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전이성 전립선암 : 시장 인사이트, 역학 및 시장 예측(2036년)

Metastatic Prostate Cancer - Market Insight, Epidemiology, and Market Forecast - 2036

발행일: | 리서치사: 구분자 DelveInsight | 페이지 정보: 영문 432 Pages | 배송안내 : 2-10일 (영업일 기준)

    
    
    




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전이성 전립선암에 대한 인사이트와 동향

  • DelveInsight의 분석에 따르면, 2025년 기준 주요 시장(미국, EU4(독일, 프랑스, 이탈리아, 스페인), 영국 및 일본)의 전이성 전립선암 시장 규모는 약 115억 달러인 것으로 나타났습니다.
  • 이 질환은 안드로겐 차단 요법(ADT)에 대한 반응에 따라 전이성 호르몬 민감성 전립선암(mHSPC/mCSPC)과 전이성 거세 저항성 전립선암(mCRPC)으로 크게 구분됩니다.
  • 전이성 전립선암에 대한 현재의 치료 전략에는 주로 안드로겐 차단 요법(ADT), 안드로겐 수용체 경로 억제제(ARPI), 화학요법, PARP 억제제, 면역요법, 방사성 의약품 및 표적 치료가 포함됩니다. 황체형성호르몬(LHRH) 작용제 또는 길항제를 이용한 ADT는 전이성 호르몬 민감성 질환의 치료 기반으로서 여전히 중요한 위치를 차지하고 있습니다.
  • 승인된 안드로겐 수용체 표적 치료제로는 엔잘타미드(XTANDI), 아비라테론 아세테이트(ZYTIGA), 아파르타미드(ERLEADA), 달로르타미드(NUBEQA)가 있으며, 이들은 전이성 호르몬 민감성 및 거세 저항성 사례 모두에서 널리 사용되고 있습니다. 이러한 치료법은 ADT와 병용함으로써 전체 생존 기간을 크게 개선하고, 질병의 진행을 늦춥니다.
  • 도세탁셀(TAXOTERE)이나 카바도세탁셀(JEVTANA)과 같은 항암제는 특히 종양 부하가 큰 환자나 호르몬 요법 후 병세가 진행된 환자에서 여전히 중요한 치료 선택지로 남아 있습니다.
  • 엔잘타미드와 아비라테론 아세테이트는 시장에서 주도적인 위치를 차지할 뿐만 아니라, 실제 임상 현장에서도 전이성 거세저항성 전립선암(mCRPC)의 1차 및 2차 치료제로 널리 사용되는 주요 ADT입니다. 향후에는 새로운 치료법이 이들 치료법과 경쟁할 것으로 예상되지 않으며, 오히려 더 우수한 치료 성과와 생존 기간 연장을 도모하기 위해 이들 치료법이 새로운 약물군과 병용될 것으로 예측됩니다.
  • 올라파리브는 PARP 억제제 중 가장 선호되며 주류로 자리 잡은 약물로, 후기 치료 단계에서 널리 사용되고 있습니다. 한편, 루카파리브는 2022년에 난소암 환자를 대상으로 한 동종 계열 약물에 대한 면밀한 검토가 이루어졌고, 2023년 클로비스 종양사의 파산으로 인해 그 위상이 하락했습니다. 또한, 1차 치료에서 PARP 억제제 간의 경쟁이 예상됩니다. 닐라파리브, 아비라테론 아세테이트, 탈라조파리브, 올라파리브가 동시에 승인되었으나, 닐라파리브와 아비라테론 아세테이트의 적응증은 BRCA 돌연변이에만 한정되어 있는 반면, 올라파리브와 탈라조파리브는 HRR 유전자 돌연변이 전반을 대상으로 하고 있습니다.
  • 전립선암 시장은 급속한 고령화에 따른 전립선암 환자 수 증가와 사람들의 질병에 대한 인식 제고로 인해 상당한 성장이 예상됩니다. 또한, 적응증 확대와 새로운 치료법의 등장으로 인해 전립선암에 대해 승인된 치료법이 시장에 광범위하게 보급되는 것이 시장 성장을 가속하는 중요한 요인이 될 것입니다.

전이성 전립선암 시장 보고서에서는 표준 치료, 임상 실무, 진화하는 치료 알고리즘 등 현재의 치료 현황에 대한 종합적인 분석을 제공합니다. 본 보고서에서는 전이성 전립선암 환자의 부담 동향, 수익 및 시장 점유율 동향, 정점 시기의 환자 점유율 및 치료법 채택 현황에 대한 분석을 평가함과 동시에, 전 세계 각 지역 시장 규모에 대한 상세한 평가 및 성장률 전망(과거 데이터 및 2022년-2036년 전망)을 제시하고 있습니다. 본 보고서는 전이성 전립선암 분야에서 주요 미충족 의료 수요를 부각시키고, 경쟁 구도 및 임상 상황을 분석하여 고부가가치 성장 기회를 도출함으로써, 향후 시장 성장 가능성에 대한 명확한 전망을 제시하고 있습니다.

전이성 전립선암 시장을 주도하는 주요 요인

높은 질병 부담과 진행 단계로의 전환

전립선암 환자의 상당수가 전이성 호르몬 민감성 및 거세 저항성 질환으로 진행되고 있으며, 역학 데이터(GLOBOCAN, SEER 등)는 전 세계적인 질병 부담 증가와 진행기 환자에서 나타나는 막대한 미충족 의료 수요를 여실히 보여주고 있습니다.

거세 저항성 전립선암(CRPC) 분야의 미충족 의료 수요

대부분의 환자는 ADT나 AR 표적 치료를 받더라도 결국 mCRPC로 진행됩니다. mCRPC의 예후는 여전히 불량하며, ARPI나 화학요법 투여 후에는 치료 선택지가 제한적이기 때문에 새로운 치료법에 대한 수요가 지속되고 있습니다.

유전자 치료의 부상

전립선암에 대한 유전자 치료의 개발은 표적을 정확히 겨냥한 맞춤형 치료를 실현할 가능성을 지니고 있어, 시장의 주요 성장 동력으로 부상하고 있습니다. 임상 연구 증가, 기술의 발전, 그리고 혁신적인 치료법에 대한 투자 확대에 힘입어 시장 성장이 가속화되고, 진행성 전립선암의 치료 성과가 향상될 것으로 기대됩니다.

