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Last Updated: December 12, 2025

Drugs in ATC Class D05BB


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Drugs in ATC Class: D05BB - Retinoids for treatment of psoriasis

Market Dynamics and Patent Landscape for ATC Class D05BB – Retinoids for Psoriasis Treatment

Last updated: July 29, 2025


Introduction

Psoriasis, a chronic autoimmune skin disorder characterized by hyperproliferation of keratinocytes, affects approximately 2-3% of the global population. The management of psoriasis remains complex, with a significant unmet need for effective, targeted therapies. Retinoids, derivatives of vitamin A, are a prominent class within ATC classification D05BB, utilized for their immunomodulatory and anti-proliferative properties. This article explores the market dynamics and patent landscape surrounding retinoids classified under D05BB, emphasizing their therapeutic role in psoriasis management.


Market Overview and Growth Drivers

The global psoriasis therapeutics market is projected to witness CAGR of approximately 8% through 2027, driven by escalating prevalence, advances in targeted therapies, and unmet treatment needs. Retinoids occupy a vital niche within this landscape, especially in topical formulations. Their use hinges on their ability to regulate keratinocyte differentiation and immune responses, making them valuable in mild to moderate psoriasis cases.

Key Factors Influencing Market Dynamics:

  • Prevalence and Demographics: Rising psoriasis incidence across North America, Europe, and Asia-Pacific underscores increased demand for retinoid-based therapies.

  • Regulatory Approvals and Recommendations: Agencies like the FDA and EMA endorse topical retinoids such as tazarotene for psoriasis, positively influencing market growth.

  • Therapeutic Positioning: Retinoids are often preferred due to their efficacy and manageable side-effect profile when used appropriately. They serve as adjuncts or alternatives to systemic therapies.

  • Combination Therapies: Increasing use of retinoids in combination with corticosteroids or biologics enhances treatment outcomes, expanding application scope.

  • Patient Preference and Compliance: The availability of formulations with improved skin tolerability fosters better adherence, boosting market penetration.

Market Challenges:

  • Side-effects like skin irritation and teratogenicity limit retinoid use, necessitating cautious patient selection and monitoring.

  • Emergence of biologics as superior targeted therapies introduces new competition dynamics.


Patent Landscape Analysis

The patent trajectory for D05BB retinoids reveals a strategic focus on novel formulations, delivery mechanisms, and combination approaches to extend exclusivity and market share.

Key Patent Trends:

  • Innovative Formulations: Patents cover topical gels, creams, and extended-release systems designed to minimize irritation. For example, formulations incorporating microencapsulation or nanoparticle delivery aim to enhance skin penetration and reduce side effects.

  • Novel Chemical Entities: While most retinoids belong to established compounds like tazarotene or adapalene, companies are exploring next-generation derivatives with improved stability and selectivity, protected via compound patents.

  • Combination Therapies: Patents extend to fixed-dose combinations, such as retinoids with corticosteroids or calcipotriol, expanding therapeutic options and patent life.

  • Method of Use and Indications: Patents claiming specific dosing regimens or treatment methodologies for psoriasis management add layers of patent protection.

Major Patent Holders:

  • Galderma: Holds key patents for tazarotene formulations and its use in psoriasis, including novel delivery systems.

  • Stiefel (a GSK subsidiary): Patents related to adapalene formulations and combination use in dermatology.

  • Novartis and Other Innovators: Focus on new retinoid analogs with improved safety profiles.

Patent Expiry and Opportunities:

Many foundational patents for first-generation retinoids have begun to expire, opening opportunities for generics. Meanwhile, innovation-driven patents on advanced formulations and combinations provide strategic patent barriers for market exclusivity.


Competitive Landscape

The market landscape comprises a mix of established pharmaceutical players holding on-patent retinoids and emerging biotech firms pursuing innovative derivatives. Strategic collaborations, licensing, and acquisitions are prevalent as companies seek to augment their portfolios with next-generation retinoid technologies.

Key Players:

  • Galderma: Market leader with a broad portfolio of topical retinoids, notably tazarotene.

  • GSK (Stiefel): Known for adapalene-based products.

  • Novartis: Developing novel retinoid analogs with potentially superior efficacy and safety.

  • Others: Smaller biotech firms investing in targeted delivery systems and combination therapies.

The competition emphasizes differentiation via improved tolerability, convenience, and targeted mechanisms of action.


Regulatory Landscape and Market Access

The regulatory environment influences market dynamics significantly. Agencies emphasize safety and efficacy, especially concerning teratogenic risks associated with retinoids. Consequently, regulatory strategies revolve around risk minimization, with contraindications and pregnancy warnings prominently enforced.

Market access hinges on demonstrating improvements over existing therapies and securing favorable labeling. Regulatory approvals for novel delivery systems or combination products can extend market reach.


Future Outlook

Advances in formulation science and molecular biology are expected to expand the utility of retinoids in psoriasis. The focus on precision medicine, dosing regimens, and minimizing adverse effects will shape future R&D activities. The patent landscape will continue to evolve, with a clear trend toward personalized, combination, and controlled-release formulations.

As biosimilars and generics emerge with expiring patents, innovation will be critical for maintaining premium positioning. The integration of digital health tools and patient-centric formulations will further influence market dynamics.


Key Takeaways

  1. The psoriasis market is expanding, with retinoids under ATC D05BB positioned as vital topical agents, especially for mild-to-moderate cases.
  2. Innovation in formulations and combination therapies drives competitive advantage and extends patent protection.
  3. Patent expiries open opportunities for generics, but continuous innovation remains essential to sustain market share.
  4. Regulatory complexity concerning safety profiles necessitates strategic planning around approvals and risk management.
  5. The future of retinoids in psoriasis treatment hinges on improving safety, efficacy, and patient compliance through advanced delivery systems and targeted derivatives.

FAQs

1. How do retinoids improve psoriasis symptoms?
Retinoids regulate keratinocyte proliferation and differentiation, modulate immune responses, and inhibit inflammatory pathways, thus reducing plaque formation and improving skin appearance.

2. What are the main safety concerns with topical retinoids?
Skin irritation, erythema, and photosensitivity are common. Systemic absorption leading to teratogenic effects is a significant concern, necessitating pregnancy warnings and careful patient management.

3. Are there any recent innovations in the patent landscape for retinoids in psoriasis?
Yes. Recent patents focus on nanoparticle delivery systems, combination therapies, and new analogs with improved safety profiles, aiming to enhance efficacy and tolerability.

4. How does patent expiration affect the market?
Patent expiries for first-generation retinoids guide generic entry, increasing market competition and lowering prices. Innovator companies seek new patents to maintain exclusivity through advanced formulations.

5. What is the outlook for next-generation retinoid therapies?
Next-generation therapies aim to target specific pathways with reduced side effects, including selective receptor modulators and innovative delivery devices, promising improved psoriasis management.


References

  1. GlobalData. (2022). Psoriasis therapeutics market forecast.
  2. European Medicines Agency. (2021). Summary of product characteristics for tazarotene.
  3. IMS Health. (2022). Dermatology drug sales analysis.
  4. PatentScope. (2022). Patent filings for retinoid formulations and delivery systems.
  5. World Health Organization. (2023). Psoriasis prevalence and epidemiology data.

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