Peripheral arterial disease (PAD) is a common manifestation of systemic atherosclerosis affecting the arteries in the lower extremities. This condition is considered a major marker for systemic ischemic events such as stroke and myocardial infarction. Given that asymptomatic patients make up a large percentage of the total PAD population, it is largely underdiagnosed, under-recognized, and undertreated. However, there is growing recognition that optimal management of PAD requires aggressive secondary prevention measures. PAD treatment is dominated by well-established generic drugs, restricting the overall market value, but emerging therapies, such as stem cell therapies, could significantly boost the market. Overall, the increasing number of prevalent cases, combined with substantial unmet needs and the development of novel therapies, makes the treatment of PAD a high-growth opportunity.
QUESTIONS ANSWERED
There is a substantial treatment gap in PAD; a considerable percentage of patients remaining undiagnosed and untreated. How do thought leaders believe this treatment gap can be reduced?
What are the key pharmacotherapeutic agents used for PAD? What are the major unmet needs, according to thought leaders?
How active is research and development for PAD? What are thought leaders' opinions of the novel therapies in development?
How will the PAD market grow with the emergence of new branded therapies, and how will these agents impact treatment practice?
CONTENT HIGHLIGHTS
Geographies: United States, France, Germany, Italy, Spain, United Kingdom, Japan.
Primary research: 17 country-specific interviews with thought-leading PAD experts. Supported by survey data collected for this and other Clarivate research.
Epidemiology: Prevalence of PAD by country, segmented by disease severity and diagnosed and drug-treated populations.
Emerging therapies: Coverage of select emerging therapies from preclinical to preregistration stages.
Market forecast features: Ten-year, annualized, drug-level sales and patient share of key PAD therapies through 2029, segmented by brands / generics and epidemiological subpopulations
PRODUCT DESCRIPTION
Disease Landscape & Forecast provides comprehensive market intelligence with world-class epidemiology, keen insight into current treatment paradigms, in-depth pipeline assessments, and drug forecasts supported by detailed primary and secondary research.
SOLUTION ENHANCEMENT
Disease Landscape & Forecast will feature continuous updates in 2021 to provide timely insights and analyses as meaningful indication-specific news and events unfold.
The Response-to-Injury Hypothesis of Atherosclerosis
Atherosclerotic Plaque Architecture
American Heart Associationu2019s Atherosclerotic Lesion Classifications
Atherosclerotic Plaque Rupture
Features and Consequences of Plaque Erosion
Thrombus Formation
Disease Stages of Peripheral Arterial Disease
Comparison of the Classification Systems for Peripheral Arterial Disease
Key Pathways and Drug Targets
Peripheral Arterial Disease Drug Targets
Epidemiology
Key Findings
Epidemiology Populations
Total Prevalent Cases of Peripheral Arterial Disease: 2020-2030 (Thousands)
Total Prevalent Cases of Peripheral Arterial Disease by Severity: 2020-2030 (Thousands)
Diagnosed Prevalent Cases of Peripheral Arterial Disease: 2020-2030
Drug-Treated Prevalent Cases of Peripheral Arterial Disease: 2020-2030
Current Treatment
Key Findings
Treatment Goals
Key Endpoints Used in Clinical Trials for Peripheral Arterial Disease
Key Current Therapies
Overview
Mechanism of Action of Key Current Drug Classes Used for Peripheral Arterial Disease
Current Treatments Used for Peripheral Arterial Disease
Market Events Impacting the Use of Key Current Therapies for Peripheral Arterial Disease
Advantages and Disadvantages of Aspirin
Advantages and Disadvantages of Clopidogrel
Advantages and Disadvantages of Sarpogrelate
Expert Insight: Antiplatelet Agents
Advantages and Disadvantages of Vorapaxar
Key Results From Select Clinical Trials Investigating Vorapaxar for the Treatment of Peripheral Arterial Disease
Advantages and Disadvantages of Vitamin K Antagonists
Advantages and Disadvantages of Rivaroxaban
Key Results From Select Clinical Trials Investigating Rivaroxaban for the Treatment of Peripheral Arterial Disease
