Table of Contents
- About the PharmaVitae team
- CHAPTER 1 EXECUTIVE SUMMARY
- Key findings
- Total market outlook
- Monoclonal antibody market outlook
- Introduction to the PharmaVitae universe
- The prescription pharmaceutical market to 2012
- Prescription pharmaceutical market performance, 2006-12
- Balance of launches and expiries in the prescription pharmaceutical
market, 2006-12
- The majority of expiry-driven sales occurs between 2011 and 2012
- Forecast sales performance by molecule type
- Molecule type definitions
- Industry consequences of molecule type
- Prescription pharmaceutical sales by molecule type, 2006-12
- Change in annual sales by molecule type
- Sales growth rate by molecule type, 2006-12
- The 2011-12 ' patent cliff' - insight from molecule type analysis
- The lack of a biosimilar/generic protein product threat for mAbs
- Introduction to the issues
- FDA view on generic protein products
- Consequences for mAb market performance
- Regulatory environment
- Intellectual property- timing and complexity barrier
- Technology barrier
- Biosimilars - conclusion
- Average revenue analysis
- Monoclonal antibodies address disease areas of high unmet need
- Monoclonal antibodies access ' novel target space'
- ECS targets account for the majority of mAb sales
- Novel target space reduces competitive pressures
- Monoclonal antibodies are the most attractive product segment in the
prescription pharmaceutical market out to 2012
- mAb market performance, 2006-12
- mAb market growth
- Product-level sales growth
- Company level sales growth
- Therapy level sales growth
- mAb technology level sales growth
- mAb target level sales growth
- The recurring mAb market theme: dominance of ' the big 5'
- ' Big 5' revenue preeminence to 2012
- ' Big 5' contribute majority of sales growth to 2012
- ' Big 5' command highest revenues per product in segment
- Are mAbs always commercially more attractive than small molecules?
- Factors determining evolution of a mAb market dominated by ' big 5'
- Why do the Big 5 dominate the mAb market?
- Factors driving oncology product dominance
- Factors Driving AIID product dominance
- CHAPTER 2 MAB TECHNOLOGY OVERVIEW
- Key findings
- Introduction
- The immune system
- B lymphocytes and antibodies
- Antibody structure
- Hybridoma technique - the production of mAbs
- Monoclonal antibodies as therapeutic agents
- Targets
- Target selection - the importance of an accessible epitope
- Production of mAbs
- Transgenic mice
- Phage display
- Future focus
- Mode of action
- mAb focused oncology
- The effect of the effector region
- Blockade
- mAbs as a delivery vehicle
- Evolution of mAbs
- Limitations associated with immunization
- Murine
- Chimeric and humanized antibodies
- Fully human
- Fragments
- Conjugated
- Radiolabeled conjugated mAbs
- Focus for antibody R&D - oncology immunotoxin drug conjugates
- Naked mAbs still dominate
- Systematic naming of monoclonal antibodies
- The mAb timeline - technology evolution
- Manufacturing
- Time to market and manufacturing of monoclonal antibodies
- Mammalian cell culture - still the most widely-used system
- CHAPTER 3 MARKET ANALYSIS
- Key findings
- Introduction
- mAb market: historical performance, 2003-06
- mAb market: forecast performance, 2006-12
- Historical product analysis, 2003-06
- Avastin (bevacizumab)
- Herceptin (trastuzumab)
- Remicade (infliximab)
- MabThera/Rituxan (rituximab)
- Humira (adalimumab)
- Erbitux (cetuximab)
- Forecast product analysis, 2006-12
- Growth drivers
- Avastin
- MabThera/Rituxan
- Humira
- Herceptin
- Lucentis (ranibizumab)
- Numax
- Growth resistors
- Historical company analysis, 2003-06
- Genentech and Roche
- Abbott
- Johnson & Johnson
- Forecast company analysis, 2006-12
- Growth drivers
- Genentech & Roche
- Abbott
- Amgen
- Biogen IDEC
- UCB Schwarz
- Johnson & Johnson
- Novartis
- Historical therapy area analysis, 2003-06
- Oncology
- AIID
- Other therapy areas
- Forecast therapy area analysis, 2006-12
- Growth drivers
- Oncology
- AIID
- Ophthalmology
- Others
- Historical technology analysis, 2003-06
- Humanized
- Chimeric
- Human
- Others
- Forecast technology analysis, 2006-12
- Growth drivers
- Humanized
- Human
- Chimeric
- Antibody fragment
- Historical target analysis, 2003-06
- Forecast target analysis, 2006-12
- Growth drivers
- VEGF
- TNF alpha
- CD20
- EGFR
- Her2
- Integrin alpha-4/beta-1
- CHAPTER 4 PIPELINE ANALYSIS
- Key findings
- Introduction
- mAb pipeline overview
- Company pipeline analysis
- Technology pipeline analysis
- Human content of mAbs, the future focus
- Therapy area pipeline analysis
- Target pipeline analysis
- Target crowding evident with late-stage mAbs
- Novel late-stage targets
- Novel target early-stage candidates
- TNF alpha and CD20 - target crowding from further pipeline launches?
