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Multiple Sclerosis Pipeline Analysis 2018
Copyright © 2018 by GervanoRA Data Services
Executive Summary
EXECUTIVE SUMMARY
Multiple Sclerosis (MS) is a demyelinating disease of the nerve cell which disables brain
and spinal cord (central nervous system). The body’s immune system attacks myelin
sheath, the protective covering of the nerves causes the demyelination and leads to nerve
damage. This damage slows down or blocks messages between CNS and body.
Source: GervanoRA
GervanoRA has provided a comprehensive analysis based on the molecules drug class and
mechanism of action. Major drug classes are Selective sphingosine-1-phosphate receptor
1(S1P1) immunomodulators, Selective Bruton’s Tyrosins Kinase (BTK) inhibitors,
Monoclonal antibodies and Cell therapy.
There are around X molecules belonging to the drug class of Selective sphingosine-1-
phosphate receptor modulator in different stages of development.
Novartis recently got an approval for a drug belonging to Selective sphingosine-1-
phosphate receptor modulator.
There are around XX molecules in their preclinical stage of development belonging to
different classes like Sulforaphanes, Neuro-restorative agents, Cell therapy, etc.
Source: GervanoRA
MS Market Overview
Deals (Mergers/ Acquisitions/ Collaborations)
Deal makings are something which pharmaceutical industry cannot stay away from. As the
companies continue with their product success and market growth but somewhere they face
challenges with commercialization.
In Multiple Sclerosis therapeutic area, there are around 31 deals that happened since 2010.
Among 31, there are 10 acquisitions, 13 Collaboration agreements, five licensing agreements,
and agreement termination, merger and settlement each one. More number of Collaboration
agreements has happened in the year 2015.
Source: GervanoRA
Key Phase 3 Clinical Trial Results Key Phase 2 Clinical Trial Results
We have considered all phase 3 pipeline We have considered all phase 2 pipeline
molecules’ clinical trials to discuss their molecules’ clinical trials to discuss their
results in this section like Ponesimod of results in this section like Evobrutinib
Johnson & Johnson (Actelion (M2951) of Merck KGaA, RHB-104 of
Pharmaceuticals), Ozanimod of Celgene RedHill Biopharma, ATX-MS-1467 of
Corporation, BIIB098 of Apitope, FLX-787 of Flex Pharma and
Biogen/Alkermes, ADS-5102 of Adamas MN-166 (ibudilast) of MediciNova, Inc
Pharmaceuticals, BAF312 (Secondary along with Adamas Pharmaceutical’s ADS-
progressive multiple sclerosis) and 5102 which is a phase 3 molecules.
OMB157 (Relapsing multiple sclerosis) of
Novartis, Ublituximab (TG-1101) of TG
Therapeutics, Inc, and Masitinib of AB
Science.
Similarly, we have also considered the ongoing trials for Phase 2 and Phase 1. We have
analyzed that XX molecules are currently undergoing Phase 2 trials and XX undergoing
phase 1 trials.
Recently Completed Clinical Trial Summary
GervanoRA also gives a brief analysis on the recently completed Phase 3, Phase 2 and Phase 1
clinical trials. XX Phase 3 trials have been completed in the between the years 2015 and 2018.
There were XX trials completed in the year XXXX, XX in 2016, 4 in 2017 and only 1 in
2018(As of May 2018).
Source: GervanoRA
As per GervanoRA findings, 10 clinical trials A total of XX trials have been terminated due to
had been withdrawn for Multiple Sclerosis. reasons like safety, efficacy, lack of funding, etc.
Due to feasibility reasons, Biogen decided to XX Phase 1 trials, XX Phase 2 trials and XX Phase 3
withdraw a Phase 3 trial for BG00012. trials have been terminated for Multiple Sclerosis.
A total of XX clinical trials have been GervanoRA’s analysis on the terminated trial says that
withdrawn for Relapsing-remitting type of XX trials had been terminated for Relapsing-Remitting
Multiple Sclerosis. type of disease, XX trials for Relapsing and XX trials
for progressive type of MS.
TECFIDERA
Drug Molecule TECFIDERA (dimethyl fumarate) gastro-resistant hard capsules are
Description intended for the treatment of relapsing-remitting type of Multiple
sclerosis.It is indicated as a first-line treatment. It is believed to
activate the Nrf2 pathway that provides a way for cells in the body
to defend themselves against inflammation and oxidative stress.
Molecule Milestone TECFIDERA of Biogen received approval in the EU on February 3,
2014.
TECFIDERA of Biogen received approval from the US FDA on
March 27, 2013.
TECFIDERA of Biogen received approval in Australia and Canada in
2013.
Source: GervanoRA
RPI-78M
Drug Molecule Description RPI-78M is an extract of cobra venom nicotinic which is an
acetylcholine receptor inhibitor intended for the treatment
of multiple sclerosis. It is designed to produce therapeutic
effect by nicotinic acetylcholine receptor inhibition to treat
pediatric multiple sclerosis. It is also indicated for the
treatment of autoimmune diseases.
