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Cyramza (Colorectal Cancer) - Forecast and Market Analysis to 2023

Published By :

GlobalData

Published Date : Nov 2014

Category :

Cancer

No. of Pages : 72 Pages


GlobalData has released its new PharmaPoint Drug Evaluation report, Cyramza (Colorectal Cancer) Forecast and Market Analysis to 2023. Colorectal cancer (CRC) is the second leading cause of mortality among cancer patients in the world and is the third most diagnosed cancer globally, and thus represents a huge burden on healthcare systems. This report focuses on the current treatment landscape, unmet needs, current pipeline, and commercial opportunities in the colorectal cancer market, with coverage of multiple settings of the disease including neoadjuvant/adjuvant, first-, second-, third-line KRAS wild-type and mutation-positive, and fourth-line metastatic. In terms of targeted treatments, the metastatic CRC treatment landscape is mature, including the branded treatments Avastin (bevacizumab), Erbitux (cetuximab), and Vectibix (panitumumab), treatments that have extended the survival of metastatic patients compared to chemotherapy-only regimens. However, high unmet needs remain for the extension of survival of metastatic patients, and particularly those with KRAS mutation-positive disease, for whom the epidermal growth factor receptor (EGFR) inhibitors Erbitux and Vectibix are not recommended.

Eli Lillys Cyramza (ramucirumab) is an anti-VEGFR human IgG1 monoclonal antibody angiogenesis inhibitor being investigated by Eli Lilly in Phase III clinical trials for the treatment of metastatic CRC, and has been investigated in a host of other oncology indications, including breast cancer, gastric cancer, HCC, and NSCLC. A Phase III study (RAISE) is investigating ramucirumab as a treatment for second-line metastatic CRC patients who have progressed during, or following, combination treatment with Avastin and FOLFOX. The randomized, double-blind, placebo-controlled study is evaluating ramucirumab in combination with FOLFIRI against FOLFIRI alone in 1,050 metastatic CRC patients.

Scope

  • Overview of Colorectal Cancer, including epidemiology, etiology, symptoms, diagnosis, pathology and treatment guidelines as well as an overview on the competitive landscape.
  • Detailed information on Cyramza including product description, safety and efficacy profiles as well as a SWOT analysis.
  • Sales forecast for Cyramza for the top seven countries from 2013 to 2023.
  • Sales information covered for the US, France, Germany, Italy, Spain, the UK and Japan.

Reasons to buy

  • Understand and capitalize by identifying products that are most likely to ensure a robust return
  • Stay ahead of the competition by understanding the changing competitive landscape for Colorectal Cancer
  • Effectively plan your M&A and partnership strategies by identifying drugs with the most promising sales potential
  • Make more informed business decisions from insightful and in-depth analysis of Cyramza performance
  • Obtain sales forecast for Cyramza from 2013-2023 in top seven countries (the US, France, Germany, Italy, Spain, the UK and Japan)

1 Table of Contents 5
1.1 List of Tables 8
1.2 List of Figures 8

2 Introduction 9
2.1 Catalyst 9
2.2 Related Reports 10
2.3 Upcoming Related Reports 11

3 Disease Overview 12
3.1 Etiology and Pathophysiology 12
3.1.1 Etiology 12
3.1.2 Pathophysiology 14
3.2 Clinical Staging 15
3.3 Symptoms 16

4 Disease Management 18
4.1 Diagnosis and Treatment Overview 18
4.1.1 Screening and Diagnosis 18
4.1.2 Treatment Guidelines and Leading Prescribed Drugs 21
4.1.3 Clinical Practice 25

5 Competitive Assessment 32
5.1 Overview 32

6 Unmet Need and Opportunity 34
6.1 Overview 34
6.2 Therapies That Provide Substantial Overall Survival Benefit for Metastatic Patients 35
6.2.1 Unmet Need 35
6.2.2 Gap Analysis 37
6.2.3 Opportunity 37
6.3 Targeted Treatments for KRAS and BRAF Mutaton-Positive Patients 39
6.3.1 Unmet Need 39
6.3.2 Gap Analysis 40
6.3.3 Opportunity 40
6.4 Effective Neoadjuvant/Adjuvant Therapies for High Risk Resectable Disease 41
6.4.1 Unmet Need 41
6.4.2 Gap Analysis 42
6.4.3 Opportunity 42
6.5 Tolerable Later-Line Therapies For Chemotherapy-Resistant Patients 43
6.5.1 Unmet Need 43
6.5.2 Gap Analysis 43
6.5.3 Opportunity 44

7 Pipeline Assessment 45
7.1 Overview 45
7.2 Promising Drugs in Clinical Development 46

8 Cyramza (Ramucirumab) 48
8.1 Overview 48
8.2 Efficacy 51
8.3 Safety 51
8.4 Dosing and Formulation 51
8.5 Potential Clinical and Commercial Positioning 52
8.6 SWOT Analysis 53
8.7 Forecast 54

9 Appendix 55
9.1 Bibliography 55
9.2 Abbreviations 60
9.3 Methodology 64
9.4 Forecasting Methodology 64
9.4.1 Diagnosed Colorectal Cancer Patients 64
9.4.2 Percent Drug-Treated Patients 65
9.4.3 General Pricing Assumptions 65
9.4.4 Average Body Weight and Surface Area Across the 8MM 66
9.4.5 Generic Erosion 66
9.4.6 Pricing of Pipeline Agents 66
9.5 Primary Research - KOLs Interviewed for this Report 67
9.6 Primary Research - Prescriber Survey 68
9.7 About the Authors 69
9.7.1 Analyst 69
9.7.2 Global Head of Healthcare 70
9.8 About GlobalData 71
9.9 Disclaimer 71

List of Table


Table 1: TNM and Staging Classification System for CRC 16
Table 2: Symptoms of Colorectal Cancer 17
Table 3: Treatment Guidelines for CRC 22
Table 4: Most-Prescribed Neoadjuvant/Adjuvant Regimens for Early-Stage CRC in the Global Markets, 2013 23
Table 5: Most Prescribed Targeted Therapies for Metastatic CRC by Segment in the Global Markets, 2013 24
Table 6: Leading Treatments for CRC, 2014 33
Table 7: Unmet Need and Opportunity in CRC 35
Table 8: Product Profile - Cyramza 50
Table 9: Cyramza SWOT Analysis, 2014 53
Table 10: Global Sales Forecasts ($m) for Cyramza, 2013-2023 54
Table 11: Average Body Weight and Surface Area Across the 8MM 66
Table 12: High-Prescribing Physicians (non-KOLs) Surveyed, By Country 68

List of Chart


Figure 1: CRC - Phase III Pipeline 46
Figure 2: Competitive Assessment of Late-Stage Pipeline Agents in CRC, 2013-2023 47
Figure 3: Clinical and Commercial Positioning of Cyramza 52

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