市場調査レポート
商品コード
1116915
難治性慢性咳嗽市場 - 市場の洞察、疫学、市場予測:2032年Chronic Refractory Cough - Market Insight, Epidemiology And Market Forecast - 2032 |
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難治性慢性咳嗽市場 - 市場の洞察、疫学、市場予測:2032年 |
出版日: 2022年08月01日
発行: DelveInsight
ページ情報: 英文 155 Pages
納期: 1~3営業日
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主要7ヶ国における難治性慢性咳嗽の市場規模は、2021年に87億4,020万米ドルになるとみられています。
当レポートでは、主要7ヶ国における難治性慢性咳嗽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、2032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, 'Chronic Refractory Cough-Market Insights, Epidemiology, and Market Forecast-2032' report delivers an in-depth understanding of the Chronic Refractory Cough, historical and forecasted epidemiology as well as the Chronic Refractory Cough market trends in the United States, the EU-5 (Germany, France, Italy, Spain, and the United Kingdom) and Japan.
The Chronic Refractory Cough market report provides current treatment practices, emerging drugs, market share of the individual therapies, and the current and forecasted 7MM Chronic Refractory Cough market size from 2019 to 2032. The Report also covers current Chronic Refractory Cough treatment practice, market drivers, market barriers, SWOT analysis, reimbursement, market access, and unmet medical needs to curate the best of the opportunities and assesses the underlying potential of the market.
Study Period: 2019-2032
Chronic Refractory Cough Overview
Chronic Refractory Cough (CRC) is defined as a cough lasting more than 8 weeks despite guidelines-based treatment and which may be treated only by different medical specialties. Individuals with CRC have impaired quality of life and interruption of activities of daily living. It also results in depression and can persist for many months or years, despite systematic investigation and treatment of known causes. The infection can also be referred to as chronic cough (CC), chronic idiopathic cough (CIC), unexplained chronic cough (UCC), and cough hypersensitivity syndrome (CHS).
Recurrent incidence of CC results in CRC. The symptoms and indications of CRC are similar to those of CC. One of the first and most important symptoms that may indicate respiratory involvement is a persistent or chronic cough. Key symptoms include a dry irritated cough localized around the laryngeal region. Symptoms are not restricted to cough and can include globus, dyspnea, and dysphonia. CRC has factors in common with laryngeal hypersensitivity syndromes and chronic pain syndromes, and these similarities help to shed light on the pathophysiology of the condition.
Laryngopharyngeal reflux (LPR) is a common cause of CRC and may be present without symptoms of classic GERD, including heartburn (silent reflux). Obstructive sleep apnoea syndrome (OSAS) is also an independent risk factor for CC and a risk factor for LPR/GERD recalcitrant to medical therapy. ACE inhibitors are another common cause of CRC, which can occur spontaneously even after many years on this medication without previous problems.
CC is more prevalent in women, and there are various complications associated with it which include negative psychological, social, and physical outcomes. It causes an interruption of daily activities, social embarrassment, and physical exhaustion secondary to frequent coughing episodes.
Chronic Refractory Cough Diagnosis
CRC can be diagnosed when patients have no identified causes of CC or when the cough persists after investigation and treatment of cough-related conditions.
The diagnosis of the disease is either done by primary or secondary assessment. The initial assessment for protracted or chronic cough is intended to characterize the condition based on history, to elicit any alarm symptoms or findings that may indicate a serious underlying disease, and to identify whether there is a specific disease present that is associated with CC.
The first step in evaluating individuals with CRC is performing a correct and complete anamnesis, followed by a physical examination. While the second stage of investigation is considered to further characterize the condition of the disease. These include nasendoscopy and 24-hour pH monitoring. Laryngeal examination using flexible nasendoscopy identifies the presence of laryngeal lesions or abnormal motor patterns that might be contributing to the cough symptoms and laryngeal discomfort.
Some of the common tests that are performed to examine chronic cough are chest radiograph, spirometric and peak expiratory flow measurements, bronchoprovocation testing, sinus imaging, etc.
Continued in the report…..
Chronic Refractory Cough Treatment
According to the recent guidelines published by the American College of Chest Physicians (ACCP) four categories of treatment can be implemented which include nonpharmacologic therapies, ICS, neuromodulatory therapies, proton pump inhibitors, and other therapies.
The market for CRC is mainly dominated by nonpharmacologic therapies, which include Speech Therapy and Physiotherapy. The first step in Speech Pathology Management of CRC patients is to evaluate the pathophysiological features of the condition, including cough characteristics, urge to cough, Paradoxical vocal fold movement (PVFM), and voice symptoms.
