Multiple Sclerosis -- KOL Insight and Consensus Outlook Modules

Feb 03, 2014, 08:32 ET from Reportlinker

NEW YORK, Feb. 3, 2014 /PRNewswire/ -- announces that a new market research report is available in its catalogue:

Multiple Sclerosis -- KOL Insight and Consensus Outlook Modules


The multiple sclerosis treatment landscape has undergone dramatic changes over the past year. Biogen's Tecfidera has revolutionised multiple sclerosis treatment in the U.S., eroding significant market share from older therapies. However, patent concerns has stalled Tecfidera's launch in Europe. Genzyme have taken advantage of this delay with Lemtrada's (alemtuzumab) and Aubagio's (teriflunomide) EU approval. The arrival of these drugs is expected to transform multiple sclerosis treatment and be a catalyst for unprecedented market growth.

Over the next five years, the global multiple sclerosis (MS) market is set to grow from $14.3 billion in 2012 to $21.5 billion in 2017. Primary drivers of this growth will be the entry of new pipeline therapies, satisfying the unmet needs of convenient administration and more efficacious therapy, and continued uptake of existing therapies.

A Complete Ongoing Analysis of Current Trends, Future Forecasts and Landscape Modifiers

For instant access to an accurate, unbiased, qualitative review of the latest treatment trends along with a five-year quantitative diabetes market forecast look no further than FirstWord's Therapy Trends: Multiple Sclerosis. This comprehensive FirstWord research is available in two comprehensive modules:

• The KOL Insight: Multiple Sclerosis module provides a complete review and is enhanced with exclusive in-depth interviews with leading KOLs from the US and Europe

• The Consensus Outlook: Multiple Sclerosis data analysis module provides annual historical and forecast product-level sales data from an average of leading equity analysts' projections


KOL InsightTherapy Trends KOL Insight: Multiple Sclerosis analyses the current and predicted key issues, current products and late-stage pipeline products. The report gives you qualitative, inside information from exclusive FirstWord interviews with 12 key opinion leaders (KOLs) through the following:

• KOL Insight Report — an in-depth analytical report on diabetes treatment trends

• Full report updates — issued to you after each and every significant diabetes market event

• Event Bulletins — the latest KOL views in response to each event

Key Report Features and Benefits

• Critical insights on products and market developments from leading US and European clinicians

• Critical insights on products and market developments from leading US, European and Australian clinicians• Assessment of current leading multiple sclerosis products• Analysis of late-stage pipeline multiple sclerosis therapies• Competitive evaluation of leading players• Current thinking and trends in the treatment of multiple sclerosis• Predicted KOL treatment trends and market leaders• Ongoing FirstWord clinical and market updatesExpert Opinion for Real World Insights

The data and analysis in the report is enriched through the specific insights and opinions of leading clinicians working in multiple sclerosis in the US, Europe and Australia. Their views on specific drugs and treatment pathways provide a unique front line perspective from those working in clinical setting. The results of these detailed and extensive interviews are incorporated though out the text so they can be read in the context of the issue or product being discussed.

KOL Panel

David Hafler, Chief and Chair of Neurology at Yale-New Haven Hospital and Yale School of Medicine, New Haven, Connecticut, US

• Professor Douglas Jeffery, MD, PhD, Associate Professor of Neurology, the Department of Neurology, The Multiple Sclerosis and Movement Disorders Centre at Advance Neurology at Cornerstone Health Care Winston-Salem, North Carolina, US

• Professor Paul O'Connor, Professor, Division of Neurology, University of Toronto, Toronto, Canada

• Professor Lawrence Steinman, Professor of Neurology and Neurological Sciences, Pediatrics, and Genetics, Stanford University School of Medicine, California, US

• Professor and Medical Neurologist, MD, and expert in multiple sclerosis at the Ottawa Hospital Research Institute, Ottawa, Canada (requested anonymous)

• Professor and Medical Neurologist, MD, and expert in multiple sclerosis at the Mount Sinai School of Medicine, New York, US (requested anonymous)

• Dr Mike Bogglid, Staff Specialist Neurologist, Townsville Hospital, University of Queensland, Australia

• Dr Patrick Vermersch, Department of Neurology, University of Lille North of France, Hôpital Roger Salengro, Lille, France

