Tuesday 30 June 2015

Global and USA Cancer Immunotherapy Market Analysis to 2020


MTR: GLOBAL & USA CANCER IMMUNOTHERAPY MARKET ANALYSIS TO 2020

 

Summary

This report provides a comprehensive overview of the size of cancer immunotherapy market, the segmentation of the market, key players and the vast potential of therapies that are in clinical trials. Oncologic therapeutics cannot cure cancer and yet in 2014, the overall market for cancer therapeutics stood at about $84.3 billion. Any drug that can provide a reasonable survival of more than five years for the cancer patients can achieve a blockbuster status. Within the cancer therapeutics, the immunotherapeutic drugs have gained worldwide acceptance, because they are targeted drugs targeting only the cancer cells. Today, cancer immunotherapy drugs have captured nearly 50% of the overall oncology drugs market, generating about $41.0 billion in 2014 alone. This report describes the evolution of such a huge market in 11 chapters supported by 114 tables and 41 figures over 256 pages.

• An overview of cancer immunotherapy that includes: monoclonal antibodies, cancer vaccines and non-specific cancer immunotherapies.
• Focus on current trends in cancer immunotherapies that include: anti-PD-1 drugs, Dendritic cell vaccines, T-cell therapies and cancer vaccines.
• Insight into the challenges faced by drug developers, particularly about the success vs. failure ratios in developing cancer immunotherapy drugs.
• Descriptions about 23 cancer immunotherapeutics approved and used as targeted drugs (some of these products have already been withdrawn from the market).



• Insight into the various immunotherapeutics available for specific cancer types.
• Description and data for the prevalence of cancer types that are addressed by cancer immunotherapeutics.
• Overall global cancer therapeutics market, leading market players and the bestselling cancer drugs.
• Detailed account of the market for cancer immunotherapeutics by geography, indication, company and individual drugs.
• Profiles, marketed products and products in pipeline of 76 companies that are mostly located in the U.S. and Europe.
• Summary table to identify the category of immunotherapy drug offered by the 76 companies.


The report is supported by 155 tables & figures over 246 pages. This report is presented as follows:

The global market for cancer immunotherapy by the following sub-categories are presented:
• By Segment (Monoclonal Antibodies, Cancer Vaccines, Non-Specific Therapies, Checkpoint Inhibitors)
• By Product Segment (Antibody Drug Conjugates (ADCs), Bispecific Monoclonal Antibodies, Cytokines, Interferons, Chimeric Antigen Receptor (CAR) T-Cell Therapy, PD-1/PD-L1 inhibitors, Dendritic Cells, Adopted Cell Therapy (ACT) & IDO Inhibitors
• By Company (e.g Amgen, Merck, Eli Lilly, GlaxoSmithKline, Janssen, Genentech, Roche, Bristol Myers Squibb)

A comprehensive account of company product portfolios are provided for 78 Cancer Immunotherapy pharma and biotech companies including:
• Amgen Inc.
• Biogen Idec Inc.x
• Bristol-Myers Squibb Co.
• Cellectis
• Cellerant Therapeutics Inc.
• Celldex Therapeutics
• Eli Lilly and Co.
• EMD Serono Inc.
• Genentech Inc.
• Genmab AS
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• GlaxoSmithKline
• ImmunoGen Inc.
• Immunomedics Inc.
• Janssen Biotech Inc.
• Juno Therapeutics Inc.
• Merck & Co., Inc.
• Oxford BioTherapeutics Ltd.
• Progenics Pharmaceuticals Inc.
• Roche Holdings Inc.
• Seattle Genetics Inc.
• Sorrento Therapeutics Inc.
Key Questions Answered in this Report
• What are the three types of cancer immunotherapies?
• What are the immunotherapies approved between 1986 and 2014?
• What are the monoclonal antibodies (MAbs) approved by FDA to treat different types of cancers?
• What are naked MAbs and how many of them have been approved by FDA?
• What are antibody-drug conjugates (ADCs) and how many of them are available in the market?
• What are the common cytotoxic “warheads” used in ADCs?
• What are the important clinical assets in ADCs?
• How many bispecific MAbs are in late-stage development?
• What are the common side effects of MAbs in cancer immunotherapy?
• What are cancer vaccines and how many of them have been licensed to be marketed?
• How many cytokines have been approved for being used in cancer immunotherapy?
• What are the major checkpoint inhibitors in clinical development?
• What is the current status of anti-PD-1 drugs, dendritic cell therapies, T-cell therapies and cancer vaccines?
• What are the most valuable R&D projects in cancer immunotherapy and what would be their approximate sales revenues in 2020?
• Number of melanoma drugs approved between 1998 and 2014?
• Number of lung cancer drugs approved between 1998 and 2014?
• Number of brain cancer drugs approved between 1998 and 2014?
• What is the global market for cancer immunotherapeutics by geography, through 2020?



• What is the global market for cancer immunotherapeutics by product class such as MAbs, vaccines and non-specific immunotherapies, through 2020?
• What is the global market for cancer immunotherapeutics by indication, through 2020?
• What is the global market for MAbs by type such as naked MAbs and ADCs, through 2020?
• What are the market values for Herceptin, Avastin, Erbitux, Yervoy, Mabthera, Adectris, and Keytruda?
• What is the global market for cancer vaccines?

 

Table of contents

 

1.0 Executive Summary 13
1.1 Objectives of Report 14
1.1 Key Questions Answered in this Report 14
1.2 Data Sources and Methodology 15

2.0 Cancer Immunotherapy: An Overview 16
2.1 Human Immune System 16
2.1.1 Components of Human Immune System 17
2.2 Types of Cancer Immunotherapy 18
2.3 Monoclonal Antibodies (Mabs) to Treat Cancer 19
2.3.1 Most Frequently Targeted Antigens by MAbs 19
2.4 Types of Monoclonal Antibodies (MAbs) 21
2.4.1 Naked MAbs 21
2.4.2 Conjugated Monoclonal Antibodies 22
2.4.2.1 Components of an Antibody Drug Conjugate (ADC) 22
2.4.2.2 Mechanism of Action of Antibody Drug Conjugate (ADC) 23
2.4.2.3 The Cytotoxic Warheads used in ADCs 23
2.4.2.4 Successful Cytotoxin Warheads 24
2.4.2.5 Developmental Timeline of ADCs 25
2.4.2.6 Target Antigens for ADCs in Preclinical and Clinical Development 26
2.4.2.7 Important Clinical Assets in ADCs 26
2.4.3 Bispecific Monoclonal Antibodies 28
2.4.3.1 Technology Platforms for the Production of Bispecific MAbs 29



2.4.4 Safety and Side Effects of MAbs in Cancer Immunotherapy 29
2.5 Cancer Vaccines 30
2.5.1 Cancer Vaccines in Development 31
2.6 Non-Specific Cancer Immunotherapies and Adjuvants 34
2.6.1 Cytokines 34
2.6.1 Interferon (IFN) 34
2.7 New Frontiers in Cancer Immunotherapy Research 35
2.7.1 Drugs for Targeting Immune Checkpoints 35
2.7.1.1 Cytotoxic T-Lymphocyte-Associated Protein-4 (CTLA-4) 35
2.7.1.2 Programmed Death 1 (PD-1) and Programmed Death Ligand 1 (PD-L1) 35
2.7.1.3 Major Checkpoint Inhibitors in Clinical Development 35
2.7.2 Chimeric Antigen Receptor (CAR) T Cell Therapy 36
2.7.3 Tumor-Infiltrating Lymphocytes (TILs) and Interleukin-2 (IL-2) 36
2.8 Cancer Immunotherapy: Timeline of Progress 36