전이성 전립선암의 이해와 치료 알고리즘

전이성 전립선암의 개요 및 진단

전이성 전립선암은 전립선암의 진행 단계로, 암세포가 전립선을 넘어 원격 부위, 가장 흔히는 뼈, 림프절, 간, 폐 등으로 전이된 상태를 말합니다. 일반적으로 국소성 질환에서 전이성 호르몬 민감성 전립선암(mHSPC)으로 진행되며, 최종적으로는 전이성 거세 저항성 전립선암(mCRPC)으로 진행됩니다. 진단은 PSA 검사, 영상 검사 및 조직병리학적 검사를 종합하여 이루어집니다. 전립선 특이 항원(PSA) 수치의 상승은 대부분의 경우 추가적인 검사의 계기가 되지만, PSA 수치만으로는 전이성 질환을 진단할 수는 없습니다. 골 스캔, CT/MRI, PSMA PET/CT 등의 영상 검사는 전이 발견과 병기 분류에 있어 핵심적인 역할을 하며, 그중에서도 PSMA PET/CT는 뛰어난 민감도를 보입니다.

전이성 전립선암의 진단

진단은 PSA 검사, 영상 검사 및 조직병리학적 검사를 종합하여 이루어집니다. 전립선 특이 항원(PSA) 수치의 상승은 대부분의 경우 추가 검사의 계기가 되지만, PSA 수치만으로는 전이성 질환을 진단할 수 없습니다. 골 스캔, CT/MRI, PSMA PET/CT 등의 영상 검사는 전이 발견과 병기 분류에 있어 매우 중요하며, 그중에서도 PSMA PET/CT는 뛰어난 민감도를 가지고 있습니다. 확정 진단은 전립선 생검을 통해 이루어지지만, 전이 병변의 경우 그 특성을 더 자세히 파악하기 위해 특정 증례에서 생검이 시행되기도 합니다. mHSPC 또는 mCRPC로의 질환 분류는 ADT에 대한 반응 및 테스토스테론 억제 수준에 따라 결정되며, 이는 치료 전략의 지침이 됩니다.

전이성 전립선암의 치료

전이성 호르몬 민감성 전립선암(mHSPC) 및 전이성 거세 저항성 전립선암(mCRPC)의 치료 현황은 화학요법, 안드로겐 수용체 축 표적 치료(ARAT), 방사성 동위원소 치료, 표적 치료 및 면역 요법의 확대에 따라 급속히 발전하고 있습니다.

도세탁셀과 카바도세탁셀은 mCRPC에서 여전히 주요 화학요법 옵션으로 자리 잡고 있으며, 특히 이전의 안드로겐 수용체 표적 요법 후 질병 진행이 확인된 환자의 치료에 있어 중요합니다. ARAT에서는 아비라테론 아세테이트와 엔잘타미드가 널리 사용되는 표준 치료법으로, CRPC의 진행을 촉진하는 지속적인 안드로겐 수용체 신호 전달을 표적으로 삼고 있습니다.

세라그노스틱스 분야의 최근 발전으로 인해, Lu-177-PSMA-617(PLUVICTO)은 ARAT 및 탁산계 화학요법 후의 PSMA 양성 mCRPC에 대한 중요한 치료 옵션으로 자리매김했습니다. 또한, 라듐-223은 골 병변이 주요 증상으로 나타나는 사례에서 골격계 합병증을 완화하기 위해 사용되고 있습니다.

표적 치료, 특히 올라파립과 같은 PARP 억제제는 DNA 복구 유전자 변이를 가진 바이오마커 선별 환자에 대해 승인된 반면, PI3K/AKT/mTOR 경로를 표적으로 하는 임상시험 중인 접근법은 정밀 의학의 가능성을 계속해서 넓혀가고 있습니다. 면역요법은 전립선암에 있어 광범위한 유효성은 제한적이지만, MSI-high, dMMR 또는 CDK12 변이를 가진 종양을 가진 특정 환자의 경우, 면역관문억제제를 기반으로 한 치료법으로부터 혜택을 볼 가능성이 있습니다.

전반적으로, 치료는 질환의 병기, 바이오마커 상태, 과거 치료 이력 및 PSMA 발현을 바탕으로 결정되는 경향이 강해지고 있으며, 전이성 전립선암의 경우 보다 개인화된 단계별 치료 접근법이 지지받고 있습니다.

전이성 전립선암의 역학

전이성 전립선암의 역학 분석 및 예측에 관한 주요 연구 결과

  • DelveInsight사의 추산에 따르면, 2025년 주요 7개국에서 전이성 전립선암 환자 총수는 약 31만 5,000명이었습니다.
  • DelveInsight의 2025년 기준 평가에 따르면, 미국의 전립선암 환자 수는 약 386만 4,000명이었습니다. 이러한 수치는 예측 기간(2026년-2036년) 동안 고령 인구 증가와 진단 기술의 발전에 따라 증가할 것으로 예측됩니다.
  • 2025년 기준 미국 내 전립선암 5년간 유병자 수는 약 115만 7,000명이었습니다.
  • 2025년, 미국 내 mCSPC의 총 환자 수는 약 7만 2,500건이었습니다.
  • SEER에 따르면, 전립선암은 65-74세 남성에게서 가장 빈번하게 진단되며, 진단 당시의 중앙 연령은 66세입니다. 증례 수가 가장 많았던 연령대는 65-74세였으며, 그 다음으로 55-64세, 75-84세 순이었습니다.

전이성 전립선암 시장 전망

전이성 전립선암 시장은 기존의 안드로겐 차단 요법(ADT)에서 벗어나, 병용 요법을 기반으로 하며 바이오마커에 기반한 정밀 표적 치료 접근 방식으로 큰 전환기를 맞이하고 있습니다. 엔잘타미드(XTANDI), 아파르타미드(ERLEADA), 다롤타미드(NUBEQA), 아비라테론 아세테이트(ZYTIGA) 등의 AR 경로 억제제가 mHSPC 및 mCRPC 분야에서 여전히 주류를 차지하고 있지만, PARP 억제제 및 PSMA 표적 방사성 리간드 요법의 등장으로 치료 패러다임이 크게 재구성되고 있습니다.

TITAN, ARCHES, ARASENS, PEACE-1 등의 임상시험을 통해 입증된, ADT + ARPI +(또는 -) 도세탁셀을 포함하는 치료 강화 전략의 채택 확대는 생존 결과의 개선을 촉진하고, 질병의 초기 단계에서 병용 요법의 적용 범위를 넓히고 있습니다. 이와 더불어, Lu-177-PSMA-617(PLUVICTO)는 PSMA 양성 mCRPC에서 세라그노스틱스를 새로운 치료의 주축으로 확립함으로써, 전립선암 관리에서 정밀 종양학의 역할이 점점 더 중요해지고 있음을 여실히 보여주고 있습니다.

