Juvenile Arthritis - A Niche In The Market
Scope
Report Highlights
Reasons to Purchase
Table of Contents
- ABOUT DATAMONITOR HEALTHCARE - page 2
- About the CNS, Arthritis and Pain pharmaceutical analysis team - page 2
- CHAPTER 1 EXECUTIVE SUMMARY - page 4
- Introduction - page 4
- Scope and coverage of the Brief - page 4
- Key findings about the topic - page 5
- CHAPTER 2 DISEASE CLASSIFICATION AND EPIDEMIOLOGY - page 9
- Classification of juvenile arthritis - page 9
- New and old classifications - page 9
- International League Against Rheumatism - Juvenile Idiopathic arthritis (JIA) - page 9
- American College of Rheumatology - Juvenile Rheumatoid Arthritis (JRA) - page 10
- European League Against Rheumatism - Juvenile Chronic Arthritis (JCA) - page 10
- Systemic features - page 11
- Other types of Juvenile Arthritis - page 11
- Diagnosis pitfalls - page 12
- Cytokine involvement - page 13
- New and old classifications - page 9
- Epidemiology - page 14
- US - page 15
- Europe - page 16
- Japan - page 16
- Classification of juvenile arthritis - page 9
- CHAPTER 3 CURRENT TREATMENTS FOR JIA - page 18
- The changing treatment algorithm - page 18
- American Pain Association Guidelines - page 20
- Who treats JIA? - page 20
- Clinical trial outcome measures - page 21
- ACR Pediatric Scale - page 21
- Childhood Health Assessment Questionnaire - page 22
- Radiographic analysis - page 22
- ACR Pediatric Scale - page 21
- Therapies - page 23
- NSAIDs - page 23
- Corticosteroids - page 23
- Other DMARDs - page 24
- Biologics - page 26
- Other pain treatments - page 29
- Autologous stem cell transplantation (ASCT) - page 29
- The changing treatment algorithm - page 18
- CHAPTER 4 PIPELINE INNOVATIONS AND CLINICAL TRIALS - page 31
- Commercial attractiveness of the market - page 31
- Orphan drug status - page 32
- Unmet needs - page 33
- Pipeline trial results - page 34
- Anakinra - page 34
- Datamonitor comment - page 36
- Actemra (tocilizumab) - IL-6 inhibitor - page 36
- Datamonitor comments - page 37
- TNF inhibitors - page 37
- Remicade (infliximab) - page 37
- Humira (adalimumab) - page 39
- Enbrel (etanercept) plus methotrexate - page 41
- Anakinra - page 34
- Commercial attractiveness of the market - page 31
- APPENDIX - page 42
- Bibliography - page 42
- Research methodology - page 45
- Disclaimer - page 46
- Bibliography - page 42
- - page 46
- List of Tables
- Table 1: Summary of results of patient outcome assessment before and after the introduction of biologics - page 27
- Table 2: Estimated sales for juvenile arthritis by country, $000s, 2004 - page 32
- Table 3: Anakinra and anti-TNF combination therapy in refractory systemic JIA - page 35
- Table 4: Other preliminary outcomes of adalimumab in JIA - page 40
- Table 5: Etanercept as a monotherapy and in combination with methotrexate in JIA - page 41
- List of Figures
- Figure 1: The conventional and inverted pyramid approaches to JIA treatment - page 18
- Figure 2: Use of methotrexate for the RA indication by age range, RX-days, m, 2002-2004 - page 25
- Figure 3: German registry data for etanercept in JIA - page 28
- Figure 4: ACR responses for adalimumab in JIA at week 16 - page 40
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