3.0 Current Status of Cancer Immunotherapy: An Overview 40
3.1 Programmed Death (PD-1) Inhibitors 40
3.1.1 Important Events and Advantages for Nivolumab in Melanoma Indication 41
3.1.2 Important Events and Advantages for Nivolumab in Non-Small Cell Lung Cancer 42
3.1.3 Important Events and Advantages for Nivolumab in Renal Cell Cancer 42
3.1.4 Nivolumab Studies for Melanoma 42
3.1.5 Nivolumab Studies for Non-Small Cell Lung Cancer (NSCLC) 43
3.1.6 Nivolumab Studies for Renal Cell Cancer (RCC) 43
3.2 MK-3475 (Pembrolizumab) 43
3.2.1 Important Events and Advantages for MK-3475 in Melanoma 43
3.2.2 Important Events and Advantages for MK-3475 in NSCLC 44
3.2.3 Important Events for MK-3475 in RCC 44
3.3 RG7446 from Roche 45
3.3.1 Important Events for RG7446 in Melanoma 45
3.3.2 Important Events and Advantages for RG7446 in NSCLC 45
3.3.3 Important Event for RG7446 in RCC 46
3.3.4 RG7446 Studies in NSCLC 46
3.3.5 RG7446 Studies in RCC 46



3.3.6 RG7446 Study in RCC 47
3.4 Pidilizumab from CureTech 48
3.5 An Overview of Anti-PD-1 Clinical Development 48
3.5.1 Other Checkpoint Inhibitors in Development 50
3.6 Studies with Yervoy (Ipilimumab) 50
3.7 Studies with Tremelimumab 52
3.8 KAHR-102 52
3.9 TIM3 Antibody 52
3.10 BMS-989016 52
3.11 ImmuTune IMP701 and ImmuFact IMP321 53
3.12 Dendritic Cell Therapies 53
3.12.1 Provenge (Sipuleucel-T) 54
3.12.2 AGS-003 from Argos Therapeutics 54
3.12.3 DCP-001 from DCPrime 55
3.12.4 DC-Vax from Northwest Biotherapeutics 55
3.13 Chimeric Antigen Receptor T-Cells (CAR-T) Therapies 55
3.13.1 CLT109 55
3.13.2 Chimeric Antigen Receptors (CAR) Program by Juno 56
3.13.3 Chimeric Antigen Receptor (CAR) T-Cell Program by Bluebird Bio 56
3.13.4 UCART19 from Cellectis 56
3.13.5 Chimeric Immune Receptor (CIR) T-Cells from Abramson Cancer Center 57
3.13.6 CD19 eACT CAR-T Therapy from Kite Pharma 57
3.13.7 Autologous CAR-T Program for Breast Cancer from Adaptimmune 57
3.14 Cancer Vaccines 57
3.14.1 HyperAcute 59
3.14.2 MAGE-A3 Antigen-Specific Cancer Immunotherapeutic 59
3.14.3 ADXS-HPV 59
3.14.4 IDO Inhibitors 60
3.14.5 Indoximod and NLG-919 (INCY) 60
3.14.6 INCB24360 (INCY) 60
3.14.7 deCellVax (BMSN) 60
3.15 Miscellaneous Immunotherapies 61
3.15.1 Contego (Lion Biotechnologies) 61



3.15.2 TG4010 (Transgene) 61
3.16 Most Valuable R&D Projects in Cancer Immunotherapy 61
3.16.1 Nivolumab (Opdivo) 62
3.16.2 MK-3475 62
3.16.3 RG7446 62
3.16.4 Palbociclib 63
3.16.5 DCVax-L 63
3.16.6 MEDI4736 63

4.0 Challenges in Cancer Medicine Research: An Overview 64
4.1 Years of Failures and Emerging Successes in Melanoma Medicine Research 64
4.1.1 Future Outlook for Melanoma Drugs 65
4.2 A New Era for Lung Cancer Medicines 66
4.2.1 Progresses Made in Lung Cancer Medicine Research 66
4.2.2 Successes and Failures in Lung Cancer Medicine Development 67
4.2.3 Future Outlook for Lung Cancer Medicines 67
4.3 Ray of Hope for Brain Cancer Patients 68
4.3.1 Progress made for Brain Cancer Treatment in Recent Years 68
4.3.2 Successes and Failures in Brain Cancer Drug Development 68
5.0 Cancer Immunotherapeutic Products: An Overview 70
5.1 I-Labelled Tositumomab (Bexxar) 70
5.2 Y-Labelled Ibritumomab (Zevalin) 70
5.3 Alemtuzumab (Campath) 71
5.4 Adotrastuzumab Emtansine (Kadcyla) 71
5.5 Bacillus Calmette-Guerin (BCG) 72
5.6 Bevacizumab (Avastin) 72
5.7 Brentuximab Vedotin (Adcetris) 72
5.8 Cetuximab (Erbitux) 73
5.9 Cervarix 73
5.10 Denileukin Diftitox (Ontak) 74
5.11 Gardasil 74
5.12 Gemtuzumab (Mylotarg) 74
5.13 Hepatitis B Vaccine 74



5.14 Interferon Alfa (IFN-alfa) 74
5.15 Interleukin-2 (IL-2) 75
5.16 Ipilimumab (Yervoy) 75
5.17 Ofatumumab (Arzerra) 75
5.18 Panitumumab (Vectibix) 75
5.19 Pembrolizumab (Keytruda) 75
5.20 Rituximab (Mabthera) 76
5.21 Sargramostim (Leukine) 76
5.22 Sipuleucel-T (Provenge) 76
5.23 Trastuzumab (Herceptin) 76

6.0 Available Immunotherapies for Cancer by Disease Type: An Overview 78
6.1 Melanoma Skin Cancer and Immunotherapy 79
6.1.1 Ipilimumab (Yervoy) for Advanced Melanoma 79
6.1.2 PD-1 Inhibitors (Keytruda and Opdivo) for Advanced Melanoma 79
6.1.3 Cytokines for Advanced Melanoma 79
6.1.4 Interferon Alfa as Adjuvant Therapy for Melanoma 79
6.1.5 Bacille Calmette-Guerin (BCG) Vaccine for Melanoma 80
6.1.6 Imiquimod (zyclara) Cream for Melanoma 80
6.2 Breast Cancer and Immunotherapy 80
6.2.1 Promising Therapeutic Vaccine Product Candidates for Breast Cancer 80
6.2.2 Promising Checkpoint Inhibiting Product Candidates for Breast Cancer 81
6.2.3 Promising Adoptive T Cell Therapy Product Candidates for Breast Cancer 81
6.2.4 Promising Antibody Product Candidates for Breast Cancer 81
6.3 Immunotherapy for Prostate Cancer 81
6.3.1 Therapeutic Vaccines for Prostate Cancer 82
6.3.2 Checkpoint Inhibitors for Prostate Cancer 83
6.3.3 Adoptive Cell Therapy for Prostate Cancer 84
6.4 Immunotherapy for Lung Cancer 84
6.4.1 Monoclonal Antibodies for Lung Cancer 84
6.4.1.1 Promising MAb Product Candidates for Lung Cancer 84
6.4.1.2 Checkpoint Inhibitors for Lung Cancer 85
6.4.1.3 Therapeutic Vaccines for Lung Cancer 87



