Global Transthyretin (TTR) Amyloidosis Market Growth, Share, Size, Trends and Forecast (2025 - 2031)
By Disease Type;
Transthyretin (TTR) Familial Amyloid Polyneuropathy, Transthyretin (TTR) Familial Amyloid Cardiomyopathy, and Others.By Treatment;
Small Molecules Treatment and Tafamidis(Diflunisal), RNAi Therapy, Organ Transplantation, and Others.By End-User;
Ambulatory Surgical Centers, Hospitals & Clinics, and Others.By Geography;
North America, Europe, Asia Pacific, Middle East and Africa and Latin America - Report Timeline (2021 - 2031).Introduction
Global Transthyretin (TTR) Amyloidosis Market (USD Million), 2021 - 2031
In the year 2024, the Global Transthyretin (TTR) Amyloidosis Market was valued at USD 1208.54 million. The size of this market is expected to increase to USD 2355.10 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 10.0%.
Transthyretin (TTR) amyloidosis is a rare, progressive disease characterized by the accumulation of amyloid fibrils composed of misfolded TTR protein in various organs and tissues. This condition primarily affects the peripheral nervous system and the heart, leading to significant morbidity and mortality. The global TTR amyloidosis market has been gaining attention due to the increased understanding of the disease pathogenesis and the development of novel therapeutic strategies.
The market is driven by several factors, including the growing aging population, which is at a higher risk of developing TTR amyloidosis. Advances in diagnostic technologies have enabled earlier and more accurate detection of the disease, thereby improving patient outcomes. Additionally, increased awareness among healthcare professionals and patients has led to a higher diagnosis rate.
The investment in research and development (R&D) has surged, resulting in the approval of new treatments that offer hope for patients. Genetic testing has become more accessible, allowing for the identification of hereditary TTR amyloidosis in affected families. Rising healthcare expenditure and government funding initiatives further bolster market growth. Patient advocacy groups have played a crucial role in raising awareness and driving research efforts.
However, the market also faces several challenges. High treatment costs and limited awareness among the general population and healthcare providers are significant barriers. Diagnostic challenges persist, especially in differentiating TTR amyloidosis from other conditions with similar symptoms. The low prevalence of the disease makes it less attractive for extensive research funding, and regulatory approval processes for new treatments can be lengthy and complex.
Despite these challenges, the market presents numerous opportunities. Emerging markets show potential for expansion, personalized medicine approaches are becoming more prevalent, and advancements in biomarker discovery are improving diagnostic accuracy. Strategic partnerships and public-private collaborations are fostering innovation, while digital health technologies and orphan drug incentives are expected to further drive market growth.
Global Transthyretin (TTR) Amyloidosis Market Recent Developments
- In January 2022, AstraZeneca’s drug Eplontersen received Orphan Drug Designation in the U.S. by the FDA for the transthyretin-mediated amyloidosis treatment.
- In June 2022, Alnylam Pharmaceuticals, Inc. received FDA authorization for AMVUTTRA (vutrisiran) for the treatment of Polyneuropathy of Hereditary Transthyretin-Mediated Amyloidosis. Continuous advancements by the market players would further drive the market during the forecast period.
Segment Analysis
This report extensively covers different segments of the Global Transthyretin (TTR) Amyloidosis Market and provides an in-depth analysis, including revenue analysis for both historic and forecast periods for all the market segments. In this report, each segment is meticulously examined, offering a comprehensive understanding of market dynamics and trends. The analysis encompasses various dimensions such as disease type, treatment options, and end-users, ensuring a holistic view of the market landscape.
For each segment, the report presents detailed revenue data, highlighting historical trends and projecting future growth patterns. This approach allows for a nuanced understanding of how each segment has evolved over time and what factors are driving its current and future performance. The historical data provides a baseline, while the forecast analysis offers insights into potential market developments, helping stakeholders make informed decisions.
The report substantiates its analysis with relevant data points, which are derived from a thorough examination of market trends and patterns. These data points include market size, growth rates, and revenue contributions of each segment. By analyzing these metrics, the report identifies key drivers and restraints affecting each segment, as well as emerging opportunities and potential challenges.
