Short Description
North America Underactive Bladder Market, By Treatment (Pharmacotherapy, Surgical Methods, Urethral Assist Device, and Stem Cell and Gene Therapies), Route of Administration (Oral, Parenteral, and Others), End User (Hospitals, Clinics, Academic and Research Institutes, and Others), Distribution Channel (Hospital Pharmacy, Retail Pharmacy, and Others), Country (U.S., Canada, and Mexico) Industry Trends and Forecast to 2029
Market Definition
Underactive Bladder (UAB) is a clinical condition in which urination disorder is developed as a result of reduction in the contraction of detrusor muscle (a muscle of the bladder) during urination. It is characterized by the feeling of having to urinate immediately, and thus, this condition is different from an Overactive Bladder (OAB). The present invention provides a pharmaceutical composition useful for the prevention or treatment of UAB which has an effect of improving the urinary flow rate, an effect of improving the overdistension of the bladder (an effect of reducing bladder capacity), and is, therefore, useful for the prevention or treatment of UAB.
Moreover, it is a disease state which is different from OAB characterized by urinary urgency which has been attracting attention in recent years. Causes of UAB include autonomic neuropathy such as diabetes and alcoholism, pelvic surgery such as radical hysterectomy and radical rectal cancer, spinal cord diseases such as spina bifida, and disc herniation is also known. The market is driven by the factors such as the rising incidences of prevalence of neurogenic bladder infections, increasing research funding, development of novel therapies for UAB, and pipeline products enhancing its demand as well as rising investment in R&D leads to the market growth. Additionally, the surge in healthcare expenditure and increase in the prevalence of bladder disorders positively affect the market. However, the high cost of treatment restricts patients to accommodate high-quality and effective solutions.
Market Segmentation
North America underactive bladder market is categorized based on treatment, route of administration, end user, and distribution channel.
Based on treatment, the market is segmented into pharmacotherapy, surgical methods, urethral assist device, and stem cell and gene therapies
Based on route of administration, the market is segmented into oral, parenteral, and others
Based on end user, the market is segmented into hospitals, clinics, academic and research institutes, and others
Based on distribution channel, the market is segmented into hospital pharmacy, retail pharmacy, and others
Market Players
The key market players operating in the North America underactive bladder market are listed below:
Astellas Pharma Inc.
Aurobindo Pharma.
Boehringer Ingelheim International GmbH
Macleods Pharmaceuticals Ltd.
Orion Corporation
ONO PHARMACEUTICAL CO., LTD.
Novartis AG
Pfizer Inc.
Cipla Inc.
Dr. Reddys Laboratories Ltd.
Teva Pharmaceutical Industries Ltd.
Sun Pharmaceutical Industries Ltd.
Almirall, S.A
Vesiflo, Inc.
Alkem Labs.
TABLE OF CONTENTS
1 INTRODUCTION 46
1.1 OBJECTIVES OF THE STUDY 46
1.2 MARKET DEFINITION 46
1.3 OVERVIEW OF THE NORTH AMERICA UNDERACTIVE BLADDER MARKET 46
1.4 LIMITATIONS 48
