Metastatic Colorectal Cancer (mCRC) Market Overview (2023–2034)
- Key Insights
- 2. Report Introduction
- 3. Metastatic Colorectal Cancer (mCRC) Market Overview at a Glance
- 3.1. Market Share (%) Distribution of mCRC in 2019
- 3.2. Market Share (%) Distribution of mCRC in 2032
- 4. Executive Summary of Metastatic Colorectal Cancer (mCRC)
- 4.1. Key Events
- 5. Epidemiology and Market Methodology
- 6. Disease Background and Overview
- 6.1. Introduction
- 6.2. Causes
- 6.3. Symptoms
- 6.4. CRC Staging
- 6.5. Risk Factors of CRC
- 6.6. Molecular Subtypes of CRC
- 6.7. Mechanisms of Metastasis in CRC
- 6.8. Drug Resistance in mCRC
- 6.9. Clinical Presentation of mCRC
- 6.10. Unusual Sites of Metastasis in CRC
- 6.10.1. Uterine Metastasis
- 6.10.2. Penile Metastasis
- 6.10.3. Scrotal Metastasis
- 6.10.4. Prostatic Metastasis
- 6.10.5. Bladder Metastasis
- 6.10.6. Peritoneal Pseudomyxoma
- 6.10.7. Abdominal Wall Metastasis
- 6.10.8. Bone Metastasis
- 6.10.9. Carcinomatous Lymphangitis
- 6.10.10. Adenopathies
- 6.10.11. Pancreatic Metastasis
- 6.11. Biomarkers in mCRC
- 6.11.1. Prognostic Biomarkers
- 6.11.2. Patient-Related Factors
- 6.11.3. Tumor-related Factors
- 6.11.4. Predictive Biomarkers
- 6.11.5. Markers to Predict 5-FU Response and Toxicity
- 6.11.6. Predicting Response to EGFR Therapy
- 6.11.7. Predicting Response to VEGF Inhibitors
- 6.11.8. Technology-Facilitated Biomarkers
- 6.12. Diagnosis
- 6.12.1. Clinical symptoms
- 6.12.2. Endoscopy
- 6.12.3. Imaging
- 6.12.4. Laboratory
- 6.12.5. Pathology
- 6.12.6. Biopsy
- 6.12.7. Molecular Testing of the Tumor
- 6.12.8. Blood Tests
- 6.12.9. Tumor-based Tests
- 6.12.10. Diagnosis of colorectal liver metastasis
- 7. Recognized Establishments
- 8. Treatment of Metastatic Colorectal Cancer (mCRC)
- 8.1. Initial/First-line Treatment of mCRC
- 8.2. Second and Third-line Treatment of mCRC
- 8.3. Therapies using medication
- 8.4. Surgery
- 8.5. Adjuvant therapy
- 8.6. Follow-up
- 8.7. Palliation
- 8.8. Maintenance Therapy
- 8.9. Treatment of Colon Cancer That Has Metastasized to a Single Site
- 9. Treatment of Patients with Late-stage Colorectal Cancer: ASCO Resource-Stratified Guideline (2020)
- 10. ESMO consensus guidelines for the management of patients with metastatic colorectal cancer (2016)
- 10.1. Recommendations
- 10.1.1. Recommendation 1: Tissue handling
- 10.1.2. Recommendation 2: A selection of specimens for biomarker testing
- 10.1.3. Recommendation 3: Tissue selection
- 10.1.4. Recommendation 4: RAS testing
- 10.1.5. Recommendation 5: BRAF testing
- 10.1.6. Recommendation 6: MSI testing
- 10.1.7. Recommendation 7: Biomarkers of chemotherapy sensitivity and toxicity
- 10.1.8. Recommendation 8: Emerging biomarkers not recommended for routine patient management outside of a clinical trial setting
- 10.1.9. Recommendation 9: Emerging technologies
- 10.1.10. Recommendation 10: OMD
- 10.1.11. Recommendation 11: Imaging in the identification and management of disease
- 10.1.12. Recommendation 12: Perioperative treatment
- 10.1.13. Recommendation 13: Conversion therapy
- 10.1.14. Recommendation 14: Ablative techniques
- 10.1.15. Recommendation 15: Local ablation techniques
