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市場調査レポート
商品コード
1632470
軟骨無形成症市場 - 市場の洞察、疫学、市場予測:2034年Achondroplasia - Market Insight, Epidemiology, and Market Forecast - 2034 |
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軟骨無形成症市場 - 市場の洞察、疫学、市場予測:2034年 |
出版日: 2025年01月01日
発行: DelveInsight
ページ情報: 英文 200 Pages
納期: 2~10営業日
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軟骨無形成症の市場規模は予測期間中に年間平均成長率(CAGR)が上昇すると予測されます。市場収益の成長は、主に遺伝子治療の進歩、認知度と診断率の向上、研究開発投資の増加別もので、治療選択肢の改善と患者の転帰改善につながります。2023年に米国で診断された軟骨無形成症の有病者数は約14,500人に上ると推定されています。
軟骨無形成症は、線維芽細胞増殖因子受容体3(FGFR3)遺伝子の変異により、著しい低身長(小人症)となるまれな遺伝性骨成長障害です。この変異はFGFR3遺伝子の機能獲得につながり、成長板の軟骨における骨の形成を遅らせ、全身のほぼすべての骨の成長を障害します。
常染色体優性遺伝で、遺伝子は完全に浸透しています。しかし、80%以上の症例で、散発性またはde novo変異により発症します。したがって、軟骨無形成症の子供は、家族歴のない健康な両親から生まれることもあります。
軟骨無形成症は、低身長、突出した額(前頭部隆起)と扁平な鼻梁(陥没)を持つ大きな頭部(大頭症)、短い腕と脚、突出した腹部と臀部(背骨の内方への湾曲による)、伸展時に「三叉」または三又になる指を持つ短い手などの特徴的な特徴を有します。さらに、軟骨無形成症のほとんどの女性は自然に約4フィート2インチ(128cm)に成長し、男性は約4フィート4インチ(134cm)に成長します。
2021年11月、米国FDAは軟骨無形成症に対する初の治療を承認しました。VOXZOGO(vosoritide)という薬剤は、この疾患のアンメット・メディカル・ニーズを達成したため、加速承認経路を通じて承認されました。
治療法の進歩にもかかわらず、軟骨無形成症の治療にはいくつかのアンメットニーズが残っています。これらの課題には、効果的な標的治療の開発、専門的治療へのアクセスの改善、早期診断の強化、患者とその家族が直面する身体的・精神的・社会的課題に対処するための包括的支援体制などが含まれます。
当レポートでは、主要7ヶ国における軟骨無形成症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。
Achondroplasia Treatment Market
Achondroplasia is a rare genetic bone growth disorder that results in marked short stature (dwarfism) due to a mutation in the fibroblast growth factor receptor 3 (FGFR3) gene. The mutation leads to a gain-of-function of the FGFR3 gene, which slows down the formation of bone in the cartilage of the growth plate and impairs growth in almost all bones in the body.
It is inherited in an autosomal dominant pattern, and the gene is fully penetrant. However, the condition occurs in over 80% of cases due to sporadic or de novo mutation. Thus, a child with achondroplasia can be born to healthy parents without a family history.
The disorder is characterized by distinctive features including short stature, a considerable head (macrocephaly) with a prominent forehead (frontal bossing) and flat (depressed) nasal bridge, short arms, and legs; prominent abdomen and buttocks (due to an inward curve of the spine), and short hands with fingers that assume a "trident" or three-pronged position during extension. Further, most females with achondroplasia naturally grow to approximately 4 feet 2 inches (128 cm), while males to about 4 feet 4 inches (134 cm).
Achondroplasia Diagnosis and Treatment Algorithm
Achondroplasia is typically diagnosed through clinical evaluation, genetic testing, and radiographic imaging. Clinicians assess physical characteristics such as disproportionate short stature, shortened limbs, and distinctive facial features. Prenatal ultrasound can often detect signs of Achondroplasia by the second trimester, identifying abnormalities in limb length and head size. Genetic testing confirms the diagnosis by identifying mutations in the FGFR3 gene, responsible for this condition. Postnatal diagnosis involves detailed physical examination and X-rays to observe characteristic skeletal abnormalities, such as shortening of the long bones, spinal stenosis, and specific features of the pelvis and skull.
While there is no cure for Achondroplasia, treatment focuses on managing symptoms and complications. Multidisciplinary care is essential, involving pediatricians, geneticists, orthopedists, neurologists, and physical therapists. Growth hormone therapy has shown some effectiveness in increasing height, though it is not a standard treatment. Surgical interventions may be necessary for severe skeletal abnormalities, such as limb lengthening procedures or surgeries to address spinal stenosis and other complications. Supportive therapies, including physical therapy and occupational therapy, help improve mobility and daily functioning. Additionally, new treatments targeting the underlying genetic mutation, such as C-type natriuretic peptide analogs, are under investigation and show promise in potentially altering disease progression. Regular monitoring and early intervention are crucial to optimize outcomes and improve the quality of life for individuals with Achondroplasia.
