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Overactive Bladder - Global Drug Forecast and Market Analysis to 2030

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    Report

  • 130 Pages
  • December 2021
  • Region: Global
  • GlobalData
  • ID: 5526807
The term ‘overactive bladder’ or ‘OAB’ was first coined in 1997 and is currently defined as “urinary urgency, usually accompanied by increased daytime frequency and/or nocturia, with urinary incontinence (OAB-wet) or without (OAB-dry), in the absence of urinary tract infection or other detectable disease” by the International Continence Society. The primary symptom for OAB-wet and OAB-dry patients is urinary urgency - a sudden, strong urge to urinate that is difficult to ignore. OAB is a highly prevalent condition and is associated with significant quality of life impacts. Patients with the condition are known to restrict social and working activities and are more likely to suffer with mental health conditions such as depression.

First-line pharmacotherapy for OAB typically consists of orally administered antimuscarinics, a highly genericized drug class. In the 2010s the beta-3 adrenergic receptor agonists (beta-3 agonists) Myrbetriq (mirabegron) and Gemtesa (vibegron) were approved for the treatment of OAB. Myrbetriq is the market leader in OAB and is available across all eight major markets (8MM) while, to date, Gemtesa has only been approved in Japan and the US. The neuromuscular blocking agent Botox (onabotulinumtoxinA) also represents an alternative therapeutic option for patients refractory to oral drugs.

The publisher valued global OAB sales at $2.2 billion in 2020 across the 8MM with sales of Myrbetriq accounting for a market share of 52.6%.

Key Highlights

  • The OAB market is characterized by significant untapped potential. OAB is highly prevalent but diagnosis and treatment rates remain low owing to factors such as social stigma and lack of knowledge among healthcare professionals.
  • The prevalence of OAB is expected to increase over the forecast period owing to factors such as aging populations, which will expand the treatment pool.
  • Global sales for OAB are projected to increase from $2.2 billion in 2020 to $2.8 billion in 2030 at a CAGR of 2.7%.
  • The market value is expected to decline in the early-to-mid forecast period (2020-2025) as patent expiries for key products constrain drug sales. However, the launch of several pipeline products will provide a boost to market sales in the mid-to-late forecast period (2025-2030).

Key Questions Answered

  • How does the OAB treatment landscape differ across the 8MM?
  • Which companies currently dominate the OAB market and how will this change over the forecast period?
  • To what extent will market growth be restricted by generic sales erosion?
  • Which are the most significant unmet needs in OAB and to what extent will these unmet needs be addressed over the forecast period?
  • How do the clinical and commercial attributes of late-stage pipeline products compare with one another, and against existing treatment options?

Scope

  • Overview of OAB, including classification, epidemiology, etiology, pathophysiology, diagnosis, and disease management.
  • Topline OAB therapeutics market revenue for 2020-2030 (includes annual cost of therapy and anticipated sales for major late-stage pipeline drugs).
  • Key topics covered include current treatment options, clinical trials landscape, unmet needs and opportunities, R&D strategies, drivers and barriers of market growth, current and future players, and market outlook.
  • Pipeline analysis: Emerging novel trends under development, and detailed analysis of late-stage pipeline drugs.
  • Analysis of the current and future market competition in the global OAB market. Insightful review of the key industry drivers, constraints, and challenges. Each trend is independently researched to provide qualitative analysis of its implications.

Reasons to Buy

The report will enable you to -
  • Develop and design your in-licensing and out-licensing strategies through a review of pipeline products and technologies, and by identifying the companies with the most promising pipeline assets.
  • Develop business strategies by understanding the trends shaping and driving the global OAB market.
  • Drive revenues by understanding the key trends, innovative products and technologies, market segments, and companies likely to impact the global OAB market in the future.
  • Formulate effective sales and marketing strategies by understanding the competitive landscape and by analysing the performance of various competitors.
  • Identify emerging players with potentially strong product portfolios and create effective counter-strategies to gain a competitive advantage.
  • Organize your sales and marketing efforts by identifying the market categories and segments that present maximum opportunities for consolidations, investments and strategic partnerships.

