Therapeutic Cancer Vaccines - A turbulent path from bench to bedside
Scope
Report Highlights
Reasons to Purchase
Table of Contents
- CHAPTER 1 EXECUTIVE SUMMARY - page 3
- Scope of analysis - page 3
- Datamonitor insight into the cancer vaccines market - page 3
- Key metrics - page 10
- Datamonitor pipeline assessment summary - page 14
- CHAPTER 2 PIPELINE DYNAMICS - page 24
- Pipeline overview - page 24
- Therapeutic cancer vaccines in late-phase development - page 24
- Therapeutic cancer vaccines in Phase II development - page 26
- Therapeutic cancer vaccines in Phase I development - page 31
- Pipeline by developmental phase and class - page 34
- There are over 100 different therapeutic cancer vaccines in the clinical developmental pipeline - page 34
- Antigen-specific vaccines account for over two-thirds of the current cancer vaccine pipeline - page 35
- Segmentation of vaccines by developmental phase reflects high attrition rate in oncology drug development - page 38
- There are over 100 different therapeutic cancer vaccines in the clinical developmental pipeline - page 34
- Pipeline by technology platform - page 42
- Lack of precedent is reflected by diversity of technology platforms - page 42
- Pipeline by vaccine specificity - page 44
- As expeceted, generalized vaccines dominate over personalized therapies - page 44
- Generalized cancer vaccines represent nearly three quarters of the pipeline - page 46
- As expeceted, generalized vaccines dominate over personalized therapies - page 44
- Pipeline by indication - page 47
- Cancer vaccines are being investigated in 18 different tumor types - page 47
- Melanoma is the leading indication for vaccine development while RCC, another immunologically driven malignancy, is gaining ground - page 48
- As expected, the 'big four' tumor types feature heavily in the current cancer vaccine pipeline - page 49
- Vaccines directed against solid tumors outnumber those targeting the hematological malignancies - page 50
- The 14 Phase III and preregistered vaccines target eight different tumor types - page 51
- Cancer vaccines are being investigated in 18 different tumor types - page 47
- Pipeline by company - page 51
- Developmental pipeline dominated by small pharma/biotech players - page 51
- Only 14 companies/institutes have more than one candidate in the cancer vaccine developmental pipeline - page 52
- Memorial Sloan-Kettering Cancer Center - page 53
- Therion Biologics - page 54
- A leading developer has yet to emerge - page 56
- Pipeline overview - page 24
- CHAPTER 3 DISEASE OVERVIEW - page 58
- A diverse range of disease subtypes - page 58
- Genetic basis of cancer evolution - page 58
- Tumorigenesis is the result of co-operative accumulated mutations - page 60
- Existing pharmacotherapy approaches provide limited treatment benefit - page 60
- Cytotoxic drugs lack specificity - page 61
- Hormonal or endocrine therapy provides incremental benefit in selected tumors - page 61
- Optimizing current treatment strategies is paramount - page 61
- The emergence of targeted treatment heralds a revolution in cancer pharmacotherapy - page 61
- Dynamic cancer market offers significant commercial opportunity - page 62
- Ongoing sales growth drives the market - page 62
- Intensive R&D produces a rich developmental pipeline - page 63
- Growing patient population and significant unmet needs propel innovation in the cancer market - page 64
- Cancer epidemiology - an expanding patient base - page 64
- Significant areas of unmet need persist - page 69
- Clinical and strategic threats to the commercialization of cancer drugs - page 73
- Progressively rising R&D costs threaten industry productivity - page 73
- High attrition rates can be mitigated by improved strategic decision-making - page 74
- Lengthening drug approval process - a consequence of increased regulatory demands - page 74
- Pharmacoeconomic pressures drive payers to implement restrictive pricing and reimbursement policies - page 74