또한, 이 시장에서는 유전체 표적 치료, 특히 HRR/BRCA 변이를 가진 전이성 거세저항성 전립선암(mCRPC) 환자를 대상으로 한 올라파립(LYNPARZA), 탈라조파립(TALZENNA), 아비라테론 아세테이트/닐라파리브(AKEEGA) 등의 PARP 억제제가 급속히 성장하고 있습니다. 예측 기간 동안 분자 검사와 PSMA 영상 검사의 통합이 진전됨에 따라 환자 분류가 개선되고, 표적 치료의 도입이 가속화될 것으로 예측됩니다.

미국은 높은 유병률, 활발한 신치료법 도입, 첨단 진단 인프라, 그리고 EU4, 영국, 일본에 비해 유리한 보험 환급 제도 덕분에 여전히 전이성 전립선암 시장에서 최대 규모를 유지하고 있습니다.

  • 치료 동향은 특히 mHSPC 및 mCRPC의 경우, ADT 단독 요법에서 조기 병용 요법이나 바이오마커 기반 접근법으로 전환되고 있습니다.
  • 승인된 치료법이 여러 가지 있음에도 불구하고, mCRPC는 여전히 장기 예후가 불량하며, 새로운 작용기전이나 치료 순서 전략에 대한 큰 미충족 의료 수요가 지속되고 있습니다.
  • 차세대 PARP 억제제, AKT 억제제, PSMA 표적 치료제, 신규 AR 분해제 등을 포함한 후기 개발 단계의 파이프라인은 예측 기간 동안 시장 경쟁을 심화시키고, 정밀 치료의 기회를 더욱 확대할 것으로 예측됩니다.

현재 시장에는 PARP 억제제, 안드로겐 수용체 억제제, CYP17 억제제, 미세소관 억제제, 방사성 리간드 요법, GnRH 수용체 길항제 등 다양한 치료 라인에 걸친 폭넓은 치료 옵션이 존재합니다.

안드로겐 수용체 경로 억제제는 전이성 거세 저항성 전립선암(mCRPC) 환자의 치료에서 핵심적인 역할을 하고 있습니다. 현재 미국에서는 4종의 안드로겐 수용체 경로 억제제가 승인되어 있습니다. 여기에는 3가지 항안드로겐제(아파르타미드, 엔잘타미드, 달로르타미드) 외에도 안드로겐 수용체 경로 억제제인 아비라테론 아세테이트가 포함됩니다.

전이성 거세저항성 전립선암(mCRPC) 남성 환자에서 특정 HRR 경로의 변이가 확인될 경우, PARPi 치료는 객관적인 종양 반응을 유도하고 무악화 생존 기간 및 전체 생존 기간을 개선하는 것으로 나타났습니다. FDA는 전이성 거세저항성 전립선암 남성 환자를 대상으로 4가지 PARP 억제제(올라파립, 니라파립, 루카파립, 탈라조파립)를 승인했습니다.

FDA 승인을 받은 표적 방사성 리간드 요법인 PLUVICTO는 치료 선택지가 제한적인 진행성 mCRPC 환자의 생존율을 현저히 개선할 수 있음이 입증되어, 중요한 임상적 진전으로 평가받고 있습니다.

B7-H3를 표적으로 하는 ADC는 현재 승인된 ICI에 대체로 반응하지 않는 전립선암 연구자들 사이에서 벌써부터 큰 기대를 모으고 있습니다. MGC018과 DS-7300은 모두 전이성 거세저항성 전립선암(mCRPC) 환자를 대상으로 한 임상시험에서 유망한 결과를 보여주었습니다.

자주 묻는 질문

  • 2025년 전이성 전립선암 시장 규모는 어떻게 되나요?
  • 전이성 전립선암의 주요 치료법은 무엇인가요?
  • 전이성 거세 저항성 전립선암(mCRPC)에서의 주요 치료제는 무엇인가요?
  • 전이성 전립선암 환자의 수는 어떻게 예측되나요?
  • 전이성 전립선암 시장의 성장 요인은 무엇인가요?
  • 전이성 전립선암의 진단 방법은 무엇인가요?

목차

제1장 주요 인사이트

제2장 서론

제3장 전이성 전립선암 : 주요 요약

제4장 주요 이벤트

제5장 역학 및 시장 예측 조사 방법

제6장 전이성 전립선암 : 시장 개요

제7장 질환 배경과 개요

제8장 역학 및 환자 인구

제9장 환자 경과

제10장 시판약

제12장 신흥 치료제

제13장 전이성 전립선암 : 주요 7개국 분석

제14장 미충족 요구

제15장 SWOT 분석

제16장 KOL(Key Opinion Leader)의 견해

제17장 시장 참여 및 상환

제18장 부록

제19장 DelveInsight의 서비스 내용

제20장 면책사항

LSH

Metastatic Prostate Cancer Insights and Trends

  • According to DelveInsight's analysis, Metastatic Prostate Cancer market size was found to be ~USD 11,500 million in the leading markets (the United States, the EU4 (Germany, France, Italy, and Spain), the United Kingdom, and Japan) in 2025.
  • The disease is broadly categorized into metastatic hormone-sensitive prostate cancer (mHSPC/mCSPC) and metastatic castration-resistant prostate cancer (mCRPC), based on response to androgen-deprivation therapy (ADT).
  • Current treatment strategies for metastatic prostate cancer primarily include androgen-deprivation therapy (ADT), androgen receptor pathway inhibitors (ARPIs), chemotherapy, PARP inhibitors, immunotherapy, radiopharmaceuticals, and targeted therapies. ADT using luteinizing hormone-releasing hormone (LHRH) agonists or antagonists remains the backbone of therapy in metastatic hormone-sensitive disease.
  • Approved androgen receptor-targeted therapies include enzalutamide (XTANDI), abiraterone acetate (ZYTIGA), apalutamide (ERLEADA), and darolutamide (NUBEQA), which are widely used across metastatic hormone-sensitive and castration-resistant settings. These therapies significantly improve overall survival and delay disease progression when combined with ADT.
  • Chemotherapy agents such as docetaxel (TAXOTERE) and cabazitaxel (JEVTANA) remain important treatment options, particularly in patients with high-volume disease or progression following hormonal therapy.
  • Enzalutamide and abiraterone acetate are the leading ADTs that have dominated not just in terms of the market but are heavily prescribed in 1st and 2nd lines of mCRPC in real-world prescriptions. In the future, we do not expect the emerging therapies to compete with them instead we expect these therapies to be used in combination with emerging classes for better performance and longer survival.
  • Olaparib is the most preferred and leading PARP inhibitor used widely in later lines of treatment as rucaparib had witnessed downfall owing to the class scrutiny in ovarian cancer patients in 2022 and bankruptcy of Clovis oncology in 2023. Additionally, we expect competition among PARP inhibitors in 1st first-line with niraparib and abiraterone acetate, talazoparib and olaparib receiving approval at the same time, however niraparib and abiraterone acetate label has been restricted with a BRCA mutation only as compared to the entire HRR gene mutation for olaparib and talazoparib.
  • The prostate cancer market is expected to witness significant growth owing to the rising prevalence of prostate cancer cases due to the rapidly aging population and growing disease awareness among people. In addition, extensive market penetration of approved therapies in prostate cancer due to label expansions and entry of new emerging therapies will be crucial factors facilitating the market growth.

