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Advanced Oral & Parenteral Drug Delivery Technologies Players,
Products & Prospects to 2015
Published on January 2011
Report Summary
This report provides a detailed insight into the current and future market for oral and parenteral drug delivery technology, and...
Provides an overview of the marketplace, outlining current thinking on the technologies being researched and employed
Appraises currently available products which utilise advanced delivery platforms
Examines new product developments from major specialist drug delivery companies, critically analysing their prospects
Allows ready comparison on different technologies within a company's portfolio.
A comprehensive examination of trends and advances in the two major drug delivery sectors
Unique sales forecasts to 2015 for key technology areas
Critical analyses of specialist developers driving the market onwards
The increasing number of new biological products, and the emergence of a biosimilars market has focused the industry's attention on
the development of novel and advanced drug delivery technologies which can deliver these new targeted products. However, oral and
parenteral drug administration still dominates the market, and technical innovation is ensuring these tried and tested routes of
administration continue to offer more compelling and effective methods of drug delivery.
The global pharmaceutical industry generated revenues of over US$800 billion in 2009, growing at around 7% per annum.
Oral formulations accounted for almost 60% of prescriptions, with the top 10 oral products accounting for nearly 10% of total global
pharmaceutical sales. The global market for oral drug delivery enhanced products (DDEPs) was estimated to be worth around US$51
billion in 2009, accounting for nearly 60% of the market share of the entire DDEP market; sustained-release formulations represented
over 95% of all oral DDEPs.
Parenteral drug delivery is the second largest segment of the market accounting for nearly 30% of the market share. It is presently
valued at US$27 billion and is expected to reach US$51 billion by 2015 driven primarily by the launch of new biologics; the uptake of
novel delivery platforms and the utilisation of controlled-release systems.
This report provides a detailed insight into the current and future market for oral and parenteral drug delivery technology, and...
Provides an overview of the marketplace, outlining current thinking on the technologies being researched and employed
Appraises currently available products which utilise advanced delivery platforms
Examines new product developments from major specialist drug delivery companies, critically analysing their prospects
Allows ready comparison on different technologies within a company's portfolio.
Use this report to...
Assess the strengths and weaknesses of competing products/technologies in the context of specific delivery sectors and development
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companies
Identify and review licensing and collaborative partners
Understand the merits and applications of the main approaches being researched.
Quantify the commercial prospects for current and future products.
Volume I
Oral Delivery Technology
During the last 30 years, considerable advances have been made in drug delivery technologies, particularly in the field of
controlled-release delivery. However, there is an unremitting demand for products that achieve continuous release of therapeutic
agents over extended time periods. This has led to the development of a multitude of drug delivery platforms mainly involving either
multi-particulate dosage forms (e.g. pellets contained in gelatine capsules) or single-unit dosage forms (e.g. bilayer or multilayer
tablets), and a variety of release profiles.
Currently-marketed oral DDEPs encompass several therapeutic categories including cancer, cardiovascular, central nervous system,
musculoskeletal, metabolic diseases (diabetes) and respiratory conditions. Oral disintegrating tablets (ODTs) or melts have evolved
as an important delivery system for drugs that treat medical conditions vulnerable to a sudden onset of symptoms such as allergies,
migraine, reflux disease and schizophrenia. In addition, oral DDEP platforms have been utilised to reduce the abuse-resistance of
opioids and to prevent alcohol 'dose dumping.'
Oral DDEPs are widely used across the globe as patients migrate towards convenient dosage formulations. Controlled-release tablets
and capsules remain the main formulation platform although orally disintegrating, nanoparticle and combined technology formulations
are expected to broaden applications in the future.
Oral DDEPs use a variety of mechanisms to modify the controlled delivery of the molecule (drug) including: osmotic-driven drug
release, degradation-driven release, diffusion-controlled release or through a combination of delivery platforms. Advanced oral
DDEPs can be used to target release within specific regions of the GI tract such as Alizyme's Colal delivery system and Cosmo's
MMX technology. In addition, companies have developed pulsatile-release platforms that allow drug release to more closely follow
circadian rhythms, such as BTG's Pulsincap.
A vigorous research environment
Over 800 companies are currently involved in the development of oral drug delivery technologies from large pharma to specialty
delivering technologists. This report identifies 29 of the top movers and shakers in the oral delivery industry.
This report answer key questions
What % of the oral drug delivery market by value do emerging markets account for'
What is the current state of play with sustained, modified, chrono and pulsatile release technologies'
What are the leading products that utilise advanced oral delivery and in what therapeutic areas are they most commonly applied'
What research is being undertaken to develop novel drug delivery technologies for cancer'
Will oral delivery technology ever crack the large molecule problem'
Volume II
Parenteral Delivery Technology
Over the last 50 years, considerable technological advances have been made in the area of parenteral drug delivery to overcome the
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many limitations associated with this route of delivery. This has led to the development of sophisticated systems that allow drug
targeting and the sustained or controlled release of parenteral medicines. Over the next ten years more than 30 new targeted-delivery
products are expected to be commercially released and more than 35 nano-enabled nucleic acid products could reach the market.
Improvements in parenteral delivery devices such as pre-filled syringes, pens, auto-injectors and needle-free devices continue to
alleviate the burden of self-administration and improve patient compliance. Meanwhile the explosion of biological therapies provides
additional challenges for drug delivery specialists seeking to develop ways of improving on standard injections for these products.
Widening therapeutic uses for parenteral delivery
The development of new and approved agents for oncology, infectious disease, endocrinology and inflammatory and immune-related
diseases continues to fuel the growth of injectable DDEPs. This market will be driven by the identification of novel drug targets and
the development of innovative immunotherapeutics that address areas of high unmet clinical need, a segment that has been
historically poorly treated with oral therapeutics. Parenteral DDEPs are widely used across the globe, but tend to be priced at a
premium due to the sophisticated delivery devices which often require administration from a healthcare professional.
Innovation from a vigorous research-based sector
Parenteral DDEPs apply to a variety of formulations and devices in which to modify the delivery of small and large molecule drugs.
