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Last Updated: April 17, 2025

Drugs in ATC Class L01EM


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Drugs in ATC Class: L01EM - Phosphatidylinositol-3-kinase (Pi3K) inhibitors

TradenameGeneric Name
ALIQOPA copanlisib dihydrochloride
VIJOICE alpelisib
ZYDELIG idelalisib
>Tradename>Generic Name
Showing 1 to 3 of 3 entries

L01EM Market Analysis and Financial Projection

The market for Phosphatidylinositol-3-kinase (PI3K) inhibitors (ATC Class L01EM) is experiencing significant growth and innovation, driven by advancements in cancer therapeutics and evolving intellectual property strategies. Here's a detailed analysis:


Market Dynamics

Growth Projections

  • The global PI3K inhibitor market was valued at $126.37 million in 2023, projected to reach $214.4 million by 2032 at a 6% CAGR [5].
  • Key drivers include rising cancer incidence, expanding applications in autoimmune diseases, and investment in oncology R&D [5][13].

Therapeutic Shifts

  • From hematologic to solid tumors: While early PI3K inhibitors targeted blood cancers like chronic lymphocytic leukemia (e.g., idelalisib and duvelisib), newer agents like alpelisib (Novartis) are approved for HR+/HER2- breast cancer with PIK3CA mutations [3][14].
  • Combination therapies: Trials exploring PI3K inhibitors with immune checkpoint inhibitors aim to overcome resistance and improve outcomes [13].

Regional and Sector Trends

  • Norway’s consumption patterns: In 2019, L01EM drugs accounted for 7% of total protein kinase inhibitor use measured in DDDs/1000/day, with imatinib dominating most metrics except cost [1][11].
  • Market segmentation: Segment Key Subcategories
    Drug Type Class I inhibitors, dual PI3K/mTOR inhibitors
    Application Breast cancer (44%), hematologic malignancies (32%)
    End Users Hospitals (55%), specialty clinics (30%) [5]

Patent Landscape

Strategic Innovations

  • Formulation patents: Incyte secured patents for PI3Kγ inhibitors targeting cancers and autoimmune diseases, with claims covering combinations like JAK/PI3K dual inhibitors [4][10].
  • Delivery systems: RenovoRx’s Trans-Arterial Micro-Perfusion (TAMP) platform expanded its IP portfolio to 18 patents, enhancing localized delivery [2].

Legal Challenges

  • Invalidations: Courts rejected patents lacking technical specificity (e.g., Seagen’s antibody-drug conjugate patent) [2].
  • Section 101 scrutiny: Patents combining natural components (e.g., AAV sequences) face rejection unless solving technical problems [2].

Upcoming Expirations

  • Xarelto (rivaroxaban): Molecule patent expires in February 2025, with generics poised for entry [2].
  • Post-expiry dynamics: Small-molecule drugs lose 47% pricing power to generics within five years, while biologics retain 80% [2].

Key Drugs and Developers

Drug (Brand) Developer Indication 2023 Market Share
Alpelisib (Piqray) Novartis PIK3CA-mutated breast cancer 34%
Duvelisib (Copiktra) Verastem Relapsed CLL/SLL 22%
Inavolisib Roche HR+/HER2- breast cancer (Phase III) Pipeline leader

Pipeline highlights: Over 40 clinical trials are testing PI3K inhibitors in solid tumors, with Roche’s inavolisib leading first-line breast cancer trials [3][13].


Regulatory and Competitive Pressures

  • FDA/EMA approvals: Accelerated pathways for breakthrough therapies (e.g., alpelisib’s 2019 approval) [3][14].
  • Safety concerns: Toxicity issues (e.g., infections, liver damage) prompted withdrawals of older inhibitors like ZYDELIG [13].

Future Outlook

  • Biomarker-driven adoption: Focus on PIK3CA mutations and CDKN2A deletions for patient stratification [5].
  • Dual-target inhibitors: Compounds like gedatolisib (PI3K/mTOR) aim to reduce resistance [6].

"The future of PI3K inhibitors lies in precision delivery and combinatorial approaches to mitigate toxicity while maximizing efficacy." — Industry Analyst [5].


Key Takeaways

  • PI3K inhibitors are transitioning from hematologic to broader solid tumor applications.
  • Patent strategies prioritize formulation innovation and localized delivery systems.
  • Post-2025, generics will reshape small-molecule markets, while biologics retain dominance.

FAQs
Q: What is driving PI3K inhibitor market growth?
A: Rising cancer prevalence, targeted therapy demand, and pipeline expansion into solid tumors [3][5].

Q: How do patent expirations affect pricing?
A: Small-molecule drugs drop to 53% of originator prices within five years vs. biologics at 80% [2].

Q: Which regions lead adoption?
A: North America (45% market share), with Asia-Pacific growing fastest (9.2% CAGR) [5][13].

References

  1. https://www.ntnu.no/ojs/index.php/norepid/article/view/4041/3728
  2. https://www.drugpatentwatch.com/p/atc-class/L01
  3. https://www.prnewswire.com/news-releases/pi3k-inhibitors-market-to-observe-stunning-growth-during-the-study-period-20202034--delveinsight-302227420.html
  4. https://www.pharmaceutical-technology.com/data-insights/incyte-gets-grant-for-inhibitors-of-pi3k-for-treating-various-diseases/
  5. https://www.researchandmarkets.com/reports/6052548/phosphatidylinositol-3-kinase-inhibitor-market
  6. https://pubmed.ncbi.nlm.nih.gov/23488930/
  7. https://atcddd.fhi.no/atc_ddd_index/?code=L01EM&showdescription=yes
  8. https://atcddd.fhi.no/atc_ddd_index/?code=L01E&showdescription=yes
  9. https://patents.google.com/patent/WO2012107544A1/ja
  10. https://patents.justia.com/assignee/incyte-corporation
  11. https://www.ntnu.no/ojs/index.php/norepid/article/view/4041/3728
  12. https://patents.google.com/patent/CA2925601A1/en
  13. https://www.prnewswire.com/news-releases/pi3k-inhibitors-market-to-observe-stunning-growth-during-the-study-period-20202034--delveinsight-302227420.html
  14. https://go.drugbank.com/drugs/DB12015
  15. https://www.bioworld.com/articles/716579-new-pi3k-inhibitors-disclosed-in-forschungsverbund-berlin-patent
  16. https://www.fhi.no/contentassets/1b4b603c4ecf410588d584d5062cc9b8/legemiddelforbruket-i-norge-20172021.pdf
  17. https://www.thebusinessresearchcompany.com/report/leukocyte-adhesion-deficiency-management-global-market-report
  18. https://go.drugbank.com/drugs/DB11952
  19. https://www.prnewswire.com/news-releases/pi3k-inhibitors-market-to-observe-stunning-growth-during-the-study-period-20202034--delveinsight-302227420.html
  20. https://www.youtube.com/watch?v=Slv8GSXXhx8
  21. https://go.drugbank.com/drugs/DB12015
  22. https://atcddd.fhi.no/atc_ddd_index/?code=L01EM03
  23. https://pharmacy.moh.gov.my/sites/default/files/document-upload/msom-2018-2022-15102024_0.pdf

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Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.