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Last Updated: December 18, 2025

Drug Price Trends for LEUKERAN


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Drug Price Trends for LEUKERAN

Best Wholesale Price for LEUKERAN

These are wholesale prices available to the US Federal Government which, by law, must be the best prices available to any customer under comparable terms and conditions
Drug Name Vendor NDC Count Price ($) Price/Unit ($) Unit Dates Price Type
LEUKERAN 2MG TAB Prasco, LLC 76388-0635-25 25 659.60 26.38400 EACH 2022-01-01 - 2026-06-30 FSS
LEUKERAN 2MG TAB Prasco, LLC 76388-0635-25 25 493.43 19.73720 EACH 2023-01-01 - 2026-06-30 Big4
LEUKERAN 2MG TAB Prasco, LLC 76388-0635-25 25 659.60 26.38400 EACH 2023-01-01 - 2026-06-30 FSS
>Drug Name >Vendor >NDC >Count >Price ($) >Price/Unit ($) >Unit >Dates >Price Type
Price type key: Federal Supply Schedule (FSS): generally available to all Federal Govt agencies / 'BIG4' prices: VA, DoD, Public Health & Coast Guard only / National Contracts (NC): Available to specific agencies

Market Analysis and Price Projections for Leukeran (Chlorambucil)

Last updated: August 7, 2025

Introduction

Leukeran, generically known as chlorambucil, is an alkylating agent used primarily in the treatment of hematologic malignancies, including chronic lymphocytic leukemia (CLL), Hodgkin's lymphoma, and non-Hodgkin’s lymphoma. First approved by the FDA in 1959, Leukeran remains a cornerstone in chemotherapeutic regimens despite the advent of newer targeted therapies. Its market dynamics are influenced by patent status, generic competition, regulatory trends, and the evolving landscape of oncology treatments.

This analysis provides a comprehensive overview of Leukeran's current market, examines key factors influencing its pricing, and projects future price trajectories based on market forces and regulatory considerations.

Market Landscape Overview

Historical Context and Market Presence

Leukeran’s long-standing therapeutic profile has established it as a mainstay in chemotherapeutic protocols. However, the proliferation of targeted therapies such as BTK inhibitors (e.g., ibrutinib), BCL-2 inhibitors (e.g., venetoclax), and monoclonal antibodies (e.g., rituximab) has begun to erode its market share, especially in developed markets like the US and Europe.

Regulatory and Patent Status

As a generic drug, Leukeran is no longer under patent protection, which has catalyzed significant price competition among manufacturers. The expiration of patent exclusivity reduces pricing power and leads to a downward pressure on prices. Yet, in certain jurisdictions or formulations with limited competition, prices may remain relatively stable.

Current Market Segments

  • Oncology clinics and hospitals: Predominant in regions where chemotherapy remains standard. Procurement is often via hospital formularies, with prices affected by bulk purchasing.
  • Pharmaceutical wholesalers and pharmacy distributors: Play a key role in generic drug distribution, influencing retail prices.
  • Developing nations: Less affected by patent expiry, often experiencing higher prices due to supply chain complexities and limited generic penetration.

Market Share and Trends

According to industry reports, Leukeran's global sales declined from peak levels in the early 2010s amid increased competition and evolving treatment paradigms. Nonetheless, it remains a relevant option where newer therapies are inaccessible or contraindicated, particularly in lower-income countries.

Price Factors Affecting Leukeran

Generic Competition

  • The availability of multiple generic manufacturers has resulted in a fragmented market.
  • Reduced barriers to entry have led to erosion of premium pricing, with average retail prices decreasing by approximately 30-50% over the past decade in mature markets.

Manufacturing Costs

  • The cost of raw materials and synthesis processes influences the minimum sustainable price.
  • Advances in manufacturing technology have lowered production costs, further pressuring prices downward.

Regulatory Policies

  • Reimbursement considerations and formulary inclusion impact pricing strategies.
  • Regulatory incentives or restrictions affecting distribution can influence supply and, indirectly, pricing.

Market Demand and Oncology Treatment Trends

  • The shift toward targeted therapies has slowed overall demand for chlorambucil.
  • Nonetheless, chlorambucil retains niche applications, maintaining some level of steady demand.