6.4.1.4 Promising Adoptive T Cell Transfer Product Candidates for Lung Cancer 87
6.5 Immunotherapy for Colorectal Cancer 88
6.5.1 Promising Monoclonal Antibody Product Candidates for Colorectal Cancer 88
6.5.2 Trials Using Checkpoint Inhibitors and Immune Modulators for Colorectal Cancer 88
6.5.3 Clinical Trials for Vaccines Indicated for Colorectal Cancer 89
6.5.4 Adoptive Cell Therapy for Colorectal Cancer 90
6.5.5 Oncolytic Virus Therapy for Colorectal Cancer 90
6.5.6 Adjuvant Immunotherapy for Colorectal Cancer 90
6.5.7 Cytokines for Colorectal Cancer 90
6.6 Immunotherapies in Development for Lymphoma 91
6.6.1 Therapeutic Vaccines in Development for Lymphoma 91
6.6.2 Checkpoint Inhibitors for Lymphoma 91
6.6.3 Adoptive T Cell Transfer for Lymphoma 91
6.6.4 Monoclonal Antibodies for Lymphoma 92
6.7 Immunotherapy for Kidney Cancer 92
6.7.1 Checkpoint Inhibitors for Kidney Cancer 92
6.7.2 Vaccines for Kidney Cancer 92
6.7.3 Adoptive Cell Therapy for Kidney Cancer 93
6.8 Dominance of MAbs and Vaccines in Cancer Clinical Research 93
6.9 Oncology Biologics Losing Patent Protection 93

7.0 Cancer Incidence and Mortality: An Overview 95
7.1 Global Economic Burden of Cancer 95
7.2 Global Burden of Cancer 96
7.3 Top Five Most Frequent Cancers, Globally 96
7.3.1 Global Prevalence of Colorectal, Breast and Lung Cancers 97
7.3.2 Percentage of Top Three Cancers Diagnosed Globally 97
7.3.2.1 Mortality due to Lung, Liver and Stomach Cancers 98
7.3.2.2 Percentage of Death due to Lung, Liver and Stomach Cancers 99
7.4 Cancer Deaths in Women 99
7.5 Prevalence and Mortality for Cancer Types Addressed by Immunotherapy 100
7.5.1 Breast Cancer 100
7.5.1.1 Worldwide Incidence of Breast Cancer and Mortality Rate by Geography 101



7.5.1.2 Female Breast Cancer Incidence in the U.S. 101
7.5.1.3 Five Year Breast Cancer Survival Rates by Stage at Diagnosis and Age in the U.S. 102
7.5.1.4 Breast Cancer Incidence in Canada 103
7.5.1.5 Breast Cancer Incidence and Mortality in Latin America 103
7.5.1.6 Breast Cancer Incidence and Mortality in Europe 104
7.5.1.7 Breast Cancer Incidence in Asia/Pacific 105
7.5.1.8 Breast Cancer Incidence by Country 106
7.5.2 Gastric Cancer (Stomach Cancer) 110
7.5.2.1 Incidence of Gastric Cancer in Top 15 Countries 110
7.5.3 Colorectal Cancer 111
7.5.3.1 Global Incidence of Colorectal Cancer 111
7.5.3.2 Worldwide Variations in the Incidence of Colorectal Cancer 112
7.5.3.3 Risk Factors for Colorectal Cancer 113
7.5.3.4 Colorectal Cancer Screening in the U.S. 114
7.5.3.5 Colorectal Cancer Incidence Rates in the U.S. by State 114
7.5.3.6 Colorectal Cancer Mortality Rates (per 100,000) in the U.S. by States 115
7.5.4 Lung Cancer 116
7.5.4.1 Non-Small Cell Lung Cancer (NSCLC) 117
7.5.4.2 Global NSCLC Incidence 118
7.5.4.3 Lung Cancer in Americas by Gender 118
7.5.4.4 Tobacco Use and Lung Cancer 119
7.5.4.5 Current Therapeutic Options for Lung Cancer 120
7.5.5 Glioblastoma 122
7.5.5.1 Global Incidence of Glioblastoma 122
7.5.6 Kidney Cancer 123
7.5.6.1 Global Incidence of Kidney Cancer 124
7.5.7 Blood Cancer 125
7.5.7.1 Leukemia 125
7.5.7.2 Blood Cancer in the U.S. 126
7.5.8 Cervical Cancer 128
7.5.8.1 Global Incidence of Cervical Cancer 128
7.5.9 Prostate Cancer 129
7.5.9.1 Global Incidence of Prostate Cancer 129



7.5.9.2 Prostate Cancer Incidence and Mortality by Geography 130
7.5.9.3 Prostrate Cancer in the U.S. 131
7.5.10 Melanoma 132
7.5.10.1 Skin Cancer in the U.S. 133

8.0 Market Analysis 134
8.1 Global Oncology Market 134
8.2 Top Ten Companies in Oncology Drug Sales 135
8.3 Top Five Oncology Drugs 136
8.4 Global Oncology Therapeutics Market by Cancer Type 137

9.0 Market for Cancer Immunotherapy 139
9.1 Key Drivers 139
9.2 Global Market for Cancer Immunotherapeutics 139
9.3 Global Market for Cancer Immunotherapy by Product Class 141
9.4 Global Market for Immunotherapy Drugs by Cancer Type 142
9.5 Global Market for Monoclonal Antibodies for Cancer by Type 143
9.5.1 Best Selling MAbs 144
9.5.1.1 Market Forecast for Herceptin 144
9.5.1.2 Market Value and Forecast for Avastin 145
9.5.1.3 Global Market for Erbitux 146
9.5.1.4 Global Market for Yervoy 147
9.5.1.5 Global Market for Mabthera 148
9.5.2 Global Market for Antibody Drug Conjugates (ADCs) 149
9.5.2.1 MGlobal Market for Adcetris 149
9.5.2.1 Global Market for Keytruda 150
9.6 Global Market for Cancer Vaccines 151
9.6.1 Global Market for Cancer Vaccines by Type 152
9.7 Global Market for Non-Specific Cancer Immunotherapeutics 154
9.8 Market Values for Selected Forthcoming Cancer Immunotherapeutics 155
9.8.1 Market Value for Nivolumab (Opdivo) 155
9.8.2 Market Value for RG7446 155
9.8.3 Market Value for DCVax-L 155
9.8.4 Market Value for MEDI4736 156
9.8.5 High Cost of MAbs 156

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10.0 Company Profiles 157
10.1 Ablynx NV 157
10.2 Activartis Biotech GmbH 158
10.2.1 GBM Vax Study 158
10.3 Advaxis Inc. 158
10.3.1 Advaxis’ Technology 159
10.3.2 Advaxis’ Product Pipeline 159
10.3.2.1 ADXS-HPV 159
10.3.2.2 ADXS-PSA 159
10.3.2.3 ADXS-cHER2 159
10.4 Aduro BioTech Inc. 160
10.4.1 Aduro’s Technology 160
10.4.1.1 CRS-207 161
10.4.1.2 AUD-623 161
10.4.1.3 ADU-741 161
10.4.1.4 ADU-S100 161
10.5 Agenus Inc. 162
10.5.1 QS-21 Stimulon 162
10.6 AlphaVax Inc. 163
10.6.1 Alpha Vax’s Technology 163
10.7 A. Menarini Industrie Farmaceutiche Riunite Srl 163
10.7.1 MEN1112 164
10.8 Amgen Inc. 164
10.8.1 Vectibix (panitumumab) 164
10.8.2 Blinatumomab (Blincyto) 164
10.8.3 Rilotumumab 165
10.9 Antigen Express Inc. 165
10.9.1 Li-Key Hybrid Vaccines (AE37) 165
10.10 Argos Therapeutics Inc. 166
10.10.1 AGS-003 166
10.11 Bavarian Nordic A/S 167
10.11.1 Prostvac 167
10.11.2 CV-301 167