TABLE OF CONTENTS
1. INTRODUCTION
1.2. Methodology
2. EXECUTIVE SUMMARY
3. DISEASE OVERVIEW
4. MARKET OVERVIEW
5. PIPELINE ANALYSIS
6.1. Methodology
9.2.1. Biogen
9.2.2. Sanofi
9.4.6. Endece,LLC
9.4.10. Q Therapeutics
9.4.13. OncoImmune
9.4.19. Io Therapeutics
10. ABBREVIATIONS
List of Tables
TABLE 1: DATA SHOWING TOTAL NUMBER OF PEOPLE HAVING MS, PREVALENCE, MEAN ONSET
OF AGE AND FEMALE TO MALE RATIO
TABLE 2: DATA SHOWING TOTAL NUMBER OF PEOPLE HAVING MS, PREVALENCE, MEAN ONSET
OF AGE AND FEMALE TO MALE RATIO IN EUROPEAN COUNTRIES
TABLE 3: GLOBAL MS EPIDEMIOLOGY (2016), FORECAST (2017-2023)
TABLE 4: MAJOR ACQUISITIONS HAPPENED IN MS THERAPEUTIC AREA SINCE 2010
TABLE 5: MAJOR COLLABORATIVE AGREEMENTS IN MS THERAPEUTIC AREA
TABLE 6: MAJOR LICENSING AGREEMENTS IN MS THERAPEUTIC AREA
TABLE 7: MAJOR TERMINATION AND SETTLEMENT AGREEMENTS IN MS THERAPEUTIC AREA
TABLE 8: EMA OR EX-US DRUG APPROVALS SINCE 2010
TABLE 9: USFDA APPROVED DRUGS SINCE 2010
TABLE 10: GILENYA PATENTS
TABLE 11: TECFIDERA PATENTS
TABLE 12: PLEGRIDY PATENTS
TABLE 13: AMPYRA/FAMPYRA PATENTS
TABLE 14: AUBAGIO PATENTS COVERAGE AND EXPIRY
TABLE 15: LEMTRADA PATENTS COVERAGE AND EXPIRY
TABLE 16: ZYNBRYTA PATENTS
TABLE 17: SUMMARY OF COMPANY PIPELINE MOLECULES BY STAGE OF DEVELOPMENT
TABLE 18: FILING/UNDER REVIEW MOLECULES
TABLE 19: LIST OF PIPELINE MOLECULES IN PHASE 3 DEVELOPMENT STAGE
TABLE 20: LIST OF PHASE 2 MOLECULES
TABLE 21: LIST OF PHASE 1 MOLECULES
TABLE 22: LIST OF PRECLINICAL MOLECULES
TABLE 23: LIST OF EARLY R&D MOLECULES
TABLE 24: ORALLY ADMINISTERED KEY PIPELINE MOLECULES
TABLE 25: INTRAVENOUSLY ADMINISTERED KEY PIPELINE MOLECULES
TABLE 26: SUBCUTANEOUSLY ADMINISTERED KEY PIPELINE MOLECULES
TABLE 27: LIST OF COMPANIES WITH PIPELINE MOLECULES IN DIFFERENT DEVELOPMENT STAGES
TABLE 28: UNIVERSITY AND INSTITUTE’S PIPELINE MOLECULES AVAILABLE FOR LICENSING
TABLE 29: ESTIMATED APPROVAL TIMELINES OF PIPELINE MOLECULES
TABLE 30: POINT CLINICAL TRIALS STUDY DESIGN
TABLE 31: OZANIMOD SUNBEAM STUDY RESULTS
TABLE 32: OZANIMOD RADIANCE PART B STUDY RESULTS
TABLE 33: ADVERSE EVENTS OF BIIB098/ALKS 8700 IN EVOLVE-MS-1 STUDY
TABLE 34: EVOBRUTINIB (M2951) PHASE 2 CLINICAL TRIALS STUDY DESIGN
TABLE 35: RHB-104 PHASE 2 CLINICAL TRIALS STUDY DESIGN
TABLE 36: ANNUALIZED RELAPSE RATES (ARR) OF IN CEASE-MS STUDY OF RHB-104
TABLE 37: ATX-MS-1467 - APITOPE PHASE 2 CLINICAL STUDY DESIGN
List of Figures
FIGURE 1: GLOBAL MS EPIDEMIOLOGY, CURRENT TREND AND FORECAST
FIGURE 2: OVERALL DEALS ACTIVITY IN MS THERAPEUTIC AREA
FIGURE 3: PIPELINE MOLECULES WITH ROUTES OF ADMINISTRATIONS
FIGURE 4: UNIVERSITY MOLECULES FOR MS BY PHASE OF DEVELOPMENT
FIGURE 5: ANNUALIZED RELAPSE RATES OF OZANIMOD V/S INF IN SUNBEAM STUDY
FIGURE 6: REDUCTION IN GADOLINIUM-ENHANCED MRI LESIONS WHEN USED OZANIMOD V/S INF
FIGURE 7: REDUCTION IN NEW OR ENLARGING T2 LESIONS WHEN USED OZANIMOD V/S INF
FIGURE 8: ANNUALIZED RELAPSE RATES OF OZANIMOD V/S INF IN RADIANCE PART B STUDY
FIGURE 9: PERCENTAGE REDUCTION IN NEW OR ENLARGING T2 LESIONS BY USING OZANIMOD
V/S INF IN RADIANCE PART B STUDY
FIGURE 10: PERCENTAGE REDUCTION IN GADOLINIUM-ENHANCED MRI LESIONS BY USING
OZANIMOD V/S INF IN RADIANCE PART B STUDY
FIGURE 11: PERCENTAGE REDUCTION IN BRAIN VOLUME LOSS BY USING OZANIMOD V/S INF IN
RADIANCE PART B STUDY
FIGURE 12: ONGOING PHASE 3 TRIALS BY MS TYPE
FIGURE 13: RECENTLY COMPLETED PHASE 3 TRIALS BY DISEASE TYPE
FIGURE 14: RECENTLY COMPLETED PHASE 3 TRIALS BY MAJOR COMPANIES
FIGURE 15: RECENTLY COMPLETED TRIALS, MAJOR COMPANIES V/S DISEASE TYPE
FIGURE 16: RECENTLY COMPLETED PHASE 3 TRIALS BY DISEASE TYPE