Leukemia Therapeutics Market - Size, Dynamics, Regional Insights and Market Segment Analysis

  • Leukemia Therapeutics Market size was valued at USD 15.83 billion in 2023 and is expected to reach USD 25.98 billion by 2030, at CAGR of 7.33 %.

  • Format : PDF | Report ID : SMR_2366

Leukemia Therapeutics Market Overview:

 

Leukemia is a type of cancer found in blood and bone marrow and is caused by the rapid production of abnormal white blood cells. These abnormal white blood cells are not able to fight infection and impair the ability of the bone marrow to produce red blood cells and platelets.

 

The leukemia therapeutics market is witnessing significant growth, primarily driven by the rising incidence of leukemia worldwide. This increasing prevalence, particularly in both developed and developing nations, has intensified the demand for advanced and targeted therapies. The diverse nature of leukemia, which includes subtypes like acute lymphocytic leukemia (ALL), chronic myeloid leukemia (CML), acute myeloid leukemia (AML), and chronic lymphocytic leukemia (CLL), necessitates the creation of specialized treatments, thereby driving innovation in the market.

 

Emerging markets, particularly in the Asia-Pacific region, Latin America, and parts of Africa, present substantial growth opportunities for the leukemia therapeutics market. These regions are experiencing a surge in leukemia cases due to factors such as aging populations, urbanization, and lifestyle changes. Pharmaceutical companies are expanding their presence in these areas to meet the growing demand for leukemia treatments.

 

North America, particularly the United States, continues to dominate the market due to its high incidence of leukemia and a robust healthcare system that supports extensive research and the availability of advanced treatments. The presence of major pharmaceutical companies and their strategic initiatives further bolster market growth. The competitive landscape is highly fragmented, with major players focusing on developing targeted therapies, biologics, and immunotherapies to improve treatment outcomes and patient survival rates.

 

leukemia-therapeutics-market

 

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Leukemia Therapeutics Market Dynamics

 

Leukemia Therapeutics Market Driver

 

Driving Growth and Innovation in the Leukemia Therapeutics Market

 

The increasing incidence of leukemia is a primary driver of growth and development in the leukemia therapeutics market. Increasing cases of leukemia drive the demand for more effective and targeted therapy. Leukemia, a type of blood cancer that affects the bone marrow and lymphatic system, has shown a rising trend in both developed and developing countries. The increasing patient population fuels market growth by creating a larger customer base for these new therapeutic options.

 

The rising number of leukemia cases has increased investment in research and development from both the public and private sectors. The government allocates substantial funds towards cancer research to address the increasing burden of leukemia. Pharmaceutical companies also invest heavily in developing new drugs to expand treatment options and to improve patient’s experience.

 

  • According to Stellar’s Analysis, there were 474519 new cases of leukemia reported in 2020. The incidence rate varies by region, with North America and Europe showing higher rates compared to Asia and Africa. In the United States alone, there were approx. 61090 new cases in 2023. The global age-standardized rate (ASR) of incidence was 5.4 per 100,000 and there was an almost five-fold variation worldwide.

 

leukemia-therapeutics-market-1

 

Leukemia Therapeutics Market Opportunity

 

Growth Potential in Emerging Markets for Leukemia Therapeutics

 

Emerging Leukemia Therapeutics Market, particularly in the Asia-Pacific region, Latin America, and parts of Africa, present significant growth potential for the leukemia therapeutics market. These regions are experiencing a rising incidence of leukemia, driven by factors such as aging populations, increasing urbanization, and lifestyle changes.  Emerging markets are also becoming hubs for innovation and research collaboration. With a growing number of clinical trials being conducted in these regions, there is an opportunity to develop new and effective leukemia treatments tailored to local populations.

 

Pharmaceutical Companies are recognizing the growth potential in emerging markets and expanding their presence to meet the rising demand for leukemia treatments.

 

  • For instance, Novartis has been actively increasing its footprint in Asia-Pacific by establishing research collaborations and expanding clinical trials in the region. In 2021, Novartis collaborate with BeiGene, a China-based biotechnology company, to develop and commercialize several oncology treatments, including those for leukemia. Such partnerships help accelerate the availability of new therapies and improve patient access to advanced treatments.

