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ay is the time when Citeline Drug Intelligences Annual Review of trends in pharmaceutical R&D is traditionally conducted. It is a useful opportunity to pause and reflect on how the industry is continu-
ing to evolve, and is also the time when we take the annual snapshot of our data which provides a new timepoint for our Trends data module in one of our database products, Pharmaprojects. In this article, we examine the data for 2011, look at how it has changed since 2010, and try to put the information into some sort of context. Some of the key points covered in this report include: Growth of overall R&D pipeline flat 13% growth in drugs at Phase III status Cancer takes 28% slice of R&D pie Few novel new active substances launched in past year Pfizer holds position as company with most drugs in development Poor year for newly-identified drug targets
The number of actual new chemical entities is again in the low twenties, and if we examine the list further for drugs with a new mechanism of action hitting the market for the first time, we come up with just three drugs.
Of these three, the one with the widest possible use is arguably Amgens denusomab (Prolia). This fully-human monoclonal antibody targets RANKL, also known as the osteoprotegrin ligand. Whilst the drug has thus far only been approved for use in osteoporosis, it is also under development for use in bone metastases in a wide variety of cancers, as well as for rheumatoid arthritis. Amgen has partnered with the larger multinational GlaxoSmithKline to bring this drug to the market in a number of non-US territories. Another of the innovative therapies of interest is Mitsubishi Tanabes fingolimod hydrochloride (Gilenya), a sphingosine-1 phosphate receptor agonist, approved for the therapy of relapsing-remitting multiple sclerosis, for which it is the first oral therapy. What both of these drugs have in common is that they have been successfully launched well ahead of their nearest rivals with the same mechanism of action, which are ALX-0141 (Phase I) and sonepcizumab (Phase II), respectively. The final of these three debutantes is Santens diquafosol tetrasodium (Diquas), which, as the first purinoreceptor P2Y2 agonist to be launched, is notable for treating the
generic name (branD name) alogliptin benzoate (Nesina) amifampridine phosphate (Firdapse) bazedoxifene acetate (Viviant) cabazitaxel (Jevtana) ChondroCelect collagenase Clostridium histolyticum (Xiapex) conestat alfa (Rhucin) corifollitropin alfa (Elonva) dalfampridine (Ampyra) denosumab (Prolia) diquafosol tetrasodium (Diquas) ecallantide (Kalbitor) eribulin mesylate (Halaven) fingolimod hydrochloride (Gilenya) histamine dihydrochloride, EpiCept (Ceplene) iloperidone (Fanapt) influenza vaccine (H1N1), Zydus Cadila (VaxiFlu-S) influenza vaccine, Baxter (PreFluCel) influenza vaccine, Green Cro-2 (GC Flu) influenza vaccine, H1N1 (IM), Serum Institute of India (Enzavac) influenza vaccine, H1N1 LAIV, BioDiem (NasoVac)
mechanism Of acTiOn DPP IV inhibitor Potassium channel antagonist Selective estrogen receptor modulator Microtubule inhibitor Not applicable (Cellular therapy) Collagenase stimulant
inDicaTiOn Diabetes, Type 2 Lambert-Eaton myasthenic syndrome Osteoporosis Cancer, prostate Regeneration, cartilage Dpuytrens disease
Pharming Merck & Co Elan Amgen Santen Dyax Eisai Mitsubishi Tanabe Pharma EpiCept Sanofi-Aventis Zydus Cadila
Complement factor 1 inhibitor Follicle stimulating hormone receptor agonist Potassium channel antagonist RANKL antagonist Purinoreceptor P2Y2 agonist Kallikrein inhibitor Microtubule inhibitor Sphingosine-1 phosphate receptor agonist Histamine H2 receptor agonist 5-HT2A antagonist Immunostimulant
Angioedema, hereditary Infertility, female Multiple sclerosis, general Osteoporosis Xerophthalmia Angioedema, hereditary Cancer, breast Multiple sclerosis, relapsing-remitting Cancer, leukaemia, acute myelogenous Schizophrenia Infection, influenza virus prophylaxis Infection, influenza virus prophylaxis Infection, influenza virus prophylaxis Infection, influenza virus prophylaxis
