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全身性エリテマトーデス - 市場の洞察、疫学、市場予測:2034年Systemic Lupus Erythematosus Market Insight, Epidemiology, and Market Forecast - 2034 |
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全身性エリテマトーデス - 市場の洞察、疫学、市場予測:2034年 |
出版日: 2024年08月01日
発行: DelveInsight
ページ情報: 英文 180 Pages
納期: 1~3営業日
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主要7ヶ国市場における全身性エリテマトーデスの市場規模は、2023年に約32億米ドルとなりました。EU4ヶ国(ドイツ、スペイン、イタリア、フランス)、英国、日本に比べて米国が最大(約26億米ドル)となっています。EU4ヶ国と英国の中では、スペインが最も市場規模が大きく、次いで英国でした。
全身性エリテマトーデスは、身体の様々な部位に影響を及ぼす慢性の自己免疫疾患です。通常、感染や病気から体を守る免疫系が、自分自身の組織を攻撃することで発症します。この攻撃は炎症を引き起こし、場合によっては皮膚、関節、心臓、肺、腎臓、循環血液細胞、脳など広範囲に及ぶ永久的な組織損傷を引き起こします。
全身性エリテマトーデスの診断は、臨床所見と検査所見の組み合わせに基づいて行われます。診断基準に精通していることは、臨床医が全身性エリテマトーデスを認識し、標的臓器症状のパターンに基づいてこの複雑な疾患を下位分類するのに役立ちます。ACR/EULARの分類では、HEp-2細胞で少なくとも1:80の抗核抗体(ANA)力価、またはそれに相当する陽性反応が少なくとも1回必要です。それがあれば、7つの臨床領域(体質、血液学的、神経精神医学的、粘膜皮膚、漿液性、筋骨格系、腎臓)と3つの免疫学的領域(抗リン脂質抗体、補体蛋白、SLE特異的抗体)からなる22の「加算加重」分類基準が考慮されます。各基準は2点から10点の範囲で点数化されます。臨床的基準が少なくとも1つあり、10点以上の患者は全身性エリテマトーデスに分類されます。
当レポートでは、主要7ヶ国における全身性エリテマトーデス市場について調査し、市場の概要とともに、疫学、患者動向、新たな治療法、2034年までの市場規模予測、および医療のアンメットニーズなどを提供しています。
DelveInsight's "Systemic Lupus Erythematosus - Market Insights, Epidemiology and Market Forecast - 2034" report delivers an in-depth understanding of Systemic Lupus Erythematosus, historical and forecasted epidemiology as well as the Systemic Lupus Erythematosus market trends in the United States, EU4 (Germany, Spain, Italy, and France) and the United Kingdom, and Japan.
Systemic Lupus Erythematosus market report provides real-world prescription pattern analysis, emerging drugs, market share of individual therapies, and historical and forecasted 7MM Systemic Lupus Erythematosus market size from 2020 to 2034. The report also covers current Systemic Lupus Erythematosus treatment practices/algorithms and unmet medical needs to curate the best opportunities and assess the market's underlying potential.
The United States
EU4 (Germany, France, Italy, and Spain) and the United Kingdom
Japan
Systemic Lupus Erythematosus Overview, Country-Specific Treatment Guidelines and Diagnosis
Systemic lupus erythematosus is a chronic autoimmune disease that can affect many parts of the body. Lupus occurs when the immune system, which normally helps protect the body from infection and disease, attacks its own tissues. This attack causes inflammation, and in some cases permanent tissue damage, which can be widespread - affecting the skin, joints, heart, lung, kidneys, circulating blood cells, and brain.
The diagnosis of systemic lupus erythematosus is based on a combination of clinical findings and laboratory evidence. Familiarity with the diagnostic criteria helps clinicians to recognize systemic lupus erythematosus and to subclassify this complex disease based on the pattern of target-organ manifestations. The ACR/EULAR classification requires an antinuclear antibody (ANA) titer of at least 1:80 on HEp-2 cells or an equivalent positive test at least once. If that is present, 22 "additive weighted" classification criteria are considered, comprising seven clinical domains (constitutional, hematologic, neuropsychiatric, mucocutaneous, serosal, musculoskeletal, renal) and three immunologic domains (antiphospholipid antibodies, complement proteins, SLE-specific antibodies). Each criterion is assigned points, ranging from 2 to 10. Patients with at least one clinical criterion and 10 or more points are classified as having systemic lupus erythematosus.
