The global gene therapy market is forecast to hit $363 million by 2022. Strengthened by recent approvals of Kymriah, Yescarta and Luxturna in the US, and a committed European, Japanese and Chinese environment, gene therapy is set to become a significant player in the bio-pharmaceutical industry. The space covers many therapeutic areas specifically, oncology, rare diseases, Parkinson's, HIV, severe combined immuno-deficiencies (SCID) and hemophilia.
Gene therapy is driven by over 2,200 clinical trials globally, with over 55% of this occurring in the US, followed by Europe, Canada and China. Recently, in November 2017, the FDA indicated that gene therapies will now qualify for a fast approval process, which will bring more therapies to market faster. However, the space also has significant challenges, such as manufacturing logistics, reimbursement and its high cost.
This 310 page market analysis cutting-edge report tackles this growing but challenging industry, it highlights its strengths, weaknesses and opportunities and provides a comprehensive account of major companies, clinical trials and technological advancement.
This report provides the reader with:
- Current Global Market Worth and Forecast with CAGR Through 2022
- Sub-Market Worth by Therapeutic Area (Cancer, Rare Diseases, Cardiovascular, Neurological, Ocular) and Forecast with CAGR Through 2022
- Sub-Market Worth by Geography (Americas, Europe, RoW) and Forecast with CAGR Through 2022
- Sub-Market Worth by Technology (Gene Product, Service, Viral Vectors) and Forecast with CAGR Through 2022
- Insight into gene therapy technologies, challenges associated with developing therapeutic genes and disadvantages of gene therapy.
- Full outline of the gene therapy industry from the formative years through to products discovered during 1990 and 2017.
- Detailed descriptions of commercialized products approved between 2003 and 2017 that include: Gendicine, Rexin-G, Oncorine, Neovasculgen, Glybera, Imlygic, Strimvelis, Zalmoxis, Kymriah, Yescarta and Luxturna.
- Description of seven of the Phase III product candidates that include: Generx, Collategene, LentiGlobin, Lenti-D, VM-202, Invosa and GS-010.
- Description of 21 Phase II product candidates that are set to have significant market share.
- Commercialization status of gene therapies in by geographic region
- Evaluation of gene therapy pricing
- Description of the firstever warranty offer by GSK for Strimvelis.
- A detailed analysis of various types of viruses used as vectors.
- Description of clinical applications of gene therapy and the various genetic and infectious diseases addressed by gene therapy.
- Description of 77 companies that are directly and indirectly associated with gene therapy industry.
Key Questions Answered in this Report:
- What is the size of gene therapy market?
- What is the CAGR and market size over the next five years?
- What are the different sub-markets and their worth/CAGR over the next five years?
- What is gene augmentation therapy?
- What is suicide gene therapy?
- How is ex vivo gene delivery different from in vivo gene delivery?
- What are the types of gene therapies classified on the basis of targeted cell types?
- What is the role of CRISPR technology in gene therapy?
- What are the approved gene therapy products?
- How many gene therapy product candidates have reached the Phase III stage?
- How many Phase II gene therapy product candidates are there?
- What is the commercialization status of gene therapies in E.U. member countries?
- What are the prices of gene therapy products?
- What are the reasons for this extortionate pricing of gene therapies?
- Which company is offering warranty for its gene- therapy product?
- What is the current strength of gene therapy industry?
- Is it true that the real strength of gene therapy industry is based on the number of clinical trials?
- What is the total number of ongoing clinical trials as of 2017?
- What is the distribution of clinical trials by geography?
- Which countries are associated with gene therapy clinical trials?
- What are the major indications addressed by the clinical trials?
- Which genes are transferred in these clinical trials?
- How many Big Pharma are associated with the gene therapy industry?
- What are non-viral and viral vectors?
- What are the various features of viral vectors?
- Which viral vectors are predominantly used in gene therapy clinical trials?
- What are the major diseases addressed by therapeutic genes?
- Where is the gene therapy market heading, and what opportunities and challenges will it face?