Moreover, the insights generated from the data analysis provide valuable context and depth to the report’s findings. These insights help elucidate the underlying factors influencing market dynamics, such as technological advancements, regulatory changes, and shifts in healthcare practices. The report’s comprehensive analysis and data-driven insights make it a valuable resource for stakeholders, including healthcare providers, researchers, and market strategists, enabling them to better understand the Global TTR Amyloidosis Market and make strategic decisions to capitalize on growth opportunities.
Global Transthyretin (TTR) Amyloidosis Segment Analysis
In this report, the Global Transthyretin (TTR) Amyloidosis Market has been segmented by Disease Type, Treatment, Gender, End-User and Geography.
Global Transthyretin (TTR) Amyloidosis Market, Segmentation by Disease Type
The Global Transthyretin (TTR) Amyloidosis Market has been segmented by Disease Type into Transthyretin (TTR) Familial Amyloid Polyneuropathy, Transthyretin (TTR) Familial Amyloid Cardiomyopathy and Others.
Transthyretin (TTR) Familial Amyloid Polyneuropathy (FAP): Transthyretin Familial Amyloid Polyneuropathy (FAP) is an inherited disorder caused by mutations in the TTR gene. This condition primarily affects the peripheral nerves, leading to symptoms such as numbness, pain, and weakness in the limbs, as well as autonomic dysfunction, which can impact bodily functions such as blood pressure regulation and digestion. The disease progression is typically gradual but can vary widely among individuals. FAP often requires comprehensive management strategies that include symptomatic treatment and disease-modifying therapies.
Transthyretin (TTR) Familial Amyloid Cardiomyopathy (FAC): Transthyretin Familial Amyloid Cardiomyopathy (FAC) is another hereditary form of TTR amyloidosis, primarily impacting the heart. The buildup of amyloid fibrils in the cardiac tissue leads to restrictive cardiomyopathy, characterized by heart failure, arrhythmias, and other cardiovascular complications. Patients with FAC often experience progressive heart dysfunction, which can severely affect their quality of life and survival. Treatment approaches focus on managing heart failure symptoms and slowing disease progression through novel therapies.
Others: This category includes less common forms of TTR amyloidosis, such as wild-type ATTR amyloidosis (previously known as senile systemic amyloidosis), where the disease occurs without genetic mutations and typically presents later in life. Other forms might involve various organ systems and present a diverse range of clinical manifestations, necessitating tailored diagnostic and therapeutic approaches.
Global Transthyretin (TTR) Amyloidosis Market, Segmentation by Treatment
The Global Transthyretin (TTR) Amyloidosis Market has been segmented by Treatment into Small Molecules Treatment and Tafamidis(Diflunisal), RNAi Therapy, Organ Transplantation and Others.
Small Molecules Treatment and Tafamidis (Diflunisal): Small molecule treatments such as tafamidis and diflunisal aim to stabilize the TTR protein and prevent it from misfolding and forming amyloid fibrils. Tafamidis is a breakthrough therapy that has shown efficacy in both TTR-FAP and TTR-FAC by binding to the TTR tetramer and stabilizing it. Diflunisal, an anti-inflammatory drug, also has TTR-stabilizing properties and is used off-label for treating TTR amyloidosis.
RNAi Therapy: RNA interference (RNAi) therapies, such as patisiran and inotersen, work by reducing the production of TTR protein in the liver. Patisiran uses lipid nanoparticle technology to deliver small interfering RNA (siRNA) molecules that target and degrade TTR mRNA, while inotersen uses antisense oligonucleotides (ASOs) for the same purpose. These therapies effectively reduce serum TTR levels, thereby decreasing amyloid fibril formation and improving clinical outcomes.
Organ Transplantation: Organ transplantation, particularly liver transplantation, has been a traditional treatment for hereditary TTR amyloidosis, as the liver is the primary source of TTR production. Liver transplantation can halt the production of mutant TTR and thus prevent further amyloid deposition. Cardiac transplantation may also be considered for patients with severe heart involvement. However, the availability of effective pharmacological treatments has reduced the reliance on transplantation.
