+353-1-416-8900REST OF WORLD
+44-20-3973-8888REST OF WORLD
1-917-300-0470EAST COAST U.S
1-800-526-8630U.S. (TOLL FREE)
Sale

Metastatic Colorectal Cancer - Epidemiology Forecast - 2032

  • PDF Icon

    Drug Pipelines

  • 154 Pages
  • February 2022
  • Region: Global
  • DelveInsight
  • ID: 5238580
UP TO OFF until Dec 31st 2024
This Metastatic Colorectal Cancer (mCRC)- Epidemiology Forecast-2032 report delivers an in-depth understanding of the mCRC, historical and forecasted epidemiology as well as the mCRC trends in the United States, EU5 (Germany, Spain, Italy, France, and United Kingdom), and Japan.

Geography Covered

  • The United States
  • EU5 (Germany, France, Italy, Spain, and the United Kingdom)
  • Japan

Study Period: 2019-2032

Metastatic Colorectal Cancer mCRC Understanding


The mCRC epidemiology report gives a thorough understanding of mCRC by including details such as disease definition, symptoms, causes, pathophysiology, and diagnosis. Colorectal cancer (CRC) is the third most common, with metastasis being the major cause of death in the majority of patients. CRC starts in the colon or the rectum. These cancers can also be called colon cancer or rectal cancer, depending on where they start. Colon cancer and rectal cancer are often grouped because they have many features in common. CRC may develop when polyps, mushroom-like growths inside the colon, grow and become cancerous or cells along the lining of the colon or rectum mutate and grow out of control, forming a tumor.

CRC that spreads, or metastasizes, to the lungs, liver, or any other organ is called metastatic colorectal cancer (mCRC). The most common site of metastases for colon or rectal cancer in the liver. CRC cells may also spread to the lungs, bones, brain, or spinal cord. If a person has been treated for CRC and cancer cells have been found in these areas, it may be a sign that the original CRC has spread. mCRC is different from recurrent CRC.

Generally, most CRCs (95%) are considered sporadic, meaning the genetic changes develop by chance after a person is born, so there is no risk of passing these genetic changes on to one's children. Inherited CRCs are less common (5%) and occur when gene mutations, or changes, are passed within a family from one generation to the next. Often, the cause of CRC is not known.

Most CRCs start as a growth on the inner lining of the colon or rectum. These growths are called polyps. Some types of polyps can change into cancer over time (usually many years), but not all polyps become cancer. The chance of a polyp turning into cancer depends on the type of polyp it is.

If cancer forms in a polyp, it can grow into the wall of the colon or rectum over time. The wall of the colon and rectum is made up of many layers. CRC starts in the innermost layer (the mucosa) and can grow outward through some or all of the other layers. When cancer cells are in the wall, they can then grow into blood vessels or lymph vessels (tiny channels that carry away waste and fluid). From there, they can travel to nearby lymph nodes or distant parts of the body. The stage (extent of spread) of a CRC depends on how deeply it grows into the wall and if it has spread outside the colon or rectum.

Diagnosis


The first and foremost step in evaluating, Patients can present with a wide range of signs and symptoms such as occult or overt rectal bleeding, change in bowel habits, anemia, or abdominal pain. However, CRC is largely an asymptomatic disease until it reaches an advanced stage. By contrast, rectal bleeding is a common symptom of both benign and malignant causes. Therefore additional risk factors might be needed to help identify those people who should undergo further investigation by colonoscopy. New-onset rectal bleeding should generally prompt colonoscopy in individuals aged 45 years or older. In younger patients, additional factors are used to identify those at highest risk for CRC (e.g., having a family history of CRC, change in bowel habits, unexplained weight loss, and blood mixed with the stool as opposed to blood on the surface of the stool).

For diagnosing CRC, colonoscopy is the method of choice. Colonoscopy identification of advanced lesions is relatively straightforward, but early CRCs might appear as very subtle mucosal lesions (e.g., an innocuous flat laterally spreading polyp), imaging, laboratory, pathology, biopsy, blood test, tumor based tests, etc.

Metastatic Colorectal Cancer (mCRC) Epidemiology


The epidemiology section provides insights about the historical and current mCRC patient pool and forecasted trends for individual seven major countries. It helps to recognize the causes of current and forecasted trends by exploring numerous studies and views of key opinion leaders. This part of the report also provides the diagnosed patient pool and their trends along with assumptions undertaken.

