MarketVue® Report
Palmoplantar Pustulosis (PPP) (U.S.), 2022

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Palmoplantar Pustulosis (PPP) (U.S.), January 2022

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The MarketVue®: Palmoplantar Pustulosis market landscape report combines primary (KOL interviews and survey data) and secondary market research to empower strategic decision-making and provide a complete view of the market.
 
Every MarketVue® includes a disease overview, epidemiology (US and EU5), current treatment, unmet needs, pipeline and access and reimbursement chapter.
 
Topics covered in this report:
  • Disease overview: Review the disease pathophysiology and potential druggable targets
  • Epidemiology: Understand prevalence, diagnosed and drug-treated prevalence of the population and key market segments
  • Current treatment: Understand the treatment decision tree and strengths and weaknesses of current on-label and off-label treatment
  • Unmet needs: Identify opportunities to address treatment or disease management gaps
  • Pipeline analysis: Compare current and emerging therapy clinical development strategy; their performance on efficacy, safety, and delivery metrics; and their potential to address unmet needs
  • Value and access: Gain insights into the drug pricing landscape and payer controls within the disease market or analogous markets
 
Methodology:
Research for the MarketVue®: Palmoplantar Pustulosis report is supported by 6 qualitative interviews with key opinion leaders, a quantitative survey with 27 U.S. physicians and secondary research.
 
Geographies covered:
United States plus epidemiology for EU5 (France, Germany, Italy, Spain, United Kingdom)
 
Key companies mentioned:
  • AnaptysBio
  • Boehringer Ingelheim
  • Novartis
  • Aristea Therapeutics
  • Janssen
  • Kyowa Kirin
  • AbbVie
  • Amgen
  • CSL Behring
  • Inmagene
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
  • KHK
  • Regeneron
  • Eli Lilly
  • Maruho
 
Key drugs mentioned:
  • Acitretin
  • Methotrexate
  • Cyclosporine
  • Etanercept (Enbrel)
  • Adalimumab (Humira)
  • Ixekizumab (Taltz)
  • Brodalumab (Siliq, Kyntheum, Lumicef)
  • Apremilast (Otezla)
  • Ustekinumab (Stelara)
  • Guselkumab (Tremfya)
  • Risankizumab (Skyrizi)
  • Imsidolimab
  • Spesolimab (Spevigo)
  • Secukinumab (Cosentyx)
  • RIST4721
  • CSL324
  • Anumigilimab
  • IMG-008
  • REGN 6490
  • Anakinra
  • LY3041658
  • Maxacalcitol
1. DISEASE OVERVIEW
A recurrent inflammatory disorder causing pustules on the hands and feet
Figure 1.1 – Conditions related to PPP
Disease pathogenesis
Figure 1.2. Autoimmune and autoinflammatory drivers of PPP disease pathogenesis
Figure 1.3 – Treatments effective in psoriasis are not effective in PPP
PPP is a distinguishable disease
Figure 1.4. Clinical and genetic differences between pustular psoriasis subtypes
2. EPIDEMIOLOGY & PATIENT POPULATIONS
Disease definition
Figure 2.1 – G6 prevalent cases of PPP by region
Table 2.1 – Prevalent and drug-treated populations of PPP in the U.S. and EU5
3. CURRENT TREATMENT
Overview
Figure 3.1 – Treatment goals for PPP
Standard of care
Figure 3.2 – Current treatment patient share
TNF inhibitors and IL-17 inhibitors are the most commonly used biologics in PPP
Figure 3.3 – Dermatologist-reported biologic use in PPP patients by drug class
Figure 3.4. Percentage of PPP patients who proceed from first-line to a second-line biologic
Figure 3.5 – Dermatologist preferred second-line biologic
Dermatologists choose biologics that are effective in psoriasis
Treatment decisions for PPP
Figure 3.6 – Treatment algorithm for PPP
Dermatologists tend to categorize PPP as a form of psoriasis
Figure 3.7 – Dermatologists’ opinion on the relationship between PPP and psoriasis
Figure 3.8. Evolution of PPP as a distinct indication
Current PPP treatment options are minimally effective
Table 3.1 – Upside and downsides of currently off-label PPP treatments
Current treatment options have their limitations
Key treatment dynamics that shape disease management and drug use
Table 3.2 – Must-know PPP treatment dynamics for now and the future
Figure 3.9 – Percentage of PPP patients who are not achieving satisfactory outcomes with current treatments
PPP has a severe psychosocial and quality of life impact on patients
Figure 3.10 – Dermatologists’ rating of the impact of PPP on patients
First approved therapies for PPP likely to be label expansions
Figure 3.11 – Important dynamics of PPP market evolution
4. UNMET NEED
Overview
Top unmet needs in PPP
Figure 4.1 – Dermatologist-reported unmet needs in PPP
Physician perspectives on unmet needs in PPP
Figure 4.2 – U.S. dermatologists ranking of the need for new treatments in dermatology
5. PIPELINE ANALYSIS
Drug development for PPP
Figure 5.1 – Number of clinical stage therapies addressing unmet needs in PPP
Figure 5.2 – Percent of U.S. dermatologists rating PPP emerging therapy target as “promising”
Opinions are mixed on which MOA is the most promising
Summary of clinical-stage emerging PPP therapies
Table 5.1 – Emerging PPP therapies, Phase 1 to Phase 3
Competitor pipeline overview
Figure 5.3. – Current pipeline shows several therapies in varying stages of development
6. VALUE & ACCESS
Overview
Table 6.1 – Current therapy pricing, US 2021
Biologics require prior authorization on commercial insurance plans
Figure 6.1 – Reimbursement and Access considerations for emerging therapies in PPP
Medicare reimbursement stands to be a high barrier for patient access to novel PPP therapies
Regulatory considerations in PPP
Figure 6.2. – Key regulatory factors in PPP
7. METHODOLOGY
Primary market research approach
Epidemiology methodology
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