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Event Analysis and Response Service: Cox-2s - Cox-2 Crisis Dents Big Pharma Confidence



Event Analysis and Response Service: Cox-2s - Cox-2 Crisis Dents Big Pharma Confidence
$11,400
Language :
English
Publication date :
June 2005
Document Size :
95 pages
Additional info :
Summary , Table of Content
 
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Introduction
 
On 30th September 2004, Merck withdrew its blockbuster drug Vioxx from the global market after trial data reinforced the suspicion that it increased the risk of cardiovascular events. Vioxx was a widely used Cox-2 selective non-steroidal anti-inflammatory drug. Its withdrawal has sparked much speculation, regulatory review and a shakedown within the pharmaceutical industry.
 

 
Scope
 
Seven analysis statements, originally published in response to major events in the Cox-2 story between November 2004 and May 2005
 
Each statement is based on the information available at that time, and captures the rapidly changing market dynamics and current opinion
 
Forecasts are based on the continually updated PharmaVitae Company Comparator forecast tools and company reported global sales
 
The key brands analyzed include Vioxx, Bextra, Celebrex, Arcoxia, Mobic and Prexige
 
Highlights
 
Key clinical trials, including the evidence leading up to Merck's decision to withdraw Vioxx and results from various long-term clinical trials involving other members of the Cox-2 class, are examined.
 

 
Detailed analysis of the FDA and EMEA evaluations of the Cox-2s, including a review of the three day FDA advisory committee meeting held in February and analysis of the main conclusion with respect to the impact on current and future treatments, are provided.
 

 
Opportunities and threats within the market, and strengths and weaknesses of the key brands, are identified and used to provide up-to-date global forecasts. The key brands are forecast to 2010 and are based on company reported sales data, with clear positive and negative impacting assumptions.
 

 
Reasons to Purchase
 
Understand the progression and commercial impact of the safety concerns highlighted by the investigation into the Cox-2 class
 
Cuts through the media 'shock news' and provides an indispensable fact based reference document with clear and non-biased analysis
 
Assess future strategic decisions using this in-depth commercial case study as a benchmark


 

TABLE OF CONTENTS
 

 
ABOUT DATAMONITOR HEALTHCARE 2
 
About the CNS and Arthritis pharmaceutical analysis team 2
 
INTRODUCTION TO THE EVENT ANALYSIS AND RESPONSE SERVICE (EARS) FORMAT 7
 
STATEMENT 1 8
 
Background to Statement 1 8
 
Vioxx pre-withdrawal 9
 
The APPROVe study 10
 
What was the immediate reaction of opinion leaders? 11
 
Limited growth for Cox-2 market? 12
 
Celebrex and Mobic to see greatest benefit 14
 
Merck versus Pfizer—diverging fortunes? 15
 
Contributing experts 16
 
STATEMENT 2 17
 
Background to Statement 2 17
 
Who is to blame: Merck or the FDA? 18
 
A matter of perspective? 20
 
Is this effect class wide? 23
 
The future of Merck 26
 
The future for other current and prospective players 27
 
Further regulatory developments 27
 
STATEMENT 3 28
 
Background to Statement 3 28
 
An indication too far? 29
 
Adenoma polyps 29
 
Alzheimer’s disease 30
 
Opportunities and knocks 32
 
Conclusions 33
 
STATEMENT 4 34
 
Background to Statement 4 34
 
EMEA review 35
 
Two scenarios: 35
 
1) the FDA review the Cox-2s and do not advise on the withdrawal of the class 35
 
2) the FDA review the Cox-2s and advise on the withdrawal of the class 37
 
Datamonitor predictions 37
 
The marketing of Cox-2s 38
 
Summary of expected FDA action 40
 
STATEMENT 5 42
 
Background to Statement 5 42
 
The original premise of Cox-2s 43
 
Defining a Cox-2 44
 
The vote 46
 
European comparison 48
 
Conclusions 49
 
STATEMENT 6 50
 
Background to Statement 6 50
 
External pressures 51
 
Threats 51
 
Opportunities 53
 
Brand analysis 54
 
Celebrex (celecoxib) 54
 
Bextra (valdecoxib) and Dynastat (parecoxib) 56
 
Vioxx (rofecoxib) 60
 
Arcoxia (etoricoxib) 63
 
Mobic (meloxicam) 65
 
Naprosyn/Aleve (naproxen) 68
 
Prexige (lumiracoxib) 71
 
Cardiovascular risk factors 73
 
Clinical trial design 75
 
Prescription changes 76
 
STATEMENT 7 78
 
Background to Statement 7 78
 
Regulatory decisions 79
 
Stevens-Johnson syndrome (SJS) 79
 
Bextra re-launch? 80
 
Merck vs. Pfizer – who emerges top? 81
 
Forecast assumptions 82
 
APPENDIX 85
 
Committee members 85
 
Arthritis Drugs Advisory Committee 85
 
Drug Safety and Risk Management Advisory Committee 85
 
Risk factor resources 87
 
Hypertension 87
 
Diabetes 88
 
Dyslipidimia 89
 
Obesity 90
 
Bibliography 91
 
Publications 91
 
Websites 93
 
Disclaimer 95
 

 






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