Key Findings


The disease epidemiology covered in the report provides a historical as well as forecasted mCRC epidemiology scenario in the 7MM covering the United States, EU5 countries (Germany, Spain, Italy, France, and the United Kingdom), and Japan from 2019 to 2032.

In the year 2021, the total incident cases of mCRC were 241,115 cases in the 7MM which are expected to grow during the study period, i.e., 2019-2032.

The disease epidemiology covered in the report provides historical as well as forecasted mCRC epidemiology [segmented as Total Incident Cases of CRC and Total Incident Cases of mCRC] in the 7MM covering the United States, EU5 countries (Germany, France, Italy, Spain, and the United Kingdom), and Japan from 2019 to 2032.

Country Wise- Metastatic Colorectal Cancer mCRC Epidemiology


The epidemiology segment also provides the mCRC epidemiology data and findings across the United States, EU5 (Germany, France, Italy, Spain, and the United Kingdom), and Japan.

KOL-Views


To keep up with the current mCRC patient pool and forecasted trend, we take KOLs and SMEs ' opinions working in the mCRC domain through primary research to fill the data gaps and validate our secondary research. Their opinion helps to understand and validate the patient pool and forecasted trend.

Scope of the Report

  • The report covers the descriptive overview of mCRC, explaining their causes, symptoms, pathophysiology, and genetic basis.
  • The report provides insight into the 7MM historical and forecasted patient pool covering the United States, EU5 countries (Germany, France, Italy, Spain, and the United Kingdom), and Japan.
  • The report assesses the disease risk and burden and highlights the unmet needs of mCRC.
  • The report helps to recognize the growth opportunities in the 7MM concerning the patient population.
  • The report provides the segmentation of the disease epidemiology for 7MM by Total Incident cases of CRC and Total incident cases of mCRC.

Report Highlights

  • The companies and academics are working to assess challenges and seek opportunities that could influence mCRC R&D. The therapies under development are focused on novel approaches to treat/improve the disease condition
  • A better understanding of disease pathogenesis will also contribute to the development of novel therapeutics for mCRC
  • Our in-depth analysis of the pipeline assets across different stages of development (Phase III and Phase II), different emerging trends, and comparative analysis of pipeline products with detailed clinical profiles, key cross-competition, launch date along with product development activities will support the clients in the decision-making process regarding their therapeutic portfolio by identifying the overall scenario of the research and development activities

Metastatic Colorectal Cancer mCRC Report Key Strengths

  • 11 Years Forecast
  • 7MM Coverage
  • mCRC Epidemiology Segmentation

Key Questions Answered


Epidemiology Insights:

  • What are the disease risk, burden, and regional/ethnic differences of mCRC?
  • What are the key factors driving the epidemiology trend for seven major markets covering the United States, EU5 (Germany, Spain, France, Italy, UK), and Japan?
  • What is the historical mCRC patient pool in seven major markets covering the United States, EU5 (Germany, Spain, France, Italy, UK), and Japan?
  • What would be the forecasted patient pool of mCRC in seven major markets covering the United States, EU5 (Germany, Spain, France, Italy, UK), and Japan?
  • Where will be the growth opportunities in the 7MM concerning the patient population about mCRC?
  • Out of all 7MM countries, which country would have the highest incident population of mCRC during the forecast period (2019-2032)?
  • At what CAGR the patient population is expected to grow by 7MM during the forecast period (2019-2032)?

Reasons to Buy

  • The report will help in developing business strategies by understanding trends shaping and driving the mCRC Disease market
  • To understand the future market competition in the mCRC Disease market and Insightful review of the key market drivers and barriers
  • Organize sales and marketing efforts by identifying the best opportunities for mCRC Disease in the US, Europe (Germany, Spain, Italy, France, and the United Kingdom), and Japan
  • Identification of strong upcoming players in the market will help in devising strategies that will help in getting ahead of competitors
  • Organize sales and marketing efforts by identifying the best opportunities for the mCRC Disease market
  • To understand the future market competition in the mCRC Disease market

