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Complete 2015-16 Global Cord Blood Banking Industry Report

The global cord blood market has matured substantially over the past few years, creating both novel opportunities and serious threats.

EXECUTIVE SUMMARY

The global cord blood banking industry has matured substantially over the past few years, creating both serious threats and novel opportunities. Serious threats to the industry include:

  • New accreditation requirements that have increased the cost structure of cord blood banks
  • A decline in cord blood transplants in 2013, within the U.S. and other geographical regions
  • Low rates of turnover for stored cord blood units
  • Expensive cord blood transplantation procedures, costing from $200-300K each
  • Difficulty with educating obstetricians about cellular therapies
  • Poor press coverage in many regions worldwide, including major news outlets

Other uncontrollable factors that could threaten the industry include: new legislation, changes in transplant reimbursement, continually evolving accreditation requirements, the potential for competitive approaches to be shown as more optimal, patent challenges for processing or transplant technologies, changes in public perception of private vs. public banking, shift in policy recommendations by influential medical organizations, and changes in government support.

Marketing pressures are also impacting the industry, with the term “cord blood” becoming one of the 20 most expensive search terms on Google, reaching more than $20 per click for global search traffic and close to $40 per click for U.S. search traffic.

However, there are also emerging opportunities, including:

  • The potential to expand market size through increasing public awareness
  • New clinical trial data supporting applications for hematopoietic stem cells (HSCs) from cord blood and mesenchymal stem cells (MSCs) from cord tissue
  • Improving public perception toward stem cell therapies
  • Substantial deal-making within the industry, including mergers, acquisitions, and funding rounds
  • The potential for cross-organizational collaboration through formation of Cord Blood Industry Associations (occurring in within U.S. and South America)
  • A trend toward diversification within the industry, with cord blood banks effectively becoming stem cell banks through the storage of cord blood, cord tissue, and in some cases, placental tissue, amniotic fluid, and more

Within this rapidly evolving ecosystem, those who choose to commit to understanding current opportunities and threats will be positioned for a substantial strategic advantage.

A Global Market Requires Global Understanding

While these factors vary somewhat by market, there is a substantial advantage to having a global understanding of the market. You need to understand successes and failures by region to be fully informed of your competitive environment. You need to have a firm understanding of emerging trends that could expand to new regions and impact your business model. In addition, research advances, clinical trial findings, and technology advances do not know international boundaries. They are shared nearly instantly from region-to-region.

The cord blood market is global in nature and understanding dynamics limited to your region is not sufficient for making strategic, informed, and profitable decisions.

Furthermore, cord blood banks now exist in every developed country, as well as within most developing nations. With approximately 500 cord blood banks operating worldwide, maturation of the global cord blood market means that each cord blood bank is now fighting harder for market share.

Currently, the U.S. cord blood banking industry is the most mature cord blood banking market in the world, having the:

  • First company to offer cord blood storage (1995)
  • Largest total number of industry participants (both public and private)
  • Greatest number of cord blood units (CBU) stored
  • Most cord blood units banked relative to population

However, other regions have contributed major events as well.

In 2008, a Taiwanese company, HealthBanks Biotech Company Ltd. became the first company to offer cord tissue storage; it was not until July 2010 that the first private U.S. cord blood bank began offering the service (Cord Blood Registry). Since then, the trend of cord tissue storage has had a significant impact on the cord blood banking industry, with a large percentage of cord blood banks worldwide offering the service.

In China, the government shocked the cord blood industry worldwide when it announced that only one cord blood bank would be allowed to operate within each province, and official government support, authorization, and permits would be required. While the China Cord Blood Corporation has since earned permits for three of the seven Chinese provinces (holding majority share of the Chinese cord blood market) and is now competing as one of the fastest growing cord blood banks in the world, several other providers of cord blood services disappeared when this legislation was passed.

In Italy and France, it is illegal to privately store one's cord blood, which has fully eliminated the potential for a private market to exist within the region.

In Ecuador, the government is now creating the first public cord blood bank and has instituted laws such that private cord blood banks cannot approach women about private cord blood banking options during the first six months of pregnancy. This has created a crisis for the private banks, and there are now only two remaining in Ecuador.

Clearly, it is vital to understand the market dynamics and risks, as well as the emerging opportunities within different regions of the world,

Cord Blood Stem Cells, as Compared to Other Stem Cell Alternatives

Since the first stem cell transplant occurred more than 50 years ago (1957), there has been a nearly exponential increase in stem cell transplants, and in late 2012, the millionth stem cell transplant occurred, a landmark event in stem cell medicine (1). Cord blood stem cells have distinct advantages over other sources, including that they are:

  • Younger
  • More adaptable
  • More pure

These traits result from cord blood stem cells being the earliest (non-controversial) stem cells that can be extracted from a living human, and therefore haven't been exposed to viruses, chemicals, or pollutants in the environment that can alter cell function.

