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시장보고서
상품코드
1553400
노안 : 시장 인사이트, 역학 및 시장 예측(-2034년)Presbyopia - Market Insight, Epidemiology, and Market Forecast - 2034 |
주요 7개국의 노안 치료 시장 규모는 2023년 약 170억 달러에 달했습니다. 미국은 2023년 주요 7개국 중 미국이 가장 큰 시장으로 약 80억 3,900만 달러를 차지했으며, 2034년까지 더욱 증가할 것으로 예상됩니다. 유럽 국가 중 독일은 2023년 16억 6,600만 달러에 가까운 시장 규모로 가장 높은 시장 규모를 가지고 있으며, 스페인은 2023년 9억 3,800만 달러로 노안 시장 규모가 가장 작을 것으로 예상됩니다. 일본의 노안 시장 규모는 2023년 26억 4,200만 달러로 주요 7개국 전체 시장의 16%를 차지했습니다.
노안은 근거리 시력의 점진적인 저하를 특징으로 하는 일반적인 노화 관련 질환으로, 보통 40세 이후에 두드러지게 나타나며 40-60세 사이에 진행됩니다. 이러한 근거리 시력 저하는 자연적인 노화 과정으로 인해 수정체 내 단백질의 노화 변화로 인해 눈의 수정체가 탄력을 잃어 수정체가 두꺼워지고 딱딱해지며 유연성을 잃게 되는 것입니다. 이러한 변화는 수정체가 광선을 적절하게 굴절시키는 능력을 손상시켜 눈의 초점을 맞추는 능력을 저하시킵니다. 노안은 초기 노안, 기능성 노안, 절대 노안, 조기 노안, 야간 노안 등 여러 가지 유형으로 분류할 수 있습니다. 노안의 주요 위험 요인은 노화이지만 외상, 전신 질환, 심혈관계 질환, 약물 부작용 등의 요인으로 인해 노안 증상이 조기에 나타나기도 합니다. 초기 증상으로는 장시간 가까이 보는 작업이 힘들어지거나 눈의 피로가 생기는 경우가 많으며, 어두운 곳에서는 증상이 악화될 수 있습니다. 다른 일반적인 증상으로는 다양한 거리에서의 초점 조절 지연, 눈의 불편감, 두통, 눈의 피로, 눈의 피로, 근거리 작업으로 인한 피로와 졸음, 작업 거리 증가, 독서 시 밝은 빛이 필요함, 복시 등이 있습니다. 이러한 메커니즘과 증상을 이해하는 것은 노안을 효과적으로 관리하고 치료하는 데 매우 중요합니다.
노안 진단을 위해서는 안과 의사가 망막, 근육의 완전성, 굴절, 세극등 평가, 시야 및 시력 평가를 포함한 종합적인 안과 검사가 필요합니다. 검안경을 사용하여 망막, 시상, 맥락막을 검사합니다. 근육의 완전성은 환자가 움직이는 물체를 따라가는 능력을 관찰하여 평가합니다. 굴절검사는 각막과 수정체를 통해 빛의 파동이 얼마나 굴절되는지 검사하여 올바른 렌즈 처방을 확인합니다. 세극등 검사에서는 전안부 구조를 확대하여 관찰하고, 시야 검사에서는 주변 시야를 측정하며, 시력 검사에서는 다양한 거리의 선명도를 평가합니다. 일시적으로 빛에 대한 민감도를 높이는 동공 확장 점안제를 사용하기도 합니다. 이러한 평가는 정확한 진단과 전반적인 안구 건강을 보장합니다.