The epidemiology section on the Achondroplasia epidemiology segment offers information on the patient populations, including historical and projected trends for each of the seven major markets. Examining key opinion leader views from physicians or clinical experts can assist in identifying the reasons behind historical and projected trends. The diagnosed patient pool, their trends, and the underlying assumptions are all included in this section of the report.
This section also presents the data with relevant tables and graphs, offering a clear and concise view of the incidence of Achondroplasia. Additionally, the report discloses the assumptions made during the analysis, ensuring data interpretation and presentation transparency. This epidemiological data is valuable for understanding the disease burden and its impact on the patient population across various regions.
Key Findings
Achondroplasia, a common form of dwarfism caused by a genetic mutation, has historically been managed through supportive care and surgical interventions. However, recent advancements in medical science have introduced promising pharmacological treatments. Traditional management includes orthopedic surgeries to correct bone deformities, alleviate spinal stenosis, and enhance mobility. These procedures, though effective in addressing specific complications, do not alter the underlying growth deficiency.
The introduction of pharmacological treatments marks a significant shift in the management of achondroplasia. Vosoritide, a daily injectable drug, has emerged as a breakthrough therapy. Vosoritide is an analog of C-type natriuretic peptide (CNP) that targets the overactive fibroblast growth factor receptor 3 (FGFR3) pathway, which is responsible for inhibiting bone growth in individuals with achondroplasia. Clinical trials have demonstrated that vosoritide significantly improves annual growth velocity in children with achondroplasia, offering a potential means to enhance final adult height and reduce complications associated with disproportionate growth.
Another promising treatment under investigation is transition CNP, a prodrug designed to provide sustained CNP release, which aims to reduce the frequency of dosing while maintaining efficacy. Early studies indicate that transCon CNP has the potential to improve growth outcomes and quality of life for patients with achondroplasia.
Beyond these pharmacological approaches, gene therapy is an area of active research. Scientists are exploring methods to correct the underlying FGFR3 mutation at the genetic level, potentially offering a one-time cure for achondroplasia. Although still in the experimental stages, gene therapy holds immense promise for transforming the future landscape of achondroplasia treatment market.
Overall, the evolution of treatment options for achondroplasia from purely supportive measures to innovative pharmacological and genetic therapies offers new hope for improving the lives of individuals with this condition. These advancements not only target the symptoms but also address the root cause of achondroplasia, paving the way for more effective and comprehensive management.
With ongoing research and continued dedication, the future holds hope for even more effective treatments and, ultimately, a cure for this challenging condition. According to DelveInsight, the Achondroplasia therapeutics market in the 7MM is projected to grow significantly during the study period 2020-2034.
Marketed Achondroplasia Drugs
VOXZOGO (vosoritide): BioMarin Pharmaceuticals
VOXZOGO (vosoritide) by BioMarin Pharmaceuticals is a groundbreaking treatment for achondroplasia. It works by mimicking C-type natriuretic peptide (CNP), which counteracts the overactive FGFR3 pathway that impairs bone growth. Administered via daily subcutaneous injections, Voxzogo enhances growth velocity in children with achondroplasia. It received FDA approval in November 2021 and EMA approval in August 2021, making it the first pharmacological treatment approved explicitly for this genetic condition.
Emerging Achondroplasia Drugs
RBM-007: RIBOMIC Inc.
RBM-007, developed by RIBOMIC Inc., is an RNA aptamer targeting fibroblast growth factor 2 (FGF2) for the treatment of achondroplasia. Its mechanism of action involves inhibiting FGF2, thereby promoting bone growth and reducing the effects of the FGFR3 mutation responsible for achondroplasia. RBM-007 is administered via subcutaneous injection. It is currently in Phase IIa clinical trials, assessing its safety and preliminary efficacy in affected individuals.
SAR-442501: Sanofi
SAR-442501, developed by Sanofi, is a novel treatment for achondroplasia. It functions as a selective antagonist of the fibroblast growth factor receptor 3 (FGFR3), which is implicated in inhibiting bone growth in achondroplasia. By blocking this receptor, SAR-442501 aims to enhance skeletal growth and improve height outcomes. The drug is administered via subcutaneous injection. The upreACH Phase II study of SAR442501 in pediatric patients with achondroplasia will remain ongoing but is not expected to advance further.
Low dose infigratinib: BridgeBio Inc.
