궤양성 대장염 시장 - 시장 인사이트, 역학, 시장 예측(2034년)
Ulcerative Colitis - Market Insight, Epidemiology, and Market Forecast - 2034
상품코드 : 1705105
리서치사 : DelveInsight
발행일 : On Demand Report
페이지 정보 : 영문 200 Pages
 라이선스 & 가격 (부가세 별도)
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한글목차

주요 하이라이트

본 보고서는 미국, EU 4개국(독일, 프랑스, 이탈리아, 이탈리아, 스페인), 영국, 일본의 궤양성 대장염 시장 동향과 함께 궤양성 대장염의 역사적 및 예측 역학에 대해 깊이 있게 이해할 수 있습니다.

이 보고서는 주요 7개국을 대상으로 실제 처방 패턴 분석, 신약 평가, 시장 점유율, 개별 치료법 채택/사용 패턴, 2020년에서 2034년까지의 궤양성 대장염 시장 규모 분석 및 예측을 제공합니다. 또한 궤양성 대장염 치료 시장의 현재 관행/알고리즘과 궤양성 대장염의 미충족 수요를 포괄하여 최적의 기회를 발굴하고 시장 잠재력을 평가합니다.

궤양성 대장염은 염증성 장 질환이라고 불리는 소화관의 만성 염증성 질환의 두 가지 주요 형태 중 하나이며, 다른 하나는 크론병입니다. 궤양성 대장염은 대장 점막의 특발성 만성 염증성 질환으로 임상적으로 설사, 복통, 혈변이 특징입니다.

궤양성 대장염을 진단하기 위한 검사는 한 가지가 아니라 염증성 장질환의 증상과 내시경 검사, 생검, 대변검사, X-선 검사, 영상검사(단순 X-선 사진, X-선 투시, CT, MRI)의 결과를 종합적으로 고려합니다. 이 외에도 전혈구수, 염증표지자 검사, 간기능 검사, 요소, 전해질 등의 임상검사도 시행합니다.

연성 에스결장경 검사와 대장내시경 검사는 궤양성 대장염을 진단하고 크론병, 게실 질환, 암과 같은 다른 질환을 배제하는 가장 정확한 방법입니다. 항체 동정을 기반으로 한 고급 혈액 검사도 감별 진단에 사용할 수 있습니다. 궤양성 대장염 환자의 대부분은 혈액에 항호중구 주변 항체를 가지고 있으며, 크론병 환자는 항발아 효모 항체를 가지고 있을 가능성이 높습니다.

병태생리, 진단 접근법, 상세한 치료 알고리즘에 대한 개요를 첫 증상부터 시작해서 진단에 소요된 시간, 치료 과정 전반에 걸친 환자 동향에 대한 실제 시나리오와 함께 제공합니다.

궤양성 대장염의 치료는 질병과 증상의 중증도에 따라 환자의 특정 요구에 따라 개별적으로 이루어집니다. 치료에는 약물요법, 식이요법, 영양요법, 때로는 외과적 수술로 소화관의 환부를 복원하거나 절제하는 수술이 포함됩니다.

치료에는 아미노살리실산염, 부신피질 스테로이드, 면역조절제, 야누스 키나아제(JAK) 억제제, 생물학적 제제 등 여러 유형의 약물이 사용됩니다. 이 외에도 궤양성 대장염 환자는 설사약, 진통제, 철분 보충제, 영양 보충제 등의 치료를 받기도 합니다.

2024년 임상 및 등록 관련 최신 정보

궤양성 대장염의 최근 동향

본 보고서는 주요 7개국 궤양성 대장염 시장에 대해 조사했으며, 시장 개요, 역학, 환자 동향, 새로운 치료법, 2034년까지 시장 규모 예측, 미충족 의료 수요 등을 정리하여 전해드립니다.

목차

제1장 주요 인사이트

제2장 보고서 서론

제3장 궤양성 대장염 시장 개요

제4장 역학과 시장 조사 방법

제5장 궤양성 대장염 주요 요약

제6장 궤양성 대장염 시장 - 질환 배경과 개요

제7장 궤양성 대장염 역학과 환자 인구

제8장 환자 동향

제9장 궤양성 대장염 시판 치료제

제10장 궤양성 대장염 신약

제11장 궤양성 대장염 : 주요 7개국 분석

제12장 궤양성 대장염 시장 접근과 상환

제13장 궤양성 대장염 KOL(Key Opinion Leader)의 견해

제14장 궤양성 대장염 SWOT 분석

제15장 궤양성 대장염 미충족 요구

제16장 부록

제17장 DelveInsight의 서비스 내용

제18장 면책사항

LSH
영문 목차

영문목차

Key Highlights:

DelveInsight's "Ulcerative Colitis Market Insights, Epidemiology and Market Forecast - 2034" report delivers an in-depth understanding of the Ulcerative Colitis, historical and forecasted epidemiology as well as the Ulcerative Colitis market trends in the United States, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan.

