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Annual Report 2006 - Boehringer Ingelheim

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Treatment modalities used to relieve bothersome<br />

LUTS/BPH are designed to reduce the static and/<br />

or dynamic component of obstruction and to<br />

improve the quality of life.<br />

Pharmacological therapy with flomax®/alna®<br />

(tamsulosin), an α1-receptor antagonist, is<br />

indicated for the treatment of this condition and<br />

provides effective and well-tolerated improve-<br />

ment of the symptoms. It relieves obstruction by<br />

relaxing smooth muscles in the prostate and<br />

urethra improving voiding symptoms. It also<br />

improves storage symptoms in which bladder<br />

instability plays an important role.<br />

After the launch of the 0.4 mg capsule in 1996,<br />

<strong>Boehringer</strong> <strong>Ingelheim</strong> and its partner Astellas<br />

developed a new tablet formulation using the<br />

technology ocas® (Oral Controlled Absorption<br />

System) to further optimise pharmacological<br />

therapy for LUTS/BPH.<br />

This system provides effective symptom control<br />

during daytime and nighttime, a very good tolerability<br />

and excellent convenience for the patient<br />

(e.g. once-daily dosing without the need of dose<br />

adjustment, medication intake independent of<br />

meals).<br />

flomax®/alna®, using the ocas® technology, has<br />

been available since 2005 in Germany, Spain and<br />

Switzerland. In <strong>2006</strong>, it was launched in Portugal,<br />

France, Canada and Greece.<br />

The capsule formulation started to lose patent<br />

protection in several countries in March <strong>2006</strong>. In<br />

the USA, patent protection will continue until<br />

October 2009. flomax®/alna® capsules and<br />

ocas® tablets generated net sales of EUR 922<br />

million, an increase of 28 % over 2005, placing the<br />

medication third in <strong>Boehringer</strong> <strong>Ingelheim</strong>’s<br />

Human Pharmaceuticals sales ranking.<br />

Stress urinary incontinence<br />

Stress urinary incontinence (SUI) is the involun-<br />

tary loss of urine on effort or exertion, or on<br />

sneezing or coughing. Around 97 % of SUI patients<br />

are female, but less than half of the women suf-<br />

fering from this condition seek treatment.<br />

yentreve®/ariclaim®, with the active ingredient<br />

of duloxetine, is approved in the EU for the treat-<br />

ment of women with moderate to severe SUI. In<br />

<strong>2006</strong>, it was jointly commercialised in several<br />

European countries and Mexico by Eli Lilly and<br />

Company and <strong>Boehringer</strong> <strong>Ingelheim</strong>. yentreve®/<br />

ariclaim® generated revenues of EUR 4 million<br />

in <strong>2006</strong>.<br />

<strong>Boehringer</strong> <strong>Ingelheim</strong> and Eli Lilly and Company<br />

(USA) jointly decided in February <strong>2006</strong> to change<br />

the contractual agreements for yentreve®/<br />

ariclaim®. Eli Lilly and Company took over sole<br />

worldwide commercialisation rights for the medi-<br />

cation for SUI and potential future, related urinary<br />

incontinence indications, effective as of 15 Janu-<br />

ary 2007.<br />

Oncology<br />

Every year, more than ten million people find<br />

themselves grappling with the medical uncertainties<br />

and emotional upheaval of a newly diagnosed<br />

cancer. Fortunately, an increasing number of<br />

patients benefit from surgery, radiation and<br />

pharmacological medicines, with a complete cure<br />

possible in about 60 % of cases. If the cancer has<br />

spread throughout the body, the hurdles for<br />

effective therapies become higher, but even then<br />

serving patients<br />

cure or disease modification with longer survival<br />

and better quality of life is possible with innovative,<br />

targeted medicines that offer more efficacy<br />

and better tolerability to patients.<br />

Prescription Medicines<br />

9

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