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퇴행성 무릎 관절염 : 시장 인사이트, 역학 및 시장 예측(2036년)

Knee Osteoarthritis - Market Insight, Epidemiology, and Market Forecast - 2036

발행일: | 리서치사: 구분자 DelveInsight | 페이지 정보: 영문 200 Pages | 배송안내 : 2-10일 (영업일 기준)

    
    
    




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영문목차

퇴행성 무릎 관절염에 대한 인사이트와 동향

  • 퇴행성 무릎 관절염은 남성과 여성 모두에게 발병할 가능성이 있지만, 연구에 따르면 여성이 이 질환에 걸릴 확률은 남성의 약 2배인 것으로 나타났습니다. 미국 내 퇴행성 무릎 관절염 환자의 약 63%는 여성에서 발생했습니다.
  • DelveInsight의 분석에 따르면, 2025년 주요 시장(미국, EU4(독일, 프랑스, 이탈리아, 스페인), 영국, 일본)의 퇴행성 무릎 관절염 시장 규모는 약 155억 달러인 것으로 나타났습니다.
  • 통증의 정도별로 살펴보면, 대부분의 환자가 통증을 ‘경미한’ 수준이라고 표현했고, 그 다음으로 ‘중등도’라고 답했으며, 극소수의 환자가 ‘심한’ 통증을 보고했습니다.
  • 영국 성인의 약 10%가 퇴행성 관절염으로 임상적으로 진단받고 있습니다. 이는 미국의 약 11.5%나 세계 평균인 약 16%라는 유병률과 거의 비슷한 수준입니다. 영국에서 퇴행성 관절염의 총 환자 수는 수년에 걸쳐 증가하고 있습니다.
  • 활막의 염증이 여러 관절로 퍼진 환자는 손의 통증이나 뻣뻣함이 심한 등 뚜렷한 증상을 보이는 경향이 있습니다.
  • 퇴행성 무릎 관절염의 경우, JOYCLU, TRILURON, ZILRETTA 등 승인된 관절 내 치료제가 국소적이고 지속적인 통증 관리 효과와 효과적인 비수술적 치료 옵션으로서의 역할을 바탕으로 현재 시장 상황을 주도하고 있습니다.
  • 추산에 따르면, 2025년 기준 미국 내 퇴행성 무릎 관절염 진단을 받은 환자 수는 약 19,37,600명에 달할 것으로 예측됩니다.
  • 퇴행성 무릎 관절염 치료제를 개발 중인 신흥 제약 기업으로는 패러다임 바이오파마(ZILOSUL), 암젤(AMZ001), 셀시드(CLS2901C) 등이 있습니다.

G7 국가별 퇴행성 무릎 관절염 시장 규모 및 전망

  • 2025년 퇴행성 무릎 관절염 시장 규모 : 약 155억 달러
  • 2036년 퇴행성 무릎 관절염 시장 규모(예측) : 약 260억 달러
  • 퇴행성 무릎 관절염의 성장률(2026년-2036년) : 연평균 성장률(CAGR) 5%

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 시장을 주도하는 주요 요인

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 이해와 치료 알고리즘

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 역학

퇴행성 무릎 관절염의 역학적 분석 및 예측에 관한 주요 조사 결과

  • EU4 및 영국에서 2025년 기준, 연령별 확진자 수 비중이 가장 높았던 연령대는 70세 이상이었으며, 그 다음으로 60-69세, 50-59세 연령대가 뒤를 이었습니다.
  • EU4 국가 및 영국에서 퇴행성 무릎 관절염의 유병률이 가장 높았던 나라는 독일이었으며, 그 다음은 프랑스였습니다. 반면, 이탈리아에서는 확진자 수가 가장 적었습니다.
  • 일본에서는 70세 이상 연령층이 가장 많은 사례를 차지했습니다. 반면, 18-39세 연령대에서는 환자 수가 가장 적었습니다.
  • 2025년 기준으로, 독일의 퇴행성 무릎 관절염 진단을 받은 환자 수는 약 697만 2,862명이었습니다.

퇴행성 무릎 관절염 시장 전망

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.