- CHAPTER 5 PRODUCT OVERVIEW
- Key findings
- Oncology
- Avastin
- Overview
- Sales forecast
- News flow
- Rituxan/MabThera
- Overview
- Sales forecast
- News flow
- Herceptin
- Overview
- Sales forecast
- News flow
- Erbitux
- Overview
- Sales forecast
- News flow
- Vectibix
- Overview
- Sales forecast
- News flow
- Pertuzumab
- Overview
- Sales forecast
- News flow
- Ticilimumab
- Overview
- Sales forecast
- News flow
- Ipilimumab
- Overview
- Sales forecast
- News flow
- Humax CD20
- Overview
- Sales forecast
- News flow
- Lumiliximab
- Overview
- Sales forecast
- News flow
- Rencarex
- Overview
- Sales forecast
- News flow
- Mylotarg
- Overview
- Sales forecast
- News flow
- Campath/MAB Campath
- Overview
- Sales forecast
- News flow
- Zevalin
- Overview
- Sales forecast
- News flow
- Bexxar
- Overview
- Sales forecast
- News flow
- Zalutumumab
- Overview
- Sales forecast
- News flow
- Zanolimumab
- Overview
- Sales forecast
- News flow
- Proxinium/Vicinium
- Overview
- Sales forecast
- News flow
- Catumaxomab
- Overview
- Sales forecast
- News flow
- AIID
- Humira
- Overview
- Sales forecast
- News flow
- Remicade
- Overview
- Sales forecast
- News flow
- Cimzia
- Overview
- Sales forecast
- News flow
- Rituxan/MabThera RA
- Overview
- Sales forecast
- News flow
- Actemra
- Overview
- Sales forecast
- News flow
- Golimumab
- Overview
- Sales forecast
- News flow
- Raptiva
- Overview
- Sales forecast
- News flow
- CNTO-1275
- Overview
- Sales forecast
- News flow
- Mepolizumab
- Overview
- Sales forecast
- News flow
- Simulect
- Overview
- Sales Forecast
- News flow
- Lymphocide
- Overview
- Sales forecast
- News flow
- Zenapax
- Overview
- Sales forecast
- News flow
- Nuvion
- Overview
- Sales forecast
- News flow
- Leukotac
- Overview
- Sales forecast
- News flow
- CNS
- Tysabri
- Overview
- Sales forecast
- News flow
- Cardiovascular
- ReoPro
- Overview
- Sales forecast
- News flow
- Respiratory
- Xolair
- Overview
- Sales forecast
- News flow
- Ophthalmology
- Lucentis
- Overview
- Sales forecast
- News flow
- Hematology
- Soliris
- Overview
- Sales forecast
- News flow
- AMG-531
- Overview
- Sales forecast
- News flow
- Women' s health
- Denosumab
- Overview
- Sales forecast
- News flow
- Infectious disease
- Numax
- Overview
- Sales forecast
- News flow
- Mycograb
- Overview
- Sales forecast
- News flow
- Aurograb
- Overview
- Sales forecast
- News flow
- Synagis
- Overview
- Sales forecast
- News flow
- CHAPTER 6 APPENDIX
- References
- List of Tables
- Table 1: PharmaVitae company coverage by peer set
- Table 2: Molecule type definitions
- Table 3: General characteristics of small molecule drugs vs. biologics
- Table 4: Forecast sales by molecule type ($m), 2006-12
- Table 5: Top 25 sales growth resistors ($m), 2011-12
- Table 6: Average revenues, 2006
- Table 7: Average operating cost ratios and operating profit margin for
small molecule, therapeutic protein and mAb specialists (%), 2002-06
- Table 8: Target family classification
- Table 9: mAb ' big 5' in 2003, 2006 and 2012
- Table 10: Overview of a selection of marketed mAbs: technology type
and immunogenicity
- Table 11: Infix nomenclature for mAbs
- Table 12: Manufacturing cell lines for marketed mAbs
- Table 13: Forecast product sales ($m), 2006-12
- Table 14: Forecast mAb sales by company ($m), 2006-12
- Table 15: Forecast sales by therapy area ($m), 2006-12
- Table 16: Forecast sales by mAb technology type ($m), 2006-12
- Table 17: Forecast sales by target ($m), 2006-12
- Table 18: mAb pipeline Phase I-pre-registration overview
