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U.S.
Market for Opioid Analgesic Products Incorporating Aversion®
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Primary market research conducted by us
indicates that U.S. based physicians perceive that nearly one out of six
prescriptions for oxycodone and hydrocodone containing opioid analgesics may
be abused. Such market research also revealed that nearly all physicians
questioned reported being the victim of opioid prescription forgeries in the
previous year. Physicians believe that drug abusers seeking prescriptions
for opioid containing products present a legal and professional risk to
their practices. In addition, the results of a survey of over 1,500 adults
conducted by the market research firm of Schulman, Ronca and Bucuvalas, Inc.
and published in 2006, revealed that 37% of those surveyed know someone
personally who has abused opioid painkillers. Of those reporting knowing
someone who has abused opioid painkillers, 10% percent indicated that they
personally had abused these products. Nearly 20% percent of the abusers were
identified as coworkers, with the balance identified as family members or
acquaintances. We believe that healthcare providers are generally unable to
determine which, if any, of their prescriptions for opioid analgesics will
ultimately be abused by their patients or diverted for abuse by others. The
uncertainty about which, if any, prescriptions for opioid analgesic products
will be abused or diverted implies that certain segments of the U.S. market
represent a major opportunity for products incorporating our Aversion®
Technology. The table below shows the number of U.S. citizens age 12 and
over that, at some point in their lifetime, have misused prescription pan
relievers and indicates that more people have abused immediate release
opioid products than extended release opioid products.

|
Opioid Active
Ingredients (Generic Names) |
Frequently
Prescribed Opioid Analgesics (Common Brand Names) |
|
Oxycodone |
Percocet®, OxyContin®, Roxicet®, Tylox®, Endocet® |
|
Hydrocodone |
Vicodin®, Lortab®,
Lorcet® |
|
Morphine |
Avinza®, Kadian®,
MSContin® |
|
Hydromorphone |
Dilaudid® |
|
Codeine |
Tylenol® with
Codeine |
|
Tramadol |
Ultram®, Ultram®
ER, Ultracet® |
|
Propoxyphene |
Darvon®, Darvocet® |
Based on market research data purchased by us
from IMS Health, for the 12 months ended September 30, 2007, approximately
235 million total prescriptions (brands and generics combined) were
dispensed in the U.S. for immediate release and extended release tablet and
capsule forms of the opioid analgesics listed above. Of these total
dispensed prescriptions, approximately 14 million were for extended release
products (usually administered every 8 to 24 hours) and 221 million were for
immediate release products (usually administered every 4 to 6 hours).
Extended release products are more commonly prescribed for relief of chronic
pain for durations ranging from several weeks to several months or longer.
Immediate release products are more commonly prescribed for relief of acute
pain for durations of generally less than 30 days. According to data
published in The National Survey on Drug Use and Health Report, Issue 22,
2006, immediate release opioid containing pain relievers are used
non-medically approximately ten-fold more often than extended release
products.
Recreational drug users, drug abusers and/or
drug addicts typically obtain the opioid analgesics products (listed above)
in tablet or capsule dosage forms and then crush, shear, grind, chew,
dissolve and/or heat, extract or otherwise manipulate the product so that a
significant amount, or even the entire amount, of the abuseable drug becomes
available for rapid absorption by injection, and/or snorting, and/or oral
swallowing excess quantities of tablets or capsules to achieve a "high".
Abuse of pharmaceutical products is a large and growing issue in American
society and there is an urgent need for a new technology to discourage and
deter misuse and abuse of opioid analgesic tablets and capsules.
Competition
We compete to
varying degrees with numerous companies in the pharmaceutical research,
development, manufacturing and commercialization fields. Most of our
competitors have substantially greater financial and other resources and
are able to expend more funds and effort than us in research and
development of their competitive technologies and products. Although a
larger company with greater resources than us will not necessarily have
a higher likelihood of receiving regulatory approval for a particular
product or technology as compared to a smaller competitor, the company
with a larger research and development expenditure will be in a position
to support more development projects simultaneously, thereby improving
the likelihood of obtaining regulatory approval of a commercially viable
product or technology than its smaller rivals.
We believe
competitors may be developing opioid abuse deterrent technologies and
products. Such competitors include, but may not be limited to, Alpharma
Inc. of Fort Lee, NJ, Elite Pharmaceuticals, Inc. of Northvale, NJ, Pain
Therapeutics of South San Francisco, CA, (in collaboration with King
Pharmaceuticals of Bristol, TN), Purdue Pharma of Stamford, CT, Endo
Pharmaceuticals of Chadds Ford, PA, Neuromed Pharmaceuticals, of
Vancouver, BC and Collegium Pharmaceuticals, Inc., of Cumberland, RI.
These companies appear to have focused their development efforts on
extended release opioid products (commonly
prescribed for relief of chronic pain for durations ranging from several
weeks to several months or longer)
while our lead product candidate, Acurox™ Tablets, and other Aversion®
Technology product candidates under development, are immediate release
products (more commonly prescribed for relief of acute pain for
durations of generally less than 30 days).
The
U.S. market for
immediate release opioid tablets and capsules, as measured by dispensing
prescriptions, continues to grow at approximately 5% per year with the
average number of pills in each prescription growing at nearly 4% per
year, as shown in the chart below.
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