  • G7(주요 7개국) 중 미국은 무릎 관절염 시장에서 가장 큰 시장 규모를 차지하고 있으며, 2025년에는 약 96억 달러에 달할 것으로 전망됩니다.
  • EU4 국가 중에서는 영국과 독일이 무릎 관절염 시장에서 가장 큰 비중을 차지하고 있으며, 그 다음으로 프랑스가 뒤를 잇고 있습니다.
  • Lorecivivint나 AMZ001과 같은 후기 임상시험 단계의 후보 약물은 예측 기간 동안 퇴행성 무릎 관절염 치료 시장에서 경쟁을 심화시킬 것으로 보입니다.
  • 글리코사미노글리칸: TRILURON은 글리코사미노글리칸을 주성분으로 하는 점탄성 보충제 역할을 합니다. 이는 활액의 점탄성 특성을 회복시켜 관절 내 윤활성과 충격 흡수성을 향상시키는 한편, 경미한 항염증 작용 및 연골 보호 작용도 발휘합니다.
  • 저분자 화합물: JOYCLU나 ZILRETTA와 같은 승인된 치료제는 저분자 화합물입니다. ZILRETTA에는 PLGA 마이크로스피어에 함유된 저분자 코르티코스테로이드인 트리암시놀론 아세토니드가 포함되어 있어, 관절 내에서 지속적 방출이 이루어지도록 설계되었습니다.

자주 묻는 질문

  • 퇴행성 무릎 관절염의 시장 규모는 어떻게 예측되나요?
  • 퇴행성 무릎 관절염의 유병률은 어떻게 되나요?
  • 퇴행성 무릎 관절염 치료에 사용되는 주요 약물은 무엇인가요?
  • 퇴행성 무릎 관절염의 주요 증상은 무엇인가요?
  • 퇴행성 무릎 관절염의 치료 알고리즘은 어떻게 구성되나요?
  • 퇴행성 무릎 관절염 시장에서의 주요 기업은 어디인가요?

목차

제1장 주요 인사이트

제2장 서론

제3장 주요 요약

제4장 주요 이벤트

제5장 퇴행성 무릎 관절염 : 역학 및 시장 조사 방법

제6장 퇴행성 무릎 관절염 : 시장 개요

제7장 퇴행성 무릎 관절염 : 질환 배경과 개요

제8장 퇴행성 무릎 관절염 : 역학 및 환자 인구

제9장 퇴행성 무릎 관절염 : 환자 경과

제10장 시판 치료제

제11장 신흥 치료법

제12장 퇴행성 무릎 관절염 : 주요 7개국 분석

제13장 퇴행성 무릎 관절염 : 미충족 요구

제14장 퇴행성 무릎 관절염 : SWOT 분석

제15장 퇴행성 무릎 관절염 : KOL(Key Opinion Leader)의 견해

제16장 퇴행성 무릎 관절염 : 시장 참여 및 상환

제17장 부록

제18장 DelveInsight의 서비스 내용

제19장 면책사항

제20장 DelveInsight에 대해

LSH 26.07.27

Knee Osteoarthritis Insights and Trends

  • Knee osteoarthritis can affect both men and women; research suggests that women are almost twice as likely to develop osteoarthritis as men. About 63% of knee osteoarthritis cases in the US were contributed by the female population.
  • According to DelveInsight's analysis, the knee osteoarthritis market size was found to be ~USD 15,500 million in the leading markets (the United States, the EU4 (Germany, France, Italy, and Spain), the United Kingdom, and Japan) in 2025.
  • Based on severity, most patients described their pain as mild, followed by moderate, and a smaller percentage reported severe pain.
  • Almost 10% of adults in the UK have been clinically diagnosed with Osteoarthritis. This is comparable to about 11.5% in the US and a slightly higher global prevalence of about 16%. The total number of cases of Osteoarthritis in the UK has increased over the years.
  • Those with multiple joints affected by synovial inflammation are more likely to have significant symptoms like higher levels of hand pain and stiffness.
  • In knee osteoarthritis, approved intra-articular therapies such as JOYCLU, TRILURON, and ZILRETTA anchor the current market landscape, supported by localized and sustained pain control, and their role as effective non-surgical options.
  • According to the estimates, the US accounted for around 19,37,600 diagnosed prevalent cases of knee osteoarthritis in 2025.
  • Emerging pharmaceutical companies developing therapies to treat knee osteoarthritis include Paradigm Biopharma (ZILOSUL), Amzell (AMZ001), and CellSeed (CLS2901C).