After nonpharmacological therapies, the market holds various types of pharmacologic therapies which include neuromodulators, proton pump inhibitors, ICS, and other treatment options. Neuromodulators include opiates (morphine, codeine, tramadol, etc.), gabapentin, pregabalin, morphine, amitriptyline, and baclofen, which act on the heightened neural sensitization that is involved in the pathogenesis of CRC. Combined therapy can also be employed to treat patients with CRC. This includes the use of nonpharmacologic and pharmacologic interventions together.
Recently in 2022, Japan's MHLW approved Merck's LYNFUA (gefapixant), an orally-administered, selective P2X3 receptor antagonist for the treatment of adults with RCC or UCC.
Continued in the report…..
The disease epidemiology covered in the report provides historical as well as forecasted epidemiology segmented by 12 month Prevalent Cases of Chronic Cough, Gender-specific Cases of Chronic Cough, Total Diagnosed Prevalent Cases of Chronic Refractory Cough, and Diagnosed Prevalent Cases of Chronic Cough in IPF scenario of Chronic Refractory Cough in the 7MM covering the United States, the EU-5 countries (Germany, France, Italy, Spain, and the United Kingdom) and Japan from 2019 to 2032.
Key Findings
The epidemiology segment also provides the Chronic Refractory Cough epidemiology data and findings across the United States, the EU-5 (Germany, France, Italy, Spain, and the United Kingdom), and Japan.
The drug chapter segment of the Chronic Refractory Cough report encloses the detailed analysis of Chronic Refractory Cough marketed drugs, mid-phase, and late-stage pipeline drugs. It also helps to understand the Chronic Refractory Cough clinical trial details, expressive pharmacological action, agreements and collaborations, approval, and patent details of each included drug, and the latest news and press releases.
Chronic Refractory Cough Emerging Drugs
MK-7264 (gefapixant): Merck & Co/ Kyorin Pharmaceuticals
MK-7264 (gefapixant), is being developed by Merck & Co for the treatment of RCC or UCC. Also known as AF-219, it is an investigational, non-narcotic, orally-administered, selective P2X3 receptor antagonist that prevents ATP binding. In 2020, Merck completed Phase III trials for MK-7264 and based on its result submitted an NDA for the approval of MK-7264. In January 2022, the FDA issued a CRL regarding Merck's NDA for MK-7264 and requested additional information related to the measurement of efficacy. Currently, Merck is performing additional analyses and anticipates submitting this information to the FDA in the first half of 2023 in response to the CRL. The review period in the EU has also been extended pending the receipt of additional information from the Company. The Company plans to submit the information to the EMA in the first half of 2023.
Products detail in the report…
BLU-5937: Bellus Health
BLU-5937 (formerly known as NEO5937), being developed by Bellus Health, is a potent, highly selective, orally bioavailable small molecule antagonist of the P2X3 receptor, a clinically validated target for CC. BLU-5937 has the potential to be a best-in-class therapeutic for CRC patients. In July 2022, Bellus Health completed an End-of-Phase II meeting with the US FDA. Based on the positive feedback from the FDA, Bellus Health plans a Phase III CALM trial consisting of two pivotal trials (CALM-1 and CALM-2), with a primary efficacy endpoint of 24-hour cough frequency measured at 12 and 24 weeks, respectively. It is expected to enroll its first patient in the fourth quarter of 2022 with topline data expected by 2024. Besides this, it also plans to initiate a Phase I clinical trial investigating a once-daily, extended-release formulation of BLU-5937.
Products detail in the report…
S-600918 (sivopixant): Shionogi
S-600918 (sivopixant) is an oral, P2X3 receptor antagonist, an antitussive agent that is being developed by Shionogi for RCC or UCC. It has high selectivity for P2X3 homomer compared with P2X2/3 heteromer, which could reduce coughs with minimal taste-related side effects. The company has already completed a Phase IIb dose-finding study and plans for Phase III trials in the future to determine a clinically optimal dose for RCC.
Products detail in the report…
AX-8: Axalbion
AX-8, being developed by Axalbion, is a potent, selective transient receptor potential melastatin 8 (TRPM8) agonist, for the treatment of CC. TRPM8 is expressed in many of the sensory fibers innervating the upper airways and can treat RCC by counterbalancing CHS by decreasing or abolishing pathological coughing, and limiting or suppressing abnormal sensations associated with cough. Recently, Axalbion announced positive Phase II results from a proof-of-concept study of AX8 in patients with RCC or UCC.
Products detail in the report…
List of products to be continued in the report…
CRC proves to be a huge burden on the patients who are fighting this debilitating condition. It is typically nonproductive and there is often a preceding history of viral respiratory tract infection. Patients frequently describe a dry, irritating cough that may be localized to the laryngeal region. It significantly impairs patients' quality of life. Unfortunately, in many situations, patients continue to experience CRC despite following the published guidelines for diagnosis and treatment.
