Global Primary Aldosteronism Market Growth, Share, Size, Trends and Forecast (2025 - 2031)
By Type;
Type I and Type IIBy Indications;
Heart Attack, Kidney Failure, Stroke and OthersBy Diagnosis;
Diagnosis - Blood Test[Aldosterone Profiling, Renin Profiling and Others], - Imaging[Computed Tomography (CT), Positron Emission Tomography (PET) and Others]By End User;
Hospitals & Clinics, Research Organization, Academic Institutes, and OthersBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa, and Latin America - Report Timeline (2021 - 2031)Primary Aldosteronism Market Overview
Primary Aldosteronism Market (USD Million)
Primary Aldosteronism Market was valued at USD 2,708.06 million in the year 2024. The size of this market is expected to increase to USD 4,263.91 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 6.7%.
Global Primary Aldosteronism Market Growth, Share, Size, Trends and Forecast
*Market size in USD million
CAGR 6.7 %
Study Period | 2025 - 2031 |
---|---|
Base Year | 2024 |
CAGR (%) | 6.7 % |
Market Size (2024) | USD 2,708.06 Million |
Market Size (2031) | USD 4,263.91 Million |
Market Concentration | Medium |
Report Pages | 361 |
Major Players
- Pfizer Inc
- Sun Pharmaceutical Industries Ltd
- Bristol Laboratories Ltd
- CMP Pharma
- Koninklijke Philips N.V
- GE Healthcare
- Siemens AG
- Shimadzu Corporation
- Canon Inc
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Global Primary Aldosteronism Market
Fragmented - Highly competitive market without dominant players
The Primary Aldosteronism Market is witnessing increased attention due to the growing diagnosis of this under-recognized cause of secondary hypertension. Primary aldosteronism accounts for approximately 10% of all hypertensive cases, and the figure rises to nearly 20% among patients with resistant hypertension. This increasing recognition has led to greater diagnostic screening and a rising demand for targeted therapies.
Expanding Role of Diagnostic Testing
Advances in diagnostic protocols have been instrumental in market growth. Currently, around 25% of suspected cases undergo confirmatory testing such as aldosterone-renin ratio (ARR) assessments or adrenal vein sampling. The push for early and accurate detection is prompting healthcare providers to adopt more specialized diagnostic techniques, thereby boosting the clinical utility of related testing solutions.
Growing Utilization of Pharmacological Treatments
Pharmacological therapy plays a key role in the management of primary aldosteronism, particularly in cases unsuitable for surgical intervention. Mineralocorticoid receptor antagonists, such as spironolactone and eplerenone, are prescribed in over 60% of diagnosed cases. Their growing usage underscores a shift toward medical management and has spurred innovation in drug development targeting aldosterone pathways.
Increased Focus on Surgical Interventions
Surgical treatment remains the preferred option for unilateral forms of the disorder. Laparoscopic adrenalectomy procedures are performed in roughly 30% of identified unilateral cases, reflecting a continued preference for curative approaches when feasible. Advances in imaging and pre-operative localization are supporting the trend toward personalized surgical planning.
Awareness Campaigns and Clinical Guidelines
Rising awareness efforts and the dissemination of clinical practice guidelines by endocrinology societies have played a pivotal role in educating both physicians and patients. With guidelines now recommending screening in specific hypertensive populations, compliance has improved, and screening rates have increased by nearly 15% in recent years. This trend is driving market momentum through improved identification and treatment of affected individuals.
Primary Aldosteronism Market Recent Developments
-
In February 2023, the European Commission approved a label extension for Kerendia (Finerenone) in the European Union. This update expands the therapeutic use of the drug, which is now indicated to lower the risk of cardiovascular (CV) events in patients with chronic kidney disease (CKD) stages 1–4 and type 2 diabetes (T2D). The approval underscores Kerendia’s growing role in managing the dual burden of renal and cardiovascular complications in diabetic patients.
-
In July 2021, the U.S. FDA approved Finerenone, a non-steroidal mineralocorticoid receptor antagonist derived from dihydropyridine. This therapy is designed to reduce the risk of kidney failure, nonfatal myocardial infarction, cardiovascular mortality, and hospitalization due to heart failure in adults with chronic kidney disease (CKD) associated with type 2 diabetes mellitus (T2DM). The approval marked a significant advancement in the treatment of cardiorenal complications in diabetic patients.
Primary Aldosteronism Market Segment Analysis
In this report, the primary aldosteronism market has been segmented by type, indications, diagnosis, end user and geography.
