Chronic Pain – Unmet Need – Unmet Need – Complex Regional Pain Syndrome (US/EU)
Complex regional pain syndrome (CRPS) is a debilitating pain condition characterized by persistent pain, typically in distal limbs, with intensity and symptomology disproportionate to any underlying injury. Symptoms include hyperalgesia and/or allodynia, changes to skin color and/or temperature, edema and/or sweating, motor dysfunction, and musculoskeletal atrophy in the affected limb. No therapies are approved specifically for the treatment of CRPS, leading physicians to use a host of pharmacological, behavioral, and interventional therapies to provide symptom relief, which often results in suboptimal analgesia. As such, the unmet need in this indication is extraordinarily high, providing ample commercial opportunity for a new drug to improve CRPS treatment.
QUESTIONS ANSWERED
- In the absence of therapies with a CRPS label, what are surveyed pain specialists’ opinions of the relative performance of select therapies frequently prescribed for CRPS (e.g., pregabalin [Lyrica, generics], gabapentin, prednisolone, ketamine) on key efficacy, safety / tolerability, and convenience of administration attributes?
- What are the top areas of unmet need and opportunity in CRPS?
- Based on the responses of surveyed pain specialists, what level of unmet need exists on key drug performance attributes?
- What trade-offs in drug price and drug performance across key drug attributes are surveyed pain specialists willing to make?
PRODUCT DESCRIPTION
Provides quantitative insight into U.S. and European physician perceptions of key treatment drivers and goals and the current level of unmet need for a specific disease. Commercial opportunities are analyzed, and the extent to which emerging therapies may capitalize on these opportunities is evaluated.
Markets covered: United States, United Kingdom, France, Germany
Primary research: Survey of 60 U.S. and 31 European pain specialists fielded in January and February 2020.
Key companies: Collegium Pharmaceutical, Merck, Mission Pharmacal, Pfizer, Purdue Pharma
Key drugs: Alendronate (Fosamax, Binosto, other brands, generics), dimethyl sulfoxide (topical), gabapentin (Neurontin, generics), ketamine (Ketalar, Spravato, generics), oxycodone ER (OxyContin, Xtampza ER, generics), prednisolone, pregabalin (Lyrica, generics)
Table of contents
- Chronic Pain - Unmet Need - Unmet Need - Complex Regional Pain Syndrome (US/EU)
- Unmet Need - CRPS - TPP Simulator - March 2020
- Executive Summary
- Introduction
- Treatment Drivers and Goals
- Key Findings: Attribute Importance
- Relative Importance of Efficacy, Safety and Tolerability, Convenience of Administration, and Nonclinical Attributes to Surveyed Pain Specialists' Prescribing Decisions in CRPS
- Importance of Efficacy Attributes to Prescribing Decisions in CRPS: United States
- Importance of Efficacy Attributes to Prescribing Decisions in CRPS: Europe
- Importance of Safety and Tolerability Attributes to Prescribing Decisions in CRPS: United States
- Importance of Safety and Tolerability Attributes to Prescribing Decisions in CRPS: Europe
- Importance of Convenience of Administration Attributes to Prescribing Decisions in CRPS: United States
- Importance of Convenience of Administration Attributes to Prescribing Decisions in CRPS: Europe
- Importance of Nonclinical Factors to Prescribing Decisions in CRPS: United States
- Importance of Nonclinical Factors to Prescribing Decisions in CRPS: Europe
- Key Findings: Stated vs. Derived Importance
- Stated vs. Derived Importance of Key Efficacy, Safety and Tolerability, Convenience of Administration, and Nonclinical Attributes to Prescribing Decisions in CRPS: United States
- Stated vs. Derived Importance of Key Efficacy, Safety and Tolerability, Convenience of Administration, and Nonclinical Attributes to Prescribing Decisions in CRPS: Europe
- Product Performance Against Treatment Drivers and Goals
- Key Findings
- Overall Performance of Key Therapies for CRPS: United States
- Overall Performance of Key Therapies for CRPS: Europe
- Mean Overall Performance of Key Therapies for CRPS: United States and Europe
- Relative Performance of Key Therapies for CRPS Across Select Efficacy Attributes: United States
- Relative Performance of Key Therapies for CRPS Across Select Efficacy Attributes: Europe
- Relative Performance of Key Therapies for CRPS Across Select Safety and Tolerability Attributes: United States
- Relative Performance of Key Therapies for CRPS Across Select Safety and Tolerability Attributes: Europe
- Relative Performance of Key Therapies for CRPS Across Select Convenience of Administration Attributes: United States
- Relative Performance of Key Therapies for CRPS Across Select Convenience of Administration Attributes: Europe
- Relative Performance of Key Therapies for CRPS Across Select Nonclinical Attributes: United States
- Relative Performance of Key Therapies for CRPS Across Select Nonclinical Attributes: Europe
- Assessment of Unmet Need
- Key Findings: Unmet Need in CRPS
- Surveyed Pain Specialistsu2019 Satisfaction with the Performance of Key Therapies for CRPS on Efficacy, Safety and Tolerability, Convenience of Administration, and Nonclinical Factors: United States
- Surveyed Pain Specialistsu2019 Satisfaction with the Performance of Key Therapies for CRPS on Efficacy, Safety and Tolerability, Convenience of Administration, and Nonclinical Factors: Europe
- Surveyed Pain Specialists' Ascribed Level of Unmet Need Across Key Efficacy Attributes in CRPS: United States
- Surveyed Pain Specialists' Ascribed Level of Unmet Need Across Key Efficacy Attributes in CRPS: Europe
- Surveyed Pain Specialists' Ascribed Level of Unmet Need Across Key Safety and Tolerability Attributes in CRPS: United States
- Surveyed Pain Specialists' Ascribed Level of Unmet Need Across Key Safety and Tolerability Attributes in CRPS: Europe
- Surveyed Pain Specialists' Ascribed Level of Unmet Need Across Key Convenience of Administration Attributes in CRPS: United States
- Surveyed Pain Specialists' Ascribed Level of Unmet Need Across Key Convenience of Administration Attributes in CRPS: Europe
- Surveyed Pain Specialists' Ascribed Level of Unmet Need Across Key Nonclinical Factors in CRPS: United States
- Surveyed Pain Specialists' Ascribed Level of Unmet Need Across Key Nonclinical Factors in CRPS: Europe
- Key Findings: Unmet Need in CRPS and Related Indications
- Surveyed Pain Specialists' Ascribed Level of Unmet Need in CRPS and Related Indications: United States
- Surveyed Pain Specialists' Ascribed Level of Unmet Need in CRPS and Related Indications: Europe
- Opportunity Analysis
- Target Product Profiles
- Appendix