- Table 19: Count of marketed mAbs
- Table 20: Count of Phase III mAb players
- Table 21: Count of companies with more than one Phase I-II pipeline
candidates
- Table 22: mAb count split by technology type
- Table 23: Count of mAb candidates by therapy area
- Table 24: Detailed product/target analysis
- Table 25: Novel late-stage targets
- Table 26: Novel early-stage candidates
- Table 27: Companies with multiple novel early-stage targets
- Table 28: TNF alpha-targeting mAbs
- Table 29: CD20-targeting mAbs
- Table 30: Avastin: overview
- Table 31: Avastin global sales ($m), 2006-12
- Table 32: Avastin: news flow
- Table 33: Rituxan/MabThera: overview
- Table 34: Rituxan/MabThera global sales ($m), 2006-12
- Table 35: Rituxan/MabThera: news flow
- Table 36: Herceptin: overview
- Table 37: Herceptin global sales ($m), 2006-12
- Table 38: Herceptin: news flow
- Table 39: Erbitux: overview
- Table 40: Erbitux global sales ($m), 2006-12
- Table 41: Erbitux: news flow
- Table 42: Vectibix: overview
- Table 43: Vectibix global sales ($m), 2006-12
- Table 44: Vectibix: news flow
- Table 45: Pertuzumab: overview
- Table 46: Pertuzumab global sales ($m), 2006-12
- Table 47: Pertuzumab: news flow
- Table 48: Ticilimumab: overview
- Table 49: Ticilimumab global sales forecast ($m), 2006-12
- Table 50: Ticilimumab: news flow
- Table 51: Ipilimumab: overview
- Table 52: Ipilimumab global sales ($m), 2006-12
- Table 53: Ipilimumab: news flow
- Table 54: Humax CD20: overview
- Table 55: Humax CD20 global sales ($m), 2006-12
- Table 56: HuMax CD20: news flow
- Table 57: Lumiliximab: overview
- Table 58: Lumiliximab global sales ($m), 2006-12
- Table 59: Lumiliximab: news flow
- Table 60: Rencarex: overview
- Table 61: Rencarex global sales ($m), 2006-12
- Table 62: Rencarex: news flow
- Table 63: Mylotarg: overview
- Table 64: Mylotarg global sales ($m), 2006-12
- Table 65: Mylotarg: news flow
- Table 66: MAB Campath: overview
- Table 67: MAB Campath global sales ($m), 2006-12
- Table 68: MAB Campath: news flow
- Table 69: Zevalin: overview
- Table 70: Zevalin global sales ($m), 2006-12
- Table 71: Zevalin: news flow
- Table 72: Bexxar: overview
- Table 73: Bexxar global sales ($m), 2006-12
- Table 74: Bexxar: news flow
- Table 75: Zalutumumab: overview
- Table 76: Zalutumumab global sales ($m), 2006-12
- Table 77: Zalutumumab: news flow
- Table 78: Zanolimumab: overview
- Table 79: Zanolimumab global sales ($m), 2006-12
- Table 80: Zanolimumab: news flow
- Table 81: Proxinium/Vicinium: overview
- Table 82: Proxinium/Vicinium: news flow
- Table 83: Catumaxomab: overview
- Table 84: Catumaxomab: news flow
- Table 85: Humira: overview
- Table 86: Humira global sales ($m), 2006-12
- Table 87: Humira: news flow
- Table 88: Remicade: overview
- Table 89: Remicade global sales ($m), 2006-12
- Table 90: Remicade: news flow
- Table 91: Product: overview
- Table 92: Cimzia global sales ($m), 2006-12
- Table 93: Product: news flow
- Table 94: Rituxan/MabThera RA: overview
- Table 95: Rituxan/MabThera global sales ($m), 2006-12
- Table 96: Rituxan/MabThera RA: news flow
- Table 97: Actemra: overview
- Table 98: Actemra global sales ($m), 2006-12
- Table 99: Actemra: news flow
- Table 100: Golimumab: overview
- Table 101: Golimumab global sales ($m), 2006-12
- Table 102: Golimumab: news flow
- Table 103: Raptiva: overview
- Table 104: Raptiva global sales ($m), 2006-12
- Table 105: Raptiva: news flow
- Table 106: CNTO-1275: overview
- Table 107: CNTO-1275 global sales ($m), 2006-12
- Table 108: CNTO-1275: news flow
- Table 109: Mepolizumab: overview