Primary Aldosteronism Market, Segmentation by Type
The Primary Aldosteronism Market has been segmented by Type into Type I and Type II.
Type I
Type I Primary Aldosteronism, often referred to as glucocorticoid-remediable aldosteronism (GRA), is a rare hereditary form characterized by a chimeric gene causing excessive aldosterone production. This subtype represents less than 1% of all primary aldosteronism cases and is typically identified by early-onset hypertension. Management often includes glucocorticoid therapy, which helps suppress aldosterone levels and control blood pressure effectively.
Type II
Type II Primary Aldosteronism is a more common form, encompassing both aldosterone-producing adenomas (APA) and bilateral adrenal hyperplasia (BAH). This segment accounts for approximately 30-40% of primary aldosteronism cases. Patients often present with resistant hypertension and may require treatment with mineralocorticoid receptor antagonists or, in some cases, surgical intervention to remove the source of excess aldosterone.
Primary Aldosteronism Market, Segmentation by Indications
The Primary Aldosteronism Market has been segmented by Indications into Heart Attack, Kidney Failure, Stroke and Others.
Heart Attack
Primary aldosteronism (PA) is closely linked to an increased risk of heart attack compared to essential hypertension. Studies have shown that non-fatal myocardial infarction occurs in approximately 4.0% of PA patients, significantly higher than the 0.6% observed in individuals with essential hypertension. This highlights the importance of early detection and management of PA to reduce cardiovascular risks.
Kidney Failure
Primary aldosteronism is a contributing factor to the development and progression of chronic kidney disease (CKD), often underdiagnosed in patients with CKD. The presence of PA increases the likelihood of advancing to kidney failure, emphasizing the need for proactive screening and treatment to mitigate renal complications associated with aldosterone excess.
Stroke
There is a strong association between primary aldosteronism and the incidence of stroke. A meta-analysis revealed a pooled prevalence of PA in patients with stroke or transient ischemic attack (TIA) at 5.8% . These findings underline the necessity of screening stroke patients for PA to prevent recurrent cerebrovascular events.
Others
Primary aldosteronism is also linked to other complications such as atrial fibrillation and resistant hypertension. Notably, studies indicate that PA is present in approximately 30% of patients with both hypertension and atrial fibrillation. This underscores the need for comprehensive cardiovascular evaluation and appropriate management in patients exhibiting these comorbidities.
Primary Aldosteronism Market, Segmentation by Diagnosis
The Primary Aldosteronism Market has been segmented by Diagnosis into Diagnosis - Blood Test[Aldosterone Profiling, Renin Profiling and Others], - Imaging[Computed Tomography (CT), Positron Emission Tomography (PET) and Others].
Blood Test
Blood tests are a crucial first step in diagnosing primary aldosteronism (PA), primarily involving the measurement of the aldosterone-to-renin ratio (ARR). An ARR exceeding 23.6 ng/dL per ng/(mL·h) is indicative of PA, boasting a sensitivity of approximately 97% and a specificity of 94%. Elevated ARR values suggest autonomous aldosterone production, necessitating confirmatory testing to solidify the diagnosis.
Imaging
Imaging technologies play a pivotal role in determining the subtype of primary aldosteronism. Computed Tomography (CT) scans are commonly used to detect adrenal gland abnormalities. However, 68Ga-Pentixafor Positron Emission Tomography (PET) has shown superior diagnostic accuracy. Studies have demonstrated that 68Ga-Pentixafor PET/CT achieves a sensitivity of around 90.2%, specificity of 72.7%, and an overall diagnostic accuracy of 86.5%, outperforming standard CT scans in identifying surgically treatable PA cases.
Primary Aldosteronism Market, Segmentation by End User
The Primary Aldosteronism Market has been segmented by End User into Hospitals & Clinics, Research Organization, Academic Institutes and Others.
Hospitals & Clinics
Hospitals and clinics are the primary hubs for diagnosing and managing primary aldosteronism (PA), offering integrated services such as blood tests, imaging diagnostics, and surgical treatments. These facilities benefit from advanced medical technologies and expert healthcare teams, positioning them as central players in the PA market. This segment continues to lead due to its role in providing comprehensive, centralized care for complex conditions.
Research Organizations
Research organizations are at the forefront of advancing knowledge and treatment approaches for primary aldosteronism. Through clinical trials and studies, these institutions contribute to the development of innovative diagnostics and therapies. With increasing research funding and collaborations between clinical and academic sectors, this segment is expected to witness significant growth, fueling the evolution of PA management.
