Published Date : 2022-06-21
Published Date : 2022-06-21
Updated On : 2023-01-27
Pages : 156
Thelansis’s “Carcinosarcomas (Malignant Mixed Mullerian Tumor) Market Outlook, Epidemiology, Competitive Landscape, and Market Forecast Report – 2022 To 2032" covers disease overview, epidemiology, drug utilization, prescription share analysis, competitive landscape, clinical practice, regulatory landscape, patient share, market uptake, market forecast, and key market insights under the potential Carcinosarcomas (Malignant Mixed Mullerian Tumor) treatment modalities options for eight major markets (USA, Germany, France, Italy, Spain, UK, Japan, and China).
Carcinosarcomas, also known as malignant mixed Müllerian tumors (MMMT), are uncommon malignancies that demonstrate both epithelial (carcinomatous) and mesenchymal (sarcomatous) differentiation. While most carcinosarcomas arise in the uterus, they can also develop in the ovaries, fallopian tubes, cervix, and, very rarely, the female peritoneum. These tumors predominantly affect older postmenopausal individuals, with 90% of cases occurring in those over 50 years of age. MMMTs are classified as high-grade endometrial carcinomas and are characterized by both a carcinomatous and a sarcomatous component. Risk factors for MMMT include nulliparity, obesity, advanced age, exposure to exogenous estrogens, pelvic irradiation, and long-term use of tamoxifen. MMMTs are highly aggressive tumors with a poor prognosis, comprising only 1–2% of uterine neoplasms and responsible for 15% of deaths from uterine malignancy. MMMT is characterized by a carcinomatous and a sarcomatous component, and the sarcoma can contain either homologous or heterologous, nonnative elements. Prognostic factors for MMMT include surgical stage, lymphovascular space invasion (LVSI), depth of myometrial invasion, tumor histology, and patient age.
North America- the United States and Canada
Europe- EU5 (Germany, France, Italy, Spain, and the United Kingdom)
Other countries- Japan & China
This section of the study covers country-specific current clinical practice, the standard of care, and significant limitations around addressing the unmet needs. Retrospective analysis and bench-marking of clinical study outcomes are presented in terms of Pre-treatment & post-treatment clinical and demographic patient characteristics. Essentially, this section will cover the evolution of the current competitive landscape and its impact on the future treatment paradigm.
KOLs across 8 MM markets from the center of Excellence/ Public/ Private hospitals participated in the study. Insights around current treatment landscape, epidemiology, clinical characteristics, future treatment paradigm, and Unmet needs
- Data Inputs with sourcing
- Market Event and Product Event
- Country-specific Forecast Model
- Market uptake and patient share uptake
- Attribute Analysis
- Analog Analysis
- Disease burden and pricing scenario
- Summary and Insights
Optimization of cash flow/ revenue flow concerning all fixed and variable investments throughout the product development process. The rate of return on an investment is a critical indicator to ensure the profitability and break-even of the project.
The competitive landscape includes country-specific approved as well as pipeline therapies. Any asset/product-specific designation or review such as Orphan drug designation, Fast track, Priority Review, Breakthrough Therapy Designation, Rare Pediatric Disease Designation, and Accelerated Approval are tracked and supplemented with analyst commentary.
Detailed clinical trial data analysis and critical product positioning include trial design, primary outcomes, secondary outcomes, dosing and schedules, inclusion and exclusion criteria, recruitment status and essentially covers the reported adverse events. Majorly the trial analysis helps determine the potential of the critical assets and their probable filing and launch date.
This report presents the most important clinical unmet needs in the treatment, according to Thelansis research and analysis. Other essential unmet needs identified through our study include decreased cost burden on patients, improved administration convenience, and improved patient compliance.