Self-injection devices include pen injectors, auto-injectors, needle-free injectors and nasal spray devices while formulation-based
technologies range from liposomes and emulsions, PEGylation, microparticles and nanoparticles and dendrimers, either used alone
or in combination to optimise delivery and minimise off-target toxicities. Over 250 companies are currently involved in the
development of parenteral drug delivery technologies from large pharma to specialty delivery technologists, and this report analyses
24 of the leading players.
This report answers key questions
What trends are driving the parenteral delivery sector to double digit growth'
Which sector of the market is expected to grow by a CAGR of 15% to 2015'
Which companies are developing technologies for the delivery of poorly-soluble drugs'
What clinical benefits are there in the subcutaneous delivery of monoclonal antibodies'
What is the current state of play for auto injectors and insulin pumps for the treatment of diabetes'
Focusing on two key sectors that are igniting growth
VOLUME I ORAL DELIVERY | VOLUME II PARENTERAL DELIVERY
Table of Content
Volume 1
Table of Contents
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EXECUTIVE SUMMARY.1
1 Mar ket Perspective 2
1.1 Revenues.3
1.1.1 Geographical.3
Figure 1.1.1: Geographical revenues of oral DDEPs, 2009.3
1.1.2 Technological3
Figure 1.1.2: Drug release profiles.4
1.1.3 Therapeutic.5
Table 1.1.1: Leading oral DDEPs.5
1.2 Market Trends.6
1.2.1 Geographical.6
1.2.2 Technological6
1.2.3 Therapeutic.6
2 Tec hnologica l Viewpoint8
2.1 Device-based delivery.8
2.1.1 O smotic-driven drug release.9
Figure 2.1.1: ALZA's Oros drug delivery technology .9
Figure 2.1.2: Alkermes Ringcap drug delivery technology9
Degradation-driven release.10
Figure 2.1.3: SkyePharma's Geomatrix drug delivery technology.10
Figure 2.1.4: Smartrix Technologies' drug delivery technology.10
2.1.3 Diffusion-controlled release 11
Figure 2.1.5: Labopharm's Contramid drug delivery technology11
Figure 2.1.6: Impax' CMDS drug delivery technology11
Figure 2.1.7: Elan's PRODAS drug delivery technology12
2.1.4 Combined delivery technologies 12
Figure 2.1.7: Flamel's Micropump drug delivery technology.12
2.1.5 Targeted delivery technologies. 13
2.1.6 O rally Disintegrating Tablets (ODTs) 13
Table 2.1.1: Leading proprietary technologies.14
2.1.7 Pulsatile drug delivery. 15
2.1.7.1 Single-unit systems15
Figure 2.1.8: BTG's Port drug delivery technology15
2.1.7.2 Pulsatile Delivery by Erosion of Membrane .16
2.1.7.3 Pulsatile Delivery by Membrane Rupture16
3 Therapeutic Releva nce 17
3.1 Cancer.17
Table 3.1.1: Leading Oral DDEP Products, 2000-2009.17
3.2 Cardiovascular18
Table 3.1.2: Leading Oral Cardiovascular DDEP Products18
3.3 CNS19
Table 3.1.3: Leading Oral CNS DDEP Products.19
3.4 Musculoskeletal System20
Table 3.1.4: Leading Oral Musculoskeletal DDEP products20
3.5 Cancer.21
3.6 Diabetes.22
Figure 3.1.1: Access Pharmaceuticals' Cobalamin delivery technology.22
Figure 3.1.2: Emisphere's Eligen delivery technology23
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4 Pri ncipa l Delivery Specia lists 24
4.1 Leading Companies.24
Table 4.1.1: Leading oral delivery companies & technologies .24
4.2 Company Profiles 27
4.2.1 Access Pharmaceuticals27
Overview 27
Oral Delivery Technologies.27
Figure 4.1.1: Access Pharmaceutical's delivery technology.27
Commercialised Products. 28
Deals, Alliances, M&A 28
4.2.2 Acura Pharmaceuticals Inc.28
Overview . 28
Oral Delivery Technology. 28
Figure 4.1.2: Acura Aversion Technology28
Commercialised Products. 29
Deals, Alliances, M&A 29
4.2.3 Akina29
Overview . 29
Oral Delivery Technology. 29
Commercialised Products. 29
Deals, Alliances, M&A 29
4.2.4 Alizyme plc.30
Overview . 30
Oral Delivery Technologies 30
Commercialised Products. 30
Deals, Alliances, M&A 30
4.2.5 AlphaRx Inc30
Overview . 30
Oral Delivery Technologies.31
Commercialised Products31
Deals, Partnerships, M&A31
4.2.6 ALZA Corporation.31
Overview 31
Oral Delivery Technologies.31
Commercialised Products32
Table 4.2.1: ALZA's oral products32
Deals, Alliances, M&A.32
4.2.7 BTG.32
Overview 32
Oral Delivery Technology32
Commercialised Products33
Deals, Alliances, M&A.33
4.2.8 Biovail Corporation.33
Overview 33
Oral Delivery Technologies.33
Commercialised products 34
Deals, Partnerships, M&A. 34
4.2.9 Camurus AB.34
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Overview . 34
Oral Delivery Technology. 34
Commercialised Products35
Deals, Alliances, M&A.35
4.2.10 Catalent Pharma Solutions35
Overview 35
Oral Delivery Technology35
Commercialised Products35
Deals, Alliances, M&A 36
4.2.11 Cipher Pharmaceuticals36
Overview . 36
Oral Delivery Technology. 36
Commercialised Products. 36
Deals, Alliances, M&A 36
4.2.12 Cosmo Pharmaceuticals S.p.A.36
Overview . 36
Oral Delivery Technology 37
4.2.43 Depomed Technologies37
Overview 37
Oral Delivery Technologies.37
Commercialised Oral Products 38
Deals, Alliances, M&A 38
4.2.14 Durect Corporation.38
Overview . 38
Oral Delivery Technologies 38
Commercialised Oral Products.39
Deals, Alliances, M&A.39
4.2.15 Elan Corporation.39
Overview 39
Oral Delivery Technologies.39
Commercialised Products 40
Table 4.2.2: Elan's oral products.40
Deals, Alliances, M&A 40
4.2.16 Egalet Ltd.40
Overview . 40
Oral Delivery Technology. 40
Commercialised Products. 40
Deals, Alliance, M&A 40
4.2.17 Elite Pharmaceuticals.41