DelveInsight's 'Metastatic Prostate Cancer - Market Insights, Epidemiology and Market Forecast - 2036' report delivers an in-depth understanding of the Metastatic Prostate Cancer, historical and forecasted epidemiology, as well as the Metastatic Prostate Cancer market trends in the United States, EU4 (Germany, Spain, Italy, and France), and the United Kingdom, and Japan.

The Metastatic Prostate Cancer market report delivers a comprehensive analysis of the current treatment landscape, including standards of care, clinical practices, and evolving therapeutic algorithms. It evaluates Metastatic Prostate Cancer patient burden trends, revenue & market share dynamics, peak patient share & therapy uptake analysis, and provides an in-depth market size assessment, and growth rate projections (Historical & Forecast 2022-2036) across global regions. The report highlights key unmet medical needs in Metastatic Prostate Cancer and maps the competitive and clinical landscape to uncover high-value opportunities, providing a clear outlook on future market growth potential.

Key Factors Driving the Metastatic Prostate Cancer Market

High Disease Burden and Progression to Advanced Stages

A significant proportion of prostate cancer patient's progress to metastatic hormone-sensitive and castration-resistant disease, with epidemiological data (e.g., GLOBOCAN, SEER) highlighting a growing global burden and substantial unmet need in advanced stages.

Unmet Need in Castration-Resistant Prostate Cancer (CRPC)

Most patients eventually develop mCRPC despite ADT and AR-targeted therapy, where prognosis remains poor and treatment options become limited after ARPI and chemotherapy exposure, sustaining demand for novel therapies.

Emergence of Gene Therapies

The development of gene therapy in prostate cancer is becoming a major market driver due to its potential to deliver targeted and personalized treatment. Increasing clinical research, technological advancements, and growing investment in innovative therapies are expected to accelerate market growth and improve outcomes in advanced prostate cancer.

Metastatic Prostate Cancer Understanding and Treatment Algorithm

Metastatic Prostate Cancer Overview and Diagnosis

Metastatic prostate cancer is an advanced stage of prostate malignancy in which cancer cells spread beyond the prostate gland to distant sites, most commonly the bone, lymph nodes, liver, and lungs. It typically progresses from localized disease to metastatic hormone-sensitive prostate cancer (mHSPC) and eventually to metastatic castration-resistant prostate cancer (mCRPC). Diagnosis is based on a combination of PSA testing, imaging, and histopathology. Elevated prostate-specific antigen (PSA) levels often initiate further evaluation, although PSA alone is not diagnostic of metastatic disease. Imaging modalities such as bone scans, CT/MRI, and PSMA PET/CT are central to detecting and staging metastatic spread, with PSMA PET/CT offering superior sensitivity.

Metastatic Prostate Cancer Diagnosis

Diagnosis is based on a combination of PSA testing, imaging, and histopathology. Elevated prostate-specific antigen (PSA) levels often initiate further evaluation, although PSA alone is not diagnostic of metastatic disease. Imaging modalities such as bone scans, CT/MRI, and PSMA PET/CT are central to detecting and staging metastatic spread, with PSMA PET/CT offering superior sensitivity. Definitive diagnosis is confirmed via prostate biopsy, while metastatic lesions may be biopsied in select cases for further characterization. Disease classification into mHSPC or mCRPC is determined by response to ADT and testosterone suppression levels, which directly guides treatment strategy.

Metastatic Prostate Cancer Treatment

The treatment landscape for metastatic hormone-sensitive prostate cancer (mHSPC) and metastatic castration-resistant prostate cancer (mCRPC) has evolved rapidly with the expansion of chemotherapy, androgen receptor axis-targeted therapies (ARATs), radionuclide therapies, targeted agents, and immunotherapy.

Docetaxel and cabazitaxel remain key chemotherapy options in mCRPC, particularly following progression on prior androgen receptor-targeted therapy. Among ARATs, abiraterone acetate and enzalutamide are widely used standards of care, targeting persistent androgen receptor signaling that drives CRPC progression.

Recent advances in theragnostics have established Lu-177-PSMA-617 (PLUVICTO) as an important treatment option for PSMA-positive mCRPC after ARATs and taxane chemotherapy. Radium-223 is also used in symptomatic bone-predominant disease to reduce skeletal complications.

Targeted therapies, particularly PARP inhibitors such as olaparib, are approved for biomarker-selected patients with DNA repair gene alterations, while investigational approaches targeting the PI3K/AKT/mTOR pathway continue to expand precision medicine opportunities. Although immunotherapy has shown limited broad efficacy in prostate cancer, selected patients with MSI-high, dMMR, or CDK12-mutated tumors may benefit from immune checkpoint inhibitor-based approaches.

Overall, treatment is increasingly guided by disease stage, biomarker status, prior therapy exposure, and PSMA expression, supporting a more personalized and sequential management approach in metastatic prostate cancer.

Metastatic Prostate Cancer Unmet Needs

The section "unmet needs of Metastatic Prostate Cancer" outlines the critical gaps between the current state of patient care, diagnosis, and the ideal & effective management of the disease. It highlights the obstacles experienced by patients, clinicians, and researchers and identifies potential solutions for future progress.

1. Lack of curative therapy

2. Need for early diagnosis

3. Lack of consensus on genetic testing and treatment

4. Need for novel biomarkers

5. Cross-resistance between available androgen receptor pathway inhibitors, and others.....

Metastatic Prostate Cancer Epidemiology

Key Findings from Metastatic Prostate Cancer Epidemiological Analysis and Forecast

  • According to DelveInsight's estimates, in 2025, the total number of prevalent cases of metastatic prostate cancer in the 7MM were ~315,000.
  • Based on DelveInsight's assessment in 2025, the US had ~3,864,000 prevalent cases of prostate cancer. These are expected to rise due to the growing geriatric population and advancements in diagnostic capabilities during the forecast period (2026-2036).
  • The five-year prevalent cases of prostate cancer in the US was approximately ~1,157,000 in 2025.
  • In 2025, in the US, the total cases of mCSPC were approximately ~72,500.
  • According to the SEER, prostate cancer is most frequently diagnosed among men aged 65-74 years; the median age at diagnosis is 66 years. The most number of cases was found in people aged between 65 and 74 years, followed by 55-64 years and 75-84 years.

