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市場調査レポート
商品コード
1654647
慢性リンパ性白血病の世界市場(2025年~2033年)Global Chronic Lymphocytic Leukemia Market - 2025-2033 |
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カスタマイズ可能
適宜更新あり
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慢性リンパ性白血病の世界市場(2025年~2033年) |
出版日: 2025年02月13日
発行: DataM Intelligence
ページ情報: 英文 182 Pages
納期: 即日から翌営業日
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世界の慢性リンパ性白血病の市場規模は、2024年に57億米ドルに達し、2033年には91億米ドルに達すると予測され、予測期間2025年~2033年のCAGRは5.5%で成長する見込みです。
慢性リンパ性白血病(CLL)は血液と骨髄を侵すがんの一種で、主にBリンパ球またはB細胞と呼ばれる白血球の特定のサブセットが関与します。慢性リンパ性白血病は、異常なBリンパ球の制御不能な増殖が特徴で、時間とともに蓄積し、健康な血液細胞を駆逐してしまいます。
急性型の白血病とは異なり、慢性リンパ性白血病はゆっくりと進行し、症状が顕著になったり、治療が必要になるまでには何年もかかることが多いです。CLLの予後は、個々の危険因子、遺伝子マーカー、治療への反応によって大きく異なります。不治の病であることに変わりはありませんが、多くの患者は長期生存を経験し、慢性疾患として管理することができます。
慢性リンパ性白血病(CLL)治療に対する需要は、高齢化による罹患率の増加、治療法の進歩、新興市場における医療へのアクセスの向上など、いくつかの連動した要因によって牽引されています。例えば、米国血液学会によると、慢性リンパ性白血病(CLL)は成人の間で最も一般的な白血病であり、新たに診断された症例の90%以上が64歳以上の患者で発生しています。
促進要因と抑制要因
高齢化人口の増加と慢性リンパ性白血病の有病率
高齢化率の上昇と慢性リンパ性白血病の有病率は、慢性リンパ性白血病市場の成長を大きく牽引しており、予測期間中も牽引していくとみられます。CLLは65歳以上の高齢者に多く、慢性リンパ性白血病の発展リスクは年齢とともに著しく上昇します。
例えば、米国国立衛生研究所(NIH)によると、慢性リンパ性白血病(CLL)は成人の白血病の中で最も一般的なタイプであり、米国では年間2万1,250人が新たにCLLと診断されていると推定されています。多くの国で人口動態が高齢者へとシフトしていることから、継続的な治療を必要とする患者層が拡大しています。
さらに、世界保健機関(WHO)は、2050年までに60歳以上の世界人口は21億人に達し、2020年の10億人からほぼ倍増すると推定しています。この動向は先進地域で特に顕著であり、医療システムはすでにCLLやその他の加齢に関連したがん症例の増加に備えています。
慢性リンパ性白血病治療に伴う高コスト
慢性リンパ性白血病(CLL)治療にかかる高額な費用は、患者のアクセスを制限し、医療システムへの財政負担を増大させ、特に低所得地域における治療導入を減少させることにより、市場の成長を著しく妨げます。米国では、保険が適用されていても自己負担額が大きく、治療を見送る患者もいます。その結果、市場は裕福な地域か、保険に加入している患者に限定され、世界の成長を抑制しています。
例えば、米国国立衛生研究所によると、米国における慢性リンパ性白血病患者数は、生存率の向上により2011年の12万8,000人から2025年には19万9,000人(55%増)に増加すると予測されており、一方、慢性リンパ性白血病管理にかかる年間費用は7億4,000万米ドルから51億3,000万米ドル(590%増)に増加すると予測されています。
慢性リンパ性白血病治療にかかる患者一人当たりの生涯費用は、経口標的治療薬が第一選択となるため、14万7,000米ドルから60万4,000米ドル(310%増)に増加する見込みです。メディケアに加入している患者の場合、対応する自己負担総額は9,200米ドルから5万7,000米ドルに増加する見込みです(520%増)。CITシナリオと比較すると、経口標的療法は質調整生存年あたり18万9,000米ドルの増分費用効果比をもたらしました。
さらに、リンパ腫研究財団によると、慢性リンパ性白血病の治療費は、1次治療における1人当たり年間14万867米ドルから、5次治療における1人当たり年間推定23万4,807米ドルまで、後の治療ラインにわたって増加しました。合計すると、米国におけるCLL治療の生涯総費用は約114万2,357米ドルになると研究者らは推定しました。これらの費用の大部分(約77%)は薬剤の入手と投与に関連しており、入院と救急外来受診は総費用の約20%を占めていました。
The global chronic lymphocytic leukemia market reached US$ 5.7 billion in 2024 and is expected to reach US$ 9.1 billion by 2033, growing at a CAGR of 5.5% during the forecast period 2025-2033.
