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Metastatic Prostate Cancer - Market Insight, Epidemiology And Market Forecast - 2032
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DelveInsight's "Metastatic Prostate Cancer - Market Insights, Epidemiology, and Market Forecast-2032" report delivers an in-depth understanding of the metastatic prostate cancer, historical and forecasted epidemiology as well as the metastatic prostate cancer market trends in the United States, EU4 (Germany, Spain, Italy, and France) and the United Kingdom, and Japan.

The metastatic prostate cancer market report provides current treatment practices, emerging drugs, metastatic prostate cancer market share of the individual therapies, current and forecasted metastatic prostate cancer market Size from 2019 to 2032 segmented by seven major markets. The Report also covers current metastatic prostate cancer treatment practice/algorithm, market drivers, market barriers and unmet medical needs to curate best of the opportunities and assesses the underlying potential of the market.

Geography Covered:

Study Period: 2019-2032.

Metastatic Prostate Cancer Disease Understanding and Treatment Algorithm

Prostate cancer is a type of malignancy that occurs in the prostate gland, which is a part of male reproductive system. Prostate cancer is the 3rd most prevalent type of cancer in the US and the fourth most common worldwide. Approximately 1 in 9 men in the US will be diagnosed with prostate cancer at some point in their lives. As per American Cancer Society, 2019, prostate cancer is the second leading cause of cancer death in American men, behind only lung cancer.

Treatment options of prostate cancers include mainly hormonal therapies (also known as androgen-deprivation therapy or ADT), chemotherapy, immunotherapy, radiation therapy, and surgery. For localized or locally advanced prostate cancer has active surveillance, surgery, and radiation therapy is the 3 major treatment options.

AKEEGA (niraparib and abiraterone acetate) and a combination of XTANDI (enzalutamide) with TALZENNA (talazoparib) are recently approved (2023) to treat patients with mCRPC.

NUBEQA (darolutamide) in combination with docetaxel received approval in 2022 in the US and recently in 2023 in EU and Japan for adult patients with metastatic hormone-sensitive prostate cancer (mHSPC).

Metastatic prostate cancer market is expected to witness a significant growth rate owing to rising prevalence of prostate cancer cases due to rapidly aging population and growing awareness among people, market penetration in metastatic prostate cancer due to label expansion, and entry of new emerging therapies.

Metastatic Prostate Cancer Epidemiology

The metastatic prostate cancer epidemiology division provides insights about historical and current metastatic prostate cancer patient pool and forecasted trends for every seven major countries. It helps to recognize the causes of current and forecasted trends by exploring numerous studies and views of key opinion leaders. This part of the DelveInsight report also provides the diagnosed patient pool and their trends along with assumptions undertaken.

Key Findings:

The disease epidemiology covered in the report provides historical as well as forecasted metastatic prostate cancer epidemiology [segmented as total prevalent cases of prostate cancer, total diagnosed cases of prostate cancer, age-specific cases of prostate cancer, total diagnosed cases of prostate cancer by clinical stages, total metastatic cases of prostate cancer and total treated cases of metastatic CRPC and metastatic CSPC in the 7MM covering the United States, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan from 2019 to 2032.

Country Wise Metastatic Prostate Cancer Epidemiology

Estimates show that the highest cases of metastatic prostate cancer in the 7MM were in the United States, followed by Germany, Japan, France, Italy, the United Kingdom, and Spain in the year 2022.

Metastatic Prostate Cancer Drug Chapters

Drug chapter segment of the metastatic prostate cancer report encloses the detailed analysis of metastatic prostate cancer marketed drugs and late stage (Phase-III and Phase-II) pipeline drugs. It also helps to understand the metastatic prostate cancer clinical trial details, expressive pharmacological action, agreements and collaborations, approval and patent details, advantages and disadvantages of each included drug and the latest news and press releases.

Marketed Drugs:

XTANDI (enzalutamide): Astellas Pharma/Pfizer

XTANDI is an orally bioavailable, organic, non-steroidal small molecule targeting the AR with potential antineoplastic activity. Through a mechanism that is reported to be different from other approved AR antagonists, enzalutamide inhibits the activity of prostate cancer cell ARs, which may result in a reduction in prostate cancer cell proliferation and, correspondingly, a reduction in the serum PSA level. AR over-expression in prostate cancer represents a key mechanism associated with prostate cancer hormone resistance. In August 2012, XTANDI was approved by the US FDA for treating patients with mCRPC who have previously received docetaxel.