The systemic lupus erythematosus report provides an overview of systemic lupus erythematosus pathophysiology, diagnostic approaches, and detailed treatment algorithm along with a real-world scenario of a patient's journey beginning from the first symptom, the time taken for diagnosis to the entire treatment process.
Further details related to country-based variations in diagnosis are provided in the report
Systemic Lupus Erythematosus Treatment
Treatment in systemic lupus erythematosus aims to prevent organ damage and achieve remission. The choice of treatment is dictated by the organ system/systems involved and the severity of involvement and ranges from minimal treatment (NSAIDs, antimalarials) to intensive treatment (cytotoxic drugs, corticosteroids). Patient education, physical and lifestyle measures, and emotional support play a central role in managing systemic lupus erythematosus.
The Systemic Lupus Erythematosus epidemiology chapter in the report provides historical as well as forecasted in the 7MM covering the United States, EU4 countries (Germany, France, Italy, and Spain), the United Kingdom, and Japan from 2024 to 2034. The Systemic Lupus Erythematosus epidemiology is segmented with detailed insights into Total Diagnosed Prevalent Cases of Systemic Lupus Erythematosus, Total Diagnosed Prevalent Cases of Systemic Lupus Erythematosus by Gender, and Total Diagnosed Prevalent Cases of Systemic Lupus Erythematosus by Age, Severity-Based Diagnosed Prevalent Cases of Systemic Lupus Erythematosus, and Total Treated Cases of Systemic Lupus Erythematosus.
The drug chapter segment of the systemic lupus erythematosus report encloses a detailed analysis of systemic lupus erythematosus marketed drugs and late-stage (Phase III and Phase II) pipeline drugs. It also deep dives into the systemic lupus erythematosus pivotal clinical trial details, recent and expected market approvals, patent details, the latest news, and recent deals and collaborations.
Marketed Drugs
BENLYSTA (belimumab): GlaxoSmithKline
BENLYSTA (belimumab), a B-lymphocyte stimulator (BLyS) specific inhibitor, is a fully human monoclonal antibody that binds to soluble BLyS, which is found to be increased in patients with systemic autoimmune diseases like SLE and lupus nephritis (LN). ABy bding BLyS, BENLYSTA inhibits the prolonged survival of B cells, including autoreactive B cells, and reduces the differentiation of B cells into immunoglobulin-producing plasma cells. BENLYSTA does not bind B cells directly. The US FDA first approved BENLYSTA for the treatment of active systemic lupus erythematosus; it is the first and only approved biologic for both SLE and LN in more than 50 years, including for the pediatric population. It was first approved by the US FDA in 2011.
SAPHNELO (anifrolumab): AstraZeneca
SAPHNELO (anifrolumab) is a first in class, fully human monoclonal antibody that binds to subunit 1 of the type I interferon (IFN) receptor, blocking the activity of type I IFN. Type I IFNs, such as IFN-alpha, IFN-beta and IFN-kappa, are cytokines involved in regulating the inflammatory pathways implicated in SLE. The majority of adults with SLE have increased type I IFN signaling, which is associated with increased disease activity and severity. SAPHNELO is approved to treat systemic lupus erythematosus in more than 60 countries worldwide including the US, EU and Japan, with reviews ongoing in other countries.
Emerging Drugs
Cenerimod: Idorsia Pharmaceuticals/Viatris
Cenerimod is a highly selective sphingosine-1-phosphate receptor 1 (S1P1) receptor modulator, given as an oral once-daily tablet. While the cause of SLE is not fully known, T and B-lymphocytes are considered the key immune cells playing a role in the development of SLE. T and B-lymphocytes have a cell surface receptor called S1P1. These receptors enable T and B-lymphocytes to detect the signaling molecule S1P - sphingosine 1 phosphate - which is responsible for lymphocyte trafficking from the lymph nodes to the circulation. By binding to S1P1 receptors, a receptor modulator can trigger the internalization of those receptors. This effectively blinds T and B lymphocytes to the S1P gradient, thereby holding them in the lymph nodes and reducing autoreactive T and B cells in the circulation and, consequently, also in the tissues. In December 2017, the US FDA designated the investigation of cenerimod for the treatment of SLE as a fast-track development program. Currently it is in Phase III of its clinical development.