- Therapeutic and generic competition reduces periods of market exclusivity - page 75
- Segmentation of market will require changes in clinical trial methodology - page 76
- Progressively rising R&D costs threaten industry productivity - page 73
- CHAPTER 4 MARKET DEFINITION AND PIPELINE CLASSIFICATION - page 77
- Active, specific immunotherapy - page 77
- Overcoming immune tolerance is key to success - page 78
- Types of targets for vaccine therapy - page 80
- Classification of pipeline products - page 80
- Antigen-specific vaccines - page 81
- Tumor-associated antigen - carbohydrate - page 81
- Peptide-based vaccine - page 81
- Recombinant virus vaccine - page 83
- Anti-idiotype vaccine - page 83
- DNA vaccine - page 84
- Polyvalent vaccines - page 84
- Whole-cell vaccines - page 84
- Tumor lysate vaccines - page 85
- Shed antigens - page 85
- Heat-shock proteins - page 86
- Dendritic cell vaccines - page 86
- Prophylactic vaccines - page 87
- Antigen-specific vaccines - page 81
- Relative merits of therapeutic cancer vaccines - page 87
- CHAPTER 5 NEW MARKET, NEW ISSUES - page 89
- Integrating therapeutic cancer vaccines into current treatment paradigms - page 89
- Cancer vaccines are likely to broaden existing treatment options not replace them - page 89
- Immunosuppressive therapy can compromise the efficacy of a cancer vaccine - page 91
- Cancer vaccines are likely to be most effective in the setting of minimal residual disease - page 91
- Multiple vaccinations can induce development of strong neutralizing antibodies - page 93
- Adjuvants can improve the immunogenicity of a cancer vaccine - page 93
- Clinical trial design and surrogate endpoints for cancer vaccines - page 94
- Clinical trial endpoints must adapt in line with changing needs - page 94
- Multiple clinical trial endpoints are required to fully establish a vaccine's therapeutic potential - page 94
- Standard response criteria may have become somewhat redundant - page 95
- Lack of adequate controls in the design of randomized clinical trials - page 96
- Should immune monitoring be integral to assessing the efficacy of vaccine strategies? - page 97
- Both cellular and humoral responses appear to be attractive methods for monitoring immune responses - page 97
- To date, little correlation exists between immune response and clinical outcome - page 97
- Clinical trial endpoints must adapt in line with changing needs - page 94
- Strategic challenges facing the commercialization of cancer vaccines - page 99
- Regulatory issues cloud the road to commercialization - page 99
- FDA request for further clinical data led to cessation of Corixa US development of Melacine - page 99
- Formulation and manufacturing of cancer vaccines can become a major cause for concern - page 100
- M-Vax's route to market hindered due to manufacturing and formulation considerations - page 100
- Skepticism over cost-effectiveness hampers commercialization - page 102
- Restrictive pricing and reimbursement policies may obstruct the potential uptake of an approved cancer vaccine - page 102
- Wide range of indications under development makes it difficult to compare efficacies of each class of cancer vaccine - page 103
- Datamonitor research has shown pipeline cancer vaccines to be in development for 18 different tumor types - page 103
- Regulatory issues cloud the road to commercialization - page 99
- Significant hurdles challenge the path to commercialization - page 104
- Integrating therapeutic cancer vaccines into current treatment paradigms - page 89
- CHAPTER 6 ANTIGEN-SPECIFIC CANCER VACCINES ANALYSIS & FORECASTS - page 105
- Pipeline overview - page 105
- Late-phase pipeline of antigen-specific cancer vaccines - page 105
- Phase II pipeline of antigen-specific cancer vaccines - page 106
- Phase I pipeline of antigen-specific cancer vaccines - page 109
- MGI Pharma Biologics' Amolimogene (Biotope-CD; ZYC101a) - page 112
- Drug profile - page 112
- Clinical trial data - page 112
