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Report Description

Cytology and HPV Testing World Markets
Publication Date: 10-MAR-06
Pages: 183
Study: TMRCHPV
Format/Price: PDF document / $3,400.00
   


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Cancer is a group of diseases characterized by uncontrolled growth and spread of abnormal cells. If the spread is not controlled, it can result in death. Cancer is caused by both external (chemicals, radiation and viruses) and internal (hormones, immune conditions and inherited mutations) factors. Causal factors may act together or in sequence to initiate or promote carcinogenesis. Ten or more years often pass between exposures or mutations and detectable cancer. Cancer is treated by surgery, radiation, chemotherapy, hormones and immunotherapy. The purpose of this TriMark Publications report is to describe the specific segment of the diagnostic market aimed at analysis cytology (the examination of cells using optical microscopy methods) specimens derived from the human female reproductive tract. It examines the measurement devices and their reagents and supplies used in hospitals, clinics, commercial laboratories and research institutions to detect cells and proteins for the diagnosis and monitoring of disease. The study describes the analytical methods used to separate, isolate, characterize and quantitate cells, DNA and proteins complex in biological systems related to the diagnosis and treatment of disease of the female reproductive tract, such as the cervix and vagina. The emphasis is on those companies and products that are actively developing and marketing laboratory instrumentation, reagents and supplies for performing cytology and related molecular diagnostic tests, such as human papillomavirus (HPV) and other inflammatory and sexually-transmitted diseases.





Table of Contents:

  1. 1. Overview 7
  2. 1.1 Statement of Report 7
  3. 1.2 About this Report 7
  4. 1.3 Scope of the Report 8
  5. 1.4 Objectives 9
  6. 1.5 Methodology 9
  7. 2. Introduction to Cancer Biology and the Diagnostic Industry 10
  8. 2.1 Cancer 10
  9. 2.1.1 The Disease 10
  10. 2.1.2 Metastasis 10
  11. 2.1.3 Demographics and Statistics of Cancer 11
  12. 2.2 The Drivers of the Biotech and Diagnostics Industry 17
  13. 2.2.1 Technological Innovation 19
  14. 2.2.2 Government Funding 19
  15. 2.2.3 Pharmaceutical Development 20
  16. 2.3 Outlook for Tumor Markers 20
  17. 2.4 The Cancer Market 21
  18. 3. Cervical Cytology Testing Overview 24
  19. 3.1 Sector Background 24
  20. 3.2 Market Opportunity 24
  21. 3.3 Cervical Cancer 24
  22. 3.3.1 Screening for Cervical Cancer 25
  23. 3.3.2 Screening Procedures and Pap Smear Technology 26
  24. 4. Human Papillomavirus (HPV) Testing Overview 30
  25. 4.1 Market Overview 30
  26. 4.1.1 Human Papillomavirus 30
  27. 4.1.2 North American Market 32
  28. 4.1.3 European Market 33
  29. 4.1.4 Latin American Market 33
  30. 4.2 Hybrid Capture 2 HPV 33
  31. 4.3 Histology Market Overview 34
  32. 5. Cytology Market Structure 38
  33. 5.1 Key Players 38
  34. 5.1.1 TriPath Imaging 38
  35. 5.1.2 Cytyc 38
  36. 5.1.3 Molecular Diagnostics, Inc. 39
  37. 5.2 TriPath Products 41
  38. 5.2.1. Cervical Cytology Product Line 42
  39. 5.2.1.1 The SurePath Test Pack 42
  40. 5.2.1.2 PrepStain Slide Processor 42
  41. 5.2.1.3 FocalPoint Imaging System 43
  42. 5.2.1.4 SlideWizard Product Line 44
  43. 5.2.1.5 Molecular Diagnostics Products 44
  44. 5.2.1.6 Molecular Imaging Systems 45
  45. 5.2.1.7 Blood-based Reagents 46
  46. 5.2.2 Cytyc's Products 46