Others: This category encompasses emerging treatments and supportive care measures. Emerging treatments may include novel TTR stabilizers, gene editing technologies, and combination therapies. Supportive care focuses on managing symptoms and improving the quality of life, including physical therapy, pain management, and addressing specific complications such as gastrointestinal or cardiac issues.
Global Transthyretin (TTR) Amyloidosis Market, Segmentation by End-User
The Global Transthyretin (TTR) Amyloidosis Market has been segmented by End-User into Ambulatory Surgical Centers, Hospitals & Clinics and Others.
Ambulatory Surgical Centers: Ambulatory Surgical Centers (ASCs) provide outpatient surgical care and can offer specialized procedures for TTR amyloidosis patients, such as biopsies for diagnostic purposes and certain therapeutic interventions. ASCs are equipped to deliver high-quality care with the convenience of outpatient services, which can be beneficial for patients requiring less invasive treatments and frequent monitoring.
Hospitals & Clinics: Hospitals and clinics are the primary settings for the comprehensive management of TTR amyloidosis. These facilities provide a full spectrum of care, including diagnostic evaluations, multidisciplinary treatment plans, and emergency care. Hospitals and clinics are essential for administering advanced therapies such as RNAi treatments, conducting complex diagnostic procedures, and managing severe complications of the disease.
Others: This segment includes a range of other healthcare settings such as specialized amyloidosis centers, long-term care facilities, and home healthcare services. Specialized centers offer focused expertise and state-of-the-art treatment options. Long-term care facilities provide ongoing management for patients with advanced disease, while home healthcare services enable patients to receive treatments and supportive care in the comfort of their homes, enhancing convenience and adherence to therapy.
Global Transthyretin (TTR) Amyloidosis Market, Segmentation by Geography
In this report, the Global Transthyretin (TTR) Amyloidosis Market has been segmented by Geography into five regions; North America, Europe, Asia Pacific, Middle East and Africa and Latin America.
Global Transthyretin (TTR) Amyloidosis Market Share (%), by Geographical Region, 2024
North America: North America holds a substantial share of the global TTR amyloidosis market. This dominance can be attributed to advanced healthcare infrastructure, high awareness among healthcare professionals and patients, and the availability of cutting-edge diagnostic and therapeutic options. The presence of key pharmaceutical companies and active patient advocacy groups further boosts the market in this region. The United States, in particular, leads the market due to its robust research and development activities and favorable reimbursement policies.
Europe: Europe also represents a significant portion of the market, driven by countries such as Germany, the United Kingdom, France, and Italy. The region benefits from a well-established healthcare system, strong regulatory frameworks, and substantial investment in rare disease research. European countries have a high adoption rate of novel therapies and comprehensive care strategies for TTR amyloidosis, contributing to market growth.
Asia-Pacific: The Asia-Pacific region is experiencing rapid growth in the TTR amyloidosis market. Increasing healthcare expenditure, improving healthcare infrastructure, and growing awareness of rare diseases are key drivers. Countries like Japan, China, and South Korea are at the forefront, with Japan having a notable history of research in amyloidosis. The region’s expanding middle class and government initiatives to improve rare disease management further enhance market potential.
Latin America: Latin America holds a smaller but growing share of the market. Countries such as Brazil and Mexico are seeing improvements in healthcare infrastructure and rising awareness of TTR amyloidosis. However, economic constraints and limited access to advanced therapies pose challenges. Efforts to enhance healthcare access and affordability are crucial for market expansion in this region.
Middle East & Africa: The Middle East & Africa region has the smallest market share, primarily due to limited healthcare infrastructure, lower awareness, and economic challenges. However, there is potential for growth with increasing investments in healthcare and initiatives to improve the diagnosis and treatment of rare diseases. Countries in the Gulf Cooperation Council (GCC) are making strides in enhancing their healthcare systems, which could positively impact the TTR amyloidosis market.