- Table 110: Mepolizumab global sales ($m), 2006-12
- Table 111: Product: news flow
- Table 112: Simulect: overview
- Table 113: Simulect global sales ($m), 2006-12
- Table 114: Simulect: news flow
- Table 115: Lymphocide: overview
- Table 116: Lymphocide global sales ($m), 2006-12
- Table 117: Lymphocide: news flow
- Table 118: Zenapax: overview
- Table 119: Zenapax global sales ($m), 2006-12
- Table 120: Zenapax: news flow
- Table 121: Nuvion: overview
- Table 122: Nuvion global sales ($m), 2006-12
- Table 123: Nuvion: news flow
- Table 124: Leukotac: overview
- Table 125: Leukotac: news flow
- Table 126: Tysabri: overview
- Table 127: Tysabri global sales ($m), 2006-12
- Table 128: Tysabri: news flow
- Table 129: ReoPro: overview
- Table 130: ReoPro global sales ($m), 2006-12
- Table 131: ReoPro: news flow
- Table 132: Xolair: overview
- Table 133: Xolair global sales ($m), 2006-12
- Table 134: Xolair: news flow
- Table 135: Lucentis: overview
- Table 136: Lucentis global sales ($m), 2006-12
- Table 137: Lucentis: news flow
- Table 138: Soliris: overview
- Table 139: Soliris global sales ($m), 2006-12
- Table 140: Soliris: news flow
- Table 141: AMG-531: overview
- Table 142: AMG-531 global sales ($m), 2006-12
- Table 143: AMG-531: news flow
- Table 144: Denosumab: overview
- Table 145: Denosumab global sales ($m), 2006-12
- Table 146: Denosumab: news flow
- Table 147: Numax: overview
- Table 148: Numax global sales ($m), 2006-12
- Table 149: Numax: news flow
- Table 150: Mycograb: overview
- Table 151: Mycograb global sales ($m), 2006-12
- Table 152: Mycograb: news flow
- Table 153: Aurograb: overview
- Table 154: Aurograb global sales ($m), 2006-12
- Table 155: Aurograb: news flow
- Table 156: Synagis: overview
- Table 157: Synagis global sales ($m), 2006-12
- Table 158: Synagis: news flow
- List of Figures
- Figure 1: Pharmaceutical market performance, sales ($m) and
year-on-year growth (%), 2006-12
- Figure 2: Sales growth by launch, core & expiry (ethical sales
$m), 2006-12
- Figure 3: Expiry portfolio, year-on-year change in annual sales ($m),
2006-12
- Figure 4: Launch, core and expiry portfolio year-on-year change in
annual sales ($m), 2006-12
- Figure 5: Forecast sales by molecule type ($m), 2006-12
- Figure 6: Change in annual sales ($m) by molecule type, 2006-12
- Figure 7: Sales compound annual growth rate (CAGR) by molecule type,
2006-12
- Figure 8: Levels of structural similarity by drug type
- Figure 9: Average revenues per product ($m), 2006
- Figure 10: Percentage of oncology and AIID sales by molecule type, 2006
- Figure 11: Percentage of oncology and AIID sales by molecule type, 2012
- Figure 12: The role of drug targets in disease treatment
- Figure 13: Molecule type sales by target family, 2006
- Figure 14: Total market sales growth (CAGR %) by target family, 2006-12
- Figure 15: Sales growth drivers and resistors for mAbs, therapeutic
proteins and small molecules
- Figure 16: mAb market outlook, sales ($m) and year-on-year growth (%),
2006-12
- Figure 17: Product analysis, historical and forecast sales growth
($m), 2006-12
- Figure 18: Product growth drivers and resistors ($m), 2006-12
- Figure 19: Company analysis, historical and forecast sales growth
($m), 2006-12
- Figure 20: Company growth drivers and resistors ($m), 2006-12
- Figure 21: Therapy analysis, historical and forecast sales growth
($m), 2006-12
- Figure 22: Therapy area growth drivers and resistors ($m), 2006-12
- Figure 23: Technology analysis, historical and forecast sales growth
($m), 2006-12