- Amolimogene edges closer to the market with a Phase III trial for cervical dysplasia - page 113
- Amolimogene may be effective for anal dysplasia - page 113
- Datamonitor comments - page 114
- Amolimogene may become the first DNA-based vaccine to reach the market - page 114
- MGI Pharma will provide Amolimogene with valuable oncology experience - page 115
- Pharmexa's GV1001 - page 115
- Drug profile - page 115
- Clinical trial data - page 116
- Phase III trials for GV1001 in metastatic pancreatic cancer have been initiated and will recruit around 1,500 patients - page 117
- Previous studies results warrent further development of GV1001 in a number of indications - page 119
- GV1001 Phase II study in hepatocellular carcinoma has been initiated - page 120
- Promising Phase I/II in NSCLC should encourage further development within the 'Big Four' tumor types - page 120
- GV1001 with Temodar is a feasible combination for melanoma - page 121
- Datamonitor comments - page 122
- GV1001 set to become the first telomerase-targeted vaccine to reach the market - page 122
- GV1001 may struggle to achieve optimal market penetration without a more experienced oncology player - page 123
- Bristol-Myers Squibb's MDX-1379 - page 124
- Drug profile - page 124
- Clinical trial data - page 124
- MDX-1379 and ipilimumab Fast Tracked for malignant melanoma - page 124
- If encouraging, results from an ongoing Phase III clinical trial will support a BLA - page 125
- Phase II results demonstrate complete of partial responses for the MDX-1379 and ipilimumab combination in melanoma - page 125
- Datamonitor comments - page 126
- Optimizing the risk-benefit ratio is paramount in progressing commercial development of MDX-1379 - page 126
- Partnership with Bristol-Myers Squibb will put Medarex at a significant advantage - page 127
- Oxford BioMedica's TroVax (MVA-h5T4) - page 127
- Drug profile - page 127
- Clinical trial data - page 128
- Oxford BioMedica initiates Phase III (TRIST) trial for TroVax in combination with standard treatment for RCC - page 129
- Humoral immune responses induced in the majority of CRC patients following vaccination with TroVax - page 130
- With trials now beginning in breast and prostate cancer, TroVax may potentially gain approval within three of the 'Big Four' tumor types - page 132
- Datamonitor comments - page 132
- TroVax on course to achieve first-to-market advantage - page 132
- Approval for RCC likely to be a quicker route to market while horizontal expansion into three of the 'Big Four' tumor types will give TroVax a much wider patient base - page 133
- TroVax must be competitively priced to ensure extensive uptake - page 134
- Oxford BioMedica actively seeking a partner for commercializing TroVax - page 134
- Progenics' GMK (GM2-KLH) - page 135
- Drug profile - page 135
- Clinical trial data - page 136
- No further developments to the Phase III melanoma trial that was initiated in 2001 - page 136
- GMK proven inferior to standard treatment for stage III melanoma with high risk recurrence - page 137
- Further development was based on earlier findings that GMK induces an antibody response in melanoma - page 137
- Datamonitor comments - page 137
- Lack of commercialization experience and marketing partner will affect GMK's potential - page 137
- Negative Phase III data may have irrevocably damaged GMK's potential - page 137
- A superior strategy may be to shift investment to more lucrative opportunities - page 138
- Receptor BioLogix's Insegia (G17DT) - page 138
- Drug profile - page 138
- Clinical trial data - page 139
- Combination of Insegia and Gemzar fails to meet primary endpoints in Phase III clinical trial for pancreatic cancer - page 139
- Insegia monotherapy shows benefit in pancreatic cancer patients unable to receive chemotherapy - page 139
- If Phase II benefits in gastric cancer are replicated in a Phase III study, Insegia's commercial potential will be promising - page 140