  47. 5.2.2.1 The ThinPrep System 46
  48. 5.2.2.1.1 Additional Applications of the ThinPrep System 47
  49. 5.2.2.2 The ThinPrep Process 47
  50. 5.2.2.3 Clinical Studies Evaluating the ThinPrep Pap Test 48
  51. 5.2.2.4 Competition 48
  52. 5.2.2.5 Surgical Products 49
  53. 5.2.2.6 The NovaSure System 49
  54. 5.2.2.7 Competition 50
  55. 5.2.3 Molecular Diagnostics' Products and Services 51
  56. 5.2.3.1 InPath System Key 51
  57. 5.3 Marketing and Sales Strategies 51
  58. 5.3.1 TriPath Imaging Sales and Marketing 52
  59. 5.3.1.1 Total Sales and Marketing 52
  60. 5.3.1.2 Commercial Operations 52
  61. 5.3.1.3 TriPath Oncology Sales and Marketing 53
  62. 5.3.1.4 Marketing Strategy 53
  63. 5.3.1.5 TriPath's Molecular Diagnostic Products 55
  64. 5.3.2 Cytyc Marketing and Sales 55
  65. 5.3.2.1 Sales and Marketing Costs 56
  66. 5.3.2.2 Cytyc's Marketing and Sales Strategy 57
  67. 5.3.2.2.1 Domestic Strategy 57
  68. 5.3.2.2.2 International Strategy 57
  69. 5.3.2.3 Sales Strategy - Cervical Cytology Product Line 58
  70. 5.3.2.3.1 Molecular Diagnostics 58
  71. 5.3.2.3.2 Marketing and Sales Organizations 58
  72. 5.3.2.3.3 Outside the U.S. with the Exception of Canada 59
  73. 5.4 Manufacturing TriPath, SurePath and PrepStain 59
  74. 5.4.1 Manufacturing Standards for Diagnostic Products 60
  75. 5.5 Competition 61
  76. 5.5.1 Molecular Diagnostic Reagents 62
  77. 6. Human Papillomavirus (HPV) Testing Market Structure 63
  78. 6.1 Key Players 63
  79. 6.1.1 Digene 63
  80. 6.1.1.1 Digene Products 64
  81. 6.1.2 Ventana Medical Systems 64
  82. 6.2 Products 64
  83. 6.2.1 HPV Tests 65
  84. 6.2.2 Chlamydia and Gonorrhea Tests 66
  85. 6.2.3 Blood Virus Tests 66
  86. 6.2.4 Instrumentation and Accessory Products 67
  87. 6.3 Sales and Marketing 67
  88. 6.3.1 International Markets 67
  89. 6.3.2 Europe 67
  90. 6.3.3 Central and South America 68
  91. 6.3.4 Asia/Pacific 68
  92. 6.3.5 Strategy 69
  93. 6.4 Manufacturing 69
  94. 6.5 Competition 70
  95. 6.5.1 Ventana 72
  96. 6.6 Ventana Staining Products 72
  97. 6.6.1 Ventana Products 72
  98. 7. Business Trends in the Industry 75
  99. 7.1 Industry Consolidation 75
  100. 7.2 Breath of Product Offering and Pricing 76
  101. 7.3 Government Regulation of Medical Devices 76
  102. 7.4 Strategic Business and Marketing Considerations 77
  103. 7.5 Commercial Opportunities in Cancer Markers 78
  104. 7.6 Moderators of Growth 79
  105. 7.7 Biotechnology Industry Trends 80
  106. 7.8 Pharmaceutical Industry Trends 80
  107. 7.9 Acquisition, License Agreement and Partnerships 81
  108. 7.10 Legal Developments 82
  109. 7.11 Sales and Marketing Strategies for Tumor Marker Tests 83
  110. 7.11.1 North American Market 83
  111. 8. Government Regulation 85
  112. 8.1 Government Regulation 85
  113. 8.2 U.S. FDA Approval 86
  114. 8.2.1 Clinical Laboratory Improvement Act of 1988 and State Laboratory Laws 88
  115. 8.2.2 Foreign Regulatory Approval 88
  116. 9. Legal Developments 90
  117. 9.1 Cytyc Legal Proceedings 90
  118. 9.2 Ventana Legal Proceedings 92
  119. 10. Third-Party Reimbursement 95
  120. 10.1 Limited Reimbursements by Third-party Payers Obstruct Sales 95
  121. 10.2 Cytyc ThinPrep 95
  122. 10.3 CPT Codes and HCPCS Codes 96
  123. 10.4 Professional Component Fee 97
  124. 10.5 Regional Payer Relations Managers 97
  125. 10.6 Reimbursement Codes Classification 97
  126. 10.6.1 Reporting Screening and Diagnostic Pap Smears 97
  127. 10.6.2 HCPCS (HCFA Common Procedure Coding System) Code Definitions 97
  128. 10.6.3 CPT (Current Procedural Terminology) Code Definitions 98
