Alzheimer’s disease is a neurodegenerative condition characterized by progressive memory loss, cognitive dysfunction and dementia. Currently, it is the most commonly reported neurodegenerative disorder across the world, and the sixth leading cause of death in the US. It was estimated that, in 2018, nearly 5.7 million Americans (considering all age groups) were living with Alzheimer’s disease. During the same year, Alzheimer’s disease and other dementias were projected to be responsible for a healthcare burden amounting to USD 277 billion, in the US. Considering that only a limited range of diagnosis, treatment and disease management solutions are presently available, this segment of the healthcare industry is presently faced with a pressing need for accurate diagnostic (predictive) tests and efficient treatment options that have the capability to slow the progression of the condition.
Despite extensive research aimed at comprehending the etiopathogenesis of Alzheimer’s disease, only six drugs have been approved since 1996 for treatment. The rate of failure of drugs being developed for treating Alzheimer’s disease is alarming (~99.6%) and is even higher than that reported for cancer (~81%). Most of the existing therapeutic options have proven inadequate in arresting the progression of the disease and long term management of associated symptoms. Currently, several stakeholders in the pharmaceutical industry are engaged in efforts to develop various types of disease-modifying interventions and drug/therapy candidates that offer symptomatic relief. In fact, multiple initiatives by start-ups are being backed by venture capital and other strategic investors. In the coming years, the market is anticipated to grow at a significant pace as more novel solutions clear clinical evaluation and get commercialized.
Scope of the Report
The “Alzheimer’s Disease Market: Pipeline Review, Developer Landscape and Competitive Insights” report provides an extensive study on the marketed, clinical and preclinical molecules available / being developed for the treatment of Alzheimer’s disease. Figure 1.1 summarizes the scope of the report and the specific modules that have been covered in detail in the document.
Table of Contents
Executive Summary
Contents
- Chapter 2 provides an executive summary of the insights captured in our research. It offers a high-level view on the likely evolution of the Alzheimer’s disease market in the long term.
- Chapter 3 provides a brief introduction to Alzheimer’s disease, and its associated symptoms. It also features a detailed discussion on the causes of the condition (based on various existing hypotheses), stages of disease progression, factors influencing the onset and progression of the disease, and the different pharmacological and non-pharmacological interventions that are presently indicated for the treatment of this condition. The chapter includes a discussion on the epidemiology of the disease and highlights the diverse initiatives / programs led by the National Institutes of Health (NIH) to support scientific discovery and help in disease management.
- Chapter 4 includes information on over 200 molecules that are currently approved / under development for the treatment of Alzheimer’s disease. It features a comprehensive analysis of pipeline molecules, highlighting the phase of development (marketed, clinical and preclinical / discovery stage), type of molecule (small molecule or biologic), treatment type (disease modifying agent or drugs offering symptomatic relief), target stage of disease (early, mid or late stage), type of therapy (monotherapy or combination therapy), path to clinics (dedicated, repositioned or repurposed), and mechanism of action and route of administration of the drugs being developed for the treatment of the disease. In addition, the chapter provides information on drug developer(s), highlighting year of their establishment, location of headquarters and employee strength. In addition, it presents certain key insights derived from the study, which includes a representation highlighting the distribution of the marketed and pipeline molecules based on various mechanisms of action. The chapter includes a comprehensive 2X2 grid analysis, representing the distribution of the clinical drug candidates across type of therapy, path to clinic and stage of development. Additionally, the chapter features a regional landscape of developers engaged in this domain, distributed on the basis of the location of their headquarters.
- Chapter 5 highlights the key unmet needs associated with the management and treatment of Alzheimer’s disease. The chapter provides detailed analysis of the various challenges and areas of concern, which wereidentified from views expressed by patients / experts across different platforms, such as social media posts, recent scientific publications and patient blogs, and the inputs of key opinion leaders at conferences / symposiums. The chapter presents an insightful word cloud analysis, summarizing the opinions expressed across public online portals.
- Chapter 6 features a detailed assessment of over 70 discontinued drugs, providing information on the reason(s) for discontinuation, year of discontinuation, mechanism of action of the terminated drugs, phase of discontinuation and the target stage of disease. In addition, the chapter presents over 180 terminated clinical trials highlighting the year of termination and the key geographies where these trials were being conducted.
