Transthyretin Amyloidosis Treatment Market
By Type;
ATTR Amyloidosis With Polyneuropathy (ATTR-PN) and ATTR Amyloidosis With Cardiomyopathy (ATTR-CM)By Drug Type;
Tafamidis (Vyndaqel), Patisiran (ONPATTRO), Inotersen (TEGSEDI), and OthersBy Disease Type;
Hereditary Transthyretin Amyloidosis - [Mixed Type, Cardiomyopathy, and Polyneuropathy] and Wild Type AmyloidosisBy Route Of Administration;
Oral and ParenteralBy Distribution Channel;
Hospital Pharmacy, Retail Drug Stores, and Online PharmacyBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa, and Latin America - Report Timeline (2021 - 2031)Transthyretin Amyloidosis Treatment Market Overview
Transthyretin Amyloidosis Treatment Market (USD Million)
Transthyretin Amyloidosis Treatment Market was valued at USD 208.78 million in the year 2024. The size of this market is expected to increase to USD 4,569.24 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 55.4%.
Transthyretin Amyloidosis Treatment Market
*Market size in USD million
CAGR 55.4 %
Study Period | 2025 - 2031 |
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Base Year | 2024 |
CAGR (%) | 55.4 % |
Market Size (2024) | USD 208.78 Million |
Market Size (2031) | USD 4,569.24 Million |
Market Concentration | Low |
Report Pages | 358 |
Major Players
- Alnylam Pharmaceuticals, Inc
- Ionis Pharmaceuticals, Inc
- Pfizer, Inc
- Eidos Therapeutics, Inc
- Akcea Therapeutics, Inc
- Prothena Corporation Plc
- GlaxoSmithKline Plc.
- SOM Innovation Biotech, S.L
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Transthyretin Amyloidosis Treatment Market
Fragmented - Highly competitive market without dominant players
The Transthyretin Amyloidosis Treatment Market is witnessing a significant surge in interest due to the growing recognition and diagnosis of transthyretin-related conditions. Over 62% of diagnosed cases are now being actively treated, reflecting an upward shift in therapeutic adoption. The availability of disease-modifying therapies is leading to improved treatment outcomes, encouraging further investments. This momentum is creating numerous opportunities for pharmaceutical innovation and therapeutic enhancement.
Innovation and Technological Advancements
The market is benefitting from continuous technological advancements in gene silencing therapies and stabilizers. More than 55% of treatments now incorporate next-generation mechanisms, which target the underlying causes of amyloid build-up. These innovations are fostering long-term growth potential while stimulating the development of precision medicine solutions. The increase in clinical trials and successful outcomes also signals a strong future outlook for therapeutic expansion.
Strategic Collaborations Fueling Expansion
Over 50% of active pharmaceutical companies in this space are engaging in collaborations, mergers, and partnerships to develop advanced solutions for transthyretin amyloidosis. These alliances are enabling faster drug development cycles and regulatory clearances. Joint ventures are also paving the way for integrated treatment models that enhance patient care. This trend of strategic integration is set to significantly accelerate market expansion in the coming years.
Future Outlook and Competitive Edge
Looking ahead, the Transthyretin Amyloidosis Treatment Market is expected to thrive through growth strategies that emphasize personalized medicine and expanded treatment access. With more than 60% of new treatments being developed through targeted innovation, companies are gaining a competitive edge through specialization. Enhanced R&D efforts and integration of advanced biotechnologies will further drive long-term success and sustainable expansion across the industry.
Transthyretin Amyloidosis Treatment Market Recent Developments
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In January 2022, AstraZeneca received Orphan Drug Designation (ODD) from the U.S. FDA for its drug Eplontersen to treat transthyretin-mediated amyloidosis, which expanded the company’s product portfolio and strengthened its presence in rare disease treatments.
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In June 2022, Alnylam Pharmaceuticals, Inc. received FDA approval for AMVUTTRA (vutrisiran) to treat polyneuropathy of hereditary transthyretin-mediated amyloidosis, enabling the company to market its products in the U.S. and successfully expand its customer base.
Transthyretin Amyloidosis Treatment Market Segment Analysis
In this report, the Transthyretin Amyloidosis Treatment Market has been segmented by Type, Drug Type, Disease Type, Route Of Administration, Distribution Channel, and Geography.
Transthyretin Amyloidosis Treatment Market, Segmentation by Type
The Transthyretin Amyloidosis Treatment Market has been segmented by Type into ATTR Amyloidosis With Polyneuropathy (ATTR-PN) and ATTR Amyloidosis With Cardiomyopathy (ATTR-CM).
