Overview

This Market Spotlight report covers the Glaucoma market, comprising key marketed and pipeline drugs, clinical trials, upcoming and regulatory events, probability of success, recent events and analyst opinion, a 10-year disease prevalence forecast, and licensing and acquisition deals, as well as presenting drug-specific revenue forecasts.

Key Takeaways

• Datamonitor Healthcare estimates that in 2019, there were 99.7 million prevalent cases of glaucoma in adults aged 40 years and older worldwide, and forecasts that number to increase to 119.4 million prevalent cases by 2028.
• Africa is estimated to have the highest disease prevalence (4.79%), while Europe and Oceania have the lowest prevalence (2.93% and 2.97%, respectively).
• The majority of approved drugs in the glaucoma space target beta adrenergic receptors or the prostaglandin F receptor. Almost all of these approved drugs are administered via the topical route, with the remainder being intraocular/subretinal/subconjunctival or oral formulations.
•  The highest proportion of industry-sponsored drugs in active clinical development for glaucoma are in Phase II. While a small number of mid-to-late-stage drugs in the glaucoma space are exploring new targets, the established target prostaglandin F receptor continues to lead clinical development. The largest number of drugs in mid-to-late-stage development for glaucoma are administered via the intraocular/subretinal/subconjunctival route.
• High-impact upcoming events for drugs in the glaucoma space comprise topline Phase II trial results for GAL-101 and AKB-9778, topline Phase III trial results for Rocklatan and NCX 470, and an expected CHMP opinion for Rocklatan.
• The overall likelihood of approval of a Phase I glaucoma/ocular hypertension (ophthalmology) asset is 5.6%, and the average probability a drug advances from Phase III is 57.1%. Drugs, on average, take 8.8 years from Phase I to approval in the glaucoma/ocular hypertension (ophthalmology) space, as well as in the overall ophthalmology space.
• The distribution of clinical trials across Phase I–IV indicates that the majority of trials for glaucoma have been in the late phases of development, with 59% of trials in Phase III–IV, and 41% in Phase I–II.
• The US has a substantial lead in the number of glaucoma clinical trials globally. Germany leads the major European markets, while Japan has the top spot in Asia.
• Clinical trial activity in the glaucoma space is dominated by completed trials. Novartis has the highest number of completed clinical trials for glaucoma, with 156 trials.
• Novartis leads industry sponsors with by far the highest overall number of clinical trials for glaucoma, followed by AbbVie.