Non-Alcoholic Steatohepatitis Treatment Market (By Drug Type: Obeticholic Acid, Lanifibranor, Semaglutide, Resmetirom, Aramchol, Cenicriviroc; By End-use) - Global Industry Analysis, Size, Share, Growth, Trends, Revenue, Regional Outlook and Forecast 2022-2030

The global non-alcoholic steatohepatitis (NASH) treatment market was valued at USD 1.1 billion in 2021 and it is predicted to surpass around USD 16.3 billion by 2030 with a CAGR of 34.92% from 2022 to 2030

Non-Alcoholic Steatohepatitis Treatment Market Size 2021 to 2030

The non-alcoholic steatohepatitis (NASH) treatment market is primarily driven by the launch of drugs such as Novo Nordisk's Ozempic, Intercept's Ocaliva, and Inventiva's lanifibranor, among others.

The NASH treatment market has major unmet needs owing to factors such as the unavailability of approved drugs, high disease burden, and complex diagnostic procedures. Currently, the market is dominated by off-label drugs such as Pioglitazone and Vitamin E. These are widely prescribed drugs in this space globally. However, to address the unmet opportunity, key market players are heavily investing in R&D activities to develop novel therapeutics for NASH treatment. Currently, there are more than 50 pipeline candidates.

Some of the late-stage pipeline candidates expected to launch during the forecast period include Inventiva Pharma's Lanifibranor, Intercept Pharmaceuticals' Obeticholic acid, Galmed Pharmaceuticals Ltd.'s Aramchol, Novo Nordisk A/S's Semaglutide, and Madrigal Pharmaceuticals, Inc.'s Resmetirom. Among these, Intercept Pharmaceuticals's Obeticholic Acid (OCA), and Madrigal Pharmaceuticals, Inc.'s Resmetirom, are the most looked upon drugs and are expected to enter comparatively earlier than other pipeline candidates.

Research studies reveal that non-alcoholic steatohepatitis is strongly associated with obesity and diabetes. Research studies show that around 80% of NASH patients are obese. In countries such as the U.S., the obesity prevalence is as high as 42%, according to the latest 2021 statistics by CDC. In addition, countries such as the U.S. and Japan account for the highest prevalence of non-alcoholic steatohepatitis globally, and these countries also have a high burden of obesity and diabetes. All such factors will fuel the NASH treatment market throughout the forecast period.

Strategic initiatives by pharma giants and supportive regulatory authority policies such as fast track designation are further expected to accelerate the market growth. In May 2022, Pfizer, Inc.'s Ervogastat/Clesacostat Combination therapy received fast track designation. This is one of the potential drug combinations for the treatment of non-alcoholic steatohepatitis. Such drug designation boosts the clinical trial process for drugs.

Liver biopsy is the gold standard for the diagnosis of non-alcoholic steatohepatitis. The invasive nature of this diagnostics test limits its usage to only symptomatic cases, and as a result, the global average diagnostic rate for NASH is around 20%. The unavailability of biomarkers-based non-invasive tests for the diagnosis of non-alcoholic steatohepatitis is expected to impede the market growth.

Scope of The Report

Report Coverage Details
Market Size in 2021 USD 1.1 billion
Revenue Forecast by 2030 USD 16.3 billion
Growth rate from 2022 to 2030 CAGR of 34.92%
Base Year 2021
Forecast Period 2022 to 2030
Segmentation Drug type, end-use, region
Companies Covered Intercept Pharmaceuticals; Galmed Pharmaceuticals; Inventiva Pharma; AbbVie Inc.; Galectin Therapeutics Inc.; Madrigal Pharmaceuticals; NGM Biopharmaceuticals Inc.; Novo Nordisk A/S; Bristol Myers Squibb; Gilead Sciences Inc.

 

Drug Type Insights

Vitamin E and pioglitazone segment completely dominated the market with a share of 100% in 2021. The domination of off-label therapies can be attributed to the unavailability of approved therapeutic options in the market. Off-label treatments like Vitamin E are the most commonly prescribed therapeutics for non-alcoholic steatohepatitis.

However, Vitamin E is not recommended for diabetic patients due to the medical complications associated with it. In contrast, Pioglitazone is administered to NASH patients with type 2 diabetes. Some other off-label drugs include statins, which are prescribed to NASH patients with a risk of cardiovascular disease.

The NASH market is highly engaged in robust R&D activities; various potential pathways are in R&D for NASH treatments, including lipogenesis inhibitors, medications targeting the farnesoid X receptor axis, ASK1 inhibitors, and many more. Some prominent drugs anticipated to be launched during the forecast period include Intercept Pharmaceuticals' Obeticholic acid, Inventiva Pharma's Lanifibranor, Novo Nordisk A/S's Semaglutide, Galmed Pharmaceuticals Ltd's Aramchol, and Madrigal Pharmaceuticals, Inc.'s Resmetirom.

