Head and Neck Cancer (HNC) – Market Outlook, Epidemiology, Competitive Landscape, and Market Forecast Report – 2023 To 2033

Head and Neck Cancer (HNC) Market Outlook and Forecast

Head and Neck Cancer (HNC) – Market Outlook, Epidemiology, Competitive Landscape, and Market Forecast Report – 2023 To 2033

Published Date : 2023-09-22

Updated On : 2024-07-09

Pages : 156

Head and Neck Cancer (HNC) Market Outlook

Thelansis’s “Head and Neck Cancer (HNC) 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 Head and Neck Cancer treatment modalities options for eight major markets (USA, Germany, France, Italy, Spain, UK, Japan, and China).

Head and Neck Cancer (HNC) Overview

Head and neck cancer affects nearly 65,000 individuals annually in the United States. Excluding skin and thyroid cancers, over 90% of head and neck malignancies are squamous cell carcinomas (SCCs); the remainder predominantly consists of adenocarcinomas, sarcomas, and lymphomas. A significant majority, exceeding 85%, of patients with head and neck cancer have a history of alcohol consumption, tobacco use, or both. Chronic heavy use of tobacco and alcohol increases the risk of developing squamous cell carcinoma by approximately 40-fold. Other potential risk factors include the use of smokeless tobacco, exposure to sunlight, prior radiation therapy of the head and neck, certain viral infections, poorly fitting dental appliances, chronic candidiasis, and inadequate oral hygiene. In India, the high prevalence of oral cancer is attributed to the chewing of betel quid (paan). For squamous cell carcinoma of the lower lip, prolonged sunlight exposure and tobacco use are the primary etiological factors. The most frequent sites for head and neck cancer include:

  • Larynx (encompassing the supraglottis, glottis, and subglottis)
  • Oral cavity (including the tongue, floor of the mouth, hard palate, buccal mucosa, and alveolar ridges)
  • Oropharynx (comprising the posterior and lateral pharyngeal walls, base of the tongue, tonsils, and soft palate)

Less common sites include the nasopharynx, nasal cavity, paranasal sinuses, hypopharynx, and salivary glands. The tumor's location and extent influence the clinical manifestations of head and neck cancer. Initial symptoms often include asymptomatic neck masses, painful mucosal ulcerations, visible mucosal lesions (e.g., leukoplakia, erythroplakia), hoarseness, and dysphagia. Diagnosis of head and neck cancer can be physically and emotionally challenging. The disease and its treatments can impair breathing, eating, and communication and alter physical appearance. The impact on psychological and psychosocial well-being can significantly affect quality of life. Prognosis varies widely based on tumor size, primary site, etiology, and regional or distant metastases. Generally, early diagnosis and prompt, appropriate treatment are associated with a more favorable prognosis. Head and neck cancers typically exhibit local invasion before metastasizing to regional cervical lymph nodes. The likelihood of regional lymphatic spread is correlated with tumor size, extent, and aggressiveness, reducing overall survival by nearly 50%. Distant metastases, often to the lungs, generally occur in advanced disease stages, are associated with a significantly reduced survival rate, and are frequently incurable. The primary treatments for head and neck cancer are surgery and radiation therapy, which can be employed alone or in combination with or without chemotherapy. Tumors at different sites may respond similarly to these modalities, with treatment choice influenced by factors such as patient preference and location-specific morbidity. In certain instances, one treatment modality may be superior. For example, surgery is often preferred for early-stage oral cavity cancers due to the risk of mandibular osteoradionecrosis associated with radiation therapy. Endoscopic surgery, increasingly utilized, offers similar or improved cure rates compared to traditional open surgery or radiation, with significantly reduced morbidity. Endoscopic techniques, often employing lasers, are particularly effective for laryngeal surgery and are being explored for selected sinonasal tumors.

Geography Covered:

North America- the United States and Canada

Europe- EU5 (Germany, France, Italy, Spain, and the United Kingdom)

Other countries- Japan & China

Study Period: 2023-2033

Current Clinical Practice and Treatment Algorithm

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.

