Ankylosing Spondylitis Market
By Drug;
Non-Steroidal Anti Inflammatory Drug(NSAID), TNF Inhibitor- [Humira, Simponi, Remicade, Enbrel, Cimzia, Other TNF Inhibitors], OthersBy Route of Administration;
Oral and ParentralBy Distribution Channel;
Hospital Pharmacy, Retail Pharmacy, and OthersBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa, and Latin America - Report Timeline (2021 - 2031)Ankylosing Spondylitis Market Overview
Ankylosing Spondylitis Market (USD Million)
Ankylosing Spondylitis Market was valued at USD 6,163.09 million in the year 2024. The size of this market is expected to increase to USD 10,358.78 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 7.7%.
Ankylosing Spondylitis Market
*Market size in USD million
CAGR 7.7 %
Study Period | 2025 - 2031 |
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Base Year | 2024 |
CAGR (%) | 7.7 % |
Market Size (2024) | USD 6,163.09 Million |
Market Size (2031) | USD 10,358.78 Million |
Market Concentration | Medium |
Report Pages | 400 |
Major Players
- AbbVie, Inc.
- Amgen, Inc.
- Pfizer, Inc.
- UCB, Inc.
- Novartis AG
- Eli Lilly and Company
- Johnson & Johnson Services, Inc.
- Merck & Co., Inc.
- Izana Biosciences
- Zydus Lifesciences Ltd.
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Ankylosing Spondylitis Market
Fragmented - Highly competitive market without dominant players
The Ankylosing Spondylitis Market is expanding significantly due to a surge in chronic inflammatory disease diagnoses. A reported 40% increase in cases has prompted a stronger push for early detection and intervention. As the disease commonly affects young adults, demand for rapid and effective treatment options is intensifying, contributing to the market’s upward trajectory.
Biologic Therapies Reshape Treatment Protocols
The adoption of biologic treatments has significantly advanced the management of ankylosing spondylitis. Currently, more than 60% of treatment strategies incorporate biologics such as TNF and IL-17 inhibitors, known for their enhanced symptom relief and disease-modifying capabilities. These therapies are replacing older medications, becoming the preferred choice for many clinicians.
Digital Tools Improve Disease Management
Digital health solutions are transforming how ankylosing spondylitis is managed. Around 35% of patients now use mobile applications or remote tools to monitor symptoms and engage with healthcare providers. These innovations are improving adherence, enabling better communication, and supporting proactive management of disease progression.
Strong Pipeline and Investment Momentum
A surge in R&D is strengthening the market landscape, with approximately 45% of investigational drugs focused on new mechanisms like JAK inhibitors and gut microbiota pathways. Backed by significant investment, these pipeline candidates are poised to expand the therapeutic arsenal, reinforcing the market’s continued evolution.
Ankylosing Spondylitis Market Recent Developments
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In July 2023, Sandoz made a significant announcement regarding introducing Hyrimoz, a concentrated formulation, which signifies its entry into the field of immunology in the U.S. Hyrimoz HCF has received approval for the treatment of various conditions, including rheumatoid arthritis, juvenile idiopathic arthritis, ankylosing spondylitis, Crohn's disease, ulcerative colitis, plaque psoriasis, and hidradenitis suppurativa.
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In January 2023, Amgen announced the availability of the first biosimilar to Humira, AMJEVITA, in the U.S. Biosimilars are extensively studied, FDA-approved treatments that potentially reduce cost. Amgen is uniquely qualified to do the same because of its track record in developing and producing biologics and decades of experience in inflammation.
Ankylosing Spondylitis Market Segment Analysis
In this report, the Ankylosing Spondylitis Market has been segmented by Drug, Route of Administration, Distribution Channel, and Geography.
Ankylosing Spondylitis Market, Segmentation by Drug
The Ankylosing Spondylitis Market has been segmented by Drug into Non-Steroidal Anti Inflammatory Drug(NSAID), TNF Inhibitor- (Humira, Simponi, Remicade, Enbrel, Cimzia, Other TNF Inhibitors), Other Drug Classes.
Non-Steroidal Anti Inflammatory Drug (NSAID)
The NSAID segment continues to be a frontline treatment option for Ankylosing Spondylitis due to its effectiveness in reducing inflammation and alleviating pain. These drugs are widely accessible and often used in the early stages of the disease. NSAIDs account for approximately 35% of the drug usage share in this market, indicating a strong reliance on this category for symptom management.