Litifilimab: Biogen
Litifilimab is a humanized IgG1 monoclonal antibody (mAb) targeting BDCA2 and is being investigated for the potential treatment of SLE and cutaneous lupus erythematosus (CLE). BDCA2 is a receptor that is predominantly expressed on a subset of human immune cells called Plasmacytoid Dendritic Cells (pDCs). The binding of litifilimab to BDCA2 has been shown to reduce the production of pro-inflammatory molecules by pDCs, including type-I interferon (IFN-I) as well as other cytokines and chemokines. Currently it is in Phase III of its clinical development.
Key players, such as Novartis/MorphoSys, Idorsia Pharmaceuticals/Viatris, RemeGen, Biogen, and others are evaluating their lead candidates in different stages of clinical development, respectively. They aim to investigate their products for the treatment of systemic lupus erythematosus.
This section focuses on the uptake rate of potential drugs expected to be launched in the market during 2024-2034, which depends on the competitive landscape, safety, and efficacy data along with order of entry. It is important to understand that the key players evaluating their novel therapies in the pivotal and confirmatory trials should remain vigilant when selecting appropriate comparators to stand the greatest chance of a positive opinion from regulatory bodies, leading to approval, smooth launch, and rapid uptake.
Further detailed analysis of emerging therapies drug uptake in the report...
Systemic Lupus Erythematosus Activities
The report provides insights into different therapeutic candidates in Phase III and Phase II stages. It also analyzes key players involved in developing targeted therapeutics.
Pipeline Development Activities
The report covers information on collaborations, acquisitions and mergers, licensing, and patent details for Systemic Lupus Erythematosus emerging therapies.
KOL Views
To keep up with the real-world scenario in current and emerging market trends, we take opinions from Key Industry leaders working in the domain through primary research to fill the data gaps and validate our secondary research. Industry Experts were contacted for insights on the evolving treatment landscape, patient reliance on conventional therapies, patient therapy switching acceptability, and drug uptake along with challenges related to accessibility.
DelveInsight's analysts connected with 10+ KOLs to gather insights; however, interviews were conducted with 5+ KOLs in the 7MM. Their opinion helps understand and validate current and emerging treatment patterns of systemic lupus erythematosus. This will support the clients in potential upcoming novel treatments by identifying the overall scenario of the market and the unmet needs.
Qualitative Analysis
We perform Qualitative and market Intelligence analysis using various approaches, such as SWOT analysis and Conjoint Analysis. In the SWOT analysis, strengths, weaknesses, opportunities, and threats in terms of gaps in disease diagnosis, patient awareness, physician acceptability, competitive landscape, cost-effectiveness, and geographical accessibility of therapies are provided.
Conjoint Analysis analyzes multiple approved and emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. Scoring is given based on these parameters to analyze the effectiveness of therapy.
In efficacy, the trial's primary and secondary outcome measures are evaluated; for instance, in event-free survival, one of the most important primary outcome measures is event-free survival and overall survival.
Further, the therapies' safety is evaluated wherein the acceptability, tolerability, and adverse events are majorly observed, and it sets a clear understanding of the side effects posed by the drug in the trials. In addition, the scoring is also based on the probability of success, and the addressable patient pool for each therapy. According to these parameters, the final weightage score and the ranking of the emerging therapies are decided.
Market Access and Reimbursement
The treatment for systemic lupus erythematosus is mostly covered under the patients' insurance policy, either private or government. The companies like Genentech and AstraZeneca are also putting an effort in increasing the sales and market of their approved therapies by providing various kinds of financial assistance and reimbursement support to SLE patients. Moreover, as some of the emerging therapies are already approved for other indications, their respective companies provide some reimbursement or financial assistance to the patients. Therefore, it can be expected that once these therapies get approved for SLE, patients with SLE will also be able to avail these facilities and support without much delay or waiting time for the reimbursement to be approved by the government agencies.
The report further provides detailed insights on the country-wise accessibility and reimbursement scenarios, cost-effectiveness scenario of currently used therapies, programs making accessibility easier and out-of-pocket costs more affordable, insights on patients insured under federal or state government prescription drug programs, etc.