10.11.3 MVA-BN PRP 168
10.11.4 MVA-BN HER2 168
10.11.4 MVA-BN Brachyury 168
10.12 Bellicum Pharmaceuticals Inc. 168
10.12.1 BPX-501 168
10.12.2 BPX-201 169
10.12.3 BPX-401 169
10.12.4 BPX-601 169
10.12.5 BPX-701 169
10.13 Biogen Idec Inc. 170
10.13.1 Rituxan (Rituximab) 170
10.13.2 Gazyva (Obinutuzumab) 170
10.14 Biovest International Inc. 171
10.14.1 BiovaxID 171
10.15 Bristol-Myers Squibb Company 171
10.15.1 Erbitux (cetuximab) 172
10.15.2 OPDIVO (nivolumab) 172
10.15.3 Yervoy (ipilimumab) 172
10.16 Cellectis 172
10.17 Cellerant Therapeutics Inc. 173
10.17.1 CLT-008 174
10.17.2 CLT-009 174
10.18 Celldex Therapeutics 174
10.18.1 Rindopepimut 174
10.18.2 Glembatumumab vedotin (CDX-011) 175
10.18.3 Varlilumab (CDX-1127) 175
10.18.4 CDX-1401 175
10.18.5 CDX-301 175
10.19 CEL-SCI Corp. 175
10.19.1 Multikine 176
10.20 CureTech Ltd. 176
10.20.1 Pidilizumab (CT-011) 176
10.21 Delta-Vir GmbH 177



10.21.1 Treatment 177
10.22 Dendreon Corp. 177
10.22.1 Provenge (Sipuleucel-T) 177
10.23 DenDrit Biotech USA 178
10.23.1 MelCancerVac 178
10.24 DNAtrix Inc. 178
10.24.1 DNX-2401 178
10.25 Eli Lilly and Co. 179
10.25.1 Erbitux (Cetuximab) 179
10.26 EMD Serono Inc. 179
10.27 Etubics Corp. 180
10.28 Galena Biopharma Inc. 181
10.29 Genentech Inc. 181
10.29.1 Avastin (bevacizumab) for Metastatic Colorectal Cancer 182
10.29.1.1 Avastin and Interferon Alfa for Metastatic Kidney Cancer 182
10.29.1.2 Avastin for Metastatic NLCLC 182
10.29.2 Gazyva (obinutuzumab) for Chronic Lymphocytic Leukemia 182
10.29.3 Herceptin (trastuzumab) for Breast Cancer 182
10.29.3.1 Herceptin and Chemotherapy for Gastric Cancer 183
10.29.4 Kadcyla (ado-trastuzumab emtansine) 183
10.29.5 Perjeta (pertuzumab) 183
10.29.6 Rituxan (rituximab) 183
10.29.7 Genentech’s Cancer Immunotherapy Pipeline Products 184
10.30 Genmab AS 185
10.30.1 Ofatumumab 185
10.31 GlaxoSmithKline 186
10.31.1 Arzerra (Ofatumumab) 186
10.31.2 Cervarix 186
10.32 Gliknik Inc. 186
10.33 GlobeImmune Inc. 187
10.34 Heat Biologics Inc. 188
10.35 Immatics Biotechnologies GmbH 188
10.36 ImmunoCellular Therapeutics Ltd. 189



10.37 Immunocore Ltd. 190
10.37.1 Product Pipeline 190
10.38 ImmunoFrontier Inc. 190
10.39 ImmunoGen Inc. 191
10.39.1 IMGN853 191
10.39.2 IMGN529 191
10.39.3 IMGN289 191
10.39.4 IMGN779 191
10.40 Immunomedics Inc. 192
10.41 Immunotope Inc. 192
10.41.1 IMT-1012 Immunotherapeutic Vaccine 193
10.42 Immunovaccine Inc. 193
10.43 Inovio Pharmaceuticals Inc. 194
10.44 Janssen Biotech Inc. 194
10.44.1 Doxil 194
10.44.2 Procrit 195
10.44.3 Zytiga 195
10.44.4 Imbruvicia 195
10.45 Juno Therapeutics Inc. 195
10.46 Kite Pharma Inc. 196
10.46.1 Kite Pharma’s Technology 196
10.46.1.1 eACT (engineered Autologous Cell Therapy) 196
10.46.1.2 DC-Ad GM-CAIX 196
10.47 MabVax Therapeutics Holdings Inc. 197
10.48 MedImmune LLC 198
10.49 Merck & Co., Inc. 199
10.49.1 Gardasil (Human Papillomavirus Quadrivalent (Types 6, 11, 16 and 18) Vaccine 199
10.49.2 Keytruda (Pembrolizumab) 199
10.50 Merrimack Pharmaceuticals Inc. 200
10.51 Morphotek Inc. 200
10.51.1 Farletuzumab (MORAb-003) 201
10.51.2 Amatuximab (MORAb-009) 201
10.51.3 Ontuxizumab (MORAb-004) 201



10.51.4 MORAb-066 201
10.52 NewLink Genetics Corp. 201
10.53 Northwest Biotherapeutics Inc. 202
10.54 NovaRx Corp. 203
10.55 OncoPep Inc. 203
10.55.1 PVX-410 203
10.56 Oncothyreon Inc. 204
10.57 OSE Pharma SA 204
10.58 Oxford BioTherapeutics Ltd. 205
10.58.1 Technologies 205
10.58.1.1 OGAP – Cancer Targeting 205
10.58.1.2 Antibody Development 205
10.58.1.3 Antibody “arming” 206
10.58.2 Lead Programs 206
10.58.2.1 OX001/MEN1112 206
10.58.2.2 OX002 206
10.58.2.3 OX003 206
10.58.2.4 OX004 206
10.59 Pique Therapeutics 207
10.60 Polynoma LLC 207
10.60.1 MAVIS Trial 207
10.61 Prima BioMed Ltd. 208
10.62 Progenics Pharmaceuticals Inc. 208
10.62.1 PSMA Targeted Imaging Compound (1404) 209
10.62.2 PSMA ADC Therapeutic 209
10.62.3 Small Molecule Therapeutic (1095) 209
10.62.4 Azedra 209
10.63 Regen Biopharma Inc. 210
10.63.1 HemaXellerate 210
10.63.2 dCellVax 210
10.63.3 Diffron C 210
10.64 Roche Holdings Inc. 211
10.64.1 Avastin (Bevacizumab) 211



10.64.2 Gazyva/Gazyvaro (Obinutuzumab; GA101) 211
10.64.3 Herceptin (Trastuzumab) 211
10.64.4 Kadcyla (Trastuzumabum emtansinum) 211
10.64.5 Mabthera (Rituximab) 211
10.64.6 Perjeta (Pertuzumab) 212
10.65 Seattle Genetics Inc. 213
10.65.1 Adcetris (Brentuximab vedotin) 214
10.65.2 Seattle Genetics’ Collaborarator Pipeline 214
10.66 Sorrento Therapeutics Inc. 215
10.66.1 Sorrento’s Antibody Technologies 216
10.66.1.1 G-MAB 216
10.66.1.2 Antibody Drug Conjugates (ADCs) 216
10.67 Spectrum Pharmaceuticals Inc. 216
10.67.1 Zevalin 216
10.68 Synthon Pharmaceuticals Inc. 217
10.69 TapImmune Inc. 217
10.70 ThioLogics Ltd. 218
10.71 Transgene SA 219
10.72 TVAX Biomedical Inc. 219
10.72.1 TVI-Brain-1 220
10.72.2 TVI-Kidney-1 220
10.73 Vaccinogen Inc. 220
10.74 Viventia Biotechnologies Inc. 221
10.75 Wilex AG 221
10.76 Ziopharm Oncology Inc. 222

11.0 Cancer Immunotherapy Market Participants by Product Segment 223


INDEX OF FIGURES

Figure 2.1: Components of an Antibody Drug Conjugate (ADC) .
Figure 2.2: Mechanism of Action of Antibody Drug Conjugates .