Overview 41
Oral Delivery Technology41
Commercialised Products41
Deals, Alliances, M&A.41
4.2.18 Emisphere Technologies41
Overview 41
Oral Delivery Technology41
Commercialised Products42
Deals, Alliances, M&A.42
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4.2.19 Ethypharm SA42
Overview 42
Oral Delivery Technology42
Commercialised Products. 43
Table 4.2.3: Ethypharm's oral products in R&D43
Deals, Alliances, M&A 43
4.2.20 Eurand .43
Overview . 43
Oral Delivery Technology. 44
Commercialised Products. 44
Table 4.2.4: Eurand's oral products44
Deals, Alliances, M&A 45
4.2.21 Flamel Technologies 45
Overview . 45
Oral Delivery Technologies 45
Figure 4.1.1: Flamel's Micropump technology45
Commercialised Products. 45
Deals, Alliances, M&A 45
4.2.22 K V Pharmaceuticals, Inc . 46
Overview . 46
Oral Delivery Technologies 46
Commercialised Products. 46
Deals, Alliances, M&A 46
4.2.23 Labopharm. 46
Overview . 46
Oral Delivery Technology. 46
Commercialised Products47
Deals, Alliances, M&A.47
4.2.24 L avipharm SA 47
Overview 47
Oral Delivery Technologies.47
Commercialised Products. 48
Table 4.2.5: Lavipharm's oral products48
Deals, Alliances, M&A 48
4.2.25 Penwest Pharmaceuticals. 48
Overview . 48
Oral Delivery Technologies 48
Commercialised Products. 49
Deals, Alliances, M&A 49
4.2.26 SCOL R Pharma, Inc. 49
Overview . 49
Oral Delivery Technologies 49
Commercialised Products. 50
Deals, Alliances, M&A 50
4.2.27 Shire Plc .50
Overview . 50
Oral Delivery Technologies 50
Commercialised Products51
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Deals, Alliances, M&A.51
4.2.28 SkyePharma Plc 51
Overview 51
Oral Delivery Technologies.51
Commercialised Products52
Table 4.2.5: SkyePharma's oral products.52
Deals, Alliances, M&A.52
4.2.29 W atson Pharmaceuticals .52
Overview 52
Oral Delivery Technologies.53
Controlled-Release Technologies53
Immediate-release Technology53
Sustained-release Technology.53
Delayed-release Technology.53
Formulation delivery systems53
Commercialised Products. 54
Table 4.2.6: Watson's oral products.54
Deals, Alliances, M&A 54
5 Analysis & Conclusi ons 55
5.1 Analysis. 55
Table 5.1.1: Top 10 leading oral drugs, 200955
5.1.1 O ral DDEP Market.55
Table 5.1.1: Global revenues pharmaceutical & DDEP market 2009-2015.55
Table 5.1.1: Top 60 oral DDEPs sales forecasts 2009, 2010, 201556
Table 5.1.2: Oral DDEPs in development, sales forecasts, 2009, 2010, 201557
5.2 Technology. 58
5.2.1. Fundamental Technologies.58
5.2.2 Coating Technologies.58
5.2.3 Matrix Technologies.58
5.3 Novel Technologies. 59
5.3.1 Fast-Dissolving Oral Dosage Forms.59
5.3.2 O ral Delivery of Large Molecules.60
Figure 5.3.1: Merrion's Oral Insulin GIPET delivery technology61
5.4 Therapeutic 62
5.4.1 Frontrunners.62
5.4.2 Alliances.63
5.5 Conclusions..64
6 GLO SSARY. 65
7 AUTHO R BIOGRAPHIES. 67
8 BIBLIOGRAPHY. 68
Volume 2
Contents
EXECUTIVE SUMMARY.1
1 MARKET PERSPECTIVES.2
Figure 1.1.1: Routes of parenteral administration.2
Table 1.1.1: Advantages and disadvantages of parenteral delivery3
1.1 Revenues.4
1.1.1 Geographical.4
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Figure 1.1.2: Geographical revenues of parenteral DDEPs, 20094
1.1.2 Technological5
1.1.3 Therapeutic.5
1.2 Market Trends.6
1.2.1 Geographical.6
1.2.2 Technological6
1.2.3 Therapeutic.7
2 Tec hnologica l Viewpoint8
2.1 Device-based delivery.8
2.1.1 Syringe, vial & ampoule8
2.1.2 Pre-filled syringes.9
Figure 2.1.1: Syringes pre-filled with Interferon 2b.9
2.2 Self-Injection Devices10
2.2.1 Pen injectors10
Figure 2.2.1: Pen Injector and refills10
2.2.2 Auto-injectors.10
Figure 2.2.2: EpiPen Auto-injector10
2.2.3 Auto-Injector Pros and Cons 11
2.3 Needle-Free Injection12
2.3.1 Improvements in Needle-Free Delivery. 12
Figure 2.2.3: Glide SDI (Solid Dose Injector).12
Figure 2.2.4: Medi-Jector Vision13
2.4 Nasal spray delivery.14
Figure 2.3.1: Pfeiffer Bidose Nasal Spray14
Figure 2.1.5: Insulin Pump15
2.5 Formulation-based technologies16
2.5.1 L iposomes and Emulsions16
2.5.2 PEGylation 17
Table 2.4.1: Marketed PEGylated products .17
2.5.3 Microparticle-based depot product18
2.6 Nano-Enhanced Parenteral Drug Delivery.20
2.6.1 Polymeric nanoparticles20
Figure 2.1.4: Abraxane structure20
2.6.2 Nanovectors 21
Table 2.5.1: Marketed nano-enabled products 21
2.7 Dendrimers .22
3 Therapeutic Releva nce 23
3.1 Oncology.23
Table 3.1.1: Leading Oncology Parenteral DDEPs24
3.2 Inflammation and Immune-related diseases.25
Table 3.1.2: Leading Inflammatory & Immune-related Parenteral DDEPs.25
3.3 Anti-infectives.25
3.4 Diabetes.26
3.4.1 N ew-generation insulin pens26
Table 3.1.3: Insulin Delivery Devices26
3.4.2 Insulin pumps27
Table 3.1.4: Insulin Pumps27
3.4.3 Advanced Insulin Pump: Paradigm (Medtronic).27
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Figure 3.1.1 MiniMed Paradigm REAL-Time Insulin Pump and Continuous Glucose Monitoring System 28
3.4.4 N eedle-free Insulin Delivery28
3.4.5 SQ-Pen (Bespak Medical Devices)29
Figure 3.1.2 Bespak Medical Devices' SQ-Pen29
4 Pri ncipa l Delivery Specia lists . 30
4.1 Leading Companies 30
Table 4.1.1: Leading oral delivery companies and technologies 30
4.2 Company Profiles 33
4.2.1 Abraxis Biosciences.33
Overview 33
Parenteral Delivery Technology.33
Commercialised Products33
Deals, Partnerships, M&A33
4.2.2 Access Pharmaceuticals33
Overview 33
Parenteral Delivery Technologies33
Commercialised Products33