TNF Inhibitor
TNF inhibitors, including Humira, Simponi, Remicade, Enbrel, Cimzia, and other similar biologics, dominate the biologic drug landscape. These drugs help in reducing structural damage and slowing disease progression. TNF inhibitors collectively contribute to nearly 50% of the market, reflecting growing physician preference and higher clinical efficacy in moderate to severe cases.
Other Drug Classes
The Other Drug Classes category includes IL-17 inhibitors, corticosteroids, and disease-modifying antirheumatic drugs (DMARDs). These options are typically considered for patients who do not respond well to NSAIDs or TNF inhibitors. This segment holds around 15% of the market, with increasing attention towards personalized treatment strategies and emerging biologics.
Ankylosing Spondylitis Market, Segmentation by Route of Administration
The Ankylosing Spondylitis Market has been segmented by Route of Administration into Oral and Parentral.
Oral
The oral route is widely preferred for administering medications due to its convenience, cost-effectiveness, and patient compliance. Commonly used oral drugs include NSAIDs and certain DMARDs, making this segment particularly dominant in early-stage treatment. The oral segment accounts for approximately 55% of the total market, driven by over-the-counter accessibility and long-term use potential.
Parentral
The parentral route is essential for delivering biologics such as TNF inhibitors and IL-17 inhibitors, which require intravenous or subcutaneous administration. This method offers faster absorption and higher bioavailability, making it suitable for advanced or unresponsive cases. The parentral segment holds around 45% market share, reflecting the rising adoption of biologic therapies in Ankylosing Spondylitis management.
Ankylosing Spondylitis Market, Segmentation by Distribution Channel
The Ankylosing Spondylitis Market has been segmented by Distribution Channel into Hospital Pharmacy, Retail Pharmacy, and Others.
Hospital Pharmacy
Hospital pharmacies play a crucial role in dispensing specialized medications, particularly biologics like TNF inhibitors and IL-17 inhibitors that often require physician supervision. This segment is highly trusted for handling complex prescriptions and accounts for nearly 48% of the distribution market due to its association with in-patient care and chronic disease management.
Retail Pharmacy
Retail pharmacies serve as an accessible point-of-care for patients managing Ankylosing Spondylitis through NSAIDs and other oral medications. The ease of access and wider availability make this segment highly attractive, capturing approximately 38% of the market. Increasing over-the-counter purchases and pharmacy-driven medication counseling support its steady growth.
Others
The Othbers segment includes online pharmacies and specialty drug distributors, which are becoming increasingly relevant due to digital transformation in healthcare. This category holds around 14% of the market and is gaining traction for offering home delivery services and subscription-based models, especially for chronic therapy adherence.
Ankylosing Spondylitis Market, Segmentation by Geography
In this report, the Ankylosing Spondylitis Market has been segmented by Geography into five regions; North America, Europe, Asia Pacific, Middle East, and Africa, and Latin America.
Regions and Countries Analyzed in this Report
Ankylosing Spondylitis Market Share (%), by Geographical Region
North America
North America leads the Ankylosing Spondylitis market, driven by a high prevalence of the disease, advanced healthcare infrastructure, and strong adoption of biologic therapies. The region accounts for nearly 38% of the global market share, supported by favorable reimbursement policies and ongoing clinical research in autoimmune disorders.
Europe
Europe holds a significant portion of the market, with established treatment guidelines and increasing awareness of early diagnosis. The availability of TNF inhibitors and biosimilars has improved treatment accessibility. Europe represents around 27% of the global market, driven by strong regulatory support and aging populations.
Asia Pacific
Asia Pacific is experiencing rapid growth in the Ankylosing Spondylitis market due to improving healthcare access, rising disease burden, and growing investments in biologics. With countries like China and India expanding healthcare coverage, the region holds approximately 21% of the market and is expected to grow steadily over the next decade.
Middle East and Africa
Middle East and Africa remain relatively underpenetrated due to limited awareness, access challenges, and lower biologic drug availability. However, government efforts to improve healthcare access are gradually expanding the market. This region contributes around 8% to the global market.
Latin America
Latin America is seeing moderate growth, supported by increasing diagnosis rates and adoption of advanced therapies in countries like Brazil and Mexico. The region holds close to 6% of the market share, with opportunities emerging through partnerships and health system reforms aimed at autoimmune disease management.