- 10.1.16. Recommendation 16: Embolization
- 10.1.17. Recommendation 17: Cytoreductive surgery and HIPEC
- 10.1.18. Recommendation 18: First-line systemic therapy combinations according to the targeted agent used
- 10.1.19. Recommendation 19: Maintenance therapy
- 10.1.20. Recommendation 20: Second-line combinations with targeted agents
- 10.1.21. Recommendation 21: Third-line therapy
- 10.2. Consensus recommendations on the use of cytotoxics and biologicals in the first- and subsequent-line treatment of patients with mCRC
- 10.2.1. Consensus recommendation for patients where cytoreduction with 'conversion' and/or the integration of local ablative treatment is the goal
- 10.2.2. Consensus recommendation for patients where cytoreduction is needed because of aggressive biology and/or risk of developing or existing severe symptoms
- 10.2.3. Consensus recommendation for patients where disease control is the goal
- 11. National Institute for Health and Care Excellence (NICE) Guidelines: Colorectal Cancer (2020)
- 11.1. Management of metastatic disease
- 11.1.1. People with asymptomatic primary tumor
- 11.1.2. People with mCRC in the liver
- 11.1.3. People with metastatic colorectal cancer in the lung
- 11.1.4. People with metastatic colorectal cancer in the peritoneum
- 11.2. Ongoing care and support
- 11.2.1. Follow-up for detection of local recurrence and distant metastases
- 12. Management of metastatic colorectal cancer patients: guidelines of the Italian Medical Oncology Association (AIOM) (2016)
- 12.1. Metastatic CRC Treatment Recommendations
- 12.1.1. Evaluation of elderly patients
- 12.1.2. Surgery for advanced disease
- 12.1.3. Locoregional treatments
- 13. Treatment guidelines of metastatic colorectal cancer in older patients from the French Society of Geriatric Oncology (SoFOG)
- 13.1. Recommendations on palliative chemotherapy indication for older patients with mCRC
- 13.2. Recommendations for cytotoxic chemotherapy in older patients:
- 13.3. Anti-angiogenic recommendations for older:
- 13.4. Recommendations for anti-EGFR, regorafenib and trifluridinetipiracil in older patients:
- 14. Spanish Society of Medical Oncology (SEOM) clinical guidelines for diagnosis and treatment of metastatic colorectal cancer (2018)
- 15. Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines for the treatment of colorectal cancer- 2019
- 15.1. Treatment strategies for Stage IV CRC
- 15.2. Treatment strategies for hematogenous metastases
- 15.2.1. Treatment strategies for liver metastases
- 15.2.2. Treatment strategies for brain metastases
- 15.2.3. Treatment strategies for hematogenous metastases to other organs
- 16. National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines for Colon and Rectal Cancer (2021)
- 17. Epidemiology and Patient Population
- 17.1. Key Findings
- 17.2. Epidemiology of Metastatic Colorectal Cancer (mCRC)
- 17.3. Epidemiology Scenario
- 17.3.1. Total Incident Cases of Colorectal Cancer (CRC)
- 17.3.2. Total Incident Cases of Metastatic Colorectal Cancer (mCRC)
- 18. Patient Journey
- 19. Key Endpoints in Metastatic Colorectal Cancer (mCRC)
- 20. Marketed Therapies
- 20.1. Key Cross
- 20.2. Keytruda (pembrolizumab): Merck
