Frontier Pharma: Ophthalmology Therapeutics - Advancements in Disease Understanding Pave Way for Increasingly Diverse Therapeutic Options, with Age-Related Macular Degeneration and Glaucoma Leading the Way
Summary
The visual system, including the eye and its surrounding structures, can be affected by a number of pathological conditions. Ophthalmology encompasses a diverse range of indications affecting this system. Key diseases within this therapy area include glaucoma, age-related macular degeneration, diabetic macular edema, diabetic retinopathy and dry eye syndrome.
While treatments for dry eye syndrome are generally able to control its symptoms in the majority of patients, the other four diseases are progressive, chronic, incurable and can lead to visual impairment and even blindness if not adequately treated. Treatment is aimed at managing the disease, in order to reduce the severity of symptoms and to slow progression, rather than being curative.
Scientific advancements over recent decades have revealed a broad range of novel potential molecular targets, enabling progress in a previously stagnant field. This is reflected by the high number of products in development, with 782 pipeline products currently in the ophthalmology therapy area pipeline.
Moreover, there are a total of 158 first-in-class pipeline products in development for ophthalmology indications, representing 36% of the 438 pipeline products for which there is a disclosed molecular target. They appear generally promising in terms of safety and efficacy, and appear to have significant potential to strengthen the treatment landscape for key ophthalmological conditions - as well as representing promising commercial opportunities.
Many first-in-class products in the current ophthalmology pipeline have previously been involved in licensing and co-development deals. This indicates a strong degree of strategic consolidation uptake for first-in-class products in ophthalmology, and a willingness on the part of companies to invest in innovative products that show promise in both preclinical and clinical trials.
Scope
- Analysis of innovation in the ophthalmology markets in the context of the overall pipeline and current market landscape. Also includes analysis of the deals landscape surrounding first-in-class products in ophthalmology, and highlights opportunities for in-licensing. Key indications covered in detail include glaucoma, age-related macular degeneration, diabetic retinopathy and diabetic macular edema.
- A brief introduction to ophthalmology, including symptoms, pathophysiology, and an overview of pharmacotherapy for the key diseases.
- The changing molecular target landscape between the market and the pipeline, and particular focal points of innovation in the pipeline.
- Comprehensive review of the pipeline for first-in-class therapies, analyzed on the basis of stage of development, molecule type and molecular target.
- Identification and assessment of first-in-class molecular targets, with a particular focus on early-stage programs for which clinical utility has yet to be evaluated, as well as literature reviews on novel molecular targets.
- Assessment of the licensing and co-development deal landscape for ophthalmology therapies, and benchmarking of deals involving first-in-class versus non-first-in-class-products.
Reasons to buy - Understand the current clinical and commercial landscape, including a comprehensive study of disease pathogenesis, diagnosis, prognosis and the available treatment options available at each stage of diagnosis.
- Visualize the composition of the ophthalmology market in terms of dominant molecule types and targets, highlighting what the current unmet needs are and how they can be addressed. This knowledge allows a competitive understanding of the gaps in the current market.
- Analyze the ophthalmology pipeline, stratified by indication, stage of development, molecule type and molecular target.
- Assess the therapeutic potential of first-in-class targets. Using a proprietary matrix, first-in-class products have been assessed and ranked according to clinical potential. Promising early-stage targets have been further reviewed in greater detail.
- Identify commercial opportunities in the ophthalmology deals landscape by analyzing trends in licensing and co-development deals, and producing a list of ophthalmology therapies that are not yet involved in deals and may be potential investment opportunities.