  129. 10.7 A Note on Statutory Limitations 98
  130. 10.8 Cervical Cytology Product Line 98
  131. 10.9 Molecular Diagnostic Products and Imaging Systems 99
  132. 11. Barriers in Business 101
  133. 11.1 Barriers in the Business Section 101
  134. 11.1.1 Cytyc Barriers 101
  135. 11.1.2 Digene Risk Factors 107
  136. 11.1.3 Ventana 114
  137. 11.1.3.1 Ventana factors that could affect future results 114
  138. 12. Acquisition Activity 119
  139. 12.1 Acquisition 119
  140. 12.2 Cytyc Acquisition Activity þu Acquisition of Novacept 119
  141. 13. Research & Development Activity 121
  142. 13.1 Cytyc In-Process R&D and Developed Technology 121
  143. 13.2 TriPath Research & Development 121
  144. 13.2.1 Development of Molecular Diagnostic Products 121
  145. 13.3 Digene Research & Development 123
  146. 13.4 Ventana Research & Development 124
  147. 13.4.1 Instrumentation Development Projects 124
  148. 13.4.2 Reagent Development Projects 124
  149. 14. Intellectual Property 126
  150. 14.1 TriPath Proprietary Technology and Intellectual Property 126
  151. 14.2 Digene Intellectual Property 127
  152. 14.2.1 Hybrid Capture Technology 127
  153. 14.2.2 Rights to HPV Types 127
  154. 14.2.3 Other Intellectual Property 129
  155. 14.2.3.1 Trademark 129
  156. 14.3 Ventana Patents and Proprietary Rights 129
  157. 15. Cytyc Profile 131
  158. 15.1 Company Information 131
  159. 15.1.1 Contact 131
  160. 15.1.2 About the Cytyc Corporation 131
  161. 15.2 Products/Business Segments 131
  162. 15.2.1 Diagnostic Products 131
  163. 15.2.2 The ThinPrep Process 132
  164. 15.3 Management 133
  165. 15.3.1 Top Executives and Salaries 133
  166. 15.3.2 Board of Directors 133
  167. 16. Analytical Section 134
  168. 16.1 Financial Analysis 134
  169. 16.2 Company's Strategies 134
  170. 16.3 SWOT Analysis 135
  171. 17. Industry/Market Landscape 139
  172. 17.1 Industry Overview 139
  173. 17.1.1 Industry Key Players 139
  174. 17.1.1.1 Cytology Screening Testing Market Structure 139
  175. 17.1.1.2 Human papillomavirus (HPV) Testing Market Structure 139
  176. 17.2 Outlook on the Industry 139
  177. 17.3 Trends, Issues, Challenges and Opportunities: An Analysis 142
  178. 17.4 Molecular Diagnostics Products 143
  179. 17.4.1 Microscopic Slide Based Reagents 144
  180. 17.4.2 Molecular Imaging Systems 144
  181. 17.4.3 Blood-Based Reagents 145
  182. 17.5 Competitive Landscape 145
  183. 17.6 Products/Business Segments 147
  184. 17.6.1 Digene's HPV Tests 148
  185. 17.6.2 Digene's Chlamydia and Gonorrhea Tests 149
  186. 17.6.3 Digene's Blood Virus Tests 149
  187. 17.6.4 Digene's Instrumentation and Accessory Products 149
  188. 18. Digene Management 151
  189. 18.1 Board of Directors 151
  190. 18.2 Top Executives and Salaries 151
  191. 18.3 Analytical Section 151
  192. 18.3.1 Financial Analysis 151
  193. 18.4 Company's Strategies 151
  194. 18.5 SWOT Analysis 153
  195. 19. Industry/Market Landscape 156
  196. 19.1 Digene Industry Overview 156
  197. 19.1.1 Industry Definition 156
  198. 19.1.1.1 Cytology Products 156
  199. 19.1.2 Industry Key Players 157
  200. 19.1.3 Company's Outlook on the Industry 157
  201. 19.2 Trends, Issues, Challenges and Opportunities - An Analysis 158
  202. 19.3 Competitive Landscape 159
  203. 19.4 Competition 159
  204. 19.4.1 Digene's Competitive Advantage 160
  205. 19.4.2 Molecular Diagnostic Reagents 160
  206. 19.4.3 TriPath Imaging, Inc. 161
  207. 19.5 Products/Business Segments 162
  208. 19.5.1 Cervical Cytology Product Line (Formerly the i3 Series Product Line) 162
