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희귀질환 세포 및 유전자 치료 : 시장 인사이트, 역학 및 시장 예측(2036년)

Cell and Gene Therapies in Rare Disorders - Market Insights, Epidemiology, and Market Forecast - 2036

발행일: | 리서치사: 구분자 DelveInsight | 페이지 정보: 영문 399 Pages | 배송안내 : 2-10일 (영업일 기준)

    
    
    




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희귀질환 세포 및 유전자 치료의 인사이트와 동향

  • 2,000명 중 1명 미만의 비율로 발병하는 질환으로 정의되는 희귀질환이지만, 전체적으로 보면 결코 ‘희귀’하다고 할 수 없습니다. 지금까지 6,000종 이상의 희귀질환이 확인되었으며, 전 세계적으로 약 3억 명이 이 질환을 앓고 있는데, 이는 전 세계 인구의 3.5-5.9%에 해당합니다.
  • 유럽연합 집행위원회는 희귀질환을 '2,000명 중 1명 미만, 즉 10만 명당 약 50명에게 영향을 미치는 만성 또는 생명을 위협하는 질환'으로 정의하고 있습니다.
  • 희귀질환의 약 80%는 유전성입니다. 이러한 질환의 약 70%는 소아기에 발병하기 때문에 조기 진단과 조기 개입의 중요성이 강조되고 있습니다.
  • 전 세계의 기업들이 A형 및 B형 혈우병, 리소좀 축적증(파브리병, 폼페병, 다논병, 뮤코다당증(MPS) I, II, III), 신경 질환(바텐병, 파킨슨병), 근골격계 질환(DMD, 미오튜불러 근이영양증, LGMD), 안과 질환(무색각증, 맥락막 위축증, 망막색소변성증 등), 기타 수많은 적응증 등 광범위한 질환을 대상으로 하고 있습니다. 혁신의 관점에서 볼 때, 유전자 치료나 세포 치료는 초기 비용이 많이 들지만, 궁극적으로는 장기적인 의료 비용을 절감하고, 한계에 다다른 의료 시스템의 부담을 줄이는 데 기여할 가능성이 있습니다.
  • 유전자 치료 및 세포 치료는 지속적이고 장기적인 해결책을 제공할 가능성을 지니고 있으며, 그중에는 단 한 번의 치료로 끝나는 방식으로 설계된 것도 있습니다. 이러한 접근 방식을 통해 평생에 걸친 치료의 필요성을 줄이거나 없앨 수 있으며, 환자의 생존 기간을 연장하고, 질병의 진행을 늦추며, 전반적인 삶의 질을 향상시킬 가능성이 있습니다.
  • 희귀질환 환자를 대상으로 승인된 세포 및 유전자 치료제의 예로는 HEMGENIX(uniQure사), LUXTURNA(Spark Therapeutics사), ZOLGENSMA(노바티스사), ZYNTEGLO(Bluebird Bio사) 등이 있습니다.
  • 유전자 치료에는 위험도 따릅니다. 유전자 치료로 인한 잠재적 위험을 파악하기 위해 현재 다양한 범주의 환자를 대상으로 임상시험이 진행 중입니다. 위험은 유전자 치료의 유형, 벡터의 유형, 투여 방법에 따라 다르며, 그중에는 심각한 위험도 있습니다.
  • 유전자 치료 및 세포 치료는 희귀질환과 초희귀질환의 치료에 있어 큰 기대를 모으고 있습니다. 그러나 전임상시험이나 초기 임상시험에서 안전성과 유효성이 입증되었음에도 불구하고, 이러한 치료법 중 상당수는 그 이상의 단계로 나아가지 못하고 있습니다. 이러한 격차는 과학적으로 실현 가능한 치료법이라 하더라도 상업적 실현 가능성이 제한적이어서 환자에게 전달되지 않는다는 시장상의 과제를 반영하고 있습니다.

희귀질환 분야의 세포 및 유전자 치료 시장 규모 및 주요 7개국의 전망

  • 2025년 희귀질환 분야 세포 및 유전자 치료 시장의 예상 규모: 약 50억 달러
  • 희귀질환 분야의 세포 및 유전자 치료 시장 성장률(2026년-2036년) : 연평균 성장률(CAGR) 약 15%

수치는 보고서 업데이트이나 임상 정보 갱신 등에 따라 변경될 수 있습니다.

'희귀질환 분야의 세포 및 유전자 치료' 시장 보고서는 표준 치료, 임상 실무, 진화하는 치료 알고리즘 등 현재 시장 상황에 대한 종합적인 분석을 제공합니다. 본 보고서에서는 희귀질환 분야의 세포 및 유전자 치료와 관련된 환자 부담 동향, 수익 및 시장 점유율 동향, 정점 시기의 환자 점유율 및 치료 도입률 분석을 평가함과 동시에, 세계 각 지역의 상세한 시장 규모 평가 및 성장률 예측(과거 데이터 및 2022년-2036년 예측)을 제공합니다. 본 보고서에서는 희귀질환 분야의 세포 및 유전자 치료와 관련된 주요 미충족 의료 수요에 초점을 맞추어, 경쟁 구도와 임상 현황을 분석함으로써 고부가가치의 성장 기회를 도출하고, 향후 시장 성장 가능성에 대한 명확한 전망을 제시하고 있습니다.

희귀질환 분야의 세포 및 유전자 치료 시장을 주도하는 주요 요인

희귀질환의 유병률 증가

진단 능력의 향상, 유전자 선별 검사, 그리고 질환에 대한 인식 제고를 배경으로, 희귀질환으로 인한 부담은 꾸준히 증가하고 있습니다. 개별 질환으로 보면 드물지만, 이를 종합해 보면 전 세계적으로 상당수의 인구에 영향을 미치고 있으며, 유전자 치료나 세포 치료를 포함한 첨단 치료법에 대한 수요가 높아지고 있습니다.