1.5 MARKETS COVERED 48
2 MARKET SEGMENTATION 51
2.1 MARKETS COVERED 51
2.2 GEOGRAPHICAL SCOPE 52
2.3 YEARS CONSIDERED FOR THE STUDY 53
2.4 CURRENCY AND PRICING 53
2.5 DBMR TRIPOD DATA VALIDATION MODEL 54
2.6 MULTIVARIATE MODELLING 57
2.7 PRODUCT SEGMENT LIFELINE CURVE 57
2.8 PRIMARY INTERVIEWS WITH KEY OPINION LEADERS 58
2.9 DBMR MARKET POSITION GRID 59
2.10 MARKET APPLICATION COVERAGE GRID 60
2.11 VENDOR SHARE ANALYSIS 61
2.12 SECONDARY SOURCES 62
2.13 ASSUMPTIONS 62
3 EXECUTIVE SUMMARY 63
4 PREMIUM INSIGHTS 66
4.1 PESTEL ANALYSIS 67
4.2 PORTERS FIVE FORCES 68
4.3 EPIDEMIOLOGY 69
4.4 THE IMPORTANCE OF UNDERSTANDING PATENTS- 71
4.4.1 DOXAZOSIN 71
4.4.2 BETHANECHOL CHLORIDE 78
4.4.3 TAMSULOSIN HYDROCHLORIDE 86
4.5 CLINICAL TRIALS FOR UNDERACTIVE BLADDER 88
4.5.1 EU CLINICAL TRIALS REGISTER- 97
4.6 MERGER & ACQUISITION IN HEALTHCARE INDUSTRY 100
4.7 M&A DEALS IN 2021 BY TARGET COMPANY TERRITORY: 102
4.8 CROSS-BORDER DEALS: 103
4.9 OUTLOOK FOR 2022: 103
4.10 PATIENT ENROLMENT STRATEGIES 104
4.11 FACTORS AFFECTING PATIENT RECRUITMENT: 105
4.12 CHALLENGES: 105
4.13 PATIENT FUNNEL ANALYSIS: 105
4.14 RECOMMENDATIONS 106
4.14.1 USE OF TECHNOLOGY: 106
4.14.2 PARTICIPANT CHARACTERISTICS: 106
4.14.3 RECRUITER CHARACTERISTICS: 106
4.14.4 SYSTEMS & PROCEDURES: 106
4.14.5 LOCATION: 107
4.14.6 NATURE OF RESEARCH: 107
4.15 CONCLUSION: 107
4.16 UNDERACTIVE BLADDER PATIENT FLOW DIAGRAM 108
4.17 WHAT CAUSES UNDERACTIVE BLADDER 108
4.17.1 CAUSES OF UNDERACTIVE BLADDER INCLUDE 108
4.17.2 TESTS TO EVALUATE UNDERACTIVE BLADDER 108
4.18 UNDERACTIVE BLADDER INVESTIGATIONAL PRODUCTS- 109
5 NORTH AMERICA UNDERACTIVE BLADDER MARKET: REGULATIONS 112
6 MARKET OVERVIEW 114
6.1 DRIVERS 116
6.1.1 INCREASING PREVALENCE OF NEUROGENIC DISORDER 116
6.1.2 INCREASE IN RESEARCH AND DEVELOPMENT OF UNDERACTIVE BLADDER TREATMENT 116
6.1.3 FAVOURABLE REIMBURSEMENT SCENARIO 117
6.1.4 RISING HEALTHCARE EXPENDITURE 117
6.2 RESTRAINTS 118
6.2.1 HIGH COST OF RESEARCH AND DEVELOPMENT 118
6.2.2 STRINGENT GOVERNMENT REGULATIONS ON NEW PRODUCTS APPROVAL 118
6.3 OPPORTUNITIES 119
6.3.1 RISING UROLOGIC COMPLICATIONS OF DIABETES 119
6.3.2 PRESENCE OF NOVEL PIPELINE DRUGS 120
6.3.3 IMPROVING A BETTER HEALTHCARE SYSTEM 120
6.4 CHALLENGES 120
6.4.1 LACK OF PROPER TREATMENT 120
6.4.2 RISK INVOLVED DURING TREATMENT OF UNDERACTIVE BLADDER 121
7 NORTH AMERICA UNDERACTIVE BLADDER MARKET, BY TYPE 122
7.1 OVERVIEW 123
7.2 PHARMACOTHERAPY 126
7.2.1 ALPHA-BLOCKERS 127
7.2.2 MUSCARINIC AGONISTS 127
7.2.3 CHOLINESTERASE INHIBITOR 127
7.2.3.1 BY DRUGS 127
7.2.3.1.1 TAMSULOSIN 128
7.2.3.1.2 DOXAZOSIN 128
7.2.3.1.3 DISTIGMINE 128
7.2.3.1.4 BETHANECHOL 128
7.2.3.1.5 OTHERS 128
7.2.4 BY PRODUCT TYPES 128
7.2.4.1 GENERICS 129
7.2.4.2 BRANDED 129
7.2.4.2.1 FLOMAX 129
7.2.4.2.2 ALFADIL 129
7.2.4.2.3 GRAVITOR 129
7.2.4.2.4 URIVOID 129
7.2.4.2.5 OTHERS 129
7.3 SURGICAL METHODS 130
7.3.1 SURGICAL NERVE STIMULATION 131
7.3.2 REDUCTION CYSTOPLASTY 131
7.3.3 SURGERIES FOR BLADDER OBSTRUCTION 131
7.3.4 INJECTION INTO EXTERNAL SPHINCTER 131
7.3.5 OTHERS 131
7.4 URETHRAL ASSIS DEVICE 132
7.4.1 INFLOW INTRAURETHRAL VALVE PUMP 133
7.5 STEM CELL AND GENE THERAPIES 134
7.5.1 NERVE GROWTH FACTOR 136
7.5.2 GLIAL-CELL DERIVE NEUTOPHIC FACTORGLIAL 136
7.5.3 NEUTOPHIN-3 DERIVES FROM GLIALL CELLS 136