1.1 Executive Summary
1.2 About this Report
1.3 Key Questions Answered in this Report
2.0 Gene Therapy: The Basics
2.1 Gene Therapy Techniques
2.1.1 Gene Augmentation Therapy
2.1.2 Gene Inhibition Therapy
2.1.3 Suicide Gene Therapy
2.2 Gene Therapy Routes
2.2.1 Ex Vivo Gene Delivery Route
2.2.2 In vivo Gene Delivery Route
2.3 CRISPR: Latest Technology in Gene Therapy
2.4 Challenges Associated with Developing Gene Therapies
2.5 Disadvantages of Gene Therapy
2.5.1 Short-Lived Nature of Gene Therapy
2.5.2 Immune Response
2.5.3 Problems with Viral Vectors
2.5.4 Multigenic Disorders
2.5.5 Insertional Mutagenesis
2.6 Concept to Product Candidates and Products
3.0 Historic Overview of Gene Therapy
3.1 The Formative Years of Gene Therapy
3.2 The Productive Years of Gene Therapy
4.0 Gene Therapy Phase III Product Candidates
4.1 CardioNovo (Generx)
4.8 ADA-Lentiviral Gene Therapy
5.0 Gene Therapy Phase II Product Candidates
5.1 hF-IX gene/Hemophilia B
5.2 NaGlu gene/San Fillipo B Syndrome
5.3 StarGen/Stargardt disease
5.4 UshStat/Usher Syndrome Type 1B
5.5 Retinostat/Wet AMD
5.6 Lenti-D/Childhood Cerebral ALD
5.7 LentiGlobin/Beta Thalassemia
5.9 CERE-110/Alzheimer’s disease
5.10 AATD/Alpha-1 Antitrypsin deficiency
5.11 RS1 gene/X-linked juvenile Retinoschisis (XLRS)
5.13 SPK-FIX/Hemophilia B
5.14 AMG0001/Primary Lymphedema
5.15 AMG0001/Ischemic heart disease
5.16 WASp /Wiskott-Aldrich syndrome
5.17 X-linked CGD
5.18 GSK2696273/ADA gene
5.19 VM106/Chronic Granulomatous Disease
5.20 VY-AADC01/Parkinson’s disease
6.0 Commercialization, Cost and Warranty of Gene Therapies
6.1 Reasons for the Extortionate Price
6.1.1 High Cost of Manufacturing
6.1.2 High Cost of Delivery
6.1.3 Lack of Comparative Studies as Evidence for Reimbursement Scheme
6.1.4 Lack of Competition
6.1.5 Potential for Cure
6.2 Strategies to Make Gene Therapy Affordable
6.3 The Age of First-Ever Warranty for Gene Therapy
7.0 The Strength of Gene Therapy Industry
7.1 Development of Appropriate Gene Delivery Vehicles
7.2 CRISPR-Based Therapy
7.3 Early Clinical Gene Therapy Protocols
7.4 Worldwide Scenario of Gene Therapy Clinical Trials
7.4.1 Geographical Distribution of Gene Therapy Clinical Trials
7.4.2 Gene Therapy Clinical Trials by Country
7.4.3 Major Indications Addressed by Gene Therapy Clinical Trials
7.4.4 Gene Types Transferred
7.4.5 Status of Gene Therapy Clinical Trials
7.5 Big Pharma’s Bold Venturing into Gene Therapy
7.5.1 Novartis’ Deal with GenVec
7.5.2 Strategic Alliance between GlaxoSmithKline and Fondazione Telethon
7.5.3 Amgen’s Acquisition of BioVex
7.5.4 Chiesi’s Rights to uniQure’s Glybera
7.5.5 Bayer’s Collaboration with Dimension Therapeutics
7.5.6 Genzyme’s (Sanofi) Collaboration with University of Florida
7.5.7 Pfizer’s Collaboration with Spark Therapeutics
7.5.8 Biogen Idec’s Collaboration with AGCT
7.5.9 Sanofi’s Tie-Up with Voyager Therapeutics
7.5.10 Bristol Myers Squibb’s Investment in uniQure
7.5.11 Joint Venture between Bayer and CRISPR Therapeutics AG
7.5.12 Flow of Funds to Gene Therapy Companies
7.6 Venture Investments by Body Systems
8.0 Vectors for Gene Delivery
8.1 Non-Viral Vectors
8.1.1 Inorganic Particles
184.108.40.206 Poly(lactic-co-glycolic acid) (PLGA) and poly lactic acid (PLA)
220.127.116.11 Poly(ethylene imine) (PEI)
8.1.2 Synthetic/Natural Biodegradable Particles
18.104.22.168 Cationic Liposomes
22.214.171.124 Lipid Nanoemulsions
126.96.36.199 Solid Lipid Nanoparticles (SLN)
8.1.3 Physical Methods
188.8.131.52 Needle Injection
184.108.40.206 Gene Gun
8.2 Viral Vectors for Gene Therapy
8.2.1 Key Properties of Viral Vectors
8.2.2 Best-Suited Viral Vectors for Gene Therapy
8.2.3 Potential Barriers for the Use of Viral Vectors
8.2.4 Types of Viral Vectors
220.127.116.11 Adenovirus Vectors
18.104.22.168 Retrovirus Vectors
22.214.171.124 Adeno-Associated Virus (AAV)
126.96.36.199 Lentivirus Vectors
188.8.131.52 Vaccinia Virus
8.2.5 Clinical Translation of Viral Vectors
8.2.6 Viral Vectors used in Clinical Trials
8.2.7 Culture Systems for Viral Vector Production
9.0 Clinical Applications of Gene Therapy
9.1 Leber Congenital Amaurosis (LCA)
9.1.2 Genetic Basis of Leber Congenital Amaurosis
9.1.3 Pattern of Inheritance
9.1.4 Gene Therapy for LCA
9.2 Stargardt Macular Degeneration (SMD)
9.2.1 Frequency of SMD
9.2.2 Genetic Basis of SMD
9.2.3 Pattern of Inheritance
9.2.4 Gene Therapy
9.3.2 Genetic Basis of Choroideremia
9.3.3 Pattern of Inheritance
9.3.4 Gene Therapy
9.4 Leber Hereditary Optic Neuropathy (LHON)
9.4.1 Frequency of LHON
9.4.2 Genetic Basis of LHON
9.4.3 Pattern of Inheritance
9.4.4 Gene Therapy
9.5 Parkinson Disease
9.5.1 Frequency of Parkinson Disease
9.5.2 Genetic Basis of Parkinson Disease
9.5.3 Inheritance of Parkinson Disease
9.5.4 Current Treatment for Parkinson Disease
9.5.5 Gene Therapy for Parkinson Disease