Knee Osteoarthritis Market Size and Forecast in the 7MM

  • 2025 Knee Osteoarthritis Market Size: ~USD 15,500 million
  • 2036 Projected Knee Osteoarthritis Market Size: ~USD 26,000 million
  • Knee Osteoarthritis Growth Rate (2026-2036): 5% CAGR

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 Understanding and Treatment Algorithm

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.

1. Need for developing the ability to phenotype and stratify patients for inclusion in clinical trials

2. Impact of knee osteoarthritis on patients' quality of life

3. Insufficient knowledge regarding the disease paradigm

4. Need for treatment therapies with fewer side effects, and others.....

Knee Osteoarthritis Epidemiology

Key Findings from Knee Osteoarthritis Epidemiological Analysis and Forecast

  • Amongst EU4 and the UK, in 2025, the highest proportion of age-specific cases was observed in those aged 70 years and above, followed by the age groups of 60-69 and 50-59 years.
  • Among EU4 and the UK, Germany had the highest prevalence of cases of knee osteoarthritis, followed by France. In contrast, Italy had the lowest number of cases.
  • In Japan, the age group of 70 years and above accounted for the highest cases. In contrast, the fewest cases were found in the age group of 18-39 years.
  • In 2025, Germany had nearly 6,972,862 diagnosed prevalent cases of knee osteoarthritis.

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

  • Ono Pharmaceutical
  • Fidia Farmaceutici
  • Pacira BioSciences
  • Paradigm Biopharma
  • CellSeed, and others

Knee Osteoarthritis Drug Updates

  • In January 2026, Biosplice submitted an NDA to the FDA for lorecivivint (LOR), the first disease-modifying candidate for knee osteoarthritis. It showed statistically and clinically significant improvements in pain, function, and medial joint space width versus placebo, with an excellent safety profile.
  • In July 2025, Genascence announced that the US FDA granted Regenerative Medicine Advanced Therapy (RMAT) designation to GNSC-001 for the treatment of knee osteoarthritis.
  • In March 2023, Paradigm received parallel European regulatory and ethics approvals for the pivotal PARA_OA_002 global clinical trial.
  • In July 2023, UnicoCell Biomed successfully enrolled the first Phase III clinical trial participant to treat knee osteoarthritis. The trial received approval from the US FDA in March 2023.

Drug Class Insights

Knee Osteoarthritis Market Outlook

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.

  • Among the 7MM, the US accounted for the largest market size of knee osteoarthritis. i.e., USD ~9,600 million in 2025.
  • Among EU4, the UK and Germany account for the largest knee osteoarthritis market size, followed by France.
  • Late-stage candidates like Lorecivivint and AMZ001 will ramp up competition in the knee osteoarthritis treatment market over 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.

  • Glycosaminoglycans: TRILURON functions as a glycosaminoglycan-based viscosupplement. It restores the viscoelastic properties of synovial fluid, improving lubrication and shock absorption within the joint while also exerting mild anti-inflammatory and chondroprotective effects.
  • Small molecules: Approved therapies such as JOYCLU and ZILRETTA are small molecules. ZILRETTA contains the small-molecule corticosteroid triamcinolone acetonide formulated in PLGA microspheres for sustained intra-articular release.

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.

  • Pricing of Knee Osteoarthritis Approved Drugs

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.

Scope of the Report:

  • The report covers a segment of key events, an executive summary, a descriptive overview of knee osteoarthritis, explaining its 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 elaborative profiles of late-stage and prominent therapies, will have an impact on the current treatment landscape.
  • A detailed review of the knee osteoarthritis 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 knee osteoarthritis market.