8 NORTH AMERICA UNDERACTIVE BLADDER MARKET,BY ROUTE OF ADMINISTRATION 137
8.1 OVERVIEW 138
8.2 PARENTERAL 141
8.3 ORAL 141
8.4 OTHERS 143
9 NORTH AMERICA UNDERACTIVE BLADDER MARKET , BY END USER 144
9.1 OVERVIEW 145
9.2 HOSPITALS 148
9.3 CLINICS 148
9.4 ACADEMIC AND RESEARCH 150
9.5 OTHERS 150
10 NORTH AMERICA UNDERACTIVE BLADDER MARKET , BY DISTRIBUTION CHANNEL 152
10.1 OVERVIEW 153
10.2 HOSPITAL PHARMACY 156
10.3 RETAIL PHARMACY 156
10.4 OTHERS 158
11 NORTH AMERICA UNDERACTIVE BLADDER MARKET, BY REGION 159
11.1 NORTH AMERICA 160
11.1.1 U.S. 169
11.1.2 CANADA 173
11.1.3 MEXICO 178
12 NORTH AMERICA UNDERACTIVE BLADDER MARKET: COMPANY LANDSCAPE 182
12.1 COMPANY SHARE ANALYSIS: NORTH AMERICA 182
13 SWOT ANALYSIS 183
14 COMPANY PROFILES 184
14.1 BOEHRINGER INGELHEIM INTERNATIONAL GMBH 184
14.1.1 COMPANY SNAPSHOT 184
14.1.2 COMPANY SHARE ANALYSIS 184
14.1.3 PRODUCT PORTFOLIO 185
14.1.4 RECENT DEVELOPMENT 185
14.2 PFIZER INC. 186
14.2.1 COMPANY SNAPSHOT 186
14.2.2 REVENUE ANALYSIS 186
14.2.3 COMPANY SHARE ANALYSIS 187
14.2.4 PRODUCT PORTFOLIO 187
14.2.5 RECENT DEVELOPMENT 187
14.3 SUN PHARMACEUTICAL INDUSTRIES LTD. 188
14.3.1 COMPANY SNAPSHOT 188
14.3.2 REVENUE ANALYSIS 188
14.3.3 COMPANY SHARE ANALYSIS 189
14.3.4 PRODUCT PORTFOLIO 189
14.3.5 RECENT DEVELOPMENT 189
14.4 TEVA PHARMACEUTICAL INDUSTRIES LTD 190
14.4.1 COMPANY SNAPSHOT 190
14.4.2 REVENUE ANALYSIS 190
14.4.3 COMPANY SHARE ANALYSIS 191
14.4.4 PRODUCT PORTFOLIO 191
14.4.5 RECENT DEVELOPMENT 191
14.5 NOVARTIS AG 192
14.5.1 COMPANY SNAPSHOT 192
14.5.2 REVENUE ANALYSIS 192
14.5.3 COMPANY SHARE ANALYSIS 193
14.5.4 PRODUCT PORTFOLIO 193
14.5.5 RECENT DEVELOPMENT 193
14.6 DR. REDDYS LABORATORIES LTD. 194
14.6.1 COMPANY SNAPSHOT 194
14.6.2 REVENUE ANALYSIS 194
14.6.3 PRODUCT PORTFOLIO 195
14.6.4 RECENT DEVELOPMENT 195
14.7 ASTELLAS PHARMA INC. 196
14.7.1 COMPANY SNAPSHOT 196
14.7.2 REVENUE ANALYSIS 196
14.7.3 PRODUCT PORTFOLIO 197
14.7.4 RECENT DEVELOPMENT 197
14.8 ORION CORPORATION. 198
14.8.1 COMPANY SNAPSHOT 198
14.8.2 REVENUE ANALYSIS 198
14.8.3 PRODUCT PORTFOLIO 199
14.8.4 RECENT DEVELOPMENT 199
14.9 ALKEM LABS. 200
14.9.1 COMPANY SNAPSHOT 200
14.9.2 REVENUE ANALYSIS 200
14.9.3 PRODUCT PORTFOLIO 201
14.9.4 RECENT DEVELOPMENT 201
14.10 ALMIRALL, S.A 202
14.10.1 COMPANY SNAPSHOT 202
14.10.2 REVENUE ANALYSIS 202
14.10.3 PRODUCT PORTFOLIO 203
14.10.4 RECENT DEVELOPMENT 203
14.11 AUROBINDO PHARMA. 204
14.11.1 COMPANY SNAPSHOT 204
14.11.2 REVENUE ANALYSIS 204
14.11.3 PRODUCT PORTFOLIO 205
14.11.4 RECENT DEVELOPMENT 205
14.12 CIPLA INC. 206
14.12.1 COMPANY SNAPSHOT 206
14.12.2 REVENUE ANALYSIS 206
14.12.3 PRODUCT PORTFOLIO 207
14.12.4 RECENT DEVELOPMENT 207
14.13 GLENWOOD 208
14.13.1 COMPANY SNAPSHOT 208
14.13.2 PRODUCT PORTFOLIO 208
14.13.3 RECENT DEVELOPMENT 208
14.14 MACLEODS PHARMACEUTICALS LTD. 209
14.14.1 COMPANY SNAPSHOT 209
14.14.2 REVENUE ANALYSIS 209
14.14.3 PRODUCT PORTFOLIO 210
14.14.4 RECENT DEVELOPMENT 210
14.15 ONO PHARMACEUTICAL CO., LTD. 211
14.15.1 COMPANY SNAPSHOT 211
14.15.2 REVENUE ANALYSIS 211
14.15.3 PRODUCT PORTFOLIO 212
14.15.4 RECENT DEVELOPMENT 212
14.16 VESIFLO, INC. 213
14.16.1 COMPANY SNAPSHOT 213
14.16.2 PRODUCT PORTFOLIO 213
14.16.3 RECENT DEVELOPMENTS 213
15 QUESTIONNAIRE 214
16 RELATED REPORTS 216