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1705110

수포성 표피 박리증 시장 : 시장 인사이트, 역학 및 시장 예측(2034년)

Epidermolysis Bullosa - Market Insight, Epidemiology, and Market Forecast - 2034

발행일: | 리서치사: DelveInsight | 페이지 정보: 영문 200 Pages | 배송안내 : 2-10일 (영업일 기준)

    
    
    




■ 보고서에 따라 최신 정보로 업데이트하여 보내드립니다. 배송일정은 문의해 주시기 바랍니다.

주요 하이라이트

  • 2023년 수표성 표피 박리증 시장 규모는 미국이 주요 7개국 중 가장 큰 시장으로 약 13억 달러에 달했으며, 2034년까지 더욱 성장할 것으로 예측됩니다.
  • 단순 수표성 표피 박리증(EBS)은 수표성 표피 박리증 중 가장 덜 심각한 유형으로, 대부분의 EBS 환자들은 나이가 들면서 호전되는 경향을 보입니다. 반면, 열성 영양장애형 수표성 표피 박리증은 가장 심각한 것으로 알려져 있습니다.
  • 유형별 사례 중 2023년 유병률은 30% 이상이 영양장애성 수표성 표피 박리증으로 나타났으며, 접합형 수표성 표피 박리증은 5%에 불과했습니다.
  • 현재 수표성 표피 박리증 환자를 위한 효과적인 치료법은 제한적입니다. 치료 및 관리 옵션은 상처 관리, 통증 및 가려움증 관리, 감염 관리, 영양 지원, 관련 합병증 예방 및 치료와 같은 지원을 제공하는 데 중점을 두고 있습니다.
  • 줄기세포를 이용한 치료법은 특히 불치병으로 여겨졌던 질병에 대한 중요성이 커지고 있으며, ABCB5+ 중간엽간질세포(ABCB5+MSCs)는 특별한 면역조절 및 항염증 작용으로 주목받고 있으며, 수표성 표피 박리증을 포함한 다양한 만성 염증성 질환에 대한 유망한 치료 옵션으로 되고 있습니다.
  • 전반적인 세포치료제 개발 측면에서 일본은 주요 7개국 중 다른 국가들보다 다소 앞서 있으며, 2018년 12월에는 수표성 표피 박리증에 대한 최초의 세포치료제, 즉 Japan Tissue Engineering의 제품인 JACE(인간표피세포시트)가 승인된 최초의 국가가 되었습니다.
  • 수표성 표피 박리증에 대한 승인된 치료제의 부족은 수표성 표피 박리증 환자들에게 심각한 미충족 수요를 드러내고 있습니다.
  • Krystal은 수표성 표피 박리증 열성형과 우성형 모두에 효과적인 VYJUVEK의 FDA 승인을 획득함으로써 수표성 표피 박리증 유전자 치료제 경쟁에서 선두를 달리고 있습니다.
  • 아베오나 역시 COL7A1을 체내에 도입하여 VYJUVEK과 유사한 효과를 발휘하는 유전자 치료제 EB-101로부터 설득력 있는 데이터를 얻고 있습니다. 크리스탈의 개발 프로세스는 아베오나보다 1년 앞서 있지만, 두 치료법 간 경쟁이 임박해 있습니다.
  • 몇 가지 승인된 치료법이 있음에도 불구하고 수표성 표피 박리증 환자의 모든 요구를 충족시키기 위해서는 아직 갈 길이 멀고, 치료 옵션을 개선하고 궁극적으로 전 세계 수표성 표피 박리증 환자의 삶의 질을 향상시키기 위해서는 더 많은 연구와 개발이 필수적입니다.

본 보고서는 미국, EU 4개국(독일, 스페인, 이탈리아, 이탈리아, 프랑스), 영국, 일본의 수표성 표피 박리증, 역사적 및 예측 역학, 수표성 표피 박리증 시장 동향에 대한 상세한 이해를 제공합니다.

이 보고서는 현재 치료법, 신약, 개별 치료법별 시장 점유율, 2020년에서 2034년까지 주요 7개국 수표성 표피 박리증 시장 규모 현황 및 예측을 제공합니다. 또한, 현재 수표성 표피 박리증 치료법/알고리즘과 미충족 의료 수요도 다루고 있으며, 최적의 기회를 발굴하고 시장 잠재력을 평가했습니다.

수표성 표피 박리증은 극도의 피부 취약성과 약간의 마찰이나 외상에도 물집이 생기는 것이 특징인 유전성 피부 질환입니다. 이 질환은 피부의 구조적 완전성을 유지하는 역할을 하는 단백질에 영향을 미치는 유전자 돌연변이로 인해 발생합니다. 수표성 표피 박리증의 중증도는 경증부터 생명을 위협하는 심각한 증상까지 다양한 아형에 따라 달라집니다.

수표성 표피 박리증 환자의 증상은 잦은 피부 물집 형성 및 상처 치유 지연과 같은 증상 발현으로 시작됩니다. 피부의 취약성과 수포의 분포를 평가하기 위해 의료 전문가가 임상 검사를 실시합니다. 진단을 확정하고 특정 수표성 표피 박리증의 아형을 분류하기 위해 피부 생검과 유전자 검사를 시행합니다. 진단 후에는 피부과 전문의, 상처 관리 전문가, 영양사, 물리치료사가 참여하는 다학제적 관리 계획이 수립됩니다. 수표성 표피 박리증과 함께 살아가는 데 필요한 정신적 지원과 상담이 제공됩니다. 피부 건강 상태를 관찰하고 합병증을 예방하기 위해서는 장기적인 관리와 정기적인 경과 관찰이 필요합니다. 의료 자원과 전문 지식에 대한 접근성은 경과 기간과 결과에 영향을 미칩니다. 조기 진단은 적시에 개입하고 환자의 삶의 질을 향상시키기 위해 매우 중요합니다.

수표성 표피 박리증의 치료는 주로 증상 관리와 합병증 예방에 중점을 둡니다. 여기에는 상처 관리, 감염 관리, 통증 관리 및 적절한 영양 공급이 포함됩니다. 심한 수표성 표피 박리증의 경우 피부 외상을 최소화하기 위해 특수 드레싱, 붕대 및 보호복이 필요합니다. 또한 손의 변형과 같은 합병증에 대처하기 위해 외과적 개입이 필요할 수도 있습니다.

표피 수포증은 가려움증을 효과적으로 억제하는 코르티코스테로이드로 치료할 수 있습니다. 그러나 국소 또는 경구용 코르티코스테로이드를 장기간 사용하면 시상하부-뇌하수체 축을 억제할 수 있으며, 이는 소아에서 흔히 볼 수 있습니다.