Report Insights

  • Knee Osteoarthritis Patient Population Forecast
  • Knee Osteoarthritis Therapeutics Market Size
  • Knee Osteoarthritis Pipeline Analysis
  • Knee Osteoarthritis Market Size and Trends
  • Knee Osteoarthritis 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
  • Knee Osteoarthritis Market Outlook (North America, Europe, Asia-Pacific)
  • Patient Burden Trends (By Geography)
  • Knee Osteoarthritis Treatment Addressable Market (TAM)
  • Knee Osteoarthritis Competitive Landscape
  • Knee Osteoarthritis Major Companies Insights
  • Knee Osteoarthritis Price Trends and Analogue Assessment
  • Knee Osteoarthritis Therapies Drug Adoption/Uptake
  • Knee Osteoarthritis Therapies Peak Patient Share Analysis

Report Assessment

  • Knee Osteoarthritis Current Treatment Practices
  • Knee Osteoarthritis Unmet Needs
  • Knee Osteoarthritis Clinical Development Analysis
  • Knee Osteoarthritis Emerging Drugs Product Profiles
  • Knee Osteoarthritis Market Attractiveness
  • Knee Osteoarthritis Qualitative Analysis (SWOT and conjoint analysis)

FAQs:

Market Insights

  • What was the knee osteoarthritis 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 knee osteoarthritis?
  • What are the disease risks, burdens, and unmet needs of knee osteoarthritis? What will be the growth opportunities across the 7MM concerning the patient population with knee osteoarthritis?
  • 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 knee osteoarthritis? What are the current guidelines for treating knee osteoarthritis 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 knee osteoarthritis 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 into 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 with in 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. Key Conferences And Meetings
  • 4.2. Key Transactions And Collaborations
  • 4.3. News Flow

5. Epidemiology and Market Methodology of Knee Osteoarthritis

6. Knee Osteoarthritis Market Overview at a Glance

  • 6.1. Clinical Landscape Analysis (By Molecule Type, Phase, and Route of Administration [ROA])
  • 6.2. Market Share of knee osteoarthritis By Therapies (%) in the 7MM in 2025
  • 6.3. Market Share of knee osteoarthritis By Therapies (%) in the 7MM in 2036

7. Disease Background And Overview of Knee Osteoarthritis

  • 7.1. Introduction
  • 7.2. Types of knee osteoarthritis
  • 7.3. Molecular Classification of Knee Osteoarthritis
  • 7.4. Causes
  • 7.5. Signs And Symptoms
  • 7.6. Diagnosis
    • 7.6.1. Differential Diagnosis
    • 7.6.2. Diagnostic Algorithm
    • 7.6.3. Diagnostic Guidelines
  • 7.7. Treatment and Management
  • 7.8. Treatment Algorithm
  • 7.9. Treatment Guidelines
    • 7.9.1. Guidelines for Management of Knee Osteoarthritis (American College of Rheumatology/Arthritis)

7.9..2. Clinical Practice Guidelines for Management of Knee Osteoarthritis (Non-arthroplasty) (American Academy of Orthopedic Surgeons)

    • 7.9.3. Guidelines for Management of Knee Osteoarthritis (European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases)
    • 7.9.4. Guidelines for Management of Knee Osteoarthritis (French Society of Rheumatology)
    • 7.9.5. Clinical Practice Guidelines for Diagnosis and Management of Knee Osteoarthritis (Italian Society for Rheumatology)
    • 7.9.6. Guidelines for Management of Knee Osteoarthritis (National Institute for Health and Care Excellence)
    • 7.9.7. OARSI Guidelines for the Nonsurgical Management of Knee and Hip Osteoarthritis