Deals, Alliances, M&A.33
4.2.3 Alkermes34
Overview . 34
Parenteral Delivery Technologies. 34
Commercialised Products. 34
Deals, Alliances, M&A 34
4.2.4 Antares Pharma.34
Overview . 34
Parenteral Delivery Technologies. 34
Commercialised Products. 34
Deals, Alliances, M&A.35
4.2.5 Becton Dickinson35
Overview 35
Parenteral Delivery Devices35
Deals, Alliances, M&A.35
4.2.6 Bespak Pharmaceuticals35
Overview 35
Parenteral Delivery Devices35
Commercialised Products35
Deals, Alliances, M&A 36
4.2.7 BioGeneriX AG.36
Overview . 36
Parenteral Delivery Technology 36
Commercialised Products. 36
Deals, Alliances, M&A 36
4.2.8 Bioject Medical Technologies 36
Overview . 36
Parenteral Delivery Devices. 36
Commercialised Products. 36
Deals, Alliances, M&A.37
4.2.9 Biophan Technologies37
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Overview 37
Parenteral Delivery Technology.37
Commercialised Products37
Deals, Alliances, M&A.37
4.2.10 Camurus AB.37
Overview 37
Parenteral Delivery Technology.37
Figure 4.1.1: Camurus' FluidCrystal injectable depot technology.38
Commercialised Products. 38
Deals, Alliances, M&A 38
4.2.11 CyDex Pharmaceuticals38
Overview . 38
Parenteral Delivery Technology 38
Commercialised Products. 38
Deals, Alliances, M&A 38
4.2.12 Enzon Pharmaceuticals39
Overview 39
Parenteral Delivery Technology.39
Commercialised Products39
Deals, Alliances, M&A.39
4.2.13 Genzyme Corporation39
Overview 39
Parenteral Delivery Technology.39
Commercialised Products. 40
Deals, Alliances, M&A 40
4.2.14 Glide Pharmaceutical Technologies 40
Overview . 40
Parenteral Delivery Devices. 40
Commercialised Products. 40
Deals, Alliances, M&A 40
4.2.15 L ipoxen.40
Overview . 40
Parenteral Delivery Technology 40
Commercialised Products41
Deals, Alliances, M&A.41
4.2.16 Mountain View Pharmaceuticals .41
Overview 41
Parenteral Delivery Technology.41
Commercialised Products41
Deals, Alliances, M&A.41
4.2.17 N ektar Therapeutics.42
Overview 42
Parenteral Delivery Technology.42
Commercialised Products42
Deals, Alliances, M&A.42
4.2.18 Novavax .42
Overview 42
Parenteral Delivery Technology.42
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Commercialised Products42
Deals, Alliances, M&A.42
4.2.19 O ctoPlus N.V43
Overview . 43
Parenteral Delivery Technology 43
Commercialised Products. 43
Deals, Alliances, M&A 43
4.2.20 PolyTherics 43
Overview . 43
Commercialised Products. 43
Deals, Alliances, M&A 43
4.2.21 pSivida Corporation. 44
Overview . 44
Parenteral Delivery Technology 44
Commercialised Products. 44
Deals, Alliances, M&A 44
4.2.22 QLT 44
Overview . 44
Parenteral Delivery Technology 44
Commercialised Products. 44
Deals, Alliances, M&A 44
4.2.23 Starpharma Holdings 44
Overview . 44
Parenteral Delivery Technology 45
Commercialised Products. 45
Deals, Alliances, M&A 45
4.2.24 SurModics 45
Overview . 45
Parenteral Delivery Technology 45
Commercialised Products. 45
Deals, Alliances, M&A 45
5 Analysis & Conclusi ons 46
5.1 Analysis.46
Table 5.1.1: Top 10 leading parenteral drugs, 2009.46
5.1.1 Parenteral DDEP Market 46
Table 5.1.2: Global revenues pharmaceutical & parenteral DDEPs 2009-2015.46
Table 5.1.3: Growth areas for inflammatory & immune related parenteral DDEPs.47
Table 5.1.4: Global revenues of parenteral DDEPs 2009-2015.47
5.2 Technology.48
5.2.1 Prolong Activity. 48
5.2.2 Cancer . 48
5.2.3 Poorly soluble drugs . 48
5.2.4 Targeted drug delivery 48
5.2.5 Monoclonal Antibodies. 48
5.3 Therapeutic 49
5.3.1 Frontrunners.49
5.3.2 Alliances.50
5.4 Conclusions 51
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6 GLO SSARY. 52
7 AUTHO R BIOGRAPHIES. 55
8 BIBLIOGRAPHY. 56
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Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015

  • 1. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 Published on January 2011 Report Summary This report provides a detailed insight into the current and future market for oral and parenteral drug delivery technology, and... Provides an overview of the marketplace, outlining current thinking on the technologies being researched and employed Appraises currently available products which utilise advanced delivery platforms Examines new product developments from major specialist drug delivery companies, critically analysing their prospects Allows ready comparison on different technologies within a company's portfolio. A comprehensive examination of trends and advances in the two major drug delivery sectors Unique sales forecasts to 2015 for key technology areas Critical analyses of specialist developers driving the market onwards The increasing number of new biological products, and the emergence of a biosimilars market has focused the industry's attention on the development of novel and advanced drug delivery technologies which can deliver these new targeted products. However, oral and parenteral drug administration still dominates the market, and technical innovation is ensuring these tried and tested routes of administration continue to offer more compelling and effective methods of drug delivery. The global pharmaceutical industry generated revenues of over US$800 billion in 2009, growing at around 7% per annum. Oral formulations accounted for almost 60% of prescriptions, with the top 10 oral products accounting for nearly 10% of total global pharmaceutical sales. The global market for oral drug delivery enhanced products (DDEPs) was estimated to