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시장보고서
상품코드
1705102
유잉육종 시장 - 시장 인사이트, 역학, 시장 예측(2034년)Ewing Sarcoma - Market Insight, Epidemiology, and Market Forecast - 2034 |
본 보고서는 미국, EU 4개국(독일, 프랑스, 이탈리아, 스페인), 영국, 일본의 유잉육종의 역사적 및 예측 역학, 그리고 유잉육종의 시장 동향을 상세히 전해드립니다.
현재 치료법, 신약, 각 치료법별 유잉육종 시장 점유율, 2020년에서 2034년까지 주요 7개국 유잉육종 시장 규모 현황 및 예측을 제공합니다. 또한, 현재 유잉육종 치료제의 시장 관행/알고리즘과 유잉육종에 대한 미충족 의료 수요를 파악하여 최적의 기회를 발굴하고 시장 잠재력을 평가합니다.
유잉육종은 보통 뼈에서 증식을 시작하는 암성 종양입니다. 주로 소아 및 젊은 성인에게 발생하며, 대부분 10대에 발병하는 경우가 많습니다. 유잉육종은 모든 뼈에서 발생할 수 있지만 보통 대퇴골, 경골, 상완골과 같은 긴 뼈에서 발생합니다. 골반 뼈도 종종 침범합니다. 때로는 종양이 근육이나 연부조직에서 시작되기도 합니다. 가장 흔한 증상은 뼈와 뼈 주변 조직의 뻣뻣함, 통증, 부종, 압통입니다.
환자의 증상으로는 안정 시에도 지속되는 뼈의 통증, 부종, 환부의 뼈에 큰 종괴가 있는 등의 증상으로 시작됩니다. 이후 정형외과를 방문하여 MRI, CT 스캔, 단순 X-선 촬영 등의 진단 검사를 제안받게 됩니다. 진단 후 환자는 추가 치료를 위해 종양 전문의에게 의뢰됩니다. 확진 진단을 위해 영상 진단으로 판단된 암의 가장 진행된 부위에서 떼어낸 종괴의 조직 생검을 시행합니다. 유잉육종으로 확진되면 환자에게 적절한 치료를 시행합니다.
NCCN은 국소 및 전이성 유잉육종 치료 시 수술, 화학요법, 방사선 치료를 포함한 다학제적 접근법을 일반적으로 사용하며, NCCN은 국소 및 전이성 유잉육종 치료를 위해 다양한 화학요법 조합을 권장하고 있습니다. 이포스파미드, 에토포사이드), VAIA(빈크리스틴, 독소루비신, 이포스파미드, 닥티노마이신), VIDE(빈크리스틴, 이포스파미드, 독소루비신, 에토포사이드)는 NCCN에서 전이성 질환의 1차 치료 및 1차 치료제로 권고하고 있습니다. 추천하고 있습니다. 2차 치료로는 사이클로포스파미드와 토포테칸, 일리노테칸+테모졸로미드+-, NCCN은 빈크리스틴, 이포스파미드, 카보플라틴, 에토포사이드, 루비넥틴을 추천하고 있습니다.
유잉육종의 최근 동향
Seclidemstat(SP-2577)은 LSD1의 효소 활성과 비계 기능을 억제하며, SP-2577은 유잉육종 환자를 대상으로 I/II상 임상시험이 진행 중입니다. 살라리우스는 SP-2577과 토포테칸 및 사이클로포스파미드(TC)와의 병용요법을 연구하고 있으며, TC 단독요법보다 환자 예후를 개선하는 것을 목표로 하고 있습니다.
Lurbinectedin(PM1183)은 현재 임상시험 중인 합성 화합물입니다. 많은 종양이 특히 의존하는 발암성 전사 프로그램의 선택적 억제제입니다.
CDK 억제제: CDK9, CDK12, CDK13과 같은 RNA의 전사, 처리 및 번역에 관여하는 단백질은 단독으로 또는 종양 단백질 및 성장 인자를 표적으로 하는 것과 결합하여 전임상시험에서 유망한 결과를 보였으며, 현재도 시험이 진행 중입니다. 또한, 기능이 다른 세포주기 단백질인 CDK4와 CDK6는 여러 스크리닝에서 융합형 암 단백질과 무관한 잠재적 표적으로 확인되었으며, CDK4와 CDK6 억제제를 재발성 유잉육종에 대한 화학요법 요법에 병용하는 시험이 진행 중입니다.
