OpportunityAnalyzer: Small Cell Lung Cancer (SCLC) – Opportunity Analysis and Forecasts to 2024

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Initially considered a curable disease due to substantial sensitivity to first-line chemotherapies, small cell lung cancer (SCLC) remains a fatal disease with poor outcomes due to high relapse rates, with the majority of patients surviving one year or less after diagnosis. Unlike non-small cell lung cancer (NSCLC), in which major advances in treatment have been made following the approval of several targeted therapies, the field of SCLC has seen little advancement for several decades.

For the purposes of this report, GlobalData considers the Global SCLC market to include SCLC-specific drug sales in the 7MM (US, 5EU [France, Germany Italy, Spain, and the UK], and Japan). The current market across these countries is dominated by the sale of major generic chemotherapy regimens. GlobalData estimated that the Global SCLC market was valued at $198m in 2014. Following the expected approval of new agents over the forecast period, relapsed/refractory patients will have significantly improved therapeutic options leading to rapid uptake of these drugs. The increased use of branded therapies in treatment-naïve and advanced patients, such as Yervoy, Opdivo, roniciclib, and sacituzumab govitecan, will be the primary driver of the substantial growth in the SCLC market over the forecast period, which is expected to grow at a positive CAGR of almost 28% in the 7MM.

Scope

Overview of SCLC, including epidemiology, etiology, pathophysiology, symptoms, diagnosis, and current treatment options.

Topline SCLC drug market revenue from 2014–2024, annual cost of therapy (ACOT), and major product sales in six patient segments during the forecast period are included.

Key topics covered include strategic competitor assessment, market characterization, unmet needs, opportunities, R&D strategies, and clinical trial mapping for the SCLC market.

Pipeline analysis: comprehensive data split across different phases, emerging novel trends under development, synopses of innovative early-stage projects, and detailed analysis of late-stage pipeline products. An interactive clinical and commercial analyzer tool is available.

Analysis of the current and future market competition in the global SCLC market. Insightful review of the key industry drivers, restraints, and challenges. Each trend is independently researched to provide qualitative analysis of its implications.

Key Highlights

Based on interviews with key opinion leaders (KOLs), GlobalData has identified the major unmet needs in the SCLC marketplace. Will the leading pipeline agents fulfil these unmet needs during the forecast period (2014–2024)?

What research and development (R&D) strategies will companies leverage to compete in the future SCLC marketplace?

Which pipeline products are poised to make a major clinical and commercial impact?

What clinical and commercial factors are likely to influence SCLC drug uptake in the 7MM?

Abbvie
AstraZeneca
Bayer
BioMarin Pharmaceutical
Bristol Myers Squibb
Cerulean Pharma
GlaxoSmithKline
Immunomedics
Medivation
Menarini
Merck
MolMed
Mologen
OncoMed Pharmaceuticals
Pfizer
Pharma MaR
Stem CentRX
Takeda

Table of Contents

1Table of Contents

1.1List of Tables

1.2List of Figures

2Introduction

2.1Catalyst

2.2Related Reports

2.3Upcoming Related Reports

3Disease Overview

3.1Etiology and Pathophysiology

3.1.1Etiology

3.1.2Pathophysiology

3.2Symptoms

3.3Diagnosis

3.4Clinical Staging

3.5Prognostic Factors

3.6Quality of Life

4Epidemiology

4.1Disease Background

4.2Risk Factors and Comorbidities

4.3Global Trends

4.3.1Incidence

4.3.2Stage at Diagnosis

4.3.3Relative Survival

4.4Forecast Methodology

4.4.1Sources Used

4.4.2Sources Not Used

4.4.3Forecast Assumptions and Methods

4.5Epidemiological Forecast for SCLC (2014–2024)

4.5.1Diagnosed Incident Cases of SCLC

4.5.2Age-Specific Incident Cases of SCLC

4.5.3Sex-Specific Incident Cases of SCLC

4.5.4Age-Standardized Incidence of SCLC

4.5.5Stage-Specific Incident Cases of SCLC

4.5.6Five-Year Diagnosed Prevalent Cases of SCLC

4.5.7Five-Year Diagnosed Prevalent Cases of SCLC Segmented by Stage

4.6Discussion

4.6.1Epidemiological Forecast Insight

4.6.2Limitations of the Analysis

4.6.3Strengths of the Analysis

5Current Treatment Options

5.1First-Line Therapy

5.2Second-Line Therapy

5.3Subsequent Lines of Therapy

6Unmet Needs Assessment and Opportunity Analysis

6.1Overview

6.2Unmet Needs Analysis

6.2.1Early Diagnosis of Disease

6.2.2Therapies That Improve Overall Survival

6.2.3More Effective and Tolerable Therapies for Relapsed/Refractory Disease

6.2.4Discovery of Predictive Biomarkers and Understanding of the Underlying Causes of Disease

6.2.5Smoking Cessation Programs

6.3Opportunity Analysis

6.3.1Standardized Methods for Biomarker Testing

6.3.2Developing Therapies with an Improved Safety Profile

6.3.3Understanding the Mechanisms Underlying the Rapid Emergence of Drug and Radiation Resistance

6.3.4Targeting Pathways Unique to Cancer Stem Cells

7R&D Strategies

7.1Overview

7.1.1Deconstructing the SCLC Genome

7.1.2New Diagnostic Approaches

7.1.3Reformulation of Available Chemotherapeutic Agents

7.1.4Combination Therapy

7.2Clinical Trial Design

7.2.1Evolution of Endpoints for Cancer Immunotherapy Trials

7.2.2Health-Related Quality of Life Endpoints in Oncology Clinical Trials

7.2.3Design of Current Phase II and III Trials in SCLC

8Pipeline Assessment

8.1Overview

8.2Promising Drugs in Clinical Development

8.2.1Alisertib (MLN8237)

8.2.2MGN-1703

8.2.3NGR-hTNF

8.2.4Opdivo (nivolumab)

8.2.5Roniciclib (BAY 1000394)

8.2.6Sabarubicin (MEN10755)

8.2.7Sacituzumab Govitecan (IMMU-132)

8.2.8Sutent (sunitinib malate)

8.2.9Tarextumab (OMP-59R5)

8.2.10Yervoy (ipilimumab)

8.3Innovative Early-Stage Approaches

8.3.1Rovalpituzumab Tesirine (SC16LD6.5)

8.3.2Keytruda (pembrolizumab)

8.3.3PARP Inhibitors

8.3.4Lurbinectedin (PM01183)

9Pipeline Valuation Analysis

9.1Clinical Benchmark of Key Pipeline Drugs

9.2Commercial Benchmark of Key Pipeline Drugs

9.3Competitive Assessment

9.4Top-Line 10-Year Forecast

9.4.1US

9.4.25EU

9.4.3Japan

10Appendix

10.1Bibliography

10.2Abbreviations

10.3Methodology

10.4Forecasting Methodology

10.4.1Diagnosed SCLC Patients

10.4.2Percent Drug-Treated Patients

10.4.3Drugs Included in Each Therapeutic Class

10.4.4Launch and Patent Expiry Dates

10.4.5General Pricing Assumptions

10.4.6Average Body Weight and Surface Area Across 7MM

10.4.7Individual Drug Assumptions

10.4.8Generic Erosion

10.5Physicians and Specialists Included in this Study

10.6About the Authors

10.6.1Authors

10.6.2Epidemiologist

10.6.3Global Director of Therapy Analysis and Epidemiology

10.6.4Global Head of Healthcare

10.7About GlobalData

10.8Contact Us

10.9Disclaimer

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