노안 치료에는 환자의 직업과 직업적 필요에 따라 다양한 옵션이 있으며, 가까운 곳에 초점을 맞추는 눈의 능력 저하를 보완하는 것을 목표로 합니다. 광학적인 교정은 교정 안경(안경 렌즈)이나 콘택트렌즈를 통해 달성할 수 있으며, 보다 영구적인 해결책을 원하는 사람들에게는 굴절 교정 수술이나 수정체 이식이 실행 가능한 선택이 될 수 있습니다. 굴절 교정 수술에는 전도성 각막 성형술, 라식, 라섹, 광학적 굴절 교정술 등이 있으며, 기술의 발전으로 인해 더욱 안전하고 효과적인 수술이 가능해졌습니다. 또한, 현재 임상 관리에서 비스테로이드성 항염증제(NSAIDs), 부교감신경작용제, 근이완제 및 기타 이완제를 적응증 외로 사용할 수 있습니다. 이러한 치료에 자주 사용되는 약물로는 피로카르핀, 카르바콜, 아세크리딘, 브리모니딘, 네파페낙 등이 있습니다. 각각의 치료 옵션은 환자의 특정 필요와 상태에 따라 검토되어 노안 관리에 대한 종합적인 접근 방식을 제공합니다.
이 보고서는 주요 7개국의 노안 시장을 조사했으며, 시장 개요와 함께 역학, 환자 동향, 새로운 치료법, 2034년까지 시장 규모 예측, 의료 미충족 수요 등을 제공합니다.
DelveInsight's "Presbyopia- Market Insights, Epidemiology, and Market Forecast - 2034" report delivers an in-depth understanding of presbyopia, historical and forecasted epidemiology as well as the presbyopia market trends in the United States, EU4, and the UK (Germany, France, Italy, Spain) and the United Kingdom, and Japan.
The presbyopia market report provides current treatment practices, emerging drugs, market share of individual therapies, and current and forecasted 7MM presbyopia market size from 2020 to 2034. The Report also covers current presbyopia treatment practices, market drivers, market barriers, SWOT analysis, reimbursement and market access, and unmet medical needs to curate the best of the opportunities and assess the underlying potential of the market.
Study Period: 2020-2034
Presbyopia Overview
Presbyopia is a common age-related condition characterized by a gradual loss of near-focusing ability, typically becoming noticeable after age 40 and progressing between the ages of 40 and 60. This decline in near vision results from the natural aging process, where the lenses of the eyes lose elasticity due to age-related changes in the proteins within the lens, causing it to thicken, harden, and become less flexible. These changes impair the lens's ability to refract light rays properly, diminishing the eye's focusing capacity. Presbyopia can be categorized into several types, including incipient, functional, absolute, premature, and nocturnal presbyopia. While aging is the primary risk factor for presbyopia, the condition can also manifest prematurely due to factors such as trauma, systemic diseases, cardiovascular conditions, or drug side effects. Early symptoms often include difficulty with prolonged close-up tasks and eye strain, which may worsen in dim light. Other common symptoms encompass delays in focusing at various distances, ocular discomfort, headaches, asthenopia, squinting, fatigue or drowsiness from near work, increased working distance, a need for brighter light when reading, and diplopia. Understanding these mechanisms and symptoms is crucial for the effective management and treatment of presbyopia.
Presbyopia Diagnosis
Diagnosing presbyopia involves a comprehensive eye examination by an ophthalmologist, including assessments of the retina, muscle integrity, refraction, slit-lamp evaluation, visual field, and visual acuity. An ophthalmoscope is used to examine the retina, optic disk, and choroid. Muscle integrity is assessed by observing the patient's ability to follow a moving object. Refractive tests determine how well light waves bend through the cornea and lens to identify the correct lens prescription. A slit-lamp exam provides a magnified view of the eye's anterior structures, while visual field tests measure peripheral vision, and visual acuity tests assess clarity at various distances. Pupil-dilating eye drops may be used, temporarily increasing light sensitivity. These evaluations ensure accurate diagnosis and overall ocular health.
Further details related to diagnosis are provided in the report...
