUCTS, INC. |
ONSET THERAPEUTICS |
ORTHONEUTROGENA |
PIERRE FABRE PHARMACEUTICALS, INC. |
PRIME PHARMACEUTICALS CORP. |
QLT, INC. |
QUINNOVA PHARMACEUTICALS |
SCHERING-PLOUGH CORP. |
SINCLAIR PHARMACEUTICALS |
SKINMEDICA, INC. |
STIEFEL LABORATORIES, INC. |
SUMMERS LABORATORIES, INC. |
SYNTOPIX GROUP, PLC |
TRIAX PHARMACEUTICALS, LLC |
VALEANT PHARMACEUTICALS INTERNATIONAL |
VALEO PHARMA, INC. |
WARNER CHILCOTT, LTD. |
XOMA, LTD. |
NON-COMMERCIAL ORGANIZATIONS |
AFRICAN ASSOCIATION OF DERMATOLOGY |
AMERICAN ACADEMY OF DERMATOLOGY (AAD) |
AMERICAN BEHCET’S DISEASE ASSOC., INC. |
AMERICAN CELIAC SOCIETY |
AMERICAN HEMOCHROMATOSIS SOCIETY, INC. |
AMERICAN LUPUS SOCIETY |
AMERICAN SKIN ASSOCIATION, INC. |
AMERICAN SOCIAL HEALTH ASSOC. |
ARTHRITIS FOUNDATION |
ASIAN DERMATOLOGICAL ASSOCIATION |
ASSOCIATION OF PROFESSORS OF DERMATOLOGY |
ATAXIA-TELANGIECTASIA CHILDREN’S PROJECT |
BASAL CELL CARCINOMA NEVUS SYNDROME/GORLIN SYNDROME |
BAY AREA LUPUS FOUNDATION |
BLOOM’S SYNDROME REGISTRY |
BRITISH ASSOCIATION OF DERMATOLOGISTS |
CELIAC DISEASE FOUNDATION |
CELIAC SPRUE ASSOCIATION/USA |
CICATRICIAL ALOPECIA RESEARCH FOUNDATION |
COALITION OF SKIN DISEASES |
CORNELIA DE LANGE SYNDROME FOUNDATION, INC. |
CUTANEOUS LYMPHOMA FOUNDATION |
DERMATOLOGY FOUNDATION |
DERMATOLOGY NURSES ASSOCIATION (DNA) |
DERMATOPATHOLOGY FOUNDATION |
DYSAUTONOMIA FOUNDATION, INC. |
DYSTROPHIC EPIDERMOLYSIS BULLOSA |
THE ECTODERMAL DYSPLASIA SOCIETY |
EHLERS DANLOS NATIONAL FOUNDATION (EDNF) |
EHLERS-DANLOS SYNDROME FOUNDATION |
EUROPEAN ACADEMY FOR DERMATOLOGY AND VENEREOLOGY |
EADV Administrative Office |
THE EUROPEAN DERMATOLOGY FORUM |
EUROPEAN SOCIETY FOR DERMATOLOGICAL RESEARCH |
EUROPEAN UNION OF MEDICAL SPECIALISTS |
FOUNDATION FOR ICHTHYOSIS AND RELATED SKIN TYPES (F.I.R.S.T.) |
GLUTEN INTOLERANCE GROUP (DERMATITIS HERPETIFORMIS) |
HEMOCHROMATOSIS RESEARCH FOUNDATION |
HIDRADENITIS SUPPURATIVA FOUNDATION, INC. |
HISTIOCYTOSIS ASSOCIATION OF AMERICA |
INFLAMMATORY SKIN DISEASE INSTITUTE (ISDI) |
INTERNATIONAL FOUNDATION FOR DERMATOLOGY |
THE INTERNATIONAL LEAGUE OF DERMATOLOGICAL SOCIETIES OFFICE |
INTERNATIONAL PEMPHIGUS PEMPHIGOID FOUNDATION |
THE INTERNATIONAL SOCIETY OF DERMATOPATHOLOGY |