Market Trends
This report provides an in depth analysis of various factors that impact the dynamics of Global Ankylosing Spondylitis Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Drivers, Restraints and Opportunity Analysis
Drivers:
- Increasing prevalence and diagnosis of ankylosing spondylitis
- Advancements in biologic therapies and treatment options
- Growing aging population susceptible to autoimmune diseases
- Expanding healthcare infrastructure and access to treatment
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Rising patient awareness and advocacy efforts- The emergence of various patient advocacy groups has played a pivotal role in educating individuals about the symptoms, potential complications, and available treatment options for ankylosing spondylitis. These organizations conduct outreach programs, webinars, and workshops to inform patients about the importance of recognizing early signs, such as persistent back pain and stiffness, which are often misattributed to normal aging or other musculoskeletal issues. As patients become more knowledgeable, they are more likely to seek medical advice sooner, facilitating earlier diagnoses and improved outcomes. Additionally, advocacy efforts have contributed to increased visibility of AS within the healthcare system, prompting healthcare professionals to prioritize research and development of new therapeutic options. This growing recognition has led to enhanced funding for clinical trials, ultimately resulting in a broader array of available treatments for patients. With new biologic therapies such as Cosentyx and Humira gaining traction, patients have access to more effective management strategies, reducing the disease's impact on their quality of life. Moreover, social media platforms and online communities have become powerful tools for sharing personal experiences and treatment journeys. Patients can connect with others facing similar challenges, creating a support network that encourages adherence to treatment plans and promotes proactive health management. This sense of community not only empowers individuals but also fosters a collective voice advocating for better healthcare policies, access to treatments, and improved patient care standards.
As awareness continues to rise, it also leads to greater demand for healthcare services and therapies specifically designed for AS. Pharmaceutical companies are increasingly motivated to invest in the development of new drugs and treatment modalities that cater to the needs of this patient population. This surge in demand translates into a more dynamic and competitive market, ultimately benefiting patients through improved access to innovative therapies.
Restraints:
- High cost of biologic medications and long-term treatment
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Stringent regulatory requirements for drug approval- Regulatory agencies, such as the U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA), impose rigorous standards to ensure the safety, efficacy, and quality of pharmaceuticals before they reach the market. These requirements involve comprehensive preclinical and clinical testing, which can take several years and substantial financial investment.
The lengthy and complex approval process can delay the introduction of new therapies for ankylosing spondylitis, leaving patients with limited treatment options. Developers of novel drugs must conduct extensive clinical trials that include multiple phases, often requiring thousands of participants to assess the long-term safety and effectiveness of the treatments. These trials can be challenging to design and execute, particularly for diseases like ankylosing spondylitis that have varied manifestations and patient responses. Moreover, the high costs associated with meeting these regulatory requirements can deter smaller biotechnology firms and startups from pursuing innovative therapies. The need for substantial investment in research and development, along with the costs of compliance with regulatory standards, can limit the number of players in the market. As a result, fewer new drugs may enter the market, reducing competition and potentially leading to higher prices for existing therapies. Additionally, regulatory bodies often require post-marketing surveillance to monitor the long-term effects of drugs, adding another layer of complexity to the drug approval process. This ongoing scrutiny can prolong the timeline for launching new treatments and may lead to increased costs for pharmaceutical companies.
The stringency of regulatory requirements can also contribute to uncertainty in drug development, as changes in regulatory guidelines or increased scrutiny can impact timelines and project viability. This uncertainty can make it challenging for companies to plan and allocate resources effectively.
Opportunities:
- Development of personalized medicine approaches for AS
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Expansion of telemedicine and digital health solutions- Global Ankylosing Spondylitis Market, revolutionizing the way patients manage their condition and access healthcare services. Telemedicine enables patients with ankylosing spondylitis (AS) to consult healthcare providers remotely, thereby overcoming geographical barriers and enhancing access to specialized care. This is particularly beneficial for individuals living in rural or underserved areas, where access to rheumatologists and specialized AS care may be limited.
With the growing emphasis on remote patient monitoring, telemedicine platforms can facilitate regular check-ins and consultations without the need for in-person visits. Patients can discuss their symptoms, medication adherence, and treatment responses with healthcare professionals through video calls, phone calls, or secure messaging. This continuous interaction allows for timely interventions and adjustments to treatment plans, ultimately leading to improved patient outcomes. The convenience of telemedicine can also encourage patients to seek care more frequently, reducing the risk of complications associated with delayed treatment. Digital health solutions, including mobile health applications and wearable devices, further enhance this opportunity by providing patients with tools to track their symptoms, medication schedules, and overall health status. These applications can offer educational resources about ankylosing spondylitis, empowering patients with knowledge about their condition and encouraging proactive management. Additionally, features such as reminders for medication intake, exercise routines, and pain management techniques can improve adherence to treatment regimens, which is crucial for controlling symptoms and preventing disease progression.