현재 승인된 치료법은 3가지 밖에 없습니다. 따라서 현재로서는 효과적이고 표적화된 치료법이 이 질환의 치료에 있어 중요한 미충족 수요로 남아 있습니다.

  • 미국은 수표성 표피 박리증의 가장 큰 유병자 수에 기여하며, 2023년 주요 7개국 중 65%를 차지할 것으로 예상됩니다. 반면, EU 4개국 및 영국, 일본은 2023년 각각 약 30%와 5%를 차지할 것으로 예상됩니다.
  • EU 4개국 및 영국 중 2023년 수표성 표피 박리증 환자 수가 가장 많은 국가는 영국, 그 다음이 독일이며, 가장 적은 국가는 스페인입니다.
  • 미국에서는 2023년 단순 수표성 표피 박리증은 약 18,000명, 접합형 수표성 표피 박리증은 약 1,450명, 영양장애형 수표성 표피 박리증은 약 8,500명이었습니다.
  • 남녀 비율에 약간의 차이가 있으며, 남성 환자 점유율이 약간 더 높습니다.

시판 중인 약품

VYJUVEK(beremagene geperpavec) : Krystal Biotech

2023년 5월, VYJUVEK(beremagene geperpavec-svdt)은 생후 6개월 이상의 DEB 환자를 대상으로 한 최초의 재사용 가능한 유전자 치료제로서, 생후 6개월 이상의 DEB 환자를 치료하기 위해 승인되었습니다. VYJUVEK은 최초의 재사용 가능한 유전자 치료제이자 열성 및 우성 DEB 치료제로 FDA 승인을 받은 최초이자 유일한 의약품입니다.

2023년 11월, Krystal Biotech는 유럽의약품청(EMA) 산하 약물사용자문위원회(CHMP)에 제출한 영양장애성수표성 표피 박리증(DEB) 치료제 VYJUVEK의 판매승인신청(MAA)이 유효하며, 현재 CHMP의 심사 중이라고 발표했습니다. CHMP의 의견은 2024년 하반기에 나올 것으로 예상됩니다. 한편, 일본에서의 승인은 2025년 초로 예상되고 있습니다.

FILSUVEZ(oleogel-S10) : Chiesi Farmaceutici

자작나무 껍질에서 추출한 birch triterpenes을 함유한 생약제제인 FILSUVEZ(oleogel-S10/birch triterpenes/구 AP101)는 2022년 6월 21일 EU 전역에서 판매 허가를 획득했습니다. 2022년 2월, Amryt는 영양성 수표성 표피 박리증에 수반되는 표재성 상처 치료제로서 6개월 이상의 환자를 대상으로 한 OleoGel-S10에 대한 신약허가신청(NDA)을 미국 FDA에 제출했습니다. FDA는 Amryt에게 수표성 표피 박리증에 대한 Oleogel-S10의 효능에 대한 추가 확인 증거를 제출할 것을 요청했으며, 2023년 4월 Chiesi Farmaceutici가 Amryt Pharma 인수 완료를 발표했습니다.

2023년 12월, 미국 FDA는 6개월 이상의 접합형 수표성 표피 박리증(JEB) 및 영양장애형 수표성 표피 박리증(DEB) 환자의 부분적 두께의 상처 치료제로 FILSUVEZ 국소용 젤을 승인했으며, FILSUVEZ는 JEB에 수반되는 상처 치료제로는 처음으로 승인되었습니다.

신약

EB-101 : Abeona Therapeutics

EB-101은 열성 유전성 수표성 표피 박리증 치료제로 개발 중인 자가 세포 치료제이며, EB-101을 이용한 치료는 유전자 도입을 통해 COL7A1 유전자를 환자의 피부 세포(각질세포 및 그 전구세포)에 도입하여 환자에게 이식하는 방식으로 이루어집니다. 콜라겐의 발현을 가능하게 하고 상처 치유를 촉진하는 능력에 대해 연구되고 있으며, EB-101은 RDEB의 치료제로서 최초로 승인될 가능성이 있으며, 가장 고통스럽고 쇠약하게 만드는 큰 만성 상처에 대한 유일한 내구성 있는 치료제가 될 수 있습니다.

2022년 11월, 주요 임상 3상 시험인 VIITAL 시험에서 상처 치유와 통증 완화라는 두 가지 주요 평가 항목을 달성하고, 대규모 만성 열성 영양결핍성 수표성 표피 박리증에서 통계적으로 유의미하고 임상적으로 유의미한 개선이 확인되었습니다. 101의 승인을 위해 미국 FDA에 생물학적 제제 승인 신청(BLA)을 제출했습니다. 이번 신청에서 Abeona는 우선 심사를 신청했으며, 우선 심사가 승인되면 FDA의 심사 기간이 일반 심사 시 10개월인 반면, BLA 신청 접수 후 6개월로 단축될 것으로 예상하고 있습니다.

D-Fi (dabocemagene autoficel): Castle Creek Biosciences

FCX-007(dabocemagene autoficel)로도 알려진 D-Fi는 진행성, 파괴적인 통증을 동반한 쇠약성 수표성 표피 박리증(DEB)을 치료하는 자가유전자치료제 후보물질로, 현재 열성 유전성 수표성 표피 박리증 환자의 만성 상처의 국소 치료를 위한 임상 3상 단계에 있습니다. 개발 단계에 있습니다. 임상시험 계획에는 D-Fi의 다기관, 환자 내 무작위배정, 대조군, 오픈 라벨 시험이 포함되어 있으며, I/II상 임상시험에서 보고된 데이터를 기반으로 하고 있습니다.

수표성 표피 박리증에 대한 유전자 치료는 FDA가 승인한 최초의 국소 유전자 치료제인 VYJUVEK의 승인으로 현실이 되고 있습니다. 다른 두 가지 유전자 치료 후보물질은 아베오나와 캐슬 크릭 바이오사이언스(Castle Creek Biosciences)의 COL7A1을 체내에 도입하여 VYJUVEK과 유사한 효과를 발휘하는 것입니다.

VYJUVEK은 단순 헤르페스 바이러스 1형(HSV-1)을 유전자 치료 벡터로 사용한 최초의 제품입니다. 유전자 치료에 사용되는 다른 많은 바이러스와 달리, 헤르페스 바이러스는 세포에 감염되어도 숙주의 유전체에 통합되지 않습니다. 이는 통합으로 인해 정상적인 유전자 발현이 억제되어 암을 유발할 위험이 약간 있기 때문입니다.

