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시장보고서
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다형성 교모세포종 : 시장 인사이트, 역학 및 예측(2036년)Glioblastoma Multiforme - Market Insight, Epidemiology, and Market Forecast -2036 |
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DelveInsight
다형성 교모세포종 시장 규모 및 전망(주요 7개국)
다형성 교모세포종 시장 보고서는 표준 치료, 임상 실무, 진화하는 치료 알고리즘 등 현재의 치료 현황에 대한 종합적인 분석을 제공합니다. 본 보고서에서는 GBM 환자의 부담 동향, 수익 및 시장 점유율 동향, 피크 시기의 환자 점유율 및 치료법 보급 현황에 대한 분석을 평가함과 동시에, 전 세계 각 지역 시장 규모에 대한 상세한 평가 및 성장률 전망(과거 데이터 및 2022-2036년 전망)을 제공합니다. 본 보고서에서는 GBM 분야의 주요 미충족 수요 사항을 부각시키고, 경쟁 구도 및 임상 현황을 분석하여 고부가가치 기회를 도출하는 한편, 향후 시장 성장 가능성에 대한 명확한 전망을 제시하고 있습니다.
다형성 교모세포종(GBM)의 개요 및 진단
GBM은 언어와 감정 같은 고차원적인 기능을 담당하는 전뇌의 일부인 대뇌에서 주로 발생합니다. GBM은 국소적으로 침습성이 높으며(정상 뇌 조직으로 침윤함), 뇌 이외의 장기로 전이되는 경우는 드뭅니다. 침습성이 매우 높고 급속히 증식하는 암으로, 치료는 종양의 위치나 환자가 수술을 견딜 수 있는지 여부에 따라 제한되는 경우가 많습니다. 그 결과, 치료가 특히 어려운 암이 되었습니다. GBM은 암 유전자에 의한 세포 구조나 배향의 비정상적인 변화, 혹은 종양 억제 유전자의 상실에 기인하여 발병할 가능성이 있습니다.
신경학적 증상이 있는 환자의 경우, 우선 신경 기능 검사(반사, 근력, 안구 및 구강 운동, 협응 운동, 각성도)를 포함한 신체 검사가 실시됩니다. 종양이 의심되는 경우, 의사가 뇌 내의 이상을 확인할 수 있도록 영상 검사가 실시됩니다. 이러한 목적을 위해 사용되는 검사에는 MRI, CT, MR 분광법 등이 있습니다. 또한, GBM 진단에는 외과적 생검도 시행됩니다.
다형성 교모세포종(GBM)의 현재 치료 현황
교모종 치료에는 일반적으로 수술, 화학요법, 방사선 치료 또는 정위 방사선 수술을 병행하여 시행합니다. 수술은 일반적으로 치료에서 가장 중요한 요소 중 하나이지만, 단독으로 시행되는 경우는 거의 없습니다. 다형성 교모세포종은 매우 빠르게 진행되기 때문에 종양을 완전히 절제하는 것이 종종 어렵습니다. 따라서 수술에서는 '안전한 범위 내에서 최대한의 절제'를 목표로 합니다. 즉, 환자의 뇌 기능을 유지하고 정상 조직을 보존하면서 종양을 가능한 한 많이 절제하는 것입니다. 잔존 암세포에 대해서는 수술 후 화학요법이나 방사선 치료 등의 추가 치료를 시행할 수 있습니다. 방사선 치료나 화학요법은 일반적으로 종양의 진단이나 명칭이 확정된 후, 수술에 이어 시행됩니다. 이러한 치료법은 보조 요법이라고 합니다. 이러한 다학제적 접근 방식은 몇 가지 부작용을 유발할 가능성이 있으므로, 다른 치료법의 부작용을 완화하기 위해 스테로이드가 다형성 교모세포종 치료의 또 다른 중요한 요소로 투여되는 경우가 많습니다. 스테로이드 치료는 부기를 가라앉히기 위해, 또는 항경련제로 사용되기도 합니다.