9.6 Spinal Muscle Atrophy
9.6.1 Genetic Basis
9.6.2 Pattern of Inheritance
9.6.3 Gene Therapy
9.7 Alzheimer Disease
9.7.2 Genetic Basis
9.7.3 Pattern of Inheritance
9.7.4 Gene Therapy
9.8 Cystic Fibrosis
9.8.1 Genetic Basis
9.8.2 Inheritance of CF
9.8.3 Frequency of CF
9.8.4 Currently Available Treatments for CF
9.8.5 Gene Therapy for Cystic Fibrosis
9.8.7 Genetic Basis
9.8.8 Pattern of Inheritance
9.8.9 Currently Available Treatments
9.8.10 Gene Therapy
9.9 X-Linked Adrenoleukodystrophy
9.9.2 Genetic Basis
9.9.3 Pattern of Inheritance
9.9.4 Gene Therapy
9.10 Pompe Disease
9.10.2 Genetic Basis
9.10.3 Pattern of Inheritance
9.10.4 Gene Therapy
9.11 Batten Disease (CLN3 Disease)
9.11.1 Frequency of Batten Disease
9.11.2 Genetic Basis of Batten Disease
9.11.3 Pattern of Inheritance
9.11.4 Gene Therapy for Batten Disease
9.12 Metachromatic Leukodystrophy
9.12.2 Genetic Basis
9.12.3 Pattern of Inheritance
9.12.4 Gene Therapy
9.13 Sanfilippo Syndrome
9.13.2 Genetic Basis
9.13.3 Patern of Inheritance
9.13.4 Gene Therapy
9.14 Hunter Syndrome
9.14.1 Genetic Basis
9.14.2 Pattern of Inheritance
9.14.3 Gene Therapy
9.15 Adenosine Deaminase Severe Combined Immunodeficiency (ADA-SCID)
9.15.2 Genetic Basis
9.15.3 Pattern of Inheritance
9.15.4 Gene Therapy
9.16 X-Linked SCID
9.16.2 Genetic Basis
9.16.3 Pattern of Inheritance
9.16.4 Gene Therapy
9.17 Chronic Granulomatous Disease (CGD)
9.17.1 Prevalence of CGD
9.17.3 Pattern of Inheritance
9.17.4 Current Treatments for CGD
9.17.5 Gene Therapy for CGD
9.18 Wischott Aldrich syndrome (WAS)
9.18.2 Genetic Basis
9.18.3 Pattern of Inheritance
9.19.1 Frequency of Hemophilia
9.19.2 Genetic Basis
9.19.3 Inheritance of Hemophilia
9.19.4 Currently Available Treatments for Hemophilia
9.19.5 Gene Therapy for Hemophilia
9.20 Sickle Cell Anemia
9.20.1 Frequency of Sickle Cell Anemia
9.20.2 Genetic Basis of Sickle Cell Anemia
9.20.3 Inheritance of Sickle Cell Anemia
9.20.4 Current Treatment for Sickle Cell Anemia
9.20.5 Gene Therapy for Sickle Cell Anemia
9.20 Beta Thalassemia
9.20.2 Genetic Basis
9.20.3 Pattern of Inheritance
9.20.4 Gene Therapy
9.20.2 Genetic Basis
9.20.4 Gene Therapy
9.21 Limb Girdle Muscle Dystrophy 2C/2D
9.21.2 Genetic Basis
9.21.3 Pattern of Inheritance
9.21.4 Gene Therapy
9.22 Duchenne and Becker Muscular Dystrophy
9.22.2 Genetic Basis
9.22.3 Pattern of Inheritance
9.23 Human Immunodeficiency Virus (HIV)
9.23.1 Currently Available Treatments
9.24 Epidermolysis Bullosa
9.24.2 Genetic Basis
9.24.3 Pattern of Inheritance
9.24.4 Gene Therapy
9.25.1 Currently Available Treatments
9.25.2 Genetic Basis of Leukemia
9.25.3 Gene Therapy Strategies for Leukemia
9.26 Ovarian Cancer
9.26.1 Frequency of Ovarian Cancer
9.26.2 Genetic Basis of Ovarian Cancer
9.26.3 Currently Available Treatments for Ovarian Cancer
9.26.4 Gene Therapy for Ovarian Cancer
9.27 Pancreatic Cancer
9.27.1 Frequency of Pancreatic Cancer
9.27.2 Currently Available Treatments for Pancreatic Cancer
9.27.3 Genetic Basis
9.27.4 Gene Therapy for Pancreatic Cancer
9.28 Head and Neck Cancers
9.28.1 Frequency of Head and Neck Cancers
9.28.2 Currently Available Treatments for Head and Neck Cancers
9.28.3 Gene Therapy for Head and Neck Cancers
9.29.1 Frequency of Melanoma
9.29.2 Genetic Basis of Melanoma
9.29.3 Pattern of Inheritance
9.29.4 Available Treatments for Melanoma
9.29.5 Gene Therapy for Melanoma
9.30 Prostate Cancer
9.30.1 Frequency of Prostate Cancer
9.30.2 Genetic Basis of Prostate Cancer
9.30.3 Pattern of Inheritance
9.30.4 Currently Available Treatments for Prostate Cancer
9.30.5 Gene Therapy for Prostate Cancer
9.31 Breast Cancer
9.31.1 Frequency of Breast Cancer
9.31.2 Genetic Basis of Breast Cancer
9.31.3 Pattern of Inheritance
9.31.4 Currently Available Treatments for Breast Cancer
9.31.5 Gene Therapy
9.32 Fabry Disease
9.32.1 Frequency of Fabry Disease
9.32.2 Genetic Basis of Fabry Disease
9.32.3 Pattern of Inheritance
9.32.4 Currently Available Treatments for Fabry Disease
9.32.5 Gene Therapy for Fabry Disease
9.33.1 Frequency of Hypercholesterolemia
9.33.2 Genetic Basis of Hypercholesterolemia
9.33.3 Current Medications for Hypercholesterolemia
9.33.4 Gene Therapy for Familial Hypercholesterolemia
9.34 Huntington Disease
9.34.1 Frequency of Huntington Disease
9.34.2 Genetic Basis of Huntington Disease
9.34.3 Inheritance of Huntington Disease
9.34.4 Current Treatment for Huntington Disease
9.34.5 Gene Therapy for Huntington Disease
9.35 Tay-Sachs Disease
9.35.1 Frequency of Tay-Sachs Disease
9.35.2 Genetic Basis of Tay-Sachs Disease
9.35.3 Pattern of Inheritance
9.35.4 Currently Available Treatments
9.35.5 Gene Therapy for Tay-Sachs Disease
10.0 Market Analysis
10.1 Global Market for Gene Therapy by Market Segment
10.2 Global Gene Therapy Market by Geography
10.3 Commercialization of Gene Therapy in China
