Tysabri - Can Efficacy of VLA-4 Mechanism Overcome Safety Concerns?
Scope
Report Highlights
Reasons to Purchase
Table of Contents
- ABOUT DATAMONITOR HEALTHCARE - page 2
- About the CNS pharmaceutical analysis team - page 2
- EXECUTIVE SUMMARY - page 5
- Introduction - page 5
- Scope and coverage of the Brief - page 5
- Key findings - page 6
- TYSABRI - THE STORY SO FAR - page 9
- Tysabri withdrawn from market - page 9
- Overview of Tysabri - page 9
- Suspension of Tysabri - February 2005 - page 11
- Linking Tysabri and PML - page 12
- Tysabri's mechanism of action - page 12
- PML - page 12
- PML pathology - page 13
- Linking Tysabri and PML - page 13
- Tysabri monotherapy versus Tysabri/Avonex combination therapy - page 13
- Profile of PML patients - page 16
- Tysabri plus Avonex leads to drug accumulation and immune supression - page 17
- Tysabri withdrawn from market - page 9
- CLINICAL TRIAL DATA - page 20
- AFFIRM two-year data - page 20
- SENTINEL one-year data - page 22
- SENTINEL two-year data - page 24
- GLANCE data - page 25
- ENCORE data - Crohn's disease - page 25
- DATAMONITOR ASSESSMENT AND THOUGHT LEADER OPINION - page 27
- Leading neurologists split on Tysabri monotherapy safety - page 27
- Action to be taken for Tysabri's relaunch - page 28
- Potential product labeling of Tysabri - page 29
- Tysabri in immunosuppressed patients - page 30
- Screening of treatment-naïve and actively treated patients to reduce the risk of PML development - page 32
- Formulation of a treatment strategy to be executed if Tysabri patients develop PML - page 37
- How will Tysabri be positioned as a treatment strategy? - page 37
- Future clinical trials in MS - page 40
- Datamonitor Tysabri and monoclional antibody outlook - page 42
- Potential product labeling of Tysabri - page 29
- INTERVIEW TRANSCRIPTS - page 45
- Leading neurologists split on Tysabri monotherapy safety - page 45
- Interview 1 - page 45
- Interview 2 - page 47
- Interview 3 - page 50
- Interview 4 - page 54
- Interview 5 - page 57
- Interview 6 - page 60
- Interview 7 - page 62
- Interview 8 - page 65
- Interview 9 - page 67
- Interview 10 - page 70
- Leading neurologists split on Tysabri monotherapy safety - page 45
- APPENDIX - page 74
- Interviewed KOLs - page 74
- Bibliography - page 74
- Websites - page 74
- Journals and conference abstracts - page 75
- Research methodology - page 76
- Disclaimer - page 77
- List of Tables
- Table 1: Pharmacokinetics of Tysabri and Tysabri/Avonex at 20 weeks of treatment - page 14
- Table 2: Details of Tysabri patients with PML - page 16
- Table 3: Events since the withdrawal of Tysabri from market in February 2004 - page 19
- List of Figures
- Figure 1: SWOT analysis of Tysabri - page 8
- Figure 2: Tysabri precautions - page 29
- Figure 3: Humira black box warning and strong warning on risk of infection - page 30
- Figure 4: Remicade black box warning and strong warning on risk of infection - page 31
- Figure 5: Novartis's Clozaril CARE website - WBC and ANC monitoring - page 36
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