 

Economic growth in the emerging Leukemia Therapeutics Market leads to increased government and private sector investment in healthcare infrastructure. With better healthcare infrastructure, these regions are better equipped to diagnose and treat leukemia, driving demand for innovative therapies. For example, China’s significant investment in healthcare as part of its Five-Year Plan aims to improve cancer care and expand access to cutting-edge treatments, thereby creating opportunities for pharmaceutical companies to introduce new leukemia therapies, which increases demand for the Leukemia Therapeutics industry during the forecast period.

 

Leukemia Therapeutics Market Challenge

 

Addressing the Complexity of Diverse Genetic and Molecular Subtypes

 

The complexity of leukemia biology poses a significant challenge to the leukemia therapeutics market due to the diverse genetic and molecular characteristics of its subtypes. Leukemia is not a single disease but a group of cancers that affect blood and bone marrow, each with unique pathophysiological mechanisms. The challenge is further compounded by the need for extensive research to identify the specific genetic mutations and molecular pathways involved in each subtype of leukemia. This research is resource-intensive and time-consuming. For example, identifying mutations in the FLT3 gene, which are common in acute myeloid leukemia (AML), has led to the development of FLT3 inhibitors like midostaurin. However, such breakthroughs require significant investment in both basic and clinical research. The lack of universal access to advanced diagnostic tools also means that many patients, especially those in LMICs, may not receive the most effective treatment for their specific subtype of leukemia. This disparity in access can lead to variations in treatment outcomes, further complicating efforts to improve survival rates globally.

 

Leukemia Therapeutics Market Segmentation

 

Based On type, Leukemia Therapeutics Market is divided into Acute lymphocytic leukemia (ALL), Chronic myeloid leukemia (CML), Acute myeloid leukemia (AML), and Chronic lymphocytic leukemia (CLL) Segments.

 

In 2023, the Acute myeloid leukemia (AML) segment dominated the leukemia therapeutics market. AML is one of the most aggressive types of leukemia, necessitating intensive treatment and driving a significant portion of the market's revenue. The increasing incidence of AML globally, coupled with advancements in targeted therapies and immunotherapies specifically for AML, have expanded treatment options and improved patient outcomes. Moreover, ongoing research and development efforts focused on novel drug therapies tailored to AML patients have further bolstered market growth in this segment. The strategic focus of pharmaceutical companies on developing effective treatments for AML has also contributed to its dominance in the leukemia therapeutics market in 2023. The Second- largest segment in Leukemia Therapeutics Market is Chronic Lymphocytic Leukemia (CLL) type.

 

According to Stellar’s Analysis:  In 2023, Acute Myeloid Leukemia (AML) represents the largest share with 20,380 new cases, accounting for 34% of the total. Chronic Lymphocytic Leukemia (CLL) follows with 18,740 new cases, making up 31%. Chronic Myeloid Leukemia (CML) accounts for 15% with 8,930 new cases, while Acute Lymphoblastic Leukemia (ALL) comprises 11% with 6,540 new cases. The "Other Leukemia" category includes 5,020 new cases, representing 8% of the total. This distribution indicates that AML and CLL are the most prevalent forms of leukemia among new cases in 2023, underscoring the need for targeted therapeutic approaches for these types.

 

leukemia-therapeutics-market-2

 

Based on Treatment, Leukemia Therapeutics Market is divided into Chemotherapy, Targeted Therapy, Immunotherapy and Other Treatments.

 

Chemotherapy segment holds the largest market share about Xx % in global Leukemia Therapeutics Market in 2023 and expected to maintain its dominance during forecasted period (2024-2030). This is due to its established efficiency including remission and managing leukemia symptoms, especially in acute forms like AML and ALL, solidifies its position as the primary treatment option. chemotherapy regimens are often first-line therapies prescribed due to their proven track record in reducing leukemia cell burden and achieving measurable clinical outcomes. The main factor influencing the growth of the chemotherapy segment is the increasing incidence of leukemia.

 

In recent years, targeted therapy has emerged as a significant contender in the leukemia therapeutics landscape. Targeted therapies offer the advantage of specifically targeting cancer cells while sparing healthy cells, thereby potentially reducing side effects compared to traditional chemotherapy. Despite advancements in targeted therapy and immunotherapy, chemotherapy remains widely utilized due to its broad applicability across different types and stages of leukemia.