- 20.2.1. Drug Description
- 20.2.2. Regulatory Milestones
- 20.2.3. Other Developmental Activities
- 20.2.4. Pivotal Clinical Trial
- 20.2.5. Ongoing Current Pipeline Activity
- 20.2.6. Safety and Efficacy
- 20.3. Stivarga (Regorafenib): Alexion Pharmaceuticals
- 20.3.1. Drug Description
- 20.3.2. Regulatory Milestones
- 20.3.3. Other Developmental Activities
- 20.3.4. Pivotal Clinical Trial
- 20.3.5. Ongoing Current Pipeline Activity
- 20.3.6. Safety and Efficacy
- 20.4. Jemperli (dostarlimab): GlaxoSmithKline (GSK)
- 20.4.1. Drug Description
- 20.4.2. Regulatory Milestones
- 20.4.3. Pivotal Clinical Trial
- 20.5. Braftovi (encorafenib) + Erbitux (cetuximab) ± Mektovi (binimetinib): Array BioPharma/ Pfizer + Pfizer
- 20.5.1. Drug Description
- 20.5.2. Regulatory Milestones
- 20.5.3. Other Developmental Activities
- 20.5.4. Pivotal Clinical Trial
- 20.5.5. Ongoing Current Pipeline Activity
- 20.5.6. Safety and Efficacy
- 20.6. Cyramza (ramucirumab): Eli Lilly
- 20.6.1. Drug Description
- 20.6.2. Regulatory Milestones
- 20.6.3. Other Developmental Activities
- 20.6.4. Pivotal Clinical Trial
- 20.6.5. Ongoing Current Pipeline Activity
- 20.6.6. Safety and Efficacy
- 20.7. Lonsurf (TAS-102): Taiho Oncology
- 20.7.1. Drug Description
- 20.7.2. Regulatory Milestones
- 20.7.3. Other Developmental Activities
- 20.7.4. Pivotal Clinical Trial
- 20.7.5. Ongoing Current Pipeline Activity
- 20.7.6. Safety and Efficacy
- 20.8. Opdivo (nivolumab) + Yervoy (ipilimumab): Bristol-Myers Squibb
- 20.8.1. Drug Description
- 20.8.2. Regulatory Milestones
- 20.8.3. Pivotal Clinical Trial
- 20.8.4. Ongoing Current Pipeline Activity
- 20.8.5. Safety and Efficacy
- 20.9. Vectibix (panitumumab) + Folfox/Chemotherapy: Amgen
- 20.9.1. Drug Description
- 20.9.2. Regulatory Milestones
- 20.9.3. Other Developmental Activities
- 20.9.4. Pivotal Clinical Trial
- 20.9.5. Ongoing Current Pipeline Activity
- 21. Emerging Therapies
- 21.1. Key Cross
- 21.2. Adagrasib (MRTX849) + cetuximab: Mirati Therapeutics + Merck
- 21.2.1. Product Description
- 21.2.2. Other Development Activities
- 21.2.3. Clinical Development
- 21.2.4. Safety and Efficacy
- 21.3. MK-4280A (favezelimab and pembrolizumab): Merck
- 21.3.1. Product Description
- 21.3.2. Other Development Activities
- 21.3.3. Clinical Development
- 21.3.4. Safety and Efficacy
- 21.4. Lynparza (olaparib) ± bevacizumab: Merck
- 21.4.1. Product Description
- 21.4.2. Other Development Activities
- 21.4.3. Clinical Development
- 21.5. Elunate (fruquintinib/HMPL-013): Hutchison Medipharma
- 21.5.1. Product Description
- 21.5.2. Other Development Activities
- 21.5.3. Clinical Development
- 21.5.4. Safety and Efficacy
- 21.6. Corsela (trilaciclib): G1 Therapeutics
- 21.6.1. Product Description
- 21.6.2. Other Development Activities
- 21.6.3. Clinical Development
- 21.7. Lenvima (lenvatinib/MK-7902/E7080) + Keytruda (pembrolizumab): Merck/Eisai
- 21.7.1. Product Description
- 21.7.2. Other Development Activities
- 21.7.3. Clinical Development
- 21.7.4. Safety and Efficacy
- 21.8. Modufolin (arfolitixorin): Isofol Medical
- 21.8.1. Product Description
- 21.8.2. Other Development Activities
- 21.8.3. Clinical Development