• Dr Heinz Wiendl, Department of Neurology, Neuroimmunology and Neuro-Oncology, University of Muenster, Muenster, Germany

• Dr Martin Wilson. Consultant Neurologist, Walton Centre for Neurology and Neurosurgery NHS Trust, Liverpool, UK

• Professor and Medical Neurologist, MD, and expert in multiple sclerosis at Centre Neurologique et de Réadaptation Fonctionnelle, Fraiture-en-Condroz, Belgium (requested anonymous)

• Professor and Medical Neurologist, MD, and expert in multiple sclerosis at Heinrich-Heine University, Düsseldorf, Germany (requested anonymous)

Key Quotes from the Report"I think alemtuzumab is an excellent drug. It's very, very efficacious, and surprisingly well tolerated, considering its potency. They do need some blood monitoring each month but it's actually pretty easy to give and to monitor and certainly very effective." Dr Martin Wilson (Europe)

"Using Lemtrada is different from the other options we have available. It is a real investment in the patient's time. You enter into a contract over five years at least with monthly monitoring. That is something that a lot of patients cannot really foresee when they start such therapies. They need to have a certain insight into the disease and its nature. This is a difference between, let's say, a drug that you rather easily start on and get off, like Tecfidera versus Lemtrada, that is something you start and you don't get off ever." Dr Heinz Wiendl (EU)

"I think teriflunomide is moderately effective. It seems that there are no major severe risks. I would put it in the efficacy range of the current injectables, I don't think it offers an advantage over the currently available first-line drugs, but of course, as a tablet it's more convenient and would hold the promise of increasing adherence" European Key Opinion LeaderKOL Insights -- Key Topics

• Current multiple sclerosis marketplace

• Current treatment landscape

• Reimbursement of key multiple sclerosis brands

• Unmet needs

• Current therapies

• Symptomatic treatment

• Pipeline therapies

• Future developments in multiple sclerosis

Consensus OutlookUse this detailed report and powerful interactive Excel spreadsheet to compare and contrast companies and products now and in the future. Therapy Trends Consensus Outlook: Multiple Sclerosis includes the following comprehensive resources:• An in-depth 5-year forecast report based on analyst consensus, mapping the impact of future events to predicted product performance• A detailed forecast data analysis spreadsheet model comparing critical market parameters including market size, product sales, market shares and competitive status over the period 2007 to 2017• Timely event-driven market forecast report and data analysis updates over the next 12 monthsReport features:

• Historical MS sales from 2007–2012

• Forecast MS sales from 2013-2017

• Key competitors and drug developers

• Predicted product positioning

• Current and late-stage pipeline drugs

• Future event mapping to forecast data points

• Comparative clinical trial results

Use Consensus Outlook to:

• Chart predicted market growth and product sales

• Map your own market parameters

• Tailor your strategic and investment focus

• Assess your current and future sales resources

• Set proactive launches and branding strategies

Analysts compared:

• Barclays Capital

• Credit Suisse

• Deutsche Bank

• Goldman & Sachs

• International Strategy & Investment

• Jefferies

• JP Morgan

• Merrill Lynch

• Morgan & Stanley

• Societe Generale

• Stifel Nicolaus


• Wells Fargo


Content Highlights and Products Covered:

• Research Methodology

• Multiple Sclerosis Marketplace

• Key Multiple Sclerosis Developers

• Multiple Sclerosis Class Dynamics

• Tecfidera (dimethyl fumarate; Biogen) forecast

• Aubagio (teriflunomide; Sanofi) forecast

• Gilenya (fingolimod; Novartis Mitsubishi Tanabe) forecast

• Tysabri (natalizumab; Biogen) forecast

• Copaxone (glatiramer acetate; Teva) forecast

• Avonex (interferon beta-1a; Biogen) forecast

• Betaseron (interferon beta-1b; Bayer) forecast

• Rebif (interferon beta-1a; Merck Serono) forecast

• Extavia (interferon beta-1b; Novartis) forecast

• Lemtrada (alemtuzumab; Genzyme/Sanofi) forecast

• Laquinimod (Teva/Active Biotech) forecast

• Daclizumab HYP (Biogen/AbbVie) forecast

• Ocrelizumab (Biogen/Roche/Biogen) forecast

Ongoing BenefitsContinually Updated in Response to Market DevelopmentsThe world of pharma is ever changing and executives must always be up-to-date with the latest developments that could affect their own products, position and research. That is why FirstWord's guarantee to keep Therapy Trends updated offers real commercial advantage.Consider the benefits:

