Perspective - August 1997
Rapid growth for Novo Nordisk since the fall of the Wall
Turnover in Poland doubled in two years
Good prospects for further growth
Croatian model of diabetes treatment
First half of 1997
Financial statement
Financial highlights
Summary of the Group
Less painful
Making life easier
Change in accounting policies
One dose at every meal
NovoNormŽ will be the first oral diabtes product from Novo Nordisk
Novo Nordisk
One dose at every meal

NovoNormŽ will be the first oral diabetes product from Novo Nordisk

Novo Nordisk expects to be able to launch the company's first oral diabetes product during 1998 and in this way complete its portfolio of insulin, oral antidiabetics and blood glucose monitoring. NovoNormŽ is the name of the new medication, which is well suited for treating Type 2 diabetes. The generic name of NovoNorm Ž is repaglinide.
In approximate figures, the world's people with diabetes can be divided into about 10% with Type 1 and about 90% with Type 2 diabetes. Patients with Type 1 diabetes are dependent on insulin injections several times a day, while Type 2 diabetes primarily is a meal-associated disease often perceived as a mild type not as severe as Type 1 diabetes. Control of meal-associated blood glucose is crucial in the regulation of Type 2 diabetes.
"With this in mind, it is interesting in terms of treatment as well as economics that next year, Novo Nordisk can expect to introduce a new Type 2 product with a different and more competitive profile than existing Type 2 products in tablet form," explains Nazeem Mohamed, Diabetes Care Strategic Marketing.


One of NovoNormŽ 's key advantages is that it offers insulin
- only when it is required at mealtimes.

Blood sugar in balance
Marianne Kock, project manager of the team behind NovoNormŽ for more than five years, points out that the molecule in NovoNormŽ differs from existing products for Type 2 patients:
"NovoNormŽ is ingested as a tablet at mealtimes, and, in lay man's terms, helps insulin-producing cells in the pancreas secrete insulin in a pattern than matches the body's normal rhythm. This makes it highly suitable for treating patients in the early stages of Type 2."
Kock underlines as one of the obvious advantages of NovoNormŽ that it is an extremely fast-working agent with few side effects, because it is absorbed quickly by the body and thus quickly moves out of the bloodstream.
"Take one dose with each meal. It can't get easier for Type 2 patients to regulate their blood-sugar level," continues Kock.

Registration
in the EU and the US In June, Novo Nordisk filed for registration of NovoNormŽ with the regulatory authorities in the EU as well as the US, almost simultaneously. The comprehensive new drug applications, over 450 volumes, with all relevant data on NovoNormŽ were sent to the US, while a file just as extensive was also sent to the regulatory authorities in the EU. NovoNormŽ was developed in cooperation with the German pharmaceutical company Boehringer Ingelheim. The agent was in-licensed by Novo Nordisk for worldwide marketing.

New market
Seen through the 'strategic eyes' of Nazeem Mohamed, Novo Nordisk will be embarking on what in many ways is a brand new market, when NovoNormŽ is introduced worldwide in about a year.
"Not only will we be going into a new market segment in order to launch NovoNormŽ , but we will be approaching an entirely new target group - family practitioners. This will mean different requirements in terms of marketing, compared with the diabetes area otherwise, where we have so far concentrated on doctors who are specialists in the fields of diabetes and endocrinology.
"What is characteristic of the Type 2 market is that patients are primarily in contact with their own family doctors. Therefore, we need to reach family doctors when we are marketing NovoNormŽ . "It is here we will have to exploit our well-developed network and reputation with the medical specialists in the field of diabetes. Their assessment of NovoNormŽ will be a signal to family doctors."

Economically attractive
Mohamed emphasises that the Type 2 market is attractive, because it is not dominated by the products of a single pharmaceutical company. At the same time, it is one of the fastest pharmaceutical areas for growth.
"The market for tablets for Type 2 patients has been dominated for several years by several older products. However, recently a number of new drugs have been launched at higher prices making this 'sleepy market' much more attractive.
"One of the key advantages NovoNormŽ is that it offers insulin - only when it is required at mealtimes. The other existing products do not have this profile. We haven't been out beating the drum for NovoNormŽ yet - for good reason - but we are now underway with extensi-ve studies in many countries in order to increase clinical applica-tion and patient utility. One tablet in conjunction with each meal will be enough to regulate blood sugar in future," concludes Mohamed.

Hans Lind
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