10.4 Commercialization of Gene Therapy in the Philippines
10.5 Commercialization of Gene Therapy in Russia
10.6 Commercialization of Gene Therapy in Europe
10.6.1 Gene Therapy in France
10.6.2 Gene Therapy Landscape in U.K.
10.6.3 Gene Therapy Efforts in Germany
10.6.4 Australia’s Participation in Gene Therapy
10.6.5 New Regulatory Framework in Japan
10.7 Gene Therapy in the U.S.
10.7.1 Likely FDA Approval for Leukemia Treatment
10.8 Commercialization of Gene Therapy in South Korea
10.9 Additional Addresseable Markets for Gene Therapy
10.10 Challenges for Existing and Prospective Players
10.10.1 Challenges in Valuation
10.10.2 Challenges in Reimbursement
10.10.3 Challenges in Commercialization
10.11 Future Outlook for Gene Therapy
10.12 Potential Market for Gene Therapy Product Candidates
10.12.1 CardioNovo (Generx)
10.12.3 Lentiglobin BB305
10.12.7 ADA Lentivirus
11.0 Manufacturing of Viral Vectors and Logistics
11.1 Major Manufacturing Companies of Viral Vectors
11.2 Major Diseases Targeted by AAV Vectors in Clinical Trials
11.3 Major Companies Developing Lentiviral Vectors
11.4 Manufacturing Process
11.5 Contract Manufacturing
11.6 Targeted Delivery of Therapeutic Genes
11.7 Logistics Strategies for Gene Therapies
11.7.1 Threat to Gene Therapeutics during Transit
11.7.2 Impact of Varying Environmental Events on Cell and Gene Therapy Products
11.7.3 Pharmaceutical Cold Chain Logistics
11.6.4 Clinical Logistics
11.7 Cost of Clinical Trials for Biopharmaceuticals including Gene Therapy
11.7.1 Clinical Trial Expenditure by Disease
12.0 Company Profiles
12.1 4d Molecular Therapeutics LLC
12.1.1 AAV Vectors
12.1.2 4D’s Partnership with Pfizer
12.1.3 4D’s Partnership with uniQure
12.1.4 4D’s Partnership with Roche
12.1.5 4D’s Partnership with AGTC
12.1.6 4D’s Partnership with Benitec
12.1.7 4D’s Product Pipeline
12.2 Abeona Therapeutics LLC
12.2.1 Abeona’s Clinical Trial Programs
184.108.40.206 ABO-102 Phase I/II Clinical Trial
220.127.116.11 ABO-101 Phase I/II Clinical Trial
12.3 Advanced Cell & Gene Therapy LLC
12.3.1 Consulting Services
12.4 Advantagene Inc.
12.4.1 Gene Mediated Cytotoxic Immunotherapy (GMCI)
12.5 Adverum Biotechnologies Inc.
12.6 Addgene Inc.
12.6.1 Viral Service
12.7 Agilis Biotherapeutics LLC
12.7.1 Agilis Engineered DNA Therapeutics
12.7.2 DNA Therapeutics for AADC Deficiency
12.7.3 DNA Therapeutics for Friedreich’s ataxia (FA)
12.7.4 DNA Therapeutics for Angelman’s Syndrome
12.8 Angionetics Inc.
12.8.2 Generx Therapeutic Positioning
12.8.3 Product Pipeline
12.8.4 Addresseable Market
12.9 Applied Genetic Technologies Corporation (AGTC)
12.9.1 AGTC’s Technology
12.10 AnGes MG Inc.
12.10.1 HGF Plasmid
12.10.2 NF-kB Dekoy Oligonucleotide
12.10.3 DNA Therapeutic Vaccines
12.10.4 AnGes’ Alliance Partners
12.11 Asklepios BioPharmaceutical Inc.
12.11.1 Asklepios’ Collaborators
12.12 Audentes Therapeutics Inc.
12.12.1 Audentes’ Technology
12.13 AveXis Inc.
12.14 AvroBio Inc.
12.14.1 Lentiviral Vectors for Rare Diseases
12.14.2 Cytokine IL-12 for Cancer Immunotherapy
12.14.3 Gene Vector
12.14.4 AvroBio’s Programs
12.15 Benitec Biopharma
12.15.1 ddRNAi Technology
12.15.2 Benitec’s In-House Programs
12.15.3 Benitecs Licensed Programs
12.16 BioCancell Therapeutic Inc.
12.16.1 The H19 Gene
12.17 BioMarin Pharmaceutical Inc.
12.18 Bluebird bio Inc.
12.18.1 Bluebird’s Program Pipeline
12.18.4 Bluebird’s Partnership with Celgene
12.18.5 Bluebird’s Partnership with FivePrime
12.18.6 Bluebird’s Partnership with Kite Pharma
12.18.7 Bluebird’s Partnership with ViroMed
12.19 Brammer Bio LLC
12.19.1 Cell Therapy Services
12.19.2 Ex Vivo Gene Therapy
12.19.3 Viral Vector Manufacturing
12.20 Cellectis S.A.
12.20.3 UCART38 & UCARTCS1
12.21 Clontech Laboratories Inc.
12.22 Cobra Biologics Ltd.
12.22.1 DNA Services
12.22.2 Virus Services
12.22.3 Protein Services
12.22.4 Microbiota Services
12.22.5 Fill and Finish Services
12.23 Copernicus Therapeutics Inc.
12.23.2 Cystic Fibrosis (CF) Program
12.23.3 Retinitis Pigmentosa (RP) Program
12.23.4 Parkinson’s Disease (PD) Program
12.24 Dimension Therapeutics Inc.
12.24.1 Dimension’s Gene Therapy Programs
12.25.1 SB Therapeutics
12.26 Editas Medicine Inc.
12.26.1 CRISPR/Cas9 & TALENs
12.27 Fibrocell Sciences Inc.
12.27.1 Fibroblast’s Pipeline
12.28 Florida Biologix
12.29 Freeline Therapeutics Ltd.
12.29.1 Freeline’s Platform
12.30 Genable Technologies Ltd.
12.31.1 Product Pipeline
12.32.1 DNA Transfection
12.32.2 siRNA Transfection
12.32.3 Neuronal Transfection
12.32.4 Customer Services
12.32.5 Protein Delivery/Transfection
12.32.6 siRNA Generation Kits
12.32.7 siRNA Transfection
12.32.8 Dicer Enzyme Kits
12.33 GenSight Biologics S.A.
12.34.1 AdenoVerse Technology
12.34.2 Antigen Discovery
12.34.3 Cell Lines
12.34.4 GenVec’s Product Pipeline
18.104.22.168 GGF166 for Hearing Loss
22.214.171.124 GV2311 - RSV Vaccine