- 1 Table of Contents
- 1.1 List of Tables
- 1.2 List of Figures
- 2 Executive Summary
- 2.1 Market Landscape Poised for Entry of Novel Products
- 2.2 Moderately-Sized but Strong First-in-Class Pipeline
- 2.3 Strong Uptake of First-in-Class Products in Strategic Consolidations
- 3 The Case for Innovation
- 3.1 Growing Opportunities for Biologic Products
- 3.2 Diversification of Molecular Targets
- 3.3 Innovative First-in-Class Product Development Remains Attractive
- 3.4 Regulatory and Reimbursement Policy Shifts Favor First-in-Class Product Innovation
- 3.5 Sustained Innovation
- 4 Clinical and Commercial Landscape
- 4.1 Therapy Area Overview
- 4.1.1 Glaucoma
- 4.1.2 Age-related Macular Degeneration
- 4.1.3 Diabetic Macular Edema
- 4.1.4 Diabetic Retinopathy
- 4.1.5 Dry Eye Syndrome
- 4.2 Disease Symptoms
- 4.3 Epidemiology and Etiology
- 4.3.1 Glaucoma
- 4.3.2 Age-related Macular Degeneration
- 4.3.3 Diabetic Retinopathy and Diabetic Macular Edema
- 4.3.4 Dry Eye Syndrome
- 4.4 Diagnosis
- 4.5 Pathophysiology
- 4.5.1 Healthy Eye Physiology
- 4.5.2 Glaucoma
- 4.5.3 Age-related Macular Edema
- 4.5.4 Diabetic Macular Edema and Diabetic Retinopathy
- 4.6 Treatment Options
- 4.7 Prognosis
- 4.7.1 Glaucoma
- 4.7.2 Age-Related Macular Degeneration
- 4.7.3 Diabetic Retinopathy and Diabetic Macular Edema
- 4.7.4 Dry Eye Syndrome
- 4.8 Overview of Marketed Products in Ophthalmology
- 4.8.1 Molecule Type and Target Analysis
- 5 Assessment of Pipeline Product Innovation
- 5.1 Ophthalmology Pipeline by Molecular Target
- 5.2 Comparative Distribution of Programs between the Ophthalmology Market and Pipeline by Therapeutic Target Family
- 5.3 First-in-Class Pipeline Programs Targeting Novel Molecular Targets
- 6 Signaling Network, Disease Causation and Innovation Alignment
- 6.1 Complexity of Signaling Networks in Ophthalmology
- 6.2 First-in-Class Matrix Assessment
- 7 First-in-Class Target Evaluation
- 7.1 Pipeline Programs Targeting RPE65 and RBP4
- 7.2 Pipeline Programs Targeting Eotaxin-1 and CCR3
- 7.3 Pipeline Programs Targeting LRP6
- 7.4 Pipeline Programs Targeting TGF-Beta 2
- 7.5 Pipeline Programs Targeting NGF, and LNGFR and TrkA Nerve Growth Factor Receptors
- 7.6 Pipeline Programs Targeting Serine Protease HtrA1
- 7.7 Conclusion
- 8 Deals and Strategic Consolidations
- 8.1 Industry-Wide First-in-Class Deals
- 8.2 Licensing Deals
- 8.2.1 Licensing Deals by Molecule Type
- 8.2.2 Licensing Deals by Molecular Target
- 8.2.3 Licensing Deals Valued Above $100m
- 8.3 Co-development Deals
- 8.3.1 Co-development Deals by Molecule Type
- 8.3.2 Co-development Deals by Molecular Target
- 8.3.3 Co-development Deals Valued Above $100m
- 8.4 First-in-Class Programs Not Involved in Licensing or Co-development Deals
- 9 Appendix
- 9.1 Abbreviations
- 9.2 References
- 9.3 Research Methodology
- 9.4 Secondary Research
- 9.4.1 Market Analysis
- 9.4.2 Pipeline Analysis
- 9.4.3 First-in-Class Matrix Assessment
- 9.4.4 First-in-Class Target Profiles
- 9.4.5 Licensing and Co-development Deals
- 9.5 Contact Us
- 9.6 Disclaimer
- 1.1 List of Tables
- Table 1: Ophthalmology Therapeutics Market, Main Symptoms of Glaucoma, AMD, DR and DES, 2016
- Table 2: Ophthalmology Therapeutics Market, Prevalence of Major Ophthalmologic Disorders, 2016
- Table 3: Ophthalmology Therapeutics Market, Treatment options available for glaucoma, 2016
- Table 4: Ophthalmology Therapeutics Market, Data for RPE65 as a Molecular Target, 2016
- Table 5: Ophthalmology Therapeutics Market, Data for RBP4 as a Molecular Target, 2016
- Table 6: Ophthalmology Therapeutics Market, Data for CCR 3 as a Molecular Target, 2016
- Table 7: Ophthalmology Therapeutics Market, Data for Eotaxin-1 as a Molecular Target, 2016
- Table 8: Ophthalmology Therapeutics Market, Data for LRP6 as a Molecular Target, 2016
- Table 9: Ophthalmology Therapeutics Market, Data for TGF- Beta 2 as a Molecular Target, 2016
- Table 10: Ophthalmology Therapeutics Market, Data for LNGFR as a Molecular Target, 2016
- Table 11: Ophthalmology Therapeutics Market, Data for TrkA as a Molecular Target, 2016
- Table 12: Ophthalmology Therapeutics Market, Data for NGF as a Molecular Target, 2016
- Table 13: Ophthalmology Therapeutics Market, Data for Serine Protease HTRA1 as a Molecular Target, 2016
- 1.2 List of Figures
- Figure 1: Ophthalmology Therapeutics Market, Innovation Trends in Product Approvals, Number of Product Approvals by FDA and Five-Year Moving Average of Products Approvals (%), 1987-2012
