Parkinsons Disease Therapeutics in Major Developed Markets to 2021: Early Pipeline Shifts Towards Disease-Modifying Therapies, while Short Term Growth Driven by Long-Acting Symptomatic Treatments - GBI Research Reports

Parkinsons Disease Therapeutics in Major Developed Markets to 2021: Early Pipeline Shifts Towards Disease-Modifying Therapies, while Short Term Growth Driven by Long-Acting Symptomatic Treatments

Parkinsons Disease Therapeutics in Major Developed Markets to 2021: Early Pipeline Shifts Towards Disease-Modifying Therapies, while Short Term Growth Driven by Long-Acting Symptomatic Treatments - GBI Research Reports
Parkinsons Disease Therapeutics in Major Developed Markets to 2021: Early Pipeline Shifts Towards Disease-Modifying Therapies, while Short Term Growth Driven by Long-Acting Symptomatic Treatments
Published Feb 11, 2016
136 pages — Published Feb 11, 2016
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About This Report

  
Abstract:

Summary

Parkinson's Disease (PD) is a progressive, chronic neurodegenerative condition, which is currently incurable. It is associated with old age, and characterized by the loss of neurons in the substantia nigra region of the brain. The global Parkinson's Disease (PD) prevalence was estimated at 16.1 million in 2011, and after Alzheimer's disease it is the second most common neurodegenerative disease worldwide.

Parkinson's Disease (PD) is a progressive disease and, although not fatal, it can develop severe symptoms and complications that significantly impact upon the patient's quality of life. Symptoms for each stage can be categorized into early, moderate and advanced stages. Major motor symptoms of Parkinson's Disease (PD) include tremors and difficulty walking. Parkinson's Disease (PD) also gives rise to non-motor symptoms, such as dementia, depression, hallucinations and loss of taste and smell.

There are several different drug classes available to relieve Parkinson's Disease (PD) symptoms. The aim is for treatments to increase dopamine levels, which is substantially diminished in brains affected by Parkinson's Disease (PD). The most common therapies include levodopa, dopamine agonists and Monoamine Oxidase-B (MAO-B) inhibitors, with the choice of therapies dependent on patient symptoms and lifestyle. As the disease develops, the medication will need to be taken more strictly, due to the effect of drugs wearing off (known as off- time), which causes symptoms to return before the next dose.

With the current marketed drugs focusing primarily on symptomatic relief, Parkinson's Disease (PD) remains incurable, with a huge unmet need for disease-modifying therapies. However, due to the lack of clearly established clinical trial methodologies, replication of the benefits demonstrated by neuroprotective agents in the laboratory to human trials has proved challenging. More importantly, due to an incomplete understanding of the underlying mechanisms that cause the disease, a viable therapeutic target to halt or slow disease progression is currently not in scope, which limits the effectiveness of current product development programs.

Scope

- A brief introduction to Parkinsons Disease (PD), including pathogenesis, disease staging, diagnosis and treatment algorithms
- Comprehensive analysis of the drugs available for the treatment of PD, covering their safety, efficacy, treatment patterns, and strengths/weaknesses, as well as a heat map comparing drugs in terms of safety and efficacy
- Comprehensive analysis of the pipeline for Parkinsons Disease (PD) therapies, including individual analysis of a number of late-stage pipeline drugs that are likely to enter the market in the forecast period, on the basis of Phase distribution, molecule type and molecular target
- Additional thorough analysis of pipeline drug clinical trials by Phase, molecule type, trial size, trial duration, and program failure rate for each molecule type and mechanism of action
- Multi-scenario market forecast data to 2021, taking into account how it will be affected by the introduction of new drugs, the expiry of key patents on current drugs, and changes in disease epidemiology across the key developed markets of the US, Canada, Japan, Germany, the UK, France, Italy and Spain
- Discussion of the drivers of and barriers to market growth
- Discussion of the licensing and co-development deals landscape in Parkinsons Disease (PD), by stage of development, molecule type and mechanism of action, as well as analysis of both licensing and co-development deals by year, and network maps of licensing and co-development deals

Reasons to buy

- Understand the different levels of Parkinsons Disease (PD) the

  
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Document ID
GBIHC401MR
Industry
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Sections