Metastatic Prostate Cancer Drug Analysis & Competitive Landscape

The Metastatic Prostate Cancer drug chapter provides a detailed, market-focused review of approved therapies and the emerging pipeline across Phase I-III clinical trials. It covers the mechanism of action, clinical trial data, regulatory approvals, patents, collaborations, and strategic partnerships for each therapy, along with their advantages, limitations, and recent developments. This section offers critical insights into the Metastatic Prostate Cancer treatment landscape, supporting market assessment, competitive analysis, and growth forecasting for the Metastatic Prostate Cancer therapeutics market.

Approved Therapies for Metastatic Prostate Cancer

Abiraterone acetate (ZYTIGA): Johnson & Johnson

Abiraterone acetate is approved for the treatment of metastatic castration-resistant prostate cancer (mCRPC) and metastatic high-risk castration-sensitive prostate cancer (mCSPC). ZYTIGA blocks CYP17-mediated androgen production at three sources-the testes, adrenal glands, and prostate tumor tissue-thereby suppressing prostate cancer growth.

In 2011, abiraterone acetate received approval in combination with prednisone for mCRPC patients previously treated with docetaxel-based chemotherapy. In 2012, its label was expanded for use in earlier-line mCRPC before chemotherapy.

However, ZYTIGA has faced significant competition from generic abiraterone acetate since 2018, substantially impacting its sales and market share. Following the launch of generics in Q4 2019, ZYTIGA's US sales declined by 59% to USD 198 million in the second quarter. Its market share dropped to approximately 14%, while by December 2020, generic abiraterone accounted for nearly 85% of units sold, compared to only 15% for abiraterone acetate.

Enzalutamide ( XTANDI): Astellas Pharma/Pfizer

Enzalutamide is an androgen receptor signaling inhibitor and a widely adopted standard of care for prostate cancer. It has received approvals across multiple countries for the treatment of mHSPC, mCRPC, nmCRPC, and high-risk BCR nmHSPC.

The expanded approval of enzalutamide was supported by results from the Phase III EMBARK trial in men with high-risk biochemical recurrence (BCR) nmHSPC, where PSA levels doubled within nine months or less. In April 2024, the European Association of Urology (EAU) updated its treatment guidelines to recommend enzalutamide, with or without ADT, for men with high-risk BCR nmHSPC following radiation therapy or surgery.

In December 2019, the US FDA approved enzalutamide for metastatic castration-sensitive prostate cancer (mCSPC), adding to its previous approvals in CRPC settings. With this approval, enzalutamide became the first and only oral therapy approved by the FDA for three distinct advanced prostate cancer settings-nonmetastatic CRPC, CRPC, and mCSPC.

Despite being one of the largest revenue-generating therapies in the prostate cancer market, enzalutamide has experienced stable but slower growth since 2021 due to increasing market competition.

Metastatic Prostate Cancer Pipeline Analysis

177Lu-DOTA-rosopatamab (TLX591): Telix Pharmaceuticals

TLX591 is Telix's lead radioligand ADC directed at PSMA. The ProstACT series of studies (including the Phase II/III ProstACT GLOBAL study) is evaluating the efficacy and safety profile of TLX591 in prostate cancer, from first recurrence to advanced metastatic disease. Currently, the therapy is being investigated in the Phase III ProstACT Global trial. The Part I interim data of this study is anticipated.

  • In December 2025, Telix announced that the first patient has been dosed in Part 2 (randomized treatment expansion) of its ProstACT Global Phase III study evaluating its lead prostate cancer therapy candidate TLX591 in patients with mCRPC.

Mevrometostat (PF-06821497): Pfizer

Mevrometostat is a potent and selective small-molecule inhibitor of EZH2. Mevrometostat blocks the effects of a protein called enhancer of zeste homolog 2 (EZH2). EZH2 is involved in prostate cancer cell growth. One of the targets involved in this process is a protein called H3K27Me3.

Metastatic Prostate Cancer Key Players, Market Leaders, and Emerging Companies

  • Neurelis
  • Biocodex
  • Aquestive Therapeutics
  • Ono Pharmaceutical
  • Biohaven Pharmaceuticals
  • Xenon Pharmaceuticals
  • Meda Pharmaceuticals
  • Autifony Therapeutics
  • Greenwich Biosciences, and others

Metastatic Prostate Cancer Drug Updates

  • In April 2025, Pfizer showcased data across its portfolio of potential breakthrough cancer medicines at the 2025 ASCO Annual Meeting. These updated data further inform the dosing strategy for mevrometostat in a robust registrational program that includes two Phase III trials in mCRPC, and a third trial in mCSPC that is planned to start in 1H 2025.
  • According to the company's February 2024 presentation, Mevrometostat is expected to launch by 2026 for post-abiraterone mCRPC patients.
  • In November 2024, Curium announced that its ECLIPSE trial met its primary endpoint. ECLIPSE is a pivotal Phase III clinical trial comparing the safety and efficacy of 177Lu-PSMA-I&T versus hormone therapy in patients with mCRPC.

Drug Class Insights

Metastatic Prostate Cancer Market Outlook

The metastatic prostate cancer market is undergoing a major transition from conventional androgen deprivation therapy (ADT) toward combination-based, biomarker-driven, and precision-targeted treatment approaches. While AR pathway inhibitors such as enzalutamide (XTANDI), apalutamide (ERLEADA), darolutamide (NUBEQA), and abiraterone acetate (ZYTIGA) continue to dominate across mHSPC and mCRPC settings, the emergence of PARP inhibitors and PSMA-targeted radioligand therapies is significantly reshaping the treatment paradigm.

The increasing adoption of treatment intensification strategies, including ADT + ARPI +- docetaxel, supported by trials such as TITAN, ARCHES, ARASENS, and PEACE-1, is driving improved survival outcomes and expanding the use of combination regimens in earlier disease stages. In parallel Lu-177-PSMA-617 (PLUVICTO) has established theragnostics as a new treatment pillar in PSMA-positive mCRPC, highlighting the growing role of precision oncology in prostate cancer management.

The market is also witnessing rapid growth in genomically targeted therapies, particularly PARP inhibitors such as Olaparib (LYNPARZA), Talazoparib (TALZENNA), and Abiraterone acetate/niraparib (AKEEGA), for patients with HRR/BRCA-mutated mCRPC. Increasing integration of molecular testing and PSMA imaging is expected to improve patient stratification and accelerate uptake of targeted therapies over the forecast period.

The United States remains the largest metastatic prostate cancer market due to high disease prevalence, strong uptake of novel therapies, advanced diagnostic infrastructure, and favorable reimbursement compared with EU4, the United Kingdom, and Japan.

