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Pemphigus Vulgaris Market Assessment: Epidemiology, Treatment Landscape, Unmet Needs, Emerging Therapies, and Value & Access

  • Report

  • 31 Pages
  • January 2023
  • Region: Global
  • REACH Market Research
  • ID: 5996422
The MarketVue®: Pemphigus Vulgaris market landscape report combines primary (KOL interviews and survey data) and secondary market research to empower strategic decision-making and provide a complete view of the market.

Every MarketVue® includes a disease overview, epidemiology (US and EU5), current treatment, unmet needs, pipeline and access and reimbursement chapter.

Topics covered in this report:

  • Disease overview: Review the disease pathophysiology and potential druggable targets
  • Epidemiology: Understand prevalence, diagnosed and drug-treated prevalence of the population and key market segments
  • Current treatment: Understand the treatment decision tree and strengths and weaknesses of current on-label and off-label treatment
  • Unmet needs: Identify opportunities to address treatment or disease management gaps
  • Pipeline analysis: Compare current and emerging therapy clinical development strategy; their performance on efficacy, safety, and delivery metrics; and their potential to address unmet needs
  • Value and access: Review the evidence needed to assess and communicate value to key stakeholders (e.g., providers, payers, regulators) and learn what competitors have done or are doing

Methodology:

Research for the MarketVue®: Pemphigus Vulgaris report is supported by 4 qualitative interviews with key opinion leaders, a quantitative survey with 20 U.S. physicians and secondary research.

Geographies covered:

United States plus epidemiology for EU5 (France, Germany, Italy, Spain, United Kingdom).

Key companies mentioned:

  • argenx
  • Cabaletta Bio
  • National Institute of Allergy and Infectious Diseases (NIAID)

Key drugs mentioned:

  • Rituximab
  • Mycophenolate
  • Azathioprine
  • Cyclophosphamide
  • Methotrexate
  • Cyclosporine
  • Tetracycline
  • Dapsone
  • Efgartigimod (Vyvgart)
  • DSG3-CAART
  • Regulatory T Cells

Table of Contents

1. DISEASE OVERVIEW
  • A rare, progressive autoimmune disease causing blistering of the skin and mucous membranes
  • Table 1.1. Select diagnostic features of patients presenting with Pemphigus Vulgaris and Pemphigus Foliaceus
  • Underlying pathophysiology dictates current and future targets for therapy
  • Figure 1.1. The pathophysiology of pemphigus
2. EPIDEMIOLOGY & PATIENT POPULATIONS
  • Disease definition
  • Figure 2.1. Diagnosed prevalent cases of pemphigus by region in 2021
  • Table 2.1 Diagnosed incident, prevalent, and drug-treated patients in the US and EU5
3. DIAGNOSIS & CURRENT TREATMENT
  • Overview
  • Figure 3.1. Diagnostic pathway for pemphigus patients
  • Once patients reach a physician familiar with pemphigus, diagnostic testing for auto-antibodies is standard
  • Figure 3.2. Dermatologist-reported percentage of pemphigus patients misdiagnosed/not diagnosed in a timely manner
  • Table 3.1. Pemphigus severity classification used in clinical practice according to interviewed dermatologists
  • Figure 3.3. Percentage of pemphigus patients in each PDAI severity category used in clinical trials
  • Achieving complete response off long-term corticosteroid treatment is the ultimate goal
  • Figure 3.4. Dermatologist-reported proportion of pemphigus patients currently treated with drug therapy
  • Table 3.2. Key terms to know for pemphigus
  • Table 3.3. Treatment goals for pemphigus
  • Treatment flow for pemphigus
  • While there is no standard approach to treatment; FDA approval of rituximab has replaced use of steroid-sparing immunosuppressants for many physicians
  • Figure 3.5. Dermatologist-reported current treatment share for newly diagnosed PV and PF patients
  • Figure 3.6. Dermatologist-reported proportion of pemphigus patients achieving different disease response
  • Upsides and downsides of current pemphigus treatments
  • Comparison of published regimens for pemphigus
  • Table 3.4. Comparison of available clinical trial data for current pemphigus treatment regimens
  • Physician perspectives on current treatment regimens
  • Table 3.5. KOL insights on current regimens
  • Upsides and downsides of rituximab
  • Figure 3.7. Rituximab - upside and downside
  • Figure 3.8. Dermatologist-reported % of pemphigus patients not well-managed by current treatments
  • Physician perspectives on rituximab product attributes
  • Key treatment dynamics that will shape disease management and drug use in pemphigus
  • Figure 3.9. Important dynamics of pemphigus market evolution
4. UNMET NEED
  • Overview
  • Figure 4.1. Dermatologist-reported unmet needs in pemphigus
  • The need for new PV treatments is high compared to other dermatologic conditions
  • Figure 4.2. U.S. dermatologists’ rating of the need for new treatments in dermatologic conditions
  • Physician insights on the most urgent unmet needs for pemphigus
5. PIPELINE ANALYSIS
  • Overview
  • Figure 5.1. Current vs future therapeutic goals for pemphigus
  • Comparison of ongoing trials of emerging pemphigus therapies
  • Table 5.1. Comparison of ongoing trials of therapies for pemphigus
  • Efgartigimod is poised to be the next entrant to the pemphigus market; well-ahead of any competitors
  • Figure 5.2. Phase 2 results for argenx’s efgartigimod
  • Figure 5.3. Percentage of dermatologists rating CROT as “important” in a pivotal trial for a novel PV therapy
  • Figure 5.4. Efgartigimod- upside and downside
  • Dermatologists’ opinions on the PV pipeline
6. VALUE & ACCESS
  • Overview
  • Table 6.1. Pemphigus therapy pricing, U.S.
  • Table 6.2. Typical U.S. commercial payer coverage of rituximab and IVIg for pemphigus patients (Aetna, BCBS, Cigna, United)
  • Key market access dynamics that will continue to shape treatment use
  • Figure 6.1. Pemphigus patients by insurance type
  • Genetech and argenx utilize patient support programs to expand access
  • Figure 6.2. Strategies that could be used by Efgartigimod (SC) to compete with Rituximab (IV)
7. METHODOLOGY
  • Primary market research approach
  • Epidemiology methodology
  • Appendix: List of abbreviations used in pemphigus report

Samples

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Companies Mentioned

  • argenx
  • Cabaletta Bio
  • National Institute of Allergy and Infectious Diseases (NIAID)