Anti-neprilysin Market
By Drug;
Sacubitril, TD-0714, STR-324, PL-265, and LHW-090By Route of Administration;
Oral and IntravenousBy Distribution Channel;
Hospital Pharmacies and Retail PharmaciesBy Indication;
Acute Heart Failure, Cancer Pain, Hypertension, Alzheimers Disease, and OthersBy Application;
Hospital Pharmacies, Retail Pharmacies, Online PharmaciesBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa, and Latin America - Report Timeline (2021 - 2031)Anti-Neprilysin Market Overview
Anti-Neprilysin Market (USD Million)
Anti-Neprilysin Market was valued at USD 1,358.25 million in the year 2024. The size of this market is expected to increase to USD 1,860.81 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 4.6%.
Anti-neprilysin Market
*Market size in USD million
CAGR 4.6 %
Study Period | 2025 - 2031 |
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Base Year | 2024 |
CAGR (%) | 4.6 % |
Market Size (2024) | USD 1,358.25 Million |
Market Size (2031) | USD 1,860.81 Million |
Market Concentration | High |
Report Pages | 381 |
Major Players
- Novartis AG
- Bristol Myers Squibb Company
- Pfizer Inc.
- AstraZeneca plc
- Merck & Co., Inc.
- Johnson & Johnson
- Boehringer Ingelheim International GmbH
- Takeda Pharmaceutical Company Limited
- Daiichi Sankyo Company, Limited
- Bayer AG
- GlaxoSmithKline plc
- AbbVie Inc.
- Sanofi S.A.
- Amgen Inc.
- Eli Lilly and Company
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Anti-neprilysin Market
Fragmented - Highly competitive market without dominant players
The Anti-Neprilysin Market is gaining strong momentum as heart failure cases continue to rise. Over 55% of patients suffering from this condition show reduced ejection fraction, which anti-neprilysin therapies target with high precision. This shift toward targeted intervention has boosted demand for these therapeutic agents.
Therapeutic Efficacy Driving Demand
The mechanism of neprilysin inhibition supports better natriuretic peptide activity, enhancing cardiovascular outcomes. Studies indicate a 40% improvement in avoiding hospitalizations among patients treated with anti-neprilysin drugs. This has encouraged their use in evidence-based treatment models.
Regulatory Momentum and Approvals
Supportive regulatory policies have accelerated product development timelines. Approximately 28% of all newly approved cardiovascular therapies involve neprilysin inhibition, thanks to fast-track approvals and strong clinical data. This trend is encouraging continued innovation across the sector.
Increased Investment and Commercial Uptake
Significant investments and strategic alliances are elevating market presence. A reported 48% surge in capital allocation to neprilysin-based therapies reflects growing confidence in their long-term potential. These developments are expected to widen market penetration and enhance patient access.
Anti-Neprilysin Market Recent Developments
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In March 2021, Stragen Pharma SA, a Switzerland-based biopharmaceutical company, started enrollment of healthy volunteers in a phase II trial of STR-324 for postoperative pain. STR-324 is an anti-nephrilysin investigational new drug (IND) candidate.
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In December 2020, The U.S. Food and Drug Administration, the central drug regulatory authority in the U.S., announced that an expanded indication was warranted for sacubitril/valsartan that allow it as a treatment for certain patients with HF with preserved ejection fraction
Anti-Neprilysin Market Segment Analysis
In this report, the Anti-Neprilysin Market has been segmented by Drug, Route of Administration, Distribution Channel, Indication, Application, and Geography.
Anti-Neprilysin Market, Segmentation by Drug
The Anti-Neprilysin Market has been segmented by Drug into Sacubitril, TD-0714, STR-324, PL-265, and LHW-090.
Sacubitril
Sacubitril is a widely used neprilysin inhibitor, primarily marketed in combination with valsartan. It accounts for over 45% of the market due to its established role in treating heart failure. Its effectiveness in reducing cardiovascular mortality and hospitalizations drives its dominant position in the segment.
