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Market Spotlight: Ischemic Stroke

  • Report

  • 45 Pages
  • June 2021
  • Region: Global
  • Citeline
  • ID: 5141804
This Market Spotlight report covers the Ischemic Stroke 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 prevalence forecast, as well as licensing and acquisition deals.

Key Takeaways

  • The publisher estimates that in 2018, there were approximately 82.3 million prevalent cases of ischemic stroke worldwide, and forecasts that number to increase to 88.0 million prevalent cases by 2027.
  • The approved drugs in the ischemic stroke space focus on a wide variety of targets. Most approved drugs are administered orally, with two drugs administered intravenously and one drug administered subcutaneously.
  • The majority of industry-sponsored drugs in active clinical development for ischemic stroke are in Phase II. Therapies in active clinical development for ischemic stroke focus on a wide variety of targets and include small molecules, peptides, and cell-based therapies.
  • High-impact upcoming events for drugs in the ischemic stroke space comprise topline Phase II trial results for Trans Sodium Crocetinate, TMS-007, and S-005151, topline Phase IIb trial results for ReN001, topline Phase III trial results for Cirara, and an expected supplemental CHMP opinion for Brilinta.
  • The overall likelihood of approval of a Phase I ischemic stroke asset is 0.8%, and the average probability a drug advances from Phase III is 11.1%. Drugs, on average, take 13.3 years from Phase I to approval, compared to 9.8 years in the overall neurology space.
  • The distribution of clinical trials across Phase I–IV indicates that the majority of trials for stroke have been in the early and midphases of development, with 70% of trials in Phase I–II, and 30% in Phase III–IV.
  • The US has a substantial lead in the number of stroke clinical trials globally. Germany leads the major European markets, while China has the top spot in Asia.
  • Clinical trial activity in the stroke space is dominated by completed trials. Roche has the highest number of completed clinical trials for stroke, with 21 trials.
  • Roche leads industry sponsors with the highest overall number of clinical trials for stroke, followed by Boehringer Ingelheim and Daiichi Sankyo

Table of Contents

OVERVIEWKEY TAKEAWAYS
DISEASE BACKGROUND
  • Disease definition
  • Symptoms
  • Risk factors
  • Diagnosis

TREATMENT
  • Acute treatment of ischemic stroke
  • Long-term treatments
  • Palliative care

EPIDEMIOLOGYMARKETED DRUGSPIPELINE DRUGS
RECENT EVENTS AND ANALYST OPINION
  • TMS-007 for Ischemic Stroke (May 12, 2021)
  • SB623 for Ischemic Stroke (September 14, 2020)
  • DM199 for Ischemic Stroke (May 13, 2020)
  • NA-1 for Ischemic Stroke (February 20, 2020)

KEY UPCOMING EVENTS
KEY REGULATORY EVENTS
  • Further Horizons For Direct Oral Anticoagulants
  • NDAs And More: Recent Submissions For FDA Approval

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

BIBLIOGRAPHYAPPENDIX
LIST OF FIGURES
Figure 1: Trends in prevalent cases of ischemic stroke, 2020–29
Figure 2: Overview of pipeline drugs for ischemic stroke in the US
Figure 3: Pipeline drugs for ischemic stroke, by company
Figure 4: Pipeline drugs for ischemic stroke, by drug type
Figure 5: Pipeline drugs for ischemic stroke, by classification
Figure 6: TMS-007 for Ischemic Stroke (May 12, 2021): Phase IIa - Single IV Administration (JP)
Figure 7: SB623 for Ischemic Stroke (September 14, 2020): Phase IIb - ACTIsSIMA
Figure 8: DM199 for Ischemic Stroke (May 13, 2020): Phase II - ReMEDy
Figure 9: NA-1 for Ischemic Stroke (February 20, 2020): Phase III - ESCAPE-NA1
Figure 10: Key upcoming events in ischemic stroke
Figure 11: Probability of success in the ischemic stroke pipeline
Figure 12: Clinical trials in stroke
Figure 13: Top 10 drugs for clinical trials in stroke
Figure 14: Top 10 companies for clinical trials in stroke
Figure 15: Trial locations in stroke
Figure 16: Stroke trials status
Figure 17: Stroke trials sponsors, by phase
LIST OF TABLES
Table 1: Prevalent cases of ischemic stroke, 2020–29
Table 2: Marketed drugs for ischemic stroke
Table 3: Pipeline drugs for ischemic stroke in the US
Table 4: TMS-007 for Ischemic Stroke (May 12, 2021)
Table 5: SB623 for Ischemic Stroke (September 14, 2020)
Table 6: DM199 for Ischemic Stroke (May 13, 2020)
Table 7: NA-1 for Ischemic Stroke (February 20, 2020)
Table 8: Historical global sales, by drug ($m), 2016–20
Table 9: Forecasted global sales, by drug ($m), 2021–25