Infigratinib is an oral small molecule in development for the treatment of FGFR-driven conditions, including achondroplasia, a bone growth disorder in children. Over-activating FGFR3 mutations drive downstream MAPK and STAT1 signaling that aberrates growth plate development, thereby causing disproportionate short stature and severe health complications stemming from cranial and spinal issues. Low-dose infigratinib has the potential to help children due to its direct inhibition of the mutant FGFR3 receptor. BridgeBio initiated PROPEL 3, a Phase III clinical trial studying the efficacy and safety of infigratinib in children with achondroplasia. Both the US FDA and the EU EMA indicated the trial design for PROPEL 3 would be acceptable as a registrational study to support a marketing application for the treatment of children with achondroplasia.
Achondroplasia Market Segmentation
DelveInsight's Achondroplasia Market Insights, Epidemiology, and Market Forecast-2034 report provides a detailed outlook of the current and future Achondroplasia market, segmented within countries, by therapies, and by classes. Further, the market of each region is then segmented by each therapy to provide a detailed view of the current and future market share of all therapies.
Achondroplasia Market Size by Countries
The Achondroplasia market size is assessed separately for various countries, including the United States, EU4 (Germany, France, Italy, and Spain), the UK, and Japan. In 2023, the United States held a significant share of the overall 7MM (Seven Major Markets) Achondroplasia market, primarily attributed to the elevated cost of the available treatments and the increasing sensitivity toward pneumococcal infections. This dominance is projected to persist, especially with the potential early introduction of new products.
Achondroplasia Market Size by Therapies
Achondroplasia Market Size by Therapies is categorized into current and emerging markets for the study period 2020-2034. One of the emerging drugs anticipated to launch during the forecast period is low-dose infigratinib, which is in BridgeBio Inc.'s developmental pipeline.
The Achondroplasia drugs market is growing due to rising prevalence, with increasing demand for treatments targeting the genetic disorder's symptoms. This section focuses on the sales uptake of potential Achondroplasia drugs that have recently been launched or are anticipated to be launched in the Achondroplasia market between 2020 and 2034. It estimates the market penetration of Achondroplasia drugs for a given country, examining their impact within and across classes and segments. It also touches upon the financial and regulatory decisions contributing to the probability of success (PoS) of the drugs in the Achondroplasia market.
Achondroplasia Market Access and Reimbursement
DelveInsight's 'Achondroplasia Market Insights, Epidemiology, and Market Forecast-2034' report provides a descriptive overview of the market access and reimbursement scenario for Achondroplasia.
This section includes a detailed analysis of each therapy's country-wise healthcare system, enlightening market access, reimbursement policies, and health technology assessments.
KOL Views
To keep up with current Achondroplasia market trends and fill gaps in secondary findings, we interview KOLs and SMEs working in the Achondroplasia domain. Their opinion helps understand and validate current and emerging therapies and treatment patterns for Achondroplasia market trends. This will support the clients in potential upcoming novel treatments by identifying the overall scenario of the market of Achondroplasia unmet needs.
Achondroplasia: KOL Insights
DelveInsight's analysts connected with 50+ KOLs to gather insights; however, interviews were conducted with 15+ KOLs in the 7MM. These KOLs were from organizations, institutes, and hospitals, such as Greenberg Center for Skeletal Dysplasias, Department of Genetic Medicine, Johns Hopkins University, Baltimore, USA; McGovern Medical School, University of Texas Health, Houston, TX, USA; Department of Pediatrics, IRCCS Istituto Giannina Gaslini, Genoa, Italy; Instituto de Investigacion Biomedica de Malaga-IBIMA, Hospital Universitario Virgen de la Victoria, Malaga, Spain; Department of Medical Genetics, Tokyo Medical University, Tokyo Japan; and others.
"Achondroplasia occurs in approximately 1 in 25,000 births globally. Although treatments focus on managing symptoms, there is a need for research into therapies that address the genetic basis of the condition."
Competitive Intelligence Analysis
We conduct a Competitive and Market Intelligence analysis of the Achondroplasia therapeutics market, utilizing various Competitive Intelligence tools such as SWOT analysis, Conjoint Analysis, and Market entry strategies. The inclusion of these analyses is contingent upon data availability, ensuring a comprehensive and well-informed assessment of the market landscape and competitive dynamics.
The emerging Achondroplasia therapies are analyzed based on various attributes such as safety and efficacy in randomized clinical trials, order of entry and other market dynamics, and the unmet need they fulfill in the Achondroplasia market.
Achondroplasia Pipeline Development Activities
The report offers an analysis of different Achondroplasia clincial trials within Phase II and III stages and examines companies involved in developing targeted therapeutics for Achondroplasia. It provides valuable insights into the advancements and progress of potential treatments in clinical development for this condition.
Pipeline Development Activities
The report covers information on collaborations, acquisitions and mergers, licensing, patent details, and other aspects of emerging Achondroplasia.