Market Dynamics and Financial Trajectory for Sincalide
Introduction
Sincalide, a synthetic peptide hormone, is widely used as a diagnostic aid for hepatobiliary and pancreatic conditions. Understanding its market dynamics and financial trajectory is crucial for pharmaceutical companies, healthcare providers, and investors.
Clinical Use and Demand
Sincalide is administered parenterally to contract the gallbladder, aiding in diagnostic imaging of hepatobiliary diseases. Its use is critical in medical diagnostics, particularly for conditions involving the gallbladder and pancreas[4][5].
Diagnostic Procedures
The drug is used in various diagnostic procedures, including the assessment of gallbladder function and pancreatic secretion. Its ability to stimulate pancreatic secretion and intestinal motility makes it an essential tool in gastroenterology and hepatology[4].
Patient Population
The demand for sincalide is driven by the prevalence of gallbladder and pancreatic disorders. With an aging population and increasing incidence of gastrointestinal diseases, the demand for diagnostic aids like sincalide is expected to rise.
Market Challenges
Despite its clinical importance, the market for sincalide faces several challenges.
Supply Chain Interruptions
Frequent shortages due to intermittent supply have been a significant issue. This instability can lead to increased costs and reduced availability, impacting both healthcare providers and patients[1].
Shelf-Life Concerns
Historically, sincalide had an estimated post-reconstitution shelf-life of 8 hours, which was updated in 2014 with limited supporting data. Recent studies, however, suggest that sincalide remains chemically stable for at least 8 days when stored in sterile water at room temperature or refrigeration[1].
Economic Impact
The stability of sincalide beyond the previously recommended 8 hours has significant economic implications.
Cost Savings
Extending the shelf-life of sincalide can reduce waste and lower costs for medical institutions. Since a significant portion of the vial is often wasted due to the short shelf-life, prolonging this period can lead to substantial cost savings[1].
Supply Chain Efficiency
Improved stability can also enhance supply chain efficiency by reducing the need for frequent reordering and minimizing the impact of supply chain disruptions.
Regulatory Environment
The regulatory landscape plays a crucial role in the market dynamics of sincalide.
FDA Guidelines
The FDA's guidelines on reconstituted medications specify that any reconstituted medication should not be used past the expiration time specified by the manufacturer. However, studies suggesting longer stability periods may prompt reevaluation of these guidelines[1].
PDUFA Performance
The Prescription Drug User Fee Act (PDUFA) performance reports indicate the FDA's efficiency in reviewing and approving drug applications. While sincalide is not a new drug, any changes in its formulation or usage guidelines would need to align with PDUFA regulations[3].
Competitive Landscape
Sincalide operates in a niche market with limited competition due to its specific use as a diagnostic aid.
Market Monopoly
Bracco Diagnostics Inc. is the primary manufacturer of sincalide (Kinevac), giving it a significant market share. The lack of direct competitors means that market dynamics are largely influenced by the supply and demand for this specific product[1][4].
Financial Trajectory
The financial performance of sincalide is influenced by several factors.
Revenue Streams
The revenue generated from sincalide sales is substantial, given its critical role in diagnostic procedures. However, the intermittent supply and short shelf-life have historically impacted revenue stability.
Cost Structure
The cost structure includes manufacturing, distribution, and storage costs. Extending the shelf-life could reduce storage and distribution costs, potentially increasing profit margins.
Market Growth
The market for sincalide is expected to grow due to increasing demand for diagnostic services and the aging population. Improved stability and reduced waste could further enhance market growth.
Industry Expert Insights
Industry experts highlight the importance of stability studies in optimizing the use of sincalide.
"The findings of this study warrant microbial testing over this storage duration before any recommendations on extended usage can be made," notes a study on the chemical stability of sincalide[1].
Statistics and Data
- Shelf-Life Extension: Studies indicate that sincalide remains chemically stable for at least 8 days after reconstitution, a significant extension from the previously recommended 8 hours[1].
- Waste Reduction: Approximately 67% of the sincalide vial is wasted when administered to an average adult due to the short shelf-life. Extending the shelf-life could reduce this waste substantially[1].
- Market Demand: The demand for diagnostic aids like sincalide is expected to rise with the increasing prevalence of gastrointestinal diseases.
Key Takeaways
- Extended Shelf-Life: Sincalide is chemically stable for at least 8 days after reconstitution, offering potential cost-saving benefits.
- Supply Chain Efficiency: Improved stability can enhance supply chain efficiency and reduce waste.
- Regulatory Considerations: Any changes in usage guidelines would need to align with FDA regulations.
- Market Growth: The market for sincalide is expected to grow due to increasing demand for diagnostic services.
- Cost Savings: Extending the shelf-life can reduce costs for medical institutions.
FAQs
What is sincalide used for?
Sincalide is used as a diagnostic aid to contract the gallbladder and assess pancreatic secretion, aiding in the diagnosis of hepatobiliary and pancreatic conditions.
How long is sincalide stable after reconstitution?
Recent studies suggest that sincalide remains chemically stable for at least 8 days after reconstitution in sterile water, whether stored at room temperature or refrigeration.
What are the common adverse reactions to sincalide?
Common adverse reactions include abdominal discomfort or pain, nausea, and transient abdominal cramping. Serious allergic reactions, such as anaphylaxis, are rare but can occur[4][5].
How does the extended shelf-life of sincalide impact its market?
The extended shelf-life can reduce waste, lower costs, and enhance supply chain efficiency, potentially increasing market growth and revenue stability.
Is sincalide available from multiple manufacturers?
Currently, Bracco Diagnostics Inc. is the primary manufacturer of sincalide (Kinevac), giving it a significant market share in this niche market[1][4].
Sources
- Chemical Stability of Reconstituted Sincalide in Sterile Water Under Different Storage Conditions. Tech, 48(2), 174.
- Michael Moseley - Stanford Profiles.
- FY 2018 PDUFA Performance Report. FDA.
- CENTER FOR DRUG EVALUATION AND RESEARCH APPLICATION NUMBER: 017697Orig1s031. FDA.
- Sincalide (intravenous route) - Mayo Clinic. Mayo Clinic.