8. Epidemiology and Patient Population of Knee Osteoarthritis

  • 8.1. Key Findings
  • 8.2. Assumption and Rationale
  • 8.3. Total Prevalent Cases of Knee Osteoarthritis in the 7MM
  • 8.4. The United States
    • 8.4.1. Total Prevalent Cases of Knee Osteoarthritis in the United States
    • 8.4.2. Gender-specific Prevalent Cases of Knee Osteoarthritis in the United States
    • 8.4.3. Age-specific Prevalent Cases of Knee Osteoarthritis in the United States
    • 8.4.4. Severity-specific Prevalent Cases of Knee Osteoarthritis in the United States
  • 8.5. EU4 and the UK
    • 8.5.1. Total Prevalent Cases of Knee Osteoarthritis in EU4 and the UK
    • 8.5.2. Gender-specific Prevalent Cases of Knee Osteoarthritis in EU4 and the UK
    • 8.5.3. Age-specific Prevalent Cases of Knee Osteoarthritis in EU4 and the UK
    • 8.5.4. Severity-specific Prevalent Cases of Knee Osteoarthritis in EU4 and the UK
  • 8.6. Japan
    • 8.6.1. Total Prevalent Cases of Knee Osteoarthritis in Japan
    • 8.6.2. Gender-specific Prevalent Cases of Knee Osteoarthritis in Japan
    • 8.6.3. Age-specific Prevalent Cases of Knee Osteoarthritis in Japan
    • 8.6.4. Severity-specific Prevalent Cases of Knee Osteoarthritis in Japan

9. Patient Journey of Knee Osteoarthritis

10. Marketed Therapies

  • 10.1. Marketed Competitive Landscape of Knee Osteoarthritis
  • 10.2. JOYCLU: Ono Pharmaceutical/Seikagaku
    • 10.2.1. Product Description
    • 10.2.2. Regulatory Milestones
    • 10.2.3. Other Developmental Activities
    • 10.2.4. Summary of Pivotal Trials
    • 10.2.5. Analyst Views
  • 10.3. TRILURON: Fidia Farmaceutici
    • 10.3.1. Product Description
    • 10.3.2. Regulatory Milestones
    • 10.3.3. Summary of Pivotal Trials
    • 10.3.4. Analyst Views

11. Emerging Therapies

  • 11.1. Emerging Competitive Landscape of Knee Osteoarthritis
  • 11.2. ZILOSUL (pentosan polysulfate sodium): Paradigm Biopharma
    • 11.2.1. Product Description
    • 11.2.2. Other Developmental Activities
    • 11.2.3. Clinical Development
      • 11.2.3.1. Clinical Trial Information
    • 11.2.4. Safety and Efficacy
    • 11.2.5. Analyst Views

12. Knee Osteoarthritis: Seven Major Market Analysis

  • 12.1. Key Findings
  • 12.2. Market Outlook of Knee Osteoarthritis
  • 12.3. Conjoint Analysis of Knee Osteoarthritis
  • 12.4. Key Market Forecast Assumptions
    • 12.4.1. Cost Assumptions
    • 12.4.2. Pricing Trends
    • 12.4.3. Analogue Assessment
    • 12.4.4. Launch Year and Therapy Uptakes
  • 12.5. Total Market Size of knee osteoarthritis in the 7MM
  • 12.6. The United States
    • 12.6.1. Total Market Size of knee osteoarthritis in the United States
    • 12.6.2. Market Size of Knee Osteoarthritis by Therapies in the United States
  • 12.7. EU4 and the UK
    • 12.7.1. Total Market Size of knee osteoarthritis in EU4 and the UK
    • 12.7.2. Market Size of knee osteoarthritis by Therapies in EU4 and the UK
  • 12.8. Japan
    • 12.8.1. Total Market Size of knee osteoarthritis in Japan
    • 12.8.2. Market Size of Knee Osteoarthritis by Therapies in Japan

13. Unmet Needs of Knee Osteoarthritis

14. SWOT Analysis of Knee Osteoarthritis

15. KOL Views of Knee Osteoarthritis

  • 15.1. Expert/KOL Interview Highlights

16. Market Access and Reimbursement of Knee Osteoarthritis

  • 16.1. The US
  • 16.2. In EU4 and the UK
    • 16.2.1. Germany
    • 16.2.2. France
    • 16.2.3. Italy
    • 16.2.4. Spain
    • 16.2.5. United Kingdom
  • 16.3. Japan
  • 16.4. Summary and Comparison of Market Access and Pricing Policy Developments in 2025
  • 16.5. Market Access and Reimbursement of knee osteoarthritis Therapies

17. Appendix

  • 17.1. Bibliography
  • 17.2. Report Methodology

18. DelveInsight Capabilities

19. Disclaimer

20. About DelveInsight

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