Short Bowel Syndrome Therapeutics Market
By Drug Type;
Glucagon-Like Peptide-2 (GLP-2) Analogs, Growth Hormone, Glutamine and OthersBy Route Of Administration;
Oral and ParenteralBy Patient Type;
PediatricBy Distribution Channel;
Hospital Pharmacies, Retail Pharmacies and Online PharmaciesBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa and Latin America - Report Timeline (2021 - 2031)Short Bowel Syndrome Therapeutics Market Overview
Short Bowel Syndrome Therapeutics Market (USD Million)
Short Bowel Syndrome Therapeutics Market was valued at USD 1,624.02 million in the year 2024. The size of this market is expected to increase to USD 6,893.56 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 22.9%.
Short Bowel Syndrome Therapeutics Market
*Market size in USD million
CAGR 22.9 %
| Study Period | 2025 - 2031 |
|---|---|
| Base Year | 2024 |
| CAGR (%) | 22.9 % |
| Market Size (2024) | USD 1,624.02 Million |
| Market Size (2031) | USD 6,893.56 Million |
| Market Concentration | Low |
| Report Pages | 323 |
Major Players
- Takeda Pharmaceutical Company Limited
- AbbVie Inc
- Novartis International AG
- Pfizer Inc
- Shire
- Fresenius Kabi AG
- Nestlé Health Science
- Emmaus Life Sciences, Inc
- Zealand Pharma A/S
- Nutrinia Ltd
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Short Bowel Syndrome Therapeutics Market
Fragmented - Highly competitive market without dominant players
The Short Bowel Syndrome (SBS) Therapeutics Market is witnessing steady growth due to continuous innovations in drug formulations and nutritional therapies. Rising cases of gastrointestinal disorders and post-operative conditions have heightened the demand for effective treatments. With over 55% of patients requiring sustained care, the market is expanding at a notable pace. Research funding and educational outreach are also propelling awareness and early diagnosis.
Advancements in Treatment Modalities
Therapeutic development has seen a strong shift towards GLP-2 analogs and regenerative therapies, which are showing positive clinical responses. Currently, nearly 40% of the therapeutic pipeline is in advanced trial phases, signaling robust growth potential. Pharmaceutical advancements are focusing on enhancing gut adaptation and minimizing nutrient malabsorption, which are critical aspects of SBS management.
Increasing Treatment Adoption
Better diagnosis and enhanced healthcare delivery are enabling more than 60% of patients to begin treatment at earlier stages. This uptake is further supported by reimbursement frameworks that ease access to expensive therapeutic regimens. There is a clear trend toward adopting integrated care solutions involving drug therapy and nutritional support, which is strengthening overall treatment outcomes.
Opportunities Ahead
Ongoing clinical research, rising investment in biologics, and supportive regulatory changes are positioning the market for continued evolution. Clinical trial activity has surged by over 35%, with a focus on sustained efficacy and minimal side effects. The growing pipeline of therapies signals a shift toward comprehensive, patient-centric solutions that aim to reduce hospital dependency and improve life quality.
Short Bowel Syndrome Therapeutics Market Recent Developments
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In March 2022, VectivBio AG entered into a strategic licensing agreement with Asahi Kasei Pharma for its long-acting GLP-2 analog, apraglutide. The collaboration focuses on obtaining approval and commercialization of the therapy in Japan for the treatment of Short Bowel Syndrome (SBS), aiming to improve patient outcomes through innovative gastrointestinal therapeutics.
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In April 2025, Ironwood Pharmaceuticals announced that the U.S. Food and Drug Administration (FDA) has required an additional confirmatory Phase 3 trial for its weekly GLP-2 analog, apraglutide, developed for patients with Short Bowel Syndrome (SBS) with intestinal failure. This decision delays the drug’s anticipated U.S. approval but underscores the FDA’s focus on ensuring robust clinical evidence to support therapeutic efficacy and safety.
Short Bowel Syndrome Therapeutics Market Segment Analysis
In this report, the Short Bowel Syndrome Therapeutics Market has been segmented by Drug Type, Route of Administration, Patient Type, Distribution Channel, and Geography.
Short Bowel Syndrome Therapeutics Market, Segmentation by Drug Type
The Short Bowel Syndrome Therapeutics Market by drug type is driven by advancements in peptide-based therapy, hormonal modulation, and enhanced intestinal adaptation. GLP-2 analogs are emerging as a dominant segment due to their ability to improve nutrient absorption and reduce dependency on parenteral nutrition. Continuous research, collaborations, and clinical trials have accelerated the expansion of this category.