KLIPPEL-TRENAUNAY SUPPORT GROUP |
LUPUS FOUNDATION OF AMERICA, INC. |
LYMPHOMA RESEARCH FOUNDATION |
LYMPHOMATOID PAPULOSIS CENTRAL REGISTRY |
MARFAN ASSOC. U.K. |
THE MELANOMA RESEARCH FOUNDATION |
MUSCULAR DYSTROPHY ASSOC. |
MYOSITIS ASSOCIATION OF AMERICA (MAA) |
NATIONAL ALOPECIA AREATA FOUNDATION (NAAF) |
NATIONAL ATAXIA FOUNDATION |
NATIONAL ECZEMA ASSOCIATION (NEA) |
NATIONAL ECZEMA ASSOCIATION FOR SCIENCE AND EDUCATION |
NATIONAL ECZEMA SOCIETY |
NATIONAL EPIDERMOLYSIS BULLOSA REGISTRY |
NATIONAL FOUNDATION FOR ECTODERMAL DYSPLASIAS |
NATIONAL FOUNDATION FOR VITILIGO AND PIGMENT DISORDERS |
NATIONAL INCONITENTIA PIGMENTI FOUNDATION |
NATIONAL MEDICAL ASSOC. |
NATIONAL NEUROFIBROMATOSIS FOUNDATION |
NATIONAL ORGANIZATION FOR ALBINISM AND HYPOPIGMENTATION (NOAH) |
NATIONAL ORGANIZATION FOR RARE DISORDERS (NORD) |
THE NATIONAL PEMPHIGUS FOUNDATION |
NATIONAL PSORIASIS FOUNDATION |
NATIONAL REGISTRY FOR ICHTHYOSIS AND RELATED DISORDERS |
NATIONAL VITILIGO FOUNDATION |
NEVOID BASAL CELL CARCINOMA SYNDROME SUPPORT NETWORK |
PACHYONYCHIA CONGENITA PROJECT |
THE PSORIASIS ASSOC. |
SCLERODERMA FEDERATION, INC. |
SCLERODERMA FOUNDATION |
SCLERODERMA RESEARCH FOUNDATION |
THE SCLERODERMA SOCIETY |
SOCIETY FOR INVESTIGATIVE DERMATOLOGY (SID) |
SOCIETY FOR PEDIATRIC DERMATOLOGY (SPD) |
THE STURGE-WEBER FOUNDATION |
THE VITILIGO SOCIETY, U.K. |
VITILIGO SUPPORT INTERNATIONAL |
VZV RESEARCH FOUNDATION |
XERODERMA PIGMENTOSUM SOCIETY |
TABLE 55 DERMATOLOGICAL ASSOCIATIONS |
STRATEGIC ALLIANCES IN THE DERMATOLOGY MARKET |
MERGERS & ACQUISITIONS |
TABLE 56 SIGNIFICANT MERGERS AND ACQUISITIONS (2005–2008) |
VENTURE CAPITAL DEALS |
Chapter- 7: REGULATORY PREVIEW
DRUG REGULATION IN THE UNITED STATES |
LICENSES FOR MEDICAL DEVICES |
DRUG REGULATION IN THE UNITED KINGDOM |
LICENSES FOR DRUGS |
DRUG AND EQUIPMENT APPROVAL IN EUROPE |
LICENSES FOR MEDICAL EQUIPMENT |
REIMBURSEMENT FOR DERMATOLOGICAL TREATMENT |
REIMBURSEMENT IN THE UNITED STATES |
REIMBURSEMENT IN EUROPE |
Chapter- 8: MARKET METRICS
CHAPTER NINE: MARKET METRICS |
MARKET TRENDS |
BIG PHARMA’S FOCUS ON BLOCKBUSTER DRUGS ENABLES SPECIALTY FOCUS BY SMALL AND MEDIUM-SIZED FIRMS |
COSMETIC/AESTHETIC DERMATOLOGY FACES DOWNTURN |