희귀질환 세포 및 유전자 치료의 기회 확대

세포 및 유전자 치료 분야의 새로운 기회는 유전자 편집 기술, 바이러스성 및 비바이러스성 전달 시스템, 그리고 근본적인 유전적 결함을 표적으로 삼는 정밀의료 전략의 발전에 힘입어 확대되고 있습니다. 또한, 차세대 벡터, 생체 내 유전자 치료 및 병용 요법에 관한 연구의 진전에 힘입어, 치료 선택지는 기존의 대증 요법의 범위를 넘어 희귀질환에서 지속적인 개선과 완치의 가능성을 열어주고 있습니다.

희귀질환 세포 및 유전자 치료의 이해와 치료 알고리즘

희귀질환 세포 및 유전자 치료 개요

세포 및 유전자 치료는 단순히 증상을 관리하는 것이 아니라, 희귀질환의 근본적인 유전적 원인을 해결하도록 고안된, 급속히 발전하고 있는 치료법 중 하나입니다. 이러한 치료법은 결함이 있는 유전자나 세포 기능을 수정, 대체 또는 개량하는 것을 목적으로 하며, 미충족 의료 수요가 높은 질환에서 장기적인 개선이나 근치적인 치료 성과를 가져올 가능성을 지니고 있습니다. 희귀질환은 개별 질환으로 보면 드물지만, 전체적으로 볼 때 전 세계적으로 많은 사람들에게 영향을 미치고 있습니다. 이러한 질환의 대부분은 단일 유전자의 변이 또는 명확하게 규명된 분자 수준의 결함에 의해 유발되므로, 표적화된 유전적 개입에 적합합니다. 바이러스 벡터, 유전자 편집 플랫폼(CRISPR 기반 기술 등) 및 세포 공학 기술의 발전으로 인해, 이 분야의 치료법 개발이 현저히 가속화되고 있습니다. 세포 치료는 일반적으로 병변 세포의 변형 또는 교체를 수반하지만, 유전자 치료는 생체 내 또는 생체 외에서 기능적인 유전자를 도입하거나 유전자의 변이를 교정하는 데 중점을 둡니다. 이러한 접근법들이 결합되어 치료 방식을 혁신하고 있으며, 만성 질환 관리에서 일회성 또는 지속적인 치료적 개입으로 전환되고 있습니다.

희귀질환의 진단

희귀질환의 진단은 증상의 다양성과 질환에 대한 인지도가 낮다는 점 때문에 복잡하고 장기간에 걸친 과정을 수반하는 경우가 많습니다. 일반적으로 임상 평가와 환자 병력 청취로 시작하여, 나타나는 증상에 따라 대상 범위를 좁혀 임상 검사나 영상 진단을 실시합니다.

확정 진단을 위해 차세대 염기서열 분석(NGS), 전체 엑솜 염기서열 분석(WES), 전체 유전체 염기서열 분석(WGS)과 같은 유전자 검사 기술이 점점 더 많이 활용되고 있으며, 이러한 기술들은 근본적인 유전자 변이 및 분자 수준의 이상을 규명하는 데 도움이 됩니다. 조기 및 정확한 진단은 적절한 사례에 대한 세포 치료나 유전자 치료의 적용 여부를 판단하는 것을 포함하여, 시기적절한 개입을 가능하게 하는 데 있어 매우 중요합니다.

희귀질환의 치료법으로서의 세포 및 유전자 치료

세포 및 유전자 치료는 희귀질환 관리에서 점점 더 핵심적인 역할을 수행하고 있으며, 근본적인 유전적 결함을 수정하거나 보완함으로써 표적화된, 질병 경과를 개선하고 잠재적으로 완치를 도모하는 치료 접근법을 제공합니다. 치료는 정확한 유전자 진단과 환자 분류에서 시작되며, 그 후 생체 내 유전자 치료(바이러스성 또는 비바이러스성 벡터를 이용한 직접적인 유전자 도입)나 생체 외 세포 치료(유전자 변형 세포를 환자에게 재투여하는 것) 등 적절한 치료법을 선택하게 됩니다. 이러한 치료법은 대개 1회 투여 또는 제한된 용량으로 시행되며, 지속적인 임상적 이점을 제공하고 평생 치료에 대한 의존도를 줄이는 것을 목적으로 합니다. 치료 후 관리는 매우 중요하며, 여기에는 유효성, 면역 반응, 벡터의 안전성, 그리고 지속적인 유전자 발현 및 세포 기능을 모니터링하기 위한 장기적인 경과 관찰이 포함됩니다. 전반적으로 볼 때, 이러한 접근 방식들은 희귀질환의 관리를 만성적인 대증 요법에서 정밀 의학에 기반한, 경우에 따라 단 한 번의 치료로 완치가 기대되는 치료 전략으로 변화시키고 있습니다.

희귀질환 세포 및 유전자 치료의 역학

희귀질환 세포 및 유전자 치료의 역학 분석 및 예측을 통해 도출된 주요 인사이트

  • 미국의 추산에 따르면, 2020년 파브리병으로 진단받은 환자 수는 약 9,300명이었습니다. 이러한 추세는 조사 기간인 2022년부터 2036년에 걸쳐 증가할 것으로 예측됩니다.
  • 2025년 기준으로, 주요 7개국에서 망막색소변성이 진단된 환자 총수는 약 27만 4,000명이었습니다.
  • 미국 국립보건원(NIH)의 'Genetics Home Reference'에 따르면, 파브리병은 미국에서 남성 4만-6만 명 중 1명의 비율로 발병하는 것으로 추정됩니다.
  • 추정에 따르면, 중증 A형 혈우병은 경증 및 중등증 사례에 비해 더 두드러집니다. 또한, A형 혈우병 환자 전체의 61%를 중등도 및 중증 사례가 차지하고 있습니다.
  • DelveInsight사의 추산에 따르면, 2025년 주요 7개국에서 B형 혈우병의 총 환자 수는 약 1만 1,500명이었습니다.
  • 2025년, 미국의 근위축성 측삭 경화증(ALS) 환자 수는 약 3만 명이었습니다.