S. no | Asset | Company | Stage |
1 | Niraparib | Tesaro, Inc. | Phase 3 |
2 | Pembrolizumab and Eribulin Mesylate | Eisai Inc. | Phase 2 |
3 | BMS- 986205 and Nivolumab | Bristol-Myers Squibb | Phase 2 |
4 | DKN-01 and Paclitaxel | Leap Therapeutics, Inc. | Phase 2 |
5 | ZW25 | Zymeworks Inc. | Phase 2 |
6 | Pazopanib plus Gemcitabine | Novartis Pharmaceuticals | Phase 2 |
7 | AZD1775 | AstraZeneca | Phase 2 |
8 | Rucaparib, Bevacizumab and Atezolizumab | Genentech, Inc. | Phase 2 |
9 | Oxaliplatin and Gemcitabine | Sanofi | Phase 2 |
10 | TAK228 and Paclitaxel | Takeda Pharmaceuticals International, Inc. | Phase 2 |
Continued...
KOLs across 8 MM market from the center of Excellence/ Public/ Private hospitals participated in the study. Insights around current treatment landscape, epidemiology, clinical characteristics, future treatment paradigm, and Unmet needs.
COUNTRY | No. Of KOLs |
USA | 17 |
GERMANY | 4 |
UK | 4 |
SPAIN | 3 |
FRANCE | 2 |
ITALY | 3 |
JAPAN | 3 |
CHINA | 4 |
Data Inputs with sourcing, Market Event, Product Event, Country specific Forecast Model, Market uptake and patient share uptake, Attribute Analysis, Analog Analysis, Disease burden, and pricing scenario, Summary, and Insights.
1. Carcinosarcomas (Malignant Mixed Mullerian Tumor) – Key Findings Summary |
1.1. Clinical findings |
1.1.1. Disease overview |
1.1.2. Therapeutic practices |
1.1.3. Future outlook |
1.2. Commercial findings |
1.2.1. Carcinosarcomas (Malignant Mixed Mullerian Tumor) market scenario 2022 |
1.2.2. Carcinosarcomas (Malignant Mixed Mullerian Tumor) market scenario 2025 |
1.2.3. Carcinosarcomas (Malignant Mixed Mullerian Tumor) market scenario 2032 |
2. Carcinosarcomas (Malignant Mixed Mullerian Tumor) Overview |
2.1. Disease Introduction |
2.2. Pathophysiology |
2.3. Signs and Symptoms |
2.4. Risk Factors |
2.5. Etiology |
2.6. Classification |
2.7. Pathogenesis |
2.8. Diagnosis |
2.9. Complications |
2.10. Treatment Algorithm |
2.10.1. Treatment in US (guidelines) |
2.10.2. Treatment in EU-5 (guidelines) |
2.10.3. Treatment in Japan (guidelines) |
2.10.4. Treatment in China (guidelines) |
2.11. Treatment Goals for Carcinosarcomas (Malignant Mixed Mullerian Tumor) |
2.12. Referral Patterns |
2.12.1. Referral Scenario in US |
2.12.2. Referral Scenario in EU-5 |
2.12.3. Referral Scenario in Japan |
2.12.4. Referral Scenario in China |
2.13. Carcinosarcomas (Malignant Mixed Mullerian Tumor) Prognosis |
2.14. Healthcare burden |
2.14.1. Healthcare burden in US |
2.14.2. Healthcare burden in EU-5 |
2.14.3. Healthcare burden in Japan |
2.14.4. Healthcare burden in China |
2.15. Unmet Needs in Carcinosarcomas (Malignant Mixed Mullerian Tumor) management |
2.16. Market Opportunity for Carcinosarcomas (Malignant Mixed Mullerian Tumor) |
2.17. KOL Comments on current and upcoming/expected treatment practices in Carcinosarcomas (Malignant Mixed Mullerian Tumor) |
3. Epidemiology |
3.1. Epidemiology Overview |
3.2. Epidemiology by Geography |
3.2.1. Carcinosarcomas (Malignant Mixed Mullerian Tumor) Epidemiology in US (2022-2032) |
3.2.1.1. Incidence of Carcinosarcomas (Malignant Mixed Mullerian Tumor) |
3.2.1.2. Diagnosed cases |
