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<strong>IMS</strong> COM PANY PRO FILES NOVARTIS<br />
Li cens ing: In Feb ru ary 2009, Novartis gained the ex clu sive world wide rights to elinogrel from Portola<br />
Pharmaceuticals (USA). Novartis will have re spon si bil ity for phase III tri als, man u fac tur ing and com mer -<br />
cial iza tion of elinogrel. Dr Trevor Mundel, Global Head of De vel op ment at Novartis noted that “Elinogrel is<br />
a novel com pound with at trib utes that have the po ten tial to of fer clin i cal ben e fits over cur rently ap proved<br />
antiplatelet ther a pies. Elinogrel will fur ther di ver sify our car dio vas cu lar pipe line and we hope it will prove<br />
to be a strong ad di tion to our port fo lio.” Novartis will make an upfront pay ment of $75 mil lion to Portola<br />
and will share with Portola the costs of the on go ing phase II tri als. Portola will also be el i gi ble for ad di tional<br />
pay ments based on achiev ing de fined de vel op ment and com mer cial iza tion mile stones and would also re -<br />
ceive roy al ties on fu ture sales. In ad di tion, Portola has an op tion to co-pro mote elinogrel in the US in the<br />
hos pi tal and spe cialty mar kets and an op tion to co-fund phase III clin i cal trials and other development<br />
activities in return for additional royalties.<br />
Com pe ti tion: The gold-stan dard treat ment in this area is Bris tol-Myers Squibb’s Plavix (clopidogrel)<br />
which is in di cated to pre vent atherosclerotic events in pa tients with a his tory of ischemic stroke, throm -<br />
bo sis, myo car dial in farc tion (MI) or es tab lished pe riph eral ar te rial dis ease (PAD) and the treat ment of<br />
acute cor o nary syn drome (ACS) in com bi na tion with as pi rin. Ma jor com pet i tors in de vel op ment are<br />
Schering-Plough’s SCH 530348, an orally-ac tive, once-daily thrombin re cep tor an tag o nist, and Lilly’s<br />
Effient (prasugrel), an oral platelet ag gre ga tion in hib i tor. SCH 530348 was in a large global phase III tri -<br />
als pro gram in 2008 for the pre ven tion of ischemic com pli ca tions in pa tients with acute cor o nary syn -<br />
dromes (i.e., un sta ble an gina, acute myo car dial in farc tion), as well as in pa tients with ex ist ing pe riph eral<br />
ar te rial dis ease. SP ex pect a launch in 2010. Effient was filed for ap proval in the USA in De cem ber 2007<br />
and in the EU in Feb ru ary 2008 for the treat ment of acute cor o nary syn drome (ACS) in pa tients who are<br />
man aged with percutaneous cor o nary in ter ven tion (PCI). Effient was rec om mended for ap proval in the<br />
EU in De cem ber 2008. The filings were despite mixed results and safety problems reported for prasugrel<br />
in late 2007.<br />
AstraZeneca was con duct ing phase III tri als with ticagrelor, an oral platelet purinoceptor 2T (P2T) an -<br />
tag o nist, for the treat ment of ar te rial throm bo sis in acute cor o nary syn drome (ACS) in 2008. AZ an tic i -<br />
pates fil ing in the USA and Eu rope in H2 2009.<br />
In Jan u ary 2008 Cogentus be gan phase III tri als with its unique once-daily pill, CGT 2168, that com bines<br />
clopidogrel with a gastroprotectant, omeprazole. The prod uct is de signed to sig nif i cantly re duce the GI<br />
side ef fects com monly as so ci ated with antiplatelet ther apy. There are sev eral pro jects in phase II tri als<br />
Eisai’s (Ja pan) E 5555, an oral thrombin re cep tor an tag o nist. The lat ter be gan a phase II trial in Oc to ber<br />
2007 eval u at ing the agent in 240 pa tients with coronary artery disease.<br />
Cardiovascular System Agents<br />
aliskiren + valsartan — C9X, C9D9 Filed<br />
valsartan + amlodipine + HCTZ — C9D3 Filed<br />
aliskiren + amlodipine — C9X, C8A III<br />
aliskiren + amlodipine + HCTZ — C9X, C8A, C3A III<br />
ARB/NEP blocker LCZ 696 C2A, C9C II<br />
pegmusirudin SPP 200 C6A, B1E II<br />
renin inhibitor SPP 635 C9X II<br />
atherosclerosis therapy APP 018, APL 180 C6A I<br />
hypertension therapy LCI 699 C2A I<br />
hypertension therapy VNP 489 C2A I<br />
renin inhibitor SPP 1148 C9X I<br />
renin inhibitor SPP 676 C9X I<br />
renin inhibitor SPP 800 C9X Preclinical<br />
ALISKIREN + VALSARTAN: Novartis is de vel op ing a fixed dose com bi na tion of valsartan (Diovan)<br />
and aliskiren (Tekturna/Rasilez) for the treat ment of hy per ten sion and car dio vas cu lar dis eases. Phase<br />
© 2009 <strong>IMS</strong> Health In cor po rated or its af fil i ates Page 87