- Datamonitor comments - page 141
- Receptor BioLogix yet to initiate any further trials for Insegia - page 141
- Accentia Biopharmaceuticals' BIOVAXID - page 141
- Drug profile - page 141
- Clinical trial data - page 142
- BIOVAXID inches closer to approval in the US and European markets for follicular NHL - page 142
- Phase III trial initiated in February 2000 is ongoing and continues to show favorable survival benefits of BIOVAXID - page 143
- Possible association between a specific negative chromasomal translocation following vaccination and disease free survival in follicular NHL - page 143
- Phase II results of BIOVAXID in mantle cell lymphoma are promising - page 144
- Datamonitor comments - page 144
- BIOVAXID competing with FavId and MyVax to first-to-market status - page 144
- BIOVAXID's price-tag should reflect the anticipated competition and current treatment costs - page 145
- Favrille's FavId (Id-KLH) - page 146
- Drug profile - page 146
- Clinical trial data - page 146
- FavId receives Fast Track status by the FDA for follicular NHL - page 147
- Single-agent FavId demonstrates an objective response in indolent B-cell NHL - page 149
- Favrille initiate FavId Phase III trial in DLBCL NHL - page 151
- Datamonitor comments - page 152
- FavId competing with BIOVAXID and MyVax to reach the market first - page 152
- Favrille's lack of commercial experience will be a barrier to optimizing market penetration - page 152
- Genitope's MyVax (GTOP-99) - page 153
- Drug profile - page 153
- Clinical trial data - page 154
- MyVax received Fast Track status for follicular NHL while Phase III clinical trial approaches completion - page 154
- Phase II clinical trials show greater number of immune responses among previously untreated patients - page 155
- Genitope initiate Phase I/II trial for MyVax in chronic lymphocytic leukemia - page 155
- Follow up Phase II data of MyVax in mantle cell and diffuse large B-cell lymphoma warrants further investigation - page 155
- Datamonitor comments - page 157
- Despite competition from BIOVAXID and FavId, MyVax increases its commercial potential by targeting an earlier stage treatment - page 157
- With trials ongoing in CLL, MyVax may ultimately emerge as the most adaptable anti-idiotype vaccine - page 157
- Comparison of anti-idiotype vaccines - page 157
- Forecasts - page 160
- Datamonitor drug assessment summary - page 164
- Pipeline overview - page 105
- CHAPTER 7 POLYVALENT CANCER VACCINES ANALYSIS & FORECASTS - page 168
- Pipeline overview - page 168
- Late-phase pipeline of polyvalent cancer vaccines - page 168
- Phase II pipeline of polyvalent cancer vaccines - page 169
- Phase I pipeline of polyvalent cancer vaccines - page 170
- AVAX Technologies' M-Vax - page 171
- Drug profile - page 171
- Clinical trial data - page 171
- Financial constraints trouble M-Vax's initial approval - page 172
- M-Vax suffers a notable setback after AVAX is forced to address formulation issues - page 172
- M-Vax re-enters Phase III development - page 172
- Datamonitor comments - page 173
- Multiple hurdles challenge M-Vax's future success - page 173
- Cell Genesys' GVAX - page 174
- Drug profile - page 174
- Clinical trial data - page 174
- Ongoing Phase III clinical trials need to confirm benefits of GVAX's increased potency - page 176
- High-dose GVAX demonstrates 13-month survival improvement over standard chemotherapy - page 176
- Re-engineered second-generation GVAX confers increased potency in second round of Phase II clinical trials - page 177
- Two-year survival data for GVAX in pancreatic cancer will encourage development for this indication - page 178
- Phase II trial suggests GVAX is active in AML - page 178
- Cell Genesys discontinues GVAX development for NSCLC and myeloma - page 179
- Datamonitor comments - page 179
- GVAX's approval for prostate cancer will be greatly anticipated - page 179
- Cell Genesys will require an expansion of its marketing and distribution resources to optimize GVAX's commercialization - page 180
