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<strong>IMS</strong> COM PANY PRO FILES NOVARTIS<br />
Central Nervous System Agents<br />
agomelatine AGO 178 N6A, N5B III<br />
antipsychotic AQW 051 N5A9, N7D9 II<br />
cannabinoid receptor agonist SAB 378 N7X II<br />
mGlu5 receptor antagonist AFQ 056 N4A, N7X, A3F II<br />
vaccine, nicotine withdrawal NIC 002, CYT002-NicQb N7B, J7A9 II<br />
Alzheimer’s disease therapy CAD 106 N7X, N7D9, J7C I<br />
antiepileptic BGG 492 N3A I<br />
multiple sclerosis therapy BAF 312 N7X I<br />
spinal cord injury therapy ATI 355 N7X I<br />
VALDOXAN (agomelatine) is a melatonin M1 and M2 ag o nist, with po ten tial as a ther apy for de pres sion<br />
and other pa thol o gies as so ci ated with dis tur bances in cir ca dian rhythms, such as jet lag and shift work.<br />
In 2005, li cen sor Servier (France) sub mit ted a fil ing to the EMEA seek ing ap proval of agomelatine in the<br />
treat ment of ma jor de pres sive dis or der. In July 2006, the EMEA’s Com mit tee for Me dic i nal Prod ucts for<br />
Hu man Use (CHMP) adopted a neg a tive opin ion re gard ing the ap proval of agomelatine in ma jor de pres -<br />
sive dis or der. Novartis said this was due to in suf fi cient data and the de ci sion is not ex pected to have any<br />
ef fect on the de vel op ment strat egy and reg u la tory pro cess in the US, with sub mis sion planned for 2009.<br />
Servier has sub se quently re-filed the European application with further clinical data.<br />
Novartis is de vel op ing agomelatine to be come a new once-daily treat ment for pa tients with ma jor de -<br />
pres sion. It be gan phase III tri als in the US at the end of 2006. Agomelatine has shown ef fi cacy com pa ra -<br />
ble to cur rent stan dard ther a pies such as SSRIs (se lec tive se ro to nin reuptake in hib i tors) and SNRIs<br />
(se ro to nin and norepinephrine reuptake in hib i tors) while of fer ing im proved tolerability, in clud ing a low<br />
pro pen sity to cause sex ual dys func tion and weight gain as well as an improvement in the quality of sleep.<br />
In March 2007 Novartis ini ti ated a US eight-week, multicenter, ran dom ized, dou ble-blind, ac tive-and<br />
pla cebo-con trolled phase III trial of agomelatine for the treat ment of ma jor de pres sive dis or der (MDD).<br />
The study aims to en roll 490 pa tients to eval u ate the ef fi cacy, safety and tolerability of daily 25mg or<br />
50mg agomelatine and will com pare agomelatine and paroxetine tolerability. One week af ter com ple tion<br />
of treat ment a sin gle fol low-up visit will be conducted.<br />
Li cens ing: In 2006, Servier granted Novartis ex clu sive rights to de velop and mar ket agomelatine in the<br />
USA and sev eral other coun tries. Servier re tains rights in the rest of the world.<br />
Pat ents: In 1990, a pri or ity prod uct pat ent ap pli ca tion was filed in France by Adir (part of Servier). Ac -<br />
cord ing to <strong>IMS</strong> Pat ent Fo cus, pat ents cov er ing the agomelatine prod uct fam ily run to 2011 in Eu rope, Ja -<br />
pan and the USA. How ever, pro vided that agomelatine is ap proved, the com pa nies can ap ply for up to<br />
five years ex tra pat ent pro tec tion in Europe, the USA and Japan.<br />
AQW 051 is a com pound with po ten tial for the treat ment of schizo phre nia, Alz hei mer’s dis ease and cog -<br />
ni tive de fects. In 2007, Novartis ini ti ated a phase II trial in 125 pa tients with mild Alz hei mer’s dis ease or<br />
amnestic mild cog ni tive im pair ment. Pri mary out come mea sures will in clude val i dated com put er ized<br />
cog ni tive as sess ment scores and sec ond ary out come mea sures will in clude qual ity of life and dis abil ity<br />
as sess ments. Phase I trials have completed in the UK and Japan.<br />
SAB 378, a cannabinoid (CB1) re cep tor ag o nist, is in phase II tri als for the treat ment of neu ro log i cal in di -<br />
ca tions. Proof of ef fi cacy stud ies in osteoarthritis and di a betic neu rop a thy have been completed.<br />
AFQ 056 is a glu ta mate (mGlu5) re cep tor an tag o nist. Novartis be gan a phase II trial in pa tients with Par -<br />
kin son’s dis ease in 2007. Novartis has also com pleted a phase I trial in GERD.<br />
© 2009 <strong>IMS</strong> Health In cor po rated or its af fil i ates Page 90