Non-Small Cell Lung Cancer - Angiogenesis and signal transduction inhibitors to expand market
Scope
Report Highlights
Reasons to Purchase
Table of Contents
- ABOUT DATAMONITOR HEALTHCARE - page 2
- About the Oncology pharmaceutical analysis team - page 2
- Richard Faint - Director of Oncology - page 2
- About the Oncology pharmaceutical analysis team - page 2
- CHAPTER 1 EXECUTIVE SUMMARY - page 3
- Scope of the analysis - page 3
- Overview of Pipeline Insight: NSCLC - page 3
- Datamonitor insight into the NSCLC market - page 4
- The expanding elderly and female smoking populations will drive the NSCLC market to become an even greater lucrative opportunity - page 4
- Avastin's blockbuster status, forecast to be gained by 2012, will ensure that Genentech/Roche dominate the key late-stage MTT pipeline market, worth $5.8bn in 2015 - page 5
- The EGFR monoclonal antibodies Erbitux and ABX-EGF will compete head-to-head - page 6
- The future for immunotherapeutics is uncertain because of numerous regulatory, clinical and commercialization hurdles - page 8
- CHAPTER 2 PIPELINE OVERVIEW AND FUTURE FOCUS - page 23
- Pipeline overview: there are more than a dozen NSCLC candidates in late- stage development - page 23
- Almost half of the NSCLC pipeline candidates are targeted therapies - page 29
- Signal transduction inhibitors dominate the pipeline with the majority in Phase II trials - page 30
- More than 100 companies are involved in the NSCLC pipeline - page 31
- Top three companies in terms of marketed and pipeline NSCLC products - page 31
- AstraZeneca is under pressure because of problems with Iressa - page 31
- Eli Lilly's heavy R&D investment finally pays dividends - page 33
- Genentech's oncology product portfolio continues to grow from strength to strength - page 36
- Top three companies in terms of marketed and pipeline NSCLC products - page 31
- CHAPTER 3 PIPELINE DYNAMICS - page 38
- The definition of NSCLC is based upon three parameters - page 38
- Non-small cell lung cancer accounts for more than 75% of all lung cancers - page 38
- Three major types of NSCLC exist - page 39
- Squamous cell carcinoma is associated with relatively good prognosis - page 39
- Adenocarcinoma: the most prevalent form of NSCLC today - page 39
- Large cell carcinoma is often advanced at the time of diagnosis - page 40
- Segmentation of NSCLC is usually based on the AJCC's TNM staging system - page 40
- TNM classification and stage are key determents of physician treatment choice - page 42
- Epidemiology of NSCLC - page 43
- The NSCLC death rate now exceeds that of breast, prostate and colon cancers combined - page 43
- Three major treatment approaches are used to manage NSCLC - page 48
- Surgical resection offers the greatest potentially curative option - page 48
- Radiation therapy is considered a potential cure for stage I-II patients - page 49
- Chemotherapy plays a major role for the majority of NSCLC patients - page 50
- First-line cytotoxics: 30 years on, they still remain the forefront treatment of advanced NSCLC - page 50
- Second- and third-line NSCLC: drug options have expanded over the past decade - page 51
- NCCN recommends, yet to be approved, Avastin as a first-line treatment - page 52
- Neoadjuvant and adjuvant chemotherapy is used to destroy micrometastases - page 54
- Adjuvant chemotherapy: platinum-based doublets offer limited survival benefit - page 54
- Neoadjuvant chemotherapy is undergoing investigation in stage IB-II patients - page 54
- Thirty years on: the optimal drug regimen remains unknown and survival poor - page 55
- Unmet needs in NSCLC are significant - page 55
- Five-year survival rates have failed to improve despite advances in drug development - page 56
- A first-line agent with reduced toxicity is urgently needed - page 58
