VALBIOTIS (Paris:ALVAL) (FR0013254851 “ ALVAL / PEA/SME eligible), a French Research & Development company committed to scientific innovation for preventing and combating metabolic diseases, today reported exclusive data on the prediabetes market, arising from an exclusive study conducted by AEC Partners in the United States, Canada and in 5 leading European countries (Germany, United Kingdom, France, Spain and Italy).
This exclusive market study conducted by AEC Partners clearly presents a sizable market and demonstrates the value of the VALBIOTIS project. This is an exceptional opportunity: to market the first product with a strong health claim applicable to a population of more than 130 million prediabetics in North American and 5 European countries. By 2027, this market could grow threefold to ‚¬1.8 billion, driven by the increasing prevalence of prediabetes, the continuous progression of screening (13% expected in 2027, against 10% in 2018), the development of prevention programs and the growth of the market of prediabetes healthcare products. VALEDIA could lead this market, with a prediabetes indication and unequivocal clinical proof of efficacy in this population. These data confirm the validity of VALBIOTISs strategic priorities in North America and Europe. And the potential in the rest of the world “ 90% of the worlds population “ remains huge. Explains Josep Infesta, Head of Global Business Development 3.
Type 2 diabetes has become a global epidemic: the number of diabetics has increased by 50% between 2009 and 2017 4, reaching 425 million people affected (8.8% of the adult population) 5. By 2045, this number will rise to 630 million worldwide (9.9% of the adult population).5
This disease could be avoided. Type 2 diabetes is preceded by a high-risk clinical stage, precursor to the disease, known as prediabetes. Sometimes known as intermediate hyperglycemia or dysglycemia, prediabetes has been defined by international organizations 6,7,8 as an intermediate reversible stage, recognized in the 7 countries studied. Screening is based on simple blood tests, that can be performed in routine medical practice (ie. measurement of fasting blood glucose, oral glucose tolerance test, glycated hemoglobin levels). At this stage, an effective intervention can prompt a return to a normal physiological state or, at least, delay the onset of the disease.
Prediabetes: a fast-growing market
The study conducted by AEC Partners, a firm specializing in life sciences for market access, licensing and strategy consulting, details the size and maturity of the key VALBIOTIS markets today: the United States, Canada and the 5 leading European countries (Germany, Spain, France, Italy and United Kingdom). In these 7 countries, the prediabetes population was estimated in 2018 to be 134 million people, of whom 10% have already been diagnosed. The majority of the diagnosed population is American (more than 10 million in 2018, 12% of the American prediabetic population).
In the United States, the diagnosis rate has increased in recent years thanks to the mobilization of federal authorities, led by, among others, the Center for Disease Control and Prevention9. For example, the American Diabetes Association recommends to screen anyone over the age of 45 or with a BMI greater than 25 kg/m2 with at least one additional risk factor, for prediabetes 6.
In Europe, Germany and United Kingdom are particularly affected by this condition, with 14 and 12 million people being prediabetics, respectively.
A profile of the prediabetic individual has been established: over the age of 45 years, overweight, sedentary, but with no gender or ethnicity dimension.
The prediabetes market has been valued at an estimated ‚¬600 million in 2018 in the 7 countries studied. In 2027, with the increasing prevalence of prediabetes, a continuous increase in the diagnosis rate (13% in 2027 against 10% in 2018) thanks to the efforts of health authorities, the development of both prevention programs and the market of products dedicated to prediabetes, the prediabetes market could grow threefold and exceed ‚¬1.8 billion.
In the United States, a developing care pathway and a need for products specifically adapted to prediabetes
The AEC Partners study of the American market reveals that the management of diagnosed prediabetes is being built around health care professionals. National diabetes prevention programs focused on lifestyle change (diet and physical activity) exist and are validated by American health authorities. They are eligible for reimbursement by Medicare (up to ‚¬670 per followed program) and certain insurance plans. In 2012, health care expenditure related to prediabetes in the United States was already estimated at $44 billion 2. Spending related to diabetes represented $327 billion in 2017 10.
The study emphasizes the prescription of an anti-diabetic drug, metformin. This prescription, off-label, remains infrequent (0.7% to 3.7% of cases 11,12), nonetheless representing $170 million in annual sales. From the prediabetic consumer perspective, there is a real reluctance to use a drug without being diabetic and a preference for more natural solutions, including lifestyle changes 13.
Furthermore, the American market for dietary supplements that may be used for prediabetes is growing and currently houses several products. None of these products benefits from a health claim acknowledged by health authorities, to reduce the risk of type 2 diabetes in the prediabetic population.
Emerging treatment in Europe, following the example of the United States
In Europe, prediabetes management has reached various levels of maturity depending on the country, but includes the same elements as in the United States: screening, prevention and lifestyle-dietary programs, dietary supplements and metformin. This prediabetic journey is currently being developed according to the same principles as in the United States.
European efforts are expected to intensify over the upcoming years, as in the United States, in light of the major health and economic challenges facing the authorities and affected populations. Ultimately, the European market is expected to match the American market in terms of both size and maturity.