be worth around US$51 billion in 2009, accounting for nearly 60% of the market share of the entire DDEP market; sustained-release formulations represented over 95% of all oral DDEPs. Parenteral drug delivery is the second largest segment of the market accounting for nearly 30% of the market share. It is presently valued at US$27 billion and is expected to reach US$51 billion by 2015 driven primarily by the launch of new biologics; the uptake of novel delivery platforms and the utilisation of controlled-release systems. This report provides a detailed insight into the current and future market for oral and parenteral drug delivery technology, and... Provides an overview of the marketplace, outlining current thinking on the technologies being researched and employed Appraises currently available products which utilise advanced delivery platforms Examines new product developments from major specialist drug delivery companies, critically analysing their prospects Allows ready comparison on different technologies within a company's portfolio. Use this report to... Assess the strengths and weaknesses of competing products/technologies in the context of specific delivery sectors and development Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 1/15
  • 2. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! companies Identify and review licensing and collaborative partners Understand the merits and applications of the main approaches being researched. Quantify the commercial prospects for current and future products. Volume I Oral Delivery Technology During the last 30 years, considerable advances have been made in drug delivery technologies, particularly in the field of controlled-release delivery. However, there is an unremitting demand for products that achieve continuous release of therapeutic agents over extended time periods. This has led to the development of a multitude of drug delivery platforms mainly involving either multi-particulate dosage forms (e.g. pellets contained in gelatine capsules) or single-unit dosage forms (e.g. bilayer or multilayer tablets), and a variety of release profiles. Currently-marketed oral DDEPs encompass several therapeutic categories including cancer, cardiovascular, central nervous system, musculoskeletal, metabolic diseases (diabetes) and respiratory conditions. Oral disintegrating tablets (ODTs) or melts have evolved as an important delivery system for drugs that treat medical conditions vulnerable to a sudden onset of symptoms such as allergies, migraine, reflux disease and schizophrenia. In addition, oral DDEP platforms have been utilised to reduce the abuse-resistance of opioids and to prevent alcohol 'dose dumping.' Oral DDEPs are widely used across the globe as patients migrate towards convenient dosage formulations. Controlled-release tablets and capsules remain the main formulation platform although orally disintegrating, nanoparticle and combined technology formulations are expected to broaden applications in the future. Oral DDEPs use a variety of mechanisms to modify the controlled delivery of the molecule (drug) including: osmotic-driven drug release, degradation-driven release, diffusion-controlled release or through a combination of delivery platforms. Advanced oral DDEPs can be used to target release within specific regions of the GI tract such as Alizyme's Colal delivery system and Cosmo's MMX technology. In addition, companies have developed pulsatile-release platforms that allow drug release to more closely follow circadian rhythms, such as BTG's Pulsincap. A vigorous research environment Over 800 companies are currently involved in the development of oral drug delivery technologies from large pharma to specialty delivering technologists. This report identifies 29 of the top movers and shakers in the oral delivery industry. This report answer key questions What % of the oral drug delivery market by value do emerging markets account for' What is the current state of play with sustained, modified, chrono and pulsatile release technologies' What are the leading products that utilise advanced oral delivery and in what therapeutic areas are they most commonly applied' What research is being undertaken to develop novel drug delivery technologies for cancer' Will oral delivery technology ever crack the large molecule problem' Volume II Parenteral Delivery Technology Over the last 50 years, considerable technological advances have been made in the area of parenteral drug delivery to overcome the Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 2/15
  • 3. