Table of Contents
Chapter 1. Executive Summary
- 1.1 Aims of This Report
- 1.2 Summary and Contents
Chapter 2. Introduction
- 2.1 Immunity and Self Preservation
- 2.1.1 Innate immunity
- 2.1.2 Adaptive immunity
- 2.2 Autoimmune Disease, Antigens and Autoantibodies
- 2.2.1 Antigens
- 2.2.2 Autoantibodies
- 2.3 Inflammation, Regulation and Central Matrix Destruction
- 2.4 Adhesion Molecules, Cytokines and Chemokines
- 2.4.1 Adhesion Molecules
- 2.4.2 Cytokines
- 2.4.3 Chemokines
- 2.4.4 Orchestral Role of Cytokines - Primary Focus for Research
- 2.5 Aetiology of AI Disease
- 2.6 Spectrum of Autoimmune Disease
- 2.6.1 Organ-Specific AI Disease
- 2.6.2 Non-Organ Specific AI Disease
Chapter 3. Autoimmune Disease and the Anti-inflammatory Market
- 3.1 World Sales of Leading Anti-inflammatories, 2006
- 3.2 Anti-inflammatory Drug Sales by Indication
- 3.3 Immunomodulation is a Fast Growing Treatment Strategy
- 3.3.1 The Anti-inflammatory Cytokines
- 3.4 AI Diseases with Biggest Impact on the Pharmaceutical Market
Chapter 4. The Balance between Inflammation and Immunity
- 4.1 Immunology of the Bowel
- 4.2 Adaptive Mucosal Immunity
- 4.3 Innate Mucosal Immunity
- 4.3.1 Extracellular level
- 4.3.2 Epithelial cell
- 4.3.3 Sub-cellular level
- 4.4 Paneth Cells
Chapter 5. Inflammatory Bowel Disease IBD
- 5.1 Ulcerative Colitis and Crohn' s Disease
- 5.2 Aetiology of IBD
- 5.2.1 Environmental Factors
- 5.2.2 Genetic Predisposition
- 5.2.3 Role of the Adaptive Immune System
- 5.2.4 Role of the Innate Immune System
- 5.2.5 Psychoneuroimmunology and Stress
- 5.3 Signs, Symptoms and Prognosis of IBD
- 5.3.1 Characteristic Signs of IBD
- 5.3.1.1 Ulcerative Colitis
- 5.3.1.2 Crohn' s Disease
- 5.3.2 Characteristic Symptoms of IBD
- 5.3.2.1 Ulcerative Colitis
- 5.3.2.2 Crohn' s Disease
- 5.3.3 Characteristic Extra-intestinal Manifestations of IBD
- 5.3.4 Prognosis of IBD
- 5.4 Diagnosis of IBD
- 5.4.1 Differential Diagnosis of CD and UC
- 5.4.2 Differential Diagnosis of IBD and Other Intestinal Diseases
- 5.5 Biological markers
- 5.5.1 Faecal Calprotectin
- 5.5.2 Lactoferrin
- 5.5.3 ASCA and pANCA
- 5.6 Treatment Options for IBD
- 5.6.1 General Supportive Therapy
- 5.6.2 Aminosalicylates
- 5.6.3 Leading Aminosalicylates
- 5.6.4 Pentasa
- 5.6.5 Colazal
- 5.6.6 Dipentum
- 5.6.7 Corticosteroids
- 5.6.8 Immunomodulators
- 5.6.9 Antibiotics
- 5.6.10 Biological Immunomodulators
- 5.6.11 TNF- alpha Antagonists
- 5.6.12 Remicade
- 5.6.13 Humira
- 5.6.14 Enbrel
Chapter 6. The Potential Market for IBD Anti-inflammatories
- 6.1 World Prevalence Rates
- 6.1.1 Environmental factors
- 6.1.2 Gender and Age
- 6.2 Economic Burden of IBD
- 6.3 World IBD Anti-Inflammatory Market
- 6.3.1 The US and Canada
- 6.3.2 Europe - Germany, UK, Italy and France
- 6.3.3 Central and South America
- 6.3.4 Conclusions
Chapter 7. World Pharma Market for Intestinal Anti-inflammatories
- 7.1 The 5-ASAs Intestinal Anti-inflammatories
- 7.1.1 World Leading Brand Aminosalicylates (5-ASAs)
- 7.1.2 World leading Manufacturers- the Key Players
- 7.1.2.1 Proctor & Gamble
- 7.1.2.2 Ferring
- 7.1.2.3 UCB
- 7.1.2.4 Salix Pharmaceuticals
- 7.1.3 Global Sales of Mesalazine
- 7.2 Future 5-ASA Market, 2007-2012
- 7.3 5-ASA Brand Forecasts, 2007-2012
- 7.3.1 Asacol/ Salofalk
- 7.3.2 Pentasa
- 7.3.3 Colazal
- 7.3.4 Azulfidine EN
- 7.3.5 Dipentum
- 7.4 Anti-TNF- alpha Antagonists in 2006
- 7.4.1 World Leading Brand Anti-TNF- alpha
- 7.5 Anti-TNF- alpha Biologicals, 2007-2012
- 7.5.1 Remicade
- 7.5.2 Humira
Chapter 8. Pipeline, Analysis and Effect on the Market
- 8.1 Main Pipeline Targets in Phase III
- 8.1.1 Anti-TNF- alpha monoclonal antibodies
- 8.1.2 Cytokine inhibitors
- 8.1.3 Selective adhesion molecule antagonists
- 8.1.4 Others
- 8.2 Market Pipelines for Anti-TNF- alpha Products
- 8.2.1 Adalimumab - Humira from Abbott
- 8.2.2 Certolizumab- Cimzia from UCB
- 8.2.3 Etanercept - Enbrel from Amgen and Wyeth