ERLEADA (apalutamide): Janssen Pharmaceutical

ERLEADA is a next-generation oral AR inhibitor that blocks the androgen signaling pathway in prostate cancer cells. It is indicated for the treatment of patients with nmCRPC and for the treatment of patients with metastatic CSPC. It is taken orally, once daily, with or without food. In September 2019, the US FDA approved ERLEADA for the treatment of patients with metastatic CSPC.

Note: Detailed current therapies assessment will be provided in the full report of metastatic prostate cancer

Emerging Drugs

MGC018 (vobramitamab duocarmazine): MacroGenics

MGC018 (vobramitamab duocarmazine) is an investigational ADC. MacroGenics began enrolling the TAMARACK Phase II study of vobra duo in patients with mCRPC under an amended protocol during the second quarter and anticipates enrolling a majority of the study patients in 2023 and expects to provide a clinical update by 2024.

Bavdegalutamide (ARV-110): Arvinas

ARV-110 is an oral PROTAC protein degrader that targets the AR for potentially treating men with mCRPC and who have progressed on existing therapies. The company plans to initiate a global Phase III trial with a confirmed bavdegalutamide dose in metastatic castration-resistant prostate cancer (mCRPC) for patients with AR T878/H875 tumor mutations by the second half of 2023.

Other products in development include Ceralasertib by AstraZeneca, Bavdegalutamide (ARV-110) by Arvinas, PT-112 by Phosplatin Therapeutics, and others.

Note: Detailed emerging therapies assessment will be provided in the final report.

Metastatic Prostate Cancer Market Outlook

Metastatic CSPC, also referred to as mHSPC in literature refers to prostate cancer that still responds to testosterone suppression therapy. mCRPC is another type of prostate cancer that is highly talked about and holds huge market potential. It is a stage of prostate cancer that has spread to other parts of the body, such as lymph nodes or bones, and no longer responds to treatment that lowers testosterone. Moreover, patients with newly diagnosed metastatic disease and high-risk disease characteristics tend to have a poorer prognosis.

Currently, the market holds a diverse range of therapeutic alternatives for treatment, including PARP inhibitors, androgen receptor inhibitors, CYP17 inhibitors, microtubule inhibitors, ionizing radiation emitters, and others in different lines of treatment.

In 2018, ZYTIGA (abiraterone acetate) in combination with prednisone was approved for the treatment of metastatic high-risk CSPC. Approval in this category was based on the results of the Phase III LATITUDE trial. Before this, ZYTIGA was approved in 2011 initially for patients with mCRPC who had received prior chemotherapy and expanded the indication in 2012 for patients with mCRPC.

Moreover, in September 2019, the US FDA also approved ERLEADA for patients with mHSPC. The efficacy of ERLEADA was evaluated in TITAN trial.

Most recently, PARP inhibitors have shown tremendous development in metastatic prostate cancer with AKEEGA (Janssen), followed by TALZENNA (Pfizer/Astellas Pharma) and LYNPARZA in combination (AstraZeneca/Merck) getting approved in mCRPC in the year 2023.

Over the past few years, improvements in CRPC have shown that treatments are more effective when used early. However, combination therapy has yet to be proven beneficial. To achieve that, it is necessary to possess a profound understanding of the market and the associated unmet needs.

Currently, several companies have indulged themselves in initiating clinical trials that investigate new treatment options or studying how to use existing treatment options better. Companies like Bayer/Orion, Novartis, Astrazeneca, Pfizer, and others are investigating their key products for managing metastatic prostate cancer.

According to DelveInsight, metastatic prostate cancer market in 7MM is expected to witness a major change in the study period 2019-2032.

Key Findings:

The United States Market Outlook

The total market size of metastatic CRPC and metastatic CSPC in the United States is expected to increase with a CAGR of 8.9% and 23.5% respectively, in the study period (2019-2032).

EU-5 Countries: Market Outlook

The total market size of metastatic CRPC and metastatic CSPC in EU4 and the UK is expected to increase with a CAGR of 5.1% and 18.3% respectively, in the study period (2019-2032).

Japan Market Outlook

The total market size of metastatic CRPC and metastatic CSPC in the Japan is expected to increase with a CAGR of 3.1% and 20.3% respectively, in the study period (2019-2032).