- 21.8.4. Safety and Efficacy
- 21.9. Lumakras (sotorasib) + Vectibix (panitumumab): Amgen
- 21.9.1. Product Description
- 21.9.2. Other Development Activities
- 21.9.3. Clinical Development
- 21.9.4. Safety and Efficacy
- 21.10. Masitinib: AB Science
- 21.10.1. Product Description
- 21.10.2. Other Development Activities
- 21.10.3. Clinical Development
- 21.11. Numidargistat (INCB001158): Incyte Corporation
- 21.11.1. Product Description
- 21.11.2. Other Development Activities
- 21.11.3. Clinical Development
- 21.11.4. Safety and Efficacy
- 21.12. Enhertu (trastuzumab deruxtecan): Daiichi Sankyo/AstraZeneca
- 21.12.1. Product Description
- 21.12.2. Other Development Activities
- 21.12.3. Clinical Development
- 21.12.4. Safety and Efficacy
- 21.13. Keytruda (pembrolizumab) + ibrutinib: Merck/Janssen
- 21.13.1. Product Description
- 21.13.2. Other Development Activities
- 21.13.3. Clinical Development
- 21.13.4. Safety and Efficacy
- 21.14. Onvansertib: Cardiff oncology
- 21.14.1. Product Description
- 21.14.2. Other Development Activities
- 21.14.3. Clinical Development
- 21.14.4. Safety and Efficacy
- 21.15. RRx-001: EpicentRx
- 21.15.1. Product Description
- 21.15.2. Clinical Development
- 21.15.3. Safety and Efficacy
- 21.16. Lenvima (lenvatinib) + pembrolizumab: Merck/Eisai
- 21.16.1. Product Description
- 21.16.2. Other Development Activities
- 21.16.3. Clinical Development
- 21.16.4. Safety and Efficacy
- 21.17. Tukysa (tucatinib) ± Herceptin (trastuzumab): Seagen + Roche
- 21.17.1. Product Description
- 21.17.2. Other Development Activities
- 21.17.3. Clinical Development
- 21.17.4. Safety and Efficacy
- 21.18. NT-17/GX-I7 (efineptakin Alfa) + Keytruda (pembrolizumab): NeoImmuneTech (Genexine) + Merck
- 21.18.1. Product Description
- 21.18.2. Other Development Activities
- 21.18.3. Clinical Development
- 21.18.4. Safety and Efficacy
- 21.19. BDTX-189: Black Diamond Therapeutics
- 21.19.1. Product Description
- 21.19.2. Other Development Activities
- 21.19.3. Clinical Development
- 21.20. Magrolimab + Erbitux (cetuximab): Gilead Sciences + Eli Lilly and Company
- 21.20.1. Product Description
- 21.20.2. Other Development Activities
- 21.20.3. Clinical Development
- 21.20.4. Safety and Efficacy
- 21.21. ONCOS-102 + IMFINZI (durvalumab): Ludwig Institute for Cancer Research + Targovax ASA
- 21.21.1. Product Description
- 21.21.2. Other Development Activities
- 21.21.3. Clinical Development
- 21.21.4. Safety and Efficacy
- 22. Metastatic Colorectal Cancer (mCRC): 7 Major Market Analysis
- 22.1. Key Findings
- 22.2. Market Outlook
- 22.2.1. Prescription Pattern Analysis
- 22.2.2. Emerging Drugs Analysis
- 22.3. Market Size of Metastatic Colorectal Cancer
- 22.3.1. Total Market Size of Metastatic Colorectal Cancer (mCRC)
- 22.3.2. Market Size of Metastatic Colorectal Cancer (mCRC) by Therapies
- 23. Market Access and Reimbursement
- 24. KOL Views
- 25. Market Drivers
- 26. Market Barriers
- 27. SWOT Analysis
- 28. Unmet Needs
- 29. Appendix
- 29.1. Bibliography
- 29.2. Report Methodology
- 30. DelveInsight Capabilities
- 31. Disclaimer
- 32. About DelveInsight
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