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Gastric and Gastroesophageal Junction Adenocarcinoma - Global Drug Forecast and Market Analysis to 2029

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    Report

  • 147 Pages
  • October 2020
  • Region: Global
  • GlobalData
  • ID: 5187247
Summary

Gastric and gastroesophageal junction adenocarcinoma (G/GEJAC) is the fifth most common form of cancer and the fourth leading cause of cancer-related death worldwide, yet little is known about its exact etiology despite much ongoing research. Notably, G/GEJAC incidence rates are much higher in East Asia, particularly in Japan, China, and Korea. Approximately 90-95% of G/GEJACs are adenocarcinomas, while the rest represent rarer gastric malignancies, such as gastrointestinal stromal tumors, lymphomas, and neuroendocrine tumors. Historically, treatment of G/GEJAC has been mostly reliant on chemotherapy, with this remaining the mainstay for HER2-negative patients. Since 2010, the introduction of Roche’s Herceptin, Eli Lilly’s Cyramza and more recently BMS’s Opdivo and Merck’s Keytruda have allowed for this first sequential therapy option for these patients. The publisher is expecting a total of 9 new entrants to launch over the forecast period in the 8MM from 2019-2029, while specific marketed agents are expected to move into earlier lines of treatment as novel combinations. The new competitive landscape will be driven by novel HER-2 targeting agents, novel biomarker-driven therapies and the label expansions of immunotherapies.

Key Highlights
  • The main drivers of growth include the anticipated launch of novel HER2-targeting drugs, new drug classes and label expansions of currently marketed therapies across the 8MM during the forecast period.
  • The main barriers to growth in the 8MM include the patent expiry of the market leading drugs.
  • Among the late-stage pipeline products and marketed agents, marketed drug combinations, novel HER2-targeting agents and novel biomarker-led therapies are expected to generate the greatest revenues over the forecast period.
  • The most important unmet needs in the G/GEJAC market include: the lack of approved therapies for metastatic patients, alternatives to chemotherapy in the neoadjuvant/adjuvant setting for resectable disease patients, the identification of widespread biomarkers and the adoption of a cost-effective screening programs.

KEY QUESTIONS ANSWERED
  • Nine late-stage pipeline agents and five label expansions are going to enter the G/GEJAC market from 2019 onwards. What the impact will these agents have on the market? Which of these drugs will have the highest peak sales, and why?
  • What are the current unmet needs in G/GEJAC, which pipeline agents are positioned to counter these unmet needs? What are the opportunities for R&D?
  • What is the market outlook in the 8MM from 2019-2029? Considering major patent expiries, launch of new premium priced agents and expected label expansions.

Scope
  • Overview of G/GEJAC including epidemiology, etiology, pathophysiology, symptoms, diagnosis, and treatment guidelines.
  • Topline G/GEJAC market revenue, annual cost of therapy, and major pipeline product sales in the forecast period.
  • Key topics covered include current treatment and pipeline therapies, unmet needs and opportunities, and the drivers and barriers affecting G/GEJAC therapeutics sales in the 8MM.
  • Pipeline analysis: Comprehensive data split across different phases, emerging novel trends under development, and detailed analysis of late-stage pipeline drugs (Phase III).
  • Analysis of the current and future market competition in the global G/GEJAC therapeutics market. Insightful review of the key industry drivers, restraints and challenges. Each trend is independently researched to provide qualitative analysis of its implications.

Reasons to Buy

The report will enable you to -
  • Develop and design your in-licensing and out-licensing strategies, using a detailed overview of current pipeline products and technologies to identify companies with the most robust pipelines.
  • Develop business strategies by understanding the trends shaping and driving the global G/GEJAC therapeutics market.
  • Drive revenues by understanding the key trends, innovative products and technologies, market segments, and companies likely to impact the global G/GEJAC market in the future.
  • Formulate effective sales and marketing strategies by understanding the competitive landscape and by analyzing the performance of various competitors.
  • Identify emerging players with potentially strong product portfolios and create effective counter-strategies to gain a competitive advantage.
  • Track drug sales in the global G/GEJAC therapeutics market from 2019-2029.
  • Organize your sales and marketing efforts by identifying the market categories and segments that present maximum opportunities for consolidations, investments and strategic partnerships.