향후 유잉육종 치료 시장 상황은 4가 데스 레셉터 5(DR5) 작용제, CDK 억제제, LSD1 억제제, AXL 억제제 등 새로운 계열의 약물이 등장하면서 더욱 확대될 것으로 예상됩니다. DR5는 삼량체 종양괴사인자 관련 세포사멸 유도 리간드(TRAIL)에 대한 두 가지 세포사멸 촉진 수용체 중 하나이며, DR5의 활성화에 의해 유도되는 종양 특이적 세포사멸을 이용하도록 설계되었습니다.
유잉육종 치료에서 화학요법, 수술, 방사선 치료 등의 발전으로 일부 환자의 생존율이 개선된 반면, 일부 환자의 생존율은 정체된 상태입니다. 고위험군 유잉육종 및 기타 관련 육종의 관리는 고위험군의 생물학적 특성에 대한 이해가 불완전하고 발생 빈도가 상대적으로 낮기 때문에 여전히 논란의 여지가 있습니다. 이러한 요인으로 인해 고위험군 유잉육종 환자나 희귀한 아형 육종 환자들을 대상으로 한 종합적인 임상시험을 수행하기 어려운 실정입니다.
난치성 또는 재발성 유잉육종에 대한 표준 2차 치료법은 없으나, 몇몇 후향적 연구에서 기존 치료법에 대한 후향적 연구가 보고된 바 있습니다. 일반적인 치료법으로는 토포테칸, 사이클로포스파미드, 일리노테칸, 테모졸로미드 또는 대량 화학요법(HDC) 후 조혈모세포 재주입이 있으며, HDC와 자가 줄기세포 이식(auto-SCT)의 병용요법은 수년 동안 활발한 관심과 연구 및 논의의 대상이 되어 왔습니다. 논의의 대상이 되어 왔습니다. 여러 후향적 연구와 단일군 연구 결과, 초기 조건부 요법에 따라 차이가 있음에도 불구하고 고위험 난치성 유잉육종 환자에서 유망한 결과를 보여주었습니다. 유잉육종에서 암 단백질을 표적으로 하는 다른 잠재적인 전략으로는 RNA 간섭, 단백질 분해제, 새로운 에피토프를 표적으로 하는 면역요법 등이 있습니다. 화학요법, 방사선요법, 수술요법 등이 현재 유잉육종의 치료법입니다.
향후 기대되는 치료의 시작, 조기 환자 검진의 통합, 2 차 의료 및 기타 임상 현장에서의 유잉육종 약물 치료, 최적의 실행 방법의 조사, 인식 개선은 궁극적으로 효과적인 치료법 개발을 촉진할 것입니다. 유잉육종에 대한 효과적인 치료 옵션이 현저히 부족하다는 것은 이 질환에 대한 대응의 진전이 시급하다는 것을 강조하고 있습니다. 그러나 유잉육종은 희귀질환이기 때문에 임상시험을 진행하는데 어려움이 있어, 희귀질환에 대한 임상시험 수를 늘리기 위한 노력이 시급히 요구되고 있습니다.
본 보고서는 주요 7개국 유잉육종 시장에 대해 조사했으며, 시장 개요, 역학, 환자 동향, 새로운 치료법, 2034년까지의 시장 규모 예측, 미충족 의료 수요 등을 조사하여 전해드립니다.
DelveInsight's "Ewing Sarcoma Treatment Drugs Market Insights, Epidemiology and Market Forecast - 2034" report delivers an in-depth understanding of Ewing Sarcoma, historical and forecasted epidemiology as well as Ewing Sarcoma market trends in the United States, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan.
The Ewing Sarcoma Treatment Market Report provides current treatment practices, emerging drugs, Ewing Sarcoma market share of individual therapies, and current and forecasted 7MM Ewing Sarcoma market size from 2020 to 2034. The report also covers current Ewing Sarcoma treatment drugs market practices/algorithms and Ewing Sarcoma unmet medical needs to curate the best opportunities and assess the market's potential.
Ewing Sarcoma Treatment Market
Ewing sarcoma (also known as Ewing's sarcoma) is a cancerous tumor that usually begins growing in a bone. It occurs primarily in children and young adults, often appearing during the teen years. Although Ewing's sarcoma can develop in any bone, it usually affects the long bones, such as the thighbone (femur), shinbone (tibia), and upper arm bone (humerus). The bones of the pelvis are also often affected. Occasionally, the tumor begins in the muscles and soft tissues. The most common symptoms are stiffness, pain, swelling, or tenderness in the bone or the tissue surrounding the bone.
Ewing Sarcoma Diagnosis
The patient's journey begins with symptoms such as persistent bone pain even at rest, swelling, and a large palpable mass on the affected bone. Followed by a visit to the orthopedist, where the patient is suggested diagnostic tests such as MRI, CT scan, and plain radiography. After the diagnosis patient is referred to an oncologist for further treatment. A tissue biopsy is performed of the mass removed from the most aggressive portion of cancer as determined by imaging for confirmatory diagnosis. Once Ewing Sarcoma is confirmed, relevant treatment is given to the patient.
