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Ovarian Cancer (Advanced): Therapies Must Increase Survival over Paclitaxel/Carboplatin to Successfully Enter this Generic Market

 
DecisionBase PDFs -- 2008

  Overview:

Ovarian cancer (CaO) is the leading cause of gynecological cancer death and the fifth-most-frequent cause of cancer death overall in women in the Western world. The CaO market is a heavily generic market comprising many combination and single-agent regimens with subtly different clinical profiles. Nonetheless, opportunity remains for novel agents that can reduce disease relapse and prolong survival.

  Questions Answered in This Report:

A drug’s performance on at least three efficacy end points, including overall survival and progression-free survival, is important for drug approval and physician use. What are the key primary and secondary clinical trial end points with which new therapies are evaluated? How do oncologists weight efficacy measures and other drug attributes in their prescribing decisions for advanced ovarian cancer?

Paclitaxel (Bristol-Myers Squibb’s Taxol, generics) plus carboplatin (Bristol-Myers Squibb’s Paraplatin, generics) is the 2006 major-market sales leader for advanced CaO. Do thought leaders expect emerging therapies to offer significant improvements in efficacy, safety and tolerability, or delivery over paclitaxel plus carboplatin? Which emerging therapies pose the greatest threat to paclitaxel plus carboplatin?

Based on its clinical profile, paclitaxel plus carboplatin is the 2006 clinical gold standard in our drug comparator model. What attributes do thought leaders believe differentiate this drug from competing current and emerging therapies? Will any drugs in development challenge paclitaxel plus carboplatin as the future gold standard in 2011 or 2016?

  Scope:

Key drug development opportunity tested in our target product profiles for advanced ovarian cancer: An agent or regimen that offers increased median overall survival (MOS) compared with paclitaxel/carboplatin for the treatment of advanced CaO.

Physicians surveyed for this study: 60 U.S. medical oncologists.

Comprehensive List of Therapies Included in Our Research and Modeling

Current therapies:

- Paclitaxel (Bristol-Myers Squibb’s Taxol, generics) plus carboplatin (Bristol-Myers Squibb’s Paraplatin, generics)

- Docetaxel (Sanofi-Aventis’s Taxotere) plus carboplatin (Bristol-Myers Squibb’s Paraplatin, generics)

- Carboplatin (Bristol-Myers Squibb’s Paraplatin, generics)

Emerging therapies:

- Bevacizumab (Roche/Genentech/Chugai’s Avastin) plus paclitaxel/carboplatin (Bristol-Myers Squibb’s Taxol/Paraplatin)

- Bevacizumab (Roche/Genentech/Chugai’s Avastin)--induction/maintenance

- Phenoxodiol (Marshall Edwards’ Idronoxil)

About DecisionBase

Ovarian Cancer (Advanced): Therapies Must Increase Survival over Paclitaxel/Carboplatin to Successfully Enter This Generic Market is a DecisionBase 2008 study from Decision Resources. DecisionBase 2008 combines market forecasts with clinical and commercial end points to assess market share projections in 35 indications. These outputs are driven by quantitative and qualitative primary research. DecisionBase 2008 provides detailed market share, patient share, and price-per-day projections for emerging drugs in development. The market share projections are based on prescriber surveys that compare physicians’ expectations of a potential target product profile with an emerging product profile of the leading drugs in development.

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Companies:

AstraZeneca

Bayer Schering Pharma

Boehringer Ingelheim

Bristol-Myers Squibb

Chugai

Daiichi Sankyo

Eli Lilly

Elan

Genentech

GlaxoSmithKline

Immuno-Designed Molecules

InterMune Pharmaceuticals

Johnson & Johnson

Kyowa

Marshall Edwards

Medac

Menarini Group

Merck

Novartis

Ortho Biotech

Pfizer

PharMar

Roche

Sanofi-Aventis

Schering-Plough

Sonus Pharmaceuticals

ViRexx

Yakult




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