Academic Institutes
Academic institutions are essential for educating healthcare professionals and conducting research on primary aldosteronism. Collaborations with hospitals and research organizations facilitate cutting-edge studies into PA’s pathophysiology and emerging treatments. Their efforts play a key role in promoting knowledge dissemination and enhancing clinical practices related to PA.
Others
The others segment, comprising ambulatory surgical centers (ASCs), specialty clinics, and telemedicine platforms, offers accessible and cost-effective care solutions for primary aldosteronism. ASCs are increasingly adopting minimally invasive techniques for adrenalectomy, enabling outpatient procedures. Additionally, telemedicine has expanded access to PA management through virtual consultations and follow-ups, particularly in underserved areas.
Primary Aldosteronism Market, Segmentation by Geography
In this report, the Primary Aldosteronism 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
Primary Aldosteronism Market Share (%), by Geographical Region
North America
North America commands a substantial share of the primary aldosteronism (PA) market, accounting for over 40% of global revenue. This dominance stems from the region's robust healthcare infrastructure, widespread awareness of PA, and a strong presence of leading market players. Ongoing investment in clinical research and diagnostic advancements further fuels growth in this region.
Europe
Europe holds a significant portion of the primary aldosteronism market, with key contributions from countries like Germany, France, and the UK. The region's well-established healthcare systems and focus on clinical research underpin its market share, which stood at approximately 30% in 2023. Continued efforts in advancing diagnostic capabilities are expected to sustain growth.
Asia Pacific
The Asia Pacific region is poised for rapid expansion in the primary aldosteronism market, driven by rising hypertension prevalence, growing healthcare access, and increased awareness of advanced diagnostic and treatment options. In 2023, this region contributed about 20% to the global market, and its growth trajectory remains promising.
Middle East and Africa
The Middle East and Africa segment of the primary aldosteronism market is gradually expanding, supported by improved healthcare infrastructure and growing awareness of hypertension and related disorders. Although its market share remains smaller, this region presents strong potential for growth as diagnostic capabilities and access to care improve.
Latin America
Latin America holds a modest share of the primary aldosteronism market, with growth driven by increasing healthcare access, rising disposable incomes, and expanding awareness of hypertension and its complications. Countries like Brazil and Mexico are leading the region's market growth, propelled by efforts to enhance diagnostic and treatment facilities.
Primary Aldosteronism Market Trends
This report provides an in depth analysis of various factors that impact the dynamics of Primary Aldosteronism 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
- Increasing Awareness and Diagnosis
- Advancements in Diagnostic Technologies
-
Rising Prevalence of Hypertension - Major factor driving growth in the Primary Aldosteronism Market. Hypertension, commonly known as high blood pressure, impacts millions globally and is a leading cause of serious health issues like cardiovascular diseases, strokes, and kidney problems. Primary aldosteronism, which results from excess aldosterone hormone production, is now increasingly identified as a frequent cause of secondary hypertension. This heightened recognition and diagnosis have led to increased demand for advanced diagnostic methods and specialized treatments in this market.
As screening for hypertension causes becomes more routine, more cases of primary aldosteronism are detected, encouraging the use of effective treatments such as mineralocorticoid receptor antagonists and surgical options. Timely diagnosis and intervention can greatly improve blood pressure management and reduce the risk of complications, making it a critical focus for healthcare professionals. This trend boosts market growth by encouraging innovation and the availability of targeted therapies.
The global surge in hypertension cases is driven by various factors including aging populations, lifestyle changes, obesity, and increased urbanization. These same factors contribute to the rising incidence of primary aldosteronism. As a result, healthcare providers worldwide are increasingly prioritizing the management of hypertension and its underlying causes, leading to higher demand for diagnostic and treatment solutions related to primary aldosteronism. This creates substantial opportunities for companies to expand and improve their product portfolios to better serve this patient base.
Restraints
- High Cost of Diagnostic Procedures and Treatment
- Limited Awareness and Underdiagnosis
-
Side Effects of Current Medications - One of the major limiting factors for the growth of the Primary Aldosteronism Market is the presence of side effects associated with current treatment options. Medications such as mineralocorticoid receptor antagonists, including spironolactone and eplerenone, are widely prescribed to control aldosterone production and manage high blood pressure. However, these treatments often come with undesirable effects that compromise patient comfort, adherence, and overall therapeutic outcomes.
Spironolactone, though effective, frequently causes gynecomastia, hormonal imbalances, gastrointestinal issues, and sexual dysfunction, which can discourage patients from long-term use. While eplerenone is considered a safer alternative with fewer endocrine-related side effects, it can still lead to complications such as hyperkalemia and deteriorating kidney function, especially in patients with existing renal impairment. These concerns often result in lower prescription rates or discontinuation of therapy, even when the treatment could provide substantial clinical benefits.
