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Axial Spondyloarthritis Treatment Market Value Will Almost Double to $2.9B by 2024

Thu, 06/11/2023 - 9:44am
Heather Leach, Ph.D., Immunology Analyst, GlobalData

The global market value for axial spondyloarthritis (axSpA) therapeutics will expand from $1.5 billion in 2014 at a Compound Annual Growth Rate (CAGR) of 7.1 percent to reach $2.9 billion by 2024, driven primarily by increased diagnosis of the condition and use of biologics, according to research and consulting firm GlobalData.

The company’s latest report states that the US will cement its position as the largest of the seven major treatment markets (7MM) for axSpA, which also include the five European countries (5EU) of France, Germany, Italy, Spain, and the UK, and Japan. The US share will grow from 73 percent in 2014 to 77 percent by 2024, with the market increasing slightly above the 7MM rate, at a CAGR of 7.5 percent.

Greater awareness of inflammatory back pain will lead to an increase in diagnosed prevalent cases of Ankylosing Spondylitis (AS) and non-radiographic axial spondyloarthritis (nr-axSpA) across the 7MM by 2024.

Furthermore, the recognition of nr-axSpA as an early form of AS will lead to an increase in the diagnosis of nr-axSpA. As such, pharmaceutical companies are expected to pursue label expansions to treat these patients.

Other market drivers include higher treatment rates, increased use of biologics, and the launch of Novartis’s Cosentyx in 2017 in the US and 5EU, which is expected to be priced at a premium compared with anti-tumor necrosis factor (anti-TNF) biologics.

GlobalData forecasts a substantially stronger performance for Cosentyx than the other first-in-class axSpA drug, Celgene’s Otezla, a phosphodiesterase 4 inhibitor anticipated for launch in 2020.

READ MORE: NPWT Market Value will Exceed $1B by 2023

Gaining regulatory approval for Otezla may prove arduous, as the drug has twice failed to meet its primary endpoint in clinical trials for AS, which may slow clinical development. As a result, the drug is anticipated to enter the market in the second half of 2020 and will experience low uptake, with predicted sales of $25.3 million in 2024.

By contrast, there is substantial excitement over Cosentyx, which has a good safety and efficacy profile and will be the only non-anti-TNF biologic approved for use in AS. GlobalData expects sales for Cosentyx will approach $576 million by 2024.

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