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<strong>IMS</strong> COM PANY PRO FILES NOVARTIS<br />
Pat ents: Lamisil’s pat ent in the UK, Ger many and It aly ex pired in 2005. US mar ket ing ex clu siv ity ex -<br />
pired in June 2007.<br />
Lifecycle Man age ment: In 1998, the FDA ap proved Lamisil DermaGel for the treat ment of tinea<br />
versicolor, tinea corporis and tinea pedis. It does not have an in di ca tion for tinea cruris like the cream for -<br />
mu la tion. In 1998, a spray for mu la tion was launched in Puerto Rico. In 1999, it was launched as an OTC<br />
treat ment, Lamisil AT Cream (1% terbinafine), for ath lete’s foot. Novartis said it was the first<br />
Rx-to-OTC switch prod uct for the con di tion in nearly ten years. Novartis claims that Lamisil AT works<br />
within one week, as op posed to four for ex ist ing treat ments. Lamisil AT was launched in the UK in 2001.<br />
Lamisil Spray Pump and So lu tion Drop per OTC for mu la tions were launched in 2000.<br />
In Sep tem ber 2007, the FDA granted mar ket ing ap proval for Novartis’ oral gran ule for mu la tion of Lamisil<br />
in the treat ment of tinea capitis in chil dren aged four years and older. The prod uct is ap proved for a<br />
once-daily, six-week reg i men. Novartis is also de vel op ing a nail lac quer for mu la tion in phase III tri als<br />
(NM 100060).<br />
Com pe ti tion: In 2007, var i ous com pa nies in clud ing Teva, Dr Reddy’s, Mylan and Barr launched ge neric<br />
terbinafine prod ucts in the USA. Novartis also launched its own terbinafine ge neric. Lamisil has al ready<br />
been ex posed to ge neric com pe ti tion in a large num ber of mar kets outside the USA.<br />
Ac cord ing to <strong>IMS</strong>, Lamisil was the num ber six prod uct in the J2A class (‘Sys temic Agents for Fun gal In fec -<br />
tions’) class in the 12-month pe riod to the end of Sep tem ber 2008, with a 6.1% mar ket share, but sales<br />
down 71% in fixed rate dol lar terms. Pfizer’s Vfend (voriconazole) was num ber one, with a 16.6% mar -<br />
ket share and sales up 11% in fixed rate dol lar terms. Merck & Co’s Cancidas (caspofungin) was num ber<br />
two, with a 12.4% mar ket share, but sales down 1%. Pfizer’s Diflucan (fluconazole) was num ber three,<br />
with an 8.4% mar ket share, but with sales down 21%.<br />
Sales/An a lyst Com ment: Lamisil had sales in 2007 of $595 mil lion, ac cord ing to Mor gan Stan ley an a -<br />
lysts (Jan u ary 2009), who put 2008 sales at around $266 mil lion. Sales are de clin ing due to ge neric com -<br />
pe ti tion. Mor gan Stan ley an a lysts fore cast sales of $202 mil lion in 2009 ($79 million by 2014).<br />
Genitourinary System/Sex Hormones<br />
ENABLEX/EMSELEX (darifenacin), a once-daily, ex tended-re lease se lec tive muscarinic M3 re cep tor<br />
an tag o nist for the treat ment of over ac tive blad der, was ap proved in the USA and in all 25 Eu ro pean<br />
mem ber states, plus Nor way and Ice land in 2004. It was first launched in 2005 in the USA as Enablex by<br />
Novartis. It was launched in Swe den, Den mark, Nor way and Swit zer land in 2005 by Novartis as Emselex<br />
and in Ger many as Emselex by li censee Bayer. It was also launched in Uru guay as Enablex in 2005. It has<br />
since been launched in a num ber of world mar kets. In Eu ro pean coun tries, it is mar keted as Emselex. In<br />
North Amer ica, Uru guay, Brazil, Co lom bia, Ar gen tina, Aus tra lia and South Af rica, it is mar keted as<br />
Enablex. In 2008, it was launched in Portugal and the Slovak Republic.<br />
Li cens ing: Darifenacin was orig i nally de vel oped by Pfizer, which filed for US ap proval in 2002. It was ac -<br />
quired by Novartis in 2003 for $225 mil lion. In 2004, Novartis granted Bayer ex clu sive Ger man com mer -<br />
cial iza tion and dis tri bu tion rights. In 2005, Novartis and Procter & Gam ble en tered into an agree ment for<br />
the co-pro mo tion and fur ther de vel op ment of Enablex in the USA. Novartis would con tinue to re cord rev -<br />
e nues for Enablex and would pay roy al ties to P&G based on the prod uct’s per for mance. In 2006, Ardana<br />
Bio sci ence (UK) gained rights to mar ket darifenacin in the UK. In 2007, Beijing Med-Pharm (China)<br />
signed an ex clu sive deal with Novartis to reg is ter, market and distribute Enablex in China.<br />
Clin i cal Data: In 2004, data was pre sented at the Amer i can Uro log i cal As so ci a tion meet ing from a<br />
439-pa tient study. Ad min is tra tion of 7.5mg and 15mg of darifenacin re duced the num ber of noc tur nal<br />
awak en ings by 22.1% and 22.7% re spec tively com pared with 3.6% in the pla cebo group af ter 12 weeks.<br />
© 2009 <strong>IMS</strong> Health In cor po rated or its af fil i ates Page 53