Denmark The UK Puerto Rico and the US The US Japan The US The US The US The UK The US India
BioDiem
Immunostimulant
India
*first patient received end of Dec 2009 but not included in last years list
generic name (branD name) influenza vaccine, H1N1, ADImmune (AdimFlu-S) influenza vaccine, H1N1, Bharat (HNVAC) iron isomaltoside, Pharmacosmos (Monofer) Japanese encephalitis virus vaccine, Boryung (Jeimmugen) laninamivir (Inavir) meningococcal ACWY vaccine, Novartis (Menveo) mifamurtide (Junovan) miriplatin hydrate (Miripla) pegloticase (Krystexxa) peramivir (Rapiacta) pneumococcal vaccine, 13-valent, Wyeth (Prevenar 13) prucalopride (Resolor) renal cancer vaccine, CreaGene (CreaVaxRCC) roflumilast (Daliresp) romidepsin (Isodax) sipuleucel-T (Provenge) tesamorelin acetate (Egrifta) velaglucerase alfa (Vpriv) vernakalant hydrochloride (Brinavess) vinflunine ditartrate (Javlor) vitespen (Oncophage)
inDicaTiOn Infection, influenza virus prophylaxis Infection, influenza virus prophylaxis Anaemia, iron deficiency Infection, Japanese encephalitis virus prophylaxis Infection, influenza virus Infection, Neisseria meningitidis prophylaxis Cancer, sarcoma, osteo Cancer, liver Hyperuricaemia Infection, influenza virus Infection, pneumococcal prophylaxis Constipation Cancer, renal
Japan The US
Macrophage stimulant DNA inhibitor Urate oxidase stimulant Neuraminidase inhibitor Immunostimulant
Germany S Korea
Nycomed Pharma Astellas Dendreon Theratechnologies Shire Cardiome Pierre Fabre Agenus
Phosphodiesterase IV inhibitor Histone deacetylase inhibitor Immunostimulant Growth hormone releasing factor agonist Glucosylceramidase stimulant Voltage-gated sodium channel antagonist Microtubule inhibitor Immunostimulant
Chronic obstructive pulmonary disease Cancer, lymphoma, T-cell Cancer, prostate Lipodystrophy Gaucher`s disease Fibrillation, atrial Cancer, bladder Cancer, renal
Germany The US The US The US The US The EU, Iceland and Norway The UK Russia
pOsiTiOn 2011 (2010) 1 (1) 2 (2) 3 (3) 4 (6) 5 (5) 6 (7) 7 (8) 8 (4) 9 (10) 10 (9) 11 (13) 12 (12) 13 (11) 14 (15) 15 (14) 16 (16) 17 (17) 18 (18) 19 (19) 20 (-) 21 (-) 22 (24) 23 (20) 24 (21) 25 (-)
cOmpany Pfizer GlaxoSmithKline Merck & Co Novartis Hoffmann-La Roche Sanofi-Aventis Johnson & Johnson AstraZeneca Bristol-Myers Squibb Eli Lilly Astellas Takeda Abbott Daiichi Sankyo Bayer Eisai Amgen Boehringer Ingelheim Merck KGaA Teva Mitsubishi Tanabe Pharma Dainippon Sumitomo Pharma Shionogi Kyowa Hakko Kirin Ligand
nO Of r&D prODucTs 2011 (2010) 284 (304) 269 (289) 236 (249) 200 (164) 183 (172) 182 (137) 171 (134) 167 (177) 149 (109) 131 (128) 108 (87) 103 (90) 96 (99) 93 (70) 91 (84) 74 (66) 68 (54) 67 (53) 62 (53) 48 (-) 45 (-) 44 (47) 43 (52) 42 (52) 42 (-)
nO Of OriginaTeD prODucTs 196 155 157 126 134 92 110 113 119 98 67 55 61 61 62 45 55 41 21 18 27 27 24 19 33
However, overall, the Top 10 has slightly tightened its grip on the industry this year, with 13.4% of all pipeline drugs being originated in these ten companies, up from 12.4% at the same point in 2010. Japanese companies have not yet cracked open the Top 10, although Astellas is now getting very close as both it and Takeda break the 100 compound pipeline barrier for the first time. In fact there are a slew of Japanese firms queuing up outside the top tier, with Mitsubishi Tanabe being one of the entrants to the Top 25 this year. Whether next year will finally see an Asian company finally join the highest echelon of the worlds Pharma companies may in part depend on the Japanese economys ability to recover from the devastating natural disasters visited on that country earlier this year. Aside from the acquired concern Genzyme, the two companies leaving the Top 25 this year are Isis Pharmaceuticals and Cancer Research Technology, with Teva and Ligand joining Mitsubishi in making their entrances.
