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Atopic Dermatitis Therapeutics in Southeast Asia Markets to 2024-Growth Driven by Rising Awareness and Expected Launch of Novel Therapies

Atopic dermatitis (AD), also called atopic eczema, is a chronic, pruritic, inflammatory skin disease arising from a complex interrelationship of environmental, immunologic, genetic, and pharmacologic factors, with a characteristic phenotype and typically distributed skin lesions. It is one of the most common skin diseases, affecting approximately 20% of children and 1-3% of adults globally. AD is a genetically complex, familial transmitted disease with a strong maternal influence; a child possesses a two-fold risk of developing the disease if one of the parents is affected and a three-fold risk if both are affected. Many studies reported that increasing urbanization, westernization of lifestyle, obesity, lack of physical exercise, stress, food allergies, and pollution increase the risk of AD.
The current marketed drug landscape in AD includes topical agents (corticosteroids and calcineurin inhibitors), systemic therapies (such as corticosteroids, cyclosporine, azathioprine, methotrexate and mycophenolatemofetil) and a biologic therapy (Dupixent). Topical steroids have been the mainstay of treatment for AD in both children and adults for the past half century.
The evolution in the understanding of the pathogenesis of AD has led to the discovery and development of several promising treatment options for AD. Recently, two new therapies have been approved for AD, Eucrisa (crisaborole) and Dupixent (dupilumab). However, currently Sanofi/Regeneron'sDupixent is the only targeted therapy that is available in Southeast Asia AD market.
The late-stage AD pipeline contains promising therapies that have the potential to achieve approval and launch over the forecast period. These include LEO Pharma'stralokinumab, Eli Lilly's baricitinib, Kangstem Biotech's furestem-AD, Pfizer's PF-04965842 and Amorepacific's PAC-14028. These new drugs will expand the options available to treat AD patients and contribute to overall market growth by offering novel treatment mechanisms.
Scope
- The Southeast Asia AD market will be valued at $848.6m in 2024, growing from $423.2m in2017, at a compound annual growth rate of 10.5%.
- What are the key factors driving the Southeast Asia AD treatment market-
- What classes of drugs dominate the market-
- How will the market respond to recent approval-
- How will novel IL-4Ra inhibitor therapy Dupixent, which holds first-to-market advantage, contribute to growth-
- The AD pipeline contains a range of molecule types and molecular targets, including those that are well established in AD and novel target therapies.
- Which classes of novel drugs are most prominent in the pipeline-
- What are the common targets and mechanisms of action of pipeline therapies-
- Late-stage pipeline therapies with a strong clinical record have the potential to enter the market over the forecast period.
- How have the late-stage therapies performed in clinical trials-
- What are the commercial prospects for the most promising late-stage products-
- How will the approval of tralokinumab, furestem-AD, baricitinib, PAC-14028 and PF-04965842, affect the competitive landscape-
- Various drivers and barriers will influence the market over the forecast period.
- Which factors are most likely to drive the market in these countries-
- What licensing and co-development deals have occurred within this therapy area since 2007-
Table of Contents
1 Table of Contents 
1.1 List of Tables
1.2 List of Figures
2 Introduction 
2.1 Disease Introduction
2.2 Epidemiology
2.3 Symptoms
2.4 Etiology and Pathophysiology
2.4.1 Etiology
2.4.2 Pathophysiology
2.5 Diagnosis
2.5.1 Hanifin and Rajka Diagnostic Criteria
2.5.2 UK Working Party's Diagnostic Criteria
2.5.3 Biomarkers
2.6 Classification and Disease Stages
2.7 Prognosis
2.8 Treatment Options and Guidelines
2.8.1 Emollients
2.8.2 Topical corticosteroids
2.8.3 Topical calcineurin inhibitors
2.8.4 Antimicrobials
2.8.5 Systemic immunosuppressive therapy
2.8.6 Biologics
2.8.7 Other treatments
2.8.8 Wet wrap therapy
2.9 Treatment guidelines
3 Marketed Products 
3.1 Overview
3.1.1 Dupixent (dupilumab) - Regeneron and Sanofi
3.1.2 Protopic (tacrolimus) - Astellas
3.1.3 Elidel (Pimecrolimus) - Novartis
3.1.4 Cyclosporine
3.1.5 Xolair (omalizumab) - Novartis and Genentech (Off-Label Therapy)
3.1.6 Eucrisa (crisaborole) - Pfizer
3.1.7 Other Therapeutic Drug Classes Used in Atopic Dermatitis
3.2 Comparative Efficacy and Safety of Marketed Products
4 Pipeline Analysis 
4.1 Overview
4.2 Pipeline by Stage of Development, Molecule Type, Route of Administration and Program Type