3.2.1.3. Treatable Patient Pool |
3.2.1.4. Epidemiology Trends |
3.2.2. Carcinosarcomas (Malignant Mixed Mullerian Tumor) Epidemiology in EU-5 (2022-2032) |
3.2.2.1. Incidence of Carcinosarcomas (Malignant Mixed Mullerian Tumor) |
3.2.2.2. Diagnosed cases |
3.2.2.3. Treatable Patient Pool |
3.2.2.4. Epidemiology Trends |
3.2.3. Carcinosarcomas (Malignant Mixed Mullerian Tumor) Epidemiology in Japan (2022-2032) |
3.2.3.1. Incidence of Carcinosarcomas (Malignant Mixed Mullerian Tumor) |
3.2.3.2. Diagnosed cases |
3.2.3.3. Treatable Patient Pool |
3.2.3.4. Epidemiology Trends |
3.2.4. Carcinosarcomas (Malignant Mixed Mullerian Tumor) Epidemiology in China (2022-2032) |
3.2.4.1. Incidence of Carcinosarcomas (Malignant Mixed Mullerian Tumor) |
3.2.4.2. Diagnosed cases |
3.2.4.3. Treatable Patient Pool |
3.2.4.4. Epidemiology Trends |
3.3. Epidemiology Trends (World-wide) |
4. Market Outlook |
4.1. US Carcinosarcomas (Malignant Mixed Mullerian Tumor) Market Forecast 2022-2032 |
4.1.1. Market Progression (Futuristic) |
4.1.2. Market Trends and Expectations |
4.1.2.1. Worst case scenario |
4.1.2.2. Base Case Scenario |
4.1.2.3. Best Case Scenario |
4.1.3. Drivers and Barriers |
4.2. UK Carcinosarcomas (Malignant Mixed Mullerian Tumor) Market Forecast 2022-2032 |
4.2.1. Market Progression (Futuristic) |
4.2.2. Market Trends and Expectations |
4.2.2.1. Worst case scenario |
4.2.2.2. Base Case Scenario |
4.2.2.3. Best Case Scenario |
4.2.3. Drivers and Barriers |
4.3. France Carcinosarcomas (Malignant Mixed Mullerian Tumor) Market Forecast 2022-2032 |
4.3.1. Market Progression (Futuristic) |
4.3.2. Market Trends and Expectations |
4.3.2.1. Worst case scenario |
4.3.2.2. Base Case Scenario |
4.3.2.3. Best Case Scenario |
4.3.3. Drivers and Barriers |
4.4. Germany Carcinosarcomas (Malignant Mixed Mullerian Tumor) Market Forecast 2022-2032 |
4.4.1. Market Progression (Futuristic) |
4.4.2. Market Trends and Expectations |
4.4.2.1. Worst case scenario |
4.4.2.2. Base Case Scenario |
4.4.2.3. Best Case Scenario |
4.4.3. Drivers and Barriers |
4.5. Italy Carcinosarcomas (Malignant Mixed Mullerian Tumor) Market Forecast 2022-2032 |
4.5.1. Market Progression (Futuristic) |
4.5.2. Market Trends and Expectations |
4.5.2.1. Worst case scenario |
4.5.2.2. Base Case Scenario |
4.5.2.3. Best Case Scenario |
4.5.3. Drivers and Barriers |
4.6. Spain Carcinosarcomas (Malignant Mixed Mullerian Tumor) Market Forecast 2022-2032 |
4.6.1. Market Progression (Futuristic) |
4.6.2. Market Trends and Expectations |
4.6.2.1. Worst case scenario |
4.6.2.2. Base Case Scenario |
4.6.2.3. Best Case Scenario |
4.6.3. Drivers and Barriers |
4.7. Japan Carcinosarcomas (Malignant Mixed Mullerian Tumor) Market Forecast 2022-2032 |
4.7.1. Market Progression (Futuristic) |
4.7.2. Market Trends and Expectations |
4.7.2.1. Worst case scenario |
4.7.2.2. Base Case Scenario |
4.7.2.3. Best Case Scenario |
4.7.3. Drivers and Barriers |
4.8. China Carcinosarcomas (Malignant Mixed Mullerian Tumor) Market Forecast 2022-2032 |
4.8.1. Market Progression (Futuristic) |
4.8.2. Market Trends and Expectations |
4.8.2.1. Worst case scenario |
4.8.2.2. Base Case Scenario |