희귀질환 분야의 세포 및 유전자 치료 시장 전망

희귀질환 분야의 세포 및 유전자 치료 시장은 예측 기간(2026년-2036년) 동안 현저히 높은 성장률을 보이며 확대될 것으로 예상되며, 그 주요 요인으로는 유전자 치료 승인 건수 증가와 승인 후 신속한 도입, 광범위한 질환에 대한 치료 가능성, 환자 수 증가, 1회 투여를 통한 치료 접근법에 대한 기대, 그리고 완치를 목표로 하는 치료 옵션의 등장이 꼽힙니다. 희귀질환 분야의 세포 및 유전자 치료 시장은 승인 건수 증가, 임상 파이프라인의 확대, 그리고 1회 투여로 완치가 기대되는 치료법으로의 전환을 원동력으로 삼아 강력한 성장이 예상됩니다. 이 시장에는 LUXTURNA, HEMGENIX, ZYNTEGLO 등 승인된 시판 치료제가 포함되어 있으며, 이들 치료제는 이미 규제 당국의 승인 절차를 확립하여 희귀질환 분야에서 세포 및 유전자 기반 치료의 실현 가능성을 입증하고 있습니다.

동시에, RGX-121, Isaralgagene civaparvovec(ST-920), CAP-1002(Deramiocel) 등 광범위한 유전성 질환을 대상으로 한 새로운 치료법이 등장하고 있으며, 리소좀 축적증, 신경근 질환, 망막 질환에 걸친 탄탄한 혁신 파이프라인을 반영하여 시장 규모가 급속히 확대되고 있습니다. 이러한 발전은 AAV 벡터, 유전자 편집 기술, 세포 공학 플랫폼의 개선을 바탕으로 이루어지고 있으며, 이러한 기술들은 치료 분야로의 적용 범위를 지속적으로 확대되고 있습니다.

그러나 임상 개발의 기세는 강하지만, 이 분야에서는 규제 당국의 CRL(보충 요청), 임상시험의 일시 중단, 제조상의 문제, 상업적 실패와 같은 난관에 직면하고 있어, 과학적 성공을 시장에서의 성공으로 이어가는 데 따르는 복잡성이 여실히 드러나고 있습니다. 높은 치료비, 보험 환급의 불확실성, 대상 환자 수의 제한, 장기적인 안전성에 대한 우려와 같은 문제들이 도입 및 상용화에 계속해서 영향을 미치고 있습니다.

  • 추산에 따르면, 희귀질환 분야의 세포 및 유전자 치료 시장 규모가 가장 큰 곳은 미국이며, 2025년에는 약 20억 달러에 달할 것으로 전망됩니다.
  • 2025년, 세포 및 유전자 치료 시장은 주로 A형 혈우병, B형 혈우병, 겸상적혈구증, 척수성 근위축증(SMA)과 같은 주요 적응증에 의해 주도될 것입니다. 이러한 분야들은 높은 미충족 의료 수요, 명확한 유전적 기반, 그리고 첨단 일회 투여형 또는 지속형 유전자 치료법의 이용 가능성 덕분에 상업적 및 임상 활동에서 가장 큰 비중을 차지하고 있습니다.
  • 세포 및 유전자 치료 분야의 희귀질환 부문에 중기-후기 단계의 후보 약물이 진입함에 따라, 예측 기간 동안 경쟁이 심화될 것으로 예측됩니다. 이는 파이프라인의 진전과 임상 개발의 확대에 따라, 여러 희귀질환 적응증 분야에서 규제 당국의 승인, 시장 침투 및 치료법 채택이 증가할 가능성이 높기 때문입니다.

수치는 보고서 업데이트이나 임상 정보 갱신 등에 따라 변경될 수 있습니다. 자세한 내용은 보고서에서 설명해 드리겠습니다.

자주 묻는 질문

  • 희귀질환의 유병률은 어떻게 되나요?
  • 희귀질환 세포 및 유전자 치료 시장의 예상 규모는 어떻게 되나요?
  • 희귀질환 세포 및 유전자 치료의 주요 치료법은 무엇인가요?
  • 희귀질환 세포 및 유전자 치료의 주요 기업은 어디인가요?
  • 희귀질환 세포 및 유전자 치료의 안전성에 대한 우려는 무엇인가요?
  • 희귀질환 세포 및 유전자 치료의 시장 전망은 어떻게 되나요?