Table of Contents

1. Key Insights2. Report Introduction
3. Metastatic Colorectal Cancer (mCRC) Market Overview at a Glance
3.1. Market Share (%) Distribution of mCRC in 2019
3.2. Market Share (%) Distribution of mCRC in 2032
4. Executive Summary of Metastatic Colorectal Cancer (mCRC)
4.1. Key Events
5. Epidemiology and Market Methodology
6. Disease Background and Overview
6.1. Introduction
6.2. Causes
6.3. Symptoms
6.4. CRC Staging
6.5. Risk Factors of CRC
6.6. Molecular Subtypes of CRC
6.7. Mechanisms of Metastasis in CRC
6.8. Drug Resistance in mCRC
6.9. Clinical Presentation of mCRC
6.10. Unusual Sites of Metastasis in CRC
6.10.1. Uterine Metastasis
6.10.2. Penile Metastasis
6.10.3. Scrotal Metastasis
6.10.4. Prostatic Metastasis
6.10.5. Bladder Metastasis
6.10.6. Peritoneal Pseudomyxoma
6.10.7. Abdominal Wall Metastasis
6.10.8. Bone Metastasis
6.10.9. Carcinomatous Lymphangitis
6.10.10. Adenopathies
6.10.11. Pancreatic Metastasis
6.11. Biomarkers in mCRC
6.11.1. Prognostic Biomarkers
6.11.2. Patient-Related Factors
6.11.3. Tumor-related Factors
6.11.4. Predictive Biomarkers
6.11.5. Markers to Predict 5-FU Response and Toxicity
6.11.6. Predicting Response to EGFR Therapy
6.11.7. Predicting Response to VEGF Inhibitors
6.11.8. Technology-Facilitated Biomarkers
6.12. Diagnosis
6.12.1. Clinical symptoms
6.12.2. Endoscopy
6.12.3. Imaging
6.12.4. Laboratory
6.12.5. Pathology
6.12.6. Biopsy
6.12.7. Molecular Testing of the Tumor
6.12.8. Blood Tests
6.12.9. Tumor-based Tests
6.12.10. Diagnosis of colorectal liver metastasis
7. Recognized Establishments
8. Treatment of Metastatic Colorectal Cancer (mCRC)
8.1. Initial/First-line Treatment of mCRC
8.2. Second and Third-line Treatment of mCRC
8.3. Therapies using medication
8.4. Surgery
8.5. Adjuvant therapy
8.6. Follow-up
8.7. Palliation
8.8. Maintenance Therapy
8.9. Treatment of Colon Cancer That Has Metastasized to a Single Site
9. Treatment of Patients with Late-stage Colorectal Cancer: ASCO Resource-Stratified Guideline (2020)
10. ESMO consensus guidelines for the management of patients with metastatic colorectal cancer (2016)
10.1. Recommendations
10.1.1. Recommendation 1: Tissue handling
10.1.2. Recommendation 2: A selection of specimens for biomarker testing
10.1.3. Recommendation 3: Tissue selection
10.1.4. Recommendation 4: RAS testing
10.1.5. Recommendation 5: BRAF testing
10.1.6. Recommendation 6: MSI testing
10.1.7. Recommendation 7: Biomarkers of chemotherapy sensitivity and toxicity
10.1.8. Recommendation 8: Emerging biomarkers not recommended for routine patient management outside of a clinical trial setting
10.1.9. Recommendation 9: Emerging technologies
10.1.10. Recommendation 10: OMD
10.1.11. Recommendation 11: Imaging in the identification and management of disease
10.1.12. Recommendation 12: Perioperative treatment
10.1.13. Recommendation 13: Conversion therapy
10.1.14. Recommendation 14: Ablative techniques
10.1.15. Recommendation 15: Local ablation techniques
10.1.16. Recommendation 16: Embolization
10.1.17. Recommendation 17: Cytoreductive surgery and HIPEC
10.1.18. Recommendation 18: First-line systemic therapy combinations according to the targeted agent used
10.1.19. Recommendation 19: Maintenance therapy
10.1.20. Recommendation 20: Second-line combinations with targeted agents
10.1.21. Recommendation 21: Third-line therapy
10.2. Consensus recommendations on the use of cytotoxics and biologicals in the first- and subsequent-line treatment of patients with mCRC
10.2.1. Consensus recommendation for patients where cytoreduction with 'conversion' and/or the integration of local ablative treatment is the goal
10.2.2. Consensus recommendation for patients where cytoreduction is needed because of aggressive biology and/or risk of developing or existing severe symptoms
10.2.3. Consensus recommendation for patients where disease control is the goal
11. National Institute for Health and Care Excellence (NICE) Guidelines: Colorectal Cancer (2020)
11.1. Management of metastatic disease