Presbyopia Treatment
Treatment of presbyopia involves various options tailored to the patient's vocational and avocational needs, aiming to compensate for the eye's reduced ability to focus on nearby objects. Optical correction can be achieved through corrective eyeglasses (spectacle lenses) or contact lenses, and for those seeking more permanent solutions, refractive surgery or lens implants are viable options. Refractive surgical procedures include techniques such as Conductive Keratoplasty, LASIK, LASEK, and Photorefractive Keratectomy, which have become safer and more effective with advancements in technology. Additionally, current clinical management may involve off-label use of nonsteroidal anti-inflammatory drugs (NSAIDs), parasympathetic agonists, miotic agents, and other tempering agents. Commonly used agents in these treatments include Pilocarpine, Carbachol, Aceclidine, Brimonidine, and Nepafenac. Each treatment option is considered based on the specific needs and conditions of the patient, providing a comprehensive approach to managing presbyopia.
Presbyopia affects a significant segment of the aging population, yet existing treatments often fall short in terms of cost and accessibility. Advanced surgical options are prohibitively expensive and typically not covered by insurance, creating a barrier for many individuals. There is an urgent demand for affordable, non-invasive solutions that cater to diverse socioeconomic backgrounds.
While topical agents like pilocarpine drops, including the pioneering VUITY, represent a step forward, they have not fully met expectations. The daily cost of approximately USD 3 for a 30-day supply, coupled with a lack of insurance coverage, renders them impractical for many. Real-world feedback and AbbVie's reduction in marketing efforts underscore the need for more effective treatments with fewer applications and longer-lasting effects. Addressing these gaps is crucial for enhancing the quality of life for those affected by presbyopia.
Further details related to treatment are provided in the report...
As the market is derived using a patient-based model, the Presbyopia epidemiology chapter in the report provides historical as well as forecasted epidemiology segmented by, Total Prevalent Cases of Presbyopia, Total Diagnosed Prevalent Cases of Presbyopia, Age-specific Diagnosed Prevalent Cases of Presbyopia, Gender-specific Diagnosed Prevalent Cases of Presbyopia, and Severity-specific Diagnosed Prevalent Cases of Presbyopia, in the 7MM covering, the United States, EU4 countries (Germany, France, Italy, and Spain), United Kingdom, and Japan from 2020 to 2034.
The drug chapter segment of the Presbyopia report encloses a detailed analysis of Presbyopia off-label drugs and late-stage (Phase-III and Phase-II) pipeline drugs. It also helps to understand the Presbyopia clinical trial details, expressive pharmacological action, agreements and collaborations, approval and patent details, advantages and disadvantages of each included drug, and the latest news and press releases.
Marketed Drugs
VUITY (pilocarpine HCI ophthalmic solution) 1.25%: Allergan/AbbVie
VUITY (pilocarpine HCI ophthalmic solution) 1.25%, developed by Allergan, is a novel treatment for presbyopia approved by the US FDA In October 2021. This prescription eye drop works by contracting the pupil to enhance near and intermediate vision without significantly affecting distance vision. By leveraging the miotic properties of pilocarpine, VUITY improves focus for close-up tasks, offering a non-invasive alternative to reading glasses. Its approval marks a significant advancement in presbyopia management, providing patients with a convenient and effective option to alleviate the condition's symptoms.
Approved but not launched yet:
QLOSI (pilocarpine hydrochloride ophthalmic solution) 0.4%: Orasis Pharmaceuticals
QLOSI (pilocarpine hydrochloride ophthalmic solution) 0.4%, developed by Orasis Pharmaceuticals, is a novel treatment for presbyopia that was approved by the US FDA in October 2023. This formulation aims to improve near vision by using pilocarpine, a cholinergic muscarinic agonist, to enhance the eye's accommodative ability. The market launch of QLOSI is anticipated in the second half of 2024, offering a new option for patients seeking a non-surgical approach to managing age-related vision decline.
