LIPPOMIX's OptisomeTM- encapsulated ivermectin is for the treatment of head lice and scabies. The currently
available pediculicide products contain either lindane or pyrethrins. These products are potentially neurotoxic, teratogenic, and/or
associated with allergic skin disorders. Lindane-containing products have been reclassified from OTC products to prescription products
because of serious concerns about adverse effects. Cases of head lice are currently on the rise in the United States as resistance is
developing to currently available pediculicide (particularly the permethrin-based formulations). It has been estimated that 12 million
youngsters contract head lice in the United States each year. Scabies is a second potential indication for the product. The skin
condition is often found in institutional settings and is treated with lindane or pyrethrin-containing dermal creams. Clearly, there is
currently a growing market need and commercial opportunity for a safe and effective pediculicide. LIPPOMIX is developing a proprietary
position on such a product and expects regulatory approval to be relatively rapid, based upon the safety and efficacy profile of the
active component, ivermectin.
Potential Market
Last year's sales of the number one selling pediculicide in the U.S., Nix ® by Warner-Lambert, were $57M. There are at least 25
pediculicides on the market for treating head lice with the number two products being Rid ®, which is sold by Pfizer. The total market
for pediculicides also includes treatment for scabies and pubic lice. It is probably safe to assume that the pediculicide market well
exceeds $100M in the U.S.
Competition
The company has recently become aware that Merck, a manufacturer of ivermectin thought is developing a pediculicide, which
contains this active ingredient. It is likely that other companies exist which may be developing new products in this area, although
LIPPOMIX is currently unaware of any these companies and/or what new products they may be developing. LIPPOMIX also feels confident
that its Optisome Tm- formulated product will have several significant advantages over other shampoos/formulations which contain the
same active ingredient based upon preliminary data in veterinary trials in cats. These studies indicate that very low doses of
ivermectin are required to achieve a therapeutic effect. This is potentially the result of the slow-release of the ivermectin from the
Optisome TM, as well as the ability of the Optisomes to carry the ivermectin across the exoskeleton of the insect pest and have its
desired effect. LIPPOMIX also believes that the chemical properties of the Optisome Tm- based formulation may allow the active
ingredient in the product to destroy the eggs of the lice which remain attached to the hair of treated children following topical
application of the currently marketed products. More importantly, because ivermectin may destroy the eggs of lice
("nits"), LIPPOMIX believes that its product will be safer and more effective than existing products and those in development,
because it will require only one treatment. The commercial products now available usually require two treatments and the use
of a special fine-tooth comb to remove the eggs or nits. LIPPOMIX's new pediculicide would provide a very convenient, effective and safe
tool for parents and school nurses to control head lice in school aged children.
Initial Disease Target and Regulatory/Clinical Strategy
LIPPOMIX plans to develop a "conditioning rinse" for head lice and does not anticipate that a prolonged development program will be needed in order to obtain regulatory approval.
Commercialization of Topical Pediculicide (U.S.)
| Annual Incidence |
12,000,000 |
Does not include scabies and pubic lice |
| 100% Eligible |
12,000,000 |
|
| Penetration |
50% |
|
| Market Share |
20% |
Assumes no other resistant treatments |
| Available Revenue/Patient/Year
for each |
$48M |
Assumes $20.00 for each treatment cycle |