- Intracel's OncoVAX - page 181
- Drug profile - page 181
- Clinical trial data - page 181
- FDA grants Intracel SPA for pivotal Phase III study for OncoVAX - page 182
- Earlier studies demonstrate OncoVAX significantly improves survival in stage II colon cancer - page 182
- Datamonitor comments - page 183
- Stage II colon cancer is a good place to start for OncoVAX but line extensions will be key to continued success - page 183
- OncoVAX is the only vaccine in Phase III for CRC but a number of other candidates exist in the pipeline - page 183
- Antigenics' Oncophage (Vitespen; HSPPC-96) - page 184
- Drug profile - page 184
- Clinical trial data - page 184
- Oncophage in development for a range of tumor types - page 184
- Improved second-generation formulation facilitates use in early-stage disease - page 185
- Promising Phase III results encourages further investigation in melanoma - page 185
- Phase III study in RCC is halted after no increase in overall survival is achieved - page 187
- Approval in other tumor types will increase Oncophage's commercial potential - page 188
- Datamonitor comments - page 189
- Personalized nature could work in Oncophage's favor - page 189
- Lack of cost effectiveness, clinical benefit and marketing experience will pose significant strategic challenges for Antigenics - page 189
- Forecasts - page 190
- Datamonitor drug assessment summary - page 192
- Pipeline overview - page 168
- CHAPTER 8 DENDRITIC CELL CANCER VACCINES ANALYSIS & FORECASTS - page 194
- Pipeline overview - page 194
- Dendreon's Provenge (Sipuleucel-T; APC-8015) - page 195
- Drug profile - page 195
- Clinical trial data - page 195
- First Phase III trial failed to meet primary endpoints, although increase in overall survival was demonstrated - page 196
- Second Phase III clinical trial targets patient cohort most likely to derive clinical benefit - page 197
- Phase II results suggest synergy between Provenge and Genentech/Roche's Avastin - page 199
- Datamonitor comments - page 200
- Provenge may ultimately need to be compared with Taxotere if it is to expand its use in the HRPC market - page 200
- Provenge may need to tackle the impact of its probable high cost, complex manufacture and potential competition in the HRPC market - page 201
- Provenge's commercial potential could be enhanced with the backing of an established oncology player - page 202
- Forecasts - page 202
- Datamonitor drug assessment summary - page 205
- APPENDIX A - page 208
- List of tables - page 208
- List of figures - page 212
- Methodology - page 215
- Datamonitor forecast methodology - page 215
- Datamonitor drug assessment summary - page 216
- Abbreviations - page 219
- Contributing experts - page 221
- Key opinion leader interview transcripts - page 221
- Bibliography - page 222
- APPENDIX B - page 232
- About Datamonitor - page 232
- About Datamonitor Healthcare - page 232
- About the Oncology analysis team - page 233
- Disclaimer - page 234
- About Datamonitor - page 232
- List of Tables
- Table 1: Late-phase pipeline therapeutic cancer vaccines sales forecasts for the seven major markets ($m), 2006-2015 - page 10
- Table 2: Datamonitor drug assessment summary for late-phase pipeline cancer vaccine therapies, 2006 - page 14
- Table 3: Therapeutic cancer vaccines in late-phase development, 2006 - page 24
- Table 4: Therapeutic cancer vaccines in Phase II development, 2006 - page 26
- Table 5: Therapeutic cancer vaccines in Phase I development, 2006 - page 31
- Table 6: Pipeline therapeutic cancer vaccines by developmental phase & class, 2006 - page 34
- Table 7: Proportion of personalized versus generalized cancer vaccines by phase, 2006 - page 44
- Table 8: Pipeline therapeutic cancer vaccines by indication, 2006 - page 47
- Table 9: Companies/Institutes with two or more vaccines in the pipeline, 2006 - page 52
- Table 10: Memorial Sloan-Kettering Cancer Center's cancer vaccine therapies portfolio, 2006 - page 53