Table of Contents

1 Overactive Bladder: Executive Summary
1.1 Overactive Bladder Market to Experience Moderate Growth, Reaching $2.8 Billion by 2030
1.2 R&D Landscape Shifts Away from Orally Administered Antimuscarinics
1.3 Significant Unmet Needs to Persist Throughout Forecast Period
1.4 Urovant Sciences Has Potential to Launch the First Gene Therapy in Overactive Bladder
1.5 What Do Physicians Think?
2 Introduction
2.1 Catalyst
2.2 Related Reports
3 Disease Overview
3.1 Etiology and Pathophysiology
3.1.1 Etiology
3.1.2 Pathophysiology
3.2 Classification or Staging Systems
4 Epidemiology
4.1 Disease Background
4.2 Risk Factors and Comorbidities
4.3 Global and Historical Trends
4.4 8MM Forecast Methodology
4.4.1 Sources
4.4.2 Forecast Assumptions and Methods
4.4.3 Forecast Assumptions and Methods: Total Prevalent Cases of OAB
4.4.4 Forecast Assumptions and Methods: Total Prevalent Cases of OAB by Presentation
4.4.5 Forecast Assumptions and Methods: Total Prevalent Cases of OAB by Comorbidity
4.4.6 Diagnosed Prevalent Cases of OAB
4.5 Epidemiological Forecast for OAB (2020 - 2030)
4.5.1 Total Prevalent Cases of OAB
4.5.2 Age-Specific Total Prevalent Cases of OAB
4.5.3 Sex-Specific Total Prevalent Cases of OAB
4.5.4 Total Prevalent Cases of OAB by Presentation
4.5.5 Total Prevalent Cases of OAB by Comorbidity
4.5.6 Diagnosed Prevalent Cases of OAB
4.5.7 Age-Specific Diagnosed Prevalent Cases of OAB
4.5.8 Sex-Specific Diagnosed Prevalent Cases of OAB
4.5.9 Diagnosed Prevalent Cases of OAB by Presentation
4.5.10 Diagnosed Prevalent Cases of OAB by Comorbidity
4.6 Discussion
4.6.1 Epidemiological Forecast Insight
4.6.2 COVID-19 Impact
4.6.3 Limitations of the Analysis
4.6.4 Strengths of the Analysis
5 Disease Management
5.1 Diagnosis and Treatment Overview
5.2 KOL Insights on Disease Management
6 Competitive Assessment
6.1 Overview
7 Unmet Needs and Opportunity Assessment
7.1 Overview
7.2 Insufficient Understanding of Pathophysiological Mechanisms Underlying OAB Subtypes and Lack of Targeted Therapies
7.3 Low Diagnosis Rates
7.4 Efficacy Limitations of Marketed Drugs
7.5 Safety and Tolerability Limitations of Marketed Drugs
7.6 Poor Persistence and Adherence to Drug Treatment
8 R&D Strategies
8.1 Overview
8.1.1 Reliance on Strategic Alliances, Mergers, and Acquisitions
8.1.2 Investment in Novel Molecular Targets and Mechanisms of Action
8.1.3 Alternative Routes of Administration
8.2 Clinical Trials Design
8.2.1 Clinical Trial Protocol
8.2.2 Patient Recruitment
8.2.3 Clinical Trial Endpoints
9 Pipeline Assessment
9.1 Overview
9.2 Late-stage Drugs in Clinical Development
9.2.1 Gene Therapy
9.2.2 P2RX3 Antagonist
9.2.3 Neurite Outgrowth Enhancer
10 Pipeline Valuation Analysis
10.1 Overview
10.2 Competitive Assessment
10.2.1 Second-Line Therapy
10.2.2 Third-Line Therapy
11 Current and Future Players12 Market Outlook13 Appendix
List of Tables
Table 1: Overactive Bladder: Key Metrics in the 8MM
Table 2: Risk Factors and Comorbidities for Overactive Bladder
Table 3: Total Prevalent Cases of OAB by Comorbidity
Table 4: Diagnosed Prevalent Cases of OAB by Comorbidity
Table 5: Treatment Guidelines for Overactive Bladder
Table 6: Astellas’ Overactive Bladder Portfolio Assessment, 2021
Table 7: Pfizer’s Overactive Bladder Portfolio Assessment, 2021
Table 8: Urovant’s Overactive Bladder Portfolio Assessment, 2021
Table 9: Bayer’s Overactive Bladder Portfolio Assessment, 2021
Table 10: Taiho’s Overactive Bladder Portfolio Assessment, 2021
Table 11: Allergan’s Overactive Bladder Portfolio Assessment, 2021
