Bronchiectasis Market Size and Trend Report including Epidemiology and Pipeline Analysis, Competitor Assessment, Unmet Needs, Clinical Trial Strategies and Forecast, 2021-2031
Summary
Bronchiectasis, which has been given diagnostic code of J47.9 from the International Classification of Diseases, Tenth Edition (ICD-10), is defined by damage to the bronchi, causing abnormal dilation and scarring. The airways become inflamed with thick mucus that is difficult to clear, which build-up creates an environment for bacterial growth; uncontrolled bacterial growth leads to frequent infections. The cycle of repeated infections can in turn cause further damage to the airways. Bronchiectasis can occur throughout the lung or in a single section of lung. .
Bronchiectasis is still relatively poorly understood; increasing emphasis has been placed on the role of underlying factors, such as the presence of comorbidities, but the development of bronchiectasis is multifactorial. Contributing factors include infections, immunodeficiency, impaired mucociliary clearance, previous lung injury, airway lesions, concurrent chronic respiratory diseases, and connective tissue and/or autoimmune diseases. Although diagnosed prevalent cases of bronchiectasis are expected to increase by 21.3% across the 3MM, many symptomatic treatments are currently used off-label. The most frequently used drug classes are antibiotics, bronchodilators, and mucolytics. Antibiotics are most commonly used off-label to treat bronchiectasis patients whose lungs are colonized with bacteria as a prophylactic treatment, or to treat lung infections; they can be oral, IV, or inhaled depending on the severity and type of bacteria. Mucolytics and bronchodilators are used to alleviate symptoms by clearing airways of thick mucus and widening airways.
The bronchiectasis market in the 3MM was valued at $408.2M in 2021. The market is projected to grow at a Compound Annual Growth Rate (CAGR) of 9.0%, reaching $965.8 million by 2031, with pipeline agents adding over $450 million in sales. In 2021, inhaled antibiotics was the market-leading class with $265.6 million in sales and is expected to remain the leader with $314.5 million in sales in 2031. The major driver for this growth will be the anticipated launch of novel pipeline agents such as Fasenra and brensocatib which have forecasted 2031 sales of $171.2 million and $271.6 million, respectively.
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