Thursday, June 27, 2013

Cardiovascular Disease Market For Antilipidemics, Anticoagulants & Antihypertensives

There are nearly 300 medicines in clinical development to treat cardiovascular disease. This new research report examines in detail the key areas of the cardiovascular (CV) market, gathering inside opinion of cardiologists, to highlight the dynamic changes that are underway in this multibillion dollar marketplace.

Successful players will, necessarily, need to cannibalise their existing cardiovascular franchises in order to limit the impact of generic erosion when their patents expire, whilst at the same time investing in alternative therapies with better, more efficacious outcomes. This is a significant challenge given the high barrier to entry and unmet clinical needs. Not only is cardiovascular disease a “Silent Killer”, it is also a commercial time bomb where the risk/reward ratio for any company willing to participate needs to be carefully considered.


This report provides you with a systematic appraisal into the current and future CV market, including…
A detailed review of the leading brands and how they are being positioned in the market, in addition to the potential impact of generics

- Assessment of key products in development, identifying ‘Ones to Watch’ in late-stage clinical development where proof of concept data has been established
- Review of products that are ‘Waiting in the Wings’ in early-stage clinical development where Point-of-Care data is being gathered
- Analysis of the potential of ‘Long Shots’ which represent new and innovative products where the scientific rationale has yet to be fully tested

Antilipidemics

The lowering of ‘bad cholesterol’ or low-density lipoprotein cholesterol (LDL-C) and triglycerides (TGs) has been shown to reduce the chance of a heart attack and death in people who have an elevated risk of developing heart disease or who already have heart disease. Several drug classes are currently available to treat a range of lipid disorders; each has a different mechanism of action, safety profile and impact on blood lipid profiles to different degrees.

Key drugs covered by the report include

- Leading brands - Lipitor (Pfizer), Crestor (AstraZeneca), Livalo (Kowa and Partners), etc…
- Recent generics - Atorvastatin, etc…
- Ones to watch - Alirocumab (Sanofi/Regeneron Pharmaceuticals), AMG 145 (Amgen), Anacetrapid (Merck & Co), etc…
- Waiting in the wings - RG 7652 (Roche), RN-316 (Pfizer), DRL-17822 (Dr Reddy), etc…
- Long shots - ALN PCS (Alnylam/The Medicine Company), etc…


Just some of the key questions answered include
- Why are statins the gold stand in lipid lowering therapies and which is the most effective at lowering LDL-C?
- Will AstraZeneca’s Crestor win its fight for supremacy before generic rosuvastatin reaches the market?
- Why are PCSK9 inhibitors important to cardiologists and which drugs are leading the field?
- Kynamro approved in the US but not in Europe… what next?
- What new HDL-C modulating therapies are in development?
- What new products are in development from BMS/Simcere; Dr Reddy and DezimaPharma?

Anticoagulants

Anticoagulant therapy is the mainstay for the prevention and treatment of thrombotic complications. Doctors commonly give patients anticoagulation therapy during invasive procedures such as angioplasty or coronary stents as well as during elective knee and hip replacement surgery and abdominal surgery where there is an increased risk of blood clots. In addition, patients with an increased risk of thrombosis and/or thromboembolism such as those with acute coronary syndrome (ACS), those suffering with atrial fibrillation (AF; an erratic heart beat) or those with a history of stroke, are often treated with anticoagulant medicines to improve clinical outcomes.

Key drugs covered by the report include

- Leading brands - Coumadin (Bristol-Myers Squibb), Praxada (Boehringer Ingelheim), Xarelto (Bayer/Johnson & Johnson), etc…
- Recent generics - Clopidogrel, Enoxaparin sodium, etc…
- Ones to watch - Otamixaban (Sanofi), Vorapaxar (Merck & Co.), etc…
- Waiting in the wings - Betrixaban (Portola Pharmaceuticals)
- Long shots - EP217609 (EndotisPharma), etc…

Just some of the key questions answered include

- Have the new OAPs changed the treatment paradigm for patients at high risk from stroke?
- Will Effient maintain its head start or will the TRIOLOGY ACS trial cause it to stumble?
- What warfarin alternatives have entered the market?
- Boehringer Ingelheim’s Pradaxa is first to the market but what safety issues have been flagged up?
- Why has GlaxoSmithKline’s Arixtra failed to impress?
- What new anticoagulant drug classes are in development and who is leading the field?


Antihypertensives

High blood pressure or hypertension is a highly prevalent cardiovascular risk factor which is associated with an increased risk of heart attack and stroke. The renin-angiotensin-aldosterone system (RAAS) is widely accepted as the key pathway in the regulation of blood pressure and body volume and has been the target for a cocktail of antihypertensive drugs that include angiotensin receptor blockers (ARBs), angiotensin-converting-enzyme (ACE) inhibitors, aldosterone antagonists and more recently the direct renin inhibitors (DRIs).

Key drugs covered by the report include

- Leading brands - Avapro (Sanofi/Bristol-Myers Squibb), Diovan (Novartis), Edarbi (Takeda), etc…
- Recent generics - Irbesartan, etc…
- Ones to watch - LCZ696 (Novartis), etc…
- Waiting in the wings - DSP-9599 (Dainippon Sumitomo Pharma), etc…
- Long shots - DARA (Retrophin), etc…

Just some of the key questions answered include

- What impact have generics had on the sale of Avapro?
- Why have Diovan generics been slow off the mark and have pill combinations offered any protection?
- Will Takeda’s Edarbi become the new gold standard in a market dominated by generics?
- Why has Tekturna not lived up to its promise, do direct renin inhibitors have a future?
- What innovative DRIs are in clinical development?
- What new drug classes are next in line to transform the antihypertensive market?