목차

제1장 주요 인사이트

제2장 서론

제3장 주요 요약

제4장 주요 이벤트

제5장 희귀질환 세포 및 유전자 치료 : 역학 및 시장 예측 조사 방법

제6장 희귀질환 세포 및 유전자 치료 : 시장 개요

제7장 희귀질환 질환 배경 및 세포 및 유전자 치료 개요

제8장 희귀질환 세포 및 유전자 치료 : 치료 가이드라인

제9장 희귀질환 세포 및 유전자 치료 : 역학 및 환자 인구

제10장 희귀질환 세포 및 유전자 치료 : 환자 경과

제11장 시판 치료제

제12장 신흥 치료법

제13장 희귀질환 세포 및 유전자 치료 : 주요 7개국 분석

제14장 희귀질환 세포 및 유전자 치료 : 미충족 요구

제15장 희귀질환 세포 및 유전자 치료 : SWOT 분석

제16장 희귀질환 세포 및 유전자 치료 : KOL(Key Opinion Leader)의 견해

제17장 희귀질환 세포 및 유전자 치료 : 시장 참여 및 상환

제18장 부록

제19장 DelveInsight의 서비스 내용

제20장 면책사항

제21장 DelveInsight에 대해

LSH

Cell and Gene Therapies in Rare Disorders Insights and Trends

  • Rare diseases, defined as conditions affecting fewer than 1 in 2,000 people, are not truly rare when viewed collectively. More than 6,000 rare diseases have been identified, impacting approximately 300 million people worldwide, representing nearly 3.5-5.9% of the global population.
  • The European Commission defines rare diseases as chronic or life-threatening conditions that impact fewer than 1 in 2,000 individuals, equivalent to approximately 50 per 100,000 people.
  • Approximately 80% of rare diseases have a genetic origin. About 70% of these diseases manifest during childhood, highlighting the importance of early diagnosis and intervention.
  • Companies across the globe are thoroughly working toward the development of new cell and gene therapies options to treat a wide array of indications such as hemophilia A and B, lysosomal storage disorder [Fabry, Pompe Disease, Danon Disease, Mucopolysaccharidoses (MPS) I, II, and III], neurological disorders (Batten, Parkinson), musculoskeletal disorders (DMD, myotubular myopathy, LGMD), eye diseases (achromatopsia, choroideremia, retinitis pigmentosa, etc.), and numerous other indications. From an innovation standpoint, although gene and cell therapies involve high upfront costs, they may ultimately lower long-term healthcare expenses and help ease the burden on overstretched healthcare systems.
  • Gene and cell therapies have the potential to provide durable, long-term solutions, with some designed as one-time treatments. This approach can reduce or eliminate the need for lifelong therapy, potentially extending survival, slowing disease progression, and enhancing overall quality of life for patients.
  • A few examples of cell and gene therapies approved for patients in rare disorders are HEMGENIX (uniQure), LUXTURNA (Spark Therapeutics), ZOLGENSMA (Novartis), ZYNTEGLO (Bluebird Bio), and others.
  • Gene therapy also comes with risks. Ongoing clinical trials are being conducted in people across many categories to determine the potential risks of treatment with gene therapy. The risk depends on the type of gene therapy, type of vector, and administration method, and some risks can be serious.
  • Gene and cell therapies hold significant promise for treating rare and ultra-rare diseases. However, despite showing safety and effectiveness in preclinical and early clinical studies, many of these therapies fail to progress further. This gap reflects a market challenge where scientifically viable treatments do not reach patients due to limited commercial feasibility.

Cell and Gene Therapies in Rare Disorders Market Size and Forecast in the 7MM

  • 2025 Projected Cell and Gene Therapies in Rare Disorders Market Size: ~USD 5,000 million
  • Cell and Gene Therapies in Rare Disorders Growth Rate (2026-2036): ~15% CAGR

Numbers are subject to change with report updation, clinical information updates etc..

DelveInsight's 'Cell and Gene Therapies in Rare Disorders - Market Insights, Epidemiology and Market Forecast - 2036' report delivers an in-depth understanding of the cell and gene therapies in rare disorders, historical and forecasted epidemiology, as well as the Cell and Gene Therapies in Rare Disorders market trends in the United States, EU4 (Germany, Spain, Italy, and France) and the United Kingdom, and Japan.

The Cell and Gene Therapies in Rare Disorders market report delivers a comprehensive analysis of the current treatment landscape, including standards of care, clinical practices, and evolving therapeutic algorithms. It evaluates cell and gene therapies in rare disorders patient burden trends, revenue & market share dynamics, peak patient share & therapy uptake analysis, and provides an in-depth market size assessment, and growth rate projections (Historical & Forecast 2022-2036) across global regions. The report highlights key unmet medical needs in cell and gene therapies in rare disorders and maps the competitive and clinical landscape to uncover high-value opportunities, providing a clear outlook on future market growth potential.

Key Factors Driving the Cell and Gene Therapies in Rare Disorders Market

Rising Prevalence of Rare Disorders

The burden of rare disorders is steadily increasing, driven by improved diagnostic capabilities, genetic screening, and greater disease awareness. Although individually uncommon, these conditions collectively affect a significant global population, creating a growing demand for advanced therapeutic options, including gene and cell therapies.

Rising Opportunities in Cell and Gene Therapies for Rare Disorders

Emerging opportunities in cell and gene therapies are fueled by advances in gene editing technologies, viral and non-viral delivery systems, and precision medicine strategies targeting underlying genetic defects. Additionally, increasing research into next-generation vectors, in vivo gene therapies, and combination approaches is expanding the treatment landscape beyond traditional supportive care, offering the potential for durable or curative outcomes in rare diseases.

Emerging Cell and Gene Therapies for Rare Disorders Competitive Landscape

Emerging cell and gene therapies for rare disorders include Isaralgagene civaparvovec (ST-920), RGX-121, Deramiocel (CAP-1002), and others, representing a growing pipeline of gene and cell-based approaches aimed at providing one-time, disease-modifying or potentially curative treatments for rare genetic conditions.

Cell and Gene Therapies in Rare Disorders Understanding and Treatment Algorithm

Cell and Gene Therapies in Rare Disorders Overview

Cell and gene therapies represent a rapidly advancing class of treatments designed to address the underlying genetic causes of rare disorders rather than managing symptoms alone. These therapies aim to correct, replace, or modify defective genes or cellular functions, offering the potential for long-term or curative outcomes in diseases with high unmet need. Rare disorders collectively affect a large global population, despite each condition being individually uncommon. Many of these diseases are driven by single-gene mutations or well-defined molecular defects, making them well-suited for targeted genetic interventions. Advances in viral vectors, gene editing platforms (such as CRISPR-based technologies), and cell engineering techniques have significantly accelerated therapeutic development in this space. Cell therapies typically involve the modification or replacement of diseased cells, while gene therapies focus on delivering functional genes or correcting genetic mutations in vivo or ex vivo. Together, these approaches are transforming the treatment landscape by shifting care from chronic disease management to one-time or durable therapeutic interventions.

Rare Disorders Diagnosis

Diagnosis of rare disorders often involves a complex and lengthy process due to the heterogeneous nature of symptoms and limited disease awareness. It typically begins with clinical evaluation and patient history, followed by targeted laboratory tests and imaging based on presenting features.

Definitive diagnosis is increasingly supported by genetic testing techniques such as next-generation sequencing (NGS), whole exome sequencing (WES), and whole genome sequencing (WGS), which help identify underlying gene mutations or molecular defects. Early and accurate diagnosis is critical for enabling timely intervention, including eligibility for cell and gene therapies in applicable cases.

Cell and Gene Therapies in Rare Disorders as Treatment

Cell and gene therapies are increasingly central to the management of rare disorders, offering targeted, disease-modifying, and potentially curative approaches by correcting or compensating for the underlying genetic defect. Treatment begins with precise genetic diagnosis and patient stratification, followed by selection of an appropriate modality such as in vivo gene therapy (direct gene delivery using viral or non-viral vectors) or ex vivo cell therapy (genetically modified cells reintroduced into the patient). These therapies are often administered as one-time or limited-dose interventions, aiming to provide durable clinical benefit and reduce lifelong treatment dependence. Post-treatment care is critical and includes long-term follow-up to monitor efficacy, immune response, vector safety, and sustained gene expression or cellular function. Overall, these approaches are transforming rare disease management from chronic symptomatic care to precision-driven, potentially one-time curative treatment strategies.