The Ulcerative Colitis Market Research Report provides real-world prescription pattern analysis, emerging drugs assessment, market share, and uptake/adoption pattern of individual therapies, as well as historical and forecasted Ulcerative Colitis market size from 2020 to 2034 in 7MM. The report also covers current Ulcerative Colitis treatment market practices/algorithms and Ulcerative Coliti unmet needs to curate the best opportunities and assess the market's underlying potential.

Ulcerative Colitis Treatment Market: Overview

Ulcerative colitis is one of the two main forms of chronic inflammatory disease of the gastrointestinal tract, called inflammatory bowel disease, the other being Crohn's disease. Ulcerative colitis is an idiopathic, chronic inflammatory disorder of the colonic mucosa and is clinically characterized by diarrhea, abdominal pain, and hematochezia.

There is no one test to diagnose ulcerative colitis; instead, the symptoms of inflammatory bowel diseases are considered together with the results of endoscopies, biopsies, stool tests, x-rays, and imaging procedures (plain radiograph, fluoroscopy, CT, and MRI). Other than this, laboratory tests like full blood count, inflammatory marker tests, liver function tests, urea, electrolytes, etc., are also performed.

Flexible sigmoidoscopy and colonoscopy are the most accurate methods for diagnosing Ulcerative Colitis and ruling out other possible conditions, such as Crohn's disease, diverticular disease, or cancer. Sophisticated blood tests, based on antibody identification can also be used for differential diagnosis. Many patients with Ulcerative Colitis have Perinuclear anti-neutrophil antibodies in their blood, while patients with Crohn's disease are more likely to have Anti-Saccharomyces Cerevisiae antibodies.

The Ulcerative colitis market forecast report provide overview of pathophysiology, diagnostic approaches and detailed treatment algorithm along with real-world scenario of a patient's journey beginning from the first symptom, the time taken for diagnosis to the entire treatment process.

Ulcerative Colitis Treatment

Ulcerative Colitis treatment is individualized to the specific needs of the patient, depending on the severity of the disease and its symptoms. It involves use of medication, alterations in diet and nutrition, and at times surgical procedures to repair or remove affected portions of the patient's gastrointestinal tract.

Several types of drug classes are used in treatment, including Aminosalicylates, Corticosteroids, Immunomodulators, Janus kinase (JAK) inhibitors and Biologics. In addition to this, Ulcerative Colitis patients are also treated with anti-diarrheal medications, painkillers, iron supplements, and dietary supplements.

Clinical and Registrational Updates in 2024

Ulcerative Colitis Epidemiology

The Ulcerative Colitis epidemiology chapter in the report provides historical as well as forecasted epidemiology segmented by Total Diagnosed Prevalent Cases of Ulcerative Colitis, Age-specific Cases of Ulcerative Colitis, Severity-specific Cases of Ulcerative Colitis, and Total Treated Patients of Ulcerative Colitis, in the 7MM covering the United States, EU4 countries (Germany, France, Italy, and Spain), United Kingdom, and Japan from 2020 to 2034.

Ulcerative Colitis Recent Developments

Ulcerative Colitis Drug Chapters

The drug chapter segment of the Ulcerative Colitis market outlook report encloses a detailed analysis of Ulcerative Colitis marketed drugs and late-stage (Phase III and Phase II) Ulcerative Colitis pipeline drugs. It also deep dives into the Ulcerative Colitis clinical trials details, recent and expected market approvals, patent details, the latest Ulcerative Colitis news, and recent deals and collaborations.

Ulcerative Colitis Marketed Drugs

SIMPONI is a human monoclonal antibody that targets and neutralizes excess tumor necrosis factor (TNF)-alpha, a protein that, when overproduced in the body due to chronic inflammatory diseases, can cause inflammation and damage to the bones, cartilage, and tissue. SIMPONI is the first subcutaneous anti-tumor necrosis factor (TNF)-alpha treatment administered as an every 4-week maintenance therapy for ulcerative colitis.

It is approved to treat moderately to severely active ulcerative colitis in adults. However, it is also being evaluated in pediatric patients with moderately to severely active ulcerative colitis in currently ongoing trials.

