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시장보고서
상품코드
2082864
퇴행성 무릎 관절염 : 시장 인사이트, 역학 및 시장 예측(2036년)Knee Osteoarthritis - Market Insight, Epidemiology, and Market Forecast - 2036 |
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DelveInsight
G7 국가별 퇴행성 무릎 관절염 시장 규모 및 전망
퇴행성 무릎 관절염 시장 보고서에서는 표준 치료, 임상 실무, 진화하는 치료 알고리즘 등 현재 시장 상황에 대한 종합적인 분석을 제공합니다. 퇴행성 무릎 관절염 환자의 부담 동향, 수익 및 시장 점유율 동향, 피크 시기의 환자 점유율 및 치료 도입 현황에 대한 분석을 평가함과 동시에, 전 세계 각 지역 시장 규모에 대한 상세한 평가 및 성장률 예측(과거 데이터 및 2022년-2036년 예측)을 제시하고 있습니다. 본 보고서에서는 퇴행성 무릎 관절염 분야의 주요 미충족 요구 사항에 초점을 맞추어, 경쟁 구도와 임상 현황을 분석함으로써 고부가가치의 성장 기회를 도출하고, 향후 시장 성장 가능성에 대한 명확한 전망을 제시하고 있습니다.
퇴행성 무릎 관절염 유병률 증가와 고령화
퇴행성 무릎 관절염은 50세 이상 인구에서 높은 유병률을 보이고 있습니다. 세계 평균 수명의 연장에 따라 관절 퇴행으로 인한 부담도 그에 비례하여 증가하고 있습니다.
저침습적 및 비수술적 치료로의 전환
통증 완화 방안으로, 기존의 경구약보다 히알루론산 주사(점탄성 보충 요법)나 다혈소판 혈장(PRP) 등의 비수술적 치료법이 훨씬 더 선호되고 있습니다.
퇴행성 무릎 관절염의 개요와 진단
퇴행성 관절염으로도 알려진 퇴행성 슬관절염은 일반적으로 관절 연골의 마모나 점진적인 손실로 인해 발생합니다. 고령자에게서 흔히 나타나며, 원발성과 이차성으로 분류됩니다. 원발성 퇴행성 관절염은 뚜렷한 근본적인 원인이 없는 관절의 퇴행성 변화입니다. 이차성 퇴행성 관절염은 외상 후에서 볼 수 있는 관절에 가해지는 힘의 비정상적인 집중, 류마티스 관절염과 같은 관절 연골의 이상으로 인해 발생합니다. 무릎 퇴행성 관절염의 증상은 연골이 마모되고 관절 기능이 변화하는 데 시간이 걸리기 때문에 서서히 나타납니다.
현재, 퇴행성 무릎 관절염의 유무를 확인하기 위한 표준적인 임상 검사는 없습니다. 단일 임상 검사 대신, 의사는 일반적으로 환자가 퇴행성 무릎 관절염인지, 아니면 다른 질환인지 판단하기 위해 5가지 진단 방법을 사용합니다. 이러한 방법에는 환자에 대한 문진, 신체 검사, X선 검사, MRI 검사 및 기타 질환에 관한 임상 검사가 포함됩니다.
퇴행성 무릎 관절염 치료의 현황
퇴행성 관절염은 진행성이자 퇴행성 질환으로, 손상된 조직이 회복되거나 재생될 가능성은 낮은 것으로 알려져 있습니다. 현재, 이용 가능한 치료 옵션을 표준화하고 권장하기 위해 여러 학술 단체 및 전문 학회에서 다양한 지침이 마련되어 있습니다. 현재, 퇴행성 무릎 관절염 치료에 사용되는 약물로는 NSAIDs, 오피오이드, 관절 내 코르티코스테로이드, 관절 내 히알루론산 등이 있습니다. 승인된 치료법으로는 JOYCLU(오노제약/생화학공업), TRILURON(피디아 파마체우티치), ZILRETTA(파실라 바이오사이언스/플렉시온 테라퓨틱스) 등이 있습니다. ZILRETTA는 PLGA 마이크로스피어를 통해 코르티코스테로이드를 방출하므로, 관절 내에서 지속적인 방출이 가능해져 전신 노출을 최소화하면서 수개월에 걸쳐 염증과 통증을 억제합니다.