  • The treatment landscape is shifting from ADT monotherapy toward earlier combination and biomarker-driven approaches, particularly in mHSPC and mCRPC.
  • Despite multiple approved therapies, mCRPC remains associated with poor long-term outcomes, sustaining significant unmet need for novel mechanisms and sequencing strategies.
  • The late-stage pipeline, including next-generation PARP inhibitors, AKT inhibitors, PSMA-targeted therapies, and novel AR degraders, is expected to intensify market competition and further expand precision treatment opportunities during the forecast period.

Drug Class/Insights into Leading Emerging and Marketed Therapies in Metastatic Prostate Cancer (2022-2036 Forecast)

The metastatic prostate cancer treatment landscape comprises androgen deprivation therapy (ADT)-based regimens, androgen receptor pathway inhibitors (ARPIs), chemotherapy, radioligand therapies, PARP inhibitors, immunotherapy, and emerging targeted therapies, each addressing different stages and mechanisms of disease progression.

Currently, the market holds a diverse range of therapeutic alternatives for treatment, including PARP inhibitors, androgen receptor inhibitors, CYP17 inhibitors, microtubule inhibitors, radioligand therapies, GnRH receptor antagonists, and others in different lines of treatment.

Androgen receptor pathway inhibitors are a mainstay of treatment for patients with metastatic castration-resistant prostate cancer. There are currently four approved androgen receptor pathway inhibitors in the United States: three anti-androgens - apalutamide, enzalutamide, and darolutamide, as well as an androgen receptor pathway inhibitor, abiraterone acetate.

In men with mCRPC and select HRR pathway alterations, PARPi treatment has been shown to induce objective tumor responses and improve progression-free and overall survival. The FDA has approved four PARP inhibitors (olaparib, niraparib, rucaparib, and talazoparib) for men with metastatic castration-resistant prostate cancer.

FDA-approved targeted radioligand therapy, PLUVICTO, proved to be an important clinical advancement for people with progressing mCRPC, as it can significantly improve survival rates for those who have limited treatment options.

ADCs that target B7-H3 are generating early excitement among investigators in prostate cancer, which has been largely unresponsive to currently approved ICIs. MGC018 and DS-7300 have both displayed encouraging results in clinical trials involving patients with mCRPC.

Metastatic Prostate Cancer Drug Uptake

This section focuses on the uptake rate of potential drugs expected to be launched in the market during the forecast period (2026-2036). The analysis covers the Metastatic Prostate Cancer drug's uptake, performance at peak, factors affecting performance during prime years of growth, patient uptake by therapy, and anticipated sales generated by each drug.

The uptake of therapies in metastatic prostate cancer is expected to vary across ADT-based regimens, androgen receptor pathway inhibitors (ARPIs), chemotherapy, radioligand therapies, and biomarker-driven targeted treatments. Established ARPIs such as XTANDI, ZYTIGA, ERLEADA, and NUBEQA are anticipated to maintain strong uptake due to their central role in both mHSPC and mCRPC management and their demonstrated survival benefits in pivotal clinical trials.

In parallel, taxane chemotherapies such as docetaxel and cabazitaxel are expected to retain steady utilization, particularly in later-line mCRPC and aggressive disease settings. Radioligand therapies, especially Lu-177-PSMA-617 (PLUVICTO), are expected to witness increasing adoption, driven by growing use of PSMA PET imaging and strong efficacy in PSMA-positive mCRPC following ARPI and chemotherapy exposure.

Targeted therapies such as PARP inhibitors (LYNPARZA, TALZENNA, AKEEGA, and rucaparib) are expected to demonstrate progressive uptake in patients with BRCA or HRR gene mutations, supported by increasing biomarker testing and precision oncology approaches. However, uptake may remain limited to molecularly selected populations.

In comparison, emerging pipeline therapies such as 177Lu-PSMA-I&T, TLX591, mevrometostat, and opevesostat are anticipated to show gradual uptake as late-stage clinical evidence matures. Their future adoption will depend on demonstrated survival benefit, safety profile, biomarker applicability, and differentiation from currently approved AR-targeted and radioligand therapies.

Metastatic Prostate Cancer Therapies Price Scenario & Trends

Pricing and analogue assessment of Metastatic Prostate Cancer therapies highlights evolving price dynamics structures. This section summarizes the cost of approved treatments, the closest and most appropriate analogue selection for emerging therapies, and understanding of how pricing influences market access, adherence, and long-term uptake.

Further details are provided in the final report....

Industry Experts and Physician Views for Metastatic Prostate Cancer

To keep up with Metastatic Prostate Cancer market trends, we take Key Opinion Leaders (KOLs) and Subject Matter Experts (SMEs) opinions working in the domain through primary research to fill the data gaps and validate our secondary research. Industry experts were contacted for insights on the emerging Metastatic Prostate Cancer therapies, evolving treatment landscape, patient adherence to conventional therapies, therapy switching trends, drug adoption and uptake, accessibility challenges, and epidemiology and real-world prescription patterns in Metastatic Prostate Cancer , including MD, PhD, Instructor, Postdoctoral Researcher, Professor, Researcher, and others.

DelveInsight's analysts connected with 10+ KOLs to gather insights at the country level. Centers such as the Metastatic Prostate Cancer Foundation, Italian Society for Uro-Oncology (SIUrO), and Urological Surgeon University College London Hospitals, etc., were contacted. Their opinion helps understand and validate current and emerging Metastatic Prostate Cancer therapies, highlight unmet medical needs, provide epidemiological context, and support strategic decisions for market

access, therapy adoption, and pipeline prioritization in Metastatic Prostate Cancer

Qualitative Analysis: SWOT and Conjoint Analysis

We perform qualitative and market Intelligence analysis using various approaches, such as SWOT analysis and conjoint analysis.

In the SWOT analysis of Metastatic Prostate Cancer, 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.

Conjoint analysis analyzes 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.

The team of analysts analyzes promising 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, whereas the therapies' safety is evaluated, wherein the acceptability, tolerability, and adverse events are majorly observed. In addition, the scoring is also based on the route of administration, order of entry, 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.

Scope of the Report:

  • The report covers a segment of key events, an executive summary, a descriptive overview of Metastatic Prostate Cancer, explaining their causes, signs and symptoms, pathogenesis, and currently available treatments.
  • Comprehensive insight has been provided into the epidemiology segments and forecasts, the future growth potential of the diagnosis rate, and disease progression along treatment guidelines.
  • Additionally, an all-inclusive account of both the current and emerging treatments, along with the elaborate profiles of late-stage and prominent therapies, will have an impact on the current treatment landscape.
  • A detailed review of the Metastatic Prostate Cancer market, historical and forecasted market size, market share by therapies, detailed assumptions, and rationale behind our approach is included in the report, covering the 7MM drug outreach.
  • The report provides an edge while developing business strategies by understanding trends through SWOT analysis and expert insights/KOL views, patient journey, and treatment preferences that help in shaping and driving the 7MM Metastatic Prostate Cancer market.

