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  • REFERENCE CODE GDHC344DFR| PUBLICATION DATE FEBRUARY 2014

    KAPPAPROCT (ULCERATIVE COLITIS) - FORECAST AND MARKET ANALYSIS TO 2022

  • Kappaproct (Ulcerative Colitis) – Forecast and Market Analysis to 2022 2 © GlobalData. This report is a licensed product and is not to be copied, reproduced, shared or resold in any form.

    KAPPAPROCT (ULCERATIVE COLITIS) - FORECAST AND MARKET ANALYSIS TO 2022

    Executive Summary

    Table below provides a summary of the key

    metrics for Kappaproct in the 8MM Ulcerative

    Colitis (UC) markets in 2022.

    Kappaproct: Key Metrics in the 8MM UC Market , 2022

    Key Events (2012–2022) Level of Impact

    Kappaproct entering the EU in 2014 ↑↑↑

    2022 Market Sales

    US N/A

    5EU $20.83m

    Japan N/A

    Canada N/A

    Total Global $20.83m Global = US, France, Germany, Italy, Spain, UK, Japan, Canada, China, and India 5EU = France, Germany, Italy, Spain, and UK; 8MM = US, 5EU, Japan and Canada N/A: Not Applicable Source: GlobalData

    Sales for Kappaproct in Global Ulcerative Colitis Market, 2022

    InDeX Pharmaceuticals will launch Kappaproct in

    the EU market in 2014. In its first year, sales of

    Kappaproct in the Ulcerative Colitis market are

    projected to reach $3.97 million. By 2022, we

    project its sales to increase upto $20.83 million in

    the Ulcerative Colitis market. Key factors affecting

    the sales of Kappaproct will include.

    Major growth drivers of Kappaproct in the UC

    market over the forecast period include:

     Refractory UC patients who are more likely to

    benefit from Kappaproct treatment could be

    identified, and could serve to illustrate the

    usefulness of a personalized treatment

    approach.

     Rapid response; only one 30mg dose needed

    to induce clinical remission in 43% of the

    Phase IIb study patients.

     Being the only rescue treatment (for colectomy

    avoidance), so it is close to receiving

    marketing authorization.

     Promising clinical results thus far. Patients on

    Kappaproct seem to be successfully avoiding

    colectomy.

    Conversely, major barriers to the growth of the

    Kappaproct in UC market include:

     Rectal administration

     Cannot be used with biologics.

  • Kappaproct (Ulcerative Colitis) – Forecast and Market Analysis to 2022 3 © GlobalData. This report is a licensed product and is not to be copied, reproduced, shared or resold in any form.

    KAPPAPROCT (ULCERATIVE COLITIS) - FORECAST AND MARKET ANALYSIS TO 2022

    Executive Summary

    Figure below illustrates the global Kappaproct

    sales by region in 2022

    Sales of Kappaproct by Region, 2022

    100%

    2022 Total: $20.83m

    5EU

    Source: GlobalData

    What Do Physicians Think?

    Physicians interviewed by GlobalData expressed

    doubts about the use of Inflectra (an infliximab

    biosimilar) following its approval in Europe in

    September 2013.

    “I do not comprehend what the EMA based the

    label extrapolation upon. I would like to see data

    from a clinical trial of Inflectra done on UC patients.

    I’m afraid, though, that we [physicians] might

    receive pressure to prescribe this biosimilar

    treatment because of the healthcare funding cuts”

    [EU] key opinion leader, October, 2013

    The physicians also underscored the need for a

    curative treatment for UC.

    “Essentially, there is no adequate treatment for

    severe UC patients. AZA [azathioprine] has an

    unpredictable array of adverse effects and no

    guaranteed efficacy. The biologics only work in

    40% of the severe UC patients, and in most cases,

    they are underdosed. We need a curative

    treatment.”

    [EU] key opinion leader, October 2013

    Some KOLs expressed the opinion that UC

    patients should be referred to a specialist before

    they develop bloody diarrhea, as well as the desire

    for companies to develop disease severity

    prediction tests, which could allow for the earlier

    detection of UC.

    “Patients usually go to their primary care

    physicians and complain about chronic diarrhea,

    some sort of uveitis, poor quality of life, etcetera. If

    colonoscopy is considered necessary, and a heavy

    colonic inflammatory burden is observed, then the

    patient undergoes regular monitoring. This doesn’t

    happen with everyone, though, and in 90% of the

    cases, UC is diagnosed upon the presence of

    bloody diarrhea. But, I think we can catch it sooner.

    We need a [disease] severity prediction test.”

    [US] key opinion leader, November, 2013

    The physicians also commented on the clinical

    positioning that they would choose for Takeda’s

    pipeline therapy, Entyvio.

  • Kappaproct (Ulcerative Colitis) – Forecast and Market Analysis to 2022 4 © GlobalData. This report is a licensed product and is not to be copied, reproduced, shared or resold in any form.

    KAPPAPROCT (ULCERATIVE COLITIS) - FORECAST AND MARKET ANALYSIS TO 2022

    Executive Summary

    “I think if vedolizumab is as good as it looks, it will

    be [a] first- or second-line treatment in place of

    azathioprine. If you have a UC patient relapsing

    frequently, despite the use of mesalazine,

    vedolizumab will be an ideal candidate. I regard it

    as safer than azathioprine and more effective [for

    UC]. [However,] I would carry on using anti-TNFs

    for the treatment of CD.”

    [EU] key opinion leader, September 2013

    The physicians also shared their thoughts on the

    high risk of colorectal cancer in inflammatory

    bowel.

  • Kappaproct (Ulcerative Colitis) – Forecast and Market Analysis to 2022 5 © GlobalData. This report is a licensed product and is not to be copied, reproduced, shared or resold in any form.

    Table of Contents

    KAPPAPROCT (ULCERATIVE COLITIS) - DRUG FORECAST AND MARKET ANALYSIS TO 2022

    1 Table of Contents

    1 Table of Contents ....................................................................................................................... 5

    1.1 List of Tables ...................................................................................................................... 8

    1.2 List of Figures ..................................................................................................................... 9

    2 Introduction ............................................................................................................................... 10

    2.1 Catalyst ............................................................................................................................. 10

    2.2 Related Reports ................................................................................................................ 10

    2.3 Upcoming Related Reports ............................................................................................... 12

    3 Disease Overview ..................................................................................................................... 13

    3.1 Etiology and Pathophysiology ........................................................................................... 13

    3.1.1 Etiology ......................................................................................................................... 13

    3.1.2 Pathophysiology ............................................................................................................ 15

    3.2 Symptoms ......................................................................................................................... 17

    3.2.1 Quality of Life ................................................................................................................ 17

    4 Disease Management ............................................................................................................... 19

    4.1 Diagnosis and Treatment Overview .................................................................................. 19

    4.1.1 Diagnosis ...................................................................................................................... 19

    4.1.2 Treatment Guidelines and Leading Prescribed Drugs ................................................... 22

    4.1.3 Clinical Practice ............................................................................................................. 24

    5 Competitive Assessment .......................................................................................................... 28

    5.1 Overview ........................................................................................................................... 28

    5.2 Strategic Competitor Assessment ..................................................................................... 29

  • Kappaproct (Ulcerative Colitis) – Forecast and Market Analysis to 2022 6 © GlobalData. This report is a licensed product and is not to be copied, reproduced, shared or resold in any form.

    Table of Contents

    KAPPAPROCT (ULCERATIVE COLITIS) - DRU

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