- Chapter 7 provides a detailed analysis of close to 300 research articles related to Alzheimer’s disease, published till 2018. The analysis takes into consideration several parameters, such as biological targets being studied, study type (review article, research article, meta-analysis and clinical trials), year of publication, and the most popular journals within this domain.
- Chapter 8 features an analysis of the various collaborations and partnerships that have been inked amongst players in this market. We have also discussed different partnership models (including product development and commercialization, R&D agreements, technology / product licensing agreements, other licensing agreements, mergers / acquisitions and clinical trial agreements) that have been established till 2019 (February).
- Chapter 9 presents details on various investments received by the start-ups / smaller companies that are engaged in this domain. It also includes an analysis of the funding instances that have taken place in the market, till January 2019, highlighting the growing interest of the venture capital community and other strategic investors within this market.
- Chapter 10 provides information on the various non-pharmacological interventions, such as cognitive / emotion-oriented therapies, sensory simulation therapies and other psychological interventions, which aim to delay the loss of mental capability and help the patients retain their identity and functional autonomy. The chapter also presents a list of companies that offer such solutions, describing the devices / products and their mechanisms of action / working principles. In addition, the chapter include a list of novel diagnostic techniques, which claim to be capable of assisting in timely diagnosis.
- Chapter 11 summarizes the entire report. It presents a list of key takeaways and our independent opinion on the current market scenario. Further, it captures the evolutionary trends that are likely to determine the future of therapeutic interventions in disease area.
- Chapter 12 is a collection of interview transcripts of discussions held with key stakeholders in this market. In this chapter, we have presented the details of interviews held with (in alphabetical order of company name) Kenneth Moch (President and Chief Executive Officer, Cognition Therapeutics)) and Ram Bhatt (Chief Executive Officer, Chairman and Founder, ICB International).
- Chapter 13 is an appendix, which provides tabulated data and numbers for all the figures included in the report.
- Chapter 14 is an appendix, which contains the list of companies and organizations mentioned in the report.
Companies Mentioned (Partial List)
A selection of companies mentioned in this report includes, but is not limited to:
- 23andMe
- 3M
- AB Science
- Abbott
- AbbVie
- Abcam
- AC Immune
- ACADIA Pharmaceuticals
- Accera
- Access Industries
- Acelot
- Actinogen Medical
- Acumen Pharmaceuticals
- ADmit Therapeutics
- Affilogic
- AFFiRiS
- Agency for Innovation and Entrepreneurship
- AgeneBio
- Alector
- Alectos Therapeutics
- Alkahest
- Allergan
- Alliance Global Partners
- Allinky Biopharma
- Allon Therapeutics
- American Life Science Pharmaceuticals
- Altoida
- Alzheimer’s Drug Discovery Foundation
- Alzheimer's Association
- Alzheimer's Disease Cooperative Study
- Alzheimer's Drug Discovery Foundation
- Alzheon
- Alzinova
- AlzProtect
- Amylyx Pharmaceuticals
- Anavex Life Sciences
- Andera Partners
- Aphios
- APRINOIA Therapeutics
- Aquinnah Pharmaceuticals
- ARCH Venture Partners
- Archer Pharmaceuticals
- ArmaGen
- ARMGO Pharma
- Arrien Pharmaceuticals
- Asceneuron
- Astellas Pharma
- AstraZeneca
- Atlas Venture
- Ausio Pharmaceuticals
- Autifony Therapeutics
- Avanir Pharmaceuticals
- Avid Bioservices