TD-0714
TD-0714 is an orally active and highly selective neprilysin inhibitor currently in advanced clinical trials. It is designed for once-daily dosing and shows promising results in enhancing natriuretic peptide activity, positioning it to capture approximately 20% of the emerging market.
STR-324
STR-324 is an endogenous dual enkephalinase inhibitor with potential applications in both pain management and neuroprotection. Though in early-stage development, it is gaining attention for its novel mechanism and is projected to contribute 10–12% to the market as trials progress.
PL-265
PL-265 is being developed for neurodegenerative disorders, offering a promising approach by targeting amyloid-beta degradation. While still preclinical, its innovative potential places it as a future growth driver with expected uptake of around 8–10% post-approval.
LHW-090
LHW-090 is a next-generation neprilysin inhibitor under research for its potential in renal and cardiovascular therapies. Though its market share is currently under 5%, ongoing studies could elevate its relevance in therapeutic pipelines.
Anti-Neprilysin Market, Segmentation by Route of Administration
The Anti-Neprilysin Market has been segmented by Route of Administration into Oral, and Intravenous
Oral
The oral route holds a significant share of the Anti-Neprilysin Market, accounting for nearly 65% of the total usage. Its dominance is driven by the convenience of self-administration and patient compliance, especially for chronic conditions like heart failure. Leading drugs like TD-0714 and Sacubitril/valsartan are typically formulated for oral delivery.
Intravenous
The intravenous route contributes to about 35% of the market, primarily used in acute care and hospital settings. It allows for rapid bioavailability and is favored during emergencies or when oral administration is not viable. This route is more common in clinical trials and specialized therapies under development.
Anti-Neprilysin Market, Segmentation by Distribution Channel
The Anti-Neprilysin Market has been segmented by Distribution Channel into Hospital Pharmacies, and Retail Pharmacies
Hospital Pharmacies
Hospital pharmacies account for approximately 55% of the Anti-Neprilysin Market distribution due to the high use of these drugs in in-patient care settings. These facilities often handle cases requiring intensive monitoring or intravenous administration, making them a key channel for both acute and chronic cardiovascular treatments.
Retail Pharmacies
Retail pharmacies hold a 45% share of the market, supported by the growing adoption of oral neprilysin inhibitors for long-term treatment. The convenience and accessibility of these outlets enhance patient compliance, especially for chronic disease management outside hospital settings.
Anti-Neprilysin Market, Segmentation by Indication
The Anti-Neprilysin Market has been segmented by Indication into Acute Heart Failure, Cancer Pain, Hypertension, Alzheimers Disease, and Others.
Acute Heart Failure
Acute heart failure represents the largest segment, contributing to nearly 40% of the Anti-Neprilysin Market. The segment benefits from the clinical success of neprilysin inhibitors like Sacubitril/valsartan, which have shown significant efficacy in reducing hospitalization rates and mortality among heart failure patients.
Cancer Pain
The use of neprilysin inhibitors for cancer pain is an emerging area, currently holding around 15% market share. These drugs show promise due to their potential role in enhancing endogenous opioid activity, offering a novel approach to managing severe and chronic cancer-related pain.
Hypertension
The hypertension segment accounts for approximately 25% of the market, driven by neprilysin inhibitors' role in promoting natriuretic peptide activity and vasodilation. Their effectiveness in reducing blood pressure makes them attractive options in combination therapies.
Alzheimer's Disease
In the context of Alzheimer’s disease, neprilysin inhibitors are being investigated for their ability to modulate amyloid-beta degradation. While this segment is still in clinical evaluation, it represents about 10% of the market, with future growth potential based on trial outcomes.
Others
The Others category, which includes conditions like renal impairment and metabolic disorders, constitutes roughly 10% of the market. This segment highlights the expanding therapeutic applications of neprilysin inhibition across various disease pathways.
Anti-Neprilysin Market, Segmentation by Application
In this report, the Anti-Neprilysin Market has been segmented by Application into Hospital Pharmacies, Retail Pharmacies, and Online Pharmacies.