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Glucagon-Like Peptide-2 (GLP-2) Analogs
This segment holds a substantial share owing to its role in promoting intestinal growth and improving nutrient uptake. With rising clinical success rates and FDA approvals, GLP-2 analogs such as teduglutide are projected to witness over 35% adoption among patients requiring long-term intestinal rehabilitation.
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Growth Hormone
Growth hormones support mucosal growth and aid intestinal adaptation, especially in patients reliant on parenteral nutrition. Their therapeutic role is further enhanced by clinical evidence showing improved intestinal absorption. Manufacturers are investing in recombinant formulations to minimize side effects and enhance efficacy.
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Glutamine
The glutamine segment focuses on metabolic support, promoting intestinal cell regeneration and recovery. It remains a key supportive therapy for maintaining gut health in both pediatric and adult patients. Increasing availability in oral formulations has expanded its market presence significantly.
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Others
This category encompasses experimental peptides, small-molecule drugs, and adjunctive therapies under investigation for intestinal adaptation enhancement. Pharmaceutical innovation and partnerships with research institutions are fueling future development within this group.
Short Bowel Syndrome Therapeutics Market, Segmentation by Route of Administration
The market by Route of Administration is segmented into oral and parenteral, reflecting therapeutic accessibility and patient compliance trends. The growing shift toward non-invasive treatment options has bolstered the oral route’s adoption, while parenteral therapies remain essential for patients with severe absorption deficits.
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Oral
The oral segment is expected to grow rapidly, driven by patient preference and advancements in bioavailability-enhancing drug formulations. Pharmaceutical companies are focusing on improved stability and extended-release systems, supporting patient-centric therapy models and reducing hospital visits.
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Parenteral
Parenteral administration remains the cornerstone for severe short bowel syndrome cases requiring direct nutrient supplementation. Despite being invasive, it ensures consistent therapeutic outcomes, with ongoing R&D focusing on reducing catheter-related complications and improving infusion efficiency.
Short Bowel Syndrome Therapeutics Market, Segmentation by Patient Type
Based on Patient Type, the market includes pediatric patients, who represent a vital demographic due to congenital intestinal disorders. The pediatric segment is witnessing increasing attention from pharmaceutical developers, with specialized formulations and dosing protocols ensuring safety and efficacy.
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Pediatric
The pediatric population forms a significant share of short bowel syndrome therapeutics, as early intervention is critical to improving long-term survival rates. Collaborations between hospitals and biotech firms are supporting clinical trials that address age-specific absorption challenges and dosing variations.
Short Bowel Syndrome Therapeutics Market, Segmentation by Distribution Channel
The Distribution Channel landscape is diversifying as digitalization and healthcare access improve. Hospital pharmacies dominate the supply chain due to their role in specialized care, while retail and online pharmacies are expanding rapidly due to convenience and competitive pricing strategies.
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Hospital Pharmacies
Hospital pharmacies account for the largest share, supported by integrated treatment protocols and specialist supervision. They ensure access to advanced biologics and maintain stringent supply chain management, which contributes to higher patient adherence rates.
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Retail Pharmacies
The retail pharmacy segment continues to grow as awareness about SBS therapeutics rises. Partnerships between drug manufacturers and retail distributors are improving medicine availability in both urban and rural centers, contributing to wider therapy adoption.
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Online Pharmacies
Online pharmacies are emerging as a transformative channel, leveraging digital prescription fulfillment and home delivery services. The COVID-19 pandemic accelerated e-pharmacy penetration, and regulatory reforms are sustaining this digital shift across global healthcare ecosystems.
Short Bowel Syndrome Therapeutics Market, Segmentation by Geography
In this report, the Short Bowel Syndrome Therapeutics 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
North America
North America leads the market due to high adoption of peptide-based therapeutics, robust R&D funding, and supportive healthcare reimbursement frameworks. The U.S. contributes the majority share with expanding clinical trial participation and early FDA approvals for novel SBS therapies.
Europe
Europe exhibits strong growth, driven by rising investments in orphan drug development and public health initiatives targeting rare intestinal disorders. The presence of established biopharma companies enhances innovation and therapy availability across major economies such as Germany and France.
Asia Pacific
Asia Pacific is poised for the fastest growth, supported by expanding healthcare infrastructure and growing awareness of intestinal health. Pharmaceutical manufacturers in Japan, China, and India are enhancing production capacities, while strategic partnerships are facilitating market penetration.