Chronic lymphocytic leukemia (CLL) is a type of cancer that affects the blood and bone marrow, primarily involving a particular subset of white blood cells called B lymphocytes or B cells. Chronic lymphocytic leukemia is characterized by the uncontrolled proliferation of abnormal B lymphocytes, which accumulate over time and can crowd out healthy blood cells.
Unlike acute forms of leukemia, chronic lymphocytic leukemia progresses slowly, often taking years for symptoms to become noticeable or for the disease to require treatment. CLL prognosis varies widely based on individual risk factors, genetic markers and response to treatment. While it remains incurable, many patients experience long-term survival and can manage it as a chronic disease, with newer therapies significantly improving quality of life and outcomes.
The demand for chronic lymphocytic leukemia (CLL) treatments is driven by several interlinked factors, including increasing incidence rates due to an aging population, advances in treatment modalities and greater access to healthcare in emerging markets. For instance, according to the American Society of Hematology, chronic lymphocytic leukemia (CLL) is the most common leukemia among adults, with more than 90% of newly diagnosed cases occurring in patients more than 64 years of age.
Market Dynamics: Drivers & Restraints
Rising aging population and prevalence of chronic lymphocytic leukemia
The rising aging population and prevalence of chronic lymphocytic leukemia are significantly driving the growth of the chronic lymphocytic leukemia market and are expected to drive over the forecast period. CLL is more common among people aged 65 and older and the risk of developing chronic lymphocytic leukemia rises significantly with age.
For instance, according to the National Institute of Health (NIH), Chronic lymphocytic leukemia (CLL) is the most common type of leukemia in adults with an estimated 21,250 new cases of CLL diagnosed annually in the United States. Given the demographic shift toward an older population in many countries, there is an expanding patient pool that needs ongoing care.
Additionally, the World Health Organization (WHO) estimates that by 2050, the global population aged 60 and older will reach 2.1 billion, nearly doubling from 1 billion in 2020. This trend is particularly pronounced in developed regions, where healthcare systems are already preparing for increased CLL and other age-related cancer cases.
High cost associated with chronic lymphocytic leukemia treatment
The high cost of chronic lymphocytic leukemia (CLL) treatment significantly hampers market growth by limiting patient access, increasing financial strain on healthcare systems and reducing treatment adoption, especially in lower-income regions. In the U.S., even with insurance, out-of-pocket costs can be burdensome, leading some patients to forgo treatment. Consequently, the market is limited to wealthier regions or patients with strong insurance, constraining global growth.
For instance, according to the National Institute of Health, the number of people living with chronic lymphocytic leukemia in the United States is projected to increase from 128,000 in 2011 to 199,000 by 2025 (55% increase) due to improved survival, meanwhile, the annual cost of chronic lymphocytic leukemia management will increase from $0.74 billion to $5.13 billion (590% increase).
The per-patient lifetime cost of chronic lymphocytic leukemia treatment will increase from $147,000 to $604,000 (310% increase) as oral targeted therapies become the first-line treatment. For patients enrolled in Medicare, the corresponding total out-of-pocket cost will increase from $9,200 to $57,000 (520% increase). Compared with the CIT scenario, oral targeted therapies resulted in an incremental cost-effectiveness ratio of $189,000 per quality-adjusted life-year.
Additionally, according to the Lymphoma Research Foundation, chronic lymphocytic leukemia treatment costs increased across later lines of therapy, from $140,867 per person per year in first-line treatment to an estimated $234,807 per year per year in the fifth line of treatment. In total, researchers estimated that the total lifetime cost of CLL care in the United States is about $1,142,357. The majority of these costs (about 77%) were related to drug acquisition and administration; inpatient and emergency department visits accounted for about 20% of total costs.
The global chronic lymphocytic leukemia market is segmented based on type, treatment, route of administration, end-user and region.
The targeted therapy segment is expected to dominate the global chronic lymphocytic leukemia market share
The targeted therapy segment holds a major portion of the chronic lymphocytic leukemia market share and is expected to continue to hold a significant portion of the market share over the forecast period due to its effectiveness in treating the disease, particularly in cases where traditional chemotherapy may be less effective or cause more side effects. Targeted therapies focus on specific molecules or pathways that drive cancer growth, offering more personalized and precise treatment options for patients.
Targeted therapies, such as tyrosine kinase inhibitors such as ibrutinib and acalabrutinib and BCL-2 inhibitors like venetoclax, have shown superior efficacy compared to traditional chemotherapy, particularly in patients with high-risk chronic lymphocytic leukemia or those who have relapsed or are refractory to other treatments.
For instance, AstraZeneca's Calquence has been used to treat more than 80,000 patients worldwide and is approved for the treatment of CLL. Calquence (acalabrutinib) is a second-generation, selective inhibitor of Bruton's tyrosine kinase (BTK). Calquence binds covalently to BTK, thereby inhibiting its activity. In B-cells, BTK signaling results in the activation of pathways necessary for B-cell proliferation, trafficking, chemotaxis and adhesion.