퇴행성 무릎 관절염의 역학적 분석 및 예측에 관한 주요 조사 결과
퇴행성 무릎 관절염의 증상을 완화하기 위해 일반적으로 사용되는 약물 요법으로는 비스테로이드성 항염증제(NSAIDs), 관절 내 코르티코스테로이드, 관절 내 히알루론산, 그리고 오피오이드 등이 있습니다. 히알루론산 관절 내 주사(IAHA) 요법을 다른 관절 내 요법이나 경구용 NSAIDs와 비교한 메타분석에 대한 체계적 문헌고찰에서는 히알루론산이 퇴행성 무릎 관절염에 대한 효과적인 치료 옵션이며, 최대 26주간 지속되는 통증 및 기능 개선을 가져오고, 양호한 안전성 프로파일을 보인다는 결론이 도출되었습니다.
현재의 표준 치료는 국소적인 항염증 작용을 통해 통증을 완화하는 'JOYCLU', 관절의 윤활성과 점탄성을 회복시키는 'TRILURON', 그리고 장기적인 증상 관리를 위해 코르티코스테로이드를 지속적으로 방출하는 'ZILRETTA'와 같은 관절 내 치료가 주를 이루고 있습니다. 이러한 승인된 치료법 외에도 새로운 치료법이 등장하면서, 질환 수정 요법 및 재생 의학으로의 전환이 진행되고 있습니다. 개발 중인 후보 약물에는 연골의 퇴화 및 관절 염증을 완화할 가능성이 검토되고 있는 'ZILOSUL'과, 연골 복구를 촉진하여 관절 기능을 개선하는 것을 목표로 하는 'ELIXCYTE' 등이 포함됩니다. 'ZILOSUL'(펜타산폴리황산나트륨) 등의 후보 약물이 등장함에 따라, 예측 기간 후반에 퇴행성 무릎 관절염 치료 시장 경쟁 구도가 격화될 것으로 예측됩니다.
Knee Osteoarthritis Market Size and Forecast in the 7MM
DelveInsight's 'Knee Osteoarthritis - Market Insights, Epidemiology and Market Forecast - 2036' report delivers an in-depth understanding of the knee osteoarthritis, historical and forecasted epidemiology, as well as the knee osteoarthritis market trends in the United States, EU4 (Germany, Spain, Italy, and France) and the United Kingdom, and Japan.
The Knee Osteoarthritis market report delivers a comprehensive analysis of the current treatment landscape, including standards of care, clinical practices, and evolving therapeutic algorithms. It evaluates knee osteoarthritis 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 knee osteoarthritis 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 Knee Osteoarthritis Market
Rising Prevalence of Knee Osteoarthritis and Aging Population
Knee osteoarthritis is highly prevalent among individuals over 50. As global life expectancy increases, the burden of joint degeneration rises correspondingly.
Shift Toward Minimally Invasive & Non-Surgical Procedures
There is a high preference for non-surgical alternatives to relieve pain, such as hyaluronic acid injections (viscosupplementation) and platelet-rich plasma (PRP), over traditional oral medication.
Emerging Knee Osteoarthritis Competitive Landscape
The competitive landscape for emerging knee osteoarthritis therapies is driven by key drugs in clinical trials, including ZILOSUL (Paradigm Biopharma), AMZ001 (Amzell), CLS2901C (CellSeed), and others.