ATTR Amyloidosis With Polyneuropathy
ATTR-PN accounts for approximately 45% of the transthyretin amyloidosis treatment market. It is characterized by nerve damage leading to sensory and motor impairments, particularly in the peripheral nervous system. The availability of targeted therapies and early diagnosis is boosting market growth in this segment.
ATTR Amyloidosis With Cardiomyopathy
ATTR-CM holds a slightly larger share of about 55%, driven by rising cases of cardiac-related amyloidosis globally. Increased awareness and improved screening methods are facilitating early treatment, especially with RNA-targeted drugs and stabilizers aimed at slowing disease progression.
Transthyretin Amyloidosis Treatment Market, Segmentation by Drug Type
The Transthyretin Amyloidosis Treatment Market has been segmented by Drug Type into Tafamidis (Vyndaqel), Patisiran (ONPATTRO), Inotersen (TEGSEDI), and Others.
Tafamidis
Tafamidis dominates the market with over 55% share due to its proven efficacy in treating ATTR-CM. It is the first FDA-approved therapy for this condition, known for significantly improving patient survival rates and quality of life.
Patisiran
Patisiran holds around 25% of the market and is primarily used for treating ATTR-PN. This RNA interference therapy works by reducing transthyretin production and has shown strong neurological improvement in clinical trials.
Inotersen
Inotersen contributes to nearly 12% of the market. It’s an antisense oligonucleotide treatment that targets TTR mRNA, helping patients with polyneuropathy by slowing disease progression and easing nerve-related symptoms.
Others
The remaining 8% includes emerging drugs under development or in limited use. These options aim to improve treatment outcomes through alternative mechanisms such as TTR gene silencing and protein stabilization.
Transthyretin Amyloidosis Treatment Market, Segmentation by Disease Type
The Transthyretin Amyloidosis Treatment Market has been segmented by Disease Type into Hereditary Transthyretin Amyloidosis and Wild Type Amyloidosis.
Hereditary Transthyretin Amyloidosis
Hereditary transthyretin amyloidosis accounts for nearly 60% of the overall market. It is caused by genetic mutations in the transthyretin (TTR) gene and often presents with polyneuropathy or cardiomyopathy. Increasing awareness and early diagnosis have significantly driven treatment uptake in this segment.
Wild Type Amyloidosis
Wild type amyloidosis contributes approximately 40% of the market share and typically affects elderly individuals without genetic mutations. It is primarily associated with cardiac manifestations, and the demand for treatment is growing due to rising life expectancy and improved disease recognition.
Transthyretin Amyloidosis Treatment Market, Segmentation by Route Of Administration
The Transthyretin Amyloidosis Treatment Market has been segmented by Route Of Administration into Oral and Parenteral.
Oral
The oral route dominates the market with around 65% share due to the convenience and patient compliance it offers. Drugs like Tafamidis are taken orally and have gained popularity for treating both hereditary and wild type forms of the disease.
Parenteral
Parenteral administration holds nearly 35% of the market, primarily driven by RNA interference therapies such as Patisiran and Inotersen. These treatments are delivered via intravenous or subcutaneous routes and require professional healthcare settings for administration.
Transthyretin Amyloidosis Treatment Market, Segmentation by Distribution Channel
The Transthyretin Amyloidosis Treatment Market has been segmented by Distribution Channel into Hospital Pharmacy, Retail Drug Stores, and Online Pharmacy.
Hospital Pharmacy
Hospital pharmacies account for nearly 50% of the transthyretin amyloidosis treatment market. This dominance is attributed to the controlled administration of complex therapies like RNA interference drugs, which often require specialized storage and supervision.
Retail Drug Stores
Retail drug stores hold approximately 30% of the market, offering easy access to oral medications such as Tafamidis. They serve as a convenient point of purchase for outpatient treatments and improve availability in urban areas.
Online Pharmacy
Online pharmacies contribute around 20% to the market, driven by the growing trend of digital health and medication delivery services. They enhance accessibility for patients in remote locations and promote adherence through timely home delivery.
Transthyretin Amyloidosis Treatment Market, Segmentation by Geography
In this report, the Transthyretin Amyloidosis Treatment 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
Transthyretin Amyloidosis Treatment Market Share (%), by Geographical Region
North America
North America dominates the transthyretin amyloidosis treatment market with a share of nearly 40%. The region benefits from a strong healthcare infrastructure and early adoption of advanced therapies such as RNA interference and TTR stabilizers.
Europe
Europe holds about 30% of the market, driven by increased awareness and supportive healthcare policies. Countries like Germany, France, and the UK are investing in research and reimbursement programs for rare diseases including ATTR amyloidosis.
Asia Pacific
Asia Pacific is emerging as a high-growth region, accounting for around 15% of the market. Rising diagnostic rates and expanding pharmaceutical access in countries like Japan, China, and India contribute to this upward trend.