  209. 19.5.1.1 PrepStain Slide Processor 162
  210. 19.5.1.2 FocalPoint Imaging System 163
  211. 19.5.1.3 SlideWizard Product Line 163
  212. 19.5.2 Molecular Diagnostics Products 164
  213. 19.5.2.1 Microscopic Slide Based Reagents 164
  214. 19.5.2.2 Molecular Imaging Systems 165
  215. 19.5.2.3 Blood-Based Reagents 165
  216. 19.6 Management 165
  217. 19.6.1 Top Executives and Salaries 165
  218. 20. Analytical Section 166
  219. 20.1 Financial Analysis 166
  220. 20.1.2 TriPath Oncology Revenues 167
  221. 20.2 Company's Strategies 167
  222. 20.3 SWOT Analysis 168
  223. 21. Industry/Market Landscape 171
  224. 21.1 Industry Overview 171
  225. 21.1.1 Industry Definition 172
  226. 21.1.1.1 Cytology Products 172
  227. 21.1.1.2 Molecular Diagnostic Products 172
  228. 21.1.2 Industry Key Players 172
  229. 21.2 Company's Outlook on the Industry 172
  230. 21.3 Trends, Issues, Challenges and Opportunities: An Analysis 173
  231. 21.4 Molecular Diagnostics Products 175
  232. 21.4.1 Blood-Based Reagents 175
  233. 21.5 Competitive Landscape 176
  234. 21.5.1 Competition 176
  235. 21.5.1.2 TriPath's Competitive Advantage 176
  236. 21.5.1.3 Molecular Diagnostic Reagents 177
  237. 21.5.1.4 Ventana 178
  238. Appendix 1: Breast Cancer 179
  239. Appendix 2: Ovarian Cancer 181
  240. Appendix 3: Malignant Melanoma 182
  241. INDEX OF TABLES
  242. Table 2.1: Drug Development by Type of Cancer 11
  243. Table 2.2: The 402 Organ Specific Medicines in Development for Cancer 12
  244. Table 2.3: Leading Sites of Cancer Cases and Deaths in the U.S. by Sex 13
  245. Table 2.4: Number of Cancer Cases and Deaths by Type of Cancer 14
  246. Table 2.5: Cancer Cases and Deaths by Region 15
  247. Table 2.6: Cancer Death Rates per 100,000 Population (and Rank) for All Cancer Sites by Country 16
  248. Table 2.7: Cancer-Associated Genes 16
  249. Table 2.8: Carcinogens in the Workplace 17
  250. Table 2.9: Private Funding Levels for the Biotechnology Segment, 1995 to 2005 18
  251. Table 2.10: Top Ten Biotech Corporations 19
  252. Table 2.11: Global Pharmaceutical Industry R&D Spending, 1980 to 2004 20
  253. Table 2.12: U.S. Government NIH Research Budget, 1995 to 2004 20
  254. Table 2.13: Herceptin Worldwide Sales, 1999 to 2005 21
  255. Table 2.14: Classes of Drugs Used to Treat Breast Cancer 21
  256. Table 2.15: Women's Cancers in the U.S., 2005 22
  257. Table 2.16: Five-Year Disease Free Survival by Stage at Diagnosis 22
  258. Table 3.1: Number of Pap Smears Performed by Country 28
  259. Table 4.1: Digene Product Revenues and Assets 32
  260. Table 5.1: TriPath Product Sales Share Overview 42
  261. Table 5.2: Cytyc Product Overview 46
  262. Table 5.3: Pap Tests in Top European Markets 52
  263. Table 5.4: Pap Tests in Top Asian Markets 52
  264. Table 5.5: Cytyc Annual Sales 56
  265. Table 5.6: Cytyc Annual Net Income 57
  266. Table 6.1: HPV Market Size, 2003 to 2011 63
  267. Table 6.2: Product, Infection and Market 65
  268. Table 6.3: Instrumentation and Accessories, Infection and Market 65
  269. Table 7.1: List and Discounted Pricing for Abbott Tumor Marker Tests 76
  270. Table 10.1: CPT and HCPCS Codes 96
  271. Table 10.2: National Limitation Amounts 97
  272. Table 10.3: NLAs for Various CPT Codes 99
  273. Table 14.1: HPV Types Status and Patents 128
  274. Table 16.1: Percentage of Cytyc's Net Sales 136
  275. Table 17.1: Market Share of Cytology Products 139
  276. Table 17.2: Diagnostic Test Kit Products and Markets 148

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