Report

The minimal residual disease market is projected to grow with a CAGR of 5.7% during the forecast period (2023 - 2028).

The COVID-19 pandemic affected healthcare systems globally and resulted in the interruption of usual care in many healthcare facilities, exposing vulnerable patients with cancer to significant risks. Since the beginning of the COVID-19 pandemic, measures have been taken to increase the admissions of covid patients and reduce the number of non-covid patients in the hospitals, leading to postponing the treatment. A study titled 'Impact of the COVID-19 Pandemic on Cancer Care: A Global Collaborative Study' in September 2020 reported that a total of 356 centers from 54 countries across six continents participated between April 21 and May 8, 2020. These centers serve 716,979 new patients with cancer a year. Most of them (88.2%) reported facing challenges in delivering care during the pandemic. Although 55.34% reduced services as part of a preemptive strategy, other common reasons included an overwhelmed system (19.94%), lack of personal protective equipment (19.10%), and staff shortage (17.98%), and restricted access to medications (9.83%). According to an article titled 'What is the Clinical Impact of COVID-19 on Cancer Patients?' in June 2020, the increased vulnerability of cancer patients to COVID-19, particularly to the severe effects of this infectious disease, has led some patients to delay or pause their anti-cancer treatments to reduce their exposure to potentially infected people, and this condition during initial pandemic phase affected the market adversely. Such studies indicate that cancer care was severely impacted, subsequently impacting the market growth. Hence, there is an overall negative impact of the COVID-19 pandemic on the market's growth.

The factors propelling the growth of the minimal residual disease market are the rising prevalence of various types of cancer worldwide and the increasing awareness among people to confirm the presence of carcinogens. The patients undergoing continued cancer treatment are expected to be the most important element driving the minimal residual disease market forward. In addition, the rising adoption of personalized medicines for the treatment and rising research and development activities contribute to the market's growth.

The increasing number of people suffering from various cancers is the key driving factor for the minimal residual disease market growth. For instance, as per the American Society of Clinical Oncology February 2021 report, an estimated 235,760 adults (119,100 men and 116,6600 women) in the United States were expected to be diagnosed with lung cancer. For instance, Globocan, 2020, it found that there are 18.3% new cases of cancers in India, and cervical cancer accounted for 9.4% of all cancers. For instance, according to statistics published by the American Cancer Society (ACS) updates from January 2022, approximately 26,560 new cases of stomach cancer are projected to be detected in the United States in 2021, with 16,160 males and 10,400 women. According to the statistics published by the National Breast Cancer Foundation, in July 2021, approximately 63% of breast cancer patients have been diagnosed with local-stage breast cancer, 27% with regional stage, and 6% with a distant (metastatic) disease.

In addition, the rising prevalence of blood cancer worldwide increases the demand for better treatment options and accuracy in removing the residual cancerous cells, which is likely to increase the demand for a minimal residual disease market. According to the statistics published by the American Cancer Society, in January 2022, 34,920 new cases of multiple myeloma were estimated to be diagnosed in the United States.

However, the high cost of research and development activities will likely hinder the market's growth over the forecast period.

Minimal Residual Disease Market Trends

Next Generation Sequencing (NGS) Segment Expects to Register a Highest CAGR in the Forecast Period

Next-generation sequencing is a technology used to determine the sequence of DNA or RNA to study the genetic variations associated with the disease. It is also called as massively-parallel sequencing as it enables the sequencing to determine the sequencing of many DNA at a particular time.

The factors propelling the growth of next-generation sequencing technology are increasing incidences of cancer globally, rising demand for next-generation sequencing services and applications in drug development, clinical procedures, precision medicines, and adoption of the latest technology established for next-generation sequencing.

Recently, new assays, including next-generation sequencing, were developed to monitor minimal residual disease more precisely in the patients. Next-Generation Sequencing offers greater sensitivity than conventionally employed morphologic and cytogenetic tests. According to an article published by the Journal of Molecular Diagnostics in January 2020, titled 'A New Next-Generation Sequencing Strategy for the Simultaneous Analysis of Mutations and Chromosomal Rearrangements at DNA Level in Acute Myeloid Leukemia Patients' it has been found that the next-generation sequencing offers the promise of detecting all genomic lesions in a single run. In addition, next-generation sequencing applies to every newly diagnosed acute myeloid leukemia because of the frequent prevalence of multiple molecular aberrations among patients.

The introduction of various error-corrected next-generation methodologies has made the detection of minimal residual diseases easy. Molecular barcoding has recently been used to develop several error-corrected next-generation sequencing approaches based on barcoding the individual DNA molecules used for next-generation sequencing library creation. According to an article published by the National Center for Biotechnology Information in June 2021, titled "Minimal Residual Disease Monitoring with Next-Generation Sequencing," it has been found that next-generation sequencing has the potential to reduce the prevalence of undiagnosed minimal residual diseases, allowing for early management, which is critical for Acute lymphocytic leukemia (ALL) patient survival.

Moreover, the companies' investment in research and development activities, adoption of advanced technology, and increasing their focus on developing assays to assess minimal residual disease are likely to increase the growth of next-generation sequencing over the forecast period. For instance, in January 2020, Adaptive Biotechnologies collaborated with GlaxoSmithKline to use its clonoSEQ Assay to assess minimal residual disease (MRD) in GSK's portfolio of hematology products.

North America is Expected to Have the Significant Market Share during the Forecast Period

The increasing incidences of cancer, rising demand for next-generation and polymerase chain reaction techniques for detecting minimal residual diseases, adoption of the latest technology, and established research infrastructure for proteomics, genomics, and oncology are the factors propelling the growth of the market in the North American region.

The increasing incidences and prevalence of hematological cancers in the United States have increased the risk of people having residual cancerous cells, which is likely to increase the demand for minimal residual disease market. According to the statistics published by the American Cancer Society 2022, 34,470 new cases of multiple myeloma in the United States in 2022. In addition, as per the same source, about 6,660 new cases of acute lymphocytic leukemia (ALL) in 2022. As per the statistics published by the Leukemia and Lymphoma Society, in 2021, 90,390 new lymphoma cases were expected to be diagnosed in patients in the United States, of which 8,830 cases would be of Hodgkin lymphoma and 81,560 cases of non-Hodgkin lymphoma.

Moreover, the increasing focus of the companies on developing treatments and tests for detecting minimal residual disease is also contributing to the market's growth. For instance, in February 2022, Invitae launched a study to generate real-world data on personalized minimal residual disease tests across various tumor types. Similarly, in April 2020, Inivata launched an assay, RaDaR, to detect and monitor residual disease and recurrence in the plasma samples of patients previously diagnosed with cancer. The RaDaR assay is built on Inivata's proven InVision liquid biopsy platform technology, a next-generation sequencing platform that incorporates built-in controls and error correction for highly sensitive and specific variant detection.

Minimal Residual Disease Market Competitor Analysis

The minimal residual disease market is highly competitive and consists of several major players. The companies are investing in research and development activities to provide patients with better treatment and detection methods and adopt various business strategies such as collaboration and acquisitions to withhold their positions in the market. Some key players are Adaptive Biotechnologies, Bristol-Myers Squibb Company, Natera, Kite Pharma, and Amgen Inc.

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