 

  • The US Food and Drug Administration (FDA) has approved the oral chemotherapy drug ONUREG for the treatment of newly diagnosed AML patients. Due to its effectiveness and improved patient outcomes, targeted therapies are the fastest growing market segment.

 

Based On Mode of Administration, Leukemia Therapeutics Market is divided into Injectable and Oral Segment. In 2023, Injectable segment dominated the leukemia therapeutics market. Injectable segment holds major market share because they are easy for body to absorb and delivers rapid results.  Injectable formulations are preferred in acute leukemia cases where quick administration of chemotherapy or targeted therapy is essential for disease control and symptom management. Higher bioavailability and efficacy compared to oral formulations, making them the preferred choice for many healthcare providers and patients seeking robust therapeutic outcomes in managing leukemia.

 

Based On Molecule Type, Leukemia Therapeutics Market is segmented into Small Molecules and Biologics. In Leukemia Therapeutics Market, Biologics segment held majority of market share in 2023. This is due to increasing preferences for targeted therapy and immunotherapies which falls under the biologics category. Biologics offer highly specific treatments that can selectively target leukemia cells while sparing healthy cells, thereby reducing adverse effects compared to traditional chemotherapy. The development of monoclonal antibodies, CAR-T cell therapies, and other biologically derived treatments has significantly expanded treatment options for leukemia patients, particularly in cases where traditional chemotherapy has shown limited efficacy or intolerable side effects.

 

Ongoing advancements in biologics research and the approval of new biologic therapies by regulatory authorities have further propelled the growth of this segment in the leukemia therapeutics market.

 

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Based On Gender, Leukemia Therapeutics Market is segmented into Male and Female segments. In the leukemia therapeutics market, the male segment generally held a higher market share compared to the female segment. This disparity is primarily driven by the higher incidence rates of leukemia observed in males. Epidemiological studies consistently show that males are more frequently diagnosed with various types of leukemia than females, which increases the demand for therapeutic interventions among male patients. Pharmaceutical companies often focus on developing and marketing treatments that address the specific needs of the male population, reinforcing their dominance in this market segment.

 

  • According to Stellar’s Analysis, The total estimated new cases for 2023 amount to 59,610, with males accounting for 35,670 cases and females for 23,940 cases.

 

Leukemia Therapeutics Market Regional Insights

 

North American Region has dominated the Leukemia Therapeutics Market, which held largest market share accounting for Xx % in 2023, the market size is expected to grow at highest CAGR during the forecasted period. This is due to increasing cases and prevalence of leukemia in the United States. According to the American Cancer Society, the United States (US) alone witnessed approx. 10000 new leukemia cases annually, creating a substantial demand for effective therapeutic options. This significant patient population drives the market as there is a continuous need for advanced treatments and innovative therapies to manage and cure various types of leukemia, including Acute Lymphocytic Leukemia (ALL), Chronic Lymphocytic Leukemia (CLL), Acute Myeloid Leukemia (AML), and Chronic Myeloid Leukemia (CML).

 

Pfizer, Novartis, Bristol-Myers Squibb, and Amgen, are some of the major key players in North American leukemia therapeutics market. These companies have focused on strategic initiatives such as collaborations with research institutions, acquisitions of biotechnology firms specializing in oncology, and the development of targeted therapies and biologics.

 

The North American region has a well-established network of hospitals, cancer treatment centers, and research institutions, facilitating prompt diagnosis and comprehensive treatment of leukemia. The availability of state-of-the-art diagnostic tools and advanced therapeutic options, including targeted therapies and immunotherapies, further propels the market. Additionally, the strong presence of key pharmaceutical and biotechnology companies in the region accelerates the development and commercialization of novel leukemia treatments. These companies invest heavily in research and development, clinical trials, and regulatory processes, ensuring a steady pipeline of innovative drugs and therapies.

 

Leukemia Therapeutics Market Competitive Landscape

 

The Leukemia Therapeutics Market is highly competitive and fragmented. Novartis, Pfizer, Bristol-Myers Squibb, Amgen, Sanofi, Gilead Sciences, and Celgene (a subsidiary of Bristol-Myers Squibb) are some of the major key players. These companies use different strategies to maintain and expand their presence in the market. These companies focus on developing targeted therapies, biologics, and immunotherapies tailored to different types of leukemia, aiming to improve treatment outcomes and patient survival rates.