126.96.36.199 GV2207 - HSV-2 Immunotherapeutic
12.35 Ichor Medical Systems Inc.
12.36 Immune Design Corp.
12.37 Immusoft Corp.
12.37.1 Gene Delivery Technology
12.37.2 Key Indications being Addressed
12.38 Inovio Pharmaceuticals Inc.
12.38.1 Inovio’s Technology
12.39 Intellia Therapeutics Inc.
12.39.2 Intellia’s Programs
12.40 Juventa Therapeutics Inc.
12.40.1 Non-Viral Gene Therapy
12.41 Kite Pharma Inc.
12.41.1 Chimeric Antigen Receptor (CAR)
12.41.2 T cell Receptor (TCR)
12.41.3 Cancer Programs
12.41.4 Kite Pharma’s Partnership with National Cancer Institute (NCI)
12.41.5 Kite Pharma’s Partnership with The Netherlands Cancer Institute (NKI)
12.41.6 Kite Pharma’s Partnership with Adimab
12.41.7 Kite Pharma’s Collaboration with Alpine Immune Sciences (AIS)
12.41.8 Kite Pharma’s Collaboration with Amgen
12.41.9 Kite Pharma’s Partnership with Bluebird Bio
12.41.10 Kite Pharma’s Partnership with Cell Design Labs
12.41.11 Kite Pharma’s Collaboration with Genentech
11.41.12 Kite Pharma’s Partnership with GE Global Research
12.41.13 Kite Pharma’s Partnership with Leiden University Medical Center
12.41.14 Kite Pharma’s Partnership with Leukemia & Lymphoma Society (LLS)
12.41.15 Kite Pharma’s Partnership with The Tel-Aviv Sourasky Medical Center
12.41.16 Kite Pharma’s Partnership with The UCLA David Geffen School of Medicine
12.42 Kolon Life Sciences Inc.
12.43 Lentigen Technology Inc.
12.43.1 Lentiviral Vectors for Translational Research
12.43.2 Lenti-Viral Vector Technology
12.43.3 Clinical Trial Support
12.44 Lysogene S.A.S.
12.44.1 Lysogene’s rAAV Vectors
12.44.2 CNS Administration
12.44.3 MPS IIIA
12.44.4 GMI Gangliosidosis
12.44.5 Partnership with Alcyone Lifesciences Inc.
12.44.6 Partnership with University of Massachusetts
12.44.7 Partnership with Auburn University
12.44.8 Partnership with University of Manchester
12.45 Medgenics Inc.
12.45.1 Transduced Autologous Restorative Gene Therapy (TARGT)
12.46 Mirus Bio LLC
12.46.1 TransIT – Lenti Transfection Reagent
12.46.2 Ingenio Electroporation Kits
12.47 Mologen AG
12.47.2 Allogeneic Tumor Cell Bank
12.48 NanoCor Therapeutics Inc.
12.48.1 Biological Nanoparticle (BNP) Technology
12.49 Nature Technology Corp. (NTC)
12.49.1 Vector Cell Lines
12.49.2 DNA Manufacturing
12.49.3 Cloning & QC
12.49.4 Protein Products
12.49.5 Technology & Consulting
12.50 NightstaRx Ltd.
12.50.1 Project AAV2 REP1
12.51 Novasep Process SAS
12.51.1 Manufacturing Services for Customers
12.51.2 Contract Manufacturing Services
12.51.3 Purification Technologies
12.52 Omnia Biologics Inc.
188.8.131.52 Preclinical and GMP Manufacturing
184.108.40.206 Process Development
220.127.116.11 Cell and Viral Banking
18.104.22.168 Aseptic Filling
12.53 ORCA Therapeutics B.V.
12.53.3 Oncolytic Viruses Expressing
12.53.4 RNA Interference
12.55 Oxford BioMedica plc
12.55.1 LentiVector Gene Delivery Technology
12.55.3 OXB-201 (RetinoStat)
12.55.4 CAR-T Cell Therapy
12.55.5 OXB-301 (TroVax)
12.55.6 SAR 422459
12.55.8 Partnership with Sanofi
12.55.9 Partnership with GlaxoSmithKline
12.55.10 Partnership with Novartis
12.55.11 Partnership with Immune Design Corp.
12.56 Oxford Genetics Ltd.
12.56.1 DNA Services
22.214.171.124 High Throughput Cloning Services
126.96.36.199 DNA Design and Protein Optimization Services
12.56.2 Cell Line Services
188.8.131.52 Cell Line Development
184.108.40.206 Custom Cell Engineering
12.56.3 Protein and Virus Services
220.127.116.11 Protein Expression and Antibody Engineering
18.104.22.168 Virus Construction and Production
12.56.4 Standard DNA Services
22.214.171.124 DNA Synthesis
126.96.36.199 Custom Cloning
188.8.131.52 Plasmid Preparation
12.57 REGENXBIO Inc.
12.57.1 NAV Technology
12.58 Renova Therapeutics Inc.
12.58.1 Renova’s Pipeline
12.59 RetroSense Therapeutics LLC
12.60 Sangamo Biosciences Inc.
12.60.1 Sangamo’s Technology
12.60.2 Sangamo’s Product Pipeline
12.60.3 Sangamo’s Research Collaborations
12.61 Sarepta Therapeutics Inc.
12.61.1 RNA Medicine
12.61.2 RNA Modulation by PMO
12.61.3 Sarepta’s Programs for Duchenne Muscular Dystrophy (DMD)
12.61.4 Sarepta’s Programs for Infectious Diseases
12.62 Shanghai Sunway Biotech Co. Ltd.
12.63 SiBiono GeneTech Co. Ltd.
12.64 Sirion Biotech GmbH
12.64.4 Adeno-Associated Virus
12.64.5 AdenoBOOST & LentiBOOST
12.65 Spark Therapeutics Inc.
12.65.1 Spark Therapeutics’ Pipeline
12.66 Takara Bio Inc.
12.66.1 Takara’s Gene Therapy
184.108.40.206 Oncolytic Virus HF10
220.127.116.11 Engineered T-Cell Therapy (siTCR Gene Therapy)
18.104.22.168 CAR Gene Therapy
22.214.171.124 MazF Gene Therapy
12.67 Taxus Cardium Pharmaceutical Group Inc.
12.68 Tocagen Inc.
12.68.2 Toca 511 & Toca FC
12.69 ToolGen Inc.
12.69.1 Gene Editing
12.69.2 RNA-Guided Endonucleases (RGEN)
12.70 Transgene SA
12.70.6 Immunotherapy against Tuberculosis
12.71 uniQure N.V.
