Relapsed or Refractory Myelodysplastic Syndromes (R/R MDS) – Market Outlook, Epidemiology, Competitive Landscape, and Market Forecast Report – 2025 To 2035

  • Published Date : April 17, 2025
  • Updated On : December 4, 2025
  • Pages : 155

Relapsed or Refractory Myelodysplastic Syndromes (R/R MDS) Market Outlook

Thelansis’s “Relapsed or Refractory Myelodysplastic Syndromes (R/R MDS) Market Outlook, Epidemiology, Competitive Landscape, and Market Forecast Report – 2025 To 2035” 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 Relapsed or Refractory Myelodysplastic Syndromes treatment modalities options for eight major markets (USA, Germany, France, Italy, Spain, UK, Japan, and China).

Relapsed or Refractory Myelodysplastic Syndromes (R/R MDS) Overview

Relapsed or refractory myelodysplastic syndromes represent a group of clonal bone marrow disorders characterized by ineffective hematopoiesis, cytopenias, and risk of progression to acute myeloid leukemia. Patients with R/R MDS have either failed to respond to initial therapies, most commonly hypomethylating agents such as azacitidine or decitabine, or have relapsed after an initial response. Clinically, these patients experience persistent anemia, infections due to neutropenia, and bleeding complications from thrombocytopenia, all of which contribute to poor quality of life and high healthcare utilization. Treatment options are limited, with allogeneic stem cell transplantation being the only potentially curative approach, though many patients are ineligible due to age or comorbidities. Novel agents targeting epigenetic pathways, apoptosis regulators, and immune checkpoints are under investigation, but outcomes remain poor and survival is short once standard therapies fail. The lack of effective salvage options highlights a significant unmet need for innovative therapies that can improve survival and alter disease progression, making R/R MDS a critical focus area in hematology drug development.

Geography coverage:

G8 (United States, EU5 [France, Germany, Italy, Spain, U.K.], Japan, and China)

Insights driven by robust research, including:

  • In-depth interviews with leading KOLs and payers
  • Physician surveys
  • RWE analysis for claims and EHR datasets
  • Secondary research (e.g., peer-reviewed journal articles, third-party research databases)

Deliverables format and updates*:

  • Detailed Report (PDF)
  • Market Forecast Model (MS Excel-based automated dashboard)
  • Epidemiology (MS Excel; interactive tool)
  • Executive Insights (PowerPoint presentation)
  • Others: regular updates, customizations, consultant support

*As per Thelansis’s policy, we ensure that we include all the recent updates before releasing the report content and market model.

Salient features of Market Forecast model:

  • 10-year market forecast (2025–2035)
  • Bottom-up patient-based market forecasts validated through the top-down sales methodology
  • Covers clinically and commercially-relevant patient populations/ line of therapies
  • Annualized drug-level sales and patient share projections
  • Utilizes our proprietary Epilansis and Analog tool (e.g., drug uptake and erosion) datasets and conjoint analysis approach
  • Detailed methodology/sources & assumptions
  • Graphical and tabular outputs
  • Users can customize the model based on requirements

Key business questions answered:

  • How can drug development and lifecycle management strategies be optimized across G8 markets (US, EU5, Japan, and China)?
  • How large is the patient population in terms of incidence, prevalence, segments, and those receiving drug treatments?
  • What is the 10-year market outlook for sales and patient share?
  • Which events will have the greatest impact on the market’s trajectory?
  • What insights do interviewed experts provide on current and emerging treatments?
  • Which pipeline products show the most promise, and what is their potential for launch and future positioning?
  • What are the key unmet needs and KOL expectations for target profiles?
  • What key regulatory and payer requirements must be met to secure drug approval and favorable market access?
  • and more…
 

1. Key Findings and Analyst Commentary

  • Key trends: market snapshots, SWOT analysis, commercial benefits and risk, etc..

2. Disease Context

  • Disease definition, classification, etiology and pathophysiology, drug targets,etc.

3. Epidemiology

  • Key takeaways
  • Incidence / Prevalence
  • Diagnosed and Drug-Treated populations
  • Comorbidities
  • Other relevant patient segments

4. Market Size and Forecast

  • Key takeaways
  • Market drivers and constraints
  • Drug-class specific trends
  • Country-specific trends

5. Competitive Landscape

  • Current therapies
    • Key takeaways
    • Dx and Tx journey/algorithm
    • Key current therapies – profiles and KOL insights
  • Emerging therapies
    • Key takeaways
    • Notable late-phase emerging therapies – profiles, launch expectations, KOL insights
    • Notable early-phase pipeline

6. Unmet Need and TPP Analysis

  • Top unmet needs and future attainment by emerging therapies
  • TPP analysis and KOL expectations

7. Regulatory and Reimbursement Environments (by country and payer insights)

8. Appendix (e.g., bibliography, methodology)

Frequently asked questions