4.8.2.3. Best Case Scenario |
4.8.3. Drivers and Barriers |
4.9. Key Expected Milestones (world-wide) Impacting the Market |
5. Competitive Landscape |
5.1. Pipeline Therapies Overview |
5.1.1. Phase III Therapies |
5.1.1.1. Current Status |
5.1.1.2. Trial details, results |
5.1.1.3. Approval Timeline |
5.1.1.4. Likelihood of approval |
5.1.1.5. Expected Product Positioning |
5.1.1.2. All other Phase III Therapies ….. |
5.1.1.3. Attribute Analysis of Phase III molecules |
5.1.2. Phase II and Phase I/II Therapies |
5.1.2.1. Current Status |
5.1.2.2. Trial details, results |
5.1.2.3. Approval Timelines |
5.1.3. List of active Pre-clinical Therapies |
5.1.3.1. Status in Carcinosarcomas (Malignant Mixed Mullerian Tumor) |
5.1.3.2. Company positioning |
5.1.3.2. All other pre-clinical therapies |
5.1.4. List of Inactive/discontinued assets |
5.1.4.1. Business impact of discontinuations on current pipeline |
5.1.5. Potential winners from Carcinosarcomas (Malignant Mixed Mullerian Tumor) Pipeline |
5.1.5.1. Potential Blockbusters across the pipeline |
6. Regulatory/Approval Scenario |
6.1. Regulatory/Approval Framework in US |
6.1.1. Policy Framework |
6.1.2. Payer Expectations |
6.2. Regulatory/Approval Framework in UK |
6.2.1. Policy Framework |
6.2.2. Payer Expectations |
6.3. Regulatory/Approval Framework in France |
6.3.1. Policy Framework |
6.3.2. Payer Expectations |
6.4. Regulatory/Approval Framework in Germany |
6.4.1. Policy Framework |
6.4.2. Payer Expectations |
6.5. Regulatory/Approval Framework in Italy |
6.5.1. Policy Framework |
6.5.2. Payer Expectations |
6.6. Regulatory/Approval Framework in Spain |
6.6.1. Policy Framework |
6.6.2. Payer Expectations |
6.7. Regulatory/Approval Framework in Japan |
6.7.1. Policy Framework |
6.7.2. Payer Expectations |
6.8. Regulatory/Approval Framework in China |
6.8.1. Policy Framework |
6.8.2. Payer Expectations |
7. Clinical Trial Assessment – Current and Future Paradigm |
7.1. Distribution of Primary Endpoints across trials |
7.2. Distribution of Secondary Endpoints across trials |
7.3. Evolution and acceptance of surrogate endpoints |
7.4. Key Investigator initiated trials |
7.5. Attrition analysis |
7.5.1. Suspended/Discontinued Assets |
7.5.2. Failed Trials, Reasons and Business Impact |
7.5.3. Terminated Trials, Reasons and Business Impact |
7.5.4. Withdrawn Trials, Reasons and Business Impact |
7.6. Trial enrollment scenario and challenges |
7.7. Clinical Trial Guidance (across geographies) |
8. Thelansis Commentary |
8.1. Key Unmet needs in Carcinosarcomas (Malignant Mixed Mullerian Tumor) |
8.2. Possible Best-case Clinical Trial Strategies |
8.3. Possible Best Case Targeted Product Profile (TPP) |
8.4. Possible Best-case Market positioning strategies |
8.5. Possible Best-case Market Access Strategies |
8.6. Possible Best-case LCM Strategies |
8.7. Overall View on Carcinosarcomas (Malignant Mixed Mullerian Tumor) Market in Dollar Value |
9. Report Methodology |
9.1. Secondary research |
9.2. Primary research |
9.3. Data collation |
9.4. Insight Generation |
10. About Thelansis |
10.1. Our Capabilities |
10.2. Our Services |
10.3. Our Contacts |
10.4. Disclaimer |