Cell and Gene Therapies in Rare Disorders Unmet Needs

The section "unmet needs of Cell and Gene Therapies in Rare Disorders" outlines the critical gaps between the current state of patient care, diagnosis, and the ideal & effective management of the disease. It highlights the obstacles experienced by patients, clinicians, and researchers and identifies potential solutions for future progress.

1. High cost and limited affordability are restricting patient access

2. Manufacturing and scalability challenges are limiting large-scale production

3. Delivery limitations affecting tissue targeting and treatment consistency

4. Lack of robust long-term safety and efficacy data

5. Delayed diagnosis and underdiagnosis of rare disorders, and others.....

Comprehensive unmet needs insights in cell and gene therapies in rare disorders and their strategic implications are provided in the full report.

Cell and Gene Therapies in Rare Disorders Epidemiology

Key Findings from Cell and Gene Therapies in Rare Disorders Epidemiological Analysis and Forecast

  • As per estimates in the US, there were nearly 9,300 diagnosed prevalent cases of Fabry disease in 2020. This trend is anticipated to increase during the study period, i.e., 2022-2036.
  • The total diagnosed prevalent cases of retinitis pigmentosa were ~274,000 in the 7MM in 2025.
  • According to the National Institutes of Health Genetics Home Reference, Fabry disease affects an estimated 1 in 40,000 to 60,000 males in the United States.
  • According to the estimates, severe Haemophilia A cases are more prominent in comparison to mild and moderate cases. Additionally, moderate and severe accounts for 61% of the Haemophilia A patient pool.
  • According to DelveInsight's estimates, the total prevalent cases of Haemophilia B in the 7MM were approximately 11,500 in 2025.
  • In 2025, the number of amyotrophic lateral sclerosis (ALS) cases in the United States was ~30,000.

Cell and Gene Therapies in Rare Disorders: Drug Chapters & Competitive Analysis

The rare disorders drug chapter provides a detailed, market-focused review of approved therapies and the emerging pipeline across Phase I-III clinical trials. It covers the mechanism of action, clinical trial data, regulatory approvals, patents, collaborations, and strategic partnerships for each therapy, along with their advantages, limitations, and recent developments. This section offers critical insights into the rare disorders treatment landscape, supporting market assessment, competitive analysis, and growth forecasting for the rare disorders therapeutics market.

Approved Therapies for Cell and Gene Therapies in Rare Disorders

Etranacogene dezaparvovec-drlb (HEMGENIX): uniQure and CSL Behring

HEMGENIX is a gene therapy that reduces the rate of abnormal bleeding in eligible people with haemophilia B by enabling the body to continuously produce factor IX, the deficient protein in haemophilia B. It uses AAV5, a non-infectious viral vector, called an adeno-associated virus (AAV). The AAV5 vector carries the Padua gene variant of Factor IX (FIX-Padua) to the target cells in the liver, generating factor IX proteins that are 5x-8x more active than normal. These genetic instructions remain in the target cells, but generally do not become a part of a person's own DNA. Once delivered, the new genetic instructions allow the cellular machinery to produce stable levels of factor IX.

Cell and Gene Therapies in Rare Disorders Pipeline Analysis

RGX-121: REGENXBIO

RGX-121 is an investigational, one-time gene therapy designed to deliver the iduronate 2-sulfatase (IDS) gene that encodes the iduronate 2-sulfatase (I2S) enzyme using the NAV AAV9 vector. The RGX-121 expressed protein is structurally identical to normal I2S. RGX-121 is administered directly to the central nervous system (CNS) using intracisternal or intracerebroventricular delivery. Delivery of the IDS gene within cells in the CNS could provide a permanent source of secreted I2S beyond the BBB, allowing for long-term cross-correction of cells throughout the CNS.

The BLA for RGX-121 for MPS II was supported by positive biomarker, functional and safety data from the CAMPSIITE I/II/III trial, including out to 12 months. RGX-121 has been well tolerated in all patients dosed across all phases of the CAMPSIITE trial.

It has received Orphan Drug Designation (ODD), Rare Pediatric Disease, Fast Track Designation (FTD), and Regenerative Medicine Advanced Therapy (RMAT) designations from the US FDA and Advanced Therapy Medicinal Products (ATMP) classification from the EMA.

Cell and Gene Therapies in Rare Disorders Key Players, Market Leaders and Emerging Companies

  • Sarepta Therapeutics
  • uniQure
  • CSL Behring
  • Bluebird Bio
  • Sangamo Therapeutics
  • Regenxbio
  • Capricor Therapeutics
  • Nippon Shinyaku, and others

Cell and Gene Therapies in Rare Disorders Drug Updates

  • As of March 2026, CSL Behring announced a temporary global stockout due to manufacturing complexities, though 5-year data confirm high efficacy, with 94% of patients remaining free from Factor IX prophylaxis.
  • In February 2026, REGENXBIO announced that the US Food and Drug Administration (FDA) had issued a Complete Response Letter (CRL) regarding its Biologics License Application (BLA) for RGX-121 (clemidsogene lanparvovec) for the treatment of Mucopolysaccharidosis II (MPS II), an ultra-rare neurodegenerative disease also known as Hunter syndrome.
  • In December 2025, Sangamo Therapeutics initiated a rolling submission of a BLA to the FDA seeking accelerated approval of isaralgagene civaparvovec, or ST-920, a wholly owned investigational gene therapy for the treatment of adults with Fabry disease.
  • In December 2025, Capricor Therapeutics announced positive topline results from its pivotal Phase III HOPE-3 trial evaluating Deramiocel for the treatment of DMD.
  • In November 2025, Sarepta Therapeutics announced an update to the prescribing information for ELEVIDYS (delandistrogene moxeparvovec-rokl), the only approved gene therapy for DMD.
  • In July 2025, the US FDA issued a Complete Response Letter (CRL) for Capricor's BLA for Deramiocel (CAP-1002), an investigational cell therapy for Duchenne cardiomyopathy.