12.72 Vascular Biologics Ltd.
12.72.1 VBL’s Cancer Platform
12.73 Vical Inc.
12.73.1 Poloxamer Delivery System
12.73.3 HSV-2 Therapeutic Vaccine
12.73.4 CyMVectin Prophylactic CMV Vaccine
12.73.5 VL-2397 Antifungal
12.74 ViroMed Co., Ltd.
12.74.2 Fast Track Designation for VM202
12.75 Vivebiotech SL
12.75.1 GMP Solutions
12.75.2 Viral Vector Services
12.75.3 ZELIGEN Technology
12.76 Voyager Therapeutics Inc.
12.76.1 Product Pipeline
12.77 Xenon Pharmaceuticals Inc.
INDEX OF FIGURES
Figure 2.1: Shematic of Gene Therapy using a Virus Vector
Figure 2.2: Schematic to Explain Gene Augmentation Therapy
Figure 2.3: Schematic to Exlain Gene Inhibition Therapy
Figure 2.4: Schematic to Explain Suicide Gene Therapy
Figure 2.5: Ex vivo Route of Gene Delivery in Gene Therapy
Figure 2.6: In Vivo Route of Gene Delivery in Gene Therapy
Figure 7.1: Academic Mettle: Number of Research Papers Published, 1975-2016
Figure 7.2: Number of Gene Therapy Clinical Trials Approved Worldwide, 1989-2016
Figure 7.3: Geographical Distribution of Gene Therapy Clinical Trials, 2016
Figure 7.4: Major Countries Participating in Gene Therapy Clinical Trials, 2016
Figure 7.5: Major Indications Addressed by Gene Therapy Clinical Trials, 2016
Figure 7.6: Top Gene Types Transferred
Figure 7.7: Phases of Gene Therapy Clinical Trials
Figure 7.8: Venture Investment in Gene Therapy by Body System as of 2014
Figure 8.1: Top Five Vectors used in Gene Therapy
Figure 9.1: Global Market for Cystic Fibrosis Therapeutics, 2016-2022
Figure 9.2: Global Market for Hemophilia Factor Proteins, 2016-2022
Figure 9.3: Global Market for Sickle Cell Anemia, 2016-2022
Figure 9.4: Global Market for HIV Therapeutics, 2016-2022
Figure 9.5: Global Market for Leukemia Drugs, 2016-2022
Figure 9.6: Global Market for Ovarian Cancer Therapeutics, 2016-2022
Figure 9.7: Global Market for Pancreatc Cancer Therapeutics, 2016-2022
Figure 9.8: Global Market for Head & Neck Cancer Therapeutics, 2016-2022
Figure 9.9: Global Market for Melanoma Therapeutics, 2016-2022
Figure 9.10: Global Market for Prostate Therapeutics, 2016-2022
Figure 9.11: Global Market for Breast Cancer Therapeutics, 2016-2022
Figure 9.12: Global Market for Cholesterol Lowering Drugs, 2016-2022
Figure 9.13: U.S. Market for HD Therapeutics, 2016-2022
Figure 10.1: Global Market for Gene Therapy Technologies, Services and Products, 2016-2022
Figure 10.2: Market for Technologies, Services and Products by indication, 2016-2022
Figure 10.3: Percent Share of Gene Therapy Market by Indication, 2016
Figure 10.4: Global Market for Gene Therapy by Market Segment, 2016-2022
Figure 10.5: Percent Share of Gene Therapy market by Geography, 2016
Figure 11.1: Major Ten Companies Developing AAV Vector Candidates
Figure 11.2: Diseases and Corresponding Number of Drugs Studied using AAV Vectors
Figure 11.3: Major Ten Companies Developing Lentiviral Vector Candidates
Figure 11.4: Overview of a Typical Viral Vector Manufacturing Process
Figure 11.5: Global Cold Chain and Non-Cold Chain Logistics Spending, 2016-2022
Figure 11.6: Global Spending on Logistics Related to Clinical Trials, 2016-2022
Figure 11.7: Estimated Average Per-Patient Clinical Trial Costs by Phase of Study
Figure 11.8: Estimated Per-Patient Clinical Trial Expenditure by Indication
INDEX OF TABLES
Table 2.1: Differences between Somatic Gene Therapy and Germline Gene Therapy
Table 2.2: Few Examples of Suicide Gene Products
Table 2.3: Genetic Diseases Treatable by Ex Vivo Gene Therapyusing Bone Marrow Cells
Table 2.4: Examples of Diseases Treatable by In Vitro Route of Gene Delivery
Table 2.5: Important Gene Therapy Players and Product Candidates
Table 3.1: Approved Gene Therapy Products
Table 4.1: Number of Non-Cancer Phase III Gene Therapy Candidates as of 2016
Table 5.1: Key Players with Phase II Product Candidates
Table 6.1: Commercialization Status of Gene Therapies in E.U. Member Countries
Table 6.2: Prices for Gene Therapy
Table 7.1: Approved and Published Clinical Gene Therapy Protocols
Table 7.2: Number of Gene Therapy Clinical Trials Approved Worldwide, 1989-2016
Table 7.3: Geographical Distribution of Gene Therapy Clinical Trials, 2016
Table 7.4: Gene Therapy Clinical Trials by Country, 2016
Table 7.5: Gene Therapy Clinical Trials by Indications, 2016
Table 7.6: Gene Types Transferred in Gene Therapy Clinical Trials
Table 7.7: Phases of Gene Therapy Clinical Trials
Table 7.8: Timeline of Big Pharma Investment and Licensing in Gene Therapy, 2010-2016
Table 7.9: Funds Raised by Gene Therapy Companies Since 2013
Table 8.1: Most Utilized Non-Viral Vectors in Gene Therapy
Table 8.2: Advantages and Disadvantages of Four Physical Methods in Gene Delivery
Table 8.3: Major Types of Viral Vectors used in Gene Therapy, Advantages and Disadvantages
Table 8.4: Key Properties of Viral Vectors
Table 8.5: Advantages and Disadvantages of Viral Vectors by Type
Table 8.6: Salient Features of Adenovirus Vectors
Table 8.7: Advantages and Disadvantages of Adenovirus Vectors
Table 8.8: Salient Features of Retrovirus
Table 8.9: Advantages and Disadvantages of Retroviral Vectors
Table 8.10: Comparison of Retrovirus and Adenovirus
Table 8.11: Salient Features of Adeno-Associated Virus Vectors
Table 8.12: Advantages and Disadvantages of Adeno-Associated Vectors
Table 8.13: AAV Serotypes
Table 8.14: Genes Transduced by AAV for Specific Diseases
Table 8.15: Salent Features of Lentivirus Vectors
Table 8.16: Advantages and Disadvantages of Lentiviral Vectors