While bone marrow stem cells are the most commonly recognized type of stem cell used in transplant, cord blood stem cells are increasingly showing advantages over other stem cell sources, including reduced immune reactions (such as GvHD) and a greater flexibility for HLA-mismatched cord blood units to be used in transplant. Although cord blood banks began offering their services in the United States in the mid-1990's, it is within the past ten-years that the percentage of cord blood transplants has significantly increased.

Today, it is clear that the stem cells contained within cord blood banking have the potential to improve and save lives. Since the first cord blood transplant was performed in 1988, stem cells derived from umbilical blood have been used in more than 30,000 transplants worldwide. However, many expectant parents still do not fully understand the significance of cord blood storage.

Awareness Levels Remain a Substantial Limitation to Market Potential

A study published in the 2006 Journal of Reproductive Medicine showed that a third of expectant parents are unaware of the option to preserve cord blood. Of the two-thirds who have some knowledge, 74% describe themselves as “minimally informed.” The study also identified that 84% of prenatal patients expected their obstetricians to be able to provide them with information on the subject of cord blood banking; however, only about 14% were educated about cord blood banking by their nurse or obstetrician.

Unfortunately, a January 2014 Parent Survey conducted by BioInformant Worldwide, LLC (600+ responses from recent and expectant parents), identified that these percentages have shifted very little since 2006, despite attempts in most countries worldwide to encourage healthcare providers to offer prenatal patients balanced information on public and private cord blood banking options.

Key Survey Findings from 600+ Recent and Expectant Parents

In addition to exploring awareness rates, this 40-question, 52-page survey explores topics that include how to strategically position your products, effectively educate parents, prioritize your marketing budget, and understand why parents bank publicly, privately, or not at all.

It also reveals the most popular blogs, websites, and apps among expectant parents, and it provides key insight into the minds of your prospective clients. Use the findings from this section to make effective decisions, create targeted marketing messages, and produce higher prospect-to-client conversion rates.

With responses from 600+ recent and expectant parents worldwide, this comprehensive survey will substantially improve your ability to position cord blood banking services.

Key survey findings include:

  • Rates of cord blood banking awareness by gender, income, geographic location, and education
  • Sources through which expectant parents learn of cord blood preservation
  • Factors influencing private vs. public storage of cord blood
  • Price sensitivity and quality expectations
  • Approaches for communicating with expectant parents
  • Key factors influencing the decision to store cord blood
  • Parental responsiveness to health statistics
  • “Tested" language for communicating with expectant parents
  • And more

Key Report Findings

The report is designed to guide the decision-making of cord blood banks worldwide, as well as to advise private, corporate, and institutional investors entering into this market.

As such, it considers a range of metrics that impact the global cord blood banking market. It includes trend rate data for cord blood clinical trials, patents, grants, scientific publications and more. For instance, there are now more than 500 studies involving cord blood listed on www.ClinicalTrials.gov, and there have been hundreds of patents related to cord blood collection, processing, and storage filed through the United States Patent and Trademark Office (www.USPTO.gov). Globally, this patent count is even larger.

Additionally, the year-over-year increase in scientific publications on PubMed.gov containing the term “cord blood” increased by 7.8% from 2013 to 2014. PubMed.gov is a global database of scientific publications containing more than 24 million citations for biomedical literature, which makes it an excellent resource for gauging biomedical research trends. However, grant rate data reveals that funding for cord blood related research has been declining from 2012 to present.

Key report findings include:

  • Market size determinations for the global cord blood market
  • Trend rate data for umbilical cord blood grants, patents, and scientific publications
  • Clinical trial rate analysis, including comparison of cord blood vs. cord tissue frequency
  • Rates of global cord blood storage (units per year)
  • Rates of global cord blood transplant (units per year)
  • Current and future conditions treatable with cord blood
  • Probability of requiring a stem cell transplant by age
  • Trends in medical opinions of cord blood banking
  • Changes in legislative support for cord blood banking
  • Critical events and emerging technologies within the cord blood industry
  • Competitive environment analysis, including assessment of cord blood market leaders
  • Influential alliances within the cord blood industry
  • "SWOT" analysis for global cord blood industry (Strengths, Weaknesses, Opportunities, Threats)
  • Crucial trends and unmet market needs
  • And much more

Appendix

This report also features an extensive Appendix that includes "Existing Conditions Treatable with Cord Blood Transplant," a "Global List of Cord Blood Banks," "AABB Accredited Cord Blood Banks Worldwide," and more.

