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<strong>IMS</strong> COM PANY PRO FILES NOVARTIS<br />
Clin i cal Data: In March 2008, Novartis an nounced that re sults from a phase II study, in pa tients with<br />
subfoveal choroidal neovascularization (CNV) sec ond ary to AMD, showed that a com bi na tion ther apy of<br />
Visudyne fol lowed by Avastin (bevacizumab) re duced, by half, the num ber of treat ments re quired dur ing<br />
the first six months to gain sim i lar vi sual acu ity com pared to Avastin monotherapy, with which all pa tients<br />
re quired additional treatments.<br />
QLT (Can ada) is con duct ing a phase II trial, known as RAD I CAL, com par ing Visudyne-Lucentis com bi na -<br />
tion ther a pies with Lucentis monotherapy in 162 sub jects with choroidal neovascularization sec ond ary to<br />
age-re lated macular de gen er a tion. The study is de signed to de ter mine if the com bi na tion ther apy re -<br />
duces retreatment rates com pared with Lucentis monotherapy. Six month re sults re ported in De cem ber<br />
2008 showed that mean cu mu la tive treat ments were lower in the com bi na tion groups than the<br />
monotherapy group.<br />
Pat ents: QLT Photo Thera peu tics has an ex clu sive world wide li cense from the Uni ver sity of Brit ish Co -<br />
lom bia for all pat ents and know-how re lat ing to verteporfin and its use in PDT.<br />
Com pe ti tion: Main com pe ti tion co mes from Genentech and Novartis’ Lucentis (ranibizumab).<br />
Genentech has car ried out a phase III trial that com pared Lucentis against Visudyne in wet AMD pa tients.<br />
On av er age, pa tients treated with Lucentis im proved their vi sual acu ity and those treated with Visudyne<br />
de clined. Ac cord ing to <strong>IMS</strong>, in the 12-month pe riod to the end of Sep tem ber 2008, Lucentis was the lead -<br />
ing prod uct in the ‘Oc u lar Antineovascularisation Prod ucts’ class (S1P), with an 89.7% mar ket share and<br />
50% fixed rate dol lar growth. Visudyne was num ber two, with an 8.7% mar ket share, but sales were<br />
down 42% in fixed rate dol lar terms. Macugen was num ber three, with a 1.7% mar ket share and 2%<br />
fixed rate dollar growth.<br />
Sales/An a lysts Com ment: Mor gan Stan ley an a lysts (Jan u ary 2009) pre dict sales of $106 mil lion in<br />
2009 ($74 mil lion by 2014).<br />
Systemic Anti-Infective Agents<br />
CEFDINIR NOVT (cefdinir): In 2007, Novartis launched a ge neric ver sion of the an ti bi otic cefdinir (ge -<br />
neric ver sion of Abbott’s Omnicef) in the USA. Cefdinir is re ported to be one of the most widely pre -<br />
scribed cephalosporin an ti bi ot ics in the US.<br />
Com pe ti tion: In the 12-month pe riod to the end of Sep tem ber 2008, Cefdinir Novt was the num ber<br />
eight prod uct in the J1D class (Cephalosporins), with sales of $147 mil lion, a 1.4% mar ket share and<br />
113% fixed rate dol lar growth, ac cord ing to <strong>IMS</strong>. The lead ing prod uct in this class was Roche’s Rocephin<br />
(ceftriaxone), with a 3.1% mar ket share, but sales down by 13% in fixed rate dol lar terms. Num ber two<br />
was GlaxoSmithKline’s Zinnat (cefuroxime axetil), with a 2.7% mar ket share and sales down by 9% in<br />
fixed rate dol lar terms. Num ber three was Shionogi’s Flomox (cefcapene pivoxil), with a 2.6% mar ket<br />
share and sales down by 3% in fixed rate dol lar terms. Num ber four was GlaxoSmithKline’s Fortum<br />
(ceftazidime), with a 2.3% mar ket share and sales down by 12% in fixed rate dol lar terms. Num ber five<br />
was Bris tol-Myers Squibb’s Maxipime (cefepime), with a 1.8% mar ket share and sales down by 40% in<br />
fixed rate dollar terms.<br />
CUBICIN (daptomycin) is a lipopeptide an ti bi otic for the treat ment of in fec tious dis eases caused by<br />
Staph y lo coc cus aureus and vancomycin-re sis tant enterococci (VRE). It was orig i nally launched by orig i -<br />
na tor Cub ist Pharma in the USA in 2003. Ob tained via the Chiron ac qui si tion, Cubicin is the first Novartis<br />
prod uct for the hos pi tal in fec tions mar ket. Daptomycin is a fer men ta tion prod uct of Streptomyces<br />
roseosporus and is wa ter-sol u ble. Cubicin was ap proved in the EU in 2006. In 2006, Novartis launched it<br />
in the UK, Ire land, Nor way, Ger many, the Neth er lands, Fin land, Aus tria, Spain, Den mark, Ger many and<br />
Swe den. In 2007, Novartis launched it in It aly, France, Swit zer land, Poland, Slovenia, Argentina, Greece<br />
and Taiwan.<br />
© 2009 <strong>IMS</strong> Health In cor po rated or its af fil i ates Page 66