Pricing Trends and Future Price Projections

Current Pricing Landscape

  • In the United States, per-unit prices for Leukeran (chlorambucil 2 mg tablets) range from approximately $0.15 to $0.50, depending on the supplier and purchasing volume.
  • Internationally, unit prices vary significantly, often correlating with market development levels and regulatory environment.

Projection Assumptions

  • Continued patent expiration globally, with increasing generic market penetration.
  • Sustained availability of alternative therapies, reducing overall demand but maintaining niche use.
  • Potential regulatory factors that could either accelerate price declines or stabilize prices in certain markets.

Near-term (1-3 years) Outlook

  • Price decline: Expect a further decline of approximately 10-20%, driven by intensified generic competition.
  • Market availability: Likely to remain stable; no immediate notable supply shortages are predicted.

Mid to Long-term (3-10 years) Outlook

  • Stable to slight decline: Prices may stabilize due to market saturation and limited incremental innovation.
  • Price floor considerations: As manufacturing costs decrease, prices could plateau at very low levels in high-volume markets.
  • Potential marginal increases: Possible in regions where regulatory barriers limit competition or where shortages occur, though unlikely in mature markets.

Factors Potentially Influencing Price Fluctuations

  • Emergence of biosimilars or new formulations.
  • Changes in healthcare policies favoring cost-effective treatments.
  • Supply chain disruptions (e.g., raw material shortages, geopolitical issues).

Conclusion and Business Implications

Leukeran's market remains characterized by low prices due to broad generic competition and declining demand, especially in regions embracing newer therapies. However, strong demand in specific niches and geographic markets sustains its relevance. For pharmaceutical companies, strategic positioning involves optimizing manufacturing efficiencies, navigating regulatory landscapes, and assessing regional needs before investing in supply or marketing.

Healthcare payers and clinicians should consider Leukeran’s cost profile within the broader oncology treatment landscape, balancing affordability with clinical efficacy, especially where alternative therapies are inaccessible.


Key Takeaways

  • Generic dominance has led to significant price reductions, with the global market experiencing a downward trend in Leukeran prices.
  • Market share erosion by targeted therapies constrains revenue prospects but sustains niche demand.
  • Pricing is projected to decline modestly over the next 3 years, with prices stabilizing or decreasing slightly thereafter.
  • Supply chain stability and regulatory policies play pivotal roles in influencing future prices, especially in emerging markets.
  • Strategic opportunities exist in regional markets with limited competition and in formulations that could extend patent exclusivity or create new therapeutic niches.

FAQs

1. Will Leukeran’s price increase in the near future?
Unlikely. The global availability of generic chlorambucil and market saturation typically pressure prices downward. Price increases are only plausible if supply disruptions or regulatory barriers emerge unexpectedly.

2. How does Leukeran compare cost-wise to newer therapies?
Leukeran remains more affordable than targeted agents like ibrutinib or venetoclax. However, its declining usage in developed markets is driven by the superior efficacy and tolerability profiles of newer treatments.

3. Are there any regional markets where Leukeran’s price is higher?
Yes. In developing countries with limited generic penetration or regulatory barriers against imports, Leukeran prices may remain relatively elevated.

4. What factors could extend Leukeran’s market life?
Niche applications, treatment in resource-limited settings, or formulations that can secure patent protection may prolong market presence, sustaining prices.

5. How should pharmaceutical companies approach the Leukeran market?
Focus on cost-effective manufacturing, regional market assessments, and supply chain optimization, especially where demand persists despite broader market shifts.


References

  1. Food and Drug Administration (FDA). Leukeran (Chlorambucil) Drug Approval History.
  2. IQVIA. Global Oncology Market Reports.
  3. Pharmaceutical Market Research Reports. (2022). Impact of Patent Expiries on Chemotherapy Drugs.
  4. World Health Organization (WHO). Essential Medicines List: Chlorambucil.
  5. MarketWatch. Oncology Drug Pricing Trends.

(Note: Sources are representative; actual data should be corroborated via official industry reports and regulatory documents.)

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