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Impact of Biologics for Rheumatoid Arthritis and Psoriasis

Authors
Cynthia Mundy, Ph.D.
PhysicianForum -- June 2005

  In This Issue...

Biologic agents are key drivers of growth in the markets for rheumatoid arthritis and psoriasis therapies. In 2003, biologic agents accounted for 92% of sales of disease-modifying therapies to treat rheumatoid arthritis and 82% of sales of therapies to treat moderate to severe psoriasis. Sales of these agents are driven primarily by their very high cost, yet the high cost of these agents also limits their use.

Six biologic agents are currently marketed for the treatment of RA and psoriasis. At present only one, the TNF? inhibitor Enbrel (Amgen/Wyeth), is marketed for the treatment of both indications. Enbrel is currently the market leader among biologic agents for the treatment of both RA and psoriasis, and it appears likely to retain its dominant position over the next five years.

The Decision Resources PhysicianForum study "Impact of Biologics for Rheumatoid Arthritis and Psoriasis" explores current opinion among specialists and HMO pharmacy directors regarding these agents. We surveyed 70 rheumatologists, 70 dermatologists, and 20 HMO pharmacy/medical directors to assess their views on this issue. This study investigates the following:

- The current role of biologic agents in the treatment of rheumatoid arthritis and psoriasis.

- Factors that shape rheumatologists' and dermatologists' selection of biologic agents.

- HMO pharmacy director positions on currently available biologic therapies; formulary placement issues, and cost control measures imposed by HMOs.

- Physician opinion regarding the safety, convenience, and cost of biologic therapy.

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