Figure 2.3: Ranking of Commonly Used Cytotoxin Warheads .
Figure 4.1: Number of Successful and Unsuccessful Melanoma Drugs, 1998-2014 .
Figure 4.2: Successes and Failures in Lung Cancer Medicine Development, 1998-2014 .
Figure 4.3: Successes and Failures in Brain Cancer Drug Development, 1998-2014 .
Figure 5.1: Ibritumomab Linked to Yttrium Radfionucleotide .
Figure 5.2: Kadcyla (Trastuzumab + DMI) .
Figure 6.1: Dominance of MAbs and Vaccines in Cancer Clinical Research .
Figure 7.1: Global Economic Burden of Cancer .
Figure 7.2: Number of Colorectal, Breast and Lung Cancer Cases Diagnosed Globally, 2012 .
Figure 7.3 Percentage of Top Three Cancers Diagnosed Globally, 2012 .
Figure 7.4: Number of Deaths due to Lung, Liver and Stomach Cancers Globally, 2012 .
Figure 7.5: Percentage of Deaths due to Lung, Liver and Stomach Cancers, 2012 .
Figure 7.6: Global Cancer Deaths in Women by Type of Cancer .
Figure 7.7: Worldwide Incidence of Female Breast Cancer and Mortality Rate by Geography .
Figure 7.8: Five Year Relative Breast Cancer Survival Rates by Stage at Diagnosis and Age in theU.S. .
Figure 7.9: Breast Cancer Incidence and Mortality in Latin America .
Figure 7.10: Breast Cancer Incidence and Mortality in Europe .
Figure 7.11: Breast Cancer Incidence Rates in Asia/Pacific Region .
Figure 7.12: Top 15 Countries in Gastric Cancer Incidence .
Figure 7.13: Top 15 Countries in Colorectal Cancer Incidence .
Figure 7.14: Adults Aged 50-75 Years (%) That are Up-to-Date with Colorectal Screening Tests by State in the U.S. .
Figure 7.15 Colorectal Cancer Incidence Rates (per 100,000) by State in the U.S. .
Figure 7.16: Colorectal Cancer Mortality Rates (per 100,000) in the U.S. by States .
Figure 7.17: Top 15 Countries with Lung Cancer .
Figure 7.18: Global NSCLC Incidence .
Figure 7.19: Number of Smokers in China, India, Russia, the U.K. ans U.S. .
Figure 7.20: Global Incidence of Glioblastoma .
Figure 7.21: Global Incidence of Kidney Cancer .
Figure 7.22: Top 15 Countries in Leukemia Mortality .
Figure 7.23: Five Year Survival Rates in the U.S. for Blood Cancer Patients .
Figure 7.24 Top 15 Countries in Cervical Cancer .



Figure 7.25: Top 15 Countries with Prostate Cancer .
Figure 7.26: Skin Cancer Death Rates for Top 15 Countries .
Figure 8.1: Global Market for Oncology Drugs by Geography/Country, Through 2020 .
Figure 8.2: Global Oncology Drug Sales by Top Five Companies, Through 2020 .
Figure 8.3: Top Five Oncology Drugs, Through 2020 .
Figure 8.4: Global Oncology Therapeutics Market by Cancer Type, 2014 .
Figure 9.1: Global Cancer Immunotherapy Market, Through 2020 .
Figure 9.2: Global Market for Immunotherapy by Product Class, Through 2020 .
Figure 9.3: Global Market for Immunotherapy Drugs by Cancer Type, Through 2020 .
Figure 9.4: Global Market for Monoclonal Antibodies for Cancer by Type, Through 2020 .
Figure 9.5: Global and U.S. Market for Herceptin, Through 2020 .
Figure 9.6: Global and U.S. Market for Avastin, Through 2020 .
Table 9.7: Global Market for Erbitux, Through 2020 .
Figure 9.8: Global Market for Yervoy, Through 2020 .
Figure 9.9: Global Market for Mabthera, Through 2020 .
Figure 9.10: Global Market for Adcetris, Through 2020 .
Figure 9.11: Global Market for Keytruda, Through 2020 .
Figure 9.12: Global Market for Cancer Vaccines, Through 2020 .
Figure 9.13: Global Market for Cancer Vaccines by Type, Through 2020 .
Figure 9.14: Global Market for Cytokine Drugs for Cancer, Through 2020 .

INDEX OF TABLES

Table 2.1: Types of Immune Cells and their Functions .
Table 2.2: FDA-Approved Cancer Immunotherapies, 1986-2014 .
Table 2.3: FDA-Approved Monoclonal Antibodies (MAbs) to Treat Cancer .
Table 2.4: Most Frequently Targeted Antigens by MAbs .
Table 2.5: FDA-Approved Monoclonal Antibodies .
Table 2.6: Cytotoxic Warheads Used in ADCs .
Table 2.7: Targeted Indications for ADCs .
Table 2.8: Antibody Drug Conjugates: Developmental Tmeline .
Table 2.9: Target Antigens for ADCs in Preclinical and Clinical Development .
Table 2.10: Current ADCs Launched, Withdrawn and in Phase I/II/III Trials by Sponsor, Indication, Antigen, Cytotoxin and Linker .



Table 2.11: MAb Products and Candidates that Recruit T Cells .
Table 2.12: Bispecific MAbs in Clinical Trials Targeting Cancer by Indication and Company .
Table 2.13: Bispecific Antibody Technology Platforms .
Table 2.14: Side Effects of Some of the Approved Cancer Immunotherapy MAbs .
Table 2.15: FDA-Approved Cancer Vaccines .
Table 2.16: Cancer Vaccines in Development .
Table 2.17: FDA-Approved Cytokines for Cancer Immunotherapy .
Table 2.18: Cancer Indications Approved for IFN-alfa .
Table 2.19: FDA-Approved Immune Checkpoint Modulators .
Table 2.20: Immune Checkpoint Inhibitors in Clinical Development .
Table 2.21: Cancer Immunotherapy: Timeline of Progress .
Table 3.1: PD-1 Therapies Targeting either the PD-L1/L2 or PD-1 Receptor .
Table 3.2: Overview of Clinical Trial Landscape for Top Five Anti-PD-1 and Anti-PD-L1 Drug
Table 3.3: Nivolumab Efficacy from Expansion Coharts of Study 003 .
Table 3.4: Phase I Data of MK-3475 in Melanoma .
Table 3.5: Phase I Data of RG7446 in NSCLC Patients .
Table 3.6: RG7446 Phase I Data from RCC Patients .
Table 3.7: Phase I Melanoma Data for RG7446 .
Table 3.8: Phase II Data for Pidilizumab in Diffuse Large B Cell Lymphoma (DLBCL) .
Table 3.9: Phase II Melanoma Data for Pidilizumab .
Table 3.10: An Overview of Anti-PD-1 Development by Company, Drug Candidate, Indication and Clinical Phase .
Table 3.11: Clinical Development of CTLA-4, TIM3, and LAG3 Checkpoint Inhibitors by Company, Drug Candidate, Indication and Clinical Trial Stage .
Table 3.12: Pivotal Phase III Results for Yervoy in Second-Line Patients with Metastatic Melanoma
Table 3.13: Updated Data from Phase III Clinical Study 024 for Yervoy .
Table 3.14: Data from the Failed Phase III Study of Tremelimumab for Melanoma .
Table 3.15: An Overview of Clinical Development of Dendritic Cell Therapies by Company, Drug Candidate, Indication and Clinical Phase .
Table 3.16: Pivotal Phase III Rwesults for Yervoy in Second-Line Patients with Metastatic Melanoma .
Table 3.17: Phase I/Iia Results from Kite Pharma’s CAR-T Therapy .