While the largest companies consolidate their positions, there is still unrelenting growth in the numbers of companies at the other end of the scale. Once again, the total number of companies reported to be involved in R&D has increased, with this year, the figure reaching 2,387 (see Figure 4). This is a bigger rise than that seen in either of the two previous years, probably reflecting a combination of an increasing wealth of start-ups , and better detection of such companies by ourselves. This would again appear to be a sign of overall health in the industry.
The proportion of drugs classified as Biotech (biologicals) has also risen and accounts for over a quarter of all pipeline drugs now another metric which appeared to level off last year but has resumed its increase markedly this year.
We can further look at the lengthening tail of the pharma industry by counting the number of companies with just one or two drugs in their pipelines the true niche companies. This year, this figure has swollen yet again to stand at 1,203 companies, up massively from 991 last year. In other words, now, over half of all pharma companies fall into this category, with 862 being single-drug concerns. This long tail hints at the wealth of innovation underway, which is currently outstripping both big pharmas ability to swallow it up, and industry success stories.
2010
2011
The proportion of drugs classified as Biotech (biologicals) has also risen and accounts for over a quarter of all pipeline drugs now another metric which appeared to level off last year but has resumed its increase markedly this year. The fact that most categories have increased this year despite the overall pipeline size remaining flat suggests that companies are increasingly looking to get their drugs developed for as wide a range of therapeutic activities as possible.
When the human genome sequence was first published ten years ago, some predicted an explosion in new drug targets over the next decade, an explosion which has thus far failed to occur.
Trends in individual therapeutic categories are also examined in Table 3, which lists the Top 25 of the 221 individual therapeutic categories which are used to classify drugs in our pipeline database. Unsurprisingly, cancer again dominates, and many of the trends in the previous graph are reflected in this more granular view. There is little wholesale change in this listing, but noteworthy are a 16% increase in the non-NSAID analgesic category (up to fourth in the table), a slip for antidiabetics, and a debut for multiple sclerosis treatments. Dropping out of the Top 25 this year is the Gene therapy category; the first time it has been absent and a long way from the peak of interest in this strategy, which at one point hit the heady heights of third in the table.
pOsiTiOn 2011 (2010) 1 (1) 2 (2) 3 (4) 4 (5) 5 (3) 6 (8) 7 (6) 8 (7) 9 (9) 10 (10) 11 (12) 12 (13) 13 (11) 14 (14) 15 (15) 16 (20) 17 (19) 18 (21) 19 (16) 20 (17) 21 (22)( 22 (18) 23 (24) 24 (-) 25 (-)
Therapy Anticancer, other Anticancer, immunological Prophylactic vaccine, anti-infective Analgesic, other Antidiabetic Anti-inflammatory Recombinant vaccine Cognition enhancer Antiviral, other Cardiovascular Ophthalmological Formulation, fixed-dose combinations Immunosuppressant GI inflammatory/bowel disorders Recombinant, other Neuroprotective Monoclonal antibody, human Monoclonal antibody, other Antiasthma Antiarthritic, other Symptomatic antidiabetic Hypolipaemic/Antiatherosclerosis Antiparkinsonian Neurological Multiple sclerosis treatment
nO Of r&D prODucTs 2011 (2010) 1488 (1465) 773 (769) 544 (513) 535 (461) 507 (536) 410 (385) 399 (420) 382 (408) 377 (374) 351 (358) 342 (334) 331 (313) 326 (341) 297 (293) 295 (289) 260 (249) 251 (249) 250 (249) 245 (273) 243 (261) 234 (231) 228 (258) 224 (227) 215 (-) 214 (-)
TrenD h h h h i h i i n n h h i n n h n n i i n i n h h
10