JACE는 2018년 수표성 표피 박리증에 대한 식약처 허가를 받은 최초의 세포치료제입니다. 줄기세포를 이용한 치료법은 특히 불치병으로 여겨졌던 질환에 대한 치료법이 점점 더 중요해지고 있으며, ABCB5+간엽간질세포(ABCB5+MSC)는 특별한 면역조절 및 항염증 작용으로 인해 수표성 표피 박리증을 포함한 다양한 만성 염증성 질환에 대한 새로운 유망한 치료 접근법입니다. 새로운 유망한 치료 접근법입니다. 이 세포치료제는 이미 만성정맥상처(CVU)에서 줄기세포가 체내 면역체계와 국소적으로 상호 작용하여 만성창상(CVU)을 봉합할 수 있다는 것을 보여주었습니다. 다른 두 가지 세포치료제에는 이신제약의 3상 제품인 ISN001과 Holostem Terapie Avanzate사가 개발한 ALLO-RV-LAMB3 도입 표피 줄기세포가 있습니다.

다양한 돌연변이로 인한 수표성 표피 박리증의 아형에 대한 치료법은 없으며, 현재 치료법은 상처와 통증 관리에만 초점을 맞추었습니다. 따라서 새로운 효과적인 치료법이 시급히 요구되고 있습니다. 표피 수포증의 치료는 지지 요법과 상처 관리, 수포 형성 및 감염 예방, 통증과 가려움증에 대한 대증요법, 합병증 예방, 모니터링 및 치료에 중점을 둡니다. 상처 관리는 여전히 치료의 기본이며, 통증을 줄이고 물집 형성, 흉터 형성 및 감염을 줄이고 예방하기 위해 환부에 반창고로 보호 붕대를 사용하여 통증을 완화하고 물집 형성, 흉터 형성 및 감염을 예방합니다. 드레싱 재료 교체 및 상처 치료는 시간과 비용이 많이 들고 환자와 간병인에게 부담이 될 수 있습니다. 많은 열성 수표성 표피 박리증 환자의 경우, 하루 4시간 이상의 상처 관리가 필요합니다. 종합적이고 평생에 걸친 치료가 필요하기 때문에 환자와 의료 시스템에 큰 임상적, 재정적 부담을 안겨줍니다.

본 보고서는 주요 7개국의 수표성 표피 박리증 시장에 대해 조사했으며, 시장 개요, 역학, 환자 동향, 새로운 치료법, 2034년까지 시장 규모 예측, 미충족 의료 수요 등을 정리하여 전해드립니다.

목차

제1장 주요 인사이트

제2장 보고서 서론

제3장 수포성 표피 박리증(EB) 주요 요약

제4장 주요 이벤트

제5장 역학과 시장 예측 조사 방법

제6장 수포성 표피 박리증 시장 개요

  • 2020년 치료법별 시장 점유율(%) 분포
  • 2034년 치료법별 시장 점유율(%) 분포

제7장 수포성 표피 박리증(EB) : 질환 배경과 개요

  • 서론
  • 수포성 표피 박리증의 원인
  • 수포성 표피 박리증의 징후와 증상
  • 수포성 표피 박리증의 발병 기전
  • 수포성 표피 박리증의 피부 가려움 병태생리학
  • 수포성 표피 박리증 분류
  • 수포성 표피 박리증의 유전적 기반
  • 수포성 표피 박리증 진단

제8장 수포성 표피 박리증 치료와 관리

  • 물집 관리
  • 피부 및 창상 관리

제9장 가이드라인

  • 진단 가이드라인

제10장 주요 7개국 역학과 환자 인구

  • 주요 조사 결과
  • 가정과 근거
  • 주요 7개국의 수포성 표피 박리증 환자수
  • 주요 7개국에서 진단된 수포성 표피 박리증 유행 증례
  • 미국
  • EU 4개국 및 영국
  • 일본

제11장 환자 동향

제12장 출시 약제

  • 주요 경쟁
  • VYJUVEK(bermagene geperpavec) : Krystal Biotech
  • FILSUVEZ (oleogel-S10): Chiesi Farmaceutici (Amryt Pharma)
  • JACE (human epidermal cell sheet): Japan Tissue Engineering

제13장 신흥 약제

  • 주요 경쟁
  • EB-101 : Abeona Therapeutics
  • D-Fi(dabocemagene autoficel) : Castle Creek Biosciences
  • ABCB5+ mesenchymal stem cells (ABCB5+ MSCs): RHEACELLL
  • ISN001 : Ishin Pharma
  • RV-LAMB3-transduced epidermal stem cells: Holostem Terapie Avanzate
  • PTR-01 : BridgeBio(Phoenix Tissue Repair)
  • INM-755 : InMed Pharmaceuticals
  • Redasemtide: Shionogi
  • ALLO-ASC-SHEET : Anterogen

제14장 수포성 표피 박리증 : 주요 7개국 분석

  • 주요 조사 결과
  • 수포성 표피 박리증 시장 전망
  • 주요 시장 예측의 전제조건
  • 결합 분석
  • 주요 7개국의 수포성 표피 박리증 전체 시장 규모
  • 미국 시장 규모
  • EU 4개국 및 영국 시장 규모
  • 일본 시장 규모

제15장 미충족 요구

제16장 SWOT 분석

제17장 KOL(Key Opinion Leader)의 견해

제18장 시장 접근과 상환

  • 미국
  • EU 4개국 및 영국
  • 일본
  • 수포성 표피 박리증 시장에의 액세스와 상환

제19장 부록

제20장 DelveInsight의 서비스 내용

제21장 면책사항

LSH 25.04.25

Key Highlights:

