This report examines the potential of this burgeoning market by identifying areas of unmet need and the companies looking to cater to this demand with new product development.

1. Opportunities and Key Players in Medical Nutrition
Introduction
A small number of products for specific diseases have been introduced over the years, but
companies have only recently started to focus on the specific nutritional requirements of
patients with different diseases in depth. This report examines the potential of this
burgeoning market by identifying areas of unmet need and the companies looking to cater
to this demand with new product development.
Features and benefits
• Explore the medical nutrition market as it stands and assess its future potential.
• Identify factors affecting the future growth of the market
• Identify the key therapeutic areas in which there are established products or that
represent areas of active interest for the future.
• Understand how medical nutrition products are developed, regulated and reimbursed.
• Identify the key market players and their interest in the future growth of the medical
nutrition sector.
Highlights
The growing, aging population and the fact that healthcare systems across the globe are
under financial pressure are driving interest in this emerging area. Research is, for example,
investigating the possibility that integrating nutrition in therapeutic schedules for cancer
might improve treatment outcomes.
The potential rewards for introducing new products for use by patients with specific diseases
are significant, as deomnstrated by the billion dollar pharmaceutical markets they
represent. However, considerable challenges to this growing market exist - as yet, no
market definition exists and regulatory requirements remain unclear.
Clinical trials for medical nutrition products are necessary to demonstrate the efficacy and
tolerability of new products and to provide support for any labeling claims. They usually
follow standards set in the pharmaceutical arena, including elements such as randomization,
the use of controls and double blinding and must stand up to peer review.
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Your key questions answered
• What are medical nutrition products?
• In which therapeutic areas is there a market for medical foods?
• Which companies are currently in the medical nutrition market and which groups are
driving the sector forward?
• How are they going to achieve the development, approval and launch of medical foods in
therapeutic areas not conventionally treated with food?
• What are the key factors affecting the development of the medical nutrition market?

2. Table Of Contents
Executive Summary
Introduction
Established and emerging areas for medical nutrition
Development, regulation and reimbursement
Future market outlook
About the authors
Sara Sleigh
Cheryl L Barton
Disclaimer
Introduction
Summary
Medical nutrition: a definition
Medical nutrition: a short history
The market for medical nutrition
Demographics and chronic disease
Malnutrition
The increasing economic burden of disease
Leading companies in the field of medical nutrition
Report outline
What is this report about?
Established and emerging areas for medical nutrition
Summary
Introduction
Inborn errors of metabolism
Malnutrition
Additional considerations for elderly or sick populations
Recovery
Nutrition in peri-operative care
Medical nutrition for chronic wounds
Diabetes
Renal failure
Cancer
The immune system and inflammation
Inflammatory bowel diseases
Osteoarthritis
Memory and Alzheimer’s disease
Souvenaid (Nutricia)
reaZin
Other CNS disorders
Heart disease, metabolic syndrome and obesity
Omega 3
Obesity and metabolic syndrome
Conclusions
Development, regulation and reimbursement
Summary
Introduction
Regulation in the US
Enforcement
Regulation in the EU

3. Changes to regulation in the EU
Product development
Lifecycle management
Reimbursement
Intellectual property protection
Conclusions
Future market outlook
Summary
Challenges and opportunities for market growth
Clinical evidence to support new products
Nutrigenomics
Personalized nutrition
Discovering novel nutraceuticals
Lifecycle management
Delivering nutraceuticals
Compliance
Developing new markets: product acceptance by medical professionals and patients
Market size
Conclusions
Appendix
Research methodology
Acknowledgements
Abbreviations
Glossary
References
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