TitleStarting PageNumber of Pages
1 Table of Contents54
  1.1 List of Tables71
  1.2 List of Figures72
2 Introduction916
  2.1 Disease Introduction91
  2.2 Symptoms91
  2.3 Etiology101
    2.3.1 Genetic Factors101
    2.3.2 Environmental Factors111
    2.3.3 Aging111
  2.4 Pathophysiology121
  2.5 Epidemiology131
  2.6 Disease Stages141
  2.7 Co-morbidities and Complications151
  2.8 Diagnosis151
  2.9 Assessment of Disease Severity161
    2.9.1 Hoehn and Yahr scale161
    2.9.2 Unified Parkinson s Disease Rating Scale161
  2.10 Treatment171
    2.10.1 Pharmacological Therapies181
      2.10.1.1 Levodopa181
      2.10.1.2 Dopamine Receptor Agonists181
      2.10.1.3 Catechol-O-Methyltransferase Inhibitors191
      2.10.1.4 Monoamine Oxidase-B Inhibitors191
      2.10.1.5 Anticholinergic agents191
      2.10.1.6 Amantadine201
      2.10.1.7 Adenosine A2A receptor antagonist201
    2.10.2 Non-pharmacological Treatments201
      2.10.2.1 Deep brain stimulation201
      2.10.2.2 Lesioning surgery201
  2.11 Treatment Algorithm211
    2.11.1 Early Parkinson s Disease211
    2.11.2 Advanced Parkinson s Disease223
3 Marketed Products2519
  3.1 Overview251
    3.1.1 Dopamine Replacement Therapies251
      3.1.1.1 Sinemet (carbidopa and levodopa) Merck &Co251
      3.1.1.2 Madopar (levodopa, benserazide hydrochloride) F.Hoffmann-La Roche261
      3.1.1.3 Rytary (levodopa and carbidopa extended-release) Impax Laboratories261
      3.1.1.4 Stalevo (levodopa and carbidopa and entacapone) Orion, Novartis271
      3.1.1.5 Duopa (levodopa and carbidopa) AbbVie271
    3.1.2 MAO-B Inhibitors281
      3.1.2.1 Azilect (rasagiline mesylate) Teva281
      3.1.2.2 Eldepryl (selegiline hydrochloride) Kedrion291
      3.1.2.3 Xadago (safinamide) Zambon301
    3.1.3 Dopamine Agonists301
      3.1.3.1 Requip (ropinirole hydroxide) GlaxoSmithKline301
      3.1.3.2 Mirapex (pramipexole dihydrochloride) Boehringer Ingelheim311
      3.1.3.3 Neupro (rotigotine) UCB321
      3.1.3.4 Apokyn (apomorphine hydrochloride) Britannia Pharmaceuticals331
      3.1.3.5 Permax (pergolide mesylate) Eli Lilly341
      3.1.3.6 Cabaser (cabergoline) Pfizer341
      3.1.3.7 Parlodel (bromocriptine mesylate) Novartis351
    3.1.4 COMT Inhibitors351
      3.1.4.1 Comtan (entacapone) Orion351
      3.1.4.2 Tasmar (tolcapone) Meda361
      3.1.4.3 Nouriast (istradefylline) Kyowa Hakko Kirin371
      3.1.4.4 Exelon (rivastigmine tartrate) Novartis371
      3.1.4.5 Symmetrel (amantadine hydrochloride) Alliance Pharma381
    3.1.5 Other Drugs Targeting Non-motor Symptoms of PD391
      3.1.5.1 Clozaril (clozapine) Novartis391
      3.1.5.2 Seroquel (quetiapine fumarate) AstraZeneca401
  3.2 Comparative Efficacy and Safety404
4 Pipeline for Parkinson s Disease4430
  4.1 Overview442
  4.2 Pipeline Distribution by Mechanism of Action/Molecular Target463
  4.3 Clinical Trials491
    4.3.1 Failure Rate492
    4.3.2 Clinical Trial Duration512
    4.3.3 Clinical Trial Size532
    4.3.4 Comparison of Average Trial Metrics by Phase and Mechanism of Action551
  4.4 Promising Pipeline Molecules561
    4.4.1 Opicapone Bial562
    4.4.2 Nuplazid (pimavanserin) Acadia Pharmaceuticals581
    4.4.3 Nurelin (Amantadine Hydrochloride Extended-Release) Adamas Pharmaceuticals591
    4.4.4 Tozadenant Biotie Therapies601
    4.4.5 APL-130277 (apomorphine hydrochloride) Cynapsus Therapeutics612
    4.4.6 P2B001 (pramipexole dihydrochloride + rasagiline mesylate) Pharma Two B631
    4.4.7 DM-1992 (levodopa + carbidopa extended release) Depomed632
    4.4.8 CVT-301 (levodopa) Acorda Therapeutics651
    4.4.9 Dipraglurant Immediate-Release Addex Therapeutics651
    4.4.10 Accordion Pill (levodopa and carbidopa) Intec Pharma661
    4.4.11 ND-0612L (levodopa and carbidopa) NeuroDerm672
  4.5 Heatmaps of Safety and Efficacy for Parkinson s Disease Pipeline and Marketed Products694
  4.6 Pipeline Product Heat Map and Product Competitiveness Framework731
5 Market Forecast to 20217414
  5.1 Geographical Markets741
    5.1.1 Global Market742
    5.1.2 North America761
      5.1.2.1 Treatment Usage Pattern761
      5.1.2.2 Annual Cost of Therapy771
      5.1.2.3 Market Size781
    5.1.3 Top Five European Markets791
      5.1.3.1 Treatment Usage Pattern792
      5.1.3.2 Annual Cost of Therapy811
      5.1.3.3 Market Size822
    5.1.4 Japan841
      5.1.4.1 Treatment Usage Pattern841
      5.1.4.2 Annual Cost of Therapy841
      5.1.4.3 Market Size851
  5.2 Drivers and Barriers851
    5.2.1 Drivers851
      5.2.1.1 Increasing Incidence Driven by an Aging Population851
      5.2.1.2 Emergence of Treatments Targeting Side Effects of Long-Term Levodopa Treatment851
      5.2.1.3 Promising Safety Profile of Nuplazid to Treat Psychosis in Parkinson s Disease851
      5.2.1.4 Continuous Innovation in Drug Delivery Method861
      5.2.1.5 Presence of Neuroprotective Candidates in Early Pipeline861
      5.2.1.6 Collaboration to Streamline Clinical Trials and Facilitate Greater Clinical Data Sharing861
    5.2.2 Barriers861
      5.2.2.1 Patent Expirations861
      5.2.2.2 Lack of Understanding of Disease Pathogenesis861
      5.2.2.3 Difficulties in Developing Neuroprotective Therapy871
      5.2.2.4 Lack of a Validated Biomarker871
      5.2.2.5 Limitations of Clinical Diagnosis of Parkinson s Disease871
6 Strategic Consolidations888
  6.1 Major Co-Development Deals882
    6.1.1 TechnoPhage Enters into Co-Development Agreement with University of Macau901
    6.1.2 Dainippon Sumitomo Pharma Enters into Research Agreement with CiRA and Hitachi901
    6.1.3 MJFF Enters into Agreement with Prothena901
    6.1.4 Ubiquigent Enters into Co-Development Agreement with UbiQ911
    6.1.5 23andMe Partners with Genentech911
  6.2 Major Licensing Deals912
    6.2.1 Cephalon Enters Into Licensing Agreement With Mesoblast For Regenerative Medicine931
    6.2.2 Dexcel Pharma Enters into Licensing Agreement with Ramot at Tel Aviv University941
    6.2.3 Neuropore Therapies Enters into Licensing Agreement with UCB941
    6.2.4 Catalent Pharma Solutions Enters into Licensing Agreement with Sellas Life Sciences941
    6.2.5 MedGenesis Therapeutix Enters into Licensing Agreement with Pfizer951
7 Appendix9641
  7.1 All Pipeline Drugs by Stage of Development9623
    7.1.1 Discovery964
    7.1.2 Preclinical10012
    7.1.3 IND/CTA-filed1121
    7.1.4 Phase I1132
    7.1.5 Phase II1152
    7.1.6 Phase III1171
    7.1.7 Pre-registration1181
  7.2 Market Forecasts to 20211184
    7.2.1 Global1181
    7.2.2 US1181
    7.2.3 Canada1191
    7.2.4 UK1191
    7.2.5 France1191
    7.2.6 Germany1201
    7.2.7 Italy1201
    7.2.8 Spain1201
    7.2.9 Japan1211
  7.3 References1218
  7.4 Abbreviations1293
  7.5 Research Methodology1321
  7.6 Secondary Research1331
  7.7 Marketed Product Profiles1331
  7.8 Late-Stage Pipeline Candidates1331
  7.9 Comparative Efficacy and Safety Heat Map for Marketed and Pipeline Products1341
  7.10 Product Competitiveness Framework1341
  7.11 Pipeline Analysis1342
    7.11.1 Overall Pipeline1341
    7.11.2 Clinical Trials1341
    7.11.3 Failure Rate1341
    7.11.4 Clinical Trial Size1351
    7.11.5 Clinical Trial Duration1351
    7.11.6 Forecasting Model1351
  7.12 Deals Data Analysis1361
  7.13 Expert Panel Validation1361
  7.14 Contact Us1361
  7.15 Disclaimer1361

