Gastric and Gastroesophageal Junction Adenocarcinoma Market Size and Trend Report including Epidemiology, Disease Management, Pipeline Analysis, Competitor Assessment, Unmet Needs, Clinical Trial Strategies and Forecast, 2019-2029

Gastric and Gastroesophageal Junction Adenocarcinoma Market Size and Trend Report including Epidemiology, Disease Management, Pipeline Analysis, Competitor Assessment, Unmet Needs, Clinical Trial Strategies and Forecast, 2019-2029

Summary


Gastric and gastroesophageal junction adenocarcinoma (G/GEJAC) is the fifth most common form of cancer: The standard of care in the first-line for both HER2-positive and -negative patients is now changing following the approvals of Opdivo in combination with chemotherapy for HER2-negative patients across the 8MM, and Keytruda in combination with trastuzumab/Herceptin and chemotherapy for HER2-positive patients in the US. In the US and 5EU, patients with GEJAC also have the option of receiving Keytruda in combination with chemotherapy.

The G/GEJAC market across the 8MM was valued at $1.12 billion in 2019 and is forecast to grow at a high Compound Annual Growth Rate (CAGR) of 15.5% to reach $4.72 billion by 2029. Growth will be driven by the recent expansions of Opdivo and Keytruda into the first-line metastatic setting, further expansions for multiple agents across the 8MM, and the launches of nine novel pipeline agents. Growth will be tempered by the patent expirations of current leading brands Herceptin and Cyramza. Altogether, these changes will see immunotherapies come to dominate the G/GEJAC market, as targeted therapies lose patent protection, and are increasingly used either in combination with immunotherapies, or in later lines of therapy.

Key Highlights

The main drivers of growth include the anticipated approval and launch of 12 pipeline therapies, the approval of agents currently marketed in the US across the remaining 7MM, and the label expansions of currently marketed therapies across the 8MM during the forecast period.
The main barriers to growth in the 8MM are patent expiries including those of Herceptin, Cyramza, Opdivo and Keytruda.
Among the late-stage pipeline products and marketed agents, immunotherapies are expected to dominate, with Opdivo expected to be the market leading brand.
The most important unmet needs in the G/GEJAC market include: the lack of novel drugs for stage IV patients, the lack of neoadjuvant and adjuvant treatment options for Stage II-III patients, an efficient system for evaluating the cost-effectiveness of expensive agents, and the lack of nationwide screening programs in the US and Europe.

KEY QUESTIONS ANSWERED

  • 9 late-stage pipeline agents are expected to enter the G/GEJAC market from 2022 onwards. What impact will these agents have on the market? Which of these drugs will have the highest peak sales, and why?
  • What are the current unmet needs in G/GEJAC, which pipeline agents are positioned to counter these unmet needs? What are the opportunities for R&D?
  • What is the market outlook in the 8MM from 2019-2029? Considering major patent expiries, launch of new premium priced agents and expected label expansions.
  • What are the main corporate trends? Who are the current and future players?
Scope
  • Overview of G/GEJAC including epidemiology, pathophysiology, symptoms, diagnosis, and treatment guidelines.
  • Topline G/GEJAC market revenue, annual cost of therapy, and major pipeline product sales in the forecast period.
  • Key topics covered include current treatment and pipeline therapies, unmet needs and opportunities, and the drivers and barriers affecting G/GEJAC therapeutics sales in the 8MM.
  • Pipeline analysis: Comprehensive data split across different phases, emerging novel trends under development, and detailed analysis of late-stage pipeline drugs (Phase II - III).
  • Analysis of the current and future market competition in the global G/GEJAC therapeutics market. Insightful review of the key industry drivers 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, using a detailed overview of current pipeline products and technologies to identify companies with the most robust pipelines.
  • Develop business strategies by understanding the trends shaping and driving the global G/GEJAC therapeutics market.
  • Drive revenues by understanding the key trends, innovative products and technologies, market segments, and companies likely to impact the global G/GEJAC market in the future.
  • Formulate effective sales and marketing strategies by understanding the competitive landscape and by analyzing the performance of various competitors.
  • Identify emerging players with potentially strong product portfolios and create effective counter-strategies to gain a competitive advantage.
  • Track drug sales in the global G/GEJAC therapeutics market from 2019-2029.
  • Organize your sales and marketing efforts by identifying the market categories and segments that present maximum opportunities for consolidations, investments and strategic partnerships.