GBM의 역학 분석 및 예측에 관한 주요 조사 결과
안타깝게도, 교모종에 대한 근치적인 치료법은 없습니다. 일부 세포는 특정 치료법에 잘 반응하는 반면, 다른 세포에는 전혀 영향을 미치지 않는 경우도 있기 때문에 다형성 교모세포종의 치료는 매우 어렵습니다. 따라서 다형성 교모세포종 치료 계획에서는 여러 가지 접근법을 병행하는 경우가 있습니다. 치료는 대부분의 경우 수술, 화학요법, 방사선 치료, 또는 정위 방사선 수술과 같은 여러 치료법을 조합한 형태이며, 수술 후에는 화학요법이나 방사선 치료 등의 추가 치료 및 보조 치료가 이루어집니다.
대부분의 항암제는 세포독성 약물입니다. 세포독성 약물은 종양 세포를 파괴하도록 설계되어 있으며, 종양 세포가 증식하지 못하도록 작용합니다. 칼무스틴(BCNU), 롬스틴(CCNU) 또는 글레오스틴(제네릭), 글리아델-웨버(BCNU가 함침된 생분해성 디스크), 테모졸로미드(테모달), 시스플라틴, 카보플라틴, 에토포사이드, 이리노테칸 등이 세포독성 약물의 예입니다. 이 약제들은 단독 요법으로, 또는 병용 요법(예 : PCV(프로카르바진, CCNU, 빈크리스틴), 카보플라틴/에토포사이드)으로 투여될 수 있습니다.
이탈리아 종양내과학회의 지침에 따르면, 레골라페닙은 재발성 다형성 교모세포종(rGBM)의 1차 치료제로 지정되어 있습니다. 레골라페닙은 2019년 10월 기준으로 이탈리아 의약품청(AIFA)으로부터 재발성 다형성 교모세포종(rGBM) 치료제로 승인받았으나, 베바시주맙은 FDA의 승인을 받았음에도 불구하고 AIFA 및 EMA로부터는 권장되지 않고 있습니다. 바이엘, 키메릭스, 아이비타 바이오메디컬, 데노보 바이오파마, 노스웨스트 테라퓨틱스 등 주요 기업들은 임상 개발의 다양한 단계에 있는 주력 후보 약물의 평가를 진행하고 있습니다.
Glioblastoma Multiforme (GBM) Market Size and Forecast in the 7MM
DelveInsight's 'Glioblastoma Multiforme (GBM) - Market Insights, Epidemiology and Market Forecast - 2036' report delivers an in-depth understanding of the GBM, historical and forecasted epidemiology, as well as the GBM market trends in the United States, EU4 (Germany, Spain, Italy, and France) and the United Kingdom, and Japan.
The Glioblastoma Multiforme (GBM) market report delivers a comprehensive analysis of the current treatment landscape, including standards of care, clinical practices, and evolving therapeutic algorithms. It evaluates, GBM patient burden trends, revenue & market share dynamics, peak patient share & therapy uptake analysis, and provides an in-depth market size assessment, and growth rate projections (Historical & Forecast 2022-2036) across global regions. The report highlights key unmet medical needs in GBM and maps the competitive and clinical landscape to uncover high-value opportunities, providing a clear outlook on future market growth potential.
Glioblastoma Multiforme (GBM) Overview and Diagnosis
GBM is often located in a region of the forebrain known as the cerebrum, which controls some of the most advanced processes such as speech and emotions. While GBM is highly locally invasive (invading normal brain tissue), it rarely spreads to other organs beyond the brain. A highly aggressive, fast-growing cancer, and treatment is often limited by the tumor location and the ability of a patient to tolerate surgery. Consequently, it is a particularly difficult cancer to treat. GBM may develop due to abnormal changes in the structure and orientation of cells secondary to oncogenes or the loss of tumor suppressor genes.
A patient with any neurological symptoms will first be given a physical exam that includes neurologic function tests (reflexes, muscle strength, eye and mouth movement, coordination, and alertness). If a tumor is suspected, the patient will have imaging tests so that doctors can look into the brain for any abnormality. Procedures that can be used for this purpose include MRI, CT, and MR spectroscopy. Surgical biopsy is also used for the diagnosis of GBM.