Drug Class Insights

Cell and Gene Therapies in Rare Disorders Market Outlook

Cell and gene therapies in rare disorders market is expected to grow with a significant high rate during the forecast period (2026-2036), and mainly driven by an increase in approval of growing number of gene therapies and readily adoption on approval, ability to treat a broad array of conditions, increase in the number of cases, expected one-time dosing approach and curative treatment options. The cell and gene therapies in the rare disorders market are expected to witness strong growth, driven by increasing approvals, expanding clinical pipelines, and a shift toward one-time, potentially curative treatments. The market includes both approved marketed therapies, such as LUXTURNA, HEMGENIX, ZYNTEGLO, and others, which have already established regulatory pathways and demonstrated the feasibility of cell and gene-based interventions in rare diseases.

At the same time, the landscape is rapidly expanding with emerging therapies targeting a wide range of genetic disorders, including RGX-121, Isaralgagene civaparvovec (ST-920), CAP-1002 (Deramiocel) and others, reflecting a robust innovation pipeline across lysosomal storage disorders, neuromuscular diseases, and retinal conditions. These advances are supported by improvements in AAV vectors, gene editing technologies, and cell engineering platforms, which continue to broaden therapeutic applications.

However, despite strong clinical momentum, the sector has also faced setbacks, including CRL from regulatory authorities, clinical holds, manufacturing challenges, and commercial failures, highlighting the complexity of translating scientific success into market success. Issues such as high therapy cost, reimbursement uncertainty, limited patient reach, and long-term safety concerns continue to impact adoption and commercialization.

  • According to the estimates, the largest market size of Cell and Gene Therapies in Rare Disorders was captured by the United States, i.e., ~USD 2,000 million in 2025.
  • In 2025, the cell and gene therapy market is primarily driven by key indications, including Haemophilia A, Haemophilia B, Sickle Cell Disease, and Spinal Muscular Atrophy (SMA), which together represent the largest share of commercial and clinical activity due to their high unmet need, strong genetic basis, and availability of advanced one-time or long-acting gene therapies.
  • The entry of mid- to late-stage candidates in the cell and gene therapy rare disorders landscape is expected to intensify competition during the forecast period, as advancing pipelines and expanding clinical development are likely to increase regulatory approvals, market penetration, and therapeutic adoption across multiple rare disease indications.

Numbers are subject to change with report updation, clinical information updates etc. Further details will be provided in the report....

Drug Class/Insights into Leading Emerging and Marketed Therapies in Cell and Gene Therapies in Rare Disorders (2022-2036 Forecast)

The Cell and gene therapies in rare disorders market are driven by diverse mechanisms of action (MoA), including gene replacement, gene editing, and cell-based regeneration. Marketed therapies such as AAV-based gene therapies (e.g., LUXTURNA, ZOLGENSMA, HEMGENIX) and ex vivo lentiviral gene therapies (e.g., LIBMELDY, SKYSONA) work by restoring or adding functional genes to correct underlying defects. Emerging therapies are increasingly focused on CRISPR-based gene editing, next-generation AAV delivery systems, and cell-based reparative approaches, enabling more precise and durable disease correction. Overall, the field is shifting toward one-time, potentially curative treatments with improved targeting and long-term efficacy.

Cell and Gene Therapies in Rare Disorders Drug Uptake

This section focuses on the uptake rate of potential drugs expected to be launched in the market during the forecast period (2026-2036). The analysis covers cell and gene therapies in rare disorders, the market's uptake by drugs, patient uptake by therapy, and sales of each drug.

The cell and gene therapy landscape is witnessing a moderate-to-rapid uptake trajectory, driven by increasing approvals of one-time, potentially curative therapies targeting the underlying genetic causes of disease. Recently marketed therapies such as LUXTURNA, HEMGENIX, ZYNTEGLO, LIBMELDY, SKYSONA, and others demonstrate strong uptake in high-unmet-need indications like haemophilia, spinal muscular atrophy, and inherited retinal disorders, supported by robust clinical efficacy and long-term benefit potential.

Emerging therapies, including RGX-121, Isaralgagene civaparvovec (ST-920), CAP-1002 (Deramiocel), EDIT-301, and other gene editing and AAV-based candidates, are expected to show gradual to moderate uptake initially, followed by accelerated adoption as regulatory approvals expand and manufacturing scalability improves. Uptake is being further supported by advancements in gene editing technologies, improved vector delivery systems, and expanding clinical evidence for durable outcomes.

Cell and Gene Therapies in Rare Disorders Therapies Price Scenario & Trends

Pricing and analogue assessment of cell and gene therapies in rare disorders highlights evolving price dynamics structures. This section summarizes the cost of approved treatments, the closest and most appropriate analogue selection for emerging therapies, and the understanding of how pricing influences market access, adherence, and long-term uptake.

Further details are provided in the final report....

Industry Experts and Physician Views for Cell and Gene Therapies in Rare Disorders

To keep up with cell and gene therapies in the rare disorders market trends, we take Key Opinion Leaders (KOLs) and Subject Matter Experts (SMEs) opinions working in the domain through primary research to fill the data gaps and validate our secondary research. Industry experts were contacted for insights on the cell and gene therapies in rare disorders, evolving treatment landscape, patient adherence to conventional therapies, therapy switching trends, drug adoption and uptake, accessibility challenges, and epidemiology and real-world prescription patterns in Cell and Gene Therapies in Rare Disorders, including MD, PhD, Instructor, Postdoctoral Researcher, Professor, Researcher, and others.

DelveInsight's analysts connected with 10+ KOLs to gather insights; however, interviews were conducted with 6+ KOLs in the 7MM. Centres such as the University of North Carolina at Chapel Hill, the Berlin Institute of Health at Charite, and the University of Nottingham, etc. were contacted. Their opinion helps understand and validate current and emerging cell and gene therapies in rare disorders therapies, highlight unmet medical needs, provide epidemiological context, and support strategic decisions for market access, therapy adoption, and pipeline prioritisation in cell and gene therapies in rare disorders.

Qualitative Analysis: SWOT and Conjoint Analysis

We perform qualitative and market Intelligence analysis using various approaches, such as SWOT analysis and conjoint analysis.