- Table 11: Therion Biologics' cancer vaccine therapies portfolio, 2006 - page 54
- Table 12: Common mutations involved in tumor development - page 59
- Table 13: Forecast incidence of cancer across the seven major markets, 2005-2013 - page 65
- Table 14: Three main categories of cancer vaccines exist - page 81
- Table 15: Advantages of peptide-based vaccines, 2006 - page 82
- Table 16: Advantages and disadvantages of cancer vaccines - page 87
- Table 17: Relative efficacy merits of cancer vaccines - page 88
- Table 18: Relative formulation merits of cancer vaccines - page 88
- Table 19: Types of immune adjuvants - page 94
- Table 20: Late-phase pipeline antigen-specific cancer vaccines, 2006 - page 105
- Table 21: Phase II pipeline antigen-specific cancer vaccines, 2006 - page 106
- Table 22: Phase I pipeline antigen-specific cancer vaccines, 2006 - page 109
- Table 23: Ongoing clinical trial involving Amolimogene, 2006 - page 112
- Table 24: Ongoing clinical trial involving GV1001, 2006 - page 116
- Table 25: Ongoing clinical trial involving MDX-1379, 2006 - page 124
- Table 26: Phase II initial data for MDX-1379 in melanoma - page 125
- Table 27: Ongoing clinical trials involving TroVax, 2006 - page 128
- Table 28: Interim Phase II results of TroVax in CRC - page 131
- Table 29: Ongoing clinical trials involving BIOVAXID, 2006 - page 142
- Table 30: Ongoing clinical trials involving FavId, 2006 - page 147
- Table 31: Interim results of FavId monotherapy Phase III trial in fNHL: Response to Rituxan, December 2006 - page 148
- Table 32: Ongoing clinical trial involving MyVax, 2006 - page 154
- Table 33: Phase II interim results of MyVax in MCL and DLBCL NHL patients, 1 of 2 - page 156
- Table 34: Phase II interim results of MyVax in MCL and DLBCL NHL patients, 2 of 2 - page 156
- Table 35: Comparisons of the late-phase anti-idiotype vaccines - page 158
- Table 36: Forecasting assumptions for late-phase antigen-specific cancer vaccines, 2006 (1 of 3) - page 160
- Table 37: Forecasting assumptions for late-phase antigen-specific cancer vaccines, 2006 (2 of 3) - page 161
- Table 38: Forecasting assumptions for late-phase antigen-specific cancer vaccines, 2006 (3 of 3) - page 162
- Table 39: Antigen-specific cancer vaccines sales forecasts, 2006-2015 ($m) - page 162
- Table 40: Research/clinical and commercial attractiveness of the pipeline antigen-specific cancer vaccines, 2006 (1 of 2) - page 165
- Table 41: Research/clinical and commercial attractiveness of the pipeline antigen-specific cancer vaccines, 2006 (2 of 2) - page 165
- Table 42: Late-phase pipeline polyvalent cancer vaccines, 2006 - page 168
- Table 43: Phase II pipeline antigen-specific cancer vaccines, 2006 - page 169
- Table 44: Phase I pipeline antigen-specific cancer vaccines, 2006 - page 170
- Table 45: Ongoing clinical trials involving M-Vax, 2006 - page 171
- Table 46: Ongoing clinical trials involving GVAX, 2006 - page 175
- Table 47: Ongoing clinical trial involving OncoVAX, 2006 - page 181
- Table 48: Ongoing clinical trial involving Oncophage, 2006 - page 184
- Table 49: Final Phase III results for Oncophage in stage IV melanoma - page 186
- Table 50: Staging system for stage IV melanoma - page 186
- Table 51: Forecasting assumptions for late-phase polyvalent cancer vaccines, 2006 - page 190
- Table 52: Polyvalent cancer vaccines sales forecasts ($m), 2006-2015 - page 191
- Table 53: Research/clinical and commercial attractiveness of the pipeline polyvalent cancer vaccines, 2006 - page 192
- Table 54: Pipeline dendritic cell cancer vaccines in clinical trials, 2006 - page 194
- Table 55: Ongoing clinical trials involving Provenge, 2006 - page 196
- Table 56: Three-year final survival analysis for Phase III D9901 Provenge study - page 197
- Table 57: Three-year final survival analysis for Phase III D9902A Provenge study - page 198
- Table 58: Integrated data from D9901/D9902A trials for patients treated with Provenge followed by Taxotere, 1 of 2 - page 199