Table 3.18: Cancer Vaccines in Development by Company, Drug Candidate, Indication and Clinical Phase .
Table 3.19: Advaxis Phase II Results for Cervical Cancer Patients in India .
Table 3.20: Phase II Data for Contego .
Table 3.21: Valuable R&D Projects in Cancer Immunotherapy .
Table 6.1: Cancer Types Addressed by Immunotherapies by Drug, Trade Name and Company .
Table 6.2: Oncology Drugs Losing Patent Protection by 2020 by Product, U.S. Expiry Date and E.U. Expiry Date .
Table 7.1: Global Cancer Statistics – Key Facts .
Table 7.2: Top Five Most Frequent Cancers, Globally .
Table 7.3: Estimated Breast Cancer Cases and Deaths in the U.S. by Age, 2013 .
Table 7.4: Estimated Canadian Breast Cancer Statistics for 2014 .
Table 7.5: Age-Standardized Breast Cancer Incidence Rate per 100,000 Women by Country .
Table 7.6: Global Colorectal Cancer Incidence and Mortality Rates by Gender per 100,000 people .
Table 7.7: Risk Factors for Colorectal Cancer .
Table 7.8: Lung Cancer Incidence and Mortality Rate in Americas by Gender .
Table 7.9: Current Therapeutic Options for Lung Cancer .
Table 7.10: Estimated Number of New Leukemia Cases in the U.S., 2014 .
Table 7.11: Estimated Deaths in the U.S. from Leukemia, 2014 .
Table 7.12: Estimated Deaths from HL and NHL in the U.S., 2014 .
Table 7.13: Estimated Incidence and Deaths for Myeloma in the U.S., 2014 .
Table 7.14 Global Prostate Cancer Incidence and Mortality Rates by Geography .
Table 7.15: Incidence and Mortality Rates of Prostate Cancer in Americas .
Table 7.16: Incidence and Mortality Rates for Melanoma in Americas .
Table 8.1: Global Market for Oncology Drugs by Geography/Country, Through 2020 .
Table 8.2: Top Ten Companies in Oncology Sales, Through 2020 .
Table 8.3: Top Five Oncology Drugs, Through 2020 .
Table 9.1: Global Cancer Immunotherapy Market, Through 2020 .
Table 9.2: Global Market for Immunotherapy by Product Class, Through 2020 .
Table 9.3: Global Market for Immunotherapy Drugs by Cancer Type, Through 2020 .
Table 9.4: Global Market for Monoclonal Antibodies for Cancer by Type, Through 2020 .
Table 9.5: Global and U.S. Market for Herceptin, Through 2020 .



Table 9.6: Global and U.S. Market for Avastin, Through 2020 .
Table 9.7: Global Market for Cancer Vaccines, Through 2020 .
Table 9.8: Global Market for Cancer Vaccines by Type, Through 2020 .
Table 9.9: Projected Market for the Forthcoming Nivolumab, RG7446, DCVax-L and MEDI4736 .
Table 9.10: Annual Cost of MAbs in the U.S. by Product, Indication and Biomarker .
Table 10.1: Ablynx’s Product Pipeline .
Table 10.2: Aduro’s Product Pipeline .
Table 10.3: Agenus’ Product Pipeline .
Table 10.4: AlphaVax Cancer Immunology Product Pipeline .
Table 10.5: Amgen’s Product Pipeline .
Table 10.6: Antigen Express’ Cancer Therapeutic Pipeline .
Table 10.7: Argos’ Cancer Product Pipeline .
Table 10.8: Bavarian Nordic’s Product Pipenine .
Table 10.9: Bellicum’s Pipeline Product Candidatea .
Table 10.10: Biogen’s Oncology Pipeline .
Table 10.11: Bristol-Myers Squibb’s Pipeline Products in Cancer Immunotherapy .
Table 10.12: Cellectis’ Products in Development .
Table 10.13: Cellerant’s Product Pipeline .
Table 10.14: Celldex’s Therapeutic Pipeline .
Table 10.15: CEL-SCI’s Immunotherapy Products in Development .
Table 10.16: EMD Serono’s Product Pipeline .
Table 10.17: Etubic’s Product Pipeline .
Table 10.18: Galena’s Product Pipeline .
Table 10.19: Genentech’s Cancer Immunotherapy Pipeline Product


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Monday 29 June 2015

Personalized Medicine Targeted Therapeutics and Companion Diagnostic Market to 2019-Strategic Analysis of Industry Trends,Technologies,Participants and Environment


MTR: Personalized Medicine, Targeted Therapeutics and Companion Diagnostic Market to 2019 - Strategic Analysis of Industry Trends, Technologies, Participants, and Environment

 

Summary

This is a comprehensive account of the market size, segmentation, key players, SWOT analysis, influential technologies, and business and economic environments. The report is supported by over 317 tables & figures over 279 pages. The personalized medicine (global & USA) market is presented as follows:

• By Company (e.g., Qiagen, AFFYMETRIX, ATOSSA GENETICS, NODALITY, deCode /Amgen, CELERA, MYRIAD)
• By Geography (US, UK, EU)
• By Segment (Targeted therapeutics, Companion Diagnostics)
• By Sub-market (Companion diagnostic, targeted cancer therapeutic, medical technology, pharmacogenomics, consumer genomics, molecular diagnostics) • By Therapy (Cancer, Cardiovascular, Infectious Disease)

A wealth of financial data & business strategy information is provided including:

Get Full Report With Table Of Contents at http://marketstoreports.com/ products/personalized-medicine-targeted-therapeutics-and-companion-diagnostic-market-to-2019-strategic-analysis-of-industry-trends-technologies-participants-and-environment

• Company financials, sales & revenue figures
• Business Model Strategies for Diagnostic, Pharmaceutical and Biotechnology Companies
• Business Model Strategies for Providers. Provider Systems and Academic Medical Centres
• Business Model Strategies for Payers & Governments
• Private and Public Funding and Personalized Medicine Reimbursement
• Revisions to Current Payment Systems and intellectual property
• How to Gain Market Penetration in the EU
• Cost-effectiveness and Business Value of Personalized Medicine
• Therapeutics and Companion Diagnostics (e.g., BRAC Analysis, Oncotype Dx , KRAS Mutations)
• Comprehensive account of company product portfolios & kits

SWOT, Economic & Regulatory Environment specifics include:

• Key strengths, weaknesses and threats influencing leading player position within the market
• Technologies driving the market (e.g., New-Generation Sequencing Technologies, Ultra-High Throughput Sequencing)
• Top fastest growing market segments and emerging opportunities
• Top pharmaceutical companies within the IPM by market share and revenue
• Comprehensive product portfolios, R&D activity and pipeline therapeutics
• M&A activity and future strategies of top personalized medicine pharmacos
• Personalized Medicine Regulation (USA, UK, Germany, France, Spain, Italy)
• CE-marked Personalized Medicine/Diagnostic Tests
• FDA Advances in Personalized Medicine Regulation

This report highlights a number of significant pharmacos and gives details of their operations, products, financials and business strategy.