Table of Contents

1 Table of Contents
1.1 List of Tables
1.2 List of Figures
2 Gastric and Gastroesophageal Junction Adenocarcinoma: Executive Summary
2.1 Large Market Growth Forecast for the G/GEJAC Market During 2019-2029
2.2 Drug Developers Focusing on Combination Therapies Featuring an Immunotherapy Backbone
2.3 Increasing Interest in Developing Therapies for Niche Populations
2.4 Bringing Novel HER2-Targeting Mechanisms into the Treatment Paradigm to Tackle G/GEJAC Tumor Heterogeneity
2.5 What Do Physicians Think?
3 Introduction
3.1 Catalyst
3.2 Related Reports
3.3 Upcoming Related Reports
4 Disease Overview
4.1 Etiology and Pathophysiology
4.2 Classification or Staging Systems
5 Epidemiology
5.1 Disease Background
5.2 Risk Factors
5.3 Global and Historical Trends
5.4 Forecast Methodology
5.5 Epidemiological Forecast for Gastric Cancer (2019-2029)
5.6 Discussion
6 Disease Management
6.1 Diagnosis and Treatment Overview
6.2 US
6.3 Europe
6.4 Japan
6.5 South Korea
7 Competitive Assessment
7.1 Overview
8 Unmet Needs and Opportunity Assessment
8.1 Overview
8.2 Novel Drugs to Address Stage IV G/GEJAC Patients
8.3 Lack of Treatment Options for Patients with Stage II-III G/GEJAC in the Adjuvant and Neoadjuvant Setting
8.4 Demanding Evaluation of Cost-Effectiveness Impacting Approval and Reimbursement Across the 8MM
8.5 Disparity in Adoption of Nationwide Screening Programs Hinders Early Stage Disease Diagnosis in the US and 5EU
9 Pipeline Assessment
9.1 Overview
9.2 Promising Drugs in Clinical Development
10 Current and Future Players
10.1 Overview
10.2 Trends in Corporate Strategy
10.3 Current Players
10.4 Current and Future Players
10.5 Future Players
11 Market Outlook
11.1 Global Markets
11.2 US
11.3 5EU
11.4 Japan
11.5 South Korea
12 Appendix
List of Tables
Table 1: Gastric and Gastroesophageal Adenocarcinoma: Key Metrics in the 8MM
Table 2: Stage Definitions for Gastric Cancer
Table 3: Risk Factors for Gastric Cancer
Table 4: Treatment Guidelines for G/GEJAC
Table 5: Generic Chemotherapy Regimens Indicated for Gastric Cancer
Table 6: Country Profile - US
Table 7: Country Profile - 5EU
Table 8: Country Profile - Japan
Table 9: Country Profile - South Korea
Table 10: Launch Year for Currently Marketed Drugs in the G/GEJAC Market
Table 11: Roche’s Disease Portfolio Assessment, 2019
Table 12: Eli Lilly’s Disease Portfolio Assessment, 2019
Table 13: Taiho Pharmaceutical’s Disease Portfolio Assessment, 2019
Table 14: BMS’ Disease Portfolio Assessment, 2019
Table 15: Merck’s Disease Portfolio Assessment, 2019
Table 16: Astellas Pharmaceuticals’ Disease Portfolio Assessment, 2019
Table 17: Daichii Sankyo’s Disease Portfolio Assessment, 2019
Table 18: G/GEJAC Market - Global Drivers and Barriers, 2019-2029
Table 19: Key Events Impacting Sales for G/GEJAC in the US, 2019-2029
Table 20: G/GEJAC Market - Drivers and Barriers in the US, 2019-2029
Table 21: Key Events Impacting Sales for G/GEJAC in the 5EU, 2019-2029
Table 22: G/GEJAC Market - Drivers and Barriers in the 5EU, 2019-2029
Table 23: Key Events Impacting Sales for Gastric Cancer in Japan, 2019-2029
Table 24: Gastric Cancer Market - Global Drivers and Barriers in Japan, 2019-2029
Table 25: Key Events Impacting Sales for Gastric Cancer in Japan, 2019-2029
Table 26: G/GEJAC Market - Global Drivers and Barriers in South Korea, 2019-2029
Table 27: Key Historical and Projected Launch Dates for G/GEJAC
Table 28: Key Historical and Projected Patent Expiry Dates for G/GEJAC
Table 29: High-Prescribing Physicians (Non-KOLs) Surveyed, By Country
List of Figures
Figure 1: Global Sales Forecast for G/GEJAC by Country, 2019 and 2029
Figure 2: Analysis of the Company Portfolio Gap in G/GEJAC, 2019-2029
Figure 3: Competitive Assessment of the Late-Stage Pipeline Agents that the Publisher Expects to Be Licensed for the Treatment of G/GEJAC, 2019-2029