Current Glioblastoma Multiforme (GBM) Treatment Landscape
Treatment for glioblastoma multiforme usually includes a combination of surgery, chemotherapy, radiation, or stereotactic radiosurgery. Surgery is usually one of the most important aspects of treatment, although rarely used alone. Since glioblastomas develop very rapidly, they are often difficult to remove in their entirety. Therefore, surgery is performed to achieve a maximum safe resection - removing as much of the tumor as possible while preserving the patient's brain function and sparing healthy tissues. Residual cancer cells can be targeted with additional treatments, such as chemotherapy or radiation therapy, after surgery. Radiation therapy and chemotherapy usually follow surgery once the diagnosis or name of the tumor is determined. These treatments are called adjuvant treatments. Because this multispecialty approach can cause several side effects, steroids are often provided as another essential part of glioblastoma treatment, used to help alleviate the side effects of other therapies. Steroid treatment can be used to reduce swelling or anti-seizure medication.
Glioblastoma Multiforme (GBM) Unmet Needs
The section "unmet needs of Glioblastoma Multiforme (GBM)" outlines the critical gaps between the current state of patient care, diagnosis, and the ideal & effective management of the disease. It highlights the obstacles experienced by patients, clinicians, and researchers and identifies potential solutions for future progress.
Key Findings from GBM Epidemiological Analysis and Forecast
Glioblastoma Multiforme (GBM) Drug Analysis & Competitive Landscape
The GBM drug chapter provides a detailed, market-focused review of approved therapies and the emerging pipeline across Phase I/II-II clinical trials. It covers mechanism of action, clinical trial data, regulatory approvals, patents, collaborations, strategic partnerships upcoming Key catalyst for each therapy, along with their advantages, limitations, and recent developments. This section offers critical insights into the GBM treatment landscape, supporting market assessment, competitive analysis, and growth forecasting for the GBM therapeutics market.
Approved Therapies for GBM
TEMODAR/TEMODAL (temozolomide): Merck
The active pharmaceutical ingredient in TEMODAR/TEMODAL is an imidazotetrazine derivative of the alkylating agent dacarbazine. It is used for treating several brain cancer forms, e.g., as a second-line treatment for astrocytoma and a first-line treatment for GBM. The therapeutic benefit of TEMODAR is its ability to alkylate/methylate DNA. This alkylation/methylation destroys the DNA and triggers the death of the tumor cells. TEMODAR targets tumoral tissues selectively; it has an anti-neoplastic effect; it has minimum influence on adjacent brain tissues; it has no severe systemic toxicity; and it is eliminated rapidly. In March 2005, the US FDA approved TEMODAR for the treatment of adult patients with newly diagnosed GBM concomitantly with radiotherapy and then as maintenance treatment.
Glioblastoma Multiforme (GBM) Pipeline Analysis
AV-GBM-1: Aivita Biomedical and TAE Life Sciences
AV-GBM-1 is a personalized dendritic cell-based immunotherapy developed by AIVITA Biomedical, designed to generate a broad, patient-specific immune response by targeting multiple tumor-associated antigens derived from autologous glioblastoma tumor-initiating cells. Administered as a series of subcutaneous injections, the therapy is being evaluated as an adjunct to standard-of-care treatment in newly diagnosed glioblastoma (GBM).
As of 2025, AV-GBM-1 is under investigation in a randomized Phase III clinical trial initiated in 2024, with large-scale patient enrollment and overall survival as a key endpoint. The study remains ongoing, with completion timelines extending toward 2028, and no Phase III efficacy results have been disclosed to date.
In parallel, AIVITA Biomedical and TAE Life Sciences are collaborating to address challenges related to the availability and quality of glioblastoma tumor tissue, aiming to enhance the development and manufacturing of advanced, patient-specific therapies such as AV-GBM-1.
Eflornithine: Orbus Therapeutics
Eflornithine (a-difluoromethylornithine, DFMO) is an irreversible inhibitor of ornithine decarboxylase, a key enzyme involved in polyamine synthesis that supports tumor cell proliferation and survival. By selectively targeting this single enzyme, eflornithine differs from multi-targeted kinase inhibitors and has demonstrated the ability to suppress tumor growth and enhance the activity of cytotoxic therapies in preclinical models, including high-grade gliomas.