- Despite forming about 65% of all patients, suitable therapeutics for the elderly remain elusive - page 59
- Effective second-line therapy needed for half of all chemotherapeutically treated patients - page 61
- Bronchioalveolar carcinoma and adenocarcinoma patients are underserved - page 61
- Stage IIIA patients are a missed commercial opportunity - page 61
- Adjuvant and neoadjuvant treatments need defining and improving - page 62
- Development of a chemo-preventative has considerable oncologist interest - page 62
- The definition of NSCLC is based upon three parameters - page 38
- CHAPTER 4 R&D APPROACH - page 63
- The NSCLC pipeline is divided into four major drug groups - page 63
- Cytotoxic drugs lack specificity - page 63
- Optimizing current treatment strategies is paramount - page 64
- The emergence of targeted treatment heralds a revolution in cancer pharmacotherapy - page 64
- Signal transduction inhibitors destroy target pathways leading to tumor proliferation - page 65
- Angiogenesis inhibitors target tumors by reducing vascular blood supply - page 65
- Apoptosis inducers take advantage of programmed cell death - page 65
- Cell cycle inhibitors have recently been the focus of cancer research - page 66
- Multi- tyrosine kinase inhibitors are growing in importance - page 66
- Antisense oligonucleotide uses DNA technology to create highly specific therapeutics - page 67
- Immunotherapy-based treatments are a novel highly specialized anti tumor group - page 67
- A small number of agents have miscellaneous modes of action - page 68
- Clinical trial design in NSCLC is becoming increasingly more important - page 68
- Optimal patient selection is vital for successful development of targeted therapies - page 69
- Clinical trials must allow sufficient follow-up time to establish true clinical benefit - page 70
- Adjuvant and neo-adjuvant trials prove problematic to design - page 70
- The choice of comparator drugs is becoming increasingly complex - page 71
- Clinical trial endpoints in NSCLC - page 72
- Survival is the key endpoint of NSCLC trials - page 72
- Tumor response rate is an intermediate endpoint often overlooked - page 73
- Time to tumor progression is becoming increasingly popular - page 74
- Toxicity is a key issue, with many NSCLC agents associated with myelosuppression activity - page 74
- Quality of life is a secondary endpoint with major importance in the palliative setting - page 75
- Standardized oncology vaccine endpoints remain undetermined - page 76
- The NSCLC pipeline is divided into four major drug groups - page 63
- CHAPTER 5 MOLECULAR TARGETED THERAPIES LATE-STAGE DRUG ANALYSIS AND FORECASTS - page 77
- Numerous molecular targeted therapies are in late-stage NSCLC development - page 77
- Definition of current comparator therapy - page 78
- Tarceva as an MTT comparator therapy - page 78
- Tarceva improves overall survival by 37% to 6.7 months - page 79
- Some 5% of Tarceva's patients withdraw from treatment because of toxicities - page 80
- AstraZeneca's Iressa (gefitinib) is Tarceva's major MTT competitor - page 81
- Iressa fails crucial ISEL trial - page 81
- EGFR mutations are linked to Tarceva's and Iressa's efficacy - page 82
- Secondary-resistance is also linked with mutations - page 83
- Bad news for Iressa as the FDA demands label change... - page 83
- ...but excellent news for Tarceva - page 83
- Tarceva as an MTT comparator therapy - page 78
- Genentech/Roche's Avastin (bevacizumab) - page 85
- Profile - page 85
- Avastin is the first anti-angiogenic agent to gain approval - page 85
- Positive clinical trial data announced at ASCO 2004 and 2005 - page 86
- Avastin first-line Phase II trial data shows an almost 18-month survival duration - page 87
- Avastin's first-line Phase III trial demonstrates 61% improvement of progression-free survival - page 88