 

In 2019 Bristol-Myers Squibb acquired Celgene to create a Premier a premier innovative biopharma company. The acquisition, is valued at approximately $74 billion. The integration aimed to leverage synergies in research and development capabilities, expand global reach, and accelerate innovation in cancer treatments, reinforcing Bristol-Myers Squibb's position as a leader in the biopharmaceutical industry.

 

In the leukemia therapeutics market, Novartis and Gilead Sciences are prominent players, each employing distinct strategies. Novartis has focused on pioneering CAR-T cell therapy, exemplified by its product Kymriah (tisagenlecleucel), which targets specific leukemia types through genetic modification of patients' immune cells. This innovation positions Novartis as a leader in personalized cancer treatments. Gilead Sciences, through its subsidiary Kite Pharma, has also invested heavily in CAR-T therapy with its Yescarta (axicabtagene ciloleucel), targeting non-Hodgkin lymphoma and other blood cancers. Gilead's strategy emphasizes expanding indications and global market reach, bolstered by strategic acquisitions and partnerships. Both companies leverage advanced immunotherapy technologies, but Novartis focuses more on expanding its clinical applications, while Gilead emphasizes market penetration and broadening therapeutic indications.

 

Leukemia Therapeutics Market Scope

Market Size in 2023

USD 15.83 Bn.

Market Size in 2030

USD 25.98 Bn.

CAGR (2024-2030)

7.33 %

Historic Data

2018-2022

Base Year

2023

Forecast Period

2024-2030

Segment Analysis

By Type

Acute lymphocytic leukemia (ALL)

Chronic myeloid leukemia (CML)

Acute myeloid leukemia (AML)

Chronic lymphocytic leukemia (CLL)

By Treatment

Chemotherapy

Targeted Therapy

Immunotherapy

             Other Treatments

By Mode Of Administration

Injectable

Oral

By Molecular Type

Small Molecules

Biologics

   

By Gender

Male

Female

Regional Scope

North America - United States, Canada, and Mexico

Europe – UK, France, Germany, Italy, Spain, Sweden, Austria, and Rest of Europe

Asia Pacific – China, India, Japan, South Korea, Australia, ASEAN, Rest of APAC

Middle East and Africa - South Africa, GCC, Egypt, Nigeria, Rest of the Middle East and Africa

South America – Brazil, Argentina, Rest of South America

 

Leukemia Therapeutics Market Key Players

  1. Novartis
  2. Pfizer Inc.
  3. Bristol-Myers Squibb
  4. Amgen Inc.
  5. Gielead Sciences
  6. Celgene (a subsidiary of Bristol-Myers Squibb)
  7. Lupin
  8. Takeda Pharmaceutical Company Limited
  9. Teva Pharmaceutical Industries Limited
  10. Novartis AG
  11. Amgen Inc.
  12. AbbVie Inc.
  13. Sanofi S.A.
  14. F. Hoffmann-La Roche Ltd
  15. Johnson & Johnson
  16. Takeda
  17. Celgene
  18. AbARIAD Pharmaceuticals, Inc.
  19. Hoffmann-La Roche Ltd.
  20. Genzyme Corporation
  21. GlaxoSmithKline plc.
  22. Teva Pharmaceuticals
  23. Allergan
  24. AstraZeneca


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Frequently Asked Questions

Ans. The Leukemia Therapeutics Market is expected to grow at a CAGR of 7.33 % during the forecast period of 2023 to 2030.