  • In 2023, the market size of epidermolysis bullosa was highest in the US among the 7MM, accounting for approximately USD 1,300 million, which is further expected to increase by 2034.
  • Epidermolysis bullosa simplex (EBS) is the least severe type of epidermolysis bullosa, and many individuals with EBS may experience improvements as they age. On the other hand, recessive dystrophic epidermolysis bullosa is considered the most critical.
  • Among the type-specific cases, more than 30% of prevalent cases were observed in dystrophic epidermolysis bullosa, and only 5% were found in junctional epidermolysis bullosa in 2023.
  • There are limited effective therapies currently available for epidermolysis bullosa patients. Treatment and management options primarily focus on providing support, such as wound care, pain and itch management, infection control, nutritional support, and prevention and treatment of associated complications.
  • Stem cell-based therapies are gaining significance, particularly for diseases that were previously considered incurable. ABCB5+ mesenchymal stromal cells (ABCB5+ MSCs) are noteworthy for their special immunomodulatory and anti-inflammatory properties, making them a promising therapeutic option for various chronic inflammatory diseases, including epidermolysis bullosa.
  • In terms of overall cell therapy development, Japan is a bit ahead of other countries among the 7MM, and in December 2018, Japan became the first country where the first cell therapy for epidermolysis bullosa got approved i.e., JACE (human epidermal cell sheet) which is a product of Japan Tissue Engineering.
  • Lack of approved therapies for epidermolysis bullosa, highlights the significant unmet need for epidermolysis bullosa patients.
  • Krystal has taken the lead in the race for gene therapy treatments for epidermolysis bullosa by securing FDA approval for VYJUVEK, which is effective for both the recessive and dominant forms of the condition.
  • Abeona has also generated compelling data from its gene therapy, EB-101, which operates similarly to VYJUVEK by introducing COL7A1 into the body. Although Krystal is 1-year ahead of Abeona in its development process, there is impending competition between the two therapies.
  • Despite the several approved therapies, there is still a long way to go in meeting all the needs of epidermolysis bullosa patients, and further research and development are essential to improve treatment options and ultimately enhance the quality of life for individuals living with epidermolysis bullosa worldwide.

DelveInsight's "Epidermolysis Bullosa - Market Insights, Epidemiology and Market Forecast - 2034" report delivers an in-depth understanding of the Epidermolysis Bullosa, historical and forecasted epidemiology as well as the Epidermolysis Bullosa market trends in the United States, EU4 (Germany, Spain, Italy, and France) and the United Kingdom, and Japan.

The Epidermolysis Bullosa market report provides current treatment practices, emerging drugs, market share of individual therapies, and current and forecasted 7MM Epidermolysis Bullosa market size from 2020 to 2034. The report also covers current Epidermolysis Bullosa treatment practices/algorithms and unmet medical needs to curate the best opportunities and assess the market's underlying potential.

Geography Covered:

  • The United States
  • EU4 (Germany, France, Italy, and Spain) and the United Kingdom
  • Japan

Study Period: 2020-2034

Epidermolysis Bullosa Disease Understanding and Treatment Algorithm

Epidermolysis Bullosa Overview

Epidermolysis Bullosa is a genetic skin disorder characterized by extreme skin fragility and blistering in response to minimal friction or trauma. The condition is caused by genetic mutations that affect the proteins responsible for maintaining the structural integrity of the skin. The severity of Epidermolysis Bullosa can vary widely, ranging from mild to life-threatening, depending on the specific subtype.

Epidermolysis Bullosa Diagnosis

The patient journey of Epidermolysis Bullosa begins with the onset of symptoms, such as frequent skin blistering and slow wound healing. Concerned caregivers seek medical attention, leading to a clinical examination by a healthcare professional to assess skin fragility and blister distribution. Skin biopsy and genetic testing are performed to confirm the diagnosis and classify the specific Epidermolysis Bullosa subtype. Upon diagnosis, a multidisciplinary management plan is developed involving dermatologists, wound care specialists, nutritionists, and physiotherapists. Emotional support and counseling are provided to cope with the challenges of living with Epidermolysis Bullosa. Long-term care and regular follow-ups are necessary to monitor skin health and prevent complications. Access to medical resources and expertise can influence the journey's duration and outcomes. Early diagnosis is crucial for timely intervention and improving the patient's quality of life.

Epidermolysis Bullosa Treatment

Treatment for Epidermolysis Bullosa primarily focuses on symptom management and complication prevention. This includes implementing wound care, infection control, pain management, and providing appropriate nutritional support. For individuals with severe Epidermolysis Bullosa, specialized dressings, bandages, and protective clothing may be necessary to minimize skin trauma. Surgical intervention might also be required to address complications like hand deformities.

Epidermolysis bullosa can be treated with corticosteroids, which effectively reduce itching. However, extended use of topical or oral corticosteroids may suppress the hypothalamic-pituitary axis, which can be more common in children.

Currently, only three therapies have been approved; therefore, as per the current situation, effective and targeted treatment remains a significant unmet need to treat this disease.

Epidermolysis Bullosa Epidemiology

As the market is derived using a patient-based model, the Epidermolysis Bullosa epidemiology chapter in the report provides historical as well as forecasted epidemiology segmented by total prevalent cases of Epidermolysis Bullosa, total diagnosed prevalent cases of Epidermolysis Bullosa, gender-specific cases of Epidermolysis Bullosa, age-specific cases of Epidermolysis Bullosa, and type-specific cases of Epidermolysis Bullosa in the 7MM covering the United States, EU4 countries (Germany, France, Italy, and Spain), the United Kingdom, and Japan from 2020 to 2034. The total prevalent cases of Epidermolysis Bullosa in the 7MM comprised approximately 46,500 cases in 2023 and are projected to increase during the forecasted period.

  • The United States contributed to the largest prevalent cases of Epidermolysis Bullosa, accounting for ~65% of the 7MM in 2023. Whereas EU4 and the UK, and Japan accounted for around 30% and ~5% of the total population share, respectively, in 2023.
  • Among the EU4 countries and the UK, the United Kingdom accounted for the largest number of Epidermolysis Bullosa cases, followed by Germany, whereas Spain accounted for the lowest number of cases in 2023.
  • According to DelveInsight estimates, in the United States, there were around 18,000, 1,450, and 8,500 cases of epidermolysis bullosa simplex, junctional epidermolysis bullosa, and dystrophic epidermolysis bullosa, respectively, in 2023.
  • There is a slight difference in the ratio of males vs. females, with a patient share of males being slightly higher.

Epidermolysis Bullosa Drug Chapters

The drug chapter segment of the Epidermolysis Bullosa report encloses a detailed analysis of Epidermolysis Bullosa marketed drugs and late-stage (Phase III and Phase II) pipeline drugs. It also helps understand the Epidermolysis Bullosa pivotal clinical trial details, recent and expected market approvals, patent details, advantages and disadvantages of each included drug, the latest news, and recent deals and collaborations.

Marketed Drug

VYJUVEK (beremagene geperpavec): Krystal Biotech

B-VEC is a non-invasive, topical, redosable gene therapy designed to deliver two copies of the COL7A1 gene when applied directly to DEB wounds. In May 2023, VYJUVEK (beremagene geperpavec-svdt) was approved for treating patients 6 months of age or older with DEB. VYJUVEK is the first-ever redosable gene therapy and the first and only medicine approved by the FDA for treating DEB, both recessive and dominant; a healthcare professional can administer that in either a healthcare professional setting or in the home.