• 23andMe
• Affymetrix
• Astex Pharmaceuticals
• Atossa Genetics



• CuraGen
• Celera Corporation (Quest Diagnostics)
• Celldex Therapeutics
• deCode Genetics (Amgen)
• Illumina
• Genelex
• Myriad
• Nodality
Qiagen
What you will gain:

• An in-depth understanding of the global personalized medicine market and it’s environment
• Current market facts, figures and product lines of key players in the industry
• Emerging trends in key markets such as the US, UK, Germany and France
• Knowledge of how the personalized medicine market will integrate into the global healthcare market
• Technical insights into new generation sequencing technologies and ultra-high throughput sequencing
• Updates on bioinformatics, high throughput systems, genetic analysis kits, companion diagnostics and future technologies
• FDA approved pharmacogenetic tests and recognized biomarkers
• Information on key government and regulatory policies
• Strategies on how to adapt and restructure current business models to this industry


This report tackles key concerns to the personalized medicine market such as:
• Lack of regulatory policy and legislation in the US and Europe
• Reimbursement schemes and payers concerns
• Transition of investigational diagnostic assays and therapeutics to clinical practice
• Direct to consumer (DTC) test kits and implications for the public

Who should read this report?



• Pharmaceutical, biotechnology and diagnostic companies with an interest in personalized medicine
• Industry professionals and business strategists will discover key information to propel their policies
• Investors will gain inside information to dominant players in the industry and future forecasts
• Scientists will get a business perspective and industry insight into how scientific breakthroughs influence the market environment

This report will tell you if the companies mentioned are:
• Strong, competitive players
• Pooling their resources for specific growth and therapeutic areas
• Investing strategically in R&D
• Have a history of strategic M&A activity

This detailed report is supported with 317 figures and tables over 279 pages and profiles the main pharmacos in personalized medicine.

Table of contents

Executive Summary 11
1.1 Objectives of Report 11
1.2 Scope of Study 12
1.3 Data Sources and Methodology 13
1.4 Key Findings and Observations 13
1.4.1 CYP2C9 and VKORC1 mutations and Warfarin Response 14
1.4.2 KRAS Mutations 14
1.4.3 Herceptin® and Breast Cancer 14
1.4.4 BRACAnalysis® 14
1.4.5 Oncotype Dx Test 14
1.4.6 Public and Private Funding for Personalized Medical Research 15
1.4.7 New Business Model Required for Personalized Medicine 15
1.4.8 Cost-effectiveness and Business Value of Personalized Medicine 15
1.4.9 Personalized Medicine Market 15



1.4.10 Personalized Medicine Main Industry Players 15
1.4.11 Personalized Medical Care Market 16
1.4.12 Global Personalized Medicine Sub-market Growth 16
2.0 Introduction and Background 17
2.1 Genetics Explained in Five Minutes 17
2.1.1 Why is the Central Dogma of Molecular Biology Important in Personalized Medicine? 18
2.1.2 Genetic Mutations Explained 19
2.1.3 What is the Difference between Genotype and Phenotype? 20
2.1.4 Why do we Need to Look at Genetic Diversity with Respect to Personalized Medicine? 20
2.2 Introduction to Personalized Medicine 22
2.3 Pharmacogenetics 23
2.4 How Personalized Medicine Monitoring can Reduce Adverse Drug Reactions 30
2.5 Pharmacogenetic Study Challenges 31
2.6 Pharmacogenomics 31
2.7 Applications of Pharmacogenomics 32
2.7.1 Pharmacogenomics: Improving the Safety of Medications 32
2.7.1.1 Adverse Drug Reactions 32
2.7.1.2 Pharmacogenomics: Improving the Efficacy of Therapeutics 33
2.7.2 Vioxx Disaster Could have been Prevented with Personalized Medicine 37
2.8 Pharmacogenetic Analysis 37
2.8.1 Single Base Primer Extension 38
2.8.2 Primer Based Base Extension 38
2.8.3 Hybridization Based SNP Analysis 39
2.8.4 Ligation Based Approach 39
2.8.5 New-Generation Sequencing Technologies 40
2.8.6 Ultra-High Throughput Sequencing 41
2.10 Companion Diagnostics 42
2.11 Selected Personalized Medicine Drugs by Biomarker and Indication 49
2.12 Selected Personalized Medicine Test/Kit According to Therapeutic and Indication 59
2.13 Targeted Cancer Therapy 65
2.14 What Percentage of Cancer Patients Could be Treated by Targeted Therapy? 68



3.0 Personalized Medicine Therapeutics and Associated Companion Diagnostics 69
3.1 CYP2C9 and VKORC1 mutations and Warfarin Response 69
3.2 HLA-B*5701 and Abacavir Response 70
3.3 KRAS Mutations 71
3.3.1 Erbitux 72
3.3.2 Vectibix 72
3.4 Herceptin® and Breast Cancer 72
3.5 BRACAnalysis® 84
3.5.1 Comprehensive BRACAnalysis® 87
3.5.2 BRACAnalysis® Rearrangement Test (BART) 87
3.5.3 Single Site BRACAnalysis® 87
3.5.4 Multisite 3 BRACAnalysis® 87
3.6 Oncotype Dx Test 87
3.7 Therascreen® EGFR RGQ PCR Kit 87
3.8 Therascreen KRAS RGQ PCR System 88
3.9 Therascreen® IDH1/2 test 88
3.10 THxID™ -BRAF Kit 88
3.11 Cobas® EGFR Mutation Test (Roche) 88
3.12 Prolaris Prostate Cancer Test 89
4.0 Personalized Medicine and Integration into the Healthcare System 90
4.1 The Personalized Medicine Coalition 90
4.2 Personalized Medicine and the Healthcare System 92
4.3 Clinical Application of Personalized Medicine 92
4.4 Clinical Laboratory Improvement Amendments-Certified Laboratory of Genomic Pathology 93
5.0 Private and Public Funding and Personalized Medicine Reimbursement 95
5.1 International Research and Development Personalized Medicine Activity 95
5.1.1 Publically Funded Personalized Medicine Research 95
5.1.2 Privately Funded Personalized Medicine Research 96
5.2 Popular Biological Targets/Pathways in Pharmacogenetic/Pharmacogenomic Research 101
5.3 Equitable Payer Reimbursement 103
5.3.1 Molecular Diagnostic Payments in Personalized Medicine 103



5.3.1.1 RVU-CPT-ICD Coding System 103
5.3.2 Laboratory Service Payments in Personalized Medicine 103
5.3.3 Revisions to Current Payment System 103
5.4 Biorepositories and Biobanks 103
5.5 Intellectual Property and Personalized Medicine 104
6.0 European Personalized Medicine Market – Payments and Investment 105
6.1 Personalized Medicine and The European Market 105
6.2 European Investment in Personalized Medicine 106
6.3 Overview of Reimbursement Policies in Europe 106
6.4 Gaining Market Penetration in the EU 107
6.5 Personalized (Stratified) Medicine Regulation and Reimbursement in the UK 112
6.5.1 Precision Medicine Catapult 117
6.6 CE-marked Personalized Medicine/Diagnostic Tests in the UK 117
6.7 Personalized Medicine Regulation in Germany 118
6.8 Personalized Medicine Regulation in France 119
6.9 Personalized Medicine Regulation in Spain 120
6.10 The Personalized Medicine Regulation in Italy 120
6.11 Challenges of Future Personalized Medicine Development in Europe 120
7.0 Personalized Medicine –Business Model Analysis 122
7.1 New Business Model Required for Personalized Medicine 122
7.2 Business Model Strategies for Diagnostic, Pharmaceutical and Biotechnology Companies 122
7.3 Business Model Strategies for Providers. Provider Systems and Academic Medical Centres 123
7.4 Business Model Strategies for Payers 123
7.5 Business Model Strategies for Governments 124
7.6 Introduction of Non-Health Companies to the Personalized Medicine Market 124
7.7 Change to the Big Pharma Business Model 125
7.8 Cost-effectiveness and Business Value of Personalized Medicine 125
7.9 Comparative Effectiveness Research in Personalized Medicine 126
7.10 Reimbursement, Coverage and Payment Policy 126
8.0 Personalized Medicine Main Industry Players 129
8.1 23andMe 129