- Table 59: Integrated data from D9901/D9902A trials for patients treated with Provenge followed by Taxotere, 2 of 2 - page 199
- Table 60: Forecasting assumptions for Provenge, 2006 - page 203
- Table 61: Provenge sales forecasts, 2006-2015 ($m) - page 203
- Table 62: Research/clinical and commercial attractiveness of Provenge, 2006 - page 205
- Table 63: Datamonitor drug assessment parameters - page 216
- Table 64: Abbreviations used in Pipeline Insight: Therapeutic Cancer Vaccines (1 of 2) - page 219
- Table 65: Abbreviations used in Pipeline Insight: Therapeutic Cancer Vaccines (2 of 2) - page 220
- List of Figures
- Figure 1: Antigen-specific cancer vaccines sales forecasts ($m), 2006-2015 - page 11
- Figure 2: Polyvalent cancer vaccines sales forecasts, 2006-2015 ($m) - page 12
- Figure 3: Provenge sales forecasts, 2006-2015 ($m) - page 13
- Figure 4: Datamonitor drug assessment summary for late-phase pipeline cancer vaccine therapies, 2006 - page 15
- Figure 5: Pipeline therapeutic cancer vaccines by developmental phase & class, 2006 - page 35
- Figure 6: Pipeline therapeutic cancer vaccines by class, 2006 - page 36
- Figure 7: Pipeline therapeutic cancer vaccines by phase, 2006 - page 38
- Figure 8: Antigen-specific cancer vaccines by developmental phase, 2006 - page 39
- Figure 9: Polyvalent cancer vaccines by developmental phase, 2006 - page 40
- Figure 10: Dendritic cell cancer vaccines by developmental phase, 2006 - page 40
- Figure 11: Pipeline therapeutic cancer vaccines by technology platform, 2006 - page 42
- Figure 12: Proportion of personalized versus generalized cancer vaccines, 2006 - page 45
- Figure 13: Proportion of personalized versus generalized cancer vaccines by phase, 2006 - page 45
- Figure 14: Pipeline therapeutic cancer vaccines by indication, 2006 - page 48
- Figure 15: Proportion of solid tumors versus hematological malignancies, 2006 - page 50
- Figure 16: Late-phase pipeline therapeutic cancer vaccines by indication, 2006 - page 51
- Figure 17: Pipeline therapeutic cancer vaccines by company, 2006 - page 52
- Figure 18: Global oncology sales ($m), 2002-09 - page 63
- Figure 19: Oncology pipeline including supportive care, 2006 - page 64
- Figure 20: Forecast incidence of cancer across the seven major markets, 2005-2013 - page 66
- Figure 21: Combined incidence for breast, lung, prostate and colorectal cancer rises with age in seven major markets, 2003 - page 67
- Figure 22: Incidence increases, while the rate of cure and death reduces disease prevalence - page 68
- Figure 23: Point prevalence for colorectal and lung cancer differs markedly despite similar rates of incidence - page 69
- Figure 24: Unmet needs in cancer, 2006 - page 73
- Figure 25: To achieve success, cancer vaccines need to overcome immune tolerance - page 79
- Figure 26: Disadvantages associated with cancer vaccines are currently more significant than advantages - page 104
- Figure 27: TeloVac Phase III trial outline, 2006 - page 118
- Figure 28: GMK's mode of action - page 136
- Figure 29: Trial design of Phase II study of FavId in progressive NHL - page 151
- Figure 30: Gernitope's personalized immunotherapy (MyVax) production system - page 153
- Figure 31: Antigen-specific cancer vaccines sales forecasts ($m), 2006-2015 - page 163
- Figure 32: Research/clinical and commercial attractiveness of pipeline antigen-specific cancer vaccines, 2006 - page 166
- Figure 33: Polyvalent cancer vaccines sales forecasts, 2006-2015 ($m) - page 191
- Figure 34: Research/clinical and commercial attractiveness of the pipeline polyvalent cancer vaccines, 2006 - page 193
- Figure 35: Provenge sales forecasts, 2006-2015 ($m) - page 204
- Figure 36: Research/clinical and commercial attractiveness of Provenge, 2006 - page 206
- Figure 37: Example of Datamonitor drug assessment scorecard - page 217
- Figure 38: Example of Datamonitor drug assessment graph - page 218
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