1 Gastric and Gastroesophageal Junction Adenocarcinoma: Executive Summary - Updated May 2022, based on events up to May 30, 2022
1.1 Large Market Growth Forecast for the G/GEJAC Market During 2019-2029
1.2 BMS Set to Take Market-Leading Position
1.3 The Level of Unmet Need in the G/GEJAC Market is Set to Remain High
1.4 Increasing Interest in Developing Therapies for Niche Populations
1.5 Multiple Novel Therapies Set to Launch in Metastatic and Adjuvant Settings
1.6 What Do Physicians Think?
2 Introduction - Updated May 2022, based on events up to May 30, 2022
2.1 Catalyst - Market-Impacting Events Shaping Forecast Changes
2.2 Related Reports
2.3 Upcoming 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
4.3.1 8MM, Trends in the Diagnosed Incidence
4.4 Forecast Methodology
4.4.1 Sources
4.4.2 Forecast Assumptions and Methods
4.5 Epidemiological Forecast for Gastric Cancer (2019-2029)
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 - Updated May 2022, based on events up to May 30, 2022
5.1 Diagnosis and Treatment Overview
5.2 US
5.3 Europe
5.4 Japan
5.5 South Korea
5.6 KOL Insights on Disease Management
6 Competitive Assessment - Updated May 2022, based on events up to May 30, 2022
6.1 Overview
7 Unmet Needs and Opportunity Assessment - Updated May 2022, based on events up to May 30, 2022
7.1 Overview
7.2 Novel Drugs to Address Stage IV G/GEJAC Patients
7.3 Lack of Treatment Options for Patients with Stage II-III G/GEJAC in the Adjuvant/Neoadjuvant Setting
7.4 Demanding Evaluation of Cost-Effectiveness Impacting Approval and Reimbursement Across the 8MM
7.5 Disparity in Adoption of Nationwide Screening Programs Hinders Early-Stage Disease Diagnosis in the US and 5EU
8 R&D Strategies - Updated May 2022, based on events up to May 30, 2022
8.1 Overview
8.1.1 The Development of HER2-Targeting Therapies with Novel MOAs
8.1.2 Investigation of Novel Immunotherapy Targets and Combinations with Targeted Agents
8.1.3 The Development of Novel Targets for Specific Populations
8.2 Clinical Trials Design
8.2.1 Use of Appropriate Agents in Comparator Arm in Trials
8.2.2 Use of Preferred Chemotherapy Regimens in Combination Treatment
9 Pipeline Assessment - Updated May 2022, based on events up to May 30, 2022
9.1 Overview
9.2 Promising Drugs in Clinical Development
10 Pipeline Valuation Analysis - Updated May 2022, based on events up to May 30, 2022
10.1 Overview
10.2 Competitive Assessment.
11 Current and Future Players - Updated May 2022, based on events up to May 30, 2022
11.1 Overview
11.2 Deal-Making Trends
12 Market Outlook - Updated May 2022, based on events up to May 30, 2022
13 Appendix
List of Tables
Table 1: G/GEJAC: Key Metrics in the 8MM
Table 2: Stage Definitions for Gastric Cancer
Table 3: Risk Factors for Gastric Cancer
Table 4: Treatment Guidelines for G/GEJAC
Table 5: Generic Chemotherapy Regimens Indicated for Gastric Cancer
Table 6: Top 10 Deals by Value, 2018-21
Table 7: G/GEJAC Market - Global Drivers and Barriers, 2019-29
Table 8: Key Events Impacting Sales for G/GEJAC in the US, 2019-29
Table 9: G/GEJAC Market - Drivers and Barriers in the US, 2019-29
Table 10: Key Events Impacting Sales for G/GEJAC in the 5EU, 2019-29
Table 11: G/GEJAC Market - Drivers and Barriers in the 5EU, 2019-29
Table 12: Key Events Impacting Sales for G/GEJAC in Japan, 2019-29
Table 13: G/GEJAC Market - Drivers and Barriers in Japan, 2019-29
Table 14: Key Events Impacting Sales for G/GEJAC in South Korea, 2019-29
Table 15: G/GEJAC Market - Drivers and Barriers in South Korea, 2019-2029
Table 16: High-Prescribing Physicians (non-KOLs) Surveyed, By Country
List of Figures
Figure 1: Global Sales Forecast by Country for G/GEJAC in 2019 and 2029
Figure 2: Analysis of the Company Portfolio Gap in G/GEJAC During the Forecast Period
Figure 3: Competitive Assessment of the Late-Stage Pipeline Agents that GlobalData Expects to be Licensed for the Treatment of G/GEJAC in the Adjuvant/Neoadjuvant Setting During the Forecast Period
