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<strong>IMS</strong> COM PANY PRO FILES NOVARTIS<br />
Requip (ropinirole), with a 15.9% mar ket share but sales down 2% in fixed rate dol lar terms. Requip and<br />
Sifrol have also been ap proved for use in rest less leg syn drome (RLS). Num ber three was Novartis’<br />
Stalevo, with a 10.2% mar ket share and 22% fixed rate dol lar growth. Roche’s Madopar was num ber<br />
four, with a 6.1% mar ket share and 3% fixed rate dol lar growth. Comtan was num ber five with a 4.2%<br />
mar ket share, up 10%. Teva’s Azilect (rasagiline), first launched in 2005, was in sev enth po si tion, with a<br />
3.8% mar ket share and 49% fixed rate dol lar growth. UCB’s Neupro (rotigotine), first launched in 2006,<br />
is also grow ing rap idly. It was the num ber nine prod uct in this class, with a 2.6% mar ket share, but 128%<br />
fixed rate dollar growth.<br />
Sales/An a lyst Com ment: In 2008, the Comtan/Stalevo group of prod ucts was Novartis’ num ber 12<br />
prod uct group, with com bined sales of $502 mil lion, up 15% in lo cal cur rency terms. Mor gan Stan ley an -<br />
a lysts (Jan u ary 2009) fore cast sales of $532 mil lion in 2009 (peak ing at $672 mil lion by 2013 and fall ing<br />
to $336 mil lion by 2014). Cowen & Co an a lysts (Au gust 2008) fore cast sales of $515 in 2008 (peak ing at<br />
$750 mil lion in 2012 and fall ing to $350 million by 2013).<br />
EXELON (rivastigmine), an acetylcholinesterase in hib i tor, was launched in Swit zer land, its first world<br />
mar ket, in 1997 for the treat ment of Alz hei mer’s dis ease and ischemia-in duced ce re bral dis or ders. It has<br />
now been ap proved in al most 70 coun tries (but not Ja pan). It was launched in China in 2001. It was<br />
launched in the USA and Can ada in 2000 for the symp tom atic treat ment of mild-to-mod er ate Alz hei mer’s<br />
dis ease. Novartis claims that Exelon is the first Alz hei mer’s dis ease ther apy to show clin i cal ben e fits for<br />
key do mains used to as sess the dis ease, i.e. global func tion ing (in clud ing ac tiv i ties of daily liv ing, and be -<br />
hav ior), and cog ni tion. In 2006, Exelon was also ap proved and launched in a num ber of mar kets, in clud -<br />
ing the UK and the USA for the treat ment of mild-to-mod er ately se vere dementia associated with<br />
idiopathic Parkinson’s disease.<br />
Novartis has de vel oped a trans derm al patch for mu la tion of rivastigmine, Exelon Patch. In July 2007, it<br />
was ap proved in the USA for the treat ment of mild-to-mod er ate Alz hei mer’s dis ease and mild-to-mod er -<br />
ate de men tia as so ci ated with Par kin son’s dis ease. The fil ing was based on data from a phase III trial, des -<br />
ig nated IDEAL (In ves ti ga tion of Exelon Patch in Alz hei mer’s dis ease), in nearly 2,000 pa tients with<br />
mod er ate Alz hei mer’s dis ease. Exelon Patch had sim i lar ef fi cacy to rivastigmine cap sules, and was well<br />
tol er ated at the rec om mended dose of 9mg/day, with three times fewer re ports of nau sea or vom it ing. It<br />
was launched in the USA in Q4 2007. The prod uct was ap proved in Eu rope in Sep tem ber 2007 and<br />
launched in the UK in Oc to ber 2007. The patch was launched in South Ko rea in 2008. Phase III trials with<br />
Exelon Patch are ongoing in Japan.<br />
Li cens ing: In 2005, Novartis and Ono (Ja pan) agreed to co-de velop and co-mar ket the rivastigmine<br />
trans derm al patch in Ja pan. It is been de vel oped in Ja pan as ENA 713D. Rivastigmine was li censed-out<br />
to Esteve for co-mar ket ing in Spain in 1999 by Novartis. Exteva co-mar kets it in Spain as Prometax.<br />
Pat ents: Novartis granted Wat son (USA) a li cense for au tho rized ge neric ver sion of Exelon in De cem ber<br />
2007. The agree ment pro vides that Wat son will not com mence mar ket ing its ge neric prod uct un til some -<br />
time prior to the ex pi ra tion of the pat ents cov er ing Exelon. The spe cific date on which Wat son may launch<br />
its prod uct has not been dis closed. Wat son has re ceived ten ta tive ap proval from the FDA for ge neric<br />
Exelon. The Jap a nese pat ent on rivastigmine ex pired in March 2008. In most of Eu rope, the com pound is<br />
re ported to be pro tected by sup ple men tary pro tec tion cer tif i cates run ning un til 2012. In the USA, the<br />
pat ent ex pires in Feb ru ary 2014. In Jan u ary 2008, it was re ported that Dr Reddy’s (In dia) had en tered<br />
into a set tle ment agree ment with Novartis, which in volved a stip u la tion of dis missal of US law suits re lat -<br />
ing to Dr Reddy’s ANDA for a ge neric ver sion of rivastigmine. Un der the terms of the deal, Dr Reddy’s will<br />
not launch its ge neric prod uct un til some time be fore the ex piry of the Or ange Book pat ents claim ing<br />
rivastigmine. Dr Reddy’s re ceived final approval from the US FDA in October 2007 for its rivastigmine<br />
capsules.<br />
© 2009 <strong>IMS</strong> Health In cor po rated or its af fil i ates Page 45