- Second-line Avastin Phase I/II trial holds promise - page 89
- Avastin's patient potential is 40-50% of all advanced NSCLC patients - page 90
- Genentech/Roche's experience must be used to persuade Avastin is safe - page 92
- Profile - page 85
- ImClone/Bristol-Myers Squibb/Merck KGaA's Erbitux (cetuximab) - page 92
- Profile - page 92
- Erbitux, the EGFR monoclonal antibody, is involved in numerous ongoing NSCLC trials - page 92
- Clinical trial data - page 94
- First-line Phase II Erbitux trials show interesting data for the under 60 age group of NSCLC patients - page 95
- Erbitux second-line Phase II data have examined both monotherapy and doublet therapy - page 97
- Erbitux adjuvant therapy Phase II data is limited - page 98
- Erbitux has an impressive patient potential... - page 98
- ...but this could be negatively impacted by the agents price - page 99
- Profile - page 92
- Onyx Pharmaceuticals/Bayer's Nexavar (sorafenib) - page 100
- Profile - page 100
- Nexavar is the first oral multi-tyrosine kinase inhibitor to reach the market - page 100
- Clinical trial data - page 102
- Nexavar's results from second-line NSCLC specific clinical trials are encouraging - page 102
- Nexavar NSCLC non-specific second-line clinical trial demonstrates over six month disease stabilization in 16% of patients - page 103
- Nexavar's patient potential could reach almost 53,000 advanced patients in today's seven major markets - page 104
- The fast progression of Nexavar is impressive - page 104
- Profile - page 100
- Pfizer's Sutent (sunitinib) - page 105
- Profile - page 105
- Sutent is the first therapeutic to be awarded dual FDA approval - page 105
- Clinical trial data is extremely limited - page 106
- Sutent's patient potential could be limited by Flt-3 resistance - page 107
- Sutent's NSCLC development could be a risk to Pfizer - page 107
- Profile - page 105
- Telik's Telcyta (TLK286, canfosfamide) - page 108
- Profile - page 108
- Telcyta: a small molecule prodrug with dual anti-tumor activity developed using Telcyta's TRAP technology - page 108
- Clinical trial data - page 110
- First-line Telcyta interim results show promise - page 110
- Second- and third-line Telcyta results show co-administration with cytotoxics is required - page 111
- Telik was unfortunate to use Iressa as a comparator in Telcyta's ASSIST-2 trial - page 112
- Telik may struggle to commercialize Telcyta - page 113
- Profile - page 108
- Ligand Pharmaceuticals' Targretin (bexarotene) - page 113
- Profile - page 113
- Drug overview - page 113
- Clinical trial data - page 114
- SPIRIT Phase III results prove doubtful - page 114
- Targretin and Tarceva combined second-line Phase I toxicity results are a cause for concern - page 115
- Targretin's patient potential could be significantly reduced because of cholesterol-raising action - page 116
- Targretin's looming patent expiry may be too great a threat for Ligand Pharmaceuticals - page 116
- Profile - page 113
- Millennium Pharmaceuticals/Johnson & Johnson's Velcade (bortezomib) - page 117
- Profile - page 117
- Velcade is the first ubiquitin proteosome reversible enzyme inhibitor in development - page 117
- Clinical trial data - page 119
- Velcade first-line trial interim data finds an 11-month survival period - page 119
- Velcade second-line studies hold a degree of hope - page 120
- Toxicity profile may hamper Velcade's patient potential - page 123
- Millennium Pharmaceuticals must rely upon Johnson & Johnson for Velcade's success - page 123
- Profile - page 117
- Amgen's ABX-EGF (panitumumab) - page 124
- Profile - page 124
- ABX-EGF is a fully humanized monoclonal antibody targeting first- and-second line NSCLC - page 124
- Phase II data shows outstanding toxicity profile - page 124
- ABX-EGF is set to compete well with Erbitux - page 124