• Content will be fully updated in response to market developments such as new product approvals or pivotal research results for 12 months from the date of purchase

• Such updates are incorporated throughout the KOL reports ensuring the change is reflected in every aspect of the report

• There is no limit and all relevant events will result in an update

• You'll receive these updates directly, within days of each event's occurrence

• All updates are included in the price

Whatever happens in the market you'll always be able to assess the impact with FirstWord Therapy TrendsUnrivalled Sources Ensure Complete CoverageOur unique disease selection matrix pinpoints those disease sectors of the highest commercial potential, and draws information from multiple novel and expert sources, including:• Exclusive views from leading global experts• Comprehensive consensus research• Live dispatches and critical industry data• Online opinions from 535,000 vetted physicians• Data from over 125 medical conferences each year• Over 2,000 peer-reviewed medical journals• Over 450 pharmaceutical news sources

Consensus Outlook 1.Forecast Data Model (Excel) 1.1.Tabs: Market size

1.2.Product sales

1.3.Company forecast

1.4.Mechanism of action

1.5.Future Events

2.Forecast Analysis Report (PDF)

2.1. Contents: FirstWord Analysis Highlights2.2.Research Methodology2.3.Multiple Sclerosis Marketplace2.4.Key Multiple Sclerosis Developers2.5.Multiple Sclerosis Class Dynamics2.6.Tecfidera (dimethyl fumarate; Biogen) forecast2.7.Aubagio (teriflunomide; Sanofi) forecast2.8.Gilenya (fingolimod; Novartis Mitsubishi Tanabe) forecast2.9.Tysabri (natalizumab; Biogen) forecast2.10.Copaxone (glatiramer acetate; Teva) forecast2.11.Avonex (interferon beta-1a; Biogen) forecast2.12.Betaseron (interferon beta-1b; Bayer) forecast2.13.Rebif (interferon beta-1a; Merck Serono) forecast2.14.Extavia (interferon beta-1b; Novartis) forecast2.15.Lemtrada (alemtuzumab; Genzyme/Sanofi) forecast2.16.Laquinimod (Teva/Active Biotech) forecast2.17.Daclizumab HYP (Biogen/AbbVie) forecast2.18.Ocrelizumab (Biogen/Roche/Biogen) forecast

KOL Insights 1.Contents2.Executive summary 3.Introduction4.Methodology 5.Current Multiple sclerosis marketplace 5.1 Current treatment landscape