VALEDIA: a unique value proposition for an unmet need on the prediabetes market
All of these elements justify the value proposition of VALEDIA, which will be launched on the market in 2021. VALEDIA will represent a new approach, based on plants, that meets the expectations of prediabetics.
VALEDIA will be backed by unequivocal clinical proof of efficacy in terms of reducing type 2 diabetes risk factors, based on studies conducted on prediabetics. This standard of proof will be supported by an exclusive health claim to reduce the risk of type 2 diabetes issued by the FDA, EFSA and Health Canada a first and a real guarantee for people with prediabetes.
About TOTUM-63, the main active ingredient of VALEDIA
TOTUM-63 is composed of a specific and patented combination of 5 plant extracts selected for their effects on metabolism. It acts on several targets involved in the physiopathology of type 2 diabetes in order to reduce the clinical risk factors of the disease. TOTUM-63 was developed to challenge perceptions of the prediabetes management and help protect the health of prediabetic patients.
TOTUM-63 has already been proven safe and effective in humans through a Phase I/II clinical study14. The results of a first Phase II European study are expected for Summer 2019, regarding the reduction of one or several risk factors for type 2 diabetes.
VALBIOTIS is a French Research & Development company committed to scientific innovation for preventing and combating metabolic diseases. Its products are made for major players in the healthcare sector. VALBIOTIS particularly focuses on solutions to prevent type 2 diabetes, NASH (nonalcoholic steatohepatitis), obesity and cardiovascular diseases. VALBIOTIS was founded in La Rochelle in early 2014 and has formed numerous partnerships with top academic centers in France and abroad, including the La Rochelle University, the CNRS and the Clermont Auvergne University located in Clermont-Ferrand. These partnerships have enabled VALBIOTIS to benefit from strong financial leverage, particularly thanks to experts and technical partners who support its projects. The company is located at 3 sites in France “ PeÌrigny, La Rochelle (17) and Riom (63) “ in addition to an american office in Boston (MA).
VALBIOTIS is a member of the BPI Excellence network and received the Innovative Company status accorded by BPI France. VALBIOTIS has also been awarded Young Innovative Company status and has received major financial support from the European Union for its research programs by obtaining support from the European Regional Development Fund (ERDF).
VALBIOTIS is PEA/SME eligible.
Find out more about VALBIOTIS : www.valbiotis.com
Name: VALBIOTIS ISIN code: FR0013254851 Mnemonic code: ALVAL
This press release contains forward-looking statements about VALBIOTIS’ objectives. VALBIOTIS considers that these projections are based on rational hypotheses and the information available to the company at the present time. However, in no way does this constitute a guarantee of future performance, and these projections can be reconsidered based on changes in economic conditions and financial markets, as well as a certain number of risks and doubts, including those described in the VALBIOTIS core document, filed with the French Financial Markets Regulator (AMF) on March 8 2019 (application number I.17-012), as well as in the 2018 annual financial report, filed with AMF on 3 April 2018. These documents are available on the Company’s website (www.valbiotis.com). VALBIOTIS does not accept any liability regarding the update or revision of these forward-looking statements. This press release and the information contained herein does not constitute an offer to sell or subscribe to, or a solicitation to buy or subscribe to, VALBIOTIS’ shares or securities in any country.
1 AEC Partners data on key VALBIOTIS markets: the United States, Canada and the 5 primary European countries (Germany, United Kingdom, France, Spain and Italy), 2019. 2 Dall TM, Yang W, Halder P, et al. The economic burden of elevated blood glucose levels in 2012: diagnosed and undiagnosed diabetes, gestational diabetes mellitus, and prediabetes. Diabetes Care, 2014. 3 Outside consultant IZ3 Consulting 4 Diabetes Atlas, 8th edition, International Diabetes Federation, 2018, p. 44. 5Ibid, p. 41. 6 American Diabetes Association, Standards of Medical Care in Diabetes2019, Diabetes Care 2019, S17. 7 Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of diabetes mellitus, World Health Organization, 1999, pp. 14-15. 8 Diabetes Atlas, 8th edition, International Diabetes Federation, 2018, p. 21. 9www.cdc.gov/diabetes/prevention/index.html 10 American Diabetes Association, Economic Costs of Diabetes in the U.S. in 2017, Diabetes Care 2018 11 Metformin Use in Prediabetes Among U.S. Adults, 2005“2012; Diabetes Care 2017 Jul; 40(7):887-893. 12 Metformin Prescription for Insured Adults With Prediabetes From 2010 to 2012: A Retrospective Cohort Study. Annals of Internal Medicine, April 2015. 13 Patient Perceptions About Prediabetes and Preferences for Diabetes Prevention. Diabetes Educ. 2016. 14 Phase I clinical trial to evaluate TOTUM-63, a botanical complex for managing prediabetes, Sirvent P. et al., Poster, American Diabetes Association, June 2016. Consultable sur www.valbiotis.com
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