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! many limitations associated with this route of delivery. This has led to the development of sophisticated systems that allow drug targeting and the sustained or controlled release of parenteral medicines. Over the next ten years more than 30 new targeted-delivery products are expected to be commercially released and more than 35 nano-enabled nucleic acid products could reach the market. Improvements in parenteral delivery devices such as pre-filled syringes, pens, auto-injectors and needle-free devices continue to alleviate the burden of self-administration and improve patient compliance. Meanwhile the explosion of biological therapies provides additional challenges for drug delivery specialists seeking to develop ways of improving on standard injections for these products. Widening therapeutic uses for parenteral delivery The development of new and approved agents for oncology, infectious disease, endocrinology and inflammatory and immune-related diseases continues to fuel the growth of injectable DDEPs. This market will be driven by the identification of novel drug targets and the development of innovative immunotherapeutics that address areas of high unmet clinical need, a segment that has been historically poorly treated with oral therapeutics. Parenteral DDEPs are widely used across the globe, but tend to be priced at a premium due to the sophisticated delivery devices which often require administration from a healthcare professional. Innovation from a vigorous research-based sector Parenteral DDEPs apply to a variety of formulations and devices in which to modify the delivery of small and large molecule drugs. Self-injection devices include pen injectors, auto-injectors, needle-free injectors and nasal spray devices while formulation-based technologies range from liposomes and emulsions, PEGylation, microparticles and nanoparticles and dendrimers, either used alone or in combination to optimise delivery and minimise off-target toxicities. Over 250 companies are currently involved in the development of parenteral drug delivery technologies from large pharma to specialty delivery technologists, and this report analyses 24 of the leading players. This report answers key questions What trends are driving the parenteral delivery sector to double digit growth' Which sector of the market is expected to grow by a CAGR of 15% to 2015' Which companies are developing technologies for the delivery of poorly-soluble drugs' What clinical benefits are there in the subcutaneous delivery of monoclonal antibodies' What is the current state of play for auto injectors and insulin pumps for the treatment of diabetes' Focusing on two key sectors that are igniting growth VOLUME I ORAL DELIVERY | VOLUME II PARENTERAL DELIVERY Table of Content Volume 1 Table of Contents Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 3/15
  • 4. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! EXECUTIVE SUMMARY.1 1 Mar ket Perspective 2 1.1 Revenues.3 1.1.1 Geographical.3 Figure 1.1.1: Geographical revenues of oral DDEPs, 2009.3 1.1.2 Technological3 Figure 1.1.2: Drug release profiles.4 1.1.3 Therapeutic.5 Table 1.1.1: Leading oral DDEPs.5 1.2 Market Trends.6 1.2.1 Geographical.6 1.2.2 Technological6 1.2.3 Therapeutic.6 2 Tec hnologica l Viewpoint8 2.1 Device-based delivery.8 2.1.1 O smotic-driven drug release.9 Figure 2.1.1: ALZA's Oros drug delivery technology .9 Figure 2.1.2: Alkermes Ringcap drug delivery technology9 Degradation-driven release.10 Figure 2.1.3: SkyePharma's Geomatrix drug delivery technology.10 Figure 2.1.4: Smartrix Technologies' drug delivery technology.10 2.1.3 Diffusion-controlled release 11 Figure 2.1.5: Labopharm's Contramid drug delivery technology11 Figure 2.1.6: Impax' CMDS drug delivery technology11 Figure 2.1.7: Elan's PRODAS drug delivery technology12 2.1.4 Combined delivery technologies 12 Figure 2.1.7: Flamel's Micropump drug delivery technology.12 2.1.5 Targeted delivery technologies. 13 2.1.6 O rally Disintegrating Tablets (ODTs) 13 Table 2.1.1: Leading proprietary technologies.14 2.1.7 Pulsatile drug delivery. 15 2.1.7.1 Single-unit systems15 Figure 2.1.8: BTG's Port drug delivery technology15 2.1.7.2 Pulsatile Delivery by Erosion of Membrane .16 2.1.7.3 Pulsatile Delivery by Membrane Rupture16 3 Therapeutic Releva nce 17 3.1 Cancer.17 Table 3.1.1: Leading Oral DDEP Products, 2000-2009.17 3.2 Cardiovascular18 Table 3.1.2: Leading Oral Cardiovascular DDEP Products18 3.3 CNS19 Table 3.1.3: Leading Oral CNS DDEP Products.19 3.4 Musculoskeletal System20 Table 3.1.4: Leading Oral Musculoskeletal DDEP products20 3.5 Cancer.21 3.6 Diabetes.22 Figure 3.1.1: Access Pharmaceuticals' Cobalamin delivery technology.22 Figure 3.1.2: Emisphere's Eligen delivery technology23 Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 4/15
  • 5. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! 4 Pri ncipa l Delivery Specia lists 24 4.1 Leading Companies.24 Table 4.1.1: Leading oral delivery companies & technologies .24 4.2 Company Profiles 27 4.2.1 Access Pharmaceuticals27 Overview 27 Oral Delivery Technologies.27 Figure 4.1.1: Access Pharmaceutical's delivery technology.27 Commercialised Products. 28 Deals, Alliances, M&A 28 4.2.2 Acura Pharmaceuticals Inc.28 Overview . 28 Oral Delivery Technology. 28 Figure 4.1.2: Acura Aversion Technology28 Commercialised Products. 29 Deals, Alliances, M&A 29 4.2.3 Akina29 Overview . 29 Oral Delivery Technology. 29 Commercialised Products. 29 Deals, Alliances, M&A 29 4.2.4 Alizyme plc.30 Overview . 30 Oral Delivery Technologies 30 Commercialised Products. 30 Deals, Alliances, M&A 30 4.2.5 AlphaRx Inc30 Overview . 30 Oral Delivery Technologies.31 Commercialised Products31 Deals, Partnerships, M&A31 4.2.6 ALZA Corporation.31 Overview 31 Oral Delivery Technologies.31 Commercialised Products32 Table 4.2.1: ALZA's oral products32 Deals, Alliances, M&A.32 4.2.7 BTG.32 Overview 32 Oral Delivery Technology32 Commercialised Products33 Deals, Alliances, M&A.33 4.2.8 Biovail Corporation.33 Overview 33 Oral Delivery Technologies.33 Commercialised products 34 Deals, Partnerships, M&A. 34 4.2.9 Camurus AB.34 Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 5/15
