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<strong>IMS</strong> COM PANY PRO FILES NOVARTIS<br />
mil lion by 2014. Cowen & Co an a lysts (Au gust 2008) fore cast sales of $450 mil lion in 2008. They think<br />
sales will peak at $1,050 mil lion in 2011 and fall to $700 million by 2013.<br />
LESCOL (fluvastatin), a lipid-low er ing agent (HMG CoA reductase in hib i tor), first launched in Swit zer land<br />
in 1993, and now avail able in over 90 coun tries world wide for the treat ment of pri mary hy per cho les ter ol -<br />
emia in pa tients who do not re spond ad e quately to di etary con trol. An ex tended-re lease tab let for mu la -<br />
tion, Lescol XL, was ap proved in the USA in 2000 and is now sold in a num ber of mar kets. Lescol and<br />
Lescol XL 80mg were ap proved by the FDA in 2003 for re duc ing the risks of cor o nary revascularization<br />
pro ce dures in pa tients with CHD, and, ac cord ing to Novartis, the prod ucts have al ready re ceived ap -<br />
proval for the sec ond ary pre ven tion in di ca tion in the UK, Mexico, Germany, and several other key<br />
markets.<br />
Li cens ing: AstraZeneca has rights to fluvastatin in 10 coun tries, in clud ing Ger many, the Neth er lands,<br />
Scan di na via, Mex ico, Aus tra lia, and New Zea land. AZ cur rently mar kets/co-mar kets it as Canef in Swe -<br />
den, Mex ico, the Neth er lands, Nor way, Por tu gal, Fin land, and Den mark. Ger man rights were sub se -<br />
quently (2001) li censed to Klinge (Ger many) and Fournier (now part of Sol vay, Bel gium) which<br />
co-mar ket it as Cranoc. Fluvastatin was be ing co-mar keted in Ja pan with Tanabe Seiyaku (now<br />
Mitsubishi Tanabe, Ja pan) un der the terms of a 1993 deal, which also in cluded a deal to co-mar ket<br />
Tanabe’s Tanadopa (docarpamine). In Jan u ary 2008, Novartis and Mitsubishi Tanabe mod i fied their<br />
fluvastatin li cens ing deal. From March 2008, Novartis will ex clu sively dis trib ute fluvastatin in Ja pan and<br />
Mitsubishi Tanabe Pharma will ex clu sively man u fac ture the prod uct (for mu la tion and pack ag ing).<br />
Fluvastatin is mar keted as Lochol in Japan.<br />
In 2006, Biovail (Can ada) agreed to mar ket Lescol and Lescol XL in Can ada un til 2008. Biovail will pay<br />
Novartis a fee based on a per cent age of Novartis’ net sell ing price over mu tu ally de ter mined per for mance<br />
base lines, and has cer tain per for mance ob li ga tions re lated to mar ket ing and pro mo tional ac tiv i ties for the<br />
products.<br />
In 2006, Novartis and LG Life Sci ences (South Ko rea) en tered into a deal to co-mar ket ex tended-re lease<br />
fluvastatin. LG plans to mar ket it as Xilep XL, Novartis will use the name Lescol XL.<br />
In May 2008, Pi erre Fabre (France) ac quired French co-mar ket ing rights to fluvastatin, sold as Fractal in<br />
France, from Novartis.<br />
Pat ents: Lescol pat ents ex pired in Eu rope in 2003, but not un til 2008 in Ja pan (2011 in the USA). In Oc -<br />
to ber 2008, Mylan (USA) stated that it has been sued by Novartis over its ge neric ver sion of Lescol. Mylan<br />
said that it be lieved it was the first com pany to file for US ap proval of a ge neric ver sion of Lescol and that<br />
Novartis filed a law suit on Oc to ber 10 in the US Dis trict Court in New Jer sey al leg ing patent infringement.<br />
Lifecycle Man age ment: In 2003, Novartis re ceived ap proval from the FDA for the sec ond ary pre ven -<br />
tion of ad verse CV events in pa tients who have un der gone percutaneous cor o nary in ter ven tion pro ce -<br />
dures, such as angioplasty. The fil ing fol lowed the com ple tion of the Lescol In ter ven tion Pre ven tion Study<br />
(LIPS). Novartis has also con ducted a clin i cal trial of Lescol in kid ney trans plant pa tients to in ves ti gate its<br />
ef fect on car dio vas cu lar dis ease. The trial, known as ALERT (As sess ment of Lescol in Re nal Trans plant),<br />
com pleted in 2004. Novartis is so cer tain of Lescol’s safety that it is re ported to be under consideration as<br />
an OTC switch candidate.<br />
Com pe ti tion: The cho les terol and triglyceride re duc ers class is dom i nated by Pfizer’s Lipitor<br />
(atorvastatin). In the 12-month pe riod to the end of Sep tem ber 2008, ac cord ing to <strong>IMS</strong>, Lipitor had a<br />
44.4% mar ket share, but sales were down by 1% in fixed rate dol lar terms. AstraZeneca’s Crestor<br />
(rosuvastatin) was num ber two with a 12% mar ket share and 29% dol lar growth. Num ber three was<br />
Merck & Co’s Zetia (ezetimibe), with a 7.9% mar ket share, up 3%. Lescol was the num ber seven prod uct<br />
in the class, with a 2.1% mar ket share, but sales down by 9% in fixed rate dollar terms.<br />
© 2009 <strong>IMS</strong> Health In cor po rated or its af fil i ates Page 40