affected by environmental factors, and affected also by the parts of the genetic code which dont code for genes. However, the concept of the druggable genome has survived and estimates remain in the 3,500-6,500 targets region. Therefore, the number of targets investigated as potential drug targets remains an interesting measure of progress, and intriguingly, this year at first glance appears to have shown a much bigger increase than in any year so far. The total number of individual gene products which are, or have been, investigated as drug targets now stands at 2,205, an increase of 356 on the same figure from 2010. From 200910, the rise was only 97, and increases in preceding years were of the same order. However, this is unfortunately an artificial rise, as over the past year, we have widened the scope of our target coverage to include antibacterial targets, and these account for 289 of this uplift. So taking this out of the
equation, fewer new targets (67) have been reported this year than in the previous one, which is not an encouraging sign. If we further examine the range of targets currently the focus of drugs only in active development, this figure stands this year at 1,323, up from 1,216, but again, the figures are hard to compare due to addition of bacterial targets. If we compare the 2011 figure to the 2010 figure adjusted to include the new bacterial targets and the drugs for which precise targets were identified during the course of the year, the figure has declined from 1,372. Its difficult to draw any conclusion from this trend, since you would expect the current data set to include a greater proportion of drugs whose target remains at this point unidentified or undisclosed, but is interesting to note that this is the first year where a decline in this metric has been seen since 2004.
pOsiTiOn 2011 (2010) 1 (1) 2 (2) 3 (3) 4 (4) 5 (5) 6 (6) 7 (8) 8 (7) 9 (9) 10 (11) 11 (10) 12 (15) 13 (12) 14 (13) 15 (14) 16 (16) 17 (-) 18 (19) 19 (-) 20 (17)
mechanism Of acTiOn (pharmacOlOgy) Immunostimulant Angiogenesis inhibitor Apoptosis stimulant Immunosuppressant Cell cycle inhibitor Protein kinase inhibitor DNA inhibitor Protease/peptidase inhibitor Cyclooxygenase 2 inhibitor Opioid mu receptor agonist Tyrosine kinase inhibitor (TKI) Vascular endothelial growth factor (VEGF)receptor antagonist Mitotic inhibitor Cyclooxygenase 1 inhibitor DNA topoisomerase II inhibitor Tubulin inhibitor PI3 kinase inhibitor Sodium channel antagonist Opioid receptor agonist Insulin secretagogue
nO Of r&D prODucTs 2011 (2010) 1127 (1065) 206 (225) 180 (198) 148 (166) 131 (155) 131 (144) 98 (113) 95 (114) 95 (99) 93 (87) 89 (88) 79 (82) 73 (84) 72 (83) 72 (83) 69 (75) 69 (-) 68 (69) 64 (-) 64 (75)
% pr/r/l* 8 7 8 24 15 13 15 37 28 26 13 11 14 31 31 12 0 21 25 31
11
a sTeaDy year
So overall, 2010-11 was a year which has seen little wholesale change, which in the shadow of the worlds woes following the financial crisis should arguably be seen as more of a comfort than a concern. It was certainly a quiet year in terms of corporate changes, which many would also see as a good thing, but was yet another disappointing one in terms of truly innovative product launches. Set against this, there are some undeniably encouraging signs. In particular, the rise in the number of drugs currently in Phase III trials could be a sign that of improving success rates of drugs completing Phase II, which is particularly important in the changing regulatory environment. The number of companies involved in the industry continues to climb, especially that of niche firms, although the number of potential drug targets under investigation appears to not have taken a significant step upwards yet. Ultimately, it will only be successful drug launches and subsequent portfolio management which will refuel the industry, but if the pot is not exactly boiling over yet, it looks like on a number of fronts, the ingredients are simmering away nicely.
As a Citeline Drug Intelligence Services subscriber, you can routinely perform some of the analyses discussed in this article. You can use them to observe trends over time, to keep an eye on competitors, and to aid business decisions. We have also added a seventeenth year of data into the Trends module of Pharmaprojects based on the 2011 data, to further assist you.
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