- Avineuro Pharmaceuticals
- Axon Neuroscience
- Axovant Sciences
- Axsome Therapeutics
- AZTherapies
- Baillie Gifford
- Bain Capital Life Sciences
- Banner Alzheimer's Institute
- Baxalta
- BELLUS Health
- BioArctic
- Biogen
- Biohaven Pharmaceuticals
- Biomar Microbial Technologies
- Biomedical Catalyst
- Bionomics
- BioPharmaceuticals Australia
- Bios Memory SPV1
- Biotechnology Value Fund
- Biotherapix
- BlueTree Allied Angels
- Boehringer Ingelheim
- BOLD Capital Partners
- Bpifrance
- Brain Biomarker Solutions
- Brain Canada
- Brain Chemistry Laboratories
- BrainsWay
- Brainvectis
- Breakout Labs
- Bristol-Myers Squibb
- Burke Neurological Institute
- C4 Therapeutics
- Camargo Pharmaceutical Services
- Canadian Institutes of Health Research
- CarThera
- CDC Entreprises
- Celgene
- Cenna Biosciences
- Centrose
- Cerebain Biotech
- Cerecin
- CereSpir
- Cerveau Technologies
- CHA Biotech
- Chang Gung Memorial Hospital
- Changchun Huayang High-tech
- Chaperone Therapeutics
- Charsire Biotechnology
- Chelsea Therapeutics
- Clarus Ventures
- Clera
- Cleveland Clinic
- Clinical Research Services Turku
- Cogentis Therapeutics
- Cognition Therapeutics
- Cognoptix
- Cognosci
- Columbia University
- Congenia
- CoPlex Therapeutics
- Corcept Therapeutics
- Corium International
- Cortexyme
- Cortice Biosciences
- Crossbeta Biosciences
- CuraSen Therapeutics
- Cypralis
- DAE HWA Pharmaceutical
- Daewoong Pharmaceutical
- Dartmouth-Hitchcock Medical Center
- Dawson James Securities
- DCI Partners
- Deerfield Management
- Delenex Therapeutics
- Dementia Discovery Fund
- Denali Therapeutics
- DiamiR
- Dicerna Pharmaceuticals
- Digna Biotech
- Dolby Family Ventures
- Douglas Mental Health University Institute
- Dthera Sciences
- DuChemBio
- Dundee Corporation
- Edunn Biotechnology
- EIP Pharma
- Eisai
- Elan
- Eli Lilly and Company
- Emergent BioSolutions
- Emory University
- Epigen Biosciences
- EPIX Pharmaceuticals
- E-Scape Bio
- Essex Bio-Technology
- Evotec
- F-Prime Capital
- Finovam
- Forbion
- Forrest Capital
- Fortuna Fix
- FORUM Pharmaceuticals
- Fountain Healthcare Partners
- FUJIFILM Holdings America
- FUJIFILM Toyama Chemical
- Fujirebio
- Fundació ACE
- FutureNeuro
- GCA Therapeutics
- GemVax & Kael
- Genentech
- Genervon Biopharmaceuticals
- Genzyme
- Georgetown University
- German Center for Neurodegenerative Diseases
- GigaGen
- Gismo Therapeutics
- GlaxoSmithKline
- GliaCure
- GliaPharm
- GNT Pharma
- Google
- Grand Angels
- Grifols
- Gurnet Point Capital
- Lundbeck
- Harvard Medical School
- Heptares Therapeutics
- Herantis Pharma
- High Point Pharmaceuticals
- HOPU Investment Management
- HSRx Biopharmaceutical
- Humana
- Santa Lucia Foundation
- IBM Watson Health
- IlDong Pharmaceutical
- ImmunoBrain Checkpoint
- Impel NeuroPharma
- Imperial College London
- Inflazome
- Innovative California Biosciences International
- INSIGHTEC
- IntelGenx
- Intellect Neurosciences
- Intra-Cellular Therapies
- INVENT Pharmaceuticals
- Io Therapeutics
- Ionis Pharmaceuticals
- Ipsen
- Janssen Pharmaceuticals
- Jiangsu Sheneryang High-tech
- Johns Hopkins University
- JSW Lifesciences
- Jupiter Orphan Therapeutics
- KalGene Pharmaceuticals
- Kareus Therapeutics
- Karuna Pharmaceuticals
- Keio University
- Keio University School of Medicine
- K-PAX Pharmaceuticals
- KTB Network
- Kyowa Hakko Kirin
- La Caixa Banking Foundation
- New Leaf Venture Partners
- Leerink Partners
- Lincoln Park Capital
- Lipopharma
- Longeveron
- Longitude Capital
- Lonza
- Luminex
- Lumira Capital
- Lyndra Therapeutics
- M3 Biotechnology
- Maryland Technology Development
- Massachusetts Institute of Technology
- McGill University
- McLean Hospital
- MedDay Pharmaceuticals
- Medesis Pharma
- Medical Research Council Technology
- Medipost
- Mediti Pharma