  • 6. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! Overview . 34 Oral Delivery Technology. 34 Commercialised Products35 Deals, Alliances, M&A.35 4.2.10 Catalent Pharma Solutions35 Overview 35 Oral Delivery Technology35 Commercialised Products35 Deals, Alliances, M&A 36 4.2.11 Cipher Pharmaceuticals36 Overview . 36 Oral Delivery Technology. 36 Commercialised Products. 36 Deals, Alliances, M&A 36 4.2.12 Cosmo Pharmaceuticals S.p.A.36 Overview . 36 Oral Delivery Technology 37 4.2.43 Depomed Technologies37 Overview 37 Oral Delivery Technologies.37 Commercialised Oral Products 38 Deals, Alliances, M&A 38 4.2.14 Durect Corporation.38 Overview . 38 Oral Delivery Technologies 38 Commercialised Oral Products.39 Deals, Alliances, M&A.39 4.2.15 Elan Corporation.39 Overview 39 Oral Delivery Technologies.39 Commercialised Products 40 Table 4.2.2: Elan's oral products.40 Deals, Alliances, M&A 40 4.2.16 Egalet Ltd.40 Overview . 40 Oral Delivery Technology. 40 Commercialised Products. 40 Deals, Alliance, M&A 40 4.2.17 Elite Pharmaceuticals.41 Overview 41 Oral Delivery Technology41 Commercialised Products41 Deals, Alliances, M&A.41 4.2.18 Emisphere Technologies41 Overview 41 Oral Delivery Technology41 Commercialised Products42 Deals, Alliances, M&A.42 Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 6/15
  • 7. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! 4.2.19 Ethypharm SA42 Overview 42 Oral Delivery Technology42 Commercialised Products. 43 Table 4.2.3: Ethypharm's oral products in R&D43 Deals, Alliances, M&A 43 4.2.20 Eurand .43 Overview . 43 Oral Delivery Technology. 44 Commercialised Products. 44 Table 4.2.4: Eurand's oral products44 Deals, Alliances, M&A 45 4.2.21 Flamel Technologies 45 Overview . 45 Oral Delivery Technologies 45 Figure 4.1.1: Flamel's Micropump technology45 Commercialised Products. 45 Deals, Alliances, M&A 45 4.2.22 K V Pharmaceuticals, Inc . 46 Overview . 46 Oral Delivery Technologies 46 Commercialised Products. 46 Deals, Alliances, M&A 46 4.2.23 Labopharm. 46 Overview . 46 Oral Delivery Technology. 46 Commercialised Products47 Deals, Alliances, M&A.47 4.2.24 L avipharm SA 47 Overview 47 Oral Delivery Technologies.47 Commercialised Products. 48 Table 4.2.5: Lavipharm's oral products48 Deals, Alliances, M&A 48 4.2.25 Penwest Pharmaceuticals. 48 Overview . 48 Oral Delivery Technologies 48 Commercialised Products. 49 Deals, Alliances, M&A 49 4.2.26 SCOL R Pharma, Inc. 49 Overview . 49 Oral Delivery Technologies 49 Commercialised Products. 50 Deals, Alliances, M&A 50 4.2.27 Shire Plc .50 Overview . 50 Oral Delivery Technologies 50 Commercialised Products51 Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 7/15
  • 8. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! Deals, Alliances, M&A.51 4.2.28 SkyePharma Plc 51 Overview 51 Oral Delivery Technologies.51 Commercialised Products52 Table 4.2.5: SkyePharma's oral products.52 Deals, Alliances, M&A.52 4.2.29 W atson Pharmaceuticals .52 Overview 52 Oral Delivery Technologies.53 Controlled-Release Technologies53 Immediate-release Technology53 Sustained-release Technology.53 Delayed-release Technology.53 Formulation delivery systems53 Commercialised Products. 54 Table 4.2.6: Watson's oral products.54 Deals, Alliances, M&A 54 5 Analysis & Conclusi ons 55 5.1 Analysis. 55 Table 5.1.1: Top 10 leading oral drugs, 200955 5.1.1 O ral DDEP Market.55 Table 5.1.1: Global revenues pharmaceutical & DDEP market 2009-2015.55 Table 5.1.1: Top 60 oral DDEPs sales forecasts 2009, 2010, 201556 Table 5.1.2: Oral DDEPs in development, sales forecasts, 2009, 2010, 201557 5.2 Technology. 58 5.2.1. Fundamental Technologies.58 5.2.2 Coating Technologies.58 5.2.3 Matrix Technologies.58 5.3 Novel Technologies. 59 5.3.1 Fast-Dissolving Oral Dosage Forms.59 5.3.2 O ral Delivery of Large Molecules.60 Figure 5.3.1: Merrion's Oral Insulin GIPET delivery technology61 5.4 Therapeutic 62 5.4.1 Frontrunners.62 5.4.2 Alliances.63 5.5 Conclusions..64 6 GLO SSARY. 65 7 AUTHO R BIOGRAPHIES. 67 8 BIBLIOGRAPHY. 68 Volume 2 Contents EXECUTIVE SUMMARY.1 1 MARKET PERSPECTIVES.2 Figure 1.1.1: Routes of parenteral administration.2 Table 1.1.1: Advantages and disadvantages of parenteral delivery3 1.1 Revenues.4 1.1.1 Geographical.4 Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 8/15
  • 9. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! Figure 1.1.2: Geographical revenues of parenteral DDEPs, 20094 1.1.2 Technological5 1.1.3 Therapeutic.5 1.2 Market Trends.6 1.2.1 Geographical.6 1.2.2 Technological6 1.2.3 Therapeutic.7 2 Tec hnologica l Viewpoint8 2.1 Device-based delivery.8 2.1.1 Syringe, vial & ampoule8 2.1.2 Pre-filled syringes.9 Figure 2.1.1: Syringes pre-filled with Interferon 2b.9 2.2 Self-Injection Devices10 2.2.1 Pen injectors10 Figure 2.2.1: Pen Injector and refills10 2.2.2 Auto-injectors.10 Figure 2.2.2: EpiPen Auto-injector10 2.2.3 Auto-Injector Pros and Cons 11 2.3 Needle-Free Injection12 2.3.1 Improvements in Needle-Free Delivery. 12 Figure 2.2.3: Glide SDI (Solid Dose Injector).12 Figure 2.2.4: Medi-Jector Vision13 2.4 Nasal spray delivery.14 Figure 2.3.1: Pfeiffer Bidose Nasal Spray14 Figure 2.1.5: Insulin Pump15 2.5 Formulation-based technologies16 2.5.1 L iposomes and Emulsions16 2.5.2 PEGylation 17 Table 2.4.1: Marketed PEGylated products .17 2.5.3 Microparticle-based depot product18 2.6 Nano-Enhanced Parenteral Drug Delivery.20 2.6.1 Polymeric nanoparticles20 Figure 2.1.4: Abraxane structure20 2.6.2 Nanovectors 21 Table 2.5.1: Marketed nano-enabled products 21 2.7 Dendrimers .22 3 Therapeutic Releva nce 23 3.1 Oncology.23 Table 3.1.1: Leading Oncology Parenteral DDEPs24 3.2 Inflammation and Immune-related diseases.25 Table 3.1.2: Leading Inflammatory & Immune-related Parenteral DDEPs.25 3.3 Anti-infectives.25 3.4 Diabetes.26 3.4.1 N ew-generation insulin pens26 Table 3.1.3: Insulin Delivery Devices26 3.4.2 Insulin pumps27 Table 3.1.4: Insulin Pumps27 3.4.3 Advanced Insulin Pump: Paradigm (Medtronic).27 Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 9/15
