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Insight Pharmaceuticals launches e.p.t Preconception Health Test

BY Michael Johnsen

TREVOSE, Pa. — Insight Pharmaceuticals on Wednesday announced the introduction of the e.p.t Preconception Health Test, a new product that measures vaginal acidity and indicates the presence of infections so women can visit their doctor and seek treatment before trying to conceive. 

"I see many patients who really want to be proactive in planning their pregnancy and try to do everything they can to ensure their baby is born healthy," said Allison Hill, OB/GYN and author of The Mommy Docs’ Ultimate Guide to Pregnancy and Birth. "One of the simplest yet most important things women can do is to check for underlying vaginal infections that may not show symptoms, and now they can do this in the comfort of their own home with the e.p.t Preconception Health Test," she said. "It’s a great way for women to determine whether or not they need to seek treatment before they begin actively trying to conceive."

The test consists of a swab with an easy-to-hold grip and a color-changing tip. Women simply need to insert the swab into the vagina, rotate several times and remove, with results in just 10 seconds. If any part of the tip is stained blue or green, vaginal acidity is abnormal, which can be a sign of an infection, indicating that women should see their healthcare provider. If the color tip remains unchanged, vaginal acidity is normal.

"e.p.t was the first to bring the pregnancy test into the home back in 1977, and now we’re once again giving women the power to take control of their personal health with the e.p.t Preconception Health Test," stated Jennifer Moyer, VP marketing for Insight Pharmaceuticals, parent company of e.p.t. "We believe that women should have the authority to help ensure they have healthy pregnancies, and that’s why we’re so proud to introduce the Preconception Health Test, as well as the other innovations we’re launching this year under the e.p.t Family Planning Solutions brand. Our vision for e.p.t is to be a true partner in pregnancy, and now we’re offering solutions for every stage of the journey."

The test is the first of three new products that will launch this year under the e.p.t Family Planning Solutions brand, Insight Pharmaceuticals reported. 

In honor of the launch, e.p.t has partnered with the March of Dimes on their imbornto campaign as a Cause Marketing Sponsor. imbornto celebrates the notion that every baby is born to do something great, while raising money for the organization’s vital research and programs that improve the lives of babies and families everywhere. Now through June 17, e.p.t will donate $1 to the March of Dimes for each Mother’s Day and Father’s Day e-card that is sent from eptfamily.com.

The e.p.t Preconception Health Test is available nationwide at CVS/pharmacy and at Drugstore.com, and retails for $17.99 per 2-count box.

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IMS: Pace of spending on oncology medicines has moderated over past five years

BY Michael Johnsen

PARSIPPANY, N.J. — The pace of annual global spending on oncology medicines — which is approaching the $100 billion threshold — has moderated over the past five years, even as a surge in innovative and targeted therapies has brought new therapeutic options to the growing number of patients being treated for cancer and as survival rates for most tumor types continue to increase, according to a new report released Tuesday by the IMS Institute for Healthcare Informatics. 

Growth in global spending on cancer drugs, including those used for supportive care, increased at a compound annual growth rate of 5.4% during the past five years, reaching $91 billion in 2013, compared with 14.2% from 2003 to 2008. The recent lower growth rate reflects fewer breakthrough therapies for very large patient populations, as well as patent expiries, reductions in the use of supportive care medicines and stronger payer management. While oncology spending remains concentrated among the U.S. and five largest European countries — which together account for 65% of the total market — the rising prevalence of cancer and greater patient access to treatments in emerging nations has propelled oncology to the fifth-largest therapy area in those markets.

Targeted therapies have dramatically increased their share of global oncology sales, from 11% a decade ago to 46% last year. Payers have intensified their scrutiny of the value of these medicines relative to their incremental benefits over existing treatments. At the same time, the average cost per month for a branded oncology drug in the United States is now approximately $10,000, up from an average of $5,000 a decade ago. Concentrated or single-payer health systems, and those utilizing health technology assessments to evaluate the value of treatments, tend to pay less than U.S. prices for medicines. The pricing discount mechanisms used in major European markets typically drive net prices down by approximately 20% to 40% compared with U.S. list prices.

The report also assesses the potential for biosimilars to reshape the oncology market, and analyzes the changes playing out in the delivery of oncology medicines in the United States.

“As the cancer patient population mix shifts from mature and developed markets to low- and middle-income countries, oncology is bringing higher levels of uncertainty to health systems across the globe — both in terms of the nature and rate of innovative treatments, and levels of reimbursement for patient care,” said Murray Aitken, IMS Health SVP and executive director of the IMS Institute for Healthcare Informatics. “While an estimated 30% of cancers are preventable and early diagnosis and treatment can reduce or delay mortality significantly, the reality is that countries struggle to bring together the right combination of preventive measures and clinical interventions, including vaccines, diagnostics and therapeutics.”     

Global market growth for oncology spending has moderated. The global market for oncology drugs, including those used in supportive care, reached $91 billion in 2013, as measured at ex-manufacturer prices and not reflecting off-invoice discounts and rebates. This compares with $71 billion in 2008 and $37 billion a decade ago. Global growth has been less than 10% each year since 2008, and the U.S. market for oncology drugs has grown at a 3.5% compound annual growth rate over the past five years, reaching $37 billion last year. Biologic products now represent less than half of the oncology market, a slight decline over the past ten years as new drug launches have been concentrated in small molecules, including kinase inhibitors. 