- Amgen must price ABX-EGF competitively - page 125
- Profile - page 124
- Pfizer's AG-013736 - page 126
- Profile - page 126
- AG-013736 is Pfizer's second oral multi-tyrosine kinase inhibitor - page 126
- NSCLC clinical trial data is extremely limited - page 126
- A lack of data proves difficult to determine AG-013736's patient potential - page 127
- AG-013736 may follow in the footsteps of Sutent's RCC development - page 127
- Profile - page 126
- Four other MTT drugs are in NSCLC late-stage development - page 128
- Aeterna Zentaris's Neovastat (AE-941) - page 128
- Neovastat is a compound from shark cartilage with multiple mechanisms of action - page 128
- NCI's Data and Safety monitoring Board terminate Phase III patient recruitment - page 129
- AstraZeneca's Zactima (vandetanib; ZD6474) - page 129
- Zactima Phase II trials still continue - page 129
- OXiGENE's Combrestatin (CA4P) - page 130
- Clinical data demonstrate Combrestatin to prolong survival to almost a year - page 131
- Yantai Medgenn's Endostar (YH-16) - page 131
- Endostar's Phase III data shows significant clinical benefit - page 132
- Aeterna Zentaris's Neovastat (AE-941) - page 128
- Comparison of key molecular targeted therapies - page 134
- Avastin looks set to dominate the NSCLC market becoming a blockbuster by 2012 - page 134
- Molecular targeted therapies drug assessment finds Avastin compares well to Tarceva and is of relatively low commercial risk - page 137
- CHAPTER 6 CYTOTOXICS LATE-STAGE DRUG ANALYSIS AND FORECASTS - page 141
- Just four cytotoxics are in late-phase NSCLC development - page 141
- Pipeline summary - page 141
- Non-reformulated cytotoxics - page 142
- Definition of current comparator therapy - page 142
- Gemzar is Datamonitor's non-reformulated cytotoxic current comparator therapy - page 142
- Gemzar in combination with cisplatin improves patient overall survival to 8.6 months - page 143
- As a consequence of Gemzar's elusive optimal dosing regimen, two schedules are recommended - page 144
- Myelosuppression is Gemzar's usual dose-limiting toxicity - page 145
- Pierre Fabre/Bristol-Myers Squibb's Javlor (vinflunine) - page 147
- Profile - page 147
- Javlor is a vinca alkaloid undergoing European Phase III NSCLC trials - page 147
- Clinical trial data - page 147
- First-line results improves disease control by 77% for stage IIB, III and IV NSCLC patients - page 148
- Second-line trial demonstrates encouraging survival data - page 149
- Javlor patient potential is too early to determine - page 149
- Pierre Fabre was wise to choose Bristol-Myers Squibb over GlaxoSmithKline as Javlor's marketing partner - page 150
- Profile - page 147
- Reformulated cytotoxics - page 151
- Definition of current comparator therapy - page 151
- Taxotere: Datamonitor's reformulated cytotoxic current comparator therapy - page 151
- First-line Taxotere shows survival of over 11 months - page 152
- TAX-317 trial of second-line Taxotere finds agent significantly improves survival to 7.5 months and progression-free survival to over three months - page 153
- Taxotere is associated with fatalities and thus carries a warning label - page 154
- Cell Therapeutics' Xyotax (polyglutamate paclitaxel) - page 156
- Profile - page 156
- Drug overview - page 156
- Clinical trials - page 157
- STELLAR studies prove exciting news for advanced, pre-menopausal poor performance NSCLC women - page 158
- Xyotax Phase II PGT-202 data shows promise for non-PS2 patients - page 160
- A range of problems looks set to reduce Xyotax's patient potential - page 161
- Cell Therapeutics' limited presence within the EU and US could restrict Xyotax's revenues - page 162
- Profile - page 156
- IVAX's Xorane (paclitaxel poliglumex) - page 163
- Profile - page 163
- Xorane: an oral cremophor formulation of paclitaxel - page 163