Table 8.18: Advantages and Disadvantages of Pox/Vaccinia Vectors
Table 8.19: Major Features of Viral Vectors by Type
Table 8.20: Examples of Clinical Trials Using Retroviruses & Lentiviruses
Table 8.21: Examples of Clinical Trials Using Retroviruses & Lentiviruses
Table 8.22: Vectors Used in Gene Therapy Clinical Trials, 2016
Table 8.23: Examples of Virus Vector Manufacturing Systems
Table 9.1: Clinical Applications of Gene Therapy
Table 9.2: Identifying Number, Intervention and Status of Gene Therapy Trials for Blindness
Table 9.3: Gene Therapy Clinical Trial for Eye Disorders
Table 9.4: Genes and Loci Underlying Parkinson Disease
Table 9.5: Gene Therapy Clinical Trials for Parkinson Disease
Table 9.6: U.S. Data on Cystic Fibrosis, 2000-2015
Table 9.7: Gene Therapy Clinical Trials for Cystic Fibrosis
Table 9.8: Gene Therapy Clinical Trials for Pompe Disease
Table 9.9: Gene Therapy Clinical Trials for Batten Disease
Table 9.10: Gene Therapy Clinical Trials for Immune Disorders
Table 9.12: Gene Therapy Clinical Trials for Wiskott-Aldrich Syndrome
Table 9.13: Gene Therapy Clinical Trials for Hemophilia
Table 9.14: Gene Therapy Product Candidates for Hemophilia A and B
Table 9.15: Ongoing Gene Therapy Clinical Trials for Sickle Cell, Fanconi and Thalassemia
Table 9.16: Gene Therapy Clinical Trials for Heart Diseases
Table 9.17: Gene Therapy for Muscular Dystrophies
Table 9.18: Gene Therapy Clinical Trials for HIV
Table 9.19: Gene Therapy Clinical Trials for Blood Cancer
Table 9.20: Gene Therapy Clinical Trials for Ovarian Cancer
Table 9.21: Gene Therapy Clinical Trials for Pancreatic Cancer
Table 9.22: Gene Therapy Clinical Trials for Head and Neck Cancers
Table 9.23: Gene Therapy Clinical Therapy for Melanoma
Table 9.24: Gene Therapy Clinical for Prostate Cancer
Table 9.25: Gene Therapy Clinical Trials for Breast Cancer
Table 9.26: Gene Therapy Clinical Trials for Fabry Disease
Table 9.27: Gene Therapy for Familial Hypercholesterolemia
Table 9.28: Gene Therapy Clinical Trials for Tay-Sachs disease
Table 10.1: Estimated Market for Five Gene Therapy Products in the U.S. in the Next 20 Years
Table 10.2: Market for Technologies, Services and Products by Indication, 2016-2022
Table 10.3: Global Market for Gene Therapy by Market Segment, 2016-2022
Table 10.4: Percent Share of Gene Therapy market by Geography, 2016
Table 10.5: The Estimated Drug Market that is Wide Open for Gene Therapy Product Candidates Focusing on 13 Diseases
Table 11.1: Major Ten Companies Developing AAV Vectors
Table 11.2: Diseases and Corresponding Number of Drugs Studied using AAV Vectors
Table 11.3: Major Ten Companies Developing Lentiviral Vector Candidates
Table 11.4: Global Cold Chain and Non-Cold Chain Logistics Spending, 2016-2022
Table 11.5: Estimated Average Per-Patient Clinical Trial Costs by Phase of Study
Table 11.6: Estimated Per-Patient Clinical Trial Expenditure by Indication
Table 11.7: Patient-Per Clinical Trial Expenditure by Disease Area and Phase
Table 12.1: 4D’s Product Pipeline
Table 12.2: Abeona’s Product Pipeline
Table 12.3: Advantagene’s Program Overview
Table 12.4: Adverum’s Pipeline of Gene Therapy Programs
Table 12.5: Agilis DNA Therapeutic Programs
Table 12.6: Generx Product Pipeline
Table 12.7: Potential Economic Opportunity for Generx (Ad5FGF-4)
Table 12.8: AGTC’s Ophthalmology Development Programs
Table 12.9: AnGes’ Product Pipeline
Table 12.10: Asklepios’ Product Pipeline
Table 12.11: Audentes’ Pipeline
Table 12.12: AvroBio’s Programs
Table 12.13: Benitec’s In-House Programs
Table 12.14: Benitecs Licensed Programs
Table 12.15: Bluebird’s Program Pipeline
Table 12.16: Product Pipeline from Cellectis
Table 12.17: Dimension’s Product Pipeline
Table 12.18: Fibroblast’s Product Pipeline
Table 12.19: Genethon’s Pipeline
Table 12.20: Summary of GenVec’s Product Pipeline
Table 12.21: Immune Design’s Product Pipeline
Table 12.22: Inovio’s Pipeline of Products
Table 12.23: Types of Genome Editing
Table 12.24: Intellia’s Product Pipeline
Table 12.25: Kite’s Product Pipeline
Table 12.26: Lysogene’s Product Pipeline
Table 12.27: Medgenics’ Product Pipeline
Table 12.28: Mologen’s Product Pipeline
Table 12.29: Oxford BioMedica’s Product Pipeline
Table 12.30: REGENXBIO’s Therapeutic Programs
Table 12.31: Renova’s Pipeline
Table 12.32: Sangamo’s Product Pipeline
Table 12.33: Sarepta’s Product Pipeline for DMD
Table 12.34: Sarepta’s Programs for Infectious Diseases
Table 12.35: Spark Therapeutics’ Pipeline
Table 12.36: Tocagen’s Product Pipeline
Table 12.37: Transgene’s Product Pipeline
Table 12.38: unQure’s Pipeline
Table 12.39: VBL’s Cancer Pipeline
Table 12.40: Vical’s Product Pipeline
Table 12.41: Voyager Therapeutics, Product Pipeline
Since the FDA approved Kymriah (tisagenlecleucel), Yescarta (Axicabtagene ciloleucel) and Luxturna (voretigene neparvovec-rzyl) in 2017, the US gene therapy space has expanded significantly, underlined by the fact that over 55% of completed and ongoing trials are located in this geographic. Growth in the gene therapy industry has resulted in new commercial initiatives and the emergence of new startups and spin-off biotechs. Furthermore, gene therapy specifically has raised well over $600 million of venture capital in the last five years. Early stage companies have raised seed, Series A and Series B investment steadily since the market took off, including Spark Therapeutics, Avalanche Biotech, uniQure, Voyager Therapeutics, Editas Medicine and GenSight.