4.3 Pipeline by Molecular Target
4.4 Promising Pipeline Candidates
4.4.1 Tralokinumab - LEO Pharma
4.4.2 Furestem-AD - Kang Stem Biotech
4.4.3 Baricitinib - Eli Lilly and Incyte Corporation
4.4.4 PAC-14028- Amorepacific
4.4.5 PF-04965842 - Pfizer
4.5 Comparative Efficacy and Safety of Pipeline Products
4.6 Product Competitiveness Framework
5 Clinical Trial Analysis 
5.1 Failure Rate
5.1.1 Overall Failure Rate
5.1.2 Failure Rate by Phase and Molecule Type
5.1.3 Failure Rate by Phase and Molecule Target
5.2 Clinical Trial Size
5.2.1 Patient Enrollment per Trial by Molecule Type and Stage of Development
5.2.2 Patient Enrollment per Trial by Molecule Type, Molecular Target and Stage of Development
5.2.3 Patient Enrollment per Product by Molecule Type and Stage of Development
5.2.4 Patient Enrollment per Product by Molecular Target and Stage of Development
5.3 Clinical Trial Duration
5.3.1 Clinical Trial Duration by Molecule Type
5.3.2 Clinical Trial Duration by Molecular Target
5.4 Competitive Clinical Trials Metrics Analysis
6 Multi-scenario Forecast 
6.1 Geographical Market
6.2 Southeast Asian Markets
6.3 South Korea
6.3.1 Treatment Usage Patterns
6.3.2 Annual Cost of Therapy
6.3.3 Market Size
6.4 Singapore
6.4.1 Treatment Usage Patterns
6.4.2 Annual Cost of Therapy
6.4.3 Market Size
6.5 Taiwan
6.5.1 Treatment Usage Patterns
6.5.2 Annual Cost of Therapy
6.5.3 Market Size
6.6 Malaysia
6.6.1 Treatment Usage Patterns
6.6.2 Annual Cost of Therapy
6.6.3 Market Size
6.7 Philippines
6.7.1 Treatment Usage Patterns
6.7.2 Annual Cost of Therapy
6.7.3 Market Size
6.8 Thailand
6.8.1 Treatment Usage Patterns
6.8.2 Annual Cost of Therapy
6.8.3 Market Size
6.9 Vietnam
6.9.1 Treatment Usage Patterns
6.9.2 Annual Cost of Therapy
6.9.3 Market Size
6.10 Indonesia
6.10.1 Treatment Usage Patterns
6.10.2 Annual Cost of Therapy
6.10.3 Market Size
7 Drivers and Barriers 
7.1 Drivers
7.1.1 Increasing awareness and diversified healthcare reform to boost market growth
7.1.2 Promising pipeline products that target unmet needs for AD
7.1.3 Restoring skin barrier function remains a key goal of disease management, meaning a continued need for moisturizers and topical agents
7.2 Barriers
7.2.1 First to second line of therapy is dominated by cheap, genericized topical drugs which create significant obstacles for novel drugs hoping to penetrate the market
7.2.2 Pediatric sufferers are the largest patient group and pose a high bar in terms of safety for new products
7.2.3 The complexity of the multiple etiologies that lead to AD means that treatment outcomes with existing drugs are not universal across all patient groups
8 Deals and Strategic Consolidations
8.1 Licensing Deals
8.1.1 Deals by Region and Value
8.1.2 Number of Disclosed and Undisclosed Deals by Year, Aggregate Deal Value
8.1.3 Deal Value by Stage of Development, Molecule Type, and Molecular Target
8.1.4 Key Licensing Deals
8.2 Co-development Deals
8.2.1 Deals by region, value, year, stage of development, molecule type and molecular target
8.2.2 Key Co-development Deals
9 Appendix 
9.1 All Pipeline Drugs by Stage of Development
9.1.1 Discovery
9.1.2 Preclinical
9.1.3 Phase I
9.1.4 Phase II
9.1.5 Phase III
Reasons to buy
This report will enable you to:
- Understand the current clinical and commercial landscape of AD by considering epidemiology, symptoms, etiology and pathophysiology, diagnosis, prognosis and treatment guidelines and options.
- Visualize the composition of the AD market in terms of the dominant therapies for each patient subset, along with their clinical and commercial standing. Unmet needs are highlighted to allow a competitive understanding of gaps in the market.
- Identify key pipeline trends in terms of molecule type, administration route, molecular target, and novelty.
- Consider market opportunities and potential risks by examining trends in AD clinical trial size, duration, and failure rate by stage of development, molecule type, and molecular target.
- Understand the potential of late-stage therapies with extensive profiles of products that could enter the market over the forecast period, highlighting clinical performance, potential commercial positioning, and how they will compete with other therapies.
- Predict AD market growth in the eight assessed Southeast Asian markets, with epidemiological and annual cost of therapy forecasts across South Korea, Singapore, Taiwan, Malaysia, the Philippines, Thailand, Vietnam, and Indonesia, as well as the individual contributions of promising late-stage molecules to market growth.
- Discover trends in licensing and co-development deals concerning AD products and identify the major strategic consolidations that have shaped the commercial landscape.
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