11.1.1. People with asymptomatic primary tumor
11.1.2. People with mCRC in the liver
11.1.3. People with metastatic colorectal cancer in the lung
11.1.4. People with metastatic colorectal cancer in the peritoneum
11.2. Ongoing care and support
11.2.1. Follow-up for detection of local recurrence and distant metastases
12. Management of metastatic colorectal cancer patients: guidelines of the Italian Medical Oncology Association (AIOM) (2016)
12.1. Metastatic CRC Treatment Recommendations
12.1.1. Evaluation of elderly patients
12.1.2. Surgery for advanced disease
12.1.3. Locoregional treatments
13. Treatment guidelines of metastatic colorectal cancer in older patients from the French Society of Geriatric Oncology (SoFOG)
13.1. Recommendations on palliative chemotherapy indication for older patients with mCRC
13.2. Recommendations for cytotoxic chemotherapy in older patients:
13.3. Anti-angiogenic recommendations for older:
13.4. Recommendations for anti-EGFR, regorafenib and trifluridinetipiracil in older patients:
14. Spanish Society of Medical Oncology (SEOM) clinical guidelines for diagnosis and treatment of metastatic colorectal cancer (2018)
15. Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines for the treatment of colorectal cancer- 2019
15.1. Treatment strategies for Stage IV CRC
15.2. Treatment strategies for hematogenous metastases
15.2.1. Treatment strategies for liver metastases
15.2.2. Treatment strategies for brain metastases
15.2.3. Treatment strategies for hematogenous metastases to other organs
16. National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines for Colon and Rectal Cancer (2021)
17. Epidemiology and Patient Population
17.1. Key Findings
17.2. Epidemiology of Metastatic Colorectal Cancer (mCRC)
17.3. Epidemiology Scenario
17.3.1. Total Incident Cases of Colorectal Cancer (CRC)
17.3.2. Total Incident Cases of Metastatic Colorectal Cancer (mCRC)
18. Appendix
18.1. Bibliography
18.2. Report Methodology
19. Publisher Capabilities20. Disclaimer21. About the Publisher
List of Tables
Table 1: Summary of Metastatic Colorectal Cancer, Market, Epidemiology, and Key Events (2019-2032)
Table 2: AJCC Staging for CRC
Table 3: Prognostic factors in mCRC
Table 4: Predictive factors for targeted therapies in mCRC
Table 5: The list of biomarkers used in the clinical practice of mCRC
Table 6: Recognized Establishments
Table 7: Percentage of patients that are prescribed different lines of treatment for mCRC
Table 8: Recommendations on Diagnosis
Table 9: Recommendations on Staging
Table 10: First-Line Treatment
Table 11: Recommendations on Second-Line Systemic Colorectal Metastatic Treatment
Table 12: Recommendations on Third-Line and Fourth-Line Systemic Colorectal Metastatic Treatment
Table 13: Recommendations on Liver-Directed Therapies in Patients with mCRC
Table 14: Summary Treatment Options for Late-Stage CRC
Table 15: Recommendations on Surveillance/Follow-up
Table 16: mCRC: SIGN recommendations
Table 17: mCRC treatment: GRADE recommendations
Table 18: Evaluation of elderly patients: SIGN recommendations
Table 19: Surgery: SIGN recommendations
Table 20: Liver-directed therapies: SIGN recommendations
Table 21: Non-liver-directed therapies: SIGN recommendations
Table 22: Recommendations for diagnosis and treatment of mCRC
Table 23: Total Incident Cases of Metastatic Colorectal Cancer (CRC) in the 7MM (2019-2032)
Table 24: Total Incident Cases of Metastatic Colorectal Cancer (mCRC) in the 7MM (2019-2032)
List of Figures
Figure 1: Epidemiology and Market Methodology
Figure 2: Mechanisms of metastasis in CRC- hematogenous versus peritoneal spread
Figure 3: Current and emerging biomarkers used in personalizing treatment for patients with mCRC
Figure 4: EGFR signaling pathway with potential predictive markers
Figure 5: VEGF signaling pathway
Figure 6: NCCN Guidelines for Colon Cancer
Figure 7: NCCN Guidelines for the treatment of Rectal Cancer
Figure 8: Total Incident Cases of CRC in the 7MM (2019-2032)
Figure 9: Total Incident Cases of mCRC in the 7MM (2019-2032)