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Stakeholder Opinions: Hemophilia - The harsh reality of commercialising a great research opportunity?

Datamonitor, June 2010, Pages: 108


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Hemophilia management has a small pipeline of developmental products, focusing on next-generation enhancements of expensive existing treatment approaches, but is likely to face some key challenges in an era of budget deficits and growing costs of care.

Scope of this research:

- Defining the key clinical characteristics of the hemophilia population that present a unique commercial challenge
- Translating critical clinical issues into pertinent practical considerations for incumbent players and new market entrants.
- Clinical and commercial analysis of key marketed drugs and future treatment directions
- Patient potential analysis for hemophilia A and B

Research and analysis highlights

Hemophilia A and B are rare, with an estimated worldwide prevalence of 664,000, of which just 160,000 were reported in 2008. Diagnosis and survival rates vary dramatically across geographies and economies with the US, Japan, France, Germany, Italy, Spain and the UK accounting for just 11% of the predicted prevalence, but 25% of reported prevalence

Life expectancy and quality of life can be dramatically improved with current approaches, but only at an incredible cost: Cost per quality adjusted life year estimates for factor replacement in children range from $50,000 to $2,700,000, partly because treatment may prompt exceptionally expensive and dangerous side-effects.

Hemophilia gene therapy advances have stalled, leaving the late stage pipeline to focus on protein engineering technologies already exploited in other disease areas. These largely offer dosing improvements, but it is uncertain whether this will result in more universally affordable treatment products sought by the majority of hemophilia sufferers

Key reasons to purchase this research:

- Characterize a high value niche patient group
- Understand the evolution of current management strategies
- Assess current unmet needs and challenges and prospects for next-generation products



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