Nonalcoholic Steatohepatitis (NASH) Biomarkers Market
By Type;
Serum Biomarkers, Hepatic Fibrosis Biomarkers, Apoptosis Biomarkers, Oxidative Stress Biomarkers, and OthersBy End Use;
Pharma & CRO Industry, Hospitals, Diagnostic Labs, and Academic Research InstitutesBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa, and Latin America - Report Timeline (2021 - 2031)Nonalcoholic Steatohepatitis (NASH) Biomarkers Market Overview
Nonalcoholic Steatohepatitis (NASH) Biomarkers Market (USD Million)
Nonalcoholic Steatohepatitis (NASH) Biomarkers Market was valued at USD 9,294.78 million in the year 2024. The size of this market is expected to increase to USD 42,134.88 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 24.1%.
Nonalcoholic Steatohepatitis (NASH) Biomarkers Market
*Market size in USD million
CAGR 24.1 %
Study Period | 2025 - 2031 |
---|---|
Base Year | 2024 |
CAGR (%) | 24.1 % |
Market Size (2024) | USD 9,294.78 Million |
Market Size (2031) | USD 42,134.88 Million |
Market Concentration | Low |
Report Pages | 314 |
Major Players
- Pfizer Inc
- Gilead Sciences Inc
- Allergan plc
- Novartis AG
- Intercept Pharmaceuticals Inc
- Genfit SA
- NGM Biopharmaceuticals Inc
- Madrigal Pharmaceuticals Inc
- Conatus Pharmaceuticals Inc
- Viking Therapeutics Inc
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Nonalcoholic Steatohepatitis (NASH) Biomarkers Market
Fragmented - Highly competitive market without dominant players
The Nonalcoholic Steatohepatitis (NASH) Biomarkers Market is experiencing significant expansion, driven by the growing prevalence of NASH, a severe form of nonalcoholic fatty liver disease (NAFLD). Approximately 25% of the population is affected by NAFLD, with nearly 20% of these cases progressing to NASH. This increasing patient pool is creating a strong demand for precise and reliable biomarkers to support early diagnosis and disease monitoring.
Critical Need for Early Diagnosis and Precision Medicine
Timely diagnosis plays a pivotal role in effective NASH management. However, 40% of NASH cases remain undiagnosed until the disease reaches an advanced stage, significantly impacting patient outcomes. The use of biomarkers for early detection can help bridge this diagnostic gap, improving clinical outcomes and supporting personalized treatment strategies.
Technological Advancements Driving Market Expansion
Innovations in biomarker technologies are reshaping the NASH biomarkers market. Over 30% of recent developments in this space focus on multi-marker panels, which combine several biomarkers for enhanced diagnostic accuracy. These advanced solutions are empowering healthcare professionals with better diagnostic tools, improving patient stratification and treatment precision.
Shift Towards Noninvasive Diagnostic Solutions
With nearly 60% of NASH patients preferring noninvasive testing methods over traditional liver biopsies, the demand for noninvasive biomarkers is on the rise. These biomarkers offer a less invasive alternative, improving patient compliance while reducing the risk of complications, making them a crucial component in modern NASH management.
Nonalcoholic Steatohepatitis (NASH) Biomarkers Market Recent Developments
-
In September 2024, Siemens Healthineers unveiled a cutting‑edge NASH biomarker assay powered by AI‑driven serum marker integration, securing FDA clearance to provide clinicians with more accurate, non‑invasive liver disease diagnostics.
-
In January 2025, AstraZeneca and Novo Nordisk launched a collaborative biomarker platform fusing genomic, proteomic, and metabolomic data, paving the way for truly personalized diagnostics and therapies in NASH management.
Nonalcoholic Steatohepatitis (NASH) Biomarkers Market Segment Analysis
In this report, the Nonalcoholic Steatohepatitis (NASH) Biomarkers Market has been segmented by Type, End Use and Geography.
Nonalcoholic Steatohepatitis (NASH) Biomarkers Market, Segmentation by Type
The Nonalcoholic Steatohepatitis (NASH) Biomarkers Market has been segmented by Type into Serum Biomarkers, Hepatic Fibrosis Biomarkers, Apoptosis Biomarkers, Oxidative Stress Biomarkers, and Others.
Serum Biomarkers
Serum biomarkers are the most commonly used tools in NASH diagnosis, holding around 35% market share. Easily measurable enzymes like ALT, AST, and CK-18 enable noninvasive liver monitoring, making them a cost-efficient choice in both clinical and research settings.
Hepatic Fibrosis Biomarkers
Hepatic fibrosis biomarkers represent about 25% of the market, vital for evaluating liver scarring in advanced NASH. Biomarkers like hyaluronic acid and Pro-C3 are integral to assessing fibrosis progression and predicting long-term outcomes.
Apoptosis Biomarkers
Apoptosis biomarkers, such as CK-18 fragments, account for nearly 15% of the market. These provide direct insights into liver cell death and are increasingly used to evaluate disease activity and response to emerging NASH therapies.