- Figure 2: Ophthalmology Therapeutics Market, First-in-Class and Non-First-in-Class Products, Sales Performance After Marketing Approval ($m)
- Figure 3: Ophthalmology Therapeutics Market, Overview of Marketed Products, 2016
- Figure 4: Ophthalmology Therapeutics Market, Overview of Pipeline Products, 2016
- Figure 5: Ophthalmology Therapeutics Market, Pipeline by Stage of Development and Molecule Type, 2016
- Figure 6: Ophthalmology Therapeutics Market, Pipeline by Key Indications and Stage of Development, 2016
- Figure 7: Ophthalmology Therapeutics Market, Pipeline by Key Indications and Molecular Type, 2016
- Figure 8: Ophthalmology Therapeutics Market, Pipeline by Molecular Target, 2016
- Figure 9: Ophthalmology Therapeutics Market, Pipeline by Molecular Target and Stage of Development, 2016
- Figure 10: Ophthalmology Therapeutics Market, Pipeline by Key Indications and Molecular Target, 2016
- Figure 11: Ophthalmology Therapeutics Market, Molecular Target Family Comparison, Pipeline and Marketed Products, 2016
- Figure 12: Ophthalmology Therapeutics Market, Molecular Target Family Comparison, Pipeline First-in-Class and Established Molecular Targets, 2016
- Figure 13: Ophthalmology Therapeutics Market, Key Indications and Pipeline First-in-Class and Established Targets, 2016
- Figure 14: Ophthalmology Therapeutics Market, Percentage of First-in-Class Products in Pipeline by Stage of Development (%), 2016
- Figure 15: Ophthalmology Therapeutics Market, Percentage of First-in-Class Products in Pipeline by Molecular Target Family (%), 2016
- Figure 16: Ophthalmology Therapeutics Market, First-in-Class Products in Pipeline (Part 1), 2016
- Figure 17: Ophthalmology Therapeutics Market, First-in-Class Products in Pipeline (Part 2), 2016
- Figure 18: Ophthalmology Therapeutics Market, First-in-Class Products in Pipeline (Part 3), 2016
- Figure 19: Ophthalmology Therapeutics Market, Target Matrix Assessment (Part 1), 2016
- Figure 20: Ophthalmology Therapeutics Market, Target Matrix Assessment (Part 2), 2016
- Figure 21: Ophthalmology Therapeutics Market, Pipeline Programs Targeting RPE65, 2016
- Figure 22: Ophthalmology Therapeutics Market, Pipeline Programs Targeting RBP4, 2016
- Figure 23: Ophthalmology Therapeutics Market, Pipeline Programs Targeting CCR 3, 2016
- Figure 24: Ophthalmology Therapeutics Market, Pipeline Programs Targeting Eotaxin-1, 2016
- Figure 25: Ophthalmology Therapeutics Market, Pipeline Programs Targeting LRP 6, 2016
- Figure 26: Ophthalmology Therapeutics Market, Pipeline Programs Targeting TGF-Beta 2, 2016
- Figure 27: Ophthalmology Therapeutics Market, Pipeline Programs Targeting LNGFR, 2016
- Figure 28: Ophthalmology Therapeutics Market, Pipeline Programs Targeting TrkA, 2016
- Figure 29: Ophthalmology Therapeutics Market, Pipeline Programs Targeting NGF, 2016
- Figure 30: Ophthalmology Therapeutics Market, Pipeline Programs Targeting Serine Protease HTRA1, 2016
- Figure 31: Pharmaceutical Industry, Global, Deals by Stage of Development, 2006-2014
- Figure 32: Pharmaceutical Industry, Global, Licensing Deal Values by Stage of Development ($m), 2006-2014
- Figure 33: Ophthalmology Therapeutics Market, Licensing Deal Value, 2006-2016
- Figure 34: Ophthalmology Therapeutics Market, Licensing Deals by Stage of Development, 2006-2016
- Figure 35: Ophthalmology Therapeutics Market, Licensing Deals by Molecule Type, 2006-2016
- Figure 36: Ophthalmology Therapeutics Market, Licensing Deals by Molecular Target, 2006-2016
- Figure 37: Ophthalmology Therapeutics Market, Licensing Deals Valued Above $100m, 2006-2016
- Figure 38: Ophthalmology Therapeutics Market, Co-Development Deal Value, 2006-2016
- Figure 39: Ophthalmology Therapeutics Market, Co-Development Deals by Stage of Development, 2006-2016
- Figure 40: Ophthalmology Therapeutics Market, Co-Development Deals by Molecule Type, 2006-2016
- Figure 41: Ophthalmology Therapeutics Market, Co-Development Deals by Molecular Target, 2006-2016
- Figure 42: Ophthalmology Therapeutics Market, Co-Development Deals Valued Above $100m, 2006-2016
- Figure 43: Ophthalmology Therapeutics Market, First-in-Class Therapies Involved in Previous Deals, 2016
- Figure 44: Ophthalmology Therapeutics Market, First-in-Class Therapies Not Involved in Previous Deals (Part 1), 2016
- Figure 45: Ophthalmology Therapeutics Market, First-in-Class Therapies Not Involved in Previous Deals (Part 2), 2016