Merkel Cell Carcinoma (MCC) is a rare, highly aggressive neuroendocrine cutaneous neoplasm with a variable clinical presentation. It is a predominantly dermal-based lesion composed of monotonous small round cells with scanty cytoplasm, often difficult to differentiate from small round cell tumors, metastatic small cell carcinoma, blastic hematologic malignancies, and melanoma.
It is caused by ultraviolet (UV) light exposure, infection with HIV virus, autoimmune diseases (rheumatoid arthritis), and certain malignancies like chronic lymphocytic leukemia or lymphomas, which can profoundly suppress the immune system and may act as a causative agent in MCC. It is also associated with Merkel cell polyomavirus in more than 80% of cases.
DelveInsight’s “Merkel Cell Carcinoma Market Report 2030“ report delivers an in-depth understanding of the Merkel Cell Carcinoma, historical and forecasted epidemiology as well as the Merkel Cell Carcinoma market trends in the United States, EU5 (Germany, Spain, Italy, France, and United Kingdom) and Japan.
Geography Covered:
The United States, EU5 (Germany, France, Italy, Spain, and the United Kingdom) & Japan
Merkel Cell Carcinoma Disease Understanding and Treatment Algorithm
In most people, the first sign of Merkel cell carcinoma is a small bump (nodule) on the skin. This bump is usually firm and appears either skin-coloured or red-purple. It also tends to grow rapidly. Often, there no symptoms associated with the nodule.
Based on the American Joint Committee, MCC is divided into 4 stages, stage I tumor size of ≤2 cm, and stage II >2 cm, stage III as regional nodal disease, and stage IV as metastatic disease.
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“The incidence of MCC is generally higher in men than in women.”
Surgery is the primary treatment option for patients with loco-regional primary MCC. At all stages of MCC, physicians recommend complete excision of the primary tumor, verified by pathologic examination, after excision, if the risk of recurrence to the local lymph nodes is high, it is recommended that the lesion should be treated with a course of radiation therapy. This may destroy any cancer cells that are not detectable by physical exam and can help prevent recurrence of the disease. MCC is generally considered to be a chemotherapy-sensitive tumor, but responses are seldom durable.
Chemotherapy is reserved for the treatment of metastatic MCC (stage IV), and there is a growing opinion that it is mostly indicated to palliate symptoms. Commonly used regimens include. Adjuvant radiation therapy was associated with better outcomes compared with adjuvant chemotherapy.
The choice of treatment depends on the location of the tumor and comorbidities, highlighting the acute unmet need for effective treatment options with good safety and tolerability profile.
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Merkel Cell Carcinoma Epidemiology
Key Findings
1. As of 2015, approximately 2500 persons per year are diagnosed with this cancer in the United States.
2. It dramatically increases approximately to 9.8 people per 100,000 in individuals more than 85 years of age.
3. There is a 100,000-fold difference between the risks of developing MCC for patients under the age of 30 compared to those who are greater than 85 years old.
Merkel Cell Carcinoma Emerging Therapies
1. Nivolumab by Bristol-Myers Squibb
2. INCMGA00012 by Incyte corporation
3. KRT 232 by Kartos Therapeutics
4. haNk and aNK cell therapies by NantKwest
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Table of contents
1 Key Insight2 Executive Summary of Merkel Cell Carcinoma (MCC)3 Merkel Cell Carcinoma (MCC) Market Overview at a Glance4 Disease Background and Overview: Merkel Cell Carcinoma (MCC)5 Case Reports6 Merkel Cell Carcinoma (MCC) Epidemiology and Patient Population7 United States Epidemiology8 EU5 Epidemiology9 Japan Epidemiology10 Current Merkel Cell Carcinoma (MCC) Treatment and Medical Practices11 Unmet needs12 Merkel Cell Carcinoma (MCC) Marketed Drugs13 Merkel Cell Carcinoma (MCC) Emerging Drugs14 Merkel Cell Carcinoma (MCC) 7MM Market Analysis15 United States16 EU-5 countries: Market Outlook17 Japan Market Outlook18 Merkel Cell Carcinoma (MCC) Market Drivers19 Merkel Cell Carcinoma (MCC) Market Barriers20 SWOT Analysis21 Reimbursement and market access22 Appendix23 DelveInsight Capabilities24 Disclaimer25 About DelveInsight
Related reports:
• Merkel Cell Carcinoma Pipeline Insight, 2020
• Merkel Cell Carcinoma Epidemiology Forecast to 2030
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