CHANGES IN REIMBURSEMENT AND OTHER LEGISLATION ARE CREATING UNCERTAINTY |
Managed Care Issues |
Medical Liability |
Physician Quality Reporting Initiative (PQRI) |
Dermatologic Surgery |
Cosmetic Procedure Tax |
INCREASED USE OF GENERICS IN PRESCRIPTION DERMATOLOGY |
DIFFICULTIES IN DETERMINATION OF BIOAVAILABILITY OF TOPICAL DRUGS |
PHYSICIAN SHORTAGE AND PARAMEDIC INFLUX IN DERMATOLOGY |
CERTIFICATION EXAM FOR NURSE PRACTITIONERS IN DERMATOLOGY NOW AVAILABLE |
USE OF PROCEDURE-THERAPY AND SPECIFIC DRUGS IN DERMATOLOGY |
POLLUTION CONTRIBUTES TO RISE IN ATOPIC DERMATITIS |
MANUFACTURERS OF TNF-BLOCKER DRUGS ORDERED TO HIGHLIGHT RISK OF FUNGAL INFECTIONS |
HIGHER CO-PAYS FOR BIOLOGICS IMPACTS PRESCRIPTIONS |
U.S. DERMATOLOGICAL MARKET |
TABLE 57 LEADING DRUGS PRESCRIBED BY OFFICE-BASED DERMATOLOGISTS - ALL INDICATIONS, 2008 (THOUSANDS) |
PRESCRIPTION DATA FOR ACNE |
FIGURE 3 PRESCRIBING OF ORAL ANTIBIOTICS FOR THE INTITIAL TREATMENT OF ACNE: CURRENT AND IN 1 YEAR (N=75) |
FIGURE 4 PRESCRIBING OF TOPICAL ANTIBIOTICS/RETINOIDS FOR ACNE: CURRENT AND IN 1 YEAR (N=75) |
TABLE 58 U.S. DERMATOLOGICAL THERAPEUTICS MARKET: REVENUE FORECAST BY MARKET SEGMENT, THROUGH 2013 ($ BILLIONS) |
FIGURE 5 SHARE OF SEGMENTS IN U.S. PRESCRIPTION DERMATOLOGY MARKET, 2008 AND 2013 (%) |
FIGURE 6 LEADING PRESCRIPTION DRUG REVENUES IN GLOBAL DERMATOLOGY MARKET, 2008 ($ MILLIONS) |
ENBREL |
FIGURE 7 ENBREL SALES IN GLOBAL DERMATOLOGY MARKET BY GEOGRAPHY, 2008 (%, TOTAL REVENUE = $ 3,230 MILLION) |
BOTOX |
FIGURE 8 BOTOX SALES IN THE GLOBAL DERMATOLOGY MARKET BY GEOGRAPHY, 2008 (%, TOTAL REVENUE = $ 1,200 MILLION |
LOCERYL |
FIGURE 9 LOCERYL SALES IN GLOBAL DERMATOLOGY MARKET BY GEOGRAPHY, 2008 (%, TOTAL = $350 MILLION |
FIGURE 10 GLOBAL DERMATOLOGICAL PRESCRIPTION MARKET BY REGIONAL SHARE - FUTURE OUTLOOK, 2011 (%) |
TABLE 59 MARKET SHARE OF PRESCRIPTION DRUG MANUFACTURERS, 2005–2007 ($ MILLIONS) |
GLOBAL DERMATOLOGICAL THERAPEUTICS MARKET |
FIGURE 11 GLOBAL DERMATOLOGICAL MARKET BY REGIONAL SHARE, 2008 (%) |
TABLE 60 GLOBAL DERMATOLOGICAL THERAPEUTICS REVENUE FORECAST BY MARKET SEGMENT, THROUGH 2013 |
FIGURE 12 GLOBAL PRESCRIPTION DERMATOLOGY MARKET SHARE BY SEGMENT, 2008 (%) |
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