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<strong>IMS</strong> COM PANY PRO FILES NOVARTIS<br />
EXTAVIA (in ter feron beta-1b ): In May 2008, Novartis’ biosimilar prod uct Extavia (in ter feron beta-1b)<br />
was ap proved in the EU for the treat ment of early and re laps ing forms of mul ti ple scle ro sis (MS). It was<br />
launched in Ger many and Den mark in Jan u ary 2009. Fur ther Eu ro pean launches are planned for 2009.<br />
The agent is ap proved for re laps ing-re mit ting MS and for pa tients who have ex pe ri enced a sin gle ep i sode<br />
in volv ing loss of my elin, pa tients who have an ac tive in flam ma tory pro cess need ing in tra ve nous<br />
corticosteroid treat ment, and pa tients who are at high risk of de vel op ing clin i cally def i nite MS. Novartis<br />
plans to launch Extavia in the USA in the first half of 2009.<br />
Novartis and Bayer Schering (the phar ma ceu ti cal arm of Bayer, Ger many) are jointly de vel op ing in ter -<br />
feron beta-1b as a treat ment for MS. In ter feron beta-1b was launched in the USA, its first world mar ket in<br />
1993 as a ther apy for re laps ing-re mit ting MS. It is cur rently mar keted world wide by Bayer Schering as<br />
Betaferon or Betaseron. In 2007, Bayer Schering and Novartis signed a deal fol low ing the lat ter’s ac qui si -<br />
tion of Chiron, which al lows Novartis to mar ket its own branded interferon beta-1b.<br />
Pat ents: In Oc to ber 1982, Cetus, an af fil i ate of the US com pany Chiron (now part of Novartis), filed a<br />
pri or ity prod uct pat ent ap pli ca tion in the USA. In Feb ru ary 1986, Cetus and Tri ton Bio sci ences, a sub sid -<br />
iary of Shell, formed a joint ven ture, Tritus, to de velop the prod uct. In 1990, Tri ton Bio sci ences was ac -<br />
quired by Schering AG (now Bayer Schering) and merged with Schering AG’s US sub sid iary, Berlex. In<br />
1993 Schering AG and Chiron signed an agree ment re lat ing to the reg u la tory fil ing, de vel op ment and<br />
sup ply of in ter feron beta-1b. In Sep tem ber 2007, Bayer Schering and Novartis signed an agree ment that<br />
al lows Novartis to mar ket its own branded interferon beta-1b product.<br />
Sales/An a lyst Com ment: Cowen & Co an a lysts (Au gust 2008) fore cast ini tial sales of $25 mil lion in<br />
2008 ($195 mil lion by 2013).<br />
FEMARA (letrozole), a po tent, oral, non-steroidal aromatase in hib i tor, was launched in the UK, its first<br />
world mar ket, in 1996. It is now avail able in over 90 coun tries, in clud ing the USA, Can ada and Ja pan,<br />
where li censee Chugai launched it in 2006. This once-a-day ther apy was first ap proved as a sec ond-line<br />
treat ment for breast can cer in post-meno pausal women in whom antiestrogen ther apy has failed.<br />
Aromatase in hib i tors act by re duc ing the amount of es tro gen cir cu lat ing in the body by bind ing to the en -<br />
zyme aromatase, which is in volved in the syn the sis of es tro gen in tis sues such as fat, liver and mus cle.<br />
Use as a first-line ther apy for ad vanced hor mone-de pend ent breast can cer in postmenopausal women<br />
was approved in the USA and Europe in 2001.<br />
In 2004, the FDA ap proved letrozole for the ex tended adjuvant treat ment of postmenopausal women<br />
with early breast can cer who have re ceived post-sur gery tamoxifen ther apy for five years. Letrozole was<br />
ap proved for this in di ca tion in more than 40 coun tries. These ap prov als were based on re sults from an in -<br />
ter na tional 5,200-pa tient study (des ig nated MA-17). Af ter five years of tamoxifen ther apy, ben e fits be -<br />
gin to wane and the risks of endometrial can cer, pul mo nary em bo lism and stroke in crease; how ever, the<br />
risk of breast can cer re mains and Femara is the first hor monal ther apy to of fer a post-tamoxifen op tion to<br />
re duce the risk of breast cancer recurrence.<br />
In 2005, ini tial data from the BIG 1-98 study showed Femara pro vided a dis ease-free sur vival ad van tage<br />
over tamoxifen in the adjuvant treat ment (post-sur gery) of early breast can cer. Ap proval for this in di ca -<br />
tion was granted in the USA in 2006, based on the re sults of the BIG 1-98 study, which showed that<br />
Femara re duced the risk of breast can cer re turn ing by an ad di tional 21% over the re duc tion of fered by<br />
tamoxifen. Ap proval in the EU also came in the first quarter of 2006.<br />
Li cens ing: Un der the terms of a 1994 cross-li cens ing deal, Novartis and Chugai (Ja pan) co-de vel oped<br />
and co-mar ket letrozole in Japan.<br />
Pat ents: Mylan (USA) re ceived ten ta tive ap proval for a ge neric ver sion of Femara in May 2007. Novartis<br />
has a com pound pat ent on Femara un til 2011 and filed a pat ent in fringe ment law suit against Mylan in<br />
© 2009 <strong>IMS</strong> Health In cor po rated or its af fil i ates Page 29