Overall, the geographical distribution of the TTR amyloidosis market is shaped by regional disparities in healthcare access, economic conditions, and the availability of diagnostic and therapeutic options. Efforts to improve awareness, accessibility, and affordability of treatments are essential to drive market growth across all regions.
Market Trends
This report provides an in depth analysis of various factors that impact the dynamics of Global Transthyretin (TTR) Amyloidosis Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Drivers, Restraints and Opportunity Analysis
Drivers:
- Aging population growth
- Diagnostic technology advancements
- Increased disease awareness
- R&D investment surge
-
Novel therapeutic approvals - Novel therapeutic approvals have significantly transformed the landscape of the global Transthyretin (TTR) amyloidosis market. These innovative treatments have provided new hope for patients suffering from this debilitating condition. Historically, treatment options were limited and focused primarily on managing symptoms rather than addressing the underlying cause of the disease. However, recent advances have led to the development and approval of therapies that directly target the misfolded TTR proteins, offering more effective and targeted treatment options.
One of the key breakthroughs in the field has been the approval of TTR stabilizers, such as tafamidis. Tafamidis works by binding to the TTR protein, preventing it from misfolding and forming amyloid fibrils. Clinical trials have demonstrated that tafamidis can significantly slow disease progression and improve quality of life for patients with both hereditary and wild-type TTR amyloidosis. The success of tafamidis has paved the way for the development of other stabilizers and inhibitors that aim to provide similar or even superior benefits.
In addition to stabilizers, gene-silencing therapies have emerged as a groundbreaking approach. Drugs like patisiran and inotersen utilize RNA interference (RNAi) technology to reduce the production of TTR protein in the liver. By lowering the levels of TTR protein, these therapies can effectively reduce the formation of amyloid fibrils and alleviate disease symptoms. Clinical trials have shown promising results, leading to the approval of these therapies for clinical use.
The introduction of these novel therapies has not only improved patient outcomes but has also stimulated further research and development in the field. Pharmaceutical companies are increasingly investing in the discovery of new therapeutic targets and the optimization of existing treatments. As a result, the pipeline of potential therapies for TTR amyloidosis continues to grow, offering hope for even more effective treatments in the future.
Restraints:
- High treatment costs
- Limited market awareness
- Diagnostic challenges persist
- Low prevalence rate
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Regulatory approval delays - Regulatory approval delays represent a significant restraint in the global Transthyretin (TTR) amyloidosis market. These delays can hinder the availability of new and potentially life-saving treatments to patients who need them most. The process of gaining regulatory approval for new drugs is complex and rigorous, involving multiple stages of clinical trials, comprehensive safety and efficacy evaluations, and extensive documentation and review. While these stringent processes are necessary to ensure the safety and effectiveness of new treatments, they can also result in prolonged timelines for drug approval.
One of the primary reasons for regulatory delays is the need for robust clinical trial data. For a rare disease like TTR amyloidosis, enrolling a sufficient number of patients to generate statistically significant results can be challenging. The low prevalence of the disease means that recruiting participants takes longer, and trials may need to be conducted across multiple countries to reach the required sample size. This complexity adds to the time and cost of conducting clinical trials.
Furthermore, regulatory agencies like the U.S. Food and Drug Administration (FDA) and the European Medicines Agency (EMA) have rigorous standards that must be met. Any issues or gaps in the submitted data can lead to requests for additional information or further studies, causing further delays. Additionally, the review process itself can be lengthy, as regulatory bodies must thoroughly assess all aspects of the new treatment before granting approval.
The impact of these delays is significant. Patients may continue to suffer without access to new therapies that could improve their quality of life or extend survival. Pharmaceutical companies also face increased costs and uncertainties, which can affect their willingness to invest in the development of new treatments for rare diseases like TTR amyloidosis. Addressing these regulatory challenges requires a balance between ensuring rigorous safety standards and streamlining processes to expedite the availability of new treatments.
