Market Spotlight: Mesothelioma
Market Spotlight: Mesothelioma
This Market Spotlight report covers the mesothelioma market, comprising key pipeline and marketed drugs, clinical trials, upcoming and regulatory events, patent information, a 10-year disease prevalence forecast, and licensing and acquisition deals, as well as presenting drug-specific revenue forecasts.
Author: Informa Pharma Intelligence
Publisher: Datamonitor Healthcare
Mesothelioma is an aggressive and rare form of cancer which develops in the lining of the heart, lungs, or abdomen. Exposure to asbestos is the primary cause of the disease. The inhalation or swallowing of asbestos leads to an accumulation in the lining of the lungs or the abdomen, causing damage to the tissue. This, in turn, leads to damage to the cells’ DNA, and uncontrolled cell growth.
- Datamonitor Healthcare estimates that in 2019, there were 30,000 incident cases of mesothelioma in adults aged 40 years and older worldwide, and forecasts that number to increase to 33,900 incident cases by 2028.
- Oceania is estimated to have the highest disease incidence rate (9.90 per 100,000 males and 1.90 per 100,000 females), while Africa has the lowest incidence rate (0.47 per 100,000 males and 0.30 per 100,000 females).
- The approved drugs in the mesothelioma space target thymidylate synthase, the immune system, programmed death-1 receptor/programmed death ligands, and dihydrofolate reductase. All of the approved drugs are administered via the intravenous route.
- The majority of industry-sponsored drugs in active clinical development for mesothelioma are in Phase II. Therapies in the mesothelioma space focus on a wide variety of targets. The majority of drugs in development for mesothelioma are administered via the intravenous route, with the remainder being intramuscular, oral, intratumoral, percutaneous catheter/injection, and subcutaneous formulations.
- The only high-impact upcoming event for drugs in the mesothelioma space is topline Phase III trial results for Opdivo. The overall likelihood of approval of a Phase I mesothelioma asset is 5.9%, and the average probability a drug advances from Phase III is 33.3%. Drugs, on average, take 14.9 years from Phase I to approval, compared to 9.2 years in the overall oncology space.
- There have been six licensing and asset acquisition deals involving mesothelioma drugs during 2015–20. The $475m licensing agreement signed in 2017 between Calithera Biosciences and Incyte to research, develop, and commercialize Calithera’s CB1158 was the largest deal.
- The distribution of clinical trials across Phase I–IV indicates that the vast majority of trials for mesothelioma have been in the early and mid-phases of development, with 95% of trials in Phase I–II, and only 5% in Phase III–IV.
- The US has a substantial lead in the number of mesothelioma clinical trials globally. The UK leads the major European markets, while Japan has the top spot in Asia.
- Clinical trial activity in the mesothelioma space is dominated by completed trials. Eli Lilly has the highest number of completed clinical trials for mesothelioma, with 44 trials. Eli Lilly also leads industry sponsors with the highest overall number of clinical trials for mesothelioma.
7 KEY TAKEAWAYS
8 DISEASE BACKGROUND
14 MARKETED DRUGS
16 PIPELINE DRUGS
23 RECENT EVENTS AND ANALYST OPINION
23 Optune for Mesothelioma (April 2, 2019)
24 SEL-403 for Mesothelioma (October 17, 2018)
26 KEY UPCOMING EVENTS
27 KEY REGULATORY EVENTS
27 US FDA Greenlights First-In-Kind Diagnostics, Device
28 PROBABILITY OF SUCCESS
29 LICENSING AND ASSET ACQUISITION DEALS
30 PARENT PATENTS
31 REVENUE OPPORTUNITY
32 CLINICAL TRIAL LANDSCAPE
33 Sponsors by status
34 Sponsors by phase
35 Recent events
36 Prescription information
LIST OF FIGURES
12 Figure 1: Trends in incident cases of mesothelioma, 2019–28
16 Figure 2: Overview of pipeline drugs for mesothelioma in the US
17 Figure 3: Pipeline drugs for mesothelioma, by company
17 Figure 4: Pipeline drugs for mesothelioma, by drug type
18 Figure 5: Pipeline drugs for mesothelioma, by classification
26 Figure 6: Key upcoming events in mesothelioma
28 Figure 7: Probability of success in the mesothelioma pipeline
29 Figure 8: Licensing and asset acquisition deals in mesothelioma, 2015–20
30 Figure 9: Parent patents in mesothelioma
32 Figure 10: Clinical trials in mesothelioma
32 Figure 11: Top 10 drugs for clinical trials in mesothelioma
33 Figure 12: Top 10 companies for clinical trials in mesothelioma
33 Figure 13: Trial locations in mesothelioma
34 Figure 14: Mesothelioma trials status
35 Figure 15: Mesothelioma trials sponsors, by phase
LIST OF TABLES
11 Table 1: Incident cases of mesothelioma, 2019–28
13 Table 2: Incidence rates of mesothelioma, 2019–28
15 Table 3: Marketed drugs for mesothelioma
19 Table 4: Pipeline drugs for mesothelioma in the US
23 Table 5: Optune for Mesothelioma (April 2, 2019)
25 Table 6: SEL-403 for Mesothelioma (October 17, 2018)
31 Table 7: Historical global sales, by drug ($m), 2014–18
31 Table 8: Forecasted global sales, by drug ($m), 2020–24
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