In November 2023, Krystal Biotech announced that the Company's Marketing Authorization Application (MAA) to the European Medicines Agency's (EMA) Committee for Medicinal Products for Human Use (CHMP) for VYJUVEK for the treatment of dystrophic epidermolysis bullosa (DEB) has been validated and is now under CHMP review. A CHMP opinion is anticipated in the second half of 2024. Whereas approval in Japan is expected in early 2025.

FILSUVEZ (oleogel-S10): Chiesi Farmaceutici

FILSUVEZ (oleogel-S10/birch triterpenes/formerly known as AP101) is an herbal medicinal product that contains birch triterpenes from birch bark. FILSUVEZ received a marketing authorization valid throughout the EU on 21 June 2022. FILSUVEZ gel is indicated for patients 6 months and older to treat superficial wounds associated with Junctional Epidermolysis Bullosa and Dystrophic Epidermolysis Bullosa. In February 2022, Amryt announced it received a Complete Response Letter (CRL) from the US FDA regarding its New Drug Application (NDA) for Oleogel-S10 for the treatment of the cutaneous manifestations of dystrophic and Junctional Epidermolysis Bullosa. The FDA asked Amryt to submit additional confirmatory evidence of effectiveness for Oleogel-S10 in epidermolysis bullosa. In April 2023, Chiesi Farmaceutici announced the completion of the acquisition of Amryt Pharma.

In December 2023, the US FDA approved FILSUVEZ topical gel for the treatment of partial thickness wounds in patients 6 months and older with Junctional Epidermolysis Bullosa (JEB) and Dystrophic Epidermolysis Bullosa (DEB). FILSUVEZ is the first approved treatment for wounds associated with JEB.

Emerging Drug

EB-101: Abeona Therapeutics

EB-101 is an autologous, engineered cell therapy currently being developed to treat Recessive Dystrophic Epidermolysis Bullosa. Treatment with EB-101 involves using gene transfer to deliver the COL7A1 gene into a patient's skin cells (keratinocytes and its progenitors) and transplanting those cells back to the patient. EB-101 is being investigated for its ability to enable normal Type VII collagen expression and to facilitate wound healing. EB-101 has the potential to be the first approved therapy for RDEB and the only durable treatment to address large chronic wounds, which are the most painful and debilitating.

In November 2022, the pivotal Phase III VIITAL study met its two co-primary efficacy endpoints demonstrating statistically significant, clinically meaningful improvements in wound healing and pain reduction in large chronic Recessive Dystrophic Epidermolysis Bullosa. In September 2023, the Company submitted a Biologics License Application (BLA) to the US FDA seeking approval of EB-101. As part of the submission, Abeona requested a Priority Review, which, if granted, would shorten the FDA's review period to six months from the filing acceptance of the BLA, instead of 10 months under standard review.

D-Fi (dabocemagene autoficel): Castle Creek Biosciences

D-Fi, also known as FCX-007 (dabocemagene autoficel), is an autologous gene therapy candidate to treat dystrophic epidermolysis bullosa (DEB), a progressive, devastatingly painful, and debilitating, rare genetic skin disorder. D-Fi is currently in Phase III clinical development for the localized treatment of chronic wounds in individuals with Recessive Dystrophic Epidermolysis Bullosa. The clinical study plan includes a multi-center, within-patient randomized, controlled, open-label study of D-Fi and builds on data reported from the Phase I/II clinical trial.

Drug Class Insights

Preclinical or clinical testing of gene therapies (gene replacement, gene editing, RNA-based therapy, natural gene therapy), cell-based therapies (fibroblasts, bone marrow transplantation, mesenchymal stromal cells, induced pluripotential stem cells), recombinant protein therapies, and small molecule and drug repurposing approaches are all being currently explored for epidermolysis bullosa.

Gene therapies for epidermolysis bullosa are becoming a reality with the approval of VYJUVEK, the first FDA-approved topical gene therapy. Two other gene therapy contenders are Abeona and Castle Creek Biosciences, which operate similarly to VYJUVEK by introducing COL7A1 into the body.

VYJUVEK is the first to use the herpes simplex virus type 1 (HSV-1) as a gene therapy vector. Unlike many other viruses used for gene therapy, the herpes simplex virus does not integrate into its host's genome when it infects a cell. This is an advantage because there is a slight risk that integration can disrupt normal gene expression and cause cancer.

JACE was the first cell therapy to get the regulatory nod for Epidermolysis Bullosa in 2018. Stem cell-based therapies are becoming increasingly important, especially for previously incurable diseases. Due to the special immunomodulatory and anti-inflammatory properties, ABCB5+ mesenchymal stromal cells (ABCB5+ MSCs) represent a new, promising therapeutic approach for various chronic inflammatory diseases, including epidermolysis bullosa. The cell therapy agent has already shown in chronic venous wounds (CVU) that the stem cells interact locally with the immune system in the body, and therefore chronic wounds can be closed. The two other cell therapies include ISN001, a Phase III product by Ishin Pharma, and ALLO- RV-LAMB3-transduced epidermal stem cells, developed by Holostem Terapie Avanzate.

Epidermolysis Bullosa Market Outlook

There is no cure for any of the subtypes of epidermolysis bullosa resulting from different mutations, and current therapy only focuses on managing wounds and pain. Novel effective therapeutic approaches are therefore urgently required. Management of epidermolysis bullosa focuses on supportive and wound care, prevention of blistering and infection, symptomatic relief of pain and itch, and prevention, monitoring, and treatment of complications. Wound care remains the cornerstone of treatment and includes the use of semi-occlusive, protective bandages to the affected area to decrease pain and reduce and prevent blistering, scarring, and infection. Dressing changes and wound care can be time-consuming and expensive, making them burdensome to patients and caregivers. For many patients with Recessive Dystrophic Epidermolysis Bullosa, wound care requires more than 4 h per day. Due to the comprehensive and lifelong care needed, the clinical and economic burden can be high for patients and healthcare systems.

In the race for gene therapy treatments for epidermolysis bullosa, Krystal has gained an advantage as it has already received FDA approval for VYJUVEK in both recessive and dominant forms of the condition. On the other hand, Abeona and Castle Creek Biosciences have pursued more conventional gene therapy approaches with their candidates, EB-101 and D-Fi, respectively, targeting Recessive Dystrophic Epidermolysis Bullosa.

Shionogi and Ishin Pharma are exclusively conducting their development efforts in Japan. Shionogi's Redasemtide is currently undergoing Phase II trials for DEB. The company is in discussions with the Pharmaceuticals and Medical Devices Agency (PMDA) to seek drug approval based on the results of the Phase II trial and the follow-up study.

