High-Grade Glioma (HGG) – Overview
High-grade glioma (HGG) represents a category of fast-growing, aggressive brain tumors, with glioblastoma and anaplastic astrocytoma being the most common subtypes.

These cancers are notable for their high recurrence rates, resistance to standard treatments, and poor survival rates. Although HGG is more frequent in adults, it can also affect children, presenting distinct clinical and genetic characteristics across different age groups. Standard treatments generally involve surgical resection, radiation therapy, and chemotherapy, though their effectiveness remains limited, emphasizing the need for innovative therapeutic approaches and personalized medicine.
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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, the incidence of High-Grade Glioma was considerable across the 7 major markets (7MM), with the United States reporting the highest number of new cases, approximately 16,200.
Among the EU4 and the UK, Germany led in case numbers, followed by France, while Spain reported the fewest.
In the US, glioblastoma was the most commonly diagnosed form, with about 13,100 cases, while anaplastic astrocytoma accounted for approximately 1,600 cases.
The disease is notably more common in adults than in pediatric populations, reflecting age-related distribution trends.
HGG Market Overview
In 2023, the HGG market across the 7MM reached an estimated value of USD 800 million.
Market Growth Drivers:
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Advancements in immunotherapy and targeted treatments, including promising agents like ONC201 and DCVax-L, are improving the clinical outlook.
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Increasing knowledge of the molecular and genetic underpinnings of HGG (e.g., H3 K27M mutation) is driving the development of precision medicine and more tailored therapeutic options.
Market Barriers:
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The aggressive nature and biological complexity of HGG limit the durability of current treatments and pose challenges to achieving long-term survival.
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The limited success of clinical trials and regulatory challenges continue to slow the approval of emerging 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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Other emerging 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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