Oxidative Stress Biomarkers
Oxidative stress biomarkers contribute approximately 10% of the market and help identify reactive oxygen species–induced liver damage. Their relevance is growing in early disease detection and in tracking therapeutic interventions.
Others
Other biomarkers, including genetic polymorphisms and pro-inflammatory markers, cover the remaining 15%. These emerging indicators are under active investigation to enhance diagnostic accuracy and support precision medicine in NASH management.
Nonalcoholic Steatohepatitis (NASH) Biomarkers Market, Segmentation by End Use
The Nonalcoholic Steatohepatitis (NASH) Biomarkers Market has been segmented by End Use into Pharma & CRO Industry, Hospitals, Diagnostic Labs and Academic Research Institutes.
Pharma & CRO Industry
Pharma and CRO companies lead the NASH biomarkers market with a 45% share. These organizations rely on biomarkers for drug development, patient selection, and monitoring treatment efficacy in clinical trials, driving demand for advanced and validated biomarker assays.
Hospitals
Hospitals represent around 25% of the end-user segment. Increasing NASH hospital admissions and the need for accurate, noninvasive diagnostics have boosted the use of biomarker-based liver panels for early detection and disease monitoring.
Diagnostic Labs
Diagnostic laboratories account for nearly 20% of the market. Offering comprehensive NASH biomarker testing, these labs play a vital role in disease screening and routine liver function assessment, particularly in outpatient and preventive care settings.
Academic Research Institutes
Academic Research Institutes, with a 10% share, are essential to advancing biomarker innovation. Their research supports biomarker discovery, validation, and translational science, helping shape next-generation diagnostics for NASH.
Nonalcoholic Steatohepatitis (NASH) Biomarkers Market, Segmentation by Geography
In this report, the Nonalcoholic Steatohepatitis (NASH) Biomarkers Market has been segmented by Geography into five regions; North America, Europe, Asia Pacific, Middle East & Africa and Latin America.
Regions and Countries Analyzed in this Report
Nonalcoholic Steatohepatitis (NASH) Biomarkers Market Share (%), by Geographical Region
North America
North America commands the largest share of the NASH biomarkers market at approximately 40%, owing to high prevalence of lifestyle diseases, substantial investment in biomarker R&D, and the presence of established diagnostic and biopharma players.
Europe
Europe holds about 25% of the market, supported by government funding for liver disease research, growing adoption of noninvasive diagnostics, and clinical trials focused on NASH drug development throughout major European nations.
Asia Pacific
Asia Pacific, accounting for 20%, is the fastest-growing region in the NASH biomarkers market. Rising awareness of liver diseases, expanding healthcare infrastructure, and government-led health initiatives are driving biomarker testing adoption.
Middle East & Africa
Middle East & Africa make up around 7% of the market. Increasing incidence of metabolic conditions, improving diagnostic access, and growing investment in specialized healthcare services are supporting regional growth.
Latin America
Latin America, with an 8% market share, is gradually adopting NASH biomarkers in clinical practice. Advancements in liver diagnostics and expanding healthcare access in nations like Brazil and Argentina are fueling market momentum.
Nonalcoholic Steatohepatitis (NASH) Biomarkers Market Trends
This report provides an in depth analysis of various factors that impact the dynamics of Nonalcoholic Steatohepatitis (NASH) Biomarkers Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Comprehensive Market Impact Matrix
This matrix outlines how core market forces—Drivers, Restraints, and Opportunities—affect key business dimensions including Growth, Competition, Customer Behavior, Regulation, and Innovation.
Market Forces ↓ / Impact Areas → | Market Growth Rate | Competitive Landscape | Customer Behavior | Regulatory Influence | Innovation Potential |
---|---|---|---|---|---|
Drivers | High impact (e.g., tech adoption, rising demand) | Encourages new entrants and fosters expansion | Increases usage and enhances demand elasticity | Often aligns with progressive policy trends | Fuels R&D initiatives and product development |
Restraints | Slows growth (e.g., high costs, supply chain issues) | Raises entry barriers and may drive market consolidation | Deters consumption due to friction or low awareness | Introduces compliance hurdles and regulatory risks | Limits innovation appetite and risk tolerance |
Opportunities | Unlocks new segments or untapped geographies | Creates white space for innovation and M&A | Opens new use cases and shifts consumer preferences | Policy shifts may offer strategic advantages | Sparks disruptive innovation and strategic alliances |
Drivers, Restraints and Opportunity Analysis
Drivers
- Rising NASH prevalence globally
- Technological advancements in biomarker discovery
- Increasing demand for early diagnosis
-
Increased R&D in noninvasive diagnostics -The surge in research and development focused on noninvasive diagnostics is significantly propelling the NASH biomarkers market. Conventional diagnostic procedures such as liver biopsy are invasive, costly, and carry potential complications. To address these limitations, there has been a notable shift toward developing blood-based biomarkers, serological panels, and imaging-based diagnostics that can assess liver health with minimal patient discomfort.
Leading pharmaceutical and biotech companies are investing in innovative biomarker technologies that can accurately detect disease progression and differentiate NASH from simple steatosis. These efforts are supported by a growing pool of funding from government research agencies, private investors, and academic institutions. Such developments are expected to enhance the clinical utility of noninvasive tools and facilitate early diagnosis and monitoring.