Emerging Drugs
Brimochol PF (VT-1011): Visus Therapeutics
Brimochol PF (VT-1011), which is being developed by Visus Therapeutics, is a novel treatment for presbyopia. This investigational eye drop formulation combines brimonidine, a selective alpha-2 adrenergic agonist, with carbachol, a muscarinic agonist, to improve near vision by enhancing the eye's accommodative response. Currently, Brimochol PF is in the late stages of clinical development, having completed Phase III trials, which have demonstrated its efficacy and safety profile. The product is expected to have its New Drug Application (NDA) filed in the second half of 2024, aiming to offer a new therapeutic option for managing presbyopia.
LNZ100 - 1.75% Aceclidine: LENZ Therapeutics, Inc.
LNZ100 - 1.75% Aceclidine, developed by LENZ Therapeutics, Inc., is a promising treatment for presbyopia. This formulation utilizes Aceclidine, a parasympathomimetic agent, to improve near vision by enhancing the eye's accommodative response. Currently, LNZ100 is in advanced clinical stages, with the company planning to submit an NDA to the FDA in mid-2024. The projected market launch for LNZ100 is targeted for the second half of 2025, positioning it as a key therapeutic option for managing presbyopia.
The market for presbyopia treatments encompasses a diverse range of options, catering to various patient preferences and needs. Non-invasive solutions, such as reading glasses, bifocals, and progressive lenses, offer clear vision at different distances, making them popular among those seeking convenience. Contact lenses, including multifocal and monovision types, further enhance flexibility and field of vision compared to traditional eyewear.
Pharmacological treatments have emerged as promising options. Eye drops like pilocarpine hydrochloride temporarily enhance near vision by constricting the pupil, thus improving depth of field. Among the notable advancements, FDA-approved treatments such as VUITY and QLOSI represent significant progress.
Despite these advancements, the market for presbyopia treatments is still evolving. The current FDA-approved therapies are limited, highlighting a significant gap in available treatment options. This gap presents opportunities for further innovation and development in the field, as there remains a substantial demand for new, effective solutions to address the diverse needs of individuals with presbyopia.
In the upcoming treatment landscape, there are a plethora of companies investigating agents for use in presbyopia which includes Visus Therapeutics and others. There are many more pharma companies which are conducting clinical trials for therapies for presbyopia.
This section focuses on the uptake rate of potential drugs expected to launch in the market during 2020-2034. For example, LNZ100 (Aceclidine) in the US is expected to be launched by 2025 with a peak share of 2%. Aceclidine is anticipated to take 7 years to peak with a medium uptake.
Further detailed analysis of emerging therapies drug uptake in the report...
Presbyopia Pipeline Development Activities
The report provides insights into different therapeutic candidates in Phase III, Phase II, and Phase I. It also analyzes key players involved in developing targeted therapeutics.
Pipeline Development Activities
The report covers information on collaborations, acquisitions and mergers, licensing, and patent details for Presbyopia emerging therapies.
KOL Views
To keep up with current market trends, we take KOLs and SMEs' opinions working in the domain through primary research to fill the data gaps and validate the secondary research. Industry Experts were contacted for insights on Presbyopia evolving treatment landscape, patient reliance on conventional therapies, patient therapy switching acceptability, and drug uptake along with challenges related to accessibility, including KOL from The Midwest Center for Sight, Des Plaines; University of California, San Francisco; Department of Ophthalmology, Universitatsmedizin, Mannheim; Department of Ophthalmology, University Hospital Morvan; Studi Medici Renna, Melendugno Lecce, Italy; Universidad Miguel Hernandez, Spain; Department of Ophthalmology, Kyorin University School of Medicine, Tokyo; and others.
Delveinsight's analysts connected with 50+ KOLs to gather insights; however, interviews were conducted with 15+ KOLs in the 7MM. Their opinion helps understand and validate current and emerging therapies, treatment patterns, or Presbyopia market trends. This will support the clients in potential upcoming novel treatments by identifying the overall scenario of the market and the unmet needs.