Middle East and Africa
Middle East and Africa are gradually expanding due to government-led initiatives promoting access to rare disease treatments. Enhanced hospital networks and increased imports of specialized pharmaceuticals are contributing to steady progress across the region.
Latin America
Latin America is emerging as a key developing region with improving clinical infrastructure and government incentives for rare disease treatment. Countries like Brazil and Mexico are witnessing improved access to SBS therapeutics through cross-border collaborations and healthcare policy reforms.
Short Bowel Syndrome Therapeutics Market Forces
This report provides an in depth analysis of various factors that impact the dynamics of Short Bowel Syndrome Therapeutics 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 prevalence of gastrointestinal disorders globally
- Increasing adoption of parenteral nutrition therapies
- Advancements in biologic drug formulations
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Growing awareness among patients and caregivers - In recent years, there has been a significant increase in awareness among patients and caregivers about short bowel syndrome (SBS), which has become a key driver in the market. With better access to medical information, people are more informed about symptoms, potential complications, and the available treatment options. This growing consciousness has led to a rise in early diagnosis rates and timely intervention, improving patient outcomes.
The role of patient advocacy groups and online platforms cannot be understated, as they continue to provide essential information, share patient stories, and raise awareness globally. Healthcare campaigns conducted by hospitals, NGOs, and pharma companies are also helping in educating caregivers about long-term nutritional management and post-surgical care.
The increased awareness has sparked a demand for better treatment access, government reimbursement programs, and insurance coverage for SBS therapies. It is also encouraging participation in clinical trials, boosting research and innovation in this space. With continued focus on education and outreach, the market is expected to expand steadily.
Restraints
- High cost of SBS therapeutic treatments
- Limited awareness in developing regions
- Adverse effects of long-term parenteral use
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Scarcity of pediatric-specific treatment options - One of the major challenges in the SBS therapeutics market is the lack of tailored treatments for pediatric patients. Children with SBS have unique nutritional and physiological needs, which often cannot be addressed adequately by therapies designed for adults. This gap limits the effectiveness of standard treatments and often leads to complications or prolonged dependency on parenteral nutrition.
Most drug formulations are not optimized for pediatric metabolism, making it harder for healthcare providers to prescribe safe and effective doses for children. Furthermore, ethical and logistical challenges in conducting clinical trials involving children further delay the development of specialized therapies. The absence of robust pediatric data also makes regulatory approval more difficult.
Due to the scarcity of pediatric-specific options, many young patients experience increased risks of infections, growth delays, and liver complications from prolonged parenteral nutrition. The current gap in pediatric innovation not only restricts treatment effectiveness but also places emotional and financial burdens on families and caregivers.
Opportunities
- Ongoing R&D in regenerative medicine
- Potential of gene therapies for SBS
- Partnerships for novel drug development
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Expanding clinical trials in emerging economies - The SBS therapeutics market is experiencing a surge in opportunities due to the expansion of clinical trials in emerging economies. Countries in Asia-Pacific, Latin America, and parts of Eastern Europe are increasingly being targeted for research initiatives due to their large patient populations, lower operational costs, and improving healthcare infrastructure. This geographic diversification is helping to generate real-world evidence across diverse demographics.
Governments in these regions are also offering support through fast-track approvals, trial site subsidies, and improved ethical review frameworks. Pharmaceutical companies and research institutions are capitalizing on these developments to expedite the discovery of more effective and affordable therapies.
The growing involvement of local hospitals and universities in SBS-related trials is fostering stronger partnerships between public and private sectors. This collaboration not only helps in developing region-specific solutions but also increases the overall market accessibility and patient outreach. As data from emerging markets continues to grow, it will likely play a crucial role in shaping regulatory strategies and commercialization efforts.
Short Bowel Syndrome Therapeutics Market Competitive Landscape Analysis
Short Bowel Syndrome Therapeutics Market is witnessing intensifying competition as pharmaceutical and biotech companies strive to deliver advanced therapies for intestinal rehabilitation. Players pursue bold strategies through clinical collaboration, licensing partnerships, and occasional merger activity. Continuous innovation in GLP-2 analogs, regenerative medicine, and delivery systems underpins sustained growth in this high-need segment.
Market Structure and Concentration
The market exhibits moderate concentration, with a few major players commanding dominance while emerging biotech firms compete in niche areas. Consolidation via licensing and acquisition is shaping competitive structure. Core strategies focus on robust pipelines, orphan drug positioning, and regulatory exclusivity to support long-term growth and defensibility.