Despite the challenges, the focus remains strong among epidermolysis bullosa specialists and researchers who are deeply engaged in researching new treatment modalities. Further investigation is crucial for this patient population, given the severe impact of epidermolysis bullosa on their quality of life and life expectancy, particularly when complicated by chronic wound infections or sepsis. The commitment to finding effective treatments for epidermolysis bullosa persists, emphasizing the urgency of continued research efforts.

As per DelveInsight's estimates, the potential drugs that can mark a significant change in the forecast period includes JACE, FILSUVEZ, VYJUVEK, PTR-01, RV-LAMB3-transduced epidermal stem cells, and others.

  • The total market size of Epidermolysis Bullosa in the 7MM is approximately USD ~1,700 million in 2023 and is projected to increase during the forecast period (2024-2034).
  • Among EU4 countries, Germany accounts for the maximum market size in 2023, while Spain occupies the bottom of the ladder.
  • In Japan, the highest revenue among current therapies included supportive treatment, followed by JACE.
  • Among the emerging therapies, VYJUVEK is expected generate the highest revenue in the 7MM.
  • The pipeline of epidermolysis bullosa treatments includes several robust candidates that are poised to transform the market dynamics and address the unmet needs of patients with this condition.
  • The long-awaited period for the United States was finally over with the recent approval of the first-ever topical gene therapy, VYJUVEK, in May 2023.

Epidermolysis Bullosa Drugs Uptake

This section focuses on the uptake rate of potential drugs expected to be launched in the market during 2024-2034. An expected fast uptake of VYJUVEK in the US as Cheisi's product launched recently in the US after several hurdles, which might gave VYJUVEK some alone time in the US market. Even though we expect a Medium-fast uptake of Abeona's EB-101 and its launch in 2024, the label will only be restricted to RDEB patients, which is approximately 15% of the total EB patient pool comprising of severe patients. Two of the most potential upcoming therapies by Abeona and Castle Creek Biosciences are targeting the same patient pool and are expected to have stiff competition due to launch during the same period. Whereas, this remains quite different in Europe, where we expect FILSUVEZ to have an upper hand in terms of faster adoption and uptake due to first mover advantage and inclusion of a broader patient pool in its EMA label, even though FILSUVEZ has not been launched anywhere except in Germany as of July 2023.

Epidermolysis Bullosa Pipeline Development Activities

The report provides insights into different therapeutic candidates in Phase III and Phase II. It also analyzes key players involved in developing targeted therapeutics.

Pipeline Development Activities

The report covers information on collaborations, acquisitions and mergers, licensing, and patent details for Epidermolysis Bullosa emerging therapy.

KOL Views

To keep up with current market trends, we take KOLs and SMEs' opinions working in the domain through primary research to fill the data gaps and validate our secondary research. Industry experts contacted for insights on Epidermolysis Bullosa evolving treatment landscape, patient reliance on conventional therapies, patient's therapy switching acceptability, and drug uptake, along with challenges related to accessibility, include Medical/scientific writers; Dystrophic Epidermolysis Bullosa Research Association of America; Dermatologist and Professors; National Epidermolysis Bullosa Registry, and Center for Blistering Diseases, St John's Institute of Dermatology, NHS Foundation Trust, Departments of Dermatology, and others.

Delveinsight's analysts connected with 30+ KOLs to gather insights; however, interviews were conducted with 10+ KOLs in the 7MM. Centers such as the Center for Blistering Diseases, Department of Allergology and Dermatology, Department of Dermatology, Medical Center, etc., were contacted. Their opinion helps understand and validate current and emerging therapy treatment patterns or Epidermolysis Bullosa market trends. This will support the clients in potential upcoming novel treatments by identifying the overall scenario of the market and the unmet needs.

Qualitative Analysis

We perform Qualitative and market Intelligence analysis using various approaches, such as SWOT analysis and Analyst views. In the SWOT analysis, strengths, weaknesses, opportunities, and threats in terms of disease diagnosis, patient awareness, patient burden, competitive landscape, cost-effectiveness, and geographical accessibility of therapies are provided. These pointers are based on the Analyst's discretion and assessment of the patient burden, cost analysis, and existing and evolving treatment landscape.

The analyst views analyze multiple emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry.

In efficacy, the trial's primary and secondary outcome measures are evaluated; for instance, in Epidermolysis Bullosa trials, wound healing/wound closure is one of the most important primary outcome measures.

Further, the therapies' safety is evaluated wherein the acceptability, tolerability, and adverse events are majorly observed, and it sets a clear understanding of the side effects posed by the drug in the trials.

Market Access and Reimbursement

Reimbursement is a crucial factor that affects the drug's access to the market. Often, the decision to reimburse comes down to the price of the drug relative to the benefit it produces in treated patients. To reduce the healthcare burden of these high-cost therapies, many payment models are being considered by payers and other industry insiders. The payment models are based on clinical outcomes, annuity payments, and expanded risk pools. The Institute for Clinical and Economic Review estimates that the cumulative budget impact for gene and cell therapies alone could rise to USD 3 trillion in the US when only about 10% of eligible patients are treated with these therapies. There are various disease advocacy groups, such as DEBRA International, with nearly 50 national DEBRA and epidermolysis bullosa patient support groups that help patients with epidermolysis bullosa for insurance and reimbursement.

The report further provides detailed insights on the country-wise accessibility and reimbursement scenarios, cost-effectiveness scenario of approved therapies, programs making accessibility easier and out-of-pocket costs more affordable, insights on patients insured under federal or state government prescription drug programs, etc.

Scope of the Report:

  • The report covers a segment of key events, an executive summary, descriptive overview of Epidermolysis Bullosa, explaining its causes, signs and symptoms, pathogenesis, and currently available therapies.
  • Comprehensive insight into the epidemiology segments and forecasts, disease progression, and treatment guidelines has been provided.
  • Additionally, an all-inclusive account of the current and emerging therapies and the elaborative profiles of late-stage and prominent therapies will impact the current treatment landscape.
  • A detailed review of the Epidermolysis Bullosa market, historical and forecasted market size, market share by therapies, detailed assumptions, and rationale behind our approach is included in the report, covering the 7MM drug outreach.
  • The report provides an edge while developing business strategies, by understanding trends, through SWOT analysis and expert insights/KOL views, patient journey, and treatment preferences that help shape and drive the 7MM Epidermolysis Bullosa market.