It is a humanized monoclonal antibody designed to antagonize the alpha 4 beta 7 integrin specifically, inhibiting the binding of alpha 4 beta 7 integrins to intestinal mucosal addressin cell adhesion molecule 1 (MAdCAM-1). The alpha 4 beta 7 integrin is expressed on a subset of circulating white blood cells, and these cells have been shown to mediate the inflammatory process in ulcerative colitis and Crohn's disease. By inhibiting alpha 4 beta 7 integrin, vedolizumab may limit the ability of certain white blood cells to infiltrate gut tissues.

Currently, it is approved to treat moderately to severely active ulcerative colitis in adults who have had an inadequate response with, lost response to, or were intolerant to either conventional therapy or a tumor necrosis factor-alpha (TNFa)-antagonist.

Etrasimod (APD334) is a next-generation, once-daily, oral, highly selective sphingosine 1-phosphate (S1P) receptor modulator discovered by Arena and designed for optimized pharmacology and engagement of S1P receptors 1, 4, and 5 which may lead to an improved efficacy and safety profile. Etrasimod provides systemic and local effects on specific immune cell types and can potentially treat multiple immune-mediated inflammatory diseases, including Crohn's disease and ulcerative colitis.

Currently, it is approved for adults with moderately to severely active UC who have had an inadequate response, lost response, or were intolerant to either conventional therapy or an advanced treatment by US FDA and EMA.

Ulcerative Colitis Emerging Drugs

ABX464 is an oral, first-in-class, small molecule that selectively upregulates miR-124 in immune cells. Because of its ability to greatly upregulate the production of a unique RNA splicing product and anti-inflammatory agent, miR-124, ABX464's mechanism of action is unique. It has shown promise in clinical trials in bringing patients into remission and healing inflammatory lesions in ulcerative colitis.

Currently, obefazimod is being evaluated in various Phase III trials to treat moderately to severely active ulcerative colitis. Expected to be in the US market by 2026 with slow-medium uptake.

SHR0302 is a novel, potent, orally administered selective JAK 1 inhibitor in development by Reistone Biopharma to treat IBD, such as ulcerative colitis and Crohn's disease. JAK1 selectivity could potentially provide a favorable safety and efficacy profile compared to the pan-JAK inhibitor. Longer-term clinical studies are ongoing to confirm a favorable risk-benefit of JAK1 selectivity by avoiding the hematological side effects of JAK2 inhibition (Reistone Biopharma, 2021a).

SHR0302 is currently being evaluated in a Phase III (NCT05181137) trial to treat moderately to severely active ulcerative colitis in adults.

Drug Class Insights

A diverse class of treatment agents are now been prescribed for Ulcerative Colitis treatment, like anti-TNFa, anti-leukotriene antagonists, anti-integrins, S1P receptor modulators, and JAK inhibitors. Among all classes, anti-TNF alfa is recommended in first-line treatment.

Drugs that block both JAK and tyrosine kinase may also be effective in stopping or slowing the growth of Ulcerative Colitis. Moreover, the upcoming treatment landscape is poised to expand further after new classes emerge, such as toll-like receptor 9 activators, miR-124 enhancers, T-cell therapy, etc.

Ulcerative Colitis Market Outlook

Ulcerative Colitis treatment is complex and comprises the use of medication, alterations in diet and nutrition, and at times surgical procedures to repair or remove affected portions of the patient's gastrointestinal tract. The current treatment landscape of Ulcerative Colitis consists of conventional choices such as aminosalicylates, corticosteroids, thiopurines, calcineurin inhibitors, anti-TNF agents (HUMIRA [adalimumab], REMICADE [infliximab], and SIMPONI [golimumab]), antiadhesion molecules (ENTYVIO [vedolizumab]), and, more recently, small molecule directed against the JAK pathways (XELJANZ [tofacitinib]), anti-IL12/23 (STELARA [ustekinumab]), and S1P receptor modulator (ZEPOSIA [ozanimod]).

Current US guidelines recommend first-line treatment with aminosalicylate or sequential induction with corticosteroids followed by aminosalicylate maintenance therapy in patients with mild-to-moderate Ulcerative Colitis. In patients with moderate-to-severe Ulcerative Colitis, an immunosuppressant such as azathioprine or 6-mercaptopurine may be prescribed as maintenance therapy following corticosteroid induction. Alternatively, a biologic, typically an anti-tumor necrosis factors antibody such as infliximab or adalimumab, can be prescribed with or without a concurrent immunosuppressant to promote and maintain mucosal healing and clinical remission.

The current market has been segmented into different commonly used drugs based on the prevailing treatment pattern across the 7MM, presenting minor variations in the overall prescription pattern. Conventional therapies, anti-TNF agents, anti-adhesion molecules, JAK pathways, and others are the major drug classes covered in the forecast model.