Middle East & Africa
This region captures close to 8% of the market. While still developing, there's an increasing focus on rare disease treatment and the expansion of specialty care facilities in Gulf countries and South Africa.
Latin America
Latin America holds approximately 7% of the market. Growth in this region is fueled by improvements in healthcare infrastructure and rising efforts to provide access to rare disease therapies across countries like Brazil and Mexico.
Market Trends
This report provides an in depth analysis of various factors that impact the dynamics of Global Transthyretin Amyloidosis Treatment Market. These factors include; Market Drivers, Restraints and Opportunities.
Drivers, Restraints and Opportunity
Drivers:
- Rising Geriatric Population
- Investments in Research and Development
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Government Initiatives and Funding-Government initiatives and funding play a pivotal role in shaping the landscape of the Global Transthyretin Amyloidosis Treatment Market. Governments around the world recognize the importance of addressing rare diseases like transthyretin amyloidosis and have implemented various measures to support research, development, and access to treatment. These initiatives often include funding support for academic research, public-private partnerships, and grants to pharmaceutical companies focused on rare disease drug development. By allocating financial resources to these endeavors, governments aim to accelerate the discovery of novel therapies and improve patient outcomes.
Regulatory agencies in many countries provide incentives and expedited pathways for the development and approval of drugs targeting rare diseases, including transthyretin amyloidosis. These incentives may include orphan drug designation, which grants market exclusivity and tax credits to incentivize investment in rare disease drug development. Some governments offer reimbursement schemes or subsidies to reduce the financial burden of expensive treatments for patients with rare diseases, enhancing affordability and accessibility.
Government initiatives also extend to awareness campaigns and educational programs aimed at healthcare professionals, patients, and the general public. By increasing awareness about transthyretin amyloidosis, governments seek to improve early detection, diagnosis, and management of the disease. This heightened awareness can lead to earlier treatment initiation, potentially improving patient outcomes and reducing healthcare costs associated with disease complications.
International collaboration through initiatives such as rare disease research consortia and global health partnerships further amplifies the impact of government funding on the transthyretin amyloidosis treatment market. By pooling resources and expertise across borders, these collaborative efforts facilitate knowledge sharing, accelerate scientific advancements, and promote equitable access to treatment for patients worldwide. In summary, government initiatives and funding are essential drivers of progress in the Global Transthyretin Amyloidosis Treatment Market, fostering innovation, improving access to care, and ultimately enhancing the lives of patients affected by this rare and debilitating disease.
Restraints:
- Stringent Regulatory Requirements
- Lack of Disease-Specific Biomarkers
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Potential Adverse Effects-Potential adverse effects associated with treatments for transthyretin amyloidosis represent a significant concern within the global market. Firstly, while these treatments offer promise in managing the disease, they often come with adverse reactions that can impact patient adherence and overall therapeutic success. Common adverse effects include infusion reactions, which range from mild to severe and may necessitate medical intervention. Some therapies may exhibit off-target effects, leading to unintended consequences such as organ toxicity or immune system dysregulation. Addressing these adverse effects is crucial to ensuring the safety and tolerability of treatments for patients with transthyretin amyloidosis.
Secondly, the occurrence of adverse effects poses challenges for healthcare providers in managing patient care effectively. Monitoring and mitigating adverse reactions require close medical supervision and may involve additional healthcare resources. Moreover, the unpredictable nature of adverse effects can complicate treatment planning and decision-making, impacting patient quality of life and healthcare resource utilization. Healthcare providers must remain vigilant in identifying and managing adverse effects to optimize treatment outcomes and enhance patient safety.
Adverse effects can influence patient acceptance and adherence to treatment regimens. Fear of experiencing adverse reactions may lead patients to delay or refuse treatment, potentially compromising therapeutic efficacy and disease management. Furthermore, persistent or severe adverse effects may necessitate dose adjustments or treatment discontinuation, disrupting the continuity of care and impeding long-term treatment success. Patient education and support programs play a crucial role in addressing concerns related to adverse effects, empowering patients to make informed decisions about their treatment journey and enhancing treatment adherence.
The management of adverse effects presents opportunities for innovation and improvement within the transthyretin amyloidosis treatment market. Pharmaceutical companies and healthcare providers are exploring strategies to minimize adverse reactions through drug modifications, personalized dosing regimens, and supportive care interventions. Advancements in pharmacogenomics and biomarker research hold promise for predicting and mitigating individual susceptibility to adverse effects, enabling tailored treatment approaches. By addressing the challenges posed by adverse effects, stakeholders in the global transthyretin amyloidosis treatment market can enhance patient safety, improve treatment outcomes, and drive continued innovation in disease management.