Furthermore, the use of these medications demands routine monitoring of potassium levels and renal health, increasing the burden on healthcare providers and patients. This additional layer of clinical oversight can be particularly challenging in low-resource settings, making it difficult to implement consistent and safe treatment strategies. As a result, some patients remain underdiagnosed or inadequately treated due to concerns over adverse effects and logistical challenges in managing the condition.
The impact of these medication-related side effects underscores the urgent need for innovative therapies that offer improved safety profiles and better tolerability. Enhanced drug formulations, greater investment in patient education, and streamlined monitoring protocols could significantly boost treatment adherence and improve patient outcomes, thereby strengthening the global response to primary aldosteronism.
Opportunities
- Development of Novel Therapies
- Expansion in Emerging Markets
-
Integration of Digital Health Solutions - Creating promising opportunities within the Primary Aldosteronism Market. Digital platforms such as mobile health apps, wearable monitoring tools, and telehealth services offer innovative ways to support early diagnosis, continuous monitoring, and individualized treatment plans. These solutions help identify irregular blood pressure trends and hormonal imbalances more efficiently, enabling timely intervention and reducing the risk of complications associated with delayed diagnosis.
Digital tools empower healthcare providers with real-time, data-driven insights into patient health, particularly blood pressure variability and medication adherence. This data enhances clinical decision-making and supports more tailored treatment strategies. Additionally, virtual care solutions expand access to specialists, particularly in remote or underserved regions, thereby improving care equity and helping patients manage their condition without the burden of frequent hospital visits.
Patient education and engagement are also significantly improved through digital health solutions. Interactive applications, alerts, and reminders promote treatment adherence and lifestyle modifications, which are essential for managing primary aldosteronism. By fostering a more proactive approach to personal health, these tools help patients better understand their condition and participate actively in their care, ultimately contributing to better long-term outcomes.
The adoption of AI-based analytics and cloud-connected health platforms further enhances diagnostic accuracy and streamlines healthcare delivery. As the healthcare industry continues to shift toward personalized and connected care, integrating digital technologies into primary aldosteronism management can lead to cost-effective, scalable, and patient-centric solutions. This ongoing digital transformation underscores the market's potential for sustainable growth and improved patient care worldwide.
Primary Aldosteronism Market Competitive Landscape Analysis
Key players in Primary Aldosteronism Market include.
- Pfizer Inc
- Sun Pharmaceutical Industries Ltd
- Bristol Laboratories Ltd
- CMP Pharma
- Koninklijke Philips N.V
- GE Healthcare
- Siemens AG
- Shimadzu Corporation
- Canon 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 Indications
- Market Snapshot, By Diagnosis
- Market Snapshot, By End User
- Market Snapshot, By Region
- Primary Aldosteronism Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
- Increasing Awareness and Diagnosis
- Advancements in Diagnostic Technologies
- Rising Prevalence of Hypertension
- Restraints
- High Cost of Diagnostic Procedures and Treatment
- Limited Awareness and Underdiagnosis
- Side Effects of Current Medications
- Opportunities
- Development of Novel Therapies
- Expansion in Emerging Markets
- Integration of Digital Health Solutions
- 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
- Primary Aldosteronism Market, By Type, 2021 - 2031 (USD Million)
- Type I
- Type II
- Primary Aldosteronism Market, By Indications, 2021 - 2031 (USD Million)
- Heart Attack
- Kidney Failure
- Stroke
- Others
- Primary Aldosteronism Market, By Diagnosis, 2021 - 2031 (USD Million)
- Diagnosis
- Blood Test
- Aldosterone Profiling
- Renin Profiling
- Others
- Imaging
- Computed Tomography (CT)
- Positron Emission Tomography (PET)
- Others
- Diagnosis
- Primary Aldosteronism Market, By End User, 2021 - 2031 (USD Million)
- Hospitals & Clinics
- Research Organization
- Academic Institutes
- Others
- Primary Aldosteronism 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
- Primary Aldosteronism Market, By Type, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Pfizer Inc
- Sun Pharmaceutical Industries Ltd
- Bristol Laboratories Ltd
- CMP Pharma
- Koninklijke Philips N.V
- GE Healthcare
- Siemens AG
- Shimadzu Corporation
- Canon Inc
- Company Profiles
- Analyst Views
- Future Outlook of the Market