In the SWOT analysis of Cell and Gene Therapies in Rare Disorders, strengths, weaknesses, opportunities, and threats in terms of disease diagnosis, patient awareness, patient burden, competitive landscape, cost-effectiveness, and geographical accessibility of therapies are provided.

Conjoint analysis analyzes emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. Scoring is given based on these parameters to analyze the effectiveness of therapy.

The team of analysts analyzes promising emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. In efficacy, the trial's primary and secondary outcome measures are evaluated, whereas the therapies' safety is evaluated, wherein the acceptability, tolerability, and adverse events are mainly observed. In addition, the scoring is also based on the route of administration, order of entry, probability of success, and the addressable patient pool for each therapy. According to these parameters, the final weightage score and the ranking of the emerging therapies are decided.

Scope of the Report:

  • The report covers a segment of key events, an executive summary, a descriptive overview of cell and gene therapies in rare disorders, explaining rare disorders' causes, signs and symptoms, pathogenesis, and currently available treatments.
  • Comprehensive insight has been provided into the epidemiology segments and forecasts, the future growth potential of the diagnosis rate, and disease progression along treatment guidelines.
  • Additionally, an all-inclusive account of both the current and emerging treatments, along with the elaborate profiles of late-stage and prominent therapies, will have an impact on the current treatment landscape.
  • A detailed review of the cell and gene therapies in rare disorders market, historical and forecasted market size, market share by therapies, detailed assumptions, and rationale behind our approach is included in the report, covering the 7MM drug outreach.
  • The report provides an edge while developing business strategies by understanding trends through SWOT analysis and expert insights/KOL views, patient journey, and treatment preferences that help in shaping and driving the 7MM cell and gene therapies in the rare disorders market.

Report Insights

  • Cell and Gene Therapies in Rare Disorders Patient Population Forecast
  • Cell and Gene Therapies in Rare Disorders Therapeutics Market Size
  • Cell and Gene Therapies in Rare Disorders Pipeline Analysis
  • Cell and Gene Therapies in Rare Disorders Market Size and Trends
  • Cell and Gene Therapies in Rare Disorders Market Opportunity (Current and forecasted)

Report Key Strengths

  • Epidemiology-based (Epi-based) Bottom-up Forecasting
  • Artificial Intelligence (AI)-enabled Market Research Report
  • 11-year forecast
  • Cell and Gene Therapies in Rare Disorders Market Outlook (North America, Europe, Asia-Pacific)
  • Patient Burden Trends (by geography)
  • Cell and Gene Therapies in Rare Disorders Treatment Addressable Market (TAM)
  • Cell and Gene Therapies in Rare Disorders Competitive Landscape
  • Cell and Gene Therapies in Rare Disorders Major Companies Insights
  • Cell and Gene Therapies in Rare Disorders Price Trends and Analogue Assessment
  • Cell and Gene Therapies in Rare Disorders Therapies Drug Adoption/Uptake
  • Cell and Gene Therapies in Rare Disorders Therapies Peak Patient Share analysis

Report Assessment

  • Cell and Gene Therapies in Rare Disorders Current Treatment Practices
  • Cell and Gene Therapies in Rare Disorders Unmet Needs
  • Cell and Gene Therapies in Rare Disorders Clinical Development Analysis
  • Cell and Gene Therapies in Rare Disorders Emerging Drugs Product Profiles
  • Cell and Gene Therapies in Rare Disorders Market Attractiveness
  • Cell and Gene Therapies in Rare Disorders Qualitative Analysis (SWOT and Conjoint Analysis)

FAQs:

Market Insights

  • What was the cell and gene therapies in rare disorders market size, the market size by therapies, market share (%) distribution in 2025, and what would it look like by 2036? What are the contributing factors for this growth?
  • What are the anticipated pricing variations among different geographies for the emerging therapies in the future?
  • What can be the future treatment paradigm of cell and gene therapies in rare disorders?
  • What are the disease risks, burdens, and unmet needs of cell and gene therapies in rare disorders? What will be the growth opportunities across the 7MM concerning the patient population with Cell and Gene Therapies in Rare Disorders?
  • Who is the major future competitor in the market, and how will the competitors affect their market share?
  • What are the current options for the treatment of cell and gene therapies in rare disorders? What are the current guidelines for treating Cell and Gene Therapies in Rare Disorders in the US, Europe, and Japan?

Reasons to Buy:

  • The report will help in developing business strategies by understanding the latest trends and changing treatment dynamics driving the cell and gene therapies in rare disorders market.
  • Bottom up forecasting builds from the affected population to product forecasts, delivering a robust, data driven approach ideal for new therapies and novel classes.
  • Insights on patient burden/disease incidence, evolution in diagnosis, and factors contributing to the change in the epidemiology of the disease during the forecast years.
  • Understand the existing market opportunities in varying geographies and the growth potential over the coming years.
  • Identifying strong upcoming players in the market will help devise strategies to help get ahead of competitors.
  • Detailed analysis and ranking of class-wise potential current and emerging therapies under the conjoint analysis section to provide visibility around leading classes.
  • To understand KOLs' perspectives on the accessibility, acceptability, and compliance-related challenges of existing treatment to overcome barriers in the future.
  • Detailed insights on the unmet needs of the existing market so that the upcoming players can strengthen their development and launch strategy.
  • This Artificial Intelligence (AI) enabled report summarize and simplify complex datasets within the report into clear, actionable insights for stakeholders, investors, and healthcare providers, enabling faster, data driven decisions.