Innovation in cancer therapies is becoming more targeted. New drug development has yielded significant innovation across cancer types and therapeutic approaches, including preventive vaccines. Pharmaceutical company investments remain high, and cancer therapies account for more than 30% of all preclinical and phase I clinical development products, with 22 new molecular entities being launched and reaching patients in the past two years alone. These new medicines have increased the complexity of treating cancer, leading to more combination therapies and additional lines of therapy. Clusters of innovation based on similar underlying science and multiple development pathways have transformed patient care in areas such as advanced melanoma, as well as sub-populations of cancers with higher prevalence. Although sales for certain recently launched oncology drugs have rivaled those of earlier blockbusters, many new drugs are targeted to small patient populations and face strong competition, resulting in comparatively modest sales levels. While much of the pipeline is focused on lung and breast cancer, tumor types with lower prevalence — such as ovarian, leukemia, stomach and liver cancers — also are being actively pursued. 

Pricing and the value of treatments face more payer scrutiny. The high number of new targeted therapies launched and available for cancer patients also has escalated payer scrutiny of their value relative to incremental benefits over existing treatments. Judging the additional value of these treatments for individual patients is fraught with challenges due to the high level of variability in patient response, the frequent changes in protocol and underlying issues of equity and patient care, IMS noted. Newly launched treatments typically bring between two and six months of incremental overall survival, although this can vary by patient. The American Society of Clinical Oncology recently issued recommended targets for meaningful clinical trial outcomes, a step to guide those investing in innovation as well as those paying for patient care. In the European Union, there is a trend toward lower list prices at the time of launch compared to U.S. list pricing, and European markets have other discount mechanisms that may be employed across national, regional and local levels.

Impact of biosimilars and non-original biologics is growing. The introduction of regulatory pathways for biosimilars and increased production capacity around the world are driving a new competitive dynamic in the more than $40 billion biologics portion of the oncology market. However, the potential role of biosimilars in developed countries will be limited by the expected flow of patent-protected innovative products that will displace older, off-patent products subject to biosimilar competition. These agents already play a role in the supportive care segment of the oncology market in Europe, and are expected to do the same in the United States in the near term, IMS noted. In low- and middle-income countries, non-original biologics — those based on an original molecule not introduced by its manufacturer in a particular market — are expected to play a significant role in oncology and already capture 60% or more of certain recombinant and synthesized biologics. On a global basis, biosimilars are expected to generate $6-12 billion in oncology sales by 2020, increasing the level of competition but accounting for less than 5% of the total biologics market at that time. 

Unique dynamics in the United States contribute to changes in oncology care. In the U.S. market, which contributes 41% of total oncology drug sales, changes in the structure of healthcare delivery are impacting cancer treatment site of care, reimbursement and patient out-of-pocket costs. Physician practices are becoming larger, and healthcare organizations that care for underserved populations and are covered by the 340B Drug Discount Program have expanded their oncology presence, as have Accountable Care Organizations. This is resulting in a shift in patient care from physician offices to hospital outpatient facilities. Since hospitals incur higher costs and overhead for the delivery of care, their reimbursement levels for the administration of drugs are higher than those for physician offices. For typical targeted therapies that are infused or injected by an oncologist, reimbursed costs for hospitals are at least double those for physician offices and have brought sharply higher costs to payers over the past two years. These higher costs are also associated with higher patient out-of-pocket costs depending on insurance plans and benefit designs, and can trigger reduced levels of therapeutic persistence by patients and higher overall cost of care.

The full version of the report, including a detailed description of the methodology, is available at www.theimsinstitute.org. It also can be downloaded as an app via iTunes.

The study was produced independently as a public service, without industry or government funding.

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Purell Advanced named best hand sanitizer by TripAdvisor travelers

BY Michael Johnsen

AKRON, Ohio — The travel site TripAdvisor on Wednesday announced the winners of its third annual Travelers’ Choice awards for Travel Favorites, highlighting the top brands that travelers around the world prefer for their trips. Purell Advanced Hand Sanitizer was selected by TripAdvisor travelers as the best hand sanitizer for the second consecutive year by U.S. and Canadian travelers, announced GoJo Industries.

"It is a great honor that TripAdvisor travelers selected Purell Advanced as their favorite hand sanitizer for the second consecutive year," stated Kathleen Leigh, marketing director, Purell Consumer. "We all have those everyday Purell moments, when soap and water are unavailable and we need to clean our hands, from the menu we touched, the subway railing or from our own coughs and sneezes."

Other OTC brands selected by TripAdvisor travelers included McNeil Consumer’s Benadryl (allergy), Procter & Gamble’s Nyquil (flu/cold medicine), Burt’s Bees (lip balm) and Pfizer Consumer’s Advil (pain reliever). 

For the complete list of 2014 winners of the Travelers’ Choice Awards for Travel Favorites, click here

 

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