- Phase II data shows Xorane leads to a six month survival period - page 163
- Xorane's patient potential is limited because of the targeting of PS2 NSCLC patients only - page 165
- The ongoing merger of IVAX and Teva could prove vital for Xyotax's future - page 165
- Profile - page 163
- Sonus' Tocosol (paclitaxel) - page 165
- Profile - page 165
- Tocosol is a vitamin-E based formulation of paclitaxel - page 165
- Clinical trial data - page 166
- Tocosol has a favorable toxicity profile - page 168
- Tocosol's true patient potential is difficult to assess because of a dearth of survival data - page 168
- Schering AG could raise Tocosol's profile - page 168
- Profile - page 165
- Comparison of key cytotoxics - page 169
- Javlor is anticipated to become the leading cytotoxic of those in late-stage NSCLC development - page 169
- Datamonitor's drug assessment model shows Xorane and Javlor have similar research, clinical and commercial potential - page 171
- Just four cytotoxics are in late-phase NSCLC development - page 141
- CHAPTER 7 IMMUNOTHERAPIES LATE-STAGE DRUG ANALYSIS AND FORECASTS - page 174
- Overview for immunotherapies - page 174
- The three immunotherapies in late-stage NSCLC development reflect the difficulties of commercializing this group of agents - page 174
- As a novel group there is no current immunotherapy comparator agent - page 174
- Aphton Corporation's IGN-101 - page 175
- Profile - page 175
- IGN-101 vaccine targets EpCAM found on 70% of all tumors - page 175
- Phase II clinical trials demonstrate vaccine immunogenicity but show limited survival benefit - page 175
- IGN-101's patient potential will be determined by ongoing data - page 176
- Aphton's acquisition of Igeneon may help drive development of IGN-101 - page 176
- Profile - page 175
- Coley Pharmaceuticals/Pfizer's ProMune (CpG-7909) - page 176
- Profile - page 176
- ProMune is the first targeted toll-like receptor agonist - page 176
- ProMune Phase II data finds immunotherapeutic extends survival to almost one-year - page 177
- ProMune has a good patient potential thanks to a favorable dosing regimen - page 178
- Pfizer partnership will aid Coley in the commercialization of ProMune - page 179
- Profile - page 176
- Novelos's Glutoxim (NOV-002) - page 179
- Profile - page 179
- Glutoxim is a stabilized formulation of oxidized glutathione - page 179
- Phase I/II data is limited because of inadequate patient enrollment - page 179
- If Phase III data repeats the 80% improvement over standard cytotoxics then Glutoxim could enjoy a significant patient potential - page 181
- Novelos's lack of commercialization partner could see Glutoxim struggle on the NSCLC market - page 181
- Profile - page 179
- Comparison of key immunotherapies - page 181
- Difficulties in the commercialization of immunotherapies account for low sale forecasts - page 181
- Immunotherapy drug assessments - page 183
- Overview for immunotherapies - page 174
- APPENDIX A - page 186
- Methodology - page 186
- Datamonitor forecast methodology - page 186
- Epidemiology forecasts - page 186
- Product forecasts - page 186
- Datamonitor drug assessment summary - page 186
- Datamonitor forecast methodology - page 186
- Contributing experts - page 190
- Opinion Leader 1 - page 190
- Opinion Leader 2 - page 194
- Opinion Leader 3 - page 200
- Bibliography - page 209
- List of tables - page 226
- List of figures - page 230
- Methodology - page 186
- APPENDIX B - page 232
- About Datamonitor - page 232
- About Datamonitor Healthcare - page 232
- Datamonitor Healthcare's therapy area capabilities - page 233
- About the Oncology analysis team - page 234
- Disclaimer - page 235
- About Datamonitor - page 232
- List of Tables
- Table 1: Late-phase pipeline compounds for NSCLC, March 2006 - page 23
