Published Date : 2021-12-21
Published Date : 2021-12-21
Updated On : 2023-09-02
Pages : 156
Thelansis’s “Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Market Outlook, Epidemiology, Competitive Landscape, and Market Forecast Report – 2021 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 Limb-Girdle Muscular Dystrophy Type 2i treatment modalities options for eight major markets (USA, Germany, France, Italy, Spain, UK, Japan, and China).
Limb-girdle muscular dystrophies (LGMDs) encompass a set of muscle disorders with varying inheritance patterns, either autosomal dominant (referred to as LGMD type 1) or autosomal recessive (known as LGMD type 2). The fukutin-related protein gene (FKRP; OMIM 606596) plays a significant role in developing both LGMD2I and congenital muscular dystrophy 1C. FKRP transcripts are predominantly expressed in skeletal muscle, the placenta, and the heart. Altered α-dystroglycan protein expression patterns have been observed in muscle biopsies of LGMD2I patients, indirectly suggesting that FKRP, a potential glycosyltransferase, is necessary for post-translational dystroglycan modification. Diagnosis typically concerns the clinical presentation, characterized by proximal muscle wasting and weakness, particularly in the lower limbs. The primary diagnostic criterion involves the identification of two pathogenic variants in the FKRP gene. Creatine kinase levels are usually elevated, exceeding 1,000, and can drop to undetectable levels following strenuous exercise, possibly resulting in myoglobinuria. Muscle biopsies reveal dystrophic changes, and staining for alpha-dystroglycan glycosylation using VIA4 and IIH6 antibodies demonstrates glycosylation loss. The decline in motor function and respiratory limitations significantly impact the quality of life. Life expectancy remains uncertain but typically normal in individuals homozygous for the c.826C>A mutation. Patients with compound heterozygosity for the mutation will likely have a reduced life expectancy due to early-age invasive ventilation and ensuing complications. Currently, no FDA-approved treatments are specifically for limb-girdle muscular dystrophy type 2i (LGMD2I). Existing interventions focus solely on providing supportive care.
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 | BBP-418 (ribitol) | ML Bio Solutions, Inc. | Phase 3 |
2 | LION-101 | Asklepios Biopharmaceutical, Inc. | Phase 2 |
3 | PF 06252616 | Pfizer | Phase 2 |
4 | GNT0006 | Atamyo Therapeutics | Phase 2 |
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. Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) – 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. Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) market scenario 2021 |
1.2.2. Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) market scenario 2025 |
1.2.3. Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) market scenario 2032 |
2. Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) 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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) |
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. Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) 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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) management |
2.16. Market Opportunity for Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) |
2.17. KOL Comments on current and upcoming/expected treatment practices in Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) |
3. Epidemiology |
3.1. Epidemiology Overview |
3.2. Epidemiology by Geography |
3.2.1. Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Epidemiology in US (2021-2032) |
3.2.1.1. Incidence of Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) |
3.2.1.2. Diagnosed cases |
3.2.1.3. Treatable Patient Pool |
3.2.1.4. Epidemiology Trends |
3.2.2. Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Epidemiology in EU-5 (2021-2032) |
3.2.2.1. Incidence of Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) |
3.2.2.2. Diagnosed cases |
3.2.2.3. Treatable Patient Pool |
3.2.2.4. Epidemiology Trends |
3.2.3. Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Epidemiology in Japan (2021-2032) |
3.2.3.1. Incidence of Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) |
3.2.3.2. Diagnosed cases |
3.2.3.3. Treatable Patient Pool |
3.2.3.4. Epidemiology Trends |
3.2.4. Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Epidemiology in China (2021-2032) |
3.2.4.1. Incidence of Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) |
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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Market Forecast 2021-2032 |
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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Market Forecast 2021-2032 |
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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Market Forecast 2021-2032 |
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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Market Forecast 2021-2032 |
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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Market Forecast 2021-2032 |
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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Market Forecast 2021-2032 |
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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Market Forecast 2021-2032 |
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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) Market Forecast 2021-2032 |
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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) |
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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) 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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) |
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 Limb-Girdle Muscular Dystrophy Type 2i (LGMD2i) 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 |