As of 2025, Orbus Therapeutics is actively evaluating eflornithine in glioblastoma (GBM). A Phase Ib clinical study initiated in 2023 is investigating the combination of eflornithine with temozolomide in patients with newly diagnosed GBM. The study remains ongoing, with no efficacy results publicly reported to date, confirming that the drug is still in active clinical development for GBM but not approved. From a regulatory standpoint, eflornithine was granted Orphan Medicinal Product designation for glioma by the European Medicines Agency (EMA) (via CHMP), which remains valid and supports its development in rare brain tumors. Regarding intellectual property, previously granted patents covering oral formulations and therapeutic use of eflornithine in gliomas in both the US and Europe remain part of the asset's protection strategy; however, no major new patent announcements specific to GBM have been publicly disclosed in 2025 updates.
Glioblastoma Multiforme (GBM) Key Players, Market Leaders and Emerging Companies
Glioblastoma Multiforme (GBM) Drug Updates
Unfortunately, there is no cure for glioblastoma. Glioblastoma treatment is quite challenging as some cells may respond well to certain therapies while others may not be affected at all. Because of this, the treatment plan for glioblastoma may combine several approaches. The treatment often comprises a combination of several therapies, including surgery, chemotherapy, radiation, or stereotactic radiosurgery, followed by additional/adjuvant treatments, such as chemotherapy or radiation therapy, after surgery.
Most chemotherapy drugs are cytotoxic drugs; cytotoxic drugs are designed to destroy tumor cells and work by making them unable to reproduce. Carmustine (BCNU), Lomustine (CCNU), or Gleostine (Generic), Gliadel wafer (biodegradable discs infused with BCNU), Temozolomide (Temodar), Cisplatin, Carboplatin, Etoposide, and Irinotecan are examples of cytotoxic drugs. They may be given as a single agent or combination, i.e., PCV (Procarbazine, CCNU, and Vincristine), Carboplatin/Etoposide.
Regorafenib is the first-choice treatment for rGBM according to Italian Association of Medical Oncology guidelines; regorafenib has been approved by the Italian Medicines Agency (AIFA) for its use in rGBM as of October 2019, while bevacizumab, although approved by FDA, is not recommended by AIFA and EMA. Key players like Bayer, Chimerix, Aivita Biomedical, Denovo Biopharma, Northwest Therapeutics, and others are evaluating their lead candidates in different stages of clinical development.
Drug Class/Insights into Leading Emerging and Marketed Therapies in GBM (2022-2036 Forecast)
The landscape of GBM drug development involves Multi-kinase inhibitors, PI3K pathway inhibitors, CDK4/6 inhibitors etc. Multi-kinase inhibitor that potently blocks multiple protein kinases involved in tumor angiogenesis (VEGFR1, -2, -3, TIE2), oncogenesis (KIT, RET, RAF-1, BRAF), metastasis (VEGFR3, PDGFR, FGFR) and tumor immunity (CSF1R). It is an inhibitor of multiple membrane-bound and intracellular kinases involved in normal cellular functions and pathologic processes such as oncogenesis, tumor angiogenesis, and maintenance of the tumor microenvironment. Cyclin-dependent kinases (CDK) 4/6 are activated by binding to D-cyclins.
Glioblastoma Multiforme (GBM) Drug Uptake
This section focuses on the uptake rate of potential drugs expected to be launched in the market during the forecast period (2026-2036). The analysis covers the GBM drug's uptake, performance at peak, factors affecting performance during prime years of growth, patient uptake by therapy, and anticipated sales generated by each drug.
SurVaxM by MimiVax is a first-of-its-kind, patented peptide mimic immunotherapeutic vaccine (immunotherapy) that targets survivin, a cell-survival protein in 95% of GBM and other cancers. The drug is expected to enter the US market by 2026, followed by the EU4 and the UK, and Japan.