  1. Leukemia Therapeutics Market: Research Methodology
  2. Leukemia Therapeutics Market: Executive Summary
  3. Leukemia Therapeutics Market: Competitive Landscape
    1. Stellar Competition Matrix
    2. Competitive Landscape
    3. Key Players Benchmarking
    4. Market Structure
      1. Market Leaders
      2. Market Followers
      3. Emerging Players
    5. Consolidation of the Market
  4. Leukemia Therapeutics Market: Dynamics
    1. Market Trends
    2. Market Drivers
    3. Market Opportunities
    4. Market Challenges
    5. Market threat
    6. PORTER’s Five Forces Analysis
    7. PESTLE Analysis
    8. Regulatory Landscape by Region
      1. North America
      2. Europe
      3. Asia Pacific
      4. Middle East and Africa
      5. South America
  5. Leukemia Therapeutics Market Size and Forecast by Segments (by Value USD Million)
    1. Leukemia Therapeutics Market Size and Forecast, by Type (2023-2030)
      1. Acute lymphocytic leukemia (ALL)
      2. Chronic myeloid leukemia (CML)
      3. Acute myeloid leukemia (AML)
      4. Chronic lymphocytic leukemia (CLL)
    2. Leukemia Therapeutics Market Size and Forecast, by Treatment (2023-2030)
      1. Chemotherapy
      2. Targeted Therapy
      3. Immunotherapy
      4. Other Treatments
    3. Leukemia Therapeutics Market Size and Forecast, by Mode of Administration(2023-2030)
      1. Injectable
      2. Oral
    4. Leukemia Therapeutics Market Size and Forecast, by Molecular Type (2023-2030)
      1. Small Molecules
      2. Biologics
    5. Leukemia Therapeutics Market Size and Forecast, by Molecular Gender (2023-2030)
      1. Male
      2. Female
    6. Leukemia Therapeutics Market Size and Forecast, by Region (2023-2030)
      1. North America
      2. Europe
      3. Asia Pacific
      4. Middle East and Africa
      5. South America
  6. North America Leukemia Therapeutics Market Size and Forecast (by Value USD Million)
    1. North America Leukemia Therapeutics Market Size and Forecast, by Type (2023-2030)
      1. Acute lymphocytic leukemia (ALL)
      2. Chronic myeloid leukemia (CML)
      3. Acute myeloid leukemia (AML)
      4. Chronic lymphocytic leukemia (CLL)
    2. North America Leukemia Therapeutics Market Size and Forecast, by Treatment (2023-2030)
      1. Chemotherapy
      2. Targeted Therapy
      3. Immunotherapy
      4. Other Treatments
    3. North America Leukemia Therapeutics Market Size and Forecast, by Mode of Administration(2023-2030)
      1. Injectable
      2. Oral
    4. North America Leukemia Therapeutics Market Size and Forecast, by Molecular Type (2023-2030)
      1. Small Molecules
      2. Biologics
    5. North America Leukemia Therapeutics Market Size and Forecast, by Molecular Gender (2023-2030)
      1. Male
      2. Female
    6. North America Leukemia Therapeutics Market Size and Forecast, by Country (2023-2030)
      1. United States
      2. Canada
      3. Mexico
  7. Europe Leukemia Therapeutics Market Size and Forecast (by Value USD Million)
    1. Europe Leukemia Therapeutics Market Size and Forecast, by Type (2023-2030)
      1. Acute lymphocytic leukemia (ALL)
      2. Chronic myeloid leukemia (CML)
      3. Acute myeloid leukemia (AML)
      4. Chronic lymphocytic leukemia (CLL)
    2. Europe Leukemia Therapeutics Market Size and Forecast, by Treatment (2023-2030)
      1. Chemotherapy
      2. Targeted Therapy
      3. Immunotherapy
      4. Other Treatments
    3. Europe Leukemia Therapeutics Market Size and Forecast, by Mode of Administration (2023-2030)
      1. Injectable
      2. Oral
    4. Europe Leukemia Therapeutics Market Size and Forecast, by Molecular Type (2023-2030)
      1. Small Molecules
      2. Biologics
    5. Europe Leukemia Therapeutics Market Size and Forecast, by Molecular Gender (2023-2030)
      1. Male
      2. Female
    6. Europe Leukemia Therapeutics Market Size and Forecast, by Country (2023-2030)
      1. UK
      2. France
      3. Germany
      4. Italy
      5. Spain
      6. Sweden
      7. Russia
      8. Rest of Europe
  8. Asia Pacific Leukemia Therapeutics Market Size and Forecast (by Value USD Million)
    1. Asia Pacific Leukemia Therapeutics Market Size and Forecast, by Type (2023-2030)