- Table 2: Phase II pipeline compounds for NSCLC, March 2006 (1 of 3) - page 24
- Table 3: Phase II pipeline compounds for NSCLC, March 2006 (2 of 3) - page 25
- Table 4: Phase II pipeline compounds for NSCLC, March 2006 (3 of 3) - page 26
- Table 5: Phase I pipeline compounds for NSCLC, March 2006 (1 of 2) - page 26
- Table 6: Phase I pipeline compounds for NSCLC, March 2006 (2 of 2) - page 27
- Table 7: Preclinical pipeline compounds for NSCLC, March 2006 - page 28
- Table 8: NSCLC pipeline compounds by developmental phase and class of drug, March 2006 - page 29
- Table 9: NSCLC pipeline targeted therapies by developmental phase and class of drug, March 2006 - page 30
- Table 10: AstraZeneca's marketed oncology portfolio - page 32
- Table 11: AstraZeneca's pipeline oncology portfolio, March 2006 - page 33
- Table 12: Eli Lilly's marketed oncology portfolio - page 33
- Table 13: Eli Lilly's pipeline oncology portfolio, March 2006 - page 35
- Table 14: Genentech's marketed oncology portfolio, March 2006 - page 36
- Table 15: Genentech's pipeline oncology portfolio, March 2006 - page 37
- Table 16: AJCC TNM staging of NSCLC - page 41
- Table 17: AJCC TNM staging of NSCLC - page 42
- Table 18: Crude incidence rates of lung cancer by gender (per 100,000) in the seven major markets, 2006 - page 44
- Table 19: Lung cancer (types C33 and C34) incidence forecast in the seven major markets, 2002-16 - page 44
- Table 20: NSCLC incidence forecast in the seven major markets, 2002-16 - page 46
- Table 21: Stage-specific incidence of NSCLC in the seven major markets, 2006 - page 47
- Table 22: NCCN recommended therapeutics for NSCLC - page 52
- Table 23: Five-year relative survival rates by stage at diagnosis - page 57
- Table 24: Summary of Phase III clinical trials involving elderly advanced NSCLC patients - page 60
- Table 25: Key MTT products in late-stage R&D pipeline, March 2006 - page 77
- Table 26: OSI Pharmaceuticals/Genentech/Roche's Tarceva: key facts - page 78
- Table 27: Summary of Tarceva's Phase III BR.21 efficacy data - page 79
- Table 28: Key Iressa and Tarceva events in the NSCLC market - page 81
- Table 29: Summary of ISEL Phase III trial 709 survival data - page 82
- Table 30: Ongoing Avastin NSCLC clinical trials, March 2006 - page 86
- Table 31: NSCLC clinical trial summary: Avastin - page 87
- Table 32: Avastin E4599 Phase II/III clinical trial results - page 89
- Table 33: Second-line Avastin Phase I/II clinical trial data - page 90
- Table 34: Ongoing Erbitux NSCLC clinical trials, March 2006 - page 94
- Table 35: NSCLC clinical trial summary: Erbitux - page 95
- Table 36: Nexavar NSCLC clinical trials, March 2006 - page 101
- Table 37: NSCLC clinical trial summary: Nexavar - page 102
- Table 38: Sutent's NSCLC clinical trials, March 2006 - page 105
- Table 39: Clinical trial summary: Sutent - page 106
- Table 40: Telcyta ongoing clinical trials, March 2006 - page 109
- Table 41: NSCLC clinical trial data summary: Telcyta - page 110
- Table 42: NSCLC clinical trial data summary: Targretin - page 114
- Table 43: Velcade NSCLC clinical trials, March 2006 - page 118
- Table 44: NSCLC clinical trial summary: Velcade - page 119
- Table 45: Velcade 048 trial results - page 122
- Table 46: ABX-EGF clinical trials: an overview, March 2006 - page 124
- Table 47: AG-013736 ongoing clinical trials , March 2006 - page 126
- Table 48: Other Phase III MTT NSCLC candidates - page 128
- Table 49: Endostar Phase III results: survival data - page 133
- Table 50: Molecular targeted therapies sale forecast assumptions - page 134
- Table 51: Molecular targeted therapies sale forecast assumptions - page 134
- Table 52: Molecular targeted therapies sale forecast assumptions - page 135
- Table 53: Molecular targeted therapies sale forecasts ($m), 2006-15 - page 135