Opportunities:
- Innovative drug delivery
- Personalized medicine growth
- Biomarker discovery advancements
- Strategic partnerships formation
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Emerging market penetration - Emerging market penetration represents a substantial opportunity for the growth of the global Transthyretin (TTR) amyloidosis market. These markets, which include countries in Asia, Latin America, and parts of Africa, are characterized by rapidly expanding healthcare infrastructures, increasing healthcare expenditure, and a growing middle-class population with greater access to medical services. Penetrating these markets can significantly expand the reach of TTR amyloidosis treatments and improve patient outcomes globally.
One of the key drivers of this opportunity is the increasing awareness of rare diseases, including TTR amyloidosis, in emerging markets. As healthcare systems in these regions develop, there is a growing focus on improving diagnostic capabilities and disease management. This awareness leads to earlier diagnosis and treatment, which is crucial for a condition like TTR amyloidosis, where early intervention can significantly impact disease progression and patient quality of life.
Furthermore, emerging markets often have less saturation and competition compared to developed markets, providing pharmaceutical companies with a relatively untapped audience. By investing in these regions, companies can establish a strong market presence and brand loyalty. Strategic partnerships with local healthcare providers and governments can facilitate market entry and distribution, ensuring that therapies reach patients more efficiently.
The economic growth in these regions also supports the affordability and accessibility of new treatments. Governments and private sectors are increasingly willing to invest in healthcare innovations, including the latest diagnostic tools and therapies for rare diseases. Additionally, international aid and global health initiatives can provide funding and support to improve healthcare infrastructure and access in these markets.
Expanding into emerging markets also aligns with the global health equity agenda, addressing disparities in access to care for rare diseases. By focusing on these regions, the TTR amyloidosis market can not only achieve commercial success but also contribute to global efforts to improve health outcomes and reduce the burden of rare diseases worldwide.
Competitive Landscape Analysis
Key players in Global Transthyretin (TTR) Amyloidosis Market include:
- Pfizer Inc.
- Johnson & Johnson Services, Inc.
- Ionis Pharmaceuticals, Inc.
- Alnylam Pharmaceuticals, Inc.
- BridgeBio Pharma, Inc.
- Bristol-Myers Squibb Company
- Acrotech Biopharma
- AstraZeneca
- Astellas Pharma, Inc.
- Prothena
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 Disease Type
- Market Snapshot, By Treatment
- Market Snapshot, By End-User
- Market Snapshot, By Region
- Global Transthyretin (TTR) Amyloidosis Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
- Aging population growth
- Diagnostic technology advancements
- Increased disease awareness
- R&D investment surge
- Novel therapeutic approvals
- Restraints
- High treatment costs
- Limited market awareness
- Diagnostic challenges persist
- Low prevalence rate
- Regulatory approval delays
- Opportunities
- Innovative drug delivery
- Personalized medicine growth
- Biomarker discovery advancements
- Strategic partnerships formation
- Emerging market penetration
- 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
- Global Transthyretin (TTR) Amyloidosis Market, By Disease Type, 2021 - 2031 (USD Million)
- Transthyretin (TTR) Familial Amyloid Polyneuropathy
- Transthyretin (TTR) Familial Amyloid Cardiomyopathy
- Others
- Global Transthyretin (TTR) Amyloidosis Market, By Treatment, 2021 - 2031 (USD Million)
- Small Molecules Treatment
- Tafamidis
- Diflunisal
- RNAi Therapy
- Organ Transplantation
- Others
- Global Transthyretin (TTR) Amyloidosis Market, By End-User, 2021 - 2031 (USD Million)
- Ambulatory Surgical Centers
- Hospitals & Clinics
- Others
- Global Transthyretin (TTR) Amyloidosis 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
- Global Transthyretin (TTR) Amyloidosis Market, By Disease Type, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Pfizer Inc.
- Johnson & Johnson Services, Inc.
- Ionis Pharmaceuticals, Inc.
- Alnylam Pharmaceuticals, Inc.
- BridgeBio Pharma, Inc.
- Bristol-Myers Squibb Company
- Acrotech Biopharma
- AstraZeneca
- Astellas Pharma, Inc.
- Prothena
- Company Profiles
- Analyst Views
- Future Outlook of the Market