Opportunities:
- Collaborative Research Initiatives
- Expansion of Treatment Options
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Focus on Patient-Centric Care-In the realm of Global Transthyretin Amyloidosis Treatment, a significant shift towards patient-centric care has emerged, emphasizing a holistic approach to management. This transformation revolves around tailoring treatment strategies to individual patient needs, preferences, and values. Rather than solely focusing on disease pathology, this approach considers the patient as a whole, taking into account their unique circumstances, goals, and quality of life. By placing the patient at the center of care, healthcare providers aim to improve treatment outcomes, enhance patient satisfaction, and ultimately optimize the overall healthcare experience for individuals affected by transthyretin amyloidosis.
Central to the concept of patient-centric care is the idea of empowerment, wherein patients are actively involved in decision-making processes regarding their treatment journey. Healthcare providers strive to engage patients as partners in their care, encouraging open communication, shared decision-making, and mutual respect. This collaborative approach fosters a sense of ownership and responsibility within patients, empowering them to actively participate in managing their condition. Through education, support, and encouragement, patients become advocates for their own health, leading to better adherence to treatment regimens and improved health outcomes in the long term.
Patient-centric care extends beyond medical interventions to encompass the broader psychosocial and emotional needs of individuals living with transthyretin amyloidosis. Recognizing the profound impact of the disease on patients' lives, healthcare providers offer comprehensive support services aimed at addressing psychosocial challenges, managing symptoms, and enhancing overall well-being. This holistic approach acknowledges the importance of addressing not only the physical manifestations of the disease but also its emotional and social implications, thereby promoting a higher quality of life for patients and their families.
In conclusion, the emphasis on patient-centric care represents a fundamental shift in the treatment paradigm for transthyretin amyloidosis. By prioritizing the individual needs and preferences of patients, healthcare providers aim to deliver more personalized, compassionate, and effective care. Through empowerment, collaboration, and holistic support, patient-centric care not only improves treatment outcomes but also enhances the overall experience of individuals living with transthyretin amyloidosis, fostering a greater sense of dignity, autonomy, and well-being.
Competitive Landscape Analysis
Key players in Global Transthyretin Amyloidosis Treatment Market include:
- Alnylam Pharmaceuticals, Inc
- Ionis Pharmaceuticals, Inc
- Pfizer, Inc
- Eidos Therapeutics, Inc
- Akcea Therapeutics, Inc
- Prothena Corporation Plc
- GlaxoSmithKline Plc.
- SOM Innovation Biotech, S.L
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 Type
- Market Snapshot, By Drug Type
- Market Snapshot, By Disease Type
- Market Snapshot, By Route Of Administration
- Market Snapshot, By Distribution Channel
- Market Snapshot, By Region
- Transthyretin Amyloidosis Treatment Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
- Rising Geriatric Population
- Investments in Research and Development
- Government Initiatives and Funding
- Restraints
- Stringent Regulatory Requirements
- Lack of Disease-Specific Biomarkers
- Potential Adverse Effects
- Opportunities
- Collaborative Research Initiatives
- Expansion of Treatment Options
- Focus on Patient-Centric Care
- 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
- Transthyretin Amyloidosis Treatment Market, By Type, 2021- 2031(USD Million)
- ATTR amyloidosis with polyneuropathy (ATTR-PN)
- ATTR amyloidosis with cardiomyopathy (ATTR-CM)
- Transthyretin Amyloidosis Treatment Market, By Drug Type, 2021 - 2031(USD Million)
- Tafamidis (Vyndaqel)
- Patisiran (ONPATTRO)
- Inotersen (TEGSEDI)
- Others
- Transthyretin Amyloidosis Treatment Market,By Disease Type, 2021- 2031 (USD Million)
- Hereditary Transthyretin Amyloidosis
- Cardiomyopathy
- Mixed Type
- Polyneuropathy
- Wild Type Amyloidosis
- Hereditary Transthyretin Amyloidosis
- Transthyretin Amyloidosis Treatment Market, By Type, 2021- 2031(USD Million)
- Transthyretin Amyloidosis Treatment Market, By Route Of Administration, 2021- 2031(USD Million)
- Oral
- Parenteral
- Transthyretin Amyloidosis Treatment Market, By Distribution Channel, 2021- 2031(USD Million)
- Hospital Pharmacy
- Retail Drug Stores
- Online Pharmacy
- Transthyretin Amyloidosis Treatment 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
- Competitive Landscape
- Company Profiles
- Alnylam Pharmaceuticals, Inc
- Ionis Pharmaceuticals, Inc
- Pfizer, Inc
- Eidos Therapeutics, Inc
- Akcea Therapeutics, Inc
- Prothena Corporation Plc
- GlaxoSmithKline Plc.
- SOM Innovation Biotech, S.L
- Company Profiles
- Analyst Views
- Future Outlook of the Market