Analyst Commentary:

Metastatic Prostate Cancer Drugs Uptake

This section focusses on the rate of uptake of the potential drugs recently launched in the metastatic prostate cancer market or expected to get launched in the market during the study period 2019-2032. The analysis covers metastatic prostate cancer market uptake by drugs; patient uptake by therapies; and sales of each drug. For example-

NUBEQA (darolutamide) Based on the key Phase III ARAMIS trial findings, Nubeqa was approved in the United States in 2019 for the treatment of patients with nmCRPC. According to the company, strong launch performance has been observed in men with high-risk nmCRPC to date. NUBEQA has made significant advances, owing to increased volumes in the United States. The company is also experiencing promising early signs in Europe. So far, the price and reimbursement environment in Germany has been positive. In Germany, it is the only second-generation ARi to receive significant benefits from IQWIG and GB-A. Finally, a good market share increase in nmCRPC, along with a sustained rise in new prescribers and favorable consumer opinion, will encourage continued acceptance of this candidate in the United States and other countries as well. In males with mHSPC, a Phase III ARASENS study met the primary endpoint of OS for NUBEQA + docetaxel + ADT. ARASENS is part of a larger NUBEQA development package that involves another ongoing Phase III study in mHSPC, ARANOTE, which is evaluating NUBEQA + ADT. Approval for NUBEQA + docetaxel + ADT was received in August 2022 in the US based on Phase III ARASENS trial. Recently, it was approved in EU4 and the UK and Japan in March 2023 and February 2023, respectively. Given the recent approval in metastatic CSPC trial and robust performance of NUBEQA in nmCRPC so far, it is reasonable to expect that NUBEQA'S potential in men with metastatic HSPC will provide a new therapeutic alternative. It is expected that the drug may enter the US and EU market by 2025 and Japanese market by 2026 with its other combination i.e., NUBEQA + ADT.

Note: Detailed emerging therapies assessment will be provided in the final report.

Metastatic Prostate Cancer Pipeline Development Activities

The report provides insights into different therapeutic candidates in Phase II and Phase III stage. It also analyses metastatic prostate cancer key players involved in developing targeted therapeutics.

Pipeline Development Activities

The report covers the detailed information of collaborations, acquisition and merger, licensing, patent details and other information for metastatic prostate cancer emerging therapies.

Reimbursement Scenario in Metastatic Prostate Cancer

KOL- Views:

To keep up with current market trends, we take KOLs and SME's opinion working in the domain through primary research to fill the data gaps and validate our secondary research. Some of the leaders are Senior Vice President and Head of Oncology Development, Bayer Pharmaceuticals, - M.D. and Professor, University of Utah School of Medicine and others. Their opinion helps to understand and validate current and emerging therapies treatment patterns or metastatic prostate cancer market trend. This will support the clients in potential upcoming novel treatment by identifying the overall scenario of the market and the unmet needs.

Competitive Intelligence Analysis

We perform Competitive and Market Intelligence analysis of the metastatic prostate cancer 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.

Scope of the Report:

Report Highlights:

Metastatic Prostate Cancer Report Insights

Metastatic Prostate Cancer Report Key Strengths

Metastatic Prostate Cancer Report Assessment

Key Questions:

Market Insights:

Epidemiology Insights:

Current Treatment Scenario, Marketed Drugs and Emerging Therapies:

Reasons to buy:

Table of Contents

1. Key Insights

2. Report Introduction

3. Metastatic Prostate Cancer Market Overview at a Glance

4. Executive Summary of Metastatic Prostate Cancer

5. Key Events

6. Epidemiology and Market Forecast Methodology

7. SWOT Analysis

8. Disease Background and Overview

9. Diagnosis of Prostate Cancer

10. Treatment and Management of Prostate Cancer

11. American Urological Association (AUA) Guidelines for Metastatic Prostate Cancer: 2023

12. Guidelines for Metastatic Prostate Cancer: Abiraterone acetate combined with castration is another standard (European Association of Urology, 2023)

13. National Institute for health and care excellence (NICE) Recommendation Guidelines for Metastatic Prostate Cancer: 2023

14. SEOM Clinical Guidelines for Metastatic Prostate Cancer: 2023

15. Updated NCCN Guidelines for Metastatic Prostate Cancer

16. Epidemiology and Patient Population

17. Organizations contributing towards Metastatic Prostate Cancer

18. Marketed Therapies

19. Emerging Therapies

20. Metastatic Prostate Cancer: Seven Major Market Analysis

21. Market Drivers

22. Market Barriers

23. Unmet Needs

24. Reimbursement and Market Access

25. Appendix

26. Report Methodology

27. DelveInsight Capabilities

28. Disclaimer

29. About DelveInsight

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