The immunotherapy segment is the fastest-growing segment in the chronic lymphocytic leukemia market
The immunotherapy segment is expected to be the fastest-growing segment in the chronic lymphocytic leukemia market over the forecast period due to the increasing clinical success of new immunotherapeutic agents, such as monoclonal antibodies (mAbs) and chimeric antigen receptor T-cell (CAR-T) therapies. These treatments are revolutionizing chronic lymphocytic leukemia care by offering targeted, highly effective and often less toxic alternatives to traditional therapies like chemotherapy.
CAR-T therapy is one of the most exciting developments in cancer treatment. It involves modifying a patient's own T cells to express a receptor specific to CLL cancer cells, which enhances the body's immune system to attack the leukemia. For instance, in March 2024, Bristol Myers Squibb cleared the U.S. Food and Drug Administration (FDA) approval of Breyanzi (lisocabtagene maraleucel; liso-cel), a CD19-directed chimeric antigen receptor (CAR) T cell therapy, for the treatment of adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL) who have received at least two prior lines of therapy
North America is expected to hold a significant position in the global chronic lymphocytic leukemia market
North America region is expected to hold the largest share in the global chronic lymphocytic leukemia market over the forecast period due to several key factors, including a high prevalence of chronic lymphocytic leukemia especially in the United States, advanced healthcare infrastructure, significant research investments and early adoption of innovative therapies.
Chronic lymphocytic leukemia is more prevalent in North America, particularly in the United States affecting about 5 in 100,000 people in the U.S. The American Cancer Society estimates about 18,700 people will be diagnosed with CLL in 2023. The increasing aging population in the U.S. and Canada also contributes to higher incidence rates, as chronic lymphocytic leukemia primarily affects elderly adults, with the median age at diagnosis being around 60-70 years.
Furthermore, FDA approvals for new treatments such as ibrutinib, acalabrutinib and venetoclax have solidified North America's position as the dominant market for chronic lymphocytic leukemia therapies. The United States leads in the number of new cancer drug approvals, allowing faster access to novel therapies that have transformed CLL treatment.
For instance, in December 2023, Eli Lilly and Company cleared the U.S. Food and Drug Administration (FDA) approval for Jaypirca (pirtobrutinib, 100 mg & 50 mg tablets) for the treatment of adult patients with chronic lymphocytic leukemia (CLL) who have received at least two prior lines of therapy, including a Bruton's tyrosine kinase (BTK) inhibitor and a BCL-2 inhibitor. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial.
Asia Pacific is growing at the fastest pace in the chronic lymphocytic leukemia market
The Asia Pacific region is experiencing the fastest growth in the chronic lymphocytic leukemia market due to the rising incidence of CLL, improving healthcare infrastructure, increasing awareness of leukemia and expanding access to novel therapies. While CLL is more common in Western countries, its prevalence is steadily increasing in the APAC region. The aging population in countries like Japan, China and India is contributing to higher rates of CLL, as the disease primarily affects older adults.
For instance, according to the American Society of Hematology, histologically, atypical chronic lymphocytic leukemia accounts for 20% or more of CLL in Japan, which tends to be higher than that of Western European countries, where it is about 10%.
The investment in cancer research and clinical trials is growing rapidly in the APAC region. Pharmaceutical companies are increasingly conducting clinical trials in APAC countries, leading to quicker approval of chronic lymphocytic leukemia treatments in these regions.
For instance, in September 2024, ICMR signed agreements to advance first-in-human phase 1 clinical trials; aiming to provide accessible healthcare for all. The memorandum agreements include collaborative research over a small molecule for multiple myeloma with Aurigene Oncology Limited, partnering for Zika vaccine development with Indian Immunologicals Limited, coordinating seasonal Influenza virus vaccine trial with Mynvax Private Limited, and CAR-T cell therapy advancement study for a new indication of chronic lymphocytic leukemia with ImmunoACT.
The major global players in the chronic lymphocytic leukemia market include Novartis AG, Teva Pharmaceutical Industries Limited, Bristol Myers Squibb company, BeiGene, Ltd., AstraZeneca PLC, Secura Bio, Inc, Genentech USA, Inc., Johnson & Johnson, Eli Lilly and Company, Amgen Inc. and among others.
Emerging Players
The emerging players in the chronic lymphocytic leukemia market include Gilead Sciences, Inc., AbbVie, Eagle Pharma, TG Therapeutics, Mustang Bio, Inc., Apotex Corp., Secura Bio, Inc. and among others.
The global chronic lymphocytic leukemia market report delivers a detailed analysis with 65 key tables, more than 70 visually impactful figures, and 182 pages of expert insights, providing a complete view of the market landscape.
Target Audience 2024
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