Gene therapy products approved between the years 2003 and 2017 include Gendicine, Oncorine, Rexin-G, Neovasculgen, Glybera, Imlygic, Strimvelis, Zalmoxis, Kymriah, Yescarta and Luxturna. Gendicine was approved for head and neck squamous cell carcinoma and has been in the Chinese market since 2003. Rexin-G was approved in the Philippines back in 2007 for the treatment of primary and metastatic cancer. Oncorine was approved in China in 2005 for nasopharyngeal carcinoma. The Russian market has Neovasculgen from 2011 for the treatment of peripheral arterial disease (PAD) and critical limb ischemia. The first gene therapy approved in E.U. was Glybera in 2012 for the treatment of familial lipoprotein lipase deficiency (LPL), however in October 2017 it was pulled from the market due to lack of patient demand. In 2015, Imlygic was approved in E.U. and also in the U.S. to treat melanoma, and Phase II results released in 2017 indicated its efficacy in combination with the checkpoint-inhibitor, Yervoy. In the E.U., Strimvelis was approved in 2016 for the treatment of adenosine deaminase severe combined immunodeficiency (ADA-SCID). In 2016, Zalmoxis was approved in E.U. for the treatment of leukemia. 2017 was a bumper year for gene therapy with Kymriah, Yescarta and Luxturna all gaining FDA approval.
Renewed interest has encouraged start-up companies to affiliate with academic centers for tech know-how. As clinical trials advance towards licensure, more meticulous product characterization using improved analytical methods and progressively higher regulatory compliance will be required. Some of the ongoing clinical trials are closing on to produce promising results, including one for hemophilia B caused by the deficiency of Factor IX using a recombinant adeno-associated virus (AAV) as a vector. The product candidate if succeeds will be a relatively cheaper alternative to the expensive and lifelong factor replacement therapy.
A second example of a successful outcome in gene therapy are studies conducted by independent laboratories focusing on sub-retinal delivery of recombinant AAV expressing retinal pigment epithelial RPE65 for Leber Congenital Amaurosis Type 2. A third example is the clinical trial involving nine children with X-linked severe combined immunodeficiency (SCID-X1) treated with autologous bone marrow CD34+ cells transduced with a self-inactivating (SIN) γ-retroviral vector expressing the IL-2 receptor γ-chain. The most significant achievement in gene therapy is the spectacular clinical results obtained by many independent teams using CAR-T-cell technology. This novel strategy involves ex vivo gene transfer using recombinant retroviral or lentiviral vectors of chimeric antigen receptors consisting of antibody-binding domains fused to T-cell-signaling domains into patient T lymphocytes.
As gene therapies are generally meant for one time or short duration treatments, they are customized to individuals confined to small patient populations. Therefore, manufacturing firms are expected to seek premium prices for these therapies. Because of this, these therapies will have to face valuation and reimbursement challenges. Stakeholders will show reservations about the hefty price tags and they will require significant data to be convinced. With the removal of Gylbera from the EU market in 2017, due to the fact that only one patient was treated with the drug, all eyes are focused on the number of end patients that will be treated, and their ability to pay. To that end, launching of new drugs may have to be delayed in order to collect more data for payers. Furthermore, annuity based reimbursement agreements and pay-for-performance scenarios will have to be tackled.
- Abeona Therapeutics LLC
- Addgene Inc.
- Advanced Cell & Gene Therapy LLC
- Advantagene Inc.
- Adverum Biotechnologies Inc.
- Agilis Biotherapeutics LLC
- Allogeneic Tumor Cell Bank
- AnGes MG Inc.
- Angionetics Inc.
- Applied Genetic Technologies Corporation (AGTC)
- Asklepios BioPharmaceutical Inc.
- Audentes Therapeutics Inc.
- AveXis Inc.
- AvroBio Inc.
- Benitec Biopharma
- BioCancell Therapeutic Inc.
- BioMarin Pharmaceutical Inc.
- Biogen Idec
- Bluebird bio Inc.
- Brammer Bio LLC
- Bristol Myers Squibb
- CRISPR Therapeutics AG
- Cellectis S.A.
- Clontech Laboratories Inc.
- Cobra Biologics Ltd.
- Copernicus Therapeutics Inc.
- Dimension Therapeutics Inc.
- Editas Medicine Inc.
- Fibrocell Sciences Inc.
- Florida Biologix
- Fondazione Telethon
- Freeline Therapeutics Ltd.
- GTC’s Technology
- GenSight Biologics S.A.
- Genable Technologies Ltd.
- Gene Mediated Cytotoxic Immunotherapy (GMCI)
- Genzyme (Sanofi)
- Ichor Medical Systems Inc.
- Immune Design Corp.
- Immusoft Corp.
- Inovio Pharmaceuticals Inc.
- Intellia Therapeutics Inc.
- Juventa Therapeutics Inc.
- Kite Pharma Inc.
- Kolon Life Sciences Inc.
- Lentigen Technology Inc.
- Lysogene S.A.S.
- Medgenics Inc.
- Mirus Bio LLC
- Molecular Therapeutics LLC
- Mologen AG
- NanoCor Therapeutics Inc.
- Nature Technology Corp. (NTC)
- NightstaRx Ltd.
- Novasep Process SAS
- ORCA Therapeutics B.V.
- Omnia Biologics Inc.
- Oxford BioMedica plc
- Oxford Genetics Ltd.
- REGENXBIO Inc.
- Renova Therapeutics Inc.
- RetroSense Therapeutics LLC
- Sangamo Biosciences Inc.
- Sarepta Therapeutics Inc.
- Shanghai Sunway Biotech Co. Ltd.
- SiBiono GeneTech Co. Ltd.
- Sirion Biotech GmbH
- Spark Therapeutics Inc.
- Takara Bio Inc.
- Taxus Cardium Pharmaceutical Group Inc.
- Tocagen Inc.
- ToolGen Inc.
- Transgene SA
- uniQure N.V.
- University of Florida
- Vascular Biologics Ltd.
- Vical Inc.
- ViroMed Co., Ltd.
- Vivebiotech SL
- Voyager Therapeutics
- Xenon Pharmaceuticals Inc.