The evolution of omics technologies, including genomics, proteomics, and metabolomics, has enabled researchers to identify novel biomarkers and pathophysiological patterns in NASH. With machine learning and AI integration, these diagnostics are becoming more predictive and personalized. As a result, noninvasive diagnostic innovations are gaining traction in clinical trials and future therapeutic development strategies.
Restraints
- Lack of standardized biomarker panels
- Limited awareness among healthcare professionals
- Regulatory hurdles in biomarker validation
-
Complexity in clinical trial designs - One of the most critical restraints affecting the NASH biomarkers market is the complexity of clinical trial design. NASH is a multifactorial condition with asymptomatic progression, which makes patient stratification and endpoint selection extremely challenging. Traditional methods of evaluating drug efficacy through histological assessments are invasive and often subjective, limiting the reproducibility of trial results.
Identifying suitable candidates for trials is complicated by the disease's slow progression and lack of specific clinical symptoms. This makes it difficult to enroll patients at early stages when interventions could be most effective. Furthermore, regulators require hard endpoints like fibrosis improvement or NASH resolution, which can only be determined through biopsy-based validations, adding additional complexity and cost.
Standardizing biomarker validation across multicenter studies and ensuring regulatory acceptance of surrogate endpoints remains a hurdle. Moreover, the use of composite biomarkers to reflect multiple disease stages complicates data interpretation and may limit clinical decision-making. These issues can delay trial timelines, increase R&D expenses, and reduce the attractiveness of NASH programs to sponsors.
Opportunities
- Growth in noninvasive testing solutions
- Collaborative research initiatives
- Personalized medicine approaches
-
Integration of artificial intelligence (AI) - The integration of artificial intelligence (AI) is offering transformative potential for the development and application of NASH biomarkers. AI technologies are capable of rapidly analyzing large, complex datasets from genomics, proteomics, and clinical sources, helping identify new biomarker candidates with greater speed and accuracy.
By merging machine learning algorithms with clinical data, AI enhances the precision of disease detection and staging, leading to improved patient stratification and more effective, tailored treatments. This level of personalization significantly elevates the role of biomarkers in managing NASH, particularly in early-stage identification and monitoring.
In the context of clinical trials, AI helps streamline real-time data interpretation, improving trial efficiency and reducing operational costs. It allows researchers to assess patient responses quickly, which accelerates validation timelines and optimizes trial designs for faster development of diagnostics. Growing collaborations between healthcare technology companies and diagnostics developers are advancing AI-powered biomarker platforms. These innovations are expected to improve scalability and integration of NASH biomarkers in routine clinical workflows, making AI a cornerstone of future growth in this market.
Nonalcoholic Steatohepatitis (NASH) Biomarkers MarketCompetitive Landscape Analysis
Key players in Nonalcoholic Steatohepatitis (NASH) Biomarkers Market include:
- Pfizer Inc
- Gilead Sciences Inc
- Allergan plc
- Novartis AG
- Intercept Pharmaceuticals Inc
- Genfit SA
- NGM Biopharmaceuticals Inc
- Madrigal Pharmaceuticals Inc
- Conatus Pharmaceuticals Inc
- Viking Therapeutics Inc
In this report, the profile of each market player provides following information:
- Company Overview and Product Portfolio
- Market Share Analysis
- 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 Type
- Market Snapshot, By End Use
- Market Snapshot, By Region
- Nonalcoholic Steatohepatitis (NASH) Biomarkers Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
- Rising NASH prevalence globally
- Technological advancements in biomarker discovery
- Increasing demand for early diagnosis
- Increased R&D in noninvasive diagnostics
- Restraints
- Lack of standardized biomarker panels
- Limited awareness among healthcare professionals
- Regulatory hurdles in biomarker validation
- Complexity in clinical trial designs
- Opportunities
- Growth in noninvasive testing solutions
- Collaborative research initiatives
- Personalized medicine approaches
- Integration of artificial intelligence (AI)
- 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
- Nonalcoholic Steatohepatitis (NASH) Biomarkers Market, By Type, 2021 - 2031 (USD Million)
- Serum Biomarkers
- Hepatic Fibrosis Biomarkers
- Apoptosis Biomarkers
- Oxidative Stress Biomarkers
- Others
- Nonalcoholic Steatohepatitis (NASH) Biomarkers Market, By End Use, 2021 - 2031 (USD Million)
- Pharma & CRO Industry
- Hospitals
- Diagnostic Labs
- Academic Research Institutes
- Nonalcoholic Steatohepatitis (NASH) Biomarkers 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
- Nonalcoholic Steatohepatitis (NASH) Biomarkers Market, By Type, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Pfizer Inc
- Gilead Sciences Inc
- Allergan plc
- Novartis AG
- Intercept Pharmaceuticals Inc
- Genfit SA
- NGM Biopharmaceuticals Inc
- Madrigal Pharmaceuticals Inc
- Conatus Pharmaceuticals Inc
- Viking Therapeutics Inc
- Company Profiles
- Analyst Views
- Future Outlook of the Market