Report Insights

  • Metastatic Prostate Cancer Patient Population Forecast
  • Metastatic Prostate Cancer Therapeutics Market Size
  • Metastatic Prostate Cancer Pipeline Analysis
  • Metastatic Prostate Cancer Market Size and Trends
  • Metastatic Prostate Cancer Market Opportunity (Current and forecasted)

Report Key Strengths

  • Epidemiology-based (Epi-based) Bottom-up Forecasting
  • Artificial Intelligence (AI)-Enabled Market Research Report
  • 11-Year Forecast
  • Metastatic Prostate Cancer Market Outlook (North America, Europe, Asia-Pacific)
  • Patient Burden Trends (By Geography)
  • Metastatic Prostate Cancer Treatment Addressable Market (TAM)
  • Metastatic Prostate Cancer Competitive Landscape
  • Metastatic Prostate Cancer Major Companies Insights
  • Metastatic Prostate Cancer Price Trends and Analogue Assessment
  • Metastatic Prostate Cancer Therapies Drug Adoption/Uptake
  • Metastatic Prostate Cancer Therapies Peak Patient Share Analysis

Report Assessment

  • Metastatic Prostate Cancer Current Treatment Practices
  • Metastatic Prostate Cancer Unmet Needs
  • Metastatic Prostate Cancer Clinical Development Analysis
  • Metastatic Prostate Cancer Emerging Drugs Product Profiles
  • Metastatic Prostate Cancer Market Attractiveness
  • Metastatic Prostate Cancer Qualitative Analysis (SWOT and conjoint analysis)

FAQs:

Market Insights

  • What was the Metastatic Prostate Cancer market size, the market size by therapies, the market share (%) distribution in 2025, and what would it look like by 2036? What are the contributing factors for this growth?
  • What are the anticipated pricing variations among different geographies for the emerging therapies in the future?
  • What can be the future treatment paradigm of Metastatic Prostate Cancer?
  • What is the impact of generics on the sales of ZYTIGA?
  • Who is the major competitor of NUBEQA in the market?
  • How much market share PARP inhibitors will capture by 2036?
  • What are the disease risks, burdens, and unmet needs of Metastatic Prostate Cancer? What will be the growth opportunities across the 7MM concerning the patient population with Metastatic Prostate Cancer?
  • Who is the major future competitor in the market, and how will the competitors affect their market share?
  • What are the current options for the treatment of Metastatic Prostate Cancer? What are the current guidelines for treating Metastatic Prostate Cancer in the US, Europe, and Japan?

Reasons to Buy:

  • The report will help in developing business strategies by understanding the latest trends and changing treatment dynamics driving the Metastatic Prostate Cancer market.
  • Bottom up forecasting builds from the affected population to product forecasts, delivering a robust, data driven approach ideal for new therapies and novel classes.
  • Insights on patient burden/disease incidence, evolution in diagnosis, and factors contributing to the change in the epidemiology of the disease during the forecast years.
  • Understand the existing market opportunities in varying geographies and the growth potential over the coming years.
  • Identifying strong upcoming players in the market will help devise strategies to help get ahead of competitors.
  • Detailed analysis and ranking of class-wise potential current and emerging therapies under the conjoint analysis section to provide visibility around leading classes.
  • To understand KOLs' perspectives on the accessibility, acceptability, and compliance-related challenges of existing treatment to overcome barriers in the future.
  • Detailed insights into the unmet needs of the existing market so that the upcoming players can strengthen their development and launch strategy.
  • This Artificial Intelligence (AI) enabled report summarizes and simplifies complex datasets within the report into clear, actionable insights for stakeholders, investors, and healthcare providers, enabling faster, data driven decisions.

Table of Contents

1. Key Insights

2. Report Introduction

3. Executive Summary of Metastatic Prostate Cancer

4. Key Events

  • 4.1. Upcoming Key Catalysts
  • 4.2. Key Conferences And Meetings
  • 4.3. Key Transactions And Collaborations
  • 4.4. News Flow

5. Epidemiology and Market Forecast Methodology

6. Prostate Cancer Market Overview at a Glance

  • 6.1. Market Share (%) Distribution of Metastatic Prostate Cancer by Class in 2025 in the 7MM
  • 6.2. Market Share (%) Distribution of Metastatic Prostate Cancer by Class in 2036 in the 7MM
  • 6.3. Market Share (%) Distribution of Metastatic Prostate Cancer by LoT in 2025 in the 7MM
  • 6.4. Market Share (%) Distribution of Metastatic Prostate Cancer by LoT in 2036 in the 7MM

7. Disease Background and Overview

  • 7.1. Signs and Symptoms of Prostate Cancer
  • 7.2. Risk Factors and Causes of Prostate Cancer
  • 7.3. Stages of Prostate Cancer
  • 7.4. Pathophysiology of Prostate Cancer
  • 7.5. Diagnosis of Prostate Cancer
    • 7.5.1. Tests to Diagnose Prostate Cancer
  • 7.6. Treatment and Management
    • 7.6.1. Guidelines
    • 7.6.2. Updates to Advanced Prostate Cancer: American Urology Association/Society of Urologic Oncology Guideline
    • 7.6.3. Advanced Prostate Cancer Consensus Conference (APCCC)

8. Epidemiology and Patient Population

  • 8.1. Key Findings
  • 8.2. Assumptions and Rationale: The 7MM
    • 8.2.1. Total Prevalent Cases of Prostate Cancer in the 7MM
  • 8.3. The United States
    • 8.3.1. Five-year Prevalent Cases of Prostate Cancer in the US
    • 8.3.2. Total Prevalent Cases of Prostate Cancer by Clinical Stages in the US
    • 8.3.3. Age-specific Cases of Prostate Cancer in the US
    • 8.3.4. Total Prevalent Cases of Metastatic Prostate Cancer in the US
  • 8.4. EU4 and the UK
    • 8.4.1. Five-year Prevalent Cases of Prostate Cancer in EU4 and the UK
    • 8.4.2. Total Prevalent Cases of Prostate Cancer by Clinical Stages in EU4 and the UK
    • 8.4.3. Age-specific Cases of Prostate Cancer in EU4 and the UK
    • 8.4.4. Total Prevalent Cases of Metastatic Prostate Cancer in EU4 and the UK
  • 8.5. Japan
    • 8.5.1. Five-year Prevalent Cases of Prostate Cancer in Japan
    • 8.5.2. Total Prevalent Cases of Prostate Cancer by Clinical Stages in Japan
    • 8.5.3. Age-specific Cases of Prostate Cancer in Japan
    • 8.5.4. Total Prevalent Cases of Metastatic Prostate Cancer in Japan

