Fra @StockDZ fra HO i 2018
Hello good people,
Here are some statistics for bile duct cancer in Japan, which is an area of great importance to our fimachem asset.
These are from 2017:
Incidence: 24500
Mortality: 18900
mortality/incidence = 77%
This cancer type seems to have the highest mortality rate in Japan according to the list from the link below.
The market in Japan is probably bigger than US and Europe combined
Link: https://ganjoho.jp/en/public/statistics/short_pred.html
Good luck
Videre:
According to pci June 2018 presentation page 16 you can read:
Immediate target market is as first line treatment
Incidence is close to 15,000 across Europe and the US
Immediate target is inoperable patients with local disease
Approximately 3,000 assumed to be eligible for fimaCHEM
Possible upside in distal and more advanced metastatic disease
Higher incidences in Asia
This means they are assuming a target market of 20% of the total cancer indication population.
If you read Arctic analysis they are talking about up to 5000 illegible patients instead, increasing target market to 33% of the total cancer indication population
If we assume the same rates for Japan then we ll have 2 scenarios
- additional 4900 patients in Japan according to pci estimate for Europe and US
-additional 8085 patients in Japan according to arctic analysis estimates for Europe and US
This is one way to look at it for now, still an assumption but hopefully we can get more market size insight from Pci in the future.
This still shows that it is important to include centers in Japan for PP2 because it can only be an upside and probably a huge one
Link to pci presentation
http://pcibiotech.no/wp-content/uploads/2014/01/PCI-Biotech-Company-presentation-June-2018.pdf
Videre:
Check this presentation “THE JAPANESE REGULATORY AND MARKET ACCESS ENVIRONMENT”
Go to page 11 for example, Japan seems to approve drugs based on global clinical trials that involve Japanese patients.
Jeg mener PW sa i podcast 35 eller 46 at man i Japan må kjøre hele studien for at japanere skal være aktuelle for bruk av medisinen.