Epidermolysis Bullosa Report Insights

  • Patient Population
  • Therapeutic Approaches
  • Epidermolysis Bullosa Pipeline Analysis
  • Epidermolysis Bullosa Market Size and Trends
  • Existing and future Market Opportunity

Epidermolysis Bullosa Report Key Strengths

  • Eleven Years Forecast
  • The 7MM Coverage
  • Epidermolysis Bullosa Epidemiology Segmentation
  • Key Cross Competition
  • Drugs Uptake and Key Market Forecast Assumptions

Epidermolysis Bullosa Report Assessment

  • Current Treatment Practices
  • Unmet Needs
  • Pipeline Product Profiles
  • Market Attractiveness
  • Qualitative Analysis (SWOT and Conjoint Analysis)

FAQs:

  • What was the Epidermolysis Bullosa total market size, the market size by therapies, market share (%) distribution in 2020, and what would it look like in 2034? What are the contributing factors for this growth?
  • What will be the impact of EB-101's expected approval in 2024?
  • How will EB-101 and D-Fi compete with VYJUVEK once they get approved in 2024?
  • Which class is going to be the largest contributor in 2034?
  • What are the pricing variations among different geographies for approved and off-label therapies?
  • How would the market drivers, barriers, and future opportunities affect the market dynamics and subsequent analysis of the associated trends?
  • What are the disease risk, burdens, and unmet needs of Epidermolysis Bullosa? What will be the growth opportunities across the 7MM concerning the patient population of Epidermolysis Bullosa?
  • What is the historical and forecasted Epidermolysis Bullosa patient pool in the United States, EU4 (Germany, France, Italy, and Spain), the United Kingdom, and Japan?
  • Which type of Epidermolysis Bullosa is the largest contributor?
  • Which gender has a higher prevalence of Epidermolysis bullosa?
  • Which age group of Epidermolysis bullosa has a high patient share?
  • What are the current options for the treatment of Epidermolysis Bullosa? What are the current guidelines for treating Epidermolysis Bullosa in the US and Europe?
  • How many emerging therapies are in the mid-stage and late stage of development for the treatment of Epidermolysis Bullosa?
  • What are the recent novel therapies, targets, mechanisms of action, and technologies being developed to overcome the limitation of existing therapies?
  • What key designations have been granted for the emerging therapies for Epidermolysis Bullosa?
  • Patient acceptability in terms of preferred treatment options as per real-world scenarios?
  • What are the country-specific accessibility issues of expensive, current therapies? Focusing on the reimbursement policies.

Reasons to Buy:

  • The report will help develop business strategies by understanding the latest trends and changing treatment dynamics driving the Epidermolysis Bullosa market.
  • Insights on patient burden/disease incidence, evolution in diagnosis, and factors contributing to the change in the epidemiology of the disease during the forecast years.
  • Understand the existing market opportunity in varying geographies and the growth potential over the coming years.
  • Distribution of historical and current patient share based on real-world prescription data along with reported sales of approved products in the US, EU4 (Germany, France, Italy, and Spain), the United Kingdom, and Japan.
  • Identifying strong upcoming players in the market will help devise strategies to help get ahead of competitors.
  • Detailed analysis and ranking of class-wise potential current and emerging therapies under the Analyst view section to provide visibility around leading classes.
  • Highlights of Access and Reimbursement policies of current therapies, barriers to accessibility of expensive off-label therapies, and patient assistance programs.
  • To understand Key Opinion Leaders' perspectives around the accessibility, acceptability, and compliance-related challenges of existing treatment to overcome barriers in the future.
  • Detailed insights on the unmet need of the existing market so that the upcoming players can strengthen their development and launch strategy.

Table of Contents

1. Key Insights

2. Report Introduction

3. Executive Summary of Epidermolysis Bullosa (EB)

4. Key Events

5. Epidemiology and Market Forecast Methodology

6. Epidermolysis Bullosa Market Overview at a Glance

  • 6.1. Market Share (%) Distribution by Therapies in 2020
  • 6.2. Market Share (%) Distribution by Therapies in 2034

7. Epidermolysis Bullosa (EB): Disease Background and Overview

  • 7.1. Introduction
  • 7.2. Causes of Epidermolysis Bullosa
  • 7.3. Signs and Symptoms of Epidermolysis Bullosa
  • 7.4. Pathogenesis of Epidermolysis Bullosa
  • 7.5. Pathophysiology of Itch in Epidermolysis Bullosa Skin
  • 7.6. Classification of Epidermolysis Bullosa
  • 7.7. Genetic Bases of Epidermolysis Bullosa
  • 7.8. Diagnosis of Epidermolysis Bullosa
    • 7.8.1. Types of Laboratory Referral
      • 7.8.1.1. Neonate With Skin Fragility
      • 7.8.1.2. Pediatric and Adult Patients With Skin Fragility
      • 7.8.1.3. Carrier Testing
      • 7.8.1.4. Prenatal Diagnosis
    • 7.8.2. Further Testing
      • 7.8.2.1. Skin Biopsy
      • 7.8.2.2. Molecular Testing
      • 7.8.2.3. Genetic Testing for Epidermolysis Bullosa
      • 7.8.2.3.1. Next-generation Sequencing (NGS) Targeted Gene Panel and Whole-exome Sequencing in Epidermolysis Bullosa
      • 7.8.2.3.2. Sanger Sequencing (SS)

8. Treatment and Management of Epidermolysis Bullosa

  • 8.1. Management of Blisters
  • 8.2. Skin and Wound Management
    • 8.2.1. Management of Epidermolysis Bullosa Simplex (EBS)
    • 8.2.2. Management of Junctional Epidermolysis Bullosa (JEB)
    • 8.2.3. Management of Dystrophic Epidermolysis Bullosa (DEB)
    • 8.2.4. Management of Kindler Syndrome

9. Guidelines

  • 9.1. Diagnostic Guidelines
    • 9.1.1. Clinical Practice Guidelines for Epidermolysis Bullosa Laboratory Diagnosis
    • 9.1.2. Japanese Guidelines for Diagnosis and Treatment of Junctional and Dystrophic Epidermolysis Bullosa