9. Patient Journey

10. Marketed drug

  • 10.1. Marketed Competitive Landscape of Metastatic Prostate Cancer
  • 10.2. Cabazitaxel (JEVTANA): Sanofi
    • 10.2.1. Product Description
    • 10.2.2. Regulatory Milestones
    • 10.2.3. Other Development Activities
    • 10.2.4. Summary of Pivotal Trials
    • 10.2.5. Analyst's Views
  • 10.3. Radium-223 dichloride (XOFIGO): Bayer
    • 10.3.1. Product Description
    • 10.3.2. Regulatory Milestones
    • 10.3.3. Other Development Activities
    • 10.3.4. Summary of Pivotal Trials
    • 10.3.5. Analyst's Views
  • 10.4. Abiraterone acetate (ZYTIGA): Johnson & Johnson
    • 10.4.1. Product Description
    • 10.4.2. Regulatory Milestones
    • 10.4.3. Other Development Activities
    • 10.4.4. Summary of Pivotal Trials
    • 10.4.5. Analyst's Views
  • 10.5. Enzalutamide (XTANDI): Astellas Pharma/Pfizer
    • 10.5.1. Product Description
    • 10.5.2. Regulatory Milestones
    • 10.5.3. Other Development Activities
    • 10.5.4. Summary of Pivotal Trials
    • 10.5.5. Analyst's Views
  • 10.6. Darolutamide (NUBEQA): Bayer and Orion
    • 10.6.1. Product Description
    • 10.6.2. Regulatory Milestones
    • 10.6.3. Other Development Activities
    • 10.6.4. Summary of Pivotal Trials
    • 11.6.5. Analyst's Views
  • 11.7. apalutamide (ERLEADA): Johnson & Johnson
    • 11.7.1. Product Description
    • 11.7.2. Regulatory Milestones
    • 11.7.3. Other Developmental Activities
    • 11.7.4. Summary of Pivotal Trials
    • 11.7.5. Analyst's Views
  • 11.8. 177Lu-PSMA-617 (PLUVICTO ): Novartis Pharmaceuticals
    • 11.8.1. Product Description
    • 11.8.2. Regulatory Milestones
    • 11.8.3. Other Development Activities
    • 11.8.4. Summary of Pivotal Trials
    • 11.8.5. Analyst's Views
  • 11.9. Talazoparib (TALZENNA): Pfizer
    • 11.9.1. Product Description
    • 11.9.2. Regulatory Milestones
    • 11.9.3. Other Development Activities
    • 11.9.4. Summary of Pivotal Trials
    • 11.9.5. Analyst's Views

12. Emerging Drugs

  • 12.1. Competitive Landscape: Emerging Therapies
  • 12.2. 177Lu-PSMA-I&T: Curium
    • 12.2.1. Product Description
    • 12.2.2. Other Developmental Activities
    • 12.2.3. Clinical Development
    • 12.2.4. Safety and Efficacy
    • 12.2.5. Analyst's Views
  • 12.3. Opevesostat (MK-5684; ODM-208): Merck and Orion
    • 12.3.1. Product Description
    • 12.3.2. Other Developmental Activities
    • 12.3.3. Clinical Development
    • 12.3.4. Safety and Efficacy
    • 12.3.5. Analyst's Views
  • 12.4. Mevrometostat (PF-06821497): Pfizer
    • 12.4.1. Product Description
    • 12.4.2. Other Developmental Activities
    • 12.4.3. Clinical Development
    • 12.4.4. Safety and Efficacy
    • 12.4.5. Analyst's Views
  • 12.5. CABOMETYX (cabozantinib): Exelixis and Ipsen Pharma and Takeda
    • 12.5.1. Product Description
    • 12.5.2. Other Developmental Activities
    • 12.5.3. Clinical Development
    • 12.5.4. Safety and Efficacy
    • 12.5.5. Analyst's Views
  • 12.6. 177LU-PNT2002: Lantheus and Eli Lilly/Point Biopharma
    • 12.6.1. Product Description
    • 12.6.2. Other Developmental Activities
    • 12.6.3. Clinical Development
    • 12.6.4. Safety and Efficacy
    • 12.6.5. Analyst's Views

13. Prostate Cancer: 7MM Analysis

  • 13.1. Key Findings
  • 13.2. Market Outlook
    • 13.2.1. CSPC
    • 13.2.2. CRPC
  • 13.3. Conjoint Analysis
    • 13.3.1. CSPC
    • 13.3.2. CRPC
  • 13.4. Key Market Forecast Assumptions
    • 13.4.1. Cost Assumptions and Rebate
    • 13.4.2. Pricing Trends
    • 13.4.3. Analogue Assessment
    • 13.4.4. Launch Year and Therapy Uptake
  • 13.5. Total Market Size of Metastatic Prostate Cancer in the 7MM
  • 13.6. Market Size by Metastatic Prostate Cancer by Therapies in the 7MM
    • 13.6.1. mCSPC Market Size
    • 13.6.2. mCRPC Market Size
  • 13.7. Total Market Size of Metastatic Prostate Cancer by Class in the 7MM
  • 13.8. The United States
    • 13.8.1. Total Market Size of Metastatic Prostate Cancer
    • 13.8.2. Market Size of Metastatic Prostate Cancer by Therapies in the US
  • 13.9. EU4 and the UK
    • 13.9.1. Total Market Size of Metastatic Prostate Cancer in EU4 and the UK
    • 13.9.2. Market Size of Metastatic Prostate Cancer by Therapies in EU4 and the UK
  • 13.10. Japan
    • 13.10.1. Total Market Size of Metastatic Prostate Cancer in Japan
    • 13.10.2. Market Size of Metastatic Prostate Cancer by Therapies in Japan

14. Unmet Needs

15. SWOT Analysis

16. KOL Views

17. Market Access and Reimbursement

  • 17.1. United States
    • 17.1.1. Centre for Medicare & Medicaid Services (CMS)
  • 17.2. EU4 and the UK
    • 17.2.1. Germany
    • 17.2.2. France
    • 17.2.3. Italy
    • 17.2.4. Spain
    • 17.2.5. United Kingdom
  • 17.3. Japan
  • 17.4. Summary and Comparison of Market Access and Pricing Policy Developments in 2025
  • 17.5. Metastatic Prostate Cancer: Market Access and Reimbursement

18. Appendix

  • 18.1. Bibliography
  • 18.2. Report Methodology

19. DelveInsight Capabilities

20. Disclaimer

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