The integration of artificial intelligence (AI) and data analytics into telemedicine platforms can also lead to personalized treatment plans based on individual patient data. By analyzing patient-reported outcomes and biometrics, healthcare providers can tailor interventions to meet the specific needs of each patient, resulting in more effective management of AS. Moreover, the rise of telehealth has been accelerated by the COVID-19 pandemic, leading to increased acceptance of virtual care among both patients and healthcare providers. This shift is likely to continue, fostering a more patient-centric approach in the management of chronic conditions like ankylosing spondylitis.
Competitive Landscape Analysis
Key players in Global Ankylosing Spondylitis Market include:
- AbbVie, Inc.
- Amgen, Inc.
- Pfizer, Inc.
- UCB, Inc.
- Novartis AG
- Eli Lilly and Company
- Johnson & Johnson Services, Inc.
- Merck & Co., Inc.
- Izana Biosciences
- Zydus Lifesciences Ltd.
In this report, the profile of each market player provides following information:
- Company Overview and Product Portfolio
- Key Developments
- Financial Overview
- Strategies
- Company SWOT Analysis
- Introduction
- Research Objectives and Assumptions
- Research Methodology
- Abbreviations
- Market Definition & Study Scope
- Executive Summary
- Market Snapshot, By Drug
- Market Snapshot, By Route of Administration
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Market Snapshot, By Distribution Channel
- Market Snapshot, By Region
- Ankylosing Spondylitis Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
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Increasing prevalence and diagnosis of ankylosing spondylitis
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Advancements in biologic therapies and treatment options
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Growing aging population susceptible to autoimmune diseases
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Expanding healthcare infrastructure and access to treatment
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Rising patient awareness and advocacy efforts
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- Restraints
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High cost of biologic medications and long-term treatment
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Stringent regulatory requirements for drug approval
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- Opportunities
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Development of personalized medicine approaches for AS
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Expansion of telemedicine and digital health solutions
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- Drivers
- PEST Analysis
- Political Analysis
- Economic Analysis
- Social Analysis
- Technological Analysis
- Porter's Analysis
- Bargaining Power of Suppliers
- Bargaining Power of Buyers
- Threat of Substitutes
- Threat of New Entrants
- Competitive Rivalry
- Drivers, Restraints and Opportunities
- Market Segmentation
- Ankylosing Spondylitis Market, By Drug, 2021 - 2031 (USD Million)
- Non-Steroidal Anti Inflammatory Drug(NSAID)
- TNF Inhibitors
- Humira
- Simponi
- Remicade
- Enbrel
- Cimzia
- Other TNF Inhibitors
- Other Drug Classes
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Ankylosing Spondylitis Market, By Route of Administration, 2021 - 2031 (USD Million)
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Oral
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Parentral
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Ankylosing Spondylitis Market, By Distribution Channel, 2021 - 2031 (USD Million)
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Hospital Pharmacy
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Retail Pharmacy
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Others
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- Ankylosing Spondylitis Market, By Geography, 2021 - 2031 (USD Million)
- North America
- United States
- Canada
- Europe
- Germany
- United Kingdom
- France
- Italy
- Spain
- Nordic
- Benelux
- Rest of Europe
- Asia Pacific
- Japan
- China
- India
- Australia & New Zealand
- South Korea
- ASEAN (Association of South East Asian Countries)
- Rest of Asia Pacific
- Middle East & Africa
- GCC
- Israel
- South Africa
- Rest of Middle East & Africa
- Latin America
- Brazil
- Mexico
- Argentina
- Rest of Latin America
- North America
- Ankylosing Spondylitis Market, By Drug, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
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AbbVie, Inc.
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Amgen, Inc.
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Pfizer, Inc.
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UCB, Inc.
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Novartis AG
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Eli Lilly and Company
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Johnson & Johnson Services, Inc.
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Merck & Co., Inc.
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Izana Biosciences
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Zydus Lifesciences Ltd.
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- Company Profiles
- Analyst Views
- Future Outlook of the Market