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Market Spotlight: Waldenström Macroglobulinemia (WM)

  • Report

  • 41 Pages
  • May 2021
  • Region: Global
  • Citeline
  • ID: 4462162
This Market Spotlight report covers the Waldenström Macroglobulinemia (WM) market, comprising key marketed and pipeline drugs, probability of success, clinical trials, upcoming events, recent events and analyst opinion, a 10-year disease incidence forecast, and licensing and asset acquisition deals, as well as presenting drug-specific revenue forecasts.

Key Takeaways

  • The publisher estimates that in 2017, there were approximately 5,330 incident cases of Waldenström macroglobulinemia (WM) in people aged 40 years and over worldwide, and forecasts that number to increase to 6,920 incident cases by 2026.
  • It is estimated that the majority of diagnosed cases worldwide were in males in 2017.
  • Worldwide, incident cases of WM are highest among individuals aged 60–79 years. BeiGene’s Brukinsa, AbbVie’s Imbruvica, and Gilead’s tirabrutinib are the only approved drugs available for WM. These therapies are administered via the oral route.
  • The majority of industry-sponsored drugs in active clinical development for WM are in Phase II, with one drug in the NDA/BLA stage.
  • Therapies in development for WM focus on targets such as B-cell lymphoma 2 (Bcl-2)/Bcl-2 family, Bruton’s tyrosine kinase, chemokine receptor 4, lipid rafts, casein kinase 1 epsilon, PI3K/AKT pathway, p110 delta/PIK3CD, and proteasome. These drugs are administered via the oral and intravenous routes.
  • High-impact upcoming events for drugs in the WM space comprise an expected CHMP opinion as well as a PDUFA date for Brukinsa.
  • The overall likelihood of approval of a Phase I hematologic cancer asset is 8.6%, and the average probability a drug advances from Phase III is 59.1%. Drugs, on average, take 9.5 years from Phase I to approval, compared to 9.6 years in the overall oncology space.
  • The distribution of clinical trials across Phase I–IV indicates that almost all trials for WM have been in the early and mid-phases of development, with 94% of trials in Phase I–II, and only 6% in Phase III–IV.
  • The US has a substantial lead in the number of WM clinical trials globally. The UK and France lead the major European markets, while China has the top spot in Asia.
  • Clinical trial activity in the WM space is dominated by completed trials. Takeda has the highest number of completed clinical trials for WM, with 11 trials.
  • Bristol Myers Squibb, Johnson & Johnson, and Takeda lead the industry sponsors with the highest overall number of clinical trials for WM.

Table of Contents

OVERVIEWKEY TAKEAWAYSDISEASE BACKGROUND
TREATMENT
  • Chemotherapy
  • Targeted drugs
  • Biological therapy or immunotherapy
  • Plasmapheresis
  • Stem cell transplantation (SCT)

EPIDEMIOLOGYMARKETED DRUGSPIPELINE DRUGS
RECENT EVENTS AND ANALYST OPINION
  • Aliqopa for WM (April 10, 2021)
  • Pirtobrutinib for WM (December 5, 2020)
  • Aliqopa for WM (October 14, 2020)
  • Brukinsa for WM (December 16, 2019)

KEY UPCOMING EVENTSPROBABILITY OF SUCCESS
LICENSING AND ASSET ACQUISITION DEALS
  • Emmaus, Kainos Tie Up To Develop IRAK4 Inhibitor

REVENUE OPPORTUNITY
CLINICAL TRIAL LANDSCAPE
  • Sponsors by status
  • Sponsors by phase

BIBLIOGRAPHYAPPENDIX
LIST OF FIGURES
Figure 1: Trends in incident cases of WM, 2017–26
Figure 2: Incident cases of WM, by age, 2017
Figure 3: Overview of pipeline drugs for WM in the US
Figure 4: Pipeline drugs for WM, by company
Figure 5: Pipeline drugs for WM, by drug type
Figure 6: Pipeline drugs for WM, by classification
Figure 7: Aliqopa for WM (April 10, 2021): Phase III - CHRONOS-3
Figure 8: Pirtobrutinib for WM (December 5, 2020): Phase I/II - BRUIN
Figure 9: Aliqopa for WM (October 14, 2020): Phase III - CHRONOS-3
Figure 10: Brukinsa for WM (December 16, 2019): Phase III - ASPEN (vs. Ibrutinib)
Figure 11: Key upcoming events in WM
Figure 12: Probability of success in the hematologic cancer pipeline
Figure 13: Clinical trials in WM
Figure 14: Top 10 drugs for clinical trials in WM
Figure 15: Top 10 companies for clinical trials in WM
Figure 16: Trial locations in WM
Figure 17: WM trials status
Figure 18: WM trials sponsors, by phase
LIST OF TABLES
Table 1: Incident cases of WM, 2017–26
Table 2: Incident cases of WM, by gender, 2017
Table 3: Marketed drugs for WM
Table 4: Pipeline drugs for WM in the US
Table 5: Aliqopa for WM (April 10, 2021)
Table 6: Pirtobrutinib for WM (December 5, 2020)
Table 7: Aliqopa for WM (October 14, 2020)
Table 8: Brukinsa for WM (December 16, 2019)
Table 9: Historical global sales, by drug ($m), 2016–20
Table 10: Forecasted global sales, by drug ($m), 2021–25