8.2 Affymetrix 130
8.3 Astex Pharmaceuticals 132
8.4 Atossa Genetics 134
8.5 CuraGen 135
8.6 Celera Corporation (Quest Diagnostics) 135
8.7 Celldex Therapeutics 136
8.8 deCode Genetics (Amgen) 137
8.9 Illumina 137
8.10 Genelex 139
8.11 Myriad 139
8.12 Nodality 140
8.13 Qiagen 142
8.14 Admera Health (GeneWiz) 144
8.15 Claritas Genomics 144
9.0 Personalized Medicine Industry Products and Kits 146
9.1 23andme 146
9.2 Affymetrix 153
9.3 Astex Pharmaceuticals 154
9.4 Atossa Genetics 155
9.4.1 Mammary Aspirate Specimen Cytology Test (MASCT™) 155
9.4.2 ForeCYTE Breast Health Test (SM) 155
9.4.3 ArgusCYTE Breast Health Test(SM) 155
9.4.4 FullCYTE Breast Health Test 155
9.4.5 NextCYTE Breast Health Test 155
9.5 Celera (Quest Diagnostics) 156
9.5.1 ViroSeq® HIV-1 Genotyping System 156
9.5.2 ViroSeq® HIV-1 Integrase Assay 156
9.5.3 ViroSeq® HCV Assay 156
9.5.4 ViroSeq® HBV Assay 157
9.5.5 Cystic Fibrosis Genotyping Assay 157
9.5.6 LDL-S3GGE® Test 157
9.5.7 HDL-S10GGE® Test 157
9.5.8 KIF6-StatinCheckTM Genotype Test 158



9.5.9 9p21-EarlyMICheckTM Genotype Test 158
9.5.10 LPA-AspirinCheckTM Genotype Test 158
9.5.11 AlleleSEQR® HLA PCR/Sequencing Kits 158
9.5.12 m2000® RealTime PCR System 159
9.5.13 CEGA -16™ Instrument 160
9.6 deCode Genetics 160
9.6.1 deCodeT2 Genetic Test 161
9.6.2 deCODE Breast Cancer™ 161
9.6.3 deCODE Prostate Cancer™ 162
9.6.4 deCODE AF™ 162
9.6.5 deCODE Glaucoma™ 162
9.6.6 deCODE MI™ 162
9.6.7 deCODE Complete™ 163
9.6.8 deCODE Cancer™ 163
9.6.9 deCODE Cardio™ 164
9.6.10 deCODE Services 164
9.7 Illumina 165
9.7.1 Illumina HiSeq 2000/1000 166
9.7.2 Genome Analyzer IIx 167
9.7.3 Illumina MiSeq 168
9.7.4 Illumina HiScanHQ 169
9.7.5 Illumina HiScan and iScan Array 169
9.8 Genelex 170
9.8.1 You Script™ 170
9.9 Myriad Genetics 172
9.9.1 BRACAnalysis® 172
9.9.2 COLARIS®/COLARIS AP® 173
9.9.3 MELARIS® 174
9.9.4 PANEXIA® 174
9.9.5 OnDose® 174
9.9.6 PREZEON™ 174
9.9.7 THERAGUIDE® 5FU 174
9.9.8 Prolaris® 175



9.10 Nodility 175
9.11 Qiagen 175
9.11.1 Genotyping Products 176
9.11.2 QIAsymphony Platform 178
9.12 Admera Health (GENEWIZ) 180
9.12.1 PGxOne 180
9.12.2 OncoGxOne 182
9.12.3 OncoGxOne Plus 183
9.12.4 FloraCheck 183
9.12.5 EGFR & KRAS Clinical Sequencing 183
9.13 Claritas Genomics 183
9.13.1 ClariFocus Exome for Pediatric Neurology 184
9.13.2 ClariView Array 184
10.0 Personalized Medicine Market Analysis 185
10.1 General Overview 185
10.2 Personalized Medicine Market 185
10.3 Personalized Medical Care Market 186
10.4 Personalized Medicine: Diagnostic and Therapeutic Sub-Market 187
10.4.1 Personalized Medicine Targeted Therapeutics – Oncology 188
10.4.2 Targeted Cancer Therapeutics 189
10.4.3 Top Ten Companies in Oncology Drug Sales 189
10.4.4 Top Five Oncology Drugs 190
10.4.5 Global Oncology Market by Cancer Type 191
10.4.6 Personalized Medicine Oncology Therapeutics Market 192
10.4.7 Personalized Medicine Diagnostic Assays – Oncology 196
10.4.8 Personalized Medicine Cardiovascular Therapeutics Market 199
10.4.9 Personalized Medicine Infectious Disease Therapeutics Market 201
10.4.10 Infectious Disease Diagnostic Assay Market 204
10.5 Global Personalized Medical Technology Market 206
10.6 Global Personalized Medicine Sub-Market Growth 206
10.6.1 PharmacoGenomics/PharmacoGenetics Market Analysis 209
10. 7 Molecular Diagnostics Market 210
10.8 Consumer Genomics Market 210



10.9 Major Player Profit Margin Analysis 211
10.10 Market Participant Analysis 216
10.10.1 23andme 216
10.10.2 Affymetrix 219
10.10.3 Astex Pharmaceuticals 228
10.10.4 Atossa Genetics 230
10.10.5 Celera (Quest Diagnostics) 233
10.10.6 Celldex Therapeutics 238
10.10.7 deCode Genetics (Amgen) 240
10.10.8 Illumina 241
10.10.9 Genelex 244
10.10.10 Myriad 246
10.10.11 Nodality 249
10.10.12 Qiagen 250
10.10.13 bioMerieux 255
11.0 Strengths and Advantages of Personalized Medicine 264
11.1 Sequencing of the Human Genome in 2000 264
11.2 Improving Patient Care and Reducing Side Effects 264
11.3 Personalized Medicine will Reduce Healthcare Costs 264
11.4 FDA Advances in Personalized Medicine Regulation 264
11.5 Advancing Technologies 265
11.5.1 Next Generation Sequencing 265
11.6 Industry Investing in Pharmacogenomics 266
11.7 Consumer Genomics and POC Market 266
11.8 Oncology a Driving Force of Personalized Medicine 267
12.0 Restraints of the Personalized Medicine Market 268
12.1 Lack of Sufficient Regulation 268
12.2 Lack of Sufficient Genotypic Linkage Studies to Disease Phenotype 269
12.3 Reimbursement Issues 269
13.0 Personalized Medicine and Regulatory Policies 271
13.1 Regulation 271
13.2 Genetic Information Non-discrimination Act (GINA) 273
13.3 FDA Advancements on Genetic Testing Approval 274



13.4 FDA- New Models to Assess Gene Therapy Safety 276
13.5 FDA- Companion Diagnostics 276
13.6 FDA - Partnership in Applied Comparative Effectiveness Science (PACES) Initiative 276
13.7 National Institutes of Health Genetic Testing Registry 276
14.0 Final Summary and Future Perspectives 279


About Us:

Markets to Reports is an effort to assist you with the required market intelligence statistics matching your specific requirements linked to various products, industries, services, companies and trends etc. We partner with the best of the publishers across the globe updating our database on a real time basis giving you easy access to the information that you are interested in. We cater to conglomerates ranging from start-ups to mid-size to Fortune 500 companies.

Our database of reports focus on various verticals/domains including IT, Telecom & Networking, Engineering & Automation, Food & Retail, Healthcare, Chemical, Energy, etc.

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