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The Antidepressant Market Through 2014--Focus on Emerging Therapies and New Indications

Authors
Anathea B. Waitekus, M.P.H.
Matthew Bonner, M.D., M.B.A.
Tammie J. Gutman
Michael Peng, Ph.D., M.P.H.
Marguerite Dresser, M.S.
Pharmacor -- June 2005

  You Need to Know

What strategies are developers taking to create blockbuster antidepressants through 2014, despite generic competition, regulatory constraints, and crowding? What regulatory and reimbursement hurdles will emerging agents face in the seven major markets under study? Which emerging antidepressants will achieve blockbuster status?

  Introduction

In 2004, the key approved indications treated with antidepressants were generalized anxiety disorder (GAD), major depressive disorder (MDD), obsessive-compulsive disorder (OCD), panic disorder (PD), and social anxiety disorder (SAD). Of these disorders, PD has the highest rate of diagnosis and drug treatment. However, the majority of thought leaders, primary care physicians (PCPs), and psychiatrists interviewed also prescribe antidepressants off-label for treatment across a broad range of clinical conditions outside the five key approved indications. Among physicians interviewed, we found pain disorders to be mentioned most often as targets of off-label antidepressant use. Emerging antidepressants approved for depression and some of the new emerging indications we discuss will find success in the antidepressant market. Despite apparent saturation, the antidepressants pipeline boasts drugs that will enjoy the blockbuster success earned by compounds in the current market.

  Key Findings

The day of the blockbuster is not over in the antidepressant market. We forecast that two emerging agents, both from the novel triple reuptake inhibitor class (TRI), will surpass the $3 billion/year mark at their peak; six other agents in the pipeline will earn annual sales higher than $1 billion.

The antidepressant market in the seven markets we cover will become highly fractured during the second half of our 2005-2014 forecast period as new classes of antidepressants--along with a growing selection of serotonin and norepinephrine reuptake inhibitors (SNRIs) and dopaminergic and noradrenergic (DA/N) antidepressants--emerge to widen the selection of antidepressants.

A mature market, the antidepressants market still continues to be an active area for licensing and collaboration. Despite the saturation of market segments such as major depression and, increasingly, anxiety disorders, large patient numbers make psychiatric disorders high-profile candidates for many pharmaceutical developers. However, the drug targets in these deals are, for the most part, not particularly novel; the goal is product differentiation rather than head-to-head competition.

  Why Buy This Report?

Learn the value of the antidepressant market historically, currently, and in ten years.

Discover in which emerging indications antidepressants will garner their sales.

Identify the emerging regulatory and reimbursement hurdles that emerging antidepressants will face in the seven major markets under study.

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