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.
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