Brand and Channel Strategies
Companies emphasize brand trust through clinical efficacy, safety profiles, and patient support services. Channel strategies include hospital specialty pharmacies, gastroenterology clinics, and rare-disease networks. Co-promotion partnerships with healthcare providers and nutritional therapy firms expand reach. Strategic branding and distribution strategies reinforce adoption and drive steady growth.
Innovation Drivers and Technological Advancements
Innovation is primarily driven by novel GLP-2 analogs (short and long acting), stem cell / regenerative platforms, and gut microbiome modulation strategies. Technological advancements in delivery systems, biomarkers, and tissue engineering are reshaping treatment potential. Collaborations with academic centers and cross-sector alliances accelerate translation, fueling competitive growth.
Regional Momentum and Expansion
Regional expansion is strongest in North America and Europe, backed by favorable reimbursement frameworks and clinical infrastructure. In Asia Pacific, accelerating rare disease frameworks and rising awareness attract investment. Strategies include localized clinical trials, licensing agreements, and regional partnerships to deepen market presence and support incremental growth across jurisdictions.
Future Outlook
The future outlook anticipates strong momentum, driven by pipeline maturation, regenerative therapies, and hybrid treatment models. Mergers and deeper collaboration will likely intensify competitive dynamics. Firms that align agile strategies with scientific differentiation and regional footprint expansion are best positioned to lead in this evolving therapeutic landscape.
Key players in Short Bowel Syndrome Therapeutics Market include:
- Takeda Pharmaceutical Company Limited
- Merck KGaA
- Zealand Pharma A/S
- OxThera
- VectivBio AG
- 9 Meters Biopharma, Inc.
- Ironwood Pharmaceuticals
- Hanmi Pharm Co., Ltd.
- Emmaus Life Sciences, Inc.
- GLyPharma Therapeutic, Inc.
- EnteraBio Ltd.
- Nutrinia Ltd.
- Salix Pharmaceuticals, Inc.
- AbbVie Inc.
- Eli Lilly and Company
In this report, the profile of each market player provides following information:
- Market Share Analysis
- 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 Type
- Market Snapshot, By Route Of Administration
- Market Snapshot, By Patient Type
- Market Snapshot, By Distribution Channel
- Market Snapshot, By Region
- Short Bowel Syndrome Therapeutics Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
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Rising prevalence of gastrointestinal disorders globally
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Increasing adoption of parenteral nutrition therapies
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Advancements in biologic drug formulations
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Growing awareness among patients and caregivers
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- Restraints
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High cost of SBS therapeutic treatments
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Limited awareness in developing regions
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Adverse effects of long-term parenteral use
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Scarcity of pediatric-specific treatment options
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- Opportunities
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Ongoing R&D in regenerative medicine
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Potential of gene therapies for SBS
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Partnerships for novel drug development
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Expanding clinical trials in emerging economies
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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
- Short Bowel Syndrome Therapeutics Market, By Drug Type, 2021 - 2031 (USD Million)
- Glucagon-Like Peptide-2 (GLP-2) Analogs
- Growth Hormone
- Glutamine
- Others
- Short Bowel Syndrome Therapeutics Market, By Route Of Administration, 2021 - 2031 (USD Million)
- Oral
- Parenteral
- Short Bowel Syndrome Therapeutics Market, By Patient Type, 2021 - 2031 (USD Million)
- Pediatric
- Short Bowel Syndrome Therapeutics Market, By Distribution Channel, 2021 - 2031 (USD Million)
- Hospital Pharmacies
- Retail Pharmacies
- Online Pharmacies
- Short Bowel Syndrome Therapeutics 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
- Short Bowel Syndrome Therapeutics Market, By Drug Type, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Takeda Pharmaceutical Company Limited
- Merck KGaA
- Zealand Pharma A/S
- OxThera
- VectivBio AG
- 9 Meters Biopharma, Inc.
- Ironwood Pharmaceuticals
- Hanmi Pharm Co., Ltd.
- Emmaus Life Sciences, Inc.
- GLyPharma Therapeutic, Inc.
- EnteraBio Ltd.
- Nutrinia Ltd.
- Salix Pharmaceuticals, Inc.
- AbbVie Inc.
- Eli Lilly and Company
- Company Profiles
- Analyst Views
- Future Outlook of the Market

