Low Grade Glioma (LGG) Insights and Trends
- Low-grade gliomas (LGGs) are a diverse group of primary brain tumors that often occur in young, otherwise healthy patients and are characterized by an indolent, slow-growing course with longer survival compared to high-grade gliomas. Given their favorable prognosis and prolonged survival, treatment decisions must carefully balance benefits against potential treatment-related risks.
- Isocitrate dehydrogenase 1 (IDH1) and Isocitrate dehydrogenase 2 (IDH2) are the most frequently mutated genes in LGG, occurring in over 70% of cases. BRAF V600E mutations are less common but are seen in pilocytic astrocytoma and several non-pilocytic pediatric low-grade gliomas, including ganglioglioma, desmoplastic infantile ganglioglioma, and about two-thirds of pleomorphic xanthoastrocytomas.
- LGG are tumors categorized as Grades 1 or 2, because they are not very aggressive, are less likely to spread, and are slow-growing which makes them more treatable.
- The WHO classification of LGGs heavily weighs molecular mutations classifying primary brain tumors with particular importance assigned to IDH mutation, 1p/19q co-deletion, ATRX mutation, TERT mutations, and MGMT methylation. But due to the hefty cost of biomarker testing, it is possible that many patients do not have routine IDH and MGMT testing done.
- According to the secondary search, the incidence of Grade 2 astrocytoma is 0.44 per 100,000 persons, and that of Grade 3 is 0.39 per 100,000 persons. Oligodendroglioma is less common, with an incidence of 0.23 per 100,000 persons for Grade 2 and 0.11 per 100,000 persons for Grade 3 in the United States.
- Pediatric LGG is a type of tumor that affects the brain and spinal cord. LGG is the most common central nervous system (CNS) tumor in children, accounting for approximately 30% of all childhood CNS tumors.
Low Grade Glioma (LGG) Epidemiology Forecast in the 7MM
- 2025 LGG Incident Cases: ~9,300
- LGG Growth Rate (2026-2036): ~0.9% CAGR
DelveInsight's 'Low Grade Glioma (LGG) - Epidemiology Forecast - 2036' report delivers an in-depth understanding of the LGG, historical and forecasted epidemiology in the United States, EU4 (Germany, Spain, Italy, and France) and the United Kingdom, and Japan.
Low Grade Glioma (LGG) Understanding and Diagnosis Algorithm
Low Grade Glioma (LGG) Overview and Diagnosis
LGG is a group of slow-growing primary brain tumors classified as WHO Grade II that typically affect younger individuals, often in the prime of life. These tumors are associated with a relatively favorable prognosis compared to high-grade gliomas and are characterized by key molecular alterations, particularly IDH1/IDH2 mutations and sometimes BRAF mutations. Despite their indolent nature, LGGs are heterogeneous and can progress or recur over time, leading to variable clinical outcomes.
Low Grade Glioma (LGG) Diagnosis
Diagnosis of LGG involves a combination of imaging, histopathology, and molecular testing. MRI is the preferred modality, where LGGs typically appear T1 hypointense and T2/FLAIR hyperintense, with minimal or patchy contrast enhancement. CT scans may show low-density lesions with occasional calcifications, especially in oligodendrogliomas. While advanced imaging techniques like MRS and PET can support evaluation, histopathological examination remains the gold standard for diagnosis and grading. Molecular markers such as IDH mutation and 1p/19q codeletion are essential for accurate classification.
Low Grade Glioma (LGG) Epidemiology
Key Findings from Low Grade Glioma (LGG) Epidemiological Analysis and Forecast
- According to DelveInsight's estimates, the total incident population of LGG in the United States was ~3,800 in 2025 with a growing at a CAGR in the study period.
- In 2025, the distribution of low-grade glioma (LGG) cases in the United States shows a higher burden in Grade II tumors compared to Grade I tumors, indicating that Grade II LGGs constitute the majority of cases.
- In the United States, diffuse astrocytoma (~35%) represents the highest proportion of low-grade glioma cases, followed closely by pilocytic astrocytoma (~30%), indicating these as the dominant histopathological subtypes within LGG.
- In LGG, the highest number of cases is observed in the <18 years age group, followed by the 18-44 years group, while the lowest cases are reported in patients aged >=75 years.
- In the United States, IDH mutations (80%) represent the predominant molecular alteration in low-grade glioma (LGG), while BRAF alterations are observed in a smaller proportion of cases.
- In LGG (Grade II) in the United States, non-enhancing tumors predominate, while enhancing tumors represent a smaller proportion of cases.
Numbers are subjected to change with report updation, clinical information updates etc..
Scope of the Report:
- The report covers a segment of an executive summary, a descriptive overview of LGG, explaining its causes, signs and symptoms, and pathogenesis.
- Comprehensive insight has been provided into the epidemiology segments and forecasts, the future growth potential of the diagnosis rate, and disease progression.
Report Insights
Low Grade Glioma (LGG) Patient Population Forecast
Report Key Strengths
- Epidemiology-based (Epi-based) Bottom-up Forecasting
- 11-year Forecast
- Patient Burden Trends (by geography)
FAQs:
- What are the disease risks, burdens, and unmet needs of LGG? What will be the growth opportunities across the 7MM concerning the patient population with LGG?
- What is the historical and forecasted LGG patient pool in the US, EU4 (Germany, France, Italy, and Spain), the UK, and Japan?
Reasons to Buy:
- Insights on patient burden/disease prevalence, evolution in diagnosis, and factors contributing to the change in the epidemiology of the disease during the forecast years.
- To understand key opinion leaders' perspectives around the diagnostic challenges to overcome barriers in the future.
- Detailed insights on various factors hampering disease diagnosis and other existing diagnostic challenges.