Ongoing Clinical Development of Rivaroxaban
Expert Insight: Anticoagulant Agents
Advantages and Disadvantages of Statins
Expert Insight: Statins
Advantages and Disadvantages of Cholesterol Absorption Inhibitors
Advantages and Disadvantages of Evolocumab
Key Results From Select Clinical Trials Investigating Evolocumab for the Treatment of Peripheral Arterial Disease
Advantages and Disadvantages of Alirocumab
Key Results From Select Clinical Trials Investigating Alirocumab
Ongoing Clinical Development of Alirocumab
Expert Insight: PCSK9 Inhibitors
Advantages and Disadvantages of Vascepa
Key Results From Select Clinical Trials Investigating Vascepa for the Treatment of Dyslipidemia
Key Results From Select Clinical Trials Investigating Nexletol / Nexlizet for the Treatment of Dyslipidemia
Analysis of Clinical Development Program for Nexletol / Nexlizet
Expert Insight: Nexletol / Nexlizet
Advantages and Disadvantages of ACE Inhibitors and ARBs
Expert Insight: ACE Inhibitors and ARBs
Advantages and Disadvantages of Beta Blockers
Expert Insight: Beta Blockers
Advantages and Disadvantages of Calcium Channel Blockers
Expert Insight: Calcium Channel Blockers
Advantages and Disadvantages of Cilostazol
Advantages and Disadvantages of Pentoxifylline
Advantages and Disadvantages of Naftidrofuryl
Expert Insight: Vasoactive Agents
Advantages and Disadvantages of Prostaglandin Analogues
Expert Insight: Prostaglandin Analogues
Advantages and Disadvantages of Beperminogene Perplasmid
Key Results From Selected Clinical Trials Investigating Beperminogene Perplasmid
Key Ongoing Clinical Trials of Beperminogene Perplasmid
Exercise Therapy
Revascularization and Surgical Procedures
Medical Practice
Overview
Factors Influencing Drug Selection in Peripheral Arterial Disease
Treatment Decision Tree for Peripheral Arterial Disease: United States
Treatment Decision Tree for Peripheral Arterial Disease: Europe
Treatment Decision Tree for Peripheral Arterial Disease: Japan
Unmet Need Overview
Current and Future Attainment of Unmet Needs in Peripheral Arterial Disease
Top Unmet Needs in Peripheral Arterial Disease: Current and Future Attainment
Expert Insight: Unmet Need in Peripheral Arterial Disease
Emerging Therapies
Key Findings
Key Emerging Therapies
Key Therapies in Development for Peripheral Arterial Disease
Estimated Launch Dates of Key Emerging Therapies for the Treatment of Peripheral Arterial Disease
Analysis of Clinical Developmental Program for Rexmyelocel-T (REX-001)
Expectations for Launch and Sales Opportunity of Rexmyelocel-T (REX-001) in Peripheral Arterial Disease
Honedra (CLBS12)
Honedra (CLBS-12) Profile
Expectations for Launch and Sales Opportunity of Honedra in Peripheral Arterial Disease
Expert Insight: Stem Cell Therapies
Inclisiran Profile
Analysis of Clinical Development Program for Inclisiran
Expert Insight: Inclisiran
Expectations for Launch and Sales Opportunity of Inclisiran in Peripheral Arterial Disease
Semaglutide Profile
Expectations for Launch and Sales Opportunity of Semaglutide in Peripheral Arterial Disease
Early-Phase Pipeline Analysis
Select Compounds in Early-Phase Development for Peripheral Arterial Disease
Key Discontinuations and Failures
Access & Reimbursement Overview
Region-Specific Reimbursement Practices
Key Market Access Considerations in Peripheral Arterial Disease: United States
General Reimbursement Environment: United States
Key Market Access Considerations in Peripheral Arterial Disease: EU5
General Reimbursement Environment: EU5
Key Market Access Considerations in Peripheral Arterial Disease: Japan
General Reimbursement Environment: Japan
Appendix
Peripheral Arterial Disease Bibliography
Shambhavi Shukla
Shambhavi Shukla, MTech., is an analyst on the Cardiovascular, Metabolic, Renal, and Hematologic (CMRH) Disorders team at Clarivate. Before joining Clarivate, Shambhavi was with Evalueserve for four years, where she worked closely with top pharmaceutical companies, helping them with commercial and technical ad-hoc requests. She has delivered competitive landscape and market insight projects for various indications, including Schizophrenia, Multiple Sclerosis, Myopia, Osteoporosis, and FSGS. She holds a master’s degree in biotechnology from Amity University, India.