10. Epidemiology and Patient Population of the 7MM

  • 10.1. Key Findings
  • 10.2. Assumption and Rationale
  • 10.3. Total Prevalent Cases of Epidermolysis Bullosa in the 7MM
  • 10.4. Diagnosed Prevalent Cases of Epidermolysis Bullosa in the 7MM
  • 10.5. The United States
    • 10.5.1. Total Prevalent Cases of Epidermolysis Bullosa in the United States
    • 10.5.2. Diagnosed Prevalent Cases of Epidermolysis Bullosa in the United States
    • 10.5.3. Gender-specific Cases of Epidermolysis Bullosa in the United States
    • 10.5.4. Age-specific Cases of Epidermolysis Bullosa in the United States
    • 10.5.5. Type-specific Cases of Epidermolysis Bullosa in the United States
  • 10.6. EU4 and the UK
    • 10.6.1. Total Prevalent Cases of Epidermolysis Bullosa in EU4 and the UK
    • 10.6.2. Diagnosed Prevalent Cases of Epidermolysis Bullosa in EU4 and the UK
    • 10.6.3. Gender-specific Cases of Epidermolysis Bullosa in EU4 and the UK
    • 10.6.4. Age-specific Cases of Epidermolysis Bullosa in EU4 and the UK
    • 10.6.5. Type-specific Cases of Epidermolysis Bullosa in EU4 and the UK
  • 10.7. Japan
    • 10.7.1. Total Prevalent Cases of Epidermolysis Bullosa in Japan
    • 10.7.2. Diagnosed Prevalent Cases of Epidermolysis Bullosa in Japan
    • 10.7.3. Gender-specific Cases of Epidermolysis Bullosa in Japan
    • 10.7.4. Age-specific Cases of Epidermolysis Bullosa in Japan
    • 10.7.5. Type-specific Cases of Epidermolysis Bullosa in Japan

11. Patient Journey

12. Marketed Drugs

  • 12.1. Key Competitors
  • 12.2. VYJUVEK (beremagene geperpavec): Krystal Biotech
    • 12.2.1. Product Description
    • 12.2.2. Regulatory Milestones
    • 12.2.3. Other Developmental Activities
    • 12.2.4. Clinical Developmental Activities
      • 12.2.4.1. Clinical Trial Information
    • 12.2.5. Safety and Efficacy
    • 12.2.6. Product Profile
  • 12.3. FILSUVEZ (oleogel-S10): Chiesi Farmaceutici (Amryt Pharma)
    • 12.3.1. Product Description
    • 12.3.2. Regulatory Milestone
    • 12.3.3. Other Development Activities
    • 12.3.4. Safety and Efficacy
    • 12.3.5. Product Profile
  • 12.4. JACE (human epidermal cell sheet): Japan Tissue Engineering
    • 12.4.1. Product Description
    • 12.4.2. Regulatory Milestones
    • 12.4.3. Safety and Efficacy
    • 12.4.4. Product Profile

13. Emerging Drugs

  • 13.1. Key Competitors
  • 13.2. EB-101: Abeona Therapeutics
    • 13.2.1. Product Description
    • 13.2.2. Other Developmental Activities
    • 13.2.3. Clinical Developmental Activities
      • 13.2.3.1. Clinical Trial Information
    • 13.2.4. Safety and Efficacy
  • 13.3. D-Fi (dabocemagene autoficel): Castle Creek Biosciences
    • 13.3.1. Product Description
    • 13.3.2. Other Developmental Activities
    • 13.3.3. Clinical Developmental Activities
      • 13.3.3.1. Clinical Trial Information
    • 13.3.4. Safety and Efficacy
  • 13.4. ABCB5+ mesenchymal stem cells (ABCB5+ MSCs): RHEACELL
    • 13.4.1. Product Description
    • 13.4.2. Other Developmental Activities
    • 13.4.3. Clinical Developmental Activities
      • 13.4.3.1. Clinical Trial Information
    • 13.4.4. Safety and Efficacy
  • 13.5. ISN001: Ishin Pharma
    • 13.5.1. Product Description
    • 13.5.2. Other Developmental Activities
    • 13.5.3. Clinical Developmental Activities
      • 13.5.3.1. Clinical Trial Information
  • 13.6. RV-LAMB3-transduced epidermal stem cells: Holostem Terapie Avanzate
    • 13.6.1. Product Description
    • 13.6.2. Other Developmental Activities
    • 13.6.3. Clinical Developmental Activities
      • 13.6.3.1. Clinical Trial Information
  • 13.7. PTR-01: BridgeBio (Phoenix Tissue Repair)
    • 13.7.1. Product Description
    • 13.7.2. Other Development Activities
    • 13.7.3. Clinical Development
      • 13.7.3.1. Clinical Trials Information
    • 13.7.4. Safety and Efficacy
  • 13.8. INM-755: InMed Pharmaceuticals
    • 13.8.1. Product Description
    • 13.8.2. Clinical Development
      • 13.8.2.1. Clinical Trials Information
    • 13.8.3. Safety and Efficacy
  • 13.9. Redasemtide: Shionogi
    • 13.9.1. Product Description
    • 13.9.2. Other Development Activities
    • 13.9.3. Clinical Development
      • 13.9.3.1. Clinical Trials Information
    • 13.9.4. Safety and Efficacy
  • 13.10. ALLO-ASC-SHEET: Anterogen
    • 13.10.1. Product Description
    • 13.10.2. Other Developmental Activities
    • 13.10.3. Clinical Developmental Activities
      • 13.10.3.1. Clinical Trial Information

14. Epidermolysis Bullosa: The 7MM Analysis

  • 14.1. Key Findings
  • 14.2. Epidermolysis Bullosa Market Outlook
  • 14.3. Key Market Forecast Assumptions
  • 14.4. Conjoint Analysis
  • 14.5. Total Market Size of Epidermolysis Bullosa in the 7MM
  • 14.6. The United States Market Size
    • 14.6.1. Total Market Size of Epidermolysis Bullosa in the United States
    • 14.6.2. Market Size of Epidermolysis Bullosa by Current and Emerging Therapies in the United States
  • 14.7. EU4 and the UK Market Size
    • 14.7.1. Total Market Size of Epidermolysis Bullosa in EU4 and the UK
    • 14.7.2. Market Size of Epidermolysis Bullosa by Current and Emerging Therapies in EU4 and the UK
  • 14.8. Japan Market Size
    • 14.8.1. Total Market Size of Epidermolysis Bullosa in Japan
    • 14.8.2. Market Size of Epidermolysis Bullosa by Current and Emerging Therapies in Japan

15. Unmet needs

16. SWOT Analysis

17. KOL Views

18. Market Access and Reimbursement

  • 18.1. The United States
    • 18.1.1. Centre for Medicare & Medicaid Services (CMS)
  • 18.2. EU4 and the UK
    • 18.2.1. Germany
    • 18.2.2. France
    • 18.2.3. Italy
    • 18.2.4. Spain
    • 18.2.5. The United Kingdom
  • 18.3. Japan
    • 18.3.1. MHLW
  • 18.4. Epidermolysis Bullosa Market Access and Reimbursement

19. Appendix

  • 19.1. Bibliography
  • 19.2. Report Methodology

20. DelveInsight Capabilities

21. Disclaimer

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