Table of Contents

I. ABSTRACT

II. CORD BLOOD & CORD TISSUE OVERVIEW

  • A. Introduction to Cord Blood and Cord Tissue
  • B. Definitions and Nomenclature
  • C. Technical Advantages of Cord Blood
  • D. Likelihood of Needing a Stem Cell Transplant
    • 1. Childhood Probability
    • 2. Adulthood Probability
  • E. Comparison of Cord Blood, Bone Marrow, Peripheral Blood Stem Cell Transplant
  • F. Conditions Treatable with Cord Blood Transplant

III. CORD BLOOD MARKET OVERVIEW

  • A. Market Variation
  • B. Cord Blood Banking Structures
  • C. Accreditation Standards and Requirements
    • 1. Types of Accreditation
    • 2. AABB Accreditation

IV. TRANSFORMATIVE INDUSTRY EVENTS

  • A. History: Timeline of Key Events
  • B. Transformative Technologies: Key Processing Technologies within Cord Blood Marketplace
  • C. Major Strategic Collaborations: Key Alliances within Cord Blood Marketplace
    • 1. Cord Blood Registry and Women's Health Alliance
    • 2. ViaCord and Destination Maternity (Largest Global Retailer of Maternity Clothing)
    • 3. Precious Cells Miracle and the Croydon Health Services NHS Trust
    • 4. CarePilot and “Cord for Life” (Lifeforce Cryobank's Cord Blood Storage Program)
    • 5. Cesca Therapeutics and UpState Cord Blood Bank
  • D. Major Trends
    • 1. Cord Tissue Storage
    • 2. Diversification into Stem Cell Bio-Banking: Adipose Tissue, Placental Tissue, Menstrual Stem Cells, Peripheral Blood Stem Cells, Bone Marrow Stem Cells, Dental Stem Cells

V. COMPARATIVE ANALYSIS OF CORD BLOOD MARKET LEADERS

  • A. Largest Cord Blood Banks, by Units Banked
    • 1. Comparative Analysis of Top 3 U.S. Cord Blood Banks
    • 2. Comparative Analysis of Top 3 Global Cord Blood Banks
  • B. Fastest Growing Cord Blood Banks, by Revenue
  • 1. U.S. Analysis
  • 2. International Analysis

VI. “SWOT” ANALYSIS FOR CORD BLOOD MARKETPLACE

  • A. Strengths
  • B. Weaknesses
  • C. Opportunities
  • D. Threats

VII. TREND RATE ANALYSIS

  • A. Scientific Publication Rate Analysis
  • B. Grant Funding Analysis
  • C. Patent Analysis
  • D. Clinical Trial Rate Analysis
    • 1. Quantitative Analysis (Year-by-Year)
    • 2. Geographic Analysis
  • E. Search Phrase Analysis: Cord Blood Terms (“Cord Blood” and “Cord Tissue”)
  • F. Market Penetration Rate of Cord Blood Storage

VIII. MARKET SIZE ANALYSIS

  • A. Definitions
  • B. Methods of Market Size Determination
  • C. Market Size Estimations

IX. KEY CORD BLOOD INDUSTRY BENCHMARKS

  • A. Medical Society Opinions of Cord Blood Banking
  • B. Rates of Parental Awareness
  • C. Rates of Worldwide Storage, by Year
  • D. Transplant Data
  • E. Quality Guarantee Comparison

X. GLOBAL ANALYSIS OF CORD BLOOD MARKET AUTHORITIES

  • A. People: Top 5 Cord Blood Influencers
  • B. Cord Blood Banks: Top 10 Influential Cord Blood Banks Worldwide
  • C. Industry Investors Impacting the Cord Blood Market
  • D. Events: Global Cord Blood Conferences

XI. CORD BLOOD INDUSTRY ANALYSIS: GEOGRAPHIC REGIONS WITH SHIFTING CONDITIONS

  • A. China
  • B. France and Italy
  • C. Taiwan
  • D. Ecuador
  • E. South Africa
  • F. Brazil

XII. SUMMARY OF CONCLUSIONS

APPENDIX A - Existing Conditions Treatable with Hematopoietic Stem Cell Transplant

APPENDIX B - AABB Accredited Cord Blood Banks Worldwide

APPENDIX C - List of U.S. Cord Blood Banks, by Type of Bank (Private, Hybrid, or Public)

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