{"id":390526,"date":"2018-12-14T00:00:00","date_gmt":"2018-12-14T00:00:00","guid":{"rendered":"https:\/\/clarivate.com\/life-sciences-healthcare\/report\/dlsfmd0003-2018-biopharma-non-alcoholic-steatohepatitis-nash-disease-landscape-and-forecast-g7-2018\/"},"modified":"2026-03-31T10:47:36","modified_gmt":"2026-03-31T10:47:36","slug":"dlsfmd0003-2018-biopharma-non-alcoholic-steatohepatitis-nash-disease-landscape-and-forecast-g7-2018","status":"publish","type":"report","link":"https:\/\/clarivate.com\/life-sciences-healthcare\/report\/dlsfmd0003-2018-biopharma-non-alcoholic-steatohepatitis-nash-disease-landscape-and-forecast-g7-2018\/","title":{"rendered":"Non-Alcoholic Steatohepatitis (NASH) | Disease Landscape and Forecast | G7 | 2018"},"content":{"rendered":"<p>Nonalcoholic steatohepatitis (<abbr data-original-title=\"nonalcoholic steatohepatitis\" title=\"\">NASH<\/abbr>) has the potential to be a large and lucrative market for pharmacotherapies owing to the lack of approved agents and the prevalence of the disease. The body of evidence for the financial costs of the disease is growing, particularly with respect to cardiovascular (<abbr data-original-title=\"cardiovascular\" title=\"\">CV)<\/abbr>\u00a0disease, liver failure, and the fact that\u00a0<abbr data-original-title=\"nonalcoholic steatohepatitis\" title=\"\">NASH<\/abbr>\u00a0will quickly become the leading reason for liver transplantation. The lack of treatment options and the limited awareness of the disease and its complications haveresulted in low diagnosis and treatment rates. However, as education increases, novel diagnostic tools are developed, and new therapies are approved, diagnosis and treatment rates will increase, driving growth of the market overall. Currently, only off-label medications are available for NASH; they will sustain the small market over the first half of the 2017-2027 forecast period, until the anticipated approval and launch of the first wave of emerging therapies: Intercept Pharmaceutical\u2019s obeticholic acid, Gilead\u2019s selonsertib, Genfit\u2019s elafibranor, and Allergan\u2019s cenicriviroc. We anticipate gradual uptake of the new therapies, but if and when their long-term safety, liver-related benefits, and reductions in mortality are demonstrated later in the forecast period, their uptake will accelerate. These novel therapies will be able to command high prices owing to the innovation they provide for an indication without pharmacotherapeutic options. However, pricing strategies must take into account payers\u2019 budgets and patients\u2019 compliance owing to the relatively slow natural history of\u00a0<abbr data-original-title=\"nonalcoholic steatohepatitis\" title=\"\">NASH<\/abbr>\u00a0and the need for long-term treatment.<\/p>\n<p><strong>Questions Answ<\/strong><strong>ered:<\/strong><\/p>\n<ul>\n<li>Prescribing medication off-label for\u00a0<abbr data-original-title=\"nonalcoholic steatohepatitis\" title=\"\">NASH<\/abbr>\u00a0is common practice, given the lack of approved medications.\u00a0<b>How will the availability of the first novel branded\u00a0<abbr data-original-title=\"nonalcoholic steatohepatitis\" title=\"\">NASH<\/abbr>agents affect the prescribing landscape?<\/b><\/li>\n<li>Physicians, especially in the primary care environment, are not aware of the importance of diagnosis and treatment of\u00a0<abbr data-original-title=\"nonalcoholic steatohepatitis\" title=\"\">NASH<\/abbr>.<b>\u00a0Is their attitude expected to change over the forecast period? How will physicians\u2019 lack of experience with\u00a0<abbr data-original-title=\"nonalcoholic steatohepatitis\" title=\"\">NASH<\/abbr>\u00a0affect the uptake of novel medications?<\/b><\/li>\n<li>Diagnosis rates in the United States,\u00a0<abbr data-original-title=\"France, Germany, Italy, Spain, UK\" title=\"\">EU5<\/abbr>, and Japan remain exceptionally low due to the lack of noninvasive diagnostic tests.<b>\u00a0How will the availability of new noninvasive diagnostic tests for\u00a0<abbr data-original-title=\"nonalcoholic steatohepatitis\" title=\"\">NASH<\/abbr>\u00a0(i.e., serum biomarkers or imaging) affect the diagnosis and treatment rates in the countries under study?<\/b><\/li>\n<\/ul>\n<p><strong>Scope:<\/strong><\/p>\n<p><b>Markets covered:<\/b>\u00a0United States, France, Germany, Italy, Spain, United Kingdom, Japan.<\/p>\n<p><b>Primary research:\u00a0<\/b>20 country-specific interviews with\u00a0<abbr data-original-title=\"nonalcoholic steatohepatitis\" title=\"\">NASH<\/abbr>\u00a0thought leaders.<\/p>\n<p><b>Epidemiology:\u00a0<\/b>Prevalent cases of\u00a0<abbr data-original-title=\"nonalcoholic steatohepatitis\" title=\"\">NASH<\/abbr>.<\/p>\n<p><b>Emerging therapies:\u00a0<\/b>Phase II: 40 drugs; Phase III: 4 drugs; preregistration: 0 drugs; registered: 0 drugs. Coverage of select preclinical and Phase I products.<\/p>\n<p><b>Key Companies:\u00a0<\/b>Intercept Therapeutics, Gilead, Genfit, Allergan, Galectin Therapeutics, Galmed Pharmaceuticals, Madrigal Pharmaceuticals, Viking Therapeutics, Immuron, NGM Bio, Novartis, Bristol-Myers Squibb, Conatus Pharmaceuticals.<\/p>\n<p><b>Key Drugs:\u00a0<\/b>Obeticholic acid, selonsertib, elafibranor, cenicrivirox, GR-MD-02, Aramchol, MGL-3196, VK-2809, IMM-124E, NGM-282, tropifexor, BMS-986036, emricasan, vitamin E, ursodeoxycholic acid, pioglitazone, metformin,\u00a0<abbr data-original-title=\"glucagon-like peptide\" title=\"\">GLP<\/abbr>-1 receptor agonists,\u00a0<abbr data-original-title=\"sodium glucose cotransporter\" title=\"\">SGLT<\/abbr>\u00a0inhibitors, statins.<\/p>\n","protected":false},"template":"","class_list":["post-390526","report","type-report","status-publish","hentry","report-gateway-biopharma","biopharma-therapy-areas-cardiovascular","biopharma-therapy-areas-non-alcoholic-steatohepatitis-nash","biopharma-date-920"],"acf":[],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report\/390526","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report"}],"about":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/types\/report"}],"version-history":[{"count":1,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report\/390526\/revisions"}],"predecessor-version":[{"id":393650,"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/report\/390526\/revisions\/393650"}],"wp:attachment":[{"href":"https:\/\/clarivate.com\/life-sciences-healthcare\/wp-json\/wp\/v2\/media?parent=390526"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}