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MLA:
GBI Research Reports. "Parkinsons Disease Therapeutics in Major Developed Markets to 2021: Early Pipeline Shifts Towards Disease-Modifying Therapies, while Short Term Growth Driven by Long-Acting Symptomatic Treatments" Feb 11, 2016. Alacra Store. May 17, 2024. <http://www.alacrastore.com/storecontent/GBI-Research-Reports/Parkinsons-Disease-Therapeutics-in-Major-Developed-Markets-to-2021-Early-Pipeline-Shifts-Towards-Disease-Modifying-Therapies-while-Short-Term-Growth-Driven-by-Long-Acting-Symptomatic-Treatments-2115-714>
  
APA:
GBI Research Reports. (2016). Parkinsons Disease Therapeutics in Major Developed Markets to 2021: Early Pipeline Shifts Towards Disease-Modifying Therapies, while Short Term Growth Driven by Long-Acting Symptomatic Treatments Feb 11, 2016. New York, NY: Alacra Store. Retrieved May 17, 2024 from <http://www.alacrastore.com/storecontent/GBI-Research-Reports/Parkinsons-Disease-Therapeutics-in-Major-Developed-Markets-to-2021-Early-Pipeline-Shifts-Towards-Disease-Modifying-Therapies-while-Short-Term-Growth-Driven-by-Long-Acting-Symptomatic-Treatments-2115-714>
  
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