Knee Osteoarthritis Overview and Diagnosis
Knee Osteoarthritis, also known as degenerative joint disease, is typically the result of wear and tear and progressive loss of articular cartilage. It is most common in the elderly and can be divided into primary and secondary. Primary osteoarthritis is articular degeneration without any apparent underlying reason. Secondary osteoarthritis is the consequence of either an abnormal concentration of force across the joint, as with post-traumatic causes, or abnormal articular cartilage, such as rheumatoid arthritis. The symptoms of knee osteoarthritis develop gradually because it takes time for the cartilage to wear down and change how the joints work.
There is currently no standard lab test to verify the presence of knee osteoarthritis. Instead of a single lab test, physicians commonly use five diagnostic tools to determine if a patient has knee osteoarthritis or another medical condition. These tools are patient interviews, physical examinations, x-rays, MRIs, and lab tests for other conditions.
Knee Osteoarthritis Treatment Landscape
Osteoarthritis is a progressive and degenerative condition with unlikely regression and restoration of damaged structures. Currently, different guidelines have been developed by multiple academic and professional societies to standardize and recommend the available treatment options. Currently, the drugs used to treat knee osteoarthritis include NSAIDs, Opioids, Intra-articular corticosteroids, Intra-articular hyaluronic acid, and others. The approved therapies include JOYCLU (Ono Pharmaceutical/Seikagaku Corporation), TRILURON (Fidia Farmaceutici), ZILRETTA (Pacira BioSciences/Flexion Therapeutics), and others. ZILRETTA delivers a corticosteroid via PLGA microspheres, allowing for sustained intra-articular release that minimizes systemic exposure while controlling inflammation and pain over several months.
Knee Osteoarthritis Unmet Needs
The section "unmet needs of knee osteoarthritis" 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.
Key Findings from Knee Osteoarthritis Epidemiological Analysis and Forecast
Knee Osteoarthritis Drug Analysis & Competitive Landscape
The knee osteoarthritis 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 knee osteoarthritis treatment landscape, supporting market assessment, competitive analysis, and growth forecasting for the knee osteoarthritis therapeutics market.
Approved Therapies for Knee Osteoarthritis
JOYCLU: Ono Pharmaceutical/Seikagaku
Joyclu is a formulation in which hyaluronic acid and diclofenac (an anti-inflammatory drug) are chemically bound using Seikagaku's proprietary technology. It is designed to release diclofenac by hydrolysis in the joint. JOYCLU is approved for treating osteoarthritis (knee joint and hip joint) and is expected to improve osteoarthritis symptoms by the intra-articular injection once every 4 weeks. JOYCLU is the first ethical drug indicating osteoarthritis of the hip joint in Japan among the joint function improvement agents. Seikagaku is involved in the manufacturing and marketing of the product, and Ono is responsible for distribution.
TRILURON: Fidia Farmaceutici
TRILURON is a high molecular weight hyaluronic acid (500,000-730,000 Da) viscosupplement composed of purified sodium hyaluronate in buffered saline (pH 6.8-7.5), derived from rooster combs. It is administered as a 3 injection intra articular regimen to relieve pain in knee osteoarthritis. Hyaluronic acid is a natural glycosaminoglycan consisting of repeating disaccharide units of N acetylglucosamine and glucuronate. TRILURON is approved for patients whose knee OA pain remains inadequately controlled with conservative measures and simple analgesics.
Knee Osteoarthritis Pipeline Analysis
Pentosan polysulfate sodium (ZILOSUL): Paradigm Biopharma
ZILOSUL, or pentosan polysulfate sodium (PPS), is a semi-synthetic drug manufactured from the wood chips of European beech trees. Key features of the activity of PPS are its anti-inflammatory and tissue regenerative properties, as well as its mild anti-thrombotic activity. Due to PPS having multiple mechanisms of action, Paradigm's broader focus is exploring the use of PPS in treating a wide spectrum of conditions that begin with and are sustained by inflammation, such as osteoarthritis.
