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Other companies attack AstraZeneca's lead in breast cancer treatment


AstraZeneca's dominance of the breast cancer market with tamoxifen and its current research into Arimidex (anastrozole) could be challenged by several other companies active in this area.

Pharmacia & Upjohn received marketing approval for exemestane (Aromasin) in the UK in September 1999 for the treatment of post-menopausal women with advanced breast cancer whose disease has progressed following anti-estrogen therapy with tamoxifen. Aromasin was also approved in the US in October 1999. Pharmacia & Upjohn also received FDA approval to market epirubicin, an anthracycline derivative, as an adjuvant therapy following surgery for early-stage breast cancer that has spread to the lymph nodes. Epirubicin has been marketed since 1984 in other countries as Farmorubicin. It will be marketed as Ellence in the US.

One of the most significant recent launches for breast cancer treatment has been Genentech's Herceptin (trastuzumab), which will be marketed outside the US by Genentech's majority-owner Roche. Herceptin is being studied in combination with a number of other drugs, including Rhone-Poulenc Rorer's Taxotere (docetaxel). Similarly, The Liposome Company is studying a combination of Herceptin and its liposomal doxorubicin product, Evacet.

Bristol-Myers Squibb's Taxol (paclitaxel) received US approval as an adjuvant treatment for node-positive breast cancer in October 1999, administered sequentially to standard combination therapy containing doxorubicin. In June 1999, Bristol-Myers Squibb sought FDA approval to market a combination of Taxol and Herceptin as first-line therapy for metastatic breast cancer over-expressing the HER-2 receptor.

14 Dec 1999, Copyright IMS HEALTH

See Also: New breast cancer therapies on the horizon
Pharmaceutical firms target breast cancer
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