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<strong>IMS</strong> COM PANY PRO FILES NOVARTIS<br />
ment re quires fre quent blood trans fu sions that can sub se quently lead to too much iron in body or gans.<br />
How ever, the stud ies also en rolled pa tients with other trans fu sion-de pend ent anemias, in clud ing sickle<br />
cell dis ease. With a once-daily oral dose, deferasirox is re plac ing Novartis’ older prod uct treat ment,<br />
Desferal, which is ad min is tered via a daily subcutaneous infusion over 8-12 hours.<br />
Exjade is now be ing stud ied in pa tients with non-transfusional-re lated iron over load. Phase I/II safety<br />
and ef fi cacy stud ies are en roll ing pa tients, with the first data ex pected in 2008.<br />
Com pe ti tion: In the 12-month pe riod to the end of Sep tem ber 2008, Exjade was the num ber one prod -<br />
uct in the V3F class (Iron-che lat ing Agents), with an 85.8% mar ket share and 35% fixed rate dol lar<br />
growth. Num ber two was the older Novartis prod uct Desferal (deferoxamine), with a 7.0% mar ket<br />
share but sales down by 14% in fixed rate dol lar terms. In April 2008, it was re ported that Cipla (In dia)<br />
was plan ning to launch a ge neric ver sion of Exjade on the Indian market.<br />
Sales/An a lyst Com ment: In 2008, sales were $531 mil lion, up 45% in lo cal cur rency terms, and it was<br />
Novartis’ num ber 11 phar ma ceu ti cal prod uct. Mor gan Stan ley an a lysts (Jan u ary 2009) fore cast sales of<br />
$627 mil lion in 2009 ($901 mil lion by 2014). Cowen & Co an a lysts (Au gust 2008) fore cast sales of $515<br />
mil lion in 2008 ($825 million by 2013).<br />
Generics<br />
Novartis is a ma jor player in the world generics mar ket via its generics di vi sion Sandoz, which ac counted<br />
for 18.2% of to tal com pany sales in 2008. Sandoz is the world’s num ber two generics com pany and is<br />
lead ing the in dus try in dif fi cult-to-make generics based on spe cial ized for mu la tions rang ing from trans -<br />
derm al patches and im plants to ex tended-re lease tablets.<br />
In 2008, Sandoz’s net sales rose 5.4% to $7.6 bil lion. Growth was driven by im proved per for mances out -<br />
side the USA to achieve sales of $5,791 mil lion up 5% in lo cal cur rency terms. Growth was par tic u larly led<br />
by mar kets in Cen tral and East ern Eu rope, up 13% in lo cal cur rency terms, with Rus sia the ma jor growth<br />
mar ket. Growth was also good in Ger many, Can ada, Tur key and Brazil. There was how ever a 10% de -<br />
cline in the US mar ket, down to $1,766 mil lion, due to a lack of new prod uct launches in 2008. Mor gan<br />
Stan ley an a lysts (Jan u ary 2009) ex pect Sandoz sales to grow strongly to $7,820 mil lion in 2009 then up<br />
to $9,906 million in 2014.<br />
The US ac counted for 23% of Sandoz net sales in 2008, down from 27% in 2007. There was a lack of ma -<br />
jor launches in 2008, but re cent key launches in that coun try have in cluded the an ti bi otic cefdinir (ge neric<br />
ver sion of Abbott’s Omnicef), one of the most widely pre scribed cephalosporin an ti bi ot ics in the US; ad -<br />
di tional dos ages of metoprolol succinate (AstraZeneca’s Toprol-XL), a drug used to treat high blood<br />
pres sure and heart fail ure, in a state-of-the art sus tained-re lease for mu la tion; and ipratropium albuterol<br />
(Boehringer Ingelheim’s Combivent), a med i cine used to treat re spi ra tory dis or ders, an im por tant stra -<br />
te gic mile stone for Sandoz be cause treat ments for re spi ra tory dis eases rep re sent a ma jor growth ini tia -<br />
tive. Growth in the US was also driven by the launch of au tho rized generics that in clude amlodipine +<br />
benazepril com bi na tion (Novartis’ own Lotrel) and ondansetron (GSK’s Zofran). In Eu rope, Sandoz<br />
launched leuprorelin, a treat ment for pros tate can cer, in an im plant formulation injected into the<br />
abdominal skin of patients.<br />
Also sup port ing growth were the Hexal and Eon Labs ac qui si tions. These com pa nies were bought by<br />
Novartis in 2005 for ap prox i mately $8 bil lion. The trans ac tion brought to Novartis Hexal’s mar ket lead er -<br />
ship in Ger many and Eon Labs’ strong po si tion in the US for dif fi cult-to-make generics. The ac qui si tions<br />
sig nif i cantly strength ened Sandoz’ tech nol ogy base and ex panded the al ready strong ca pa bil i ties in phar -<br />
ma ceu ti cal, biopharmaceuticals and anti-infectives.<br />
© 2009 <strong>IMS</strong> Health In cor po rated or its af fil i ates Page 70