- 8.2.4 Onercept from Serono Merck
- 8.2.5 CDP 571 from Biogen
- 8.2.6 Thalidomide
- 8.2.7 Mitogen Activated Protein Kinase
- 8.3 Market Pipeline for Other cytokine Inhibitors
- 8.3.1 ABT-874 - Anti-IL-12 p40 Antibody from Abbott
- 8.3.2 Tocilizumab- (MRA) Anti-IL-6 Antibody from Roche
- 8.3.3 Daclizumab - Anti-IL-2 Receptor Antibody from Roche
- 8.3.4 Basiliximab - Anti-IL-2 Receptor Antibody from Novartis
- 8.3.5 Fontolizumab - Anti -IFN- gamma Antibody from Biopharma
- 8.4 Adhesion Molecule Inhibitors
- 8.4.1 Natalizumab from Biogen Idec and Elan
- 8.4.2 MLN-02 from Millennium Pharmaceuticals
- 8.4.3 Alicaforsen (ISIS 2302)
- 8.5 Others
- 8.5.1 Sargramostim (GM-CSF) Leukine from Schering
- 8.5.2 Visilizumab from Nuvion and PDL Biopharma
Chapter 9. Conclusions
List of Figures
- 6.1 Prevalence Rates of IBD worldwide in 2004
- 6.2 World Intestinal Inflammatory Market by Revenues
- 6.3 World Intestinal Inflammatory Market by % Share
- 6.4 Revenues from the North American Intestinal Anti-inflammatory Market
in 2005
- 6.5 Revenues from the European Intestinal Anti-inflammatory Market in 2005
- 6.6 Revenues from the Intestinal Anti-inflammatory Market in Latin
America, 2005
- 7.1 Sales of Mesalazine Products during the 12 months to Q3, 2006
- 7.2 Share of the 5-ASA Market for IBD of Different Brands
- 7.3 Share of the Mesalazine Market for IBD of Different Brands
- 7.4 Growth of the 5-ASA Market Worldwide, 2007- 2012
- 7.5 5-ASA Product Revenues Worldwide, 2007-2012
- 7.6 Annual growth Rates for 5-ASAs Worldwide, 2007- 2012
- 7.7 Global Sales for Asacol/Salofalk, 2007-2012
- 7.8 AGR of Asacol and Salofalk, 2007-2012
- 7.9 Global Sales of Pentasa, 2007-2012
- 7.10 AGR for Pentasa, 2007-2012
- 7.11 Global Sales of Colazal, 2007-2012
- 7.12 AGR for Colazal
- 7.13 Global Sales of Azulfidine EN, 2007-2012
- 7.14 AGR of Azulfidine EN, 2007-2012
- 7.15 Forecast of Revenue from anti-TNF- alpha Products for the Period
2007-2012
- 7.16 World Revenues for Remicade, 2007- 2012
- 7.17 AGR for Remicade, 2007- 2012
- 7.18 World Revenues for Humira, 2007-2012
- 7.19 AGR for Humira, 2007-2012
List of Tables
- 2.1 Pro-inflammatory and Anti-inflammatory Cytokines
- 2.2 Spectrum of Autoimmune Disease
- 3.1 World Sales of Leading Prescription Anti-inflammatories, 2006
- 3.2 Leading Prescription Drugs by Disease Area for 2005
- 5.1 Treatment Algorithm for UC
- 5.2 Treatment Algorithm for CD
- 5.3 Brands Generating Highest Revenue Worldwide during 2006
- 7.1 The World Market for Asacol, 2007-2012
- 7.2 The Market for Salofalk, 2007-2012
- 7.3 The market for Pentasa, 2007-2012
- 7.4 The Market for Colazal, 2007- 2012
- 7.5 The Market for Azulfidine EN, 2007- 2012
- 7.6 Approved indications for the different anti-TNF- alpha biologicals
- 7.7 The World Market for Remicade by Revenue, 2005-2012
- 7.8 The World Market for Humira by Revenue, 2005-2012
- 7.9 Global Sales of Pentasa, 2007-2012
- 7.10 AGR for Pentasa, 2007-2012
- 7.11 Global Sales of Colazal, 2007-2012
- 7.12 AGR for Colazal
- 7.13 Global Sales of Azulfidine EN, 2007-2012
- 7.14 AGR of Azulfidine EN, 2007-2012
- 7.15 Forecast of Revenue from anti-TNF- alpha Products for the Period
2007-2012
- 7.16 World Revenues for Remicade, 2007- 2012
- 7.17 AGR for Remicade, 2007- 2012
- 7.18 World Revenues for Humira, 2007-2012
- 7.19 AGR for Humira, 2007-2012
Organisations Listed
- Abbott Laboratories
- Amgen
- Berlex Laboratories
- Biogen Idec
- Celltech
- Chugai pharmaceuticals
- Elan
- Dr Falk
- Ferring
- Genentech
- IVAX
- Johnson & Johnson
- Merck & Co
- Millennium Pharmaceuticals, Inc.
- Novartis
- PDL Biopharma
- Pfizer
- Pharmacia
- Procter & Gamble
- Schering-Plough
- Tanabe
- Teva Pharmaceutical Industries
- Roche
- Salix Pharmaceutical
- Sandoz
- Santen Pharmaceutical
- Sanofi-Aventis
- Serono
- Shire Pharmaceuticals Group
- UCB
- Wyeth
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