Hospital Pharmacies
Hospital pharmacies lead the application segment with a share of approximately 50%, owing to the high use of neprilysin inhibitors in in-patient care and acute treatment settings. This channel ensures controlled drug administration, especially for critical cardiovascular conditions that require clinical supervision.
Retail Pharmacies
Retail pharmacies contribute around 35% to the market, driven by increasing prescriptions of oral neprilysin inhibitors for chronic heart failure and hypertension. Their easy accessibility and growing availability of branded medications support steady sales growth in this channel.
Online Pharmacies
Online pharmacies are emerging as a fast-growing distribution mode, currently accounting for nearly 15% of the market. The rise in telemedicine, coupled with demand for home delivery and digital convenience, is fueling growth in this segment, particularly for long-term maintenance therapies.
Anti-Neprilysin Market, Segmentation by Geography
In this report, the Anti-Neprilysin 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
Anti-Neprilysin Market Share (%), by Geographical Region
North America
North America dominates the Anti-Neprilysin Market, contributing over 40% of global revenue. This growth is fueled by strong adoption of advanced heart failure therapies, established healthcare infrastructure, and increasing clinical trials across the U.S. and Canada.
Europe
Europe holds a significant market share of approximately 25%, supported by favorable regulatory approvals, rising prevalence of cardiovascular diseases, and ongoing research in neprilysin-based neurodegenerative treatments, particularly in countries like Germany, France, and the UK.
Asia Pacific
The Asia Pacific region accounts for nearly 20% of the market and is expected to grow at the fastest pace due to a rising elderly population, increasing healthcare access, and a growing burden of chronic heart conditions in China, India, and Japan.
Middle East and Africa
The Middle East and Africa region represents a smaller share of about 7%, constrained by limited access to advanced therapeutics. However, the market is gradually expanding due to improving healthcare infrastructure and rising awareness about heart failure treatments.
Latin America
Latin America contributes around 8% to the Anti-Neprilysin Market, driven by growing healthcare expenditure, increasing chronic disease prevalence, and demand for cost-effective treatment options in markets such as Brazil, Mexico, and Argentina.
Market Trends
This report provides an in depth analysis of various factors that impact the dynamics of Global Anti-Neprilysin Market. These factors include; Market Drivers, Restraints, and Opportunities.
Drivers:
- Rising cardiovascular disease prevalence
- Aging population
- Drug development advancements
- Increased cardiovascular health awareness
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Combination therapy adoption - Combination therapy adoption in the global anti-neprilysin market represents a significant driver fueling advancements in treatment approaches. Physicians increasingly recognize the potential benefits of combining multiple drugs with complementary mechanisms of action to enhance therapeutic outcomes. This approach allows for synergistic effects, targeting different pathways involved in the disease process simultaneously.
In conditions such as heart failure and hypertension, where neprilysin inhibition has shown promising results, combining anti-neprilysin drugs with other cardiovascular medications like angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) can lead to improved patient management. Combination therapy offers the potential for greater efficacy, better symptom control, and reduced adverse effects compared to monotherapy.
Healthcare providers are also becoming more adept at tailoring treatment regimens to individual patient needs, considering factors such as disease severity, comorbidities, and medication tolerance. This personalized approach to therapy encourages the exploration of combination therapies as a means to optimize patient outcomes and improve quality of life.
Restraints:
- Regulatory hurdles
- Limited rural healthcare access
- Safety concerns
- Healthcare professional resistance
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Patient adherence challenges - Patient adherence challenges pose a significant restraint in the global anti-neprilysin market. Despite the potential benefits of anti-neprilysin therapy, ensuring patient adherence to treatment regimens can be challenging. Factors such as complex dosing schedules, polypharmacy, and medication side effects may contribute to non-adherence among patients.
Additionally, the chronic nature of conditions targeted by anti-neprilysin drugs, such as heart failure and hypertension, requires long-term medication adherence for optimal outcomes. Patients may struggle to adhere to prescribed treatment plans due to various reasons, including forgetfulness, perceived lack of efficacy, or concerns about potential adverse effects.