- Table 54: Research/clinical and commercial attractiveness summary for pipeline molecular targeted therapies in comparison to Tarceva - page 137
- Table 55: Research/clinical and commercial attractiveness summary for pipeline molecular targeted therapies in comparison to Tarceva - page 138
- Table 56: Research/clinical and commercial attractiveness summary for pipeline molecular targeted therapies in comparison to Tarceva - page 138
- Table 57: Key cytotoxic products in late-stage R&D pipeline, March 2006 - page 141
- Table 58: Eli Lilly's Gemzar: key facts - page 143
- Table 59: Summary of Gemzar Phase III patient survival data - page 144
- Table 60: NSCLC clinical trial summary: Javlor - page 148
- Table 61: Sanofi-Aventis' Taxotere: key facts - page 152
- Table 62: TAX-326 clinical trial results: survival data - page 153
- Table 63: TAX-317 and TAX-320 clinical trial results: survival data - page 154
- Table 64: NSCLC clinical trial summary: Xyotax - page 158
- Table 65: Xyotax STELLAR-3 and STELLAR-4 trials; survival data - page 159
- Table 66: STELLAR-4 clinical trial results: toxicity data - page 160
- Table 67: Xyotax PGT-202 clinical trial survival results - page 161
- Table 68: Xorane clinical trial results: survival data - page 164
- Table 69: Characteristics of Xorane partial responders - page 164
- Table 70: NSCLC clinical trial summary: Tocosol - page 167
- Table 71: Cytotoxic sale forecast assumptions - page 169
- Table 72: Cytotoxic sale forecasts ($m) - page 170
- Table 73: Research/clinical and commercial attractiveness summary for pipeline cytotoxics - page 171
- Table 74: Key immunotherapy products in late-stage R&D pipeline, March 2006 - page 174
- Table 75: ProMune Phase II results: survival data - page 178
- Table 76: Glutoxim Phase II results: survival data - page 180
- Table 77: Immunotherapies sale forecast assumptions - page 182
- Table 78: Immunotherapies sale forecasts ($m), 2006-15 - page 182
- Table 79: Research/clinical and commercial attractiveness summary for pipeline immunotherapies - page 184
- Table 80: Datamonitor drug assessment parameters - page 187
- List of Figures
- Figure 1: NSCLC pipeline compounds by class of drug, March 2006 - page 29
- Figure 2: NSCLC pipeline targeted therapies by developmental phase and class of drug, March 2006 - page 30
- Figure 3: NSCLC pipeline by company, March 2006 - page 31
- Figure 4: Anatomy of the human lungs - page 38
- Figure 5: Lung cancer (types C33 and C34) incidence forecast in the seven major markets, 2002-16 - page 45
- Figure 6: NSCLC incidence forecast in the seven major markets, 2002-16 - page 46
- Figure 7: Stage-specific incidence of NSCLC in the seven major markets, 2006 - page 47
- Figure 8: Overview of NCCN recommended treatment paradigms for stage IV Performance Status 0-2 NSCLC or recurrent patients - page 53
- Figure 9: Unmet needs in NSCLC, 2006 - page 56
- Figure 10: Tarceva Phase III BR.21 data: comparison of survival for EGFR-positive and -negative patients - page 80
- Figure 11: Telcyta's mechanism of action - page 108
- Figure 12: Velcade 048 trial design - page 121
- Figure 13: Molecular targeted therapies sale forecasts ($m), 2006-15 - page 136
- Figure 14: Drug assessment summary for the late-phase molecular targeted therapies - page 139
- Figure 15: Tocosol technology - page 166
- Figure 16: Cytotoxic sale forecasts ($m), 2006-15 - page 170
- Figure 17: Drug assessment summary for the late-phase cytotoxics - page 172
- Figure 18: Immunotherapies sale forecasts ($m), 2006-15 - page 183
- Figure 19: Drug assessment summary for the late-phase immunotherapies - page 184
- Figure 20: Example of Datamonitor drug assessment scorecard - page 188
- Figure 21: Example of Datamonitor drug assessment graph - page 189
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