KOL Insights:

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

Market Forecast: Patient Based Forecast Model (MS. Excel Based Automated Dashboard)

- 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

NPV/ IRR Calculator-

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.

Competitive Landscape:

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.

Clinical Trial Assessment-

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.

Unmet Medical Needs Overview-

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.

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Head and Neck Cancer (HNC) Competitive Landscape

S. no Asset Company Stage
1 Dostarlimab GlaxoSmithKline Phase 3
2 Afatinib and Methotrexate Boehringer Ingelheim Phase 3
3 Pembrolizumab Incyte Corporation Phase 3
4 ASP-1929 Rakuten Medical, Inc. Phase 3
5 Buparlisib & Paclitaxel Adlai Nortye Biopharma Co., Ltd. Phase 3
6 Nivolumab and Ipilimumab Bristol-Myers Squibb Phase 3
7 Petosemtamab Merus N.V. Phase 3
8 Zanzalintinib and Pembrolizumab Exelixis Phase 2/3
9 APG-157 Aveta Biomics Phase 2
10 Ficlatuzumab and Cetuximab AVEO Pharmaceuticals, Inc. Phase 3

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

Head and Neck Cancer (HNC) Market Forecast: Patient Based Forecast Model (MS. Excel Based Automated Dashboard)

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.

Head and Neck Cancer (HNC) Market Forecast

1.  Head and Neck Cancer (HNC) – 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. Head and Neck Cancer (HNC) market scenario 2023
                     1.2.2. Head and Neck Cancer (HNC) market scenario 2028
                     1.2.3. Head and Neck Cancer (HNC) market scenario 2033

2. Head and Neck Cancer (HNC) 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 Head and Neck Cancer (HNC)
         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. Head and Neck Cancer (HNC) 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 Head and Neck Cancer (HNC) management
         2.16.  Market Opportunity for Head and Neck Cancer (HNC)
         2.17. KOL Comments on current and upcoming/expected treatment practices in Head and Neck Cancer (HNC)

3.       Epidemiology

         3.1.    Epidemiology Overview
         3.2.    Epidemiology by Geography
                     3.2.1. Head and Neck Cancer (HNC) Epidemiology in US (2023-2033)
                             3.2.1.1.              Incidence of Head and Neck Cancer (HNC)
                             3.2.1.2.              Diagnosed cases
                             3.2.1.3.              Treatable Patient Pool
                             3.2.1.4.              Epidemiology Trends
                     3.2.2. Head and Neck Cancer (HNC) Epidemiology in EU-5 (2023-2033)
                             3.2.2.1.              Incidence of Head and Neck Cancer (HNC)
                             3.2.2.2.              Diagnosed cases
                             3.2.2.3.              Treatable Patient Pool
                             3.2.2.4.              Epidemiology Trends
                     3.2.3. Head and Neck Cancer (HNC) Epidemiology in Japan (2023-2033)
                             3.2.3.1.              Incidence of Head and Neck Cancer (HNC)
                             3.2.3.2.              Diagnosed cases
                             3.2.3.3.              Treatable Patient Pool
                             3.2.3.4.              Epidemiology Trends
                     3.2.4. Head and Neck Cancer (HNC) Epidemiology in China (2023-2033)
                             3.2.4.1.              Incidence of Head and Neck Cancer (HNC)
                             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 Head and Neck Cancer (HNC) 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 Head and Neck Cancer (HNC) 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 Head and Neck Cancer (HNC) 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 Head and Neck Cancer (HNC) 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 Head and Neck Cancer (HNC) 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 Head and Neck Cancer (HNC) 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 Head and Neck Cancer (HNC) 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 Head and Neck Cancer (HNC) 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 Head and Neck Cancer (HNC)
                                      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 Head and Neck Cancer (HNC) 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 Head and Neck Cancer (HNC)
         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 Head and Neck Cancer (HNC) 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