Figure 4: 8MM, Diagnosed Incidence of Gastric Cancer, Men, Ages =20 Years, 2009-2029, Cases Per 100,000 Population
Figure 5: 8MM, Diagnosed Incidence of Gastric Cancer, Women, Ages =20 Years, 2009-2029, Cases Per 100,000 Population
Figure 6: Sources Used and Not Used for Diagnosed Incident Cases of Gastric Cancer
Figure 7: Sources Used for Diagnosed Incident Cases of Gastric Cancer by Stage at Diagnosis
Figure 8: Sources Used for Five-Year Diagnosed Prevalent Cases of Gastric Cancer
Figure 9: Sources Used for Diagnosed Incident Cases of Gastric Cancer with HER2 Overexpression
Figure 10: Sources Used for Diagnosed Incident Cases of Gastric Cancer with PD-L1 Expression
Figure 11: Sources Used for Diagnosed Incident Cases of Gastric Cancer with MSI
Figure 12: Sources Used for Diagnosed Incident Cases of Gastric Cancer with NTRK Gene Fusions
Figure 13: Sources Used for Diagnosed Incident Cases of GEJ Cancer
Figure 14: Sources Used for Diagnosed Incident Cases of Gastric Cancer, excluding GEJ Cancer
Figure 15: Sources Used for Diagnosed Incident Cases of Gastric Adenocarcinoma
Figure 16: 8MM, Diagnosed Incident Cases of Gastric Cancer, Men and Women, Ages =20 Years, 2019
Figure 17: 8MM, Age-Specific Diagnosed Incident Cases of Gastric Cancer, Men and Women, Ages =20 Years, 2019
Figure 18: 8MM, Sex-Specific Diagnosed Incident Cases of Gastric Cancer, Men and Women, Ages =20 Years, 2019, N
Figure 19: 8MM, Five-Year Diagnosed Prevalent Cases of Gastric Cancer, Men and Women, Ages =20 Years, 2019
Figure 20: 8MM, Diagnosed Incident Cases of Gastric Cancer by Stage at Diagnosis, Men and Women, Ages =20 Years, 2019
Figure 21: 8MM, Diagnosed Incident Cases of Gastric Cancer with HER2 Overexpression, Men and Women, Ages =20 Years, 2019
Figure 22: 8MM, Diagnosed Incident Cases of Gastric Cancer with PD-L1 Expression, Men and Women, Ages =20 Years, 2019
Figure 23: 8MM, Diagnosed Incident Cases of Gastric Cancer with MSI, Men and Women, Ages =20 Years, 2019
Figure 24: 8MM, Diagnosed Incident Cases of Gastric Cancer with NTRK Gene Fusions, Men and Women, Ages =20 Years, 2019
Figure 25: 8MM, Diagnosed Incident Cases of GEJ Cancer, Men and Women, Ages =20 Years, 2019
Figure 26: 8MM, Diagnosed Incident Cases of Gastric Cancer, Excluding GEJ Cancer, Men and Women, Ages =20 Years, 2019
Figure 27: 8MM, Diagnosed Incident Cases of Gastric Adenocarcinoma, Men and Women, Ages =20 Years, 2019
Figure 28: Treatment for Stage IV Patients Based on HER2 Status
Figure 29: Unmet Needs and Opportunities in G/GEJAC
Figure 30: Overview of the Development Pipeline in G/GEJAC
Figure 31: Key Phase II/III Trials for the Promising Pipeline Agents that the Publisher Expects to Be Licensed for G/GEJAC in the 8MM During the Forecast Period
Figure 32: Competitive Assessment of the Late-Stage Pipeline Agents that the Publisher Expects to Be Licensed for the Treatment of G/GEJAC During the Forecast Period
Figure 33: Analysis of the Company Portfolio Gap in G/GEJAC During the Forecast Period
Figure 34: Global (8MM) Sales Forecast by Country for G/GEJAC in 2019 and 2029
Figure 35: Sales Forecast by Class for G/GEJAC in the US in 2019 and 2029
Figure 36: Sales Forecast by Class for G/GEJAC in the 5EU in 2019 and 2029
Figure 37: Sales Forecast by Class for Gastric Cancer in Japan in 2019 and 2029
Figure 38: Sales Forecast by Class for G/GEJAC in South Korea in 2019 and 2029

Companies Mentioned (Partial List)

A selection of companies mentioned in this report includes, but is not limited to:

  • Astellas Pharmaceuticals
  • AstraZeneca
  • Bayer
  • Beigene
  • Bristol-Myers Squibb
  • Daichii Sankyo
  • Elevar Therapeutics
  • Eli Lilly
  • FivePrime Therapeutics
  • Incyte
  • Macrogenics
  • Merck Co
  • Ono Pharmaceuticals
  • Roche
  • Taiho Pharmaceuticals
  • Zai Labs
  • ZymeWorks