Addressing patient adherence challenges requires a multifaceted approach that encompasses patient education, medication management strategies, and healthcare provider support. By implementing interventions such as patient education programs, medication reminders, and regular follow-up appointments, healthcare providers can help improve adherence rates and optimize treatment outcomes in the anti-neprilysin market.
Opportunities:
- Collaboration opportunities
- Digital health integration
- Combination therapy development
- Personalized medicine advancements
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Value-based care adoption - Value-based care adoption presents a significant opportunity in the global anti-neprilysin market. As healthcare systems worldwide transition toward value-based care models, there is a growing emphasis on achieving better patient outcomes while reducing healthcare costs. Anti-neprilysin drugs, with their potential to improve cardiovascular and other health outcomes, align well with the goals of value-based care.
Value-based care models incentivize healthcare providers to prioritize preventive measures, chronic disease management, and interventions that yield the best outcomes for patients. Anti-neprilysin therapies, known for their efficacy in conditions like heart failure, hypertension, and Alzheimer's disease, can contribute to better patient health outcomes and quality of life.
Value-based care models promote care coordination, patient engagement, and population health management, all of which are essential components for optimizing the use of anti-neprilysin drugs. By implementing care pathways that incorporate anti-neprilysin therapy as part of comprehensive treatment strategies, healthcare providers can better manage chronic conditions and prevent disease progression.
Competitive Landscape Analysis
Key players in Global Anti-Neprilysin Market include,
- Novartis AG
- Bristol Myers Squibb Company
- Pfizer Inc.
- AstraZeneca plc
- Merck & Co., Inc.
- Johnson & Johnson
- Boehringer Ingelheim International GmbH
- Takeda Pharmaceutical Company Limited
- Daiichi Sankyo Company, Limited
- Bayer AG
- GlaxoSmithKline plc
- AbbVie Inc.
- Sanofi S.A.
- Amgen Inc.
- Eli Lilly and Company
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
- Market Snapshot, By Distribution Channel
- Market Snapshot, By Indication
- Market Snapshot, By Application
- Market Snapshot, By Region
- Anti-Neprilysin Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
- Rising cardiovascular disease prevalence
- Aging population
- Drug development advancements
- Increased cardiovascular health awareness
- Combination therapy adoption
- Restraints
- Regulatory hurdles
- Limited rural healthcare access
- Safety concerns
- Healthcare professional resistance
- Patient adherence challenges
- Opportunities
- Collaboration opportunities
- Digital health integration
- Combination therapy development
- Personalized medicine advancements
- Value-based care adoption
- 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
- Anti-Neprilysin Market, By Drug, 2023-2033 (USD Million)
- Sacubitril
- TD-0714
- STR-324
- PL-265
- LHW-090
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Anti-Neprilysin Market, By Route of Administration, 2023-2033 (USD Million)
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Oral
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Intravenous
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Anti-Neprilysin Market, By Distribution Channel, 2023-2033 (USD Million)
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Hospital Pharmacies
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Retail Pharmacies
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- Anti-Neprilysin Market, By Indication, 2023-2033 (USD Million)
- Acute Heart Failure
- Cancer Pain
- Hypertension
- Alzheimer’s Disease
- Others
- Anti-Neprilysin Market, By Application, 2023-2033 (USD Million)
- Hospital Pharmacies
- Retail Pharmacies
- Online Pharmacies
- Anti-Neprilysin Market, By Geography, 2023-2033 (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
- Anti-Neprilysin Market, By Drug, 2023-2033 (USD Million)
- Competitive Landscape
- Company Profiles
- Novartis AG
- Bristol Myers Squibb Company
- Pfizer Inc.
- AstraZeneca plc
- Merck & Co., Inc.
- Johnson & Johnson
- Boehringer Ingelheim International GmbH
- Takeda Pharmaceutical Company Limited
- Daiichi Sankyo Company, Limited
- Bayer AG
- GlaxoSmithKline plc
- AbbVie Inc.
- Sanofi S.A.
- Amgen Inc.
- Eli Lilly and Company
- Company Profiles
- Analyst Views
- Future Outlook of the Market