Figure 4: Competitive Assessment of the Late-Stage Pipeline Agents that GlobalData Expects to be Licensed for the Treatment of G/GEJAC in the HER2-Positive Setting During the Forecast Period
Figure 5: Competitive Assessment of the Late-Stage Pipeline Agents that GlobalData Expects to be Licensed for the Treatment of G/GEJAC in the HER2-Negative Setting During the Forecast Period
Figure 6: 8MM, Diagnosed Incidence of Gastric Cancer, Men, Ages ≥20 Years, 2009-2029, Cases Per 100,000 Population
Figure 7: 8MM, Diagnosed Incidence of Gastric Cancer, Women, Ages ≥20 Years, 2009-2029, Cases Per 100,000 Population
Figure 8: Sources Used and Not Used for Diagnosed Incident Cases of Gastric Cancer
Figure 9: Sources Used for Diagnosed Incident Cases of Gastric Cancer by Stage at Diagnosis
Figure 10: Sources Used for Five-Year Diagnosed Prevalent Cases of Gastric Cancer
Figure 11: Sources Used for Diagnosed Incident Cases of Gastric Cancer with HER2 Overexpression
Figure 12: Sources Used for Diagnosed Incident Cases of Gastric Cancer with PD-L1 Expression
Figure 13: Sources Used for Diagnosed Incident Cases of Gastric Cancer with MSI
Figure 14: Sources Used for Diagnosed Incident Cases of Gastric Cancer with NTRK Gene Fusions
Figure 15: Sources Used for Diagnosed Incident Cases of GEJ Cancer
Figure 16: Sources Used for Diagnosed Incident Cases of Gastric Cancer, excluding GEJ Cancer
Figure 17: Sources Used for Diagnosed Incident Cases of Gastric Adenocarcinoma
Figure 18: 8MM, Diagnosed Incident Cases of Gastric Cancer, Men and Women, Ages ≥20 Years, 2019
Figure 19: 8MM, Age-Specific Diagnosed Incident Cases of Gastric Cancer, Men and Women, Ages ≥20 Years, 2019
Figure 20: 8MM, Sex-Specific Diagnosed Incident Cases of Gastric Cancer, Men and Women, Ages ≥20 Years, 2019, N
Figure 21: 8MM, Five-Year Diagnosed Prevalent Cases of Gastric Cancer, Men and Women, Ages ≥20 Years, 2019
Figure 22: 8MM, Diagnosed Incident Cases of Gastric Cancer by Stage at Diagnosis, Men and Women, Ages ≥20 Years, 2019
Figure 23: 8MM, Diagnosed Incident Cases of Gastric Cancer with HER2 Overexpression, Men and Women, Ages ≥20 Years, 2019
Figure 24: 8MM, Diagnosed Incident Cases of Gastric Cancer with PD-L1 Expression, Men and Women, Ages ≥20 Years, 2019
Figure 25: 8MM, Diagnosed Incident Cases of Gastric Cancer with MSI, Men and Women, Ages ≥20 Years, 2019
Figure 26: 8MM, Diagnosed Incident Cases of Gastric Cancer with NTRK Gene Fusions, Men and Women, Ages ≥20 Years, 2019
Figure 27: 8MM, Diagnosed Incident Cases of GEJ Cancer, Men and Women, Ages ≥20 Years, 2019
Figure 28: 8MM, Diagnosed Incident Cases of Gastric Cancer, Excluding GEJ Cancer, Men and Women, Ages ≥20 Years, 2019
Figure 29: 8MM, Diagnosed Incident Cases of Gastric Adenocarcinoma, Men and Women, Ages ≥20 Years, 2019
Figure 30: Treatment for G/GEJAC Patients Based on HER2 Status
Figure 31: Unmet Needs and Opportunities in G/GEJAC
Figure 32: Overview of the Development Pipeline in G/GEJAC
Figure 33: Key Late-Stage Trials for the Promising Pipeline Agents that GlobalData Expects to Be Licensed for G/GEJAC in the 8MM During the Forecast Period
Figure 34: Competitive Assessment of the Marketed and Pipeline Drugs Benchmarked Against the SOC, Chemotherapy/Chemoradiation, in the Neoadjuvant/Adjuvant Setting
Figure 35: Competitive Assessment of the Marketed and Pipeline Drugs Benchmarked Against the SOC, Herceptin, in the HER2-Positive Metastatic Setting
Figure 36: Competitive Assessment of the Marketed and Pipeline Drugs Benchmarked Against the SOC, Chemotherapy, in the HER2-Negative Metastatic Setting
\Figure 37: Analysis of the Company Portfolio Gap in G/GEJAC During the Forecast Period
Figure 38: Global (8MM) Sales Forecast by Country for G/GEJAC in 20191 and 2029
Figure 39: Sales Forecast by Class for G/GEJAC in the US in 2019 and 2029
Figure 40: Sales Forecast by Class for G/GEJAC in the 5EU in 2019 and 2021
Figure 41: Sales Forecast by Class for G/GEJAC in Japan in 2019 and 2029
Figure 42: Sales Forecast by Class for G/GEJAC in South Korea in 2019 and 2029

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