Qualitative Analysis
We perform Qualitative and market Intelligence analysis using various approaches, such as SWOT and Conjoint Analysis. In the SWOT analysis, strengths, weaknesses, opportunities, and threats in terms of disease diagnosis, patient awareness, patient burden, competitive landscape, cost-effectiveness, and geographical accessibility of therapies are provided. These pointers are based on the Analyst's discretion and assessment of the patient burden, cost analysis, and existing and evolving treatment landscape.
Conjoint Analysis analyzes multiple approved and emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. Scoring is given based on these parameters to analyze the effectiveness of therapy.
Further, the therapies' safety is evaluated wherein the acceptability, tolerability, and adverse events are majorly observed, and it sets a clear understanding of the side effects posed by the drug in the trials. In addition, the scoring is also based on the route of administration, order of entry and designation, probability of success, and the addressable patient pool for each therapy. According to these parameters, the final weightage score and the ranking of the emerging therapies are decided.
Market Access and Reimbursement
The high cost of therapies for the treatment is a major factor restraining the growth of the global drug market. Because of the high cost, the economic burden is increasing, leading the patient to escape from proper treatment.
The report further provides detailed insights on the country-wise accessibility and reimbursement scenarios, cost-effectiveness scenario of approved therapies, programs making accessibility easier and out-of-pocket costs more affordable, insights on patients insured under federal or state government prescription drug programs, etc.
Market Insights
Epidemiology Insights
Current Treatment Scenario, Marketed Drugs, and Emerging Therapies
The presbyopia Epidemiology and Market Insight report for the 7MM covers the forecast period from 2024 to 2034, providing a projection of market dynamics and trends during this timeframe.
The presbyopia market is quite robust. The major layers are Visus Therapeutics, LENZ Therapeutics, Inc., Glaukos Corporation, and others which are currently developing drugs for the treatment of presbyopia.
The market size is estimated through data analysis, statistical modeling, and expert opinions. It may consider factors such as incident cases, treatment costs, revenue generated, and market trends.
The increase in diagnosed prevalent cases of presbyopia and the launch of emerging therapies are attributed to be the key drivers for increasing the presbyopia market.
Introducing new therapies, advancements in diagnostic techniques, and innovations in treatment approaches can significantly impact the presbyopia treatment market. Market forecast reports may provide analysis and predictions regarding the potential impact of these developments.
The market forecast report may include information on the competitive landscape, profiling key market players, their product offerings, partnerships, and strategies, and helping stakeholders understand the competitive dynamics of the presbyopia market.
3.1.. Market Share (%) Distribution of Presbyopia by Therapies in 2020
3.2.. Market Share (%) Distribution of Presbyopia by Therapies in 2034
7.1.. Introduction
7.3.. Difference between Presbyopia and Hyperopia
7.4.. Risk Factors and Causes of Presbyopia
7.5.. Pathophysiology of Presbyopia
7.6.. Complications of Presbyopia
7.7.. Diagnosis of Presbyopia
7.7.1.. Patient History
7.7.2.. Ocular Examination
7.7.3.. Supplemental Testing
7.7.4.. Eye health evaluation
7.7.5.. Recommended eye examination frequency for pediatric patients and adults
7.7.. Early Detection and Prevention of Presbyopia
7.8.. Current Treatment Practices: Presbyopia
7.8.1.. Treatment Algorithm of Presbyopia
7.8.2.. Optical Correction with Spectacle Lenses
7.8.3.. Optical Correction with Contact Lenses
7.8.4.. Surgical options
7.8.5.. Corneal inlay
7.8.6.. Lens implants
7.8.7.. Treatment Algorithm
7.8.1.. Management Strategies for Correction of Presbyopia- American Optometric Association
7.8.2.. NICE guidance for corneal inlay implantation for correction of presbyopia
7.8.3.. Management guidelines by the American Academy of Ophthalmology
7.8.4.. Analysis of Guidelines
8.1.. Key Findings
8.3.. Assumptions and Rationale: 7MM
8.4.. Total Diagnosed Prevalent Cases of Presbyopia in the 7MM
To be continued in the report