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Market Spotlight: Amyloidosis

  • Report

  • 41 Pages
  • May 2021
  • Region: Global
  • Citeline
  • ID: 4462235
This Market Spotlight report covers the Amyloidosis market, comprising key marketed and pipeline drugs, clinical trials, recent events and analyst opinion, upcoming and regulatory events, probability of success, and a 10-year disease incidence forecast, as well as presenting drug-specific revenue forecasts.

Key Takeaways
  • The publisher estimates that in 2017, there were approximately 90,500 incident cases of amyloidosis worldwide, with the highest proportion being the primary (amyloid light-chain; AL) amyloidosis type.
  • Among multiple myeloma cases, the publisher estimates there were approximately 19,300 incident cases of AL amyloidosis worldwide in 2017.
  • Approved drugs in the amyloidosis space target cluster of differentiation 38 and transthyretin. These drugs are administered via intravenous, subcutaneous, and oral routes.
  • There are equal numbers of industry-sponsored drugs in active clinical development for amyloidosis in Phase I and Phase III. Therapies in development for amyloidosis focus on targets such as transthyretin, amyloid - light chain, cluster of differentiation 38, angiogenesis, DNA, alpha-synuclein, amyloid beta/amyloid plaques, tau proteins, and catechol-O-methyltransferase. These therapies are administered via the intravenous, oral, and subcutaneous routes.
  • High-impact upcoming events for drugs in the amyloidosis space comprise topline Phase III trial results for AG10, Onpattro, CAEL-101, and AKCEA-TTR-LRx, and an expected supplemental CHMP opinion for Darzalex Faspro.
  • The overall likelihood of approval of a Phase I metabolic-other asset is 7.9%, and the average probability a drug advances from Phase III is 70.6%. Drugs, on average, take 9.0 years from Phase I to approval, compared to 9.1 years in the overall metabolic space.
  • The distribution of clinical trials across Phase I–IV indicates that the majority of trials for amyloidosis have been in the early and mid-phases of development, with 75% of trials in Phase I–II, and 25% in Phase III–IV.
  • The US leads in terms of the number of amyloidosis clinical trials globally. The UK leads the major European markets, while Japan has the top spot in Asia.
  • GlaxoSmithKline, Bristol Myers Squibb, and Pfizer have the highest number of completed clinical trials for amyloidosis, with five trials each.
  • GlaxoSmithKline leads industry sponsors with the highest overall number of clinical trials for amyloidosis.

Table of Contents

OVERVIEWKEY TAKEAWAYS
DISEASE BACKGROUND
  • Subtypes

TREATMENT
  • Chemotherapy
  • Targeted therapy
  • Surgery
  • Bone marrow/stem cell transplantation
  • Palliative or supportive care

EPIDEMIOLOGY
  • Amyloidosis incidence methodology
  • Amyloidosis in multiple myeloma incidence methodology
  • TTR amyloidosis

MARKETED DRUGSPIPELINE DRUGS
RECENT EVENTS AND ANALYST OPINION
  • Vutrisiran for hATTR Amyloidosis with Polyneuropathy (April 19, 2021)
  • Vutrisiran for hATTR Amyloidosis with Polyneuropathy (January 7, 2021)

KEY UPCOMING EVENTS
KEY REGULATORY EVENTS
  • Alnylam’s Vutrisiran NDA Incorporates Earlier Onpattro Trial In hATTR Amyloidosis Patients
  • US FDA Oncology Applications: Real-Time Review And Breakthrough Pathway Show Durable Appeal

PROBABILITY OF SUCCESSREVENUE OPPORTUNITY
CLINICAL TRIAL LANDSCAPE
  • Sponsors by status
  • Sponsors by phase
  • Recent events

BIBLIOGRAPHYAPPENDIX
LIST OF FIGURES
Figure 1: Trends in incident cases of primary amyloidosis in multiple myeloma, 2017–26
Figure 2: Overview of pipeline drugs for amyloidosis in the US
Figure 3: Pipeline drugs for amyloidosis, by company
Figure 4: Pipeline drugs for amyloidosis, by drug type
Figure 5: Pipeline drugs for amyloidosis, by classification
Figure 6: Vutrisiran for hATTR Amyloidosis with Polyneuropathy (April 19, 2021): Phase III - HELIOS A
Figure 7: Vutrisiran for hATTR Amyloidosis with Polyneuropathy (January 7, 2021): Phase III - HELIOS A
Figure 8: Key upcoming events in amyloidosis
Figure 9: Probability of success in the metabolic-other pipeline
Figure 10: Clinical trials in amyloidosis
Figure 11: Top 10 drugs for clinical trials in amyloidosis
Figure 12: Top 10 companies for clinical trials in amyloidosis
Figure 13: Trial locations in amyloidosis
Figure 14: Amyloidosis trials status
Figure 15: Amyloidosis trials sponsors, by phase
LIST OF TABLES
Table 1: Global incident cases of amyloidosis in adults, by type, 2017–26
Table 2: Global incident cases of primary amyloidosis in multiple myeloma, 2017–26
Table 3: Marketed drugs for amyloidosis
Table 4: Pipeline drugs for amyloidosis in the US
Table 5: Vutrisiran for hATTR Amyloidosis with Polyneuropathy (April 19, 2021)
Table 6: Vutrisiran for hATTR Amyloidosis with Polyneuropathy (January 7, 2021)
Table 7: Historical global sales, by drug ($m), 2016–20
Table 8: Forecasted global sales, by drug ($m), 2021–25