End-Use Insights

The retail and specialty pharmacies segment is anticipated to expand at a substantial CAGR of 39.6% during the forecast period. As NASH is a chronic disease, it takes a long period of support of medications, which favors retail pharmacies' growth. Most medication consumption, including off-label, is anticipated in homecare settings associated with retail pharmacies. All these factors are expected to propel the market growth during the assessment period.

The others segment is expected to progress at the highest CAGR of 42.07% during the forecast period. Other end-use segments include online pharmacy; this platform encourages ease of buying for customers. The trend of online purchasing is growing due to the platform's comfort, flexibility, and convenience, thus generating high revenues and driving the segment.

Regional Insights

In 2021, North America accounted for the largest market share of 79.62%. This can be attributed tothe high disease burden, increased healthcare expenditure, rise in patient awareness, and presence of major players in the region. In addition, the U.S. accounted for the highest prevalence of cases for NASH, followed by Japan.

Spain was the least affected among the European countries, and Germany had the highest NASH prevalence. In addition, the Asia Pacific region is expected to witness substantial growth during the forecast period. This is more likely due to high NASH prevalent countries such as Japan.

Key Players

  • Intercept Pharmaceuticals
  • Galmed Pharmaceuticals
  • Inventiva Pharma
  • AbbVie Inc.
  • Galectin Therapeutics Inc.
  • Madrigal Pharmaceuticals
  • NGM Biopharmaceuticals Inc.
  • Novo Nordisk A/S
  • Bristol Myers Squibb
  • Gilead Sciences Inc.

Market Segmentation

  • By Drug Type Outlook
    • Vitamin E and Pioglitazone
    • Obeticholic Acid (OCA)
    • Lanifibranor
    • Semaglutide
    • Resmetirom
    • Aramchol
    • Cenicriviroc
    • Others
  • By End-use Outlook
    • Hospital Pharmacies
    • Retail & Specialty Pharmacies
    • Others
  • By Regional Outlook
    • North America
      • U.S.
      • Canada
    • Europe
      • Germany
      • UK
      • France
      • Italy
      • Spain
    • Asia Pacific
      • Japan
      • China
      • India
      • Australia
      • South Korea
    • Latin America
      • Brazil
      • Mexico
      • Argentina
    • Middle East and Africa
      • South Africa
      • Saudi Arabia
      • UAE

Chapter 1. Introduction

1.1. Research Objective

1.2. Scope of the Study

1.3. Definition

Chapter 2. Research Methodology

2.1. Research Approach

2.2. Data Sources

2.3. Assumptions & Limitations

Chapter 3. Executive Summary

3.1. Market Snapshot

Chapter 4. Market Variables and Scope 

4.1. Introduction

4.2. Market Classification and Scope

4.3. Industry Value Chain Analysis

4.3.1. Raw Material Procurement Analysis 

4.3.2. Sales and Distribution Channel Analysis

4.3.3. Downstream Buyer Analysis

Chapter 5. COVID 19 Impact on Non-Alcoholic Steatohepatitis Treatment Market 

5.1. COVID-19 Landscape: Non-Alcoholic Steatohepatitis Treatment Industry Impact

5.2. COVID 19 - Impact Assessment for the Industry

5.3. COVID 19 Impact: Global Major Government Policy

5.4. Market Trends and Opportunities in the COVID-19 Landscape

Chapter 6. Market Dynamics Analysis and Trends

6.1. Market Dynamics

6.1.1. Market Drivers

6.1.2. Market Restraints

6.1.3. Market Opportunities

6.2. Porter’s Five Forces Analysis

6.2.1. Bargaining power of suppliers

6.2.2. Bargaining power of buyers

6.2.3. Threat of substitute

6.2.4. Threat of new entrants

6.2.5. Degree of competition

Chapter 7. Competitive Landscape

7.1.1. Company Market Share/Positioning Analysis

7.1.2. Key Strategies Adopted by Players

7.1.3. Vendor Landscape

7.1.3.1. List of Suppliers

7.1.3.2. List of Buyers

Chapter 8. Global Non-Alcoholic Steatohepatitis Treatment Market, By Drug Type

8.1. Non-Alcoholic Steatohepatitis Treatment Market, by Drug Type, 2022-2030

8.1.1. Vitamin E and Pioglitazone

8.1.1.1. Market Revenue and Forecast (2017-2030)

8.1.2. Obeticholic Acid (OCA)

8.1.2.1. Market Revenue and Forecast (2017-2030)

8.1.3. Lanifibranor

8.1.3.1. Market Revenue and Forecast (2017-2030)

8.1.4. Semaglutide

8.1.4.1. Market Revenue and Forecast (2017-2030)

8.1.5. Resmetirom

8.1.5.1. Market Revenue and Forecast (2017-2030)

8.1.6. Aramchol

8.1.6.1. Market Revenue and Forecast (2017-2030)

8.1.7. Cenicriviroc

8.1.7.1. Market Revenue and Forecast (2017-2030)

8.1.8. Others

8.1.8.1. Market Revenue and Forecast (2017-2030)

Chapter 9. Global Non-Alcoholic Steatohepatitis Treatment Market, By End-use

9.1. Non-Alcoholic Steatohepatitis Treatment Market, by End-use, 2022-2030

9.1.1. Hospital Pharmacies

9.1.1.1. Market Revenue and Forecast (2017-2030)

9.1.2. Retail & Specialty Pharmacies

9.1.2.1. Market Revenue and Forecast (2017-2030)

9.1.3. Others

9.1.3.1. Market Revenue and Forecast (2017-2030)

Chapter 10. Global Non-Alcoholic Steatohepatitis Treatment Market, Regional Estimates and Trend Forecast

10.1. North America

10.1.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.1.2. Market Revenue and Forecast, by End-use (2017-2030)

10.1.3. U.S.

10.1.3.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.1.3.2. Market Revenue and Forecast, by End-use (2017-2030)

10.1.4. Rest of North America

10.1.4.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.1.4.2. Market Revenue and Forecast, by End-use (2017-2030)

10.2. Europe

10.2.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.2.2. Market Revenue and Forecast, by End-use (2017-2030)

10.2.3. UK

10.2.3.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.2.3.2. Market Revenue and Forecast, by End-use (2017-2030)

10.2.4. Germany

10.2.4.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.2.4.2. Market Revenue and Forecast, by End-use (2017-2030)

10.2.5. France

10.2.5.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.2.5.2. Market Revenue and Forecast, by End-use (2017-2030)

10.2.6. Rest of Europe

10.2.6.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.2.6.2. Market Revenue and Forecast, by End-use (2017-2030)

10.3. APAC

10.3.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.3.2. Market Revenue and Forecast, by End-use (2017-2030)

10.3.3. India

10.3.3.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.3.3.2. Market Revenue and Forecast, by End-use (2017-2030)

10.3.4. China

10.3.4.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.3.4.2. Market Revenue and Forecast, by End-use (2017-2030)

10.3.5. Japan

10.3.5.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.3.5.2. Market Revenue and Forecast, by End-use (2017-2030)

10.3.6. Rest of APAC

10.3.6.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.3.6.2. Market Revenue and Forecast, by End-use (2017-2030)

10.4. MEA

10.4.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.4.2. Market Revenue and Forecast, by End-use (2017-2030)

10.4.3. GCC

10.4.3.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.4.3.2. Market Revenue and Forecast, by End-use (2017-2030)

10.4.4. North Africa

10.4.4.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.4.4.2. Market Revenue and Forecast, by End-use (2017-2030)

10.4.5. South Africa

10.4.5.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.4.5.2. Market Revenue and Forecast, by End-use (2017-2030)

10.4.6. Rest of MEA

10.4.6.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.4.6.2. Market Revenue and Forecast, by End-use (2017-2030)

10.5. Latin America

10.5.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.5.2. Market Revenue and Forecast, by End-use (2017-2030)

10.5.3. Brazil

10.5.3.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.5.3.2. Market Revenue and Forecast, by End-use (2017-2030)

10.5.4. Rest of LATAM

10.5.4.1. Market Revenue and Forecast, by Drug Type (2017-2030)

10.5.4.2. Market Revenue and Forecast, by End-use (2017-2030)

Chapter 11. Company Profiles

11.1. Intercept Pharmaceuticals

11.1.1. Company Overview

11.1.2. Product Offerings

11.1.3. Financial Performance

11.1.4. Recent Initiatives

11.2. Galmed Pharmaceuticals

11.2.1. Company Overview

11.2.2. Product Offerings

11.2.3. Financial Performance

11.2.4. Recent Initiatives

11.3. Inventiva Pharma

11.3.1. Company Overview

11.3.2. Product Offerings

11.3.3. Financial Performance

11.3.4. Recent Initiatives

11.4. AbbVie Inc.

11.4.1. Company Overview

11.4.2. Product Offerings

11.4.3. Financial Performance

11.4.4. LTE Scientific

11.5. Galectin Therapeutics Inc.

11.5.1. Company Overview

11.5.2. Product Offerings

11.5.3. Financial Performance

11.5.4. Recent Initiatives

11.6. Madrigal Pharmaceuticals

11.6.1. Company Overview

11.6.2. Product Offerings

11.6.3. Financial Performance

11.6.4. Recent Initiatives

11.7. NGM Biopharmaceuticals Inc.

11.7.1. Company Overview

11.7.2. Product Offerings

11.7.3. Financial Performance

11.7.4. Recent Initiatives

11.8. Novo Nordisk A/S

11.8.1. Company Overview

11.8.2. Product Offerings

11.8.3. Financial Performance

11.8.4. Recent Initiatives

11.9. Bristol Myers Squibb

11.9.1. Company Overview

11.9.2. Product Offerings

11.9.3. Financial Performance

11.9.4. Recent Initiatives

11.10. Gilead Sciences Inc.

11.10.1. Company Overview

11.10.2. Product Offerings

11.10.3. Financial Performance

11.10.4. Recent Initiatives

Chapter 12. Research Methodology

12.1. Primary Research

12.2. Secondary Research

12.3. Assumptions

Chapter 13. Appendix

13.1. About Us

13.2. Glossary of Terms

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