Commercial Insight: Transplantation
Scope
Report Highlights
Reasons to Purchase
Table of Contents
- About Datamonitor Healthcare - page 2
- About the Respiratory and Infectious Disease team - page 2
- CHAPTER 1 EXECUTIVE SUMMARY - page 3
- Scope - page 3
- Datamonitor insight into the disease market - page 3
- CHAPTER 2 MARKET OVERVIEW - page 9
- Transplantation market valued at $3.3 billion - page 9
- History of immunosuppression therapy - page 12
- CHAPTER 3 MARKET ENVIRONMENT - page 16
- Modest growth in the number of transplants - page 16
- Uptake of novel maintenance therapies limited to de novo transplants - page 20
- Low percentage of patients continue original regimens - page 26
- The cost of non-adherence - page 29
- Impact of pricing controls - page 31
- CHAPTER 4 FORECAST ANALYSIS - page 34
- Calcineurin inhibitors - page 34
- No difference in long-term efficacy between Neoral and Prograf - page 35
- Limited generic erosion of Prograf sales - page 37
- Primary use of once-daily Prograf reformulation in de novo transplants - page 40
- Slow uptake of generic cyclosporine maintains Neoral's sales - page 45
- mTOR inhibitors - page 50
- Rapamune use expands in US - page 51
- Certican US launch in early 2008 - page 56
- Adjunctive therapy - page 60
- CellCept to remain dominant until patent expiry - page 60
- Myfortic not sufficiently differentiated from CellCept - page 61
- FK-778 demonstrates antiviral activity against polyoma virus - page 63
- Induction therapy - page 64
- Belatacept holds promise as alternative to calcineurin inhibitors - page 65
- Calcineurin inhibitors - page 34
- CHAPTER 5 SALES FORECASTS - page 69
- Global forecasts - page 69
- US forecasts - page 70
- Japan forecasts - page 71
- France forecasts - page 72
- Germany forecasts - page 73
- Italy forecasts - page 74
- Spain forecasts - page 75
- UK forecasts - page 76
- CHAPTER 6 APPENDIX - page 77
- Market definition - page 77
- Forecasting assumptions and estimates - page 80
- References - page 82
- About Datamonitor - page 85
- Disclaimer - page 87
- List of Tables
- Table 1: Global brand performance ($m), 2005-15 - page 11
- Table 2: Percentage of retail sales of tacrolimus, MMF, and cyclosporine in transplantation (%) - page 15
- Table 3: Number of transplants by organ, seven major markets, 2000-05 - page 17
- Table 4: Transplants by organ, by country, 2005-15 - page 20
- Table 5: Continuation of original immunosuppressive discharge regimen in kidney patients transplanted in 2002, US - page 27
- Table 6: Prograf generic erosion and pricing assumptions (%) - page 40
- Table 7: Relative pricing of reformulations launched in the US - page 44
- Table 8: Belatacept patient model - page 67
- Table 9: Forecast sales, Global, 2005-15 ($m) - page 69
- Table 10: Forecast sales, US, 2005-15 ($m) - page 70
- Table 11: Forecast sales, Japan, 2005-15 ($m) - page 71
- Table 12: Forecast sales, France, 2005-15 ($m) - page 72
- Table 13: Forecast sales, Germany, 2005-15 ($m) - page 73
- Table 14: Forecast sales, Italy, 2005-15 ($m) - page 74
- Table 15: Forecast sales, Spain, 2005-15 ($m) - page 75
- Table 16: Forecast sales, UK, 2005-15 ($m) - page 76
- Table 17: Percentage of retail sales of tacrolimus, MMF, and cyclosporine in transplantation - page 79
- List of Figures
- Figure 1: Global sales performance by class ($m), 2005-15 - page 10
- Figure 2: Global brand performance ($m), 2005-15 - page 12
- Figure 3: Use of CellCept and Prograf, % kidney transplant patients prior to discharge, 1995 to 2004, US - page 23
- Figure 4: Neoral and generic cyclosporine volume, 2001-2005, US - page 25
- Figure 5: Continuation of original immunosuppressive discharge regimen in kidney patients transplanted in 2002, US - page 28
- Figure 6: Generic erosion of Prograf and Neoral, US - page 39
- Figure 7: Prograf and modified-release tacrolimus (FK-506MR4) sales ($m), 2005-15, global - page 45
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