5.2. Multiple Sclerosis market definition

5.3. Current market overview

5.4. Reimbursement of key multiple sclerosis brands

5.5. Multiple sclerosis unmet needs

5.6. Unmet need 1: Efficacy for progressive subtypes

5.7. Unmet need 2: Therapies offering better clinical profiles

5.8. Unmet need 3: Drugs to halt or repair neuronal damage

5.9. Unmet need 4: Improving multiple sclerosis induced cognition dysfunction

5.10. Unmet need 5: Need for improved adherence

6.Current therapies

6.1. Clinical trial results of marketed therapies6.2. Cross trial comparisons is not an ideal assessment6.3. Tecfidera (dimethyl fumarate; Biogen) trends6.4. Tecfidera becomes the latest FDA approved MS therapy6.5. Tecfidera will become a first-line therapy and a major threat to Gilenya6.6. Favourable label with no black box warnings and limited patient monitoring required6.7 Discontinuation rates higher than existing therapies and may potentially get higher in a real world setting6.8. Opportunity to expand draft label to include disability improvement6.9. Treating warehoused patients will expand market6.10. Practical Tecfidera pricing in-line with current first-line therapies6.11. Tecfidera patent extended to 20286.12. Lemtrada (alemtuzumab; Genzyme/Sanofi) trends6.13 Sanofi's Lemtrada receives first worldwide approval6.14. Lemtrada's broad label is best case scenario for Sanofi6.15. Lemtrada is one of the most effective marketed therapies6.16, Safety concerns may hamper uptake6.17. Sanofi will price Lemtrada in line with current treatments6.18. Aubagio (teriflunomide; Sanofi/Genzyme) trends6.19. Aubagio is approved by the FDA - drug becomes the second oral therapy to enter the market6.20. Despite favourable tolerability the FDA have issued a black box warning on the prescription label6.21. Surveyed neurologists are aware of Aubagio and intend to prescribe the drug6.22. Interviewed neurologists believe Aubagio will find use as a monotherapy and combination therapy6.23. Pricing at $45,000 places the drug cheaper than existing first-line therapies6.24. Gilenya (fingolimod; Novartis) trends6.25. Gilenya has first oral to market advantage6.26. Gilenya raises bar for pipeline therapies entering the market6.27. Deaths mar Gilenya's side effect profile and positions drug as a second line6.28. Vigilance program is cumbersome and likely to restrict access6.29. Gilenya's high price will restrict use6.30 Clinical trials in progressive multiple sclerosis ongoing6.31. Tysabri (natalizumab; Biogen) trends6.32. Tysabri is the most effective approved multiple sclerosis therapy6.33. PML fears positions drug as second or later line6.34. JCV test will promote use and allay fears6.35. Progressive multiple sclerosis trials ongoing for Tysabri6.36. Copaxone (glatiramer acetate; Teva) trends6.37. Copaxone is the leading selling multiple sclerosis therapy6.38. Teva fights generic Copaxone applications6.39. Interferon betas (Avonex, Betaseron, Rebif, Extavia) trends6.40 Interferons are the mainstay of multiple sclerosis treatment6.41. Needles have evolved to avoid injection site reactions6.42. Biosimilar guidelines in place for interferons6.43. Current treatment algorithm

7.Symptomatic Treatment

7.1. Multiple sclerosis symptoms

7.2. Symptomatic multiple sclerosis therapies

7.3. Ampyra/Fampyra (dalfampridine; Acorda Therapeutics/Biogen) trends

7.4. Controlled release formulation minimises risk of seizures

7.5. Ampyra only works in certain patient populations

7.6. High cost could restrict uptake

7.7. Sativex (nabiximols; GW Pharma/Almirall/Otsuka/Bayer/Novartis) trends

7.8. First cannabis -based drug enters Europe

7.9. Opinion leaders believe approval in US will follow European expansion

7.10 Partnerships will enable further market penetration

8.Pipeline therapies

8.1.Laquinimod (Teva) trends8.2. Third laquinimod trial initiated concentrating on neuroprotective effect but doubts persist8.3. Phase III efficacy data is disappointing and less than current therapies8.4. Safety data and mechanism suits role as an add-on therapy8.5. Daclizumab HYP (Biogen/Abbott) trends8.6 Daclizumab complements Biogen's portfolio with good safety and efficacy8.7. Daclizumab positioning will be important for Biogen franchise8.8. Ocrelizumab (Biogen/Roche) trends8.9. Ocrelizumab represents the most advanced B-cell therapy8.10. Ocrelizumab is highly effective in reducing relapses8.11. Long-term safety needs to be investigated8.12. Future treatment algorithm8.13. More use of induction therapy in highly relapsing patients8.14. Current first-line therapies will have a less prominent role in future treatment8.15. Interferons and Copaxone can find a niche as combination therapies8.16. Oral therapies will become the leading first- and second-line therapies8.17. JCV test will drive earlier use of Tysabri8.19. Potent but less safe therapies will remain last line

9. Future developments in multiple sclerosis

9.1. Constrained pricing environments will reduce market access

9.2.Clinically isolated syndrome will be considered early stage multiple sclerosis in the future

9.3. Trend for earlier diagnosis and treatment will produce better outcomes

9.4. Trend to more symptomatic therapies being developed

9.5. Eventual development of biomarkers will aid treatment

9.6. Better understanding of underlying multiple sclerosis etiology

9.7. Methods to assess treatment failure could be implemented in the future

9.8. More emphasis should be placed on long-term outcome measures


10.1. KOL biographies10.2. KOLs from North America:10.3.KOLs from Europe

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