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Autosomal dominant polycystic kidney disease (ADPKD) is a genetic disorder characterized by the development and progressive enlargement of fluid-filled cysts in the kidneys. Particularly, in the early stages, the disease is often asymptomatic and detectable only through diagnostic imaging of the kidney to reveal cysts. The launch of Otsuka’s Jynarque / Jinarc / Samsca (tolvaptan) introduced the first disease-specific therapy for ADPKD. Several more therapies for ADPKD are in clinical trials, including Reata Pharmaceutical’s bardoxolone methyl, Galapagos’s GLPG2737, Kadmon’s tesevatinib, and Xortx Therapeutics’ oxypurinol. Some of these therapies are expected to fulfill current unmet needs in the treatment of ADPKD.
Questions answered
What do key opinion leaders think about the emerging therapies bardoxolone methyl, GLPG2737, tesevatinib, and oxypurinol? How will emerging therapies differentiate themselves in an increasingly crowded market?
How will the anticipated genericization of Otsuka’s Jynarque / Jinarc / Samsca affect the uptake of branded and emerging therapies?
What effect have the discontinuations of Sanofi / Genzyme’s venglustat, Regulus Therapeutics’ RGLS-4326, and Palladio Bioscience’s lixivaptan had on the ADPKD therapy market?
What are the key unmet needs in ADPKD, and which therapies likely to fulfill them?
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 introduces a new Drug Pipeline chapter with real-time, global pipeline intelligence content directly from Cortellis. This chapter is updated daily and features interactive figures that can be easily downloaded for detailed analysis or presentations.
What factors are constraining the market for ADPKD?
Annual sales for total ADPKD by progression rate segments: 2021-2031
Annual sales of drug classes for total ADPKD: 2021-2031
Annual patient share of key drug classes for ADPKD rapid progressors or at risk of rapid progression forms
Annual patient share of key drug classes for ADPKD intermediate/ slow progression forms
Drug-type-specific trends
Patient share of disease-modifying therapies for ADPKD in the major markets: 2021-2031
Market sales of disease-modifying therapies for ADPKD in the major markets: 2021-2031
Patient share of disease-modifying therapies for ADPKD in the United States: 2021-2031
Market sales of disease-modifying therapies for ADPKD in the United States: 2021-2031
Patient share of disease-modifying therapies for ADPKD in Europe: 2021-2031
Market sales of disease-modifying therapies for ADPKD in Europe: 2021-2031
Patient share of disease-modifying therapies for ADPKD in Japan: 2021-2031
Market sales of disease-modifying therapies for ADPKD in Japan: 2021-2031
Annual patient share of antihypertensive therapies for ADPKD in the major markets: 2021-2031
Annual sales of antihypertensive therapies for ADPKD in the major markets: 2021-2031
Annual patient share of antihypertensive therapies for ADPKD in the United States: 2021-2031
Annual patient share of antihypertensive therapies for ADPKD in Europe: 2021-2031
Annual patient share of antihypertensive therapies for ADPKD in Japan: 2021-2031
Forecast
Market forecast assumptions
Market forecast dashboard
Etiology and pathophysiology
Disease overview
Etiology
Risk factors for ADPKD
Pathophysiology
Diagnosis
Disease progression
ADPKD classification based on CKD stage
ADPKD classification based on progression rate assessed by Mayo Clinic imaging classification
Key pathways and drug targets
Drug targets
Epidemiology
Key findings
Epidemiology populations
Disease definition, methods, and sources used
Diagnosed prevalent cases of ADPKD in the major pharmaceutical markets: 2021-2031
Disease definition, methods, and sources used
Diagnosed prevalent cases of ADPKD in the major pharmaceutical markets by disease confirmation status: 2021-2031
Drug-treated cases of ADPKD in the major pharmaceutical markets: 2021-2031
Current treatment
Key findings
Treatment goals
Key endpoints used in clinical trials for ADPKD
Key current therapies
Overview
Mechanism of action of key current drug classes used for ADPKD
Current treatments used for ADPKD
Market events impacting the use of key current therapies for ADPKD
Advantages and disadvantages of tolvaptan
Key results from select clinical trials investigating tolvaptan for the treatment of ADPKD
Key ongoing clinical trials of tolvaptan in the treatment of ADPKD
Expert insight: tolvaptan
RAAS inhibitors
Advantages and disadvantages of RAAS inhibitors
Key results from select clinical trials investigating RAAS inhibitors for the treatment of ADPKD
Expert insight: RAAS inhibitors
CCBs and diuretics
Expert insight: other antihypertensive drug classes
Medical practice
Overview
Factors influencing drug selection in ADPKD
Treatment decision tree for ADPKD: United States
Treatment decision tree for ADPKD: Europe
Treatment decision tree for ADPKD: Japan
Unmet need overview
Current and future attainment of unmet needs in ADPKD
Top unmet needs in ADPKD: current and future attainment
Expert insight: unmet need in ADPKD
Drug pipeline
Pipeline
Regulatory milestones
Indication comparison
Emerging therapies
Key findings
Key emerging therapies
Key therapies in development for ADPKD
Estimated launch dates of key emerging therapies for the treatment of ADPKD
Key results of select clinical trials investigating bardoxolone methyl for the treatment of ADPKD
Key ongoing clinical trials of bardoxolone methyl in the treatment of ADPKD
Analysis of the clinical development program for bardoxolone methyl
Expert insight: bardoxolone methyl
Expectations for launch and sales opportunity of bardoxolone methyl in ADPKD
Expert insight: somatostatin analogues
Expert insight: pravastatin sodium
Expert insight: metformin
Key results of select clinical trials investigating tesevatinib for the treatment of ADPKD
Key ongoing clinical trials of tesevatinib in the treatment of ADPKD
Analysis of the clinical development program for tesevatinib
Expert insight: tesevatinib
Expectations for launch and sales opportunity of tesevatinib in ADPKD
Key results of select clinical trials investigating GLPG2737 for the treatment of ADPKD
Key ongoing clinical trials of GLPG2737 in the treatment of ADPKD
Analysis of the clinical development program for GLPG2737
Expert insight: GLPG2737
Expectations for launch and sales opportunity of GLPG2737 in ADPKD
Expert insight: XRx-008 (oxypurinol)
Early-phase pipeline analysis
Select compounds in early-phase development for ADPKD
Key discontinuations and failures in ADPKD
Key discontinuations and failures
Access & reimbursement overview
Region-specific reimbursement practices
Key market access considerations in ADPKD: United States
General reimbursement environment: United States
Key market access considerations in ADPKD: EU5
General reimbursement environment: EU5
Key market access considerations in ADPKD: Japan
General reimbursement environment: Japan
Appendix
Abbreviations
ADPKD bibliography
Laia Martu00ednez
Laia Martínez-Carreres, M.Sc., Ph.D.,Healthcare Research & Data Analyst, Cardiovascular, Metabolic, Renal, and Hematological Disorders. Dr. Martinez-Carreres has authored reports on polycystic kidney disease, venous thromboembolism, and atrial fibrillation. Prior to joining Clarivate, she was a clinical research project manager at Parc Taulí Hospital (Spain). She holds a Ph.D. in biomedical sciences from the University of Lausanne, where she studied the role of the cell cycle-related protein CDK4 in metabolism in the laboratory of Professor Lluis Fajas. She also holds a master’s degree in translational medicine and a bachelor’s degree in biomedical sciences, both from the University of Barcelona. Dr. Martínez-Carreres also trained as a data analyst at EADA Business School in Spain.