Paradigm has a longstanding relationship with Bene PharmaChem, the only FDA-approved manufacturer/supplier of PPS. Through the extensive interaction and collaboration with Bene PharmaChem and Paradigm's European manufacturers of the injectable formulation of PPS (iPPS), Paradigm has been able to develop its clinical product for trials.
Knee Osteoarthritis Key Players, Market Leaders and Emerging Companies
Knee Osteoarthritis Drug Updates
Drug Class Insights
The common pharmacologic interventions used to help alleviate the symptoms of knee osteoarthritis include nonsteroidal anti-inflammatory drugs (NSAIDs), intra-articular corticosteroids, intra-articular hyaluronic acid, and opioids. A systematic review of meta-analyses comparing IAHA treatment with other IA therapies and oral NSAIDs concluded HA to be a viable treatment option for knee osteoarthritis, producing improvements in pain and function that can persist for up to 26 weeks and demonstrating a good safety profile.
The current standard of care is anchored by intra-articular therapies such as JOYCLU, which provides localized anti-inflammatory pain relief, TRILURON, which restores joint lubrication and viscoelasticity, and ZILRETTA, offering sustained corticosteroid delivery for prolonged symptom management. Beyond these approved options, emerging therapies are shifting the landscape toward disease-modifying and regenerative approaches. Pipeline candidates include ZILOSUL, which is being investigated for its potential to reduce cartilage degradation and joint inflammation; ELIXCYTE, aiming to promote cartilage repair and improve joint function. The entry of candidates such as ZILOSUL (pentosan polysulfate sodium) is expected to intensify competition in the knee osteoarthritis treatment landscape during the latter half of the forecast period.
Drug Class/Insights into Leading Emerging and Marketed Therapies in Knee Osteoarthritis (2022-2036 Forecast)
The knee osteoarthritis market comprises Glycosaminoglycans and small molecules, each targeting different aspects of knee osteoarthritis.
Knee Osteoarthritis 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 the uptake of the knee osteoarthritis drug, performance at peak, factors affecting performance during prime years of growth, patient uptake by therapy, and anticipated sales generated by each drug.
The uptake of therapies in knee osteoarthritis is expected to vary based on clinical positioning, mechanism of action, and stage of development. Approved therapies JOYCLU and ZILRETTA are projected to demonstrate relatively faster uptake in knee osteoarthritis, driven by their ability to provide sustained pain relief through localized delivery, reduced systemic exposure, and strong clinical demand for non-surgical treatment options.
In contrast, pipeline candidate TRILURON is expected to maintain steady adoption, supported by established use in improving joint lubrication and function, although variability in clinical response may moderate widespread preference across patient subgroups.
Knee Osteoarthritis Therapies Price Scenario & Trends
Pricing and analogue assessment of knee osteoarthritis therapies highlights evolving price dynamics structures. This section summarizes the cost of approved treatments, the closest and most appropriate analogue selection for emerging therapies, and understanding of how pricing influences market access, adherence, and long-term uptake.
The cost of ZILRETTA therapy, administered as a single intra-articular extended-release injection delivering 32 mg of triamcinolone acetonide (ZILRETTA intra-articular powder for injection, extended release), is 692 USD.
Industry Experts and Physician Views for Knee Osteoarthritis
To keep up with knee osteoarthritis 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 knee osteoarthritis emerging therapies, 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 knee osteoarthritis, 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. Centers such as the University of New Mexico Health Sciences Center, University Medical Center Mainz, and Boston Medical Center, etc. were contacted. Their opinion helps understand and validate current and emerging knee osteoarthritis therapies, highlight unmet medical needs, provide epidemiological context, and support strategic decisions for market access, therapy adoption, and pipeline prioritization in knee osteoarthritis.
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 knee osteoarthritis, 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.
Market Insights
7.9..2. Clinical Practice Guidelines for Management of Knee Osteoarthritis (Non-arthroplasty) (American Academy of Orthopedic Surgeons)