  • 10. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! Figure 3.1.1 MiniMed Paradigm REAL-Time Insulin Pump and Continuous Glucose Monitoring System 28 3.4.4 N eedle-free Insulin Delivery28 3.4.5 SQ-Pen (Bespak Medical Devices)29 Figure 3.1.2 Bespak Medical Devices' SQ-Pen29 4 Pri ncipa l Delivery Specia lists . 30 4.1 Leading Companies 30 Table 4.1.1: Leading oral delivery companies and technologies 30 4.2 Company Profiles 33 4.2.1 Abraxis Biosciences.33 Overview 33 Parenteral Delivery Technology.33 Commercialised Products33 Deals, Partnerships, M&A33 4.2.2 Access Pharmaceuticals33 Overview 33 Parenteral Delivery Technologies33 Commercialised Products33 Deals, Alliances, M&A.33 4.2.3 Alkermes34 Overview . 34 Parenteral Delivery Technologies. 34 Commercialised Products. 34 Deals, Alliances, M&A 34 4.2.4 Antares Pharma.34 Overview . 34 Parenteral Delivery Technologies. 34 Commercialised Products. 34 Deals, Alliances, M&A.35 4.2.5 Becton Dickinson35 Overview 35 Parenteral Delivery Devices35 Deals, Alliances, M&A.35 4.2.6 Bespak Pharmaceuticals35 Overview 35 Parenteral Delivery Devices35 Commercialised Products35 Deals, Alliances, M&A 36 4.2.7 BioGeneriX AG.36 Overview . 36 Parenteral Delivery Technology 36 Commercialised Products. 36 Deals, Alliances, M&A 36 4.2.8 Bioject Medical Technologies 36 Overview . 36 Parenteral Delivery Devices. 36 Commercialised Products. 36 Deals, Alliances, M&A.37 4.2.9 Biophan Technologies37 Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 10/15
  • 11. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! Overview 37 Parenteral Delivery Technology.37 Commercialised Products37 Deals, Alliances, M&A.37 4.2.10 Camurus AB.37 Overview 37 Parenteral Delivery Technology.37 Figure 4.1.1: Camurus' FluidCrystal injectable depot technology.38 Commercialised Products. 38 Deals, Alliances, M&A 38 4.2.11 CyDex Pharmaceuticals38 Overview . 38 Parenteral Delivery Technology 38 Commercialised Products. 38 Deals, Alliances, M&A 38 4.2.12 Enzon Pharmaceuticals39 Overview 39 Parenteral Delivery Technology.39 Commercialised Products39 Deals, Alliances, M&A.39 4.2.13 Genzyme Corporation39 Overview 39 Parenteral Delivery Technology.39 Commercialised Products. 40 Deals, Alliances, M&A 40 4.2.14 Glide Pharmaceutical Technologies 40 Overview . 40 Parenteral Delivery Devices. 40 Commercialised Products. 40 Deals, Alliances, M&A 40 4.2.15 L ipoxen.40 Overview . 40 Parenteral Delivery Technology 40 Commercialised Products41 Deals, Alliances, M&A.41 4.2.16 Mountain View Pharmaceuticals .41 Overview 41 Parenteral Delivery Technology.41 Commercialised Products41 Deals, Alliances, M&A.41 4.2.17 N ektar Therapeutics.42 Overview 42 Parenteral Delivery Technology.42 Commercialised Products42 Deals, Alliances, M&A.42 4.2.18 Novavax .42 Overview 42 Parenteral Delivery Technology.42 Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 11/15
  • 12. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! Commercialised Products42 Deals, Alliances, M&A.42 4.2.19 O ctoPlus N.V43 Overview . 43 Parenteral Delivery Technology 43 Commercialised Products. 43 Deals, Alliances, M&A 43 4.2.20 PolyTherics 43 Overview . 43 Commercialised Products. 43 Deals, Alliances, M&A 43 4.2.21 pSivida Corporation. 44 Overview . 44 Parenteral Delivery Technology 44 Commercialised Products. 44 Deals, Alliances, M&A 44 4.2.22 QLT 44 Overview . 44 Parenteral Delivery Technology 44 Commercialised Products. 44 Deals, Alliances, M&A 44 4.2.23 Starpharma Holdings 44 Overview . 44 Parenteral Delivery Technology 45 Commercialised Products. 45 Deals, Alliances, M&A 45 4.2.24 SurModics 45 Overview . 45 Parenteral Delivery Technology 45 Commercialised Products. 45 Deals, Alliances, M&A 45 5 Analysis & Conclusi ons 46 5.1 Analysis.46 Table 5.1.1: Top 10 leading parenteral drugs, 2009.46 5.1.1 Parenteral DDEP Market 46 Table 5.1.2: Global revenues pharmaceutical & parenteral DDEPs 2009-2015.46 Table 5.1.3: Growth areas for inflammatory & immune related parenteral DDEPs.47 Table 5.1.4: Global revenues of parenteral DDEPs 2009-2015.47 5.2 Technology.48 5.2.1 Prolong Activity. 48 5.2.2 Cancer . 48 5.2.3 Poorly soluble drugs . 48 5.2.4 Targeted drug delivery 48 5.2.5 Monoclonal Antibodies. 48 5.3 Therapeutic 49 5.3.1 Frontrunners.49 5.3.2 Alliances.50 5.4 Conclusions 51 Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 12/15
  • 13. ReportLinker Find Industry reports, Company profiles and Market Statistics >> Get this Report Now by email! 6 GLO SSARY. 52 7 AUTHO R BIOGRAPHIES. 55 8 BIBLIOGRAPHY. 56 Advanced Oral & Parenteral Drug Delivery Technologies Players, Products & Prospects to 2015 (From Slideshare) Page 13/15
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