Ewing Sarcoma Treatment
The Ewing sarcoma treatment typically involves a multidisciplinary approach, including surgery, chemotherapy, and radiation therapy. NCCN recommended different chemotherapy combinations to treat localized and metastatic Ewing sarcoma. VDC/IE (vincristine, doxorubicin, and cyclophosphamide alternating with ifosfamide and etoposide), VAIA (vincristine, doxorubicin, ifosfamide, and dactinomycin), and VIDE (vincristine, ifosfamide, doxorubicin, and etoposide) are recommended by NCCN in the first line and as primary therapy for metastatic disease at initial presentation. For second-line treatment Cyclophosphamide and topotecan, Irinotecan + temozolomide +- NCCN recommends Vincristine, Ifosfamide, carboplatin, etoposide, and Lurbinectedin.
As the market is derived using a patient-based model, the Ewing Sarcoma epidemiology chapter in the report provides historical as well as forecasted epidemiology segmented by total Ewing Sarcoma Incidence Cases, gender-specific cases of Ewing Sarcoma, age-specific cases of Ewing Sarcoma, and stage-specific cases of Ewing Sarcoma in the 7MM covering the United States, EU4 (Germany, France, Italy, and Spain), United Kingdom, and Japan from 2020 to 2034. The total incident cases of Ewing sarcoma in the 7MM comprised approximately 1,200 cases in 2023 and are projected to increase during the forecasted period.
Ewing Sarcoma Recent Developments
Ewing Sarcoma Treatment Drugs Market Chapters
The drug chapter segment of the Ewing Sarcoma treatment drugs market report encloses a detailed analysis of the late-stage (Phase II) and Early stage (Phase I/II) Ewing Sarcoma pipeline drug analysis such Seclidemstat (SP-2577), lurbinectedin, Mecbotamab Vedotin (BA3011), and others. There are currently no approved Ewing Sarcoma therapies. It also helps understand the Ewing Sarcoma clinical trials details, expressive pharmacological action, agreements and collaborations, approval and patent details, advantages and disadvantages of each included drug, and the latest Ewing Sarcoma news and press releases.
Ewing Sarcoma Emerging Drugs Profile
Seclidemstat (SP-2577) inhibits LSD1's enzymatic activity and its scaffolding function. SP-2577 is being studied in an ongoing Phase I/II trial in Ewing sarcoma. Salarius is studying the combination of SP-2577 with topotecan and cyclophosphamide (TC), two agents are commonly given as second or third-line therapy, to improve patient outcomes over TC alone.
Lurbinectedin (PM1183) is a synthetic compound currently under clinical investigation. It is a selective inhibitor of the oncogenic transcription programs on which many tumors are particularly dependent.
Ewing Sarcoma Treatment Drugs Market Insights
CDK inhibitors: Proteins involved in RNA transcription, processing, and translation, such as CDK9, CDK12, and CDK13, have shown preclinical promise either alone or in combination with oncoprotein or growth factor targeting, with ongoing trials. Furthermore, CDK4 and CDK6, cell cycle proteins with different functions, have been identified as potential targets unrelated to the fusion oncoprotein in several screens. Trials testing CDK4 and CDK6 inhibitors combined with relapsed Ewing sarcoma Chemotherapy regimens are underway.
The upcoming Ewing Sarcoma Treatment Market Landscape is poised to expand further after new classes, such as tetravalent death receptor 5 (DR5) agonist antibodies, CDK inhibitors, LSD1 inhibitors, AXL inhibitors, and others. Designed to overcome the limitations of earlier-generation agonists and exploit the tumor-specific cell death induced by DR5 activation. DR5 is one of two pro-apoptotic receptors for the trimeric tumor necrosis factor-related apoptosis-inducing ligand (TRAIL).
While advancements in the Ewing Sarcoma treatment, such as chemotherapy and surgical procedures along with radiation therapy, have resulted in better survival rates for some patients, progress has been stagnant for others. The management of high-risk Ewing Sarcoma and other related sarcomas remains controversial, primarily due to an incomplete understanding of their high-risk biological characteristics and relatively low occurrence. These factors have made it challenging to conduct comprehensive clinical trials for the smaller populations of high-risk Ewing Sarcoma patients and the rarer subtypes of sarcomas.