      1. Acute lymphocytic leukemia (ALL)
      2. Chronic myeloid leukemia (CML)
      3. Acute myeloid leukemia (AML)
      4. Chronic lymphocytic leukemia (CLL)
    2. Asia Pacific Leukemia Therapeutics Market Size and Forecast, by Treatment (2023-2030)
      1. Chemotherapy
      2. Targeted Therapy
      3. Immunotherapy
      4. Other Treatments
    3. Asia- Pacific Leukemia Therapeutics Market Size and Forecast, by Mode of Administration(2023-2030)
      1. Injectable
      2. Oral
    4. Asia-Pacific Leukemia Therapeutics Market Size and Forecast, by Molecular Type (2023-2030)
      1. Small Molecules
      2. Biologics
    5. Asia- Pacific Leukemia Therapeutics Market Size and Forecast, by Molecular Gender (2023-2030)
      1. Male
      2. Female
    6. Asia Pacific Leukemia Therapeutics Market Size and Forecast, by Country (2023-2030)
      1. China
      2. S Korea
      3. Japan
      4. India
      5. Australia
      6. ASEAN
      7. Rest of Asia Pacific
  9. Middle East and Africa Leukemia Therapeutics Market Size and Forecast (by Value USD Million)
    1. Middle East and Africa Leukemia Therapeutics Market Size and Forecast, by Type (2023-2030)
      1. Acute lymphocytic leukemia (ALL)
      2. Chronic myeloid leukemia (CML)
      3. Acute myeloid leukemia (AML)
      4. Chronic lymphocytic leukemia (CLL)
    2. Middle East and Africa Leukemia Therapeutics Market Size and Forecast, by Treatment (2023-2030)
      1. Chemotherapy
      2. Targeted Therapy
      3. Immunotherapy
      4. Other Treatments
    3. Middle East and Africa Leukemia Therapeutics Market Size and Forecast, by Mode of Administration (2023-2030)
      1. Injectable
      2. Oral
    4. Middle east and Africa Leukemia Therapeutics Market Size and Forecast, by Molecular Type (2023-2030)
      1. Small Molecules
      2. Biologics
    5. Middle East and Africa Leukemia Therapeutics Market Size and Forecast, by Molecular Gender (2023-2030)
      1. Male
      2. Female
    6. Middle East and Africa Leukemia Therapeutics Market Size and Forecast, by Country (2023-2030)
      1. South Africa
      2. GCC
      3. Egypt
      4. Rest of ME&A
  10. South America Leukemia Therapeutics Market Size and Forecast (by Value USD Million)
    1. South America Leukemia Therapeutics Market Size and Forecast, by Type(2023-2030)
      1. Acute lymphocytic leukemia (ALL)
      2. Chronic myeloid leukemia (CML)
      3. Acute myeloid leukemia (AML)
      4. Chronic lymphocytic leukemia (CLL)
    2. South America Leukemia Therapeutics Market Size and Forecast, by Treatment (2023-2030)
      1. Chemotherapy
      2. Targeted Therapy
      3. Immunotherapy
      4. Other Treatments
    3. Leukemia Therapeutics Market Size and Forecast, by Mode of Administration(2023-2030)
      1. Injectable
      2. Oral
    4. South America Leukemia Therapeutics Market Size and Forecast, by Molecular Type (2023-2030)
      1. Small Molecules
      2. Biologics
    5. South America Leukemia Therapeutics Market Size and Forecast, by Molecular Gender (2023-2030)
      1. Male
      2. Female
    6. South America Leukemia Therapeutics Market Size and Forecast, by Country (2023-2030)
      1. Brazil
      2. Argentina
      3. Rest of South America
  11. Company Profile: Key players
    1. Novartis
      1. Company Overview
      2. Financial Overview
      3. Business Portfolio
      4. SWOT Analysis
      5. Business Strategy
      6. Recent Developments
    2. Pfizer Inc.
    3. Bristol-Myers Squibb
    4. Amgen Inc.
    5. Gielead Sciences
    6. Celgene (a subsidiary of Bristol-Myers Squibb)
    7. Lupin
    8. Takeda Pharmaceutical Company Limited
    9. Teva Pharmaceutical Industries Limited
    10. Novartis AG
    11. Amgen Inc.
    12. AbbVie Inc.
    13. Sanofi S.A.
    14. F. Hoffmann-La Roche Ltd
    15. Johnson & Johnson
    16. Takeda
    17. Celgene
    18. AbARIAD Pharmaceuticals, Inc.
    19. Hoffmann-La Roche Ltd.
    20. Genzyme Corporation
    21. GlaxoSmithKline plc.
    22. Teva Pharmaceuticals
    23. Allergan
    24. AstraZeneca
  12. Key Findings
  13. Industry Recommendation

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