- Memory Pharmaceuticals
- Merck
- Merieux Developpement
- Merz Pharmaceuticals
- Metabolic Solutions Development
- Mission Therapeutics
- Mithridion
- Mitsubishi Tanabe Pharma
- Mylan
- Myrexis
- NasVax
- National Institute on Aging
- National Institutes of Health
- National Research Council of Canada
- National University Hospital
- Nature Cell
- Neocodex
- Neuralstem
- Neuraltus Pharmaceuticals
- Neuraly
- Neurim Pharmaceuticals
- Neurocentria
- Neurodon
- Neurogeneration
- NeuroGenetic Pharmaceuticals
- Neuron Bio
- Neuronascent
- Neuronix
- NeurOp
- Neurotech Pharmaceuticals
- Neurotez
- Neurotrack
- Neurotrope Bioscience
- NeuroVentures Capital
- Neurovision Medical Products
- New World Laboratories
- New York State Psychiatric Institute
- Nichi-Iko Pharmaceuticals
- Niigata University
- Nikon
- Nord France Amorçage
- Novartis
- Novartis Venture Fund
- Novo Nordisk
- Octapharma
- Oligomerix
- Oncovision
- Optina Diagnostics
- OrbiMed
- OrbiMed Advisors
- Orion Pharma
- Oryzon
- Otsuka Pharmaceutical
- Oxford Drug Discovery Institute
- P2D Bioscience
- Pain Therapeutics
- Panorama Research
- PAREXEL International
- Pfizer
- Pfizer Venture Investments
- PharmaNeuroBoost NV
- PharmatrophiX
- Phenomenome Discoveries
- PLSG Accelerator Fund
- PMV
- Polaris Partners
- Proactive Investor
- Probiodrug
- Proclara Biosciences
- Progenra
- Project ALS
- ProMIS Neurosciences
- Proteome Sciences
- Proteostasis Therapeutics
- ProteoTech
- QMENTA
- QR Pharma
- Regenera Pharma
- RemeGenix
- reMYND
- Rentschler Biopharma
- Revalesio
- Reviva Pharmaceuticals
- Robin Hood Ventures
- Roche
- The Rockefeller University
- Rodin Therapeutics
- San Diego Regenerative Medicine Institute
- Sanford Burnham Prebys Medical Discovery Institute
- Sangamo Therapeutics
- Sanofi
- Science Exchange
- Senexis
- Servier
- Shanghai Green valley Pharmaceutical
- Shanghai Mental Health Center
- Shionogi
- Shire
- Signum Biosciences
- Sinphar Pharmaceutical
- Skyhawk Therapeutics
- Solvay Pharmaceuticals
- Sosei Heptares
- SpringWorks Therapeutics
- Stanford University
- Stanley Family Foundation
- Stemedica Cell Technologies
- Sunnybrook Health Sciences Centre
- Suven Life Sciences
- Sysmex
- T3D Therapeutics
- Takeda Pharmaceutical
- TauRx Therapeutics
- Teijin Pharma
- Tetra Discovery Partners
- Teva Pharmaceutical
- The Alzheimer’s Drug Discovery Foundation
- The Stanley Center for Psychiatric Research at Broad Institute
- The Dana Foundation
- The Foundation for Technological Innovation
- The University of British Columbia
- Tianjin Pharmaceutical Holdings
- Tonix Pharmaceuticals
- TorreyPines Therapeutics
- Transition Therapeutics
- TRB Chemedica International
- Treventis
- TVM Capital Life Science
- Umea Institute of Design
- United Neuroscience
- University College London
- University Hospital Bonn
- University Hospital of Brasília
- University of Antioquia
- University of California
- University of Colorado Denver
- University of Dundee Drug Discovery Unit
- University of Dundee
- University of Gottingen
- University of Kansas Medical Centre
- University of Kentucky
- University of Massachusetts
- University of Minnesota
- University of Rochester
- University of Southern California
- University of Texas
- University of Wisconsin
- Uppsala University
- VA Office of Research and Development
- Avalon AI
- Vanderbilt University
- Varinel
- Vertex Pharmaceuticals
- Vielight
- Vitae Pharmaceuticals
- Vivreon Biosciences
- Voyager Therapeutics
- vTv Therapeutics
- Wake Forest School of Medicine
- Wake Forest University
- Wave Life Sciences
- Wellcome Trust
- Weston Brain Institute
- Wilmar International
- Winterlight Labs
- WuXi Biologics
- Xcelthera
- XoNovo
- Yale University
- Ybrain
- Zeltia
Methodology
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