High-Grade Glioma (HGG) – Overview
High-Grade Glioma (HGG) refers to a group of aggressive and rapidly growing brain tumors, with glioblastoma and anaplastic astrocytoma being the most common subtypes.

These tumors are characterized by their high recurrence rates, resistance to standard treatments, and poor survival outcomes. Although HGG is more frequently diagnosed in adults, it can also affect children, with variations in clinical and genetic profiles observed across different age groups. The typical treatment approach involves surgical resection, radiation therapy, and chemotherapy, although their effectiveness is often limited, emphasizing the need for innovative therapeutic methods and personalized treatment strategies.
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Epidemiological Segmentation of HGG (2020–2034) – 7MM
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Total Incident Cases
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Age-specific Incidence
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Incidence by Major Histological Subtype
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Diffuse Intrinsic Pontine Glioma (DIPG) / Diffuse Midline Glioma (DMG) Cases
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Cases with H3 K27M Mutation
HGG Epidemiology (2023 Highlights)
In 2023, High-Grade Glioma cases were significant across the seven major markets (7MM), with the United States reporting the highest incidence, around 16,200 new cases.
In the EU4 and the UK, Germany had the highest number of cases, followed by France, while Spain reported the lowest.
In the US, glioblastoma was the most common diagnosis, accounting for approximately 13,100 cases, with anaplastic astrocytoma contributing about 1,600 cases.
The disease was more prevalent in adults than in children, consistent with age-related distribution patterns.
HGG Market Overview
The High-Grade Glioma market across the 7MM was valued at approximately USD 800 million in 2023.
Market Growth Drivers
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Breakthroughs in immunotherapy and targeted treatments, including promising therapies like ONC201 and DCVax-L, are changing the treatment landscape.
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A growing understanding of the molecular and genetic factors underlying HGG (such as the H3 K27M mutation) is driving the development of precision medicine and more customized treatment options.
Market Barriers
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The aggressive nature and biological complexity of HGG limit the long-term effectiveness of existing treatments and pose challenges to improving survival outcomes.
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Delayed success in clinical trials and regulatory barriers continue to hinder the approval of new therapies.
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Emerging Therapies for HGG
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ONC201
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AV-GBM-1
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Enzastaurin
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DCVax-L
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Additional pipeline candidates
Leading Companies in the HGG Landscape
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CHIMERIX
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AIVITA Biomedical
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Denovo Biopharma
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Northwest Therapeutics
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Orbus Therapeutics
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TVAX Biomedical
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Laminar Pharmaceuticals
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Recursion Pharmaceuticals
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Vigeo Therapeutics
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Eli Lilly
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Incyte Corporation
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Kazia Therapeutics
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Biomimetix
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Medicenna Therapeutics
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Immunomic Therapeutics
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Mimivax
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Oblato
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CNS Pharmaceuticals
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Epitope Research Corporation (ERC)
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IMVAX
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BeiGene
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Enterome
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VBI Vaccines
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Genenta Science
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TME Pharma
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Inovio Pharmaceuticals
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Istari Oncology
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