Market Access Impact: Type 2 Diabetes Mellitus (EU5) 2016

Publication Date:
November 2016
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How are market barriers impacting the host of European T2DM brands?

It’s a fact of life that non-clinical constraints such as cost, availability and administration are influencing prescribing trends for Type 2 Diabetes Mellitus (T2DM) drugs. If you’re looking for fresh insight and inspiration to boost your market access strategy and market share, this report is the ideal solution. 

Market Access Impact: T2DM (EU5) pinpoints the specific barriers affecting 12 named drugs from the leading manufacturers including Novo Nordisk, AstraZeneca, Boehringer Ingelheim and Novartis

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Find out now exactly what is driving doctors’ prescribing activity, both for your drugs and your competitors.

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Top Takeaways

  • Three brands dominate: Which drugs are most doctors prescribing and why? And of the rest, which are also considered and which are rejected? 
  • Physicians hands are tied: In 2/3rds of cases, doctors are unable to prescribe their first choice. What are the specific barriers in place and which drugs are impacted? 
  • Good news for some but not all: Market barriers helping some drugs to gain share at the expense of other brands – but most are losing out. How is yours doing?
  • Closely fought positions: Competition is fierce but which three brands are either currently used or actively considered by nearly all the physicians surveyed? 
  • One to watch: Only one drug is gaining share from every other brand in the survey. What is their market barrier secret weapon? 
  • Turning negatives to positives: Physicians said they would not consider using some brands. Which drugs are affected and what is prompting this negative response?

Insight into 12 Major T2DM Drugs

  • Januvia (sitagliptin; Merck & Co)
  • Trajenta (linagliptin; Eli Lilly/Boehringer Ingelheim)
  • Galvus (vildagliptin; Novartis)
  • Invokana (canagliflozin; Johnson & Johnson)
  • Jardiance (empagliflozin: Eli Lilly/Boehringer Ingelheim)
  • Forxiga (dapagliflozin; AstraZeneca)
  • Victoza (liraglutide; Novo Nordisk)
  • Trulicity (dulaglutide; Eli Lilly)
  • Toujeo (insulin glargine; Sanofi)
  • NovoRapid (insulin aspart; Novo Nordisk)
  • Tresiba (insulin degludec; Novo Nordisk)
  • Xultophy (insulin degludec/liraglutide; Novo Nordisk)

Exploring Important Market Access Issues

Market Access Impact: T2DM explores key issues affecting drug manufacturers. You’ll learn:

How barriers affect market access:

  • What brands do doctors prescribe the most?
  • How many prescriptions do barriers affect?
  • Which barriers have the biggest impact?

How barriers affect your brand:

  • How many doctors prescribe your brand? How many don’t, but would consider it?
  • Why don’t doctors prescribe your brand? What do they prescribe instead?
  • Which competing brands does your brand take market share from?

A Report Based on Expert Knowledge

We surveyed surveyed 150 diabetologists and primary care physicians in the EU5 (30 from each country: France, Italy, Germany, Spain, UK)—chosen from the largest community of validated physicians in the world.

All respondents have:

  • Been practicing for 2+ years
  • Prescribed at least one of the listed products
  • Seen at least 5 patients with multiple myeloma in total in the last month

We conducted the survey between September 5th and 8th, 2016.


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