The GBM pipeline is robust and possesses multiple potential drugs in late and mid-stage developments, which are yet to be launched. The pipeline involves drugs with varied mechanisms of action along with different routes of administration, ranging from oral, IV, intratumoral, SC, etc. It is interesting to note that the emerging market of GBM includes vaccine/immunotherapy candidates such as DCVax-L, VBI-1901, AV-GBM-1, SurVaxM, TVI-Brain-1, VBI-1901, AV-GBM-1, and SurVaxM respectively.
Detailed insights of emerging therapies' drug uptake is included in the report
Market Access and Reimbursement of Approved therapies in Glioblastoma Multiforme (GBM)
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.
GBM carries a high economic burden for patients and caregivers associated with initial surgery. The high cost of care could also be attributed to the high cost of drugs, the various treatments available for GBM, and the additional costs incurred during the care of the patients.
With the Genentech Oncology Co-pay Assistance Program, eligible patients with commercial insurance could pay as little as USD 0 per treatment for AVASTIN. Co-pay assistance of up to USD 25,000 is provided per calendar year.
Genentech Patient Foundation
The Genentech Patient Foundation gives free AVASTIN to people who have been prescribed this medicine and do not have insurance or who have financial concerns and meet specific eligibility criteria.
The patients are eligible if their insurance coverage and income match one of these situations:
Novartis Oncology Universal Co-pay Program
Patients may be eligible for immediate co-pay savings on their next prescription:
Patient Assistance Now Oncology (PANO)
PANO is a support center consisting of insurance specialists and case managers who provide access to information regarding an array of services. PANO is considered the first stop for information about Novartis Oncology Patient Support programs.
Support for patients includes:
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.
NOTE: Further Details are provided in the final report....
Glioblastoma Multiforme (GBM) Therapies Price Scenario & Trends
Pricing and analogue assessment of GBM therapies highlights evolving price dynamics structures. This section summarizes the cost of approved treatments, closest and most appropriate analogue selection for emerging therapies, and understanding of how pricing influences market access, adherence, and long-term uptake.
Kazia Therapeutics is developing paxalisib, a PI3K pathway inhibitor. To estimate the cost of paxalisib, it is benchmarked against approved PI3K pathway inhibitors used in various oncology indications. We calculated the average monthly price by considering the WAC of UKONIQ at USD 15,900, ZYDELIG at USD 11,771, and COPIKTRA at USD 13,617 for a 30-day supply. This average price serves as an analogue for the cost of paxalisib.
Industry Experts and Physician Views for Glioblastoma Multiforme (GBM)
To keep up with GBM market trends, we take Key Opinion Leaders (KOLs) and Subject Matter Experts (SMEs) opinions working in the domain through primary research to fill the data gaps and validate our secondary research. Industry Experts were contacted for insights on the GBM emerging therapies, evolving treatment landscape, patient adherence to conventional therapies, therapy switching trends, drug adoption and uptake, accessibility challenges, and epidemiology and real-world prescription patterns in GBM, including MD, Ph.D, Instructor, Postdoctoral Researcher, Professor, Researcher, and others.
DelveInsight's analysts connected with 15+ KOLs to gather insights at country level. Centers such as the Ohio State University, Norris Comprehensive Cancer Center, and University of Southern California, etc. were contacted. Their opinion helps understand and validate current and emerging GBM therapies, highlight unmet medical needs, provide epidemiological context, and support strategic decisions for market access, therapy adoption, and pipeline prioritization in GBM.
Qualitative Analysis: SWOT and Conjoint Analysis
We perform qualitative and market Intelligence analysis using various approaches, such as SWOT analysis and conjoint analysis.
In the SWOT analysis of GBM, 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.
Conjoint analysis analyzes emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. Scoring is given based on these parameters to analyze the effectiveness of therapy.
The team of analysts analyzes promising 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, whereas the therapies' safety is evaluated, wherein the acceptability, tolerability, and adverse events are majorly observed. In addition, the scoring is also based on the route of administration, order of entry, probability of success, and the addressable patient pool for each therapy. According to these parameters, the final weightage score and the ranking of the emerging therapies are decided.
Market Insights