Table of Contents

1. Key Insights

2. Report Introduction

3. Executive Summary

4. Key Events

  • 4.1. Upcoming Key Catalysts
  • 4.2. Key Transactions And Collaborations
  • 4.3. Key Conference Highlights
  • 4.4. News Flow

5. Epidemiology and Market Forecast Methodology of Cell and Gene Therapies in Rare Disorders

6. Cell and Gene Therapies in Rare Disorders Market Overview at a Glance

  • 6.1. Clinical Landscape Analysis (By Phase, Molecule Type, and RoA)
  • 6.2. Market Share (%) Distribution of Indication-wise Cell and Gene Therapies in Rare Disorders by Indication in the 7MM, in 2025
  • 6.3. Market Share (%) Distribution of Indication-wise Cell and Gene Therapies in Rare Disorders Rare Disorders by Indication in the 7MM, in 2036

7. Disease Background and Overview on Cell and Gene Therapies in Rare Disorders

  • 7.1. Introduction
  • 7.2. Types
  • 7.3. Symptoms
  • 7.4. Causes
  • 7.5. Pathophysiology
  • 7.6. Diagnosis
  • 7.7. Treatment

8. Treatment Guidelines of Cell and Gene Therapies in Rare Disorders

9. Epidemiology and Patient Population of Cell and Gene Therapies in Rare Disorders

  • 9.1. Key Findings
  • 9.2. Assumptions and Rationale
  • 9.3. Total Prevalent Cases of selected indications for Cell and Gene Therapies Targeting Rare Disorders

in the 7MM

  • 9.4. The United States
    • 9.4.1. Total Prevalent Cases of Selected Indications for Cell and Gene Therapies in Rare Disorders in the US
    • 9.4.2. Total Indication-wise Eligible Cases for Cell and Gene Therapies in Rare Disorders in the US
    • 9.4.3. Total Indication-wise Treated Cases of Cell and Gene Therapies in Rare Disorders in the US
  • 9.5. EU4 and the UK
    • 9.5.1. Total Prevalent Cases of Selected Indications for Cell and Gene Therapies in Rare Disorders in EU4 and the UK
    • 9.5.2. Total Indication-wise Eligible Cases for Cell and Gene Therapies in Rare Disorders in EU4 and the UK
    • 9.5.3. Total Indication-wise Treated Cases of Cell and Gene Therapies in Rare Disorders in EU4 and the UK
  • 9.6. Japan
    • 9.6.1. Total Prevalent Cases of Selected Indications for Cell and Gene Therapies in Rare Disorders in Japan
    • 9.6.2. Total Indication-wise Eligible Cases for Cell and Gene Therapies in Rare Disorders in Japan
    • 9.6.3. Total Indication-wise Treated Cases of Cell and Gene Therapies in Rare Disorders in Japan

10. Patient Journey of Cell and Gene Therapies in Rare Disorders

11. Marketed Therapies

  • 11.1. Marketed Competitive Landscape of Cell and Gene Therapies in Rare Disorders
  • 11.2. Etranacogene dezaparvovec (HEMGENIX): CSL Behring/uniQure
    • 11.2.1. Drug Description
    • 11.2.2. Regulatory Milestones
    • 11.2.3. Other Developmental Activities
    • 11.2.4. Summary of Pivotal Trials
    • 11.2.5. Clinical Development
      • 11.2.5.1. Clinical Trial Information
    • 11.2.6. Analyst Views
  • 11.3. Voretigene neparvovec-rzyl (LUXTURNA): Sparks Therapeutics (a company of Roche)/Novartis
    • 11.3.1. Drug Description
    • 11.3.2. Regulatory Milestones
    • 11.3.3. Other Developmental Activities
    • 11.3.4. Summary of Pivotal Trials
    • 11.3.5. Clinical Development
      • 11.3.5.1. Clinical Trial Information
    • 11.3.6. Analyst Views

12. Emerging Therapies

  • 12.1. Emerging Competitive Landscape of Cell and Gene Therapies in Rare Disorders
  • 12.2. RGX-121: REGENXBIO
    • 12.2.1. Drug Description
    • 12.2.2. Other Developmental Activities
    • 12.2.3. Clinical Development
      • 12.2.3.1. Clinical Trials Information
    • 12.2.4. Analyst Views
  • 12.3. Isaralgagene civaparvovec (ST-920): Sangamo Therapeutics
    • 12.3.1. Drug Description
    • 12.3.2. Other Developmental Activity
    • 12.3.3. Clinical Development
      • 12.3.3.1. Clinical Trials Information
    • 12.3.4. Analyst Views

13. Cell and Gene Therapies in Rare Disorders: 7MM Analysis

  • 13.1. Key Findings
  • 13.2. Market Outlook of Cell and Gene Therapies in Rare Disorders
  • 13.3. Key Market Forecast Assumptions
    • 13.3.1. Cost Assumptions
    • 13.3.2. Pricing Trends
    • 13.3.3. Analogue Assessment
    • 13.3.4. Launch Year and Therapy Uptakes
  • 13.4. Conjoint Analysis of Cell and Gene Therapies in Rare Disorders
  • 13.5. Total Market Size of Cell and Gene Therapies in Rare Disorders by Indications in the 7MM
  • 13.6. Total Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in the 7MM
  • 13.7. The United States
    • 13.7.1. Total Market Size of Cell and Gene Therapies in Rare Disorders by Indications in the United States
    • 13.7.2. Total Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in the United States
  • 13.8. EU4 and the UK
    • 13.8.1. Total Market Size of Cell and Gene Therapies in Rare Disorders by Indications in EU4 and the UK
    • 13.8.2. Total Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in EU4 and the UK
  • 13.9. Japan
    • 13.9.1. Total Market Size of Cell and Gene Therapies in Rare Disorders by Indications in Japan
    • 13.9.2. Total Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in Japan

14. Unmet Needs of Cell and Gene Therapies in Rare Disorders

15. SWOT Analysis of Cell and Gene Therapies in Rare Disorders

16. KOL Views of Cell and Gene Therapies in Rare Disorders

17. Market Access and Reimbursement of Cell and Gene Therapies in Rare Disorders

  • 17.1. The United States
  • 17.2. EU4 and the UK
    • 17.2.1. Germany
    • 17.2.2. France
    • 17.2.3. Italy
    • 17.2.4. Spain
    • 17.2.5. United Kingdom
  • 17.3. Japan
  • 17.4. Summary and comparison of Market Access and Pricing Policy Developments in 2025
  • 17.5. Market Access and Reimbursement of Cell and Gene Therapies in Rare Disorders

18. Appendix

  • 18.1. Bibliography
  • 18.2. Report Methodology

19. DelveInsight Capabilities

20. Disclaimer

21. About DelveInsight

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