Although there is no standardized second-line treatment for refractory or relapsed Ewing sarcoma, several retrospective studies have reported on conventional salvage treatments. Common salvage regimens involve topotecan, cyclophosphamide, irinotecan, temozolomide, or high-dose chemotherapy (HDC) followed by reinfusion of hematopoietic stem cells. The use of HDC combined with autologous stem cell transplantation (auto-SCT) has been an area of active interest, investigation, and debate for many years. Multiple retrospective and single-arm studies, despite variations in initial conditioning therapy, have shown promising outcomes in patients with high-risk and refractory Ewing Sarcoma. Other potential strategies to target the oncoprotein in Ewing sarcoma include RNA interference, protein degraders, and immunotherapy directed at the novel epitope. Chemotherapy, radiation, surgery, and others are the current Ewing Sarcoma treatment options.
The expected launch of upcoming therapy and greater integration of early patient screening, Ewing Sarcoma medication in secondary care and other clinical settings, research on best methods for implementation, and an upsurge in awareness will eventually facilitate the development of effective treatment options. The significant lack of effective treatment options for Ewing sarcoma underscores the urgent need for advancements in addressing this disease. However, since Ewing Sarcoma is an orphan disease, it is difficult to conduct clinical trials, hence, efforts to increase the number of studies on this orphan disease are urgently needed.
This section focuses on the uptake rate of potential Ewing Sarcoma drugs expected to be launched in the market during 2020-2034. Salarius Pharmaceuticals is currently working on the development of Seclidemstat as a potential Ewing Sarcoma treatment. This drug is anticipated to be well-received with fast uptake, with a projected probability-adjusted peak share of ~42% in the United States for patients in the second line of treatment and beyond.
Ewing Sarcoma Pipeline Development Activities
The Ewing Sarcoma pipeline segement provides insights into therapeutic candidates in Phase II and Phase I stage. It also analyzes key Ewing Sarcoma Companies involved in developing targeted therapeutics.
Pipeline Development Activities
The Ewing Sarcoma pipeline segment covers information on collaborations, acquisitions and mergers, licensing, and patent details for Ewing Sarcoma's emerging therapy.
KOL Views
To keep up with current Ewing Sarcoma Pipeline Drugs Market trends, we take KOLs and SMEs' opinions working in the domain through primary research to fill the data gaps and validate our secondary research. Industry Experts contacted for insights on evolving Ewing Sarcoma treatment landscape, patient reliance on conventional therapies, patient's therapy switching acceptability, and drug uptake, along with challenges related to accessibility, including Medical/scientific writers, Medical Oncologists; Orthopedists, and Professors; MD, FACS, Chair of the Department of Orthopedic Surgery, and professor at UC Davis Comprehensive Cancer Center in Sacramento, California; MD, Director, Sarcoma Oncology Center, California; and others.
Delveinsight's analysts connected with 30+ KOLs to gather insights; however, interviews were conducted with 10+ KOLs in the 7MM. Centers such as MD Anderson Cancer Center, Sarcoma Oncology Center, Cancer Research UK Barts Centre in London, MD Anderson Cancer Center, etc., were contacted. Their opinion helps understand and validate current and emerging therapy treatment patterns or Ewing Sarcoma 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 Ewing Sarcoma Therapeutics Market Intelligence analysis using various approaches, such as SWOT analysis and Analyst views. 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 Ewing Sarcoma treatment landscape.
The analyst views analyze multiple emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. In efficacy, the trial's primary and secondary outcome measures are evaluated; for instance, in Ewing Sarcoma trials, progression-free survival is one of the most important primary outcome measures. 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.
Ewing Sarcoma Therapeutics Market Access and Reimbursement
Reimbursement of rare disease therapies can be limited due to lack of supporting policies and funding, challenges of high prices, lack of specific approaches to evaluating rare disease drugs given limited evidence, and payers' concerns about budget impact. The high cost of rare disease drugs usually has a limited effect on the budget due to the small number of eligible patients being prescribed the drug. The US FDA has approved several rare disease therapies in recent years. From a patient perspective, health insurance and payer coverage guidelines surrounding rare disease treatments restrict broad access to these treatments, leaving only a small number of patients who can bypass insurance and pay for products independently. Overall, treatment for bone and joint cancers can easily exceed USD 100,000 for a single patient. This is particularly true if a patient receives surgery, chemotherapy, and radiation therapy. The cost will be much higher if one includes bone-replacing endoprostheses or artificial limbs used in cases requiring amputation.
The Ewing Sarcoma Clinical Trials Market 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.
Ewing Sarcoma Therapeutics Market Report Scope
Ewing Sarcoma Treatment Market Insights
Ewing Sarcoma Epidemiology Insights
Current Ewing Sarcoma Treatment Market Scenario, Marketed Drugs, and Emerging Therapies