- Figure 24: Technology growth drivers and resistors ($m), 2006-12
- Figure 25: Target analysis, historical and forecast sales growth ($m),
2006-12
- Figure 26: Target growth drivers and resistors ($m), 2006-12
- Figure 27: The ' big 5' mAbs have held over 70% of mAb sales since 2003
and are forecast to retain this market dominance until 2012
- Figure 28: Total mAb sales ($m) of the ' big 5' vs. ' the rest'
- Figure 29: Absolute growth of the ' big 5' mAbs vs. ' the rest'
- Figure 30: Average revenues per product in 2006 of the ' big 5' mAbs
and ' the rest'
- Figure 31: Quartile analysis, average 2006 revenues per product ($m)
- Figure 32: Dominance of the oncology mAb segment by Avastin, Rituxan
and Herceptin
- Figure 33: Dominance of AIID biologic market by Remicade, Humira and
Enbrel
- Figure 34: The structure of an antibody
- Figure 35: Types of antibodies
- Figure 36: Immunogenicity ranges
- Figure 37: Number of marketed mAb technologies
- Figure 38: Schematic illustration of antibody fragments
- Figure 39: Number of marketed full length mAbs versus fragments
- Figure 40: Number of Phase I-marketed mAb fragments
- Figure 41: Number of marketed naked and conjugated mAbs
- Figure 42: mAb timeline - technology shift
- Figure 43: Ethical sales ($m) and year-on-year growth rate (%), 2003-06
- Figure 44: Ethical sales ($m) and year-on-year growth rate (%), 2006-12
- Figure 45: Absolute sales growth rate (ethical sales) ($m), 2003-12
- Figure 46: mAb CAGRs (%), 2003-12
- Figure 47: Growth drivers/resistor products of historical revenue
performance ($m), 2003-06
- Figure 48: Product analysis, historical and forecast sales growth
($m), 2003-12
- Figure 49: mAb count and average mAb sales per mAb, 2003-12
- Figure 50: Product growth drivers and resistors ($m), 2006-12
- Figure 51: Key growth driver companies by historical revenue
performance ($m), 2003-06
- Figure 52: Company analysis, historical and forecast sales growth
($m), 2003-12
- Figure 53: Company growth drivers and resistors ($m), 2006-12
- Figure 54: Growth drivers/resistor therapy areas of historical revenue
performance ($m), 2003-06
- Figure 55: Therapy analysis, historical and forecast sales growth
($m), 2003-12
- Figure 56: Therapy area growth drivers and resistors ($m), 2006-12
- Figure 57: Growth drivers/resistor technologies of historical revenue
performance ($m), 2003-06
- Figure 58: Technology analysis, historical and forecast sales growth
($m), 2003-12
- Figure 59: Technology growth drivers and resistors ($m), 2006-12
- Figure 60: Growth drivers/resistor targets of historical revenue
performance ($m), 2003-06
- Figure 61: Target analysis, historical and forecast sales growth ($m),
2003-12
- Figure 62: Target growth drivers and resistors ($m), 2006-12
- Figure 63: Count of marketed mAb players
- Figure 64: Count of Phase III pipeline mAb players
- Figure 65: Count of companies with more than one Phase I-II pipeline
candidates
- Figure 66: Emerging mAb players
- Figure 67: Phase I-III pipeline count split by technology
- Figure 68: The stepwise evolution of naked mAb technology
- Figure 69: Overview of pipeline technology type Phase I-pre-reg
- Figure 70: Emerging mAb technologies (% mAb candidates)
- Figure 71: Phase I-pre-reg mAb count split by therapy area
- Figure 72: Percentage contribution from mAb candidates, 2006
- Figure 73: Phase III and pre-registration target count
- Figure 74: Count of targets with more than one Phase I-II pipeline
candidates
- Figure 75: Count of the most popular targets in early-stage development
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