Idiopathic Pulmonary Fibrosis - A New Hope
Scope
Report Highlights
Reasons to Purchase
Table of Contents
- CHAPTER 1 EXECUTIVE SUMMARY - page 3
- Scope - page 3
- Datamonitor insight into the disease market - page 3
- CHAPTER 2 DISEASE INSIGHT - page 8
- IPF is defined by fibroblastic foci, honeycombing type fibrosis and minimal inflammation - page 8
- Cytokine-mediated fibrosis is the critical pathway to end-stage fibrosis - page 11
- Most patients do not have any obvious risk factors - page 14
- Diagnosing patients with early-stage IPF remains the greatest challenge - page 14
- Current therapeutic approaches are minimally effective - page 19
- Survival rates are lower than many neoplastic diseases - page 21
- Aging population and improved diagnosis drive increasing prevalence - page 23
- Most centers of excellence are in the US - page 32
- CHAPTER 3 NOVEL THERAPEUTIC APPROACHES - page 36
- Interferon gamma-1b - difficult to prove post hoc analysis - page 38
- Etanercept appears to improve or stabilize lung function - page 41
- Pirfenidone's affect on acute exacerbations is a strong result - page 43
- Bosentan may address both the initiation and maintenance of fibrosis - page 44
- GC-1008's blockade of TGF-beta problematic due to unwanted side effects - page 45
- FG-3019 acts downstream of TGF-beta - page 46
- Imatinib mesylate potential limited by side effects - page 46
- N-acetylcysteine is a very safe, if ineffective drug - page 47
- Interleukin-13 deficient mice showed an almost complete abrogation of fibrosis - page 48
- Blockade of CCR2 may decrease fibrocyte recruitment - page 49
- AS-602801 may reestablish normal alveolar re-epithelialization - page 49
- Low-dose oral interferon alpha appears to arrest progression - page 50
- Angiotensin II antagonists, statins and ACE inhibitors have limited potential - page 50
- CHAPTER 4 FUTURE TREATMENT DIRECTION - page 51
- Therapy will be initiated at diagnosis in all patients severities - page 52
- Do patients remain stable without therapeutic intervention? - page 54
- Acute exacerbations is an important endpoint - page 55
- No biomarkers are sensitive to the presence of IPF - page 57
- CHAPTER 5 OPINION LEADER TRANSCRIPTS - page 58
- Canadian opinion leader - page 58
- US opinion leader - page 64
- Irish opinion leader - page 74
- US opinion leader - page 81
- US opinion leader - page 90
- US opinion leader - page 102
- CHAPTER 6 APPENDIX - page 113
- Launch forecast methodology - page 113
- Press releases - page 114
- Literature references - page 114
- About Datamonitor - page 125
- List of Tables
- Table 1: Severity of Idiopathic pulmonary fibrosis at presentation as % of patients - page 16
- Table 2: Comparative five-year survival rate of IPF and NSIP compared with neoplastic diseases - page 22
- Table 3: Comparison of the relative frequencies (%) of interstitial lung diseases, by country/region - page 24
- Table 4: Comparison of the relative frequencies (%) of idiopathic interstitial pneumonias at five pulmonary clinics - page 25
- Table 5: Number of idiopathic pulmonary fibrosis patients ('000) by country, 2005 - page 26
- Table 6: Estimated prevalence of Idiopathic pulmonary fibrosis by age group - page 27
- Table 7: Numbers of Idiopathic pulmonary fibrosis patients, by country, 2005-15 - page 28
- Table 8: Increase in prevalence of idiopathic pulmonary fibrosis in seven major markets, 2005-15 - page 30
- Table 9: Histological pattern associated with rheumatoid arthritis- interstitial lung disease - page 31
- Table 10: Number of patients ('000) with RA-ILD UIP pattern associated disease, by country, 2005 - page 32
- Table 11: Idiopathic pulmonary fibrosis key opinion leaders - page 34
- Table 12: Compounds in clinical development for IPF - page 36
- Table 13: Sales of Enbrel in the seven major markets, , 2009-15 - page 53
- Table 14: Estimated medium clinical development times for IPF - page 113
- List of Figures
- Figure 1: Contrasting histological features of Idiopathic pulmonary fibrosis and Nonspecific interstitial pneumonia - page 9
- Figure 2: Pathogenesis of Idiopathic pulmonary fibrosis - page 12
- Figure 3: Time to diagnosis of IPF following onset of symptoms - page 15
- Figure 4: Number of mentions of Idiopathic pulmonary fibrosis in Factiva, 2000-05 - page 18
- Figure 5: Evolving treatment of Idiopathic pulmonary fibrosis, from 1950 and beyond - page 20
- Figure 6: Comparative five-year survival rate of IPF and NSIP compared with neoplastic diseases - page 23
- Figure 7: Estimated number of diagnosed and undiagnosed idiopathic pulmonary fibrosis patients by disease severity in seven major markets - page 29
- Figure 8: Key Idiopathic pulmonary fibrosis pulmonary centers - page 35
- Figure 9: Opinion leader assessment of compounds in clinical development for IPF - page 37
- Figure 10: Launch forecast for compounds in clinical development for IPF - page 38
- Figure 11: GIPF-001 primary efficacy endpoints may have contributed to the negative study result - page 40
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