Currently, the market holds no approved therapy to treat CRC. According to the recent guidelines published by the American College of Chest Physicians (ACCP) four categories of treatment can be implemented which include nonpharmacologic therapies, ICS, neuromodulatory therapies, proton pump inhibitors, and other therapies.
The market for CRC is mainly dominated by nonpharmacologic therapies, which include Speech Therapy and Physiotherapy. The main strategies that are followed by the speech therapists include education (Cough can be triggered by irritation, controlling the urge to cough, etc.), symptom control techniques, such as cough suppression swallow, cough control breathing, PVFM release breathing, and release of laryngeal restriction, reduction in laryngeal irritation (behavioral management of reflux, reduction in phonotraumatic behaviors, patients should remain hydrated and minimizing exposure to the irritating substances.
After nonpharmacological therapies, the market holds various types of pharmacologic therapies which include neuromodulators, proton pump inhibitors, ICS, and other treatment options. Neuromodulators include opiates (morphine, codeine, tramadol, etc.), gabapentin, pregabalin, morphine, amitriptyline, and baclofen, which act on the heightened neural sensitization that is involved in the pathogenesis of CRC.
ICS are effective in eosinophilic airway inflammation. An assessment of airway eosinophilia (induced sputum, bronchoalveolar lavage) or exhaled NO is followed before subjecting patients with ICS in case of CRC. These mainly include mometasone, budesonide, and beclometasone. Treatment with ICS can significantly reduce cough but regress analyses are required to address the exact treatment regimen of these drugs.
Combined therapy can also be employed to treat patients with CRC. This includes the use of nonpharmacologic and pharmacologic interventions together, i.e., combining speech therapy with drugs to provide relief to the patients. Patients on speech therapy can be advised to opt for drugs, such as pregabalin or gabapentin. Recently Japan's MHLW approved Merck's LYNFUA (gefapixant), an orally-administered, selective P2X3 receptor antagonist for the treatment of adults with RCC or UCC
The market holds a critical unmet need with no approved curative definitive therapy for CRC. The pharmacologic therapies that are employed cannot be used in a long term due to various adverse events associated with them. Expected launch of potential therapies that include orvepitant maleate (Nerre Therapeutics), BLU-5937 (Bellus Health), MK-7264 (gefapixant) (Merck), AX-8 (Axalbion), S-600918 (Shionogi), and NP-120 (ifenprodil) (Algernon Pharmaceuticals) may address this unmet need, increase the market size in the coming years, assisted by an increase in the diagnosed prevalent population of CRC during the forecast period [2022-2032].
According to DelveInsight, the overall dynamics of the CRC market is anticipated to change in the coming years owing to the expected launch of emerging therapies.
Key Findings
This section provides the total Chronic Refractory Cough market size and market size by therapies in the United States.
The total Chronic Refractory Cough market size and market size by therapies in Germany, France, Italy, Spain, and the United Kingdom are provided in this section.
The total Chronic Refractory Cough market size and market size by therapies in Japan are provided.
This section focuses on the rate of uptake of the potential drugs recently launched in the Chronic Refractory Cough market or expected to get launched in the market during the study period 2019-2032. The analysis covers the Chronic Refractory Cough market uptake by drugs; patient uptake by therapies; and sales of each drug.
This helps in understanding the drugs with the most rapid uptake, and the reasons behind the maximal use of new drugs and allows, the comparison of the drugs based on market share and size which again will be useful in investigating factors important in market uptake and in making financial and regulatory decisions.
Chronic Refractory Cough Development Activities
The report provides insights into different therapeutic candidates in phase II, and phase III stages and also analyzes key players involved in developing targeted therapeutics.
Pipeline Development Activities
The report covers detailed information on collaborations, acquisitions, mergers, licensing, and patent details for Chronic Refractory Cough emerging therapies.
Reimbursement Scenario in Chronic Refractory Cough
Approaching reimbursement proactively can have a positive impact both during the late stages of product development and well after product launch. In the report, we consider reimbursement to identify economically attractive indications and market opportunities. When working with finite resources, the ability to select the markets with the fewest reimbursement barriers can be a critical business and price strategy.
Competitive Intelligence Analysis
We perform competitively and market Intelligence analysis of the Chronic Refractory Cough market by using various competitive intelligence tools that include-SWOT analysis, PESTLE analysis, Porter's five forces, BCG Matrix, Market entry strategies, etc. The inclusion of the analysis entirely depends upon the data availability.
Key Questions
Market Insights:
Epidemiology Insights:
Current Treatment Scenario, Marketed Drugs, and Emerging Therapies: