Global Enzyme Replacement Therapy Market - 2022-2029

Global Enzyme Replacement Therapy Market - 2022-2029

Market Overview

Enzyme Replacement Therapy Market was valued at USD XX million in 2021. It is forecasted to reach USD XX million by 2029, growing at a CAGR of 5.1 % during the forecast period (2022-2029).

Enzyme Replacement Therapy (ERT) is the treatment involved for rare diseases. According to Global genes.org, around 80.0% of rare diseases are categorized under genetic origin. There are more than 7,000 different types of rare diseases discovered globally. Around 50.0% of the people globally affected by rare diseases are infants and children. The FDA-approved drugs are not available for 95.0% of rare diseases, per the Kakkis Every life Foundations. ERT replenishes an enzyme that is not present in the body. ERT is available for diseases such as Gaucher disease, Fabry disease, mucopolysaccharidosis, Pompe disease, and lysosomal acid lipase deficiency. An increase in healthcare spending and the rising prevalence of rare diseases globally are among the key factors driving the enzyme replacement therapy market. Moreover, the growth in the demand for enzyme replacement therapy to improve the treatment of rare diseases is expected to drive the market during the forecast period.

Market Dynamics

According to the data published in 2021 by the Orphan drug Act, a rare disease is a disease or condition that impacts less than 200,000 people in the U.S. There are about 7000 known rare diseases, and collectively about 1 in 10 people (or 30 million people) in the United States have a rare disease. The most commonly occurring lysosomal storage diseases include Fabry, Pompe, Gaucher, various forms of MPS, and SCID diseases. Such type of rare diseases occurs in low frequencies. For instance, Gaucher’s disease is expected to be prevalent in 1 in over 100,000 individuals, according to Orphanet. The low prevalence of rare diseases is one of the key aspects of its limited growth in the pharmaceutical industry.

Also, Government initiatives for rare diseases drive market growth. Governments are significantly focussing on driving R&D in rare diseases to address the rising prevalence of rare diseases across the globe. The Government of the U.K. has set out a strategy to escalate the diagnosis and treatment of rare diseases. As per the framework, the government has planned to improve the lives of over 3.5 million people with rare diseases in the country. This would speed up the diagnosis and will simultaneously increase the awareness, treatment, and care for rare diseases. Therefore, with such supportive government initiatives, the demand for enzyme replacement therapy will increase during the forecast period.

However, the wide availability of alternative treatment solutions lack of skilled healthcare professionals is a factors expected to restrict the market growth during the forecast period.

Market Segmentation: Agalsidase Alfa segment accounted for the highest share in global enzyme replacement therapy market.

Agalsidase Alfa segment led the overall market with a share in 2022 and is likely to register the fastest CAGR during the forecast period. It is a recombinant formulation of human a-galactosidase (AGAL) that is especially being used for the treatment of Fabry disease. This enzyme is manufactured by Shire, a subsidiary of Takeda Pharmaceutical, with the brand name Replagal.

Based on the indication type, the enzyme replacement therapy market has been classified into Gaucher disease, Fabry disease, Pompe disease, and hurler syndrome. Gaucher disease segment dominated the global enzyme replacement therapy market in 2022. It is attributed to the high incidence of Gaucher disease across the globe. It is expected to occur in one of 50,000 to 10,000 individuals. According to Clinicaltrials.gov, more than 60 studies are undergoing for Gaucher’s disease, primarily funded by pharmaceutical companies. Considering such wide scope analyzed for Gaucher disease, the market for enzyme replacement therapy will increase during the forecast period.

Geographical Penetration: North America is the dominating region during the forecast period.

North America dominates the global enzyme replacement therapy market with the largest share in terms of value and volume globally, followed by Europe. The US dominated the North America enzyme replacement therapy market in 2019. The adoption of advanced technologies, and well-developed healthcare infrastructure, are certain factors that will enhance the market growth in the region during the forecast period.

Asia Pacific is expected to project a considerable CAGR in the market during the forecast period. The expansion of healthcare giants in rapidly emerging markets, such as China, India, and others, drives the market growth. These multinational companies are significantly investing in the healthcare sector in the Asia Pacific region.

Competitive Landscape:

The enzyme replacement therapy market is highly competitive, owing to the large presence of enzyme replacement therapy brands. The key enzyme replacement therapy players include AbbVie PLC, Alexion Pharmaceuticals Inc., Allergan plc, BioMarin Pharmaceutical Inc., Horizon Pharma Public Limited Company, Protalix Biotherapeutics, Recordati Rare Diseases, Johnson & Johnson Services Inc., Sanofi SA, Shire PLC. The crucial players are adopting new product launches and expansion strategies for global growth in the enzyme replacement therapy market. In January 2021, Horizon Therapeutics plc acquired Viela Bio, Inc. to significantly expand the development pipeline and grow the rare disease medicine portfolio. This acquisition Strengthens current R&D capability by adding a team with early-stage research, translational and clinical development capabilities along with deep scientific knowledge in autoimmune and severe inflammatory diseases. In June 2022, Recordati Rare Diseases announces positive data from phase III Linc 4, Phase III Linc 3, and Illustrate ISTURISA studies presented at ENDO 2022 meeting in Atlanta, Georgia. This drug is well tolerated in most patients without any side effects.

COVID-19 Impact: Positive impact on the global enzyme replacement therapy market.

The people dealing with the Fabry disease are at a major risk for the development of rare diseases. The impact of COVID-19 on patients dealing with Fabry disease and undergoing enzyme replacement therapy is still unknown. However, the new diagnosis rate has reduced to some extent; the market is mainly driven by the people that were previously diagnosed with the disease. Therefore, considerable growth can be projected in the enzyme replacement therapy market in 2020.


1. Methodology and Scope
1.1. Research Methodology
1.2. Research Objective and Scope of the Report
2. Market Definition and Overview
3. Executive Summary
3.1. Market Snippet by Enzyme Type
3.2. Market Snippet by Indication Type
3.3. Market Snippet by Route of Administration
3.4. Market Snippet by End-Users
3.5. Market Snippet by Region
4. Market Dynamics
4.1. Market Impacting Factors
4.1.1. Drivers
4.1.1.1. High healthcare spending on rare diseases
4.1.1.2. Rising prevalence of rare diseases
4.1.2. Restraints:
4.1.2.1. Lack of skilled professional
4.1.3. Opportunity
4.1.4. Impact Analysis
5. Industry Analysis
5.1. Porter's Five Forces Analysis
5.2. Supply Chain Analysis
5.3. Value Chain Analysis
5.4. PEST Analysis
5.5. Pricing Analysis
5.6. Regulatory Analysis
5.7. Reimbursement Analysis
5.8. Unmet Needs
5.9. Patent Trends
6. COVID-19 Analysis
6.1. Analysis of Covid-19 on the Market
6.1.1. Before COVID-19 Market Scenario
6.1.2. Present COVID-19 Market Scenario
6.1.3. After COVID-19 or Future Scenario
6.2. Pricing Dynamics Amid Covid-19
6.3. Demand-Supply Spectrum
6.4. Government Initiatives Related to the Market During Pandemic
6.5. Manufacturers Strategic Initiatives
6.6. Conclusion
7. By Enzyme Type
7.1. Introduction
7.2. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Enzyme Type Segment
7.3. Market Attractiveness Index, By Enzyme Type Segment
7.3.1. Alglucerase alfa*
7.3.1.1. Introduction
7.3.1.2. Market Size Analysis, and Y-o-Y Growth Analysis (%)
7.3.2. Imiglucerase
7.3.3. Taliglucerase alfa
7.3.4. Velaglucerase alfa
8. By Indication Type
8.1. Introduction
8.2. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Indication Type Segment
8.3. Market Attractiveness Index, By Indication Type Segment
8.3.1. Gaucher Disease*
8.3.1.1. Introduction
8.3.1.2. Market Size Analysis, and Y-o-Y Growth Analysis (%)
8.3.2. Fabry Disease
8.3.3. Pompe Disease
8.3.4. Hurler Syndrome
8.3.5. Others
9. By Route of Administration
9.1. Introduction
9.2. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Route of Administration
9.3. Market Attractiveness Index, By Route of Administration
9.3.1. Oral*
9.3.1.1. Introduction
9.3.1.2. Market Size Analysis, and Y-o-Y Growth Analysis (%)
9.3.2. Injectable
10. By End-Users
10.1. Introduction
10.1.1. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End-Users
10.1.2. Market Attractiveness Index, By End-Users
10.2. Hospitals & Clinics*
10.2.1. Introduction
10.2.2. Market Size Analysis, and Y-o-Y Growth Analysis (%)
10.3. Homecare
10.4. Others
11. By Region
11.1. Introduction
11.2. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Region
11.3. Market Attractiveness Index, By Region
11.4. North America
11.4.1. Introduction
11.4.2. Key Region-Specific Dynamics
11.4.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Enzyme Type
11.4.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Indication Type
11.4.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Route of Administration
11.4.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End-Users
11.4.7. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
11.4.7.1. U.S.
11.4.7.2. Canada
11.4.7.3. Mexico
11.5. Europe
11.5.1. Introduction
11.5.2. Key Region-Specific Dynamics
11.5.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Enzyme Type
11.5.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Indication Type
11.5.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Route of Administration
11.5.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End-Users
11.5.7. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
11.5.7.1. Germany
11.5.7.2. U.K.
11.5.7.3. France
11.5.7.4. Italy
11.5.7.5. Spain
11.5.7.6. Rest of Europe
11.6. South America
11.6.1. Introduction
11.6.2. Key Region-Specific Dynamics
11.6.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Enzyme Type
11.6.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Indication Type
11.6.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Route of Administration
11.6.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End-Users
11.6.7. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
11.6.7.1. Brazil
11.6.7.2. Argentina
11.6.7.3. Rest of South America
11.7. Asia Pacific
11.7.1. Introduction
11.7.2. Key Region-Specific Dynamics
11.7.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Enzyme Type
11.7.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Indication Type
11.7.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Route of Administration
11.7.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End-Users
11.7.7. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
11.7.7.1. China
11.7.7.2. India
11.7.7.3. Japan
11.7.7.4. Australia
11.7.7.5. Rest of Asia Pacific
11.8. Middle East and Africa
11.8.1. Introduction
11.8.2. Key Region-Specific Dynamics
11.8.3. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Enzyme Type
11.8.4. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Indication Type
11.8.5. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Route of Administration
11.8.6. Market Size Analysis, and Y-o-Y Growth Analysis (%), By End-Users
11.8.7. Market Size Analysis, and Y-o-Y Growth Analysis (%), By Country
12. Competitive Landscape
12.1. Competitive Scenario
12.2. Market Positioning/Share Analysis
12.3. Mergers and Acquisitions Analysis
13. Company Profiles
13.1. AbbVie PLC*
13.1.1. Company Overview
13.1.2. Product Portfolio and Description
13.1.3. Key Highlights
13.1.4. Financial Overview
13.2. Alexion Pharmaceuticals Inc.
13.3. Allergan plc
13.4. BioMarin Pharmaceutical Inc.
13.5. Horizon Pharma Public Limited Company
13.6. Protalix Biotherapeutics
13.7. Recordati Rare Diseases
13.8. Johnson & Johnson Services Inc.
13.9. Sanofi SA
13.10. Shire PLC (List Not Exhaustive)
14. Premium Insights
15. DataM Intelligence
15.1. Appendix
15.2. About Us and Services
15.3. Contact Us

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