Published Date : 2023-10-13
Published Date : 2023-10-13
Updated On : 2024-07-18
Pages : 152
Thelansis’s “Coronary Artery Disease (CAD) Market Outlook, Epidemiology, Competitive Landscape, and Market Forecast Report – 2023 To 2033" 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 Coronary Artery Disease treatment modalities options for eight major markets (USA, Germany, France, Italy, Spain, UK, Japan, and China).
Coronary artery disease (CAD) encompasses a range of clinical conditions resulting from inadequate blood flow to the heart muscle, primarily caused by the deposition of atheroma in the artery walls, leading to narrowing or blockage of the arteries. When the heart doesn't receive enough oxygen-rich blood, symptoms may manifest:
In terms of gender, mortality rates are higher among women compared to men, often due to atypical anginal symptoms and diagnostic challenges. Non-invasive diagnostic testing for CAD is less sensitive in women, leading to lower rates of coronary angiography and revascularization—however, women undergoing angiography exhibit lower rates of obstructive CAD. The delayed onset of obstructive CAD in women, typically 7-10 years later than in men, contributes to a worse prognosis, especially among older women with comorbidities. Diagnostic measures commonly include Electrocardiogram (ECG or EKG), Echocardiography (echo or cardiac ultrasound), and Cardiac calcium scoring. The burden of CAD is significant, with more than four out of five cardiovascular disease (CVD) deaths attributed to heart attacks and strokes, a third of which occur prematurely in individuals under 70 years of age. Treatment options for CAD encompass lifestyle modifications, medications, medical interventions, and cardiac rehabilitation. Additionally, CAD can lead to complications such as arrhythmias, heart failure, and mortality. An estimated 15.5 million Americans aged 20 and above are affected by CAD. Glanzmann Thrombasthenia is a genetic bleeding disorder caused by mutations in the ITGA2B or ITGB3 gene. The disorder results in quantitative and qualitative abnormalities of the integrin alphaIIb/beta3 (αIIbβ3) receptor protein necessary for platelet aggregation and clot formation. The deficiency or dysfunction of αIIbβ3 leads to the inability of platelets to bind together and form clots, causing moderate to severe bleeding. The disorder has been classified into three types based on the availability of αIIbβ3. Type I is the most common, with less than 5% of normal αIIbβ3 levels. Type II has 5-20% of normal levels, and the variant type has adequate levels but only nonfunctional αIIbβ3. In some cases, the cause of the disorder is unknown. The diagnostic features of Glanzmann Thrombasthenia include the absence of platelet aggregation and recurring episodes of mucocutaneous and spontaneous bleeding. Purpura, epistaxis, and gingival bleeding are common manifestations, and RBC transfusion may be required in severe cases. The risk of severe bleeding decreases with age, but fatal bleeding episodes can occur at any point in the lifespan of a patient with Glanzmann Thrombasthenia.
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 | XTR004 | Sinotau Pharmaceutical Group | Phase 2 |
2 | CLBS14 | Lisata Therapeutics, Inc. | Phase 2 |
3 | IMB-1018972 | Imbria Pharmaceuticals, Inc. | Phase 2 |
4 | RVX000222 | Resverlogix Corp | Phase 2 |
5 | RUC-4 | CeleCor Therapeutics | Phase 1 |
6 | Amlodipine | Brillian Pharma Inc. | Phase 1 |
7 | Obicetrapib/Ezetimibe | NewAmsterdam Pharma | Phase 3 |
8 | VERVE-102 | Verve Therapeutics, Inc. | Phase 1 |
9 | AdVEGFXC1 | XyloCor Therapeutics, Inc. | Phase 2 |
10 | Orticumab | Abcentra | 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. Coronary Artery Disease (CAD) – 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. Coronary Artery Disease (CAD) market scenario 2023 |
1.2.2. Coronary Artery Disease (CAD) market scenario 2028 |
1.2.3. Coronary Artery Disease (CAD) market scenario 2033 |
2. Coronary Artery Disease (CAD) 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 Coronary Artery Disease (CAD) |
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. Coronary Artery Disease (CAD) 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 Coronary Artery Disease (CAD) management |
2.16. Market Opportunity for Coronary Artery Disease (CAD) |
2.17. KOL Comments on current and upcoming/expected treatment practices in Coronary Artery Disease (CAD) |
3. Epidemiology |
3.1. Epidemiology Overview |
3.2. Epidemiology by Geography |
3.2.1. Coronary Artery Disease (CAD) Epidemiology in US (2023-2033) |
3.2.1.1. Incidence of Coronary Artery Disease (CAD) |
3.2.1.2. Diagnosed cases |
3.2.1.3. Treatable Patient Pool |
3.2.1.4. Epidemiology Trends |
3.2.2. Coronary Artery Disease (CAD) Epidemiology in EU-5 (2023-2033) |
3.2.2.1. Incidence of Coronary Artery Disease (CAD) |
3.2.2.2. Diagnosed cases |
3.2.2.3. Treatable Patient Pool |
3.2.2.4. Epidemiology Trends |
3.2.3. Coronary Artery Disease (CAD) Epidemiology in Japan (2023-2033) |
3.2.3.1. Incidence of Coronary Artery Disease (CAD) |
3.2.3.2. Diagnosed cases |
3.2.3.3. Treatable Patient Pool |
3.2.3.4. Epidemiology Trends |
3.2.4. Coronary Artery Disease (CAD) Epidemiology in China (2023-2033) |
3.2.4.1. Incidence of Coronary Artery Disease (CAD) |
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 Coronary Artery Disease (CAD) Market Forecast 2023-2033 |
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 Coronary Artery Disease (CAD) Market Forecast 2023-2033 |
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 Coronary Artery Disease (CAD) Market Forecast 2023-2033 |
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 Coronary Artery Disease (CAD) Market Forecast 2023-2033 |
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 Coronary Artery Disease (CAD) Market Forecast 2023-2033 |
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 Coronary Artery Disease (CAD) Market Forecast 2023-2033 |
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 Coronary Artery Disease (CAD) Market Forecast 2023-2033 |
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 Coronary Artery Disease (CAD) Market Forecast 2023-2033 |
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 Coronary Artery Disease (CAD) |
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 Coronary Artery Disease (CAD) 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 Coronary Artery Disease (CAD) |
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 Coronary Artery Disease (CAD) 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 |