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Last Updated: April 17, 2025

Drugs in ATC Class L02AB


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Drugs in ATC Class: L02AB - Progestogens

TradenameGeneric Name
LUNELLE estradiol cypionate; medroxyprogesterone acetate
MEGACE megestrol acetate
MEGACE ES megestrol acetate
MEGESTROL ACETATE megestrol acetate
>Tradename>Generic Name
Showing 1 to 4 of 4 entries

L02AB Market Analysis and Financial Projection

The market dynamics and patent landscape for ATC Class L02AB (Progestogens) reflect a rapidly evolving sector driven by therapeutic innovations, expanding applications, and strategic intellectual property developments. Here’s a detailed analysis:


Market Dynamics

Growth Projections and Segmentation

  • The global progesterone market is projected to grow from $1.68 billion in 2025 to $3.15 billion by 2030 at a CAGR of 13.5%[4]. This growth is fueled by advancements in oncology, hormonal therapies, and non-therapeutic applications (e.g., anti-aging cosmetics)[4].
  • Cancer cachexia treatment is a major driver, where progestogens dominate with 57.4% market share due to their efficacy in appetite stimulation and weight stabilization[11][17]. The segment is projected to grow at a 5.4% CAGR through 2032[17].
  • Segmentation:
    • By type: Ulipristal acetate and mifepristone are key synthetic variants[1].
    • By application: Hospitals and endocrinology departments account for significant usage, driven by cancer and reproductive health treatments[1].

Competitive Landscape

  • Top players include Bayer, Pfizer, and Gedeon Richter, which focus on expanding portfolios through R&D and strategic partnerships[1][4].
  • Emerging trends:
    • Combination therapies: Integrate progestogens with nutritional support and anti-inflammatory agents for cancer cachexia[11][14].
    • Biosimilars: Over 50 biosimilars (e.g., insulin lispro, trastuzumab) have entered markets, increasing accessibility[3].

Patent Landscape

Key Innovations and Filings

  • Synthetic progestogens: Patents like US-11439598-B2 highlight novel compounds (e.g., 21,17-carbolactone derivatives) for contraceptive and oncologic use[2][16].
  • Therapeutic expansions:
    • US11413249B2 covers drospirenone-based contraceptives with improved safety profiles[16].
    • Anticancer applications: Progestogens like megestrol are patented for antiproliferative effects in breast cancer[10].

Regional Patent Activity

  • North America: Leads with 700+ patents focused on smart drug delivery and material innovations[7].
  • Europe: Emphasizes eco-friendly formulations and compliance with strict regulatory standards[7].
  • Asia-Pacific: Rapid growth in non-hormonal alternatives and cost-effective generics[7].

Regulatory and Clinical Drivers

  • ATC Classification: Progestogens under L02AB are specifically classified for cancer treatment (e.g., breast, prostate), with defined daily doses (DDDs) standardized for global utilization[5][15].
  • Clinical demand: Rising cancer incidence (e.g., 18.1 million new cases in 2018) and cachexia prevalence (affecting ~50% of cancer patients) underpin market expansion[14][17].

Challenges

  1. Biosimilar competition: Pressures pricing for branded progestogens[3].
  2. Regulatory complexity: Varied approval processes delay market entry for new formulations[4].
  3. R&D costs: High investment required for targeted therapies and combination regimens[11].

Regional Insights

  • North America: Holds 45% market share due to advanced healthcare infrastructure and high R&D expenditure[17].
  • Asia-Pacific: Fastest-growing region, driven by improving healthcare access and rising cancer rates[4][17].

Key Takeaways

  • Progestogens under L02AB are pivotal in oncology and metabolic care, with a robust pipeline of synthetic variants and biosimilars.
  • Patent strategies focus on drug delivery innovations and combination therapies to sustain competitive advantage.
  • Market growth will hinge on addressing unmet needs in emerging economies and navigating biosimilar competition.

Highlight: "Progestogens’ versatility in treating cancer cachexia and hormonal disorders ensures their enduring dominance in therapeutic markets"[11][14].

References

  1. https://www.biospace.com/estrogen-and-progesterone-market-size-share-growth-analysis-trend-and-forecast-research-report-by-2027
  2. https://pubchem.ncbi.nlm.nih.gov/patent/US11439598
  3. https://reports.helsana.ch/wp-content/uploads/2022/11/Helsana-Arzneimittelreport-2022.pdf
  4. https://www.360iresearch.com/library/intelligence/progesterone
  5. https://atcddd.fhi.no/atc_ddd_index/?code=L02AB03
  6. https://www.zva.gov.lv/sites/default/files/2017-12/zva-zstat-2016.pdf
  7. https://www.globenewswire.com/news-release/2025/03/07/3039078/0/en/Contraceptive-Devices-Patent-Landscape-Report-2023-2024-2032-Innovations-in-Materials-Smart-Monitoring-and-Eco-friendly-Methods.html
  8. https://vvkt.lrv.lt/media/viesa/saugykla/2023/9/nvNsI8S7K9U.pdf
  9. https://vvkt.lrv.lt/media/viesa/saugykla/2023/9/09vLW9zMlcw.pdf
  10. https://pubmed.ncbi.nlm.nih.gov/20519331/
  11. https://www.vantagemarketresearch.com/industry-report/cancer-cachexia-market-2526
  12. https://pmc.ncbi.nlm.nih.gov/articles/PMC8076393/
  13. https://www.genome.jp/kegg-bin/search_brite?catalog=brite.list&search_string=RELA&option=-n
  14. https://www.knowledge-sourcing.com/report/cancer-cachexia-market
  15. https://atcddd.fhi.no/atc_ddd_index/?showdescription=yes&code=L02AB
  16. https://patents.google.com/patent/US11413249B2/en
  17. https://market.us/report/cancer-cachexia-market/
  18. https://www.fortunebusinessinsights.com/cancer-cachexia-market-103262

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