The expected launch of upcoming therapies and greater integration of early patient screening, medication in secondary care and other clinical settings, research on best methods for implementation, and an upsurge in awareness will eventually facilitate the development of effective treatment options. However, the higher cost of new therapies and the higher cost burden of associated complications on patients may hinder the adoption of newer therapies.

Ulcerative Colitis Companies such as obefazimod (Abivax), risankizumab (AbbVie/Boehringer Ingelheim), guselkumab (Janssen), and several others are evaluating their lead candidates in different stages of clinical development, respectively. They aim to investigate their products for the Ulcerative Colitis treatment.

Ulcerative Colitis Drugs Uptake

This section focuses on the uptake rate of potential Ulcerative Colitis 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 Ulcerative Colitis companies 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.

Ulcerative Colitis Pipeline Development Activities

The Ulcerative Colitis pipeline segment provides insights into different therapeutic candidates in Phase III, Phase II, and Phase I stage. It also analyzes Ulcerative Colitis companies involved in developing targeted therapeutics.

Pipeline Development Activities

The Ulcerative Colitis pipeline segment covers information on collaborations, acquisition and merger, licensing, and patent details for Ulcerative Colitis 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 contacted for insights on evolving treatment landscape, patient reliance on conventional therapies, patient's therapy switching acceptability, and drug uptake along with challenges related to accessibility, including Medical/scientific writers, Division of Gastroenterology and Hepatology, State Key Laboratory for Oncogenes and Related Genes, Duke Cancer Institute at Duke University School, and others.

Delveinsight's analysts connected with 40+ KOLs to gather insights; however, interviews were conducted with 15+ KOLs in the 7MM. Their opinion helps understand and validate current and emerging therapy treatment patterns or Ulcerative Colitis market trends.

Qualitative Analysis

We perform qualitative and market intelligence analysis using various approaches, such as SWOT and Conjoint Analysis. In the SWOT analysis, strengths, weaknesses, opportunities, and threats in terms of disease diagnosis, patient awareness, patient burden, 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, treatment duration and frequency of administration, route of administration, patient segment, 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 Ulcerative Colitis trials, the most important primary outcome measures are overall survival, progression-free survival, and objective response rate.

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 route of administration, order of entry, 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.

Ulcerative Colitis Market Access and Reimbursement

Reimbursement is a crucial factor affecting the drug's market access. Often, the decision to reimburse comes down to the price of the drug relative to the benefit it produces in treated patients. Drugs approved for Ulcerative Colitis in the United States include SIMPONI (golimumab), ENTYVIO (vedolizumab), XELJANZ (tofacitinib), STELARA (ustekinumab), RINVOQ (upadacitinib), ZEPOSIA (ozanimod), REMICADE (infliximab), and HUMIRA (adalimumab). Market access and reimbursement options can differ depending on regulatory status, the size of the target population, the setting of care, unmet needs, the magnitude of incremental benefit claims, and costs.

Besides the patient assistance programs provided by the companies for their respective drugs, certain organizations also provide reimbursement assistance to Ulcerative Colitis patients. For instance, Medicare reimburses biologics in a clinical setting when used following FDA-approved labeling. Under Section 1861(b) of the statute of Medicare, anti-integrins, such as vedolizumab, are covered.

Additionally, the Health Well Foundation, an independent non-profit, provides a financial lifeline for inadequately insured Americans. The Crohn's & Colitis Foundation provides copayment and premium assistance to eligible Medicare patients. Health Well provides up to USD 10,000 in copayment or premium assistance to individuals with annual household incomes up to 400% of the federal poverty level through the fund.

The report further provides detailed insights on the country-wise accessibility and reimbursement scenarios, cost-effectiveness scenario of approved 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.

Ulcerative Colitis Market Forecast Report Scope

Ulcerative Colitis Market Forecast Report Insights

Ulcerative Colitis Market Forecast Report Key Strengths

Ulcerative Colitis Treatment Market Report Assessment

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Table of Contents

1. Key Insights

2. Report Introduction

3. Ulcerative Colitis Market Overview at a Glance

4. Epidemiology and Market Methodology

5. Ulcerative Colitis Executive Summary

6. Ulcerative Colitis Market Disease Background and Overview

7. Ulcerative Colitis Epidemiology and Patient Population

8. Patient Journey

9. Ulcerative Colitis Marketed Therapies

10. Ulcerative Colitis Emerging Drugs

11. Ulcerative Colitis: The 7MM Analysis

12. Ulcerative Colitis Market Access and Reimbursement

13. Ulcerative Colitis KOL Views

14. Ulcerative Colitis SWOT Analysis

15. Ulcerative Colitis Unmet Needs

16. Appendix

17. DelveInsight Capabilities

18. Disclaimer

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