Table 12: Kyorin Pharmaceutical’s Overactive Bladder Portfolio Assessment, 2021
Table 13: Overactive Bladder Market - Global Drivers and Barriers, 2020 - 2030
Table 14: Key Events Impacting Sales for OAB in the US, 2020 - 2030
Table 15: OAB Market - Drivers and Barriers in the US, 2020 - 2030
Table 16: Key Events Impacting Sales for OAB in the 5EU, 2020 - 2030
Table 17: OAB Market - Drivers and Barriers in the 5EU, 2020 - 2030
Table 18: Key Events Impacting Sales for Overactive Bladder in Japan, 2020 - 2030
Table 19: Overactive Bladder Market - Drivers and Barriers in Japan, 2020 - 2030
Table 20: Key Events Impacting Sales for OAB in China, 2020 - 2030
Table 21: Overactive Bladder Market - Drivers and Barriers in China, 2020 - 2030
Table 22: High-Prescribing Physicians (non-KOLs) Surveyed, By Country
List of Figures
Figure 1: Global Sales Forecast by Country for Overactive Bladder in 2020 and 2030
Figure 2: 8MM, Total Prevalence of OAB, Men and Women, %, Ages =5 Years, 2020
Figure 3: 8MM, Diagnosed Prevalence of Overactive Bladder, Men and Women, %, Ages =5 Years, 2020
Figure 4: 8MM, Sources Used and Not Used to Forecast the Total Prevalent Cases of OAB
Figure 5: 8MM, Sources Used to Forecast the Total Prevalent Cases of OAB by Presentation
Figure 6: 8MM, Sources Used to Forecast the Total Prevalent Cases of OAB by Comorbidity
Figure 7: 8MM, Total Prevalent Cases of Overactive Bladder, N, Both Sexes, Ages =5 Years, 2020
Figure 8: 8MM, Total Prevalent Cases of OAB by Age, N, Both Sexes, 2020
Figure 9: 8MM, Total Prevalent Cases of OAB by Sex, N, Ages =5 Years, 2020
Figure 10: 8MM, Total Prevalent Cases of OAB by Presentation, N, Both Sexes, Ages =5 Years, 2020
Figure 11: 8MM, Diagnosed Prevalent Cases of OAB, N, Both Sexes, Ages =5 Years, 2020
Figure 12: 8MM, Diagnosed Prevalent Cases of OAB by Age, N, Both Sexes, 2020
Figure 13: 8MM, Diagnosed Prevalent Cases of OAB by Sex, N, Ages =5 Years, 2020
Figure 14: 8MM, Diagnosed Prevalent Cases of OAB by Presentation, N, Both Sexes, Ages =5 Years, 2020
Figure 15: Overactive Bladder Treatment Algorithm
Figure 16: Unmet Needs and Opportunities in OAB
Figure 17: Overview of the Development Pipeline in OAB
Figure 18: Key Late-Stage Trials for the Late-Stage Pipeline Agents that Have Potential to be Licensed for OAB in the 8MM During the Forecast Period
Figure 19: Competitive Assessment of the Pipeline Drugs in the Second-line Therapy Setting Benchmarked Against the SOC, Myrbetriq
Figure 20: Competitive Assessment of the Pipeline Drugs in the Third-Line Therapy Setting Benchmarked Against the SOC, Botox
Figure 21: Global (8MM) Sales Forecast by Country for Overactive Bladder in 2020 and 2030
Figure 22: Sales Forecast by Drug Class for Overactive Bladder in the US in 2020 and 2030
Figure 23: Sales Forecast by Drug Class for Overactive Bladder in the 5EU in 2020 and 2030
Figure 24: Sales Forecast by Drug Class for Overactive Bladder in Japan in 2020 and 2030
Figure 25: Sales Forecast by Drug Class for Overactive Bladder in China in 2020 and 2030

Companies Mentioned (Partial List)

A selection of companies mentioned in this report includes, but is not limited to:

  • Allergan
  • Astellas
  • Bayer
  • DelNova
  • Dompe Farmaceutici
  • Dong-A ST Co.
  • Ion Channel Innovations
  • Johnson & Johnson
  • Kissei Pharmaceutical
  • Korea United Pharm
  • Kyorin Pharmaceutical
  • Merck & Co
  • Mezzion Pharma
  • Pfizer
  • Roivant Sciences
  • Sinovant Sciences
  • Sinsin Pharmaceutical
  • Taiho Pharmaceuticals
  • TARIS Biomedical
  • Urovant Sciences
  • Viatris
  • XuanZhu Biological Technology Co.