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안면견갑상완형 근디스트로피 : 시장 인사이트, 역학 및 시장 예측(2036년)

Facioscapulohumeral Muscular Dystrophy - 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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안면견갑상완형 근디스트로피(FSHD)에 대한 인사이트와 동향

  • DelveInsight의 분석에 따르면, 2025년 주요 시장(미국, EU 4개국(독일, 프랑스, 이탈리아, 스페인), 영국 및 일본)의 FSHD 시장 규모는 약 6억 달러인 것으로 나타났습니다.
  • FSHD는 전 세계적으로 볼 때 성인 발병형 근이영양증 중 두 번째로 흔한 질환입니다. 안면, 어깨, 상완의 근육에서 근력 저하가 나타나고, 그 후 복부, 하지, 골반 부위의 근육으로 서서히 퍼져 나갑니다. 이러한 특징적인 근증상의 진행 양상은 진단 및 임상 관리에 있어 매우 중요합니다.
  • FSHD 유전자형을 가진 사람의 약 80%에게서 증상이 나타나지만, 검사 결과 양성 판정을 받은 사람의 20%는 무증상(증상이 없음)입니다. 증상은 인생의 후반부에 나타나기도 하고, 매우 경미해서 알아차리지 못하는 경우도 있습니다.
  • FSHD1의 경우, 이 질환을 앓고 있는 부모의 자녀는 50%의 확률로 이 질환을 유전받지만, FSHD2의 경우 그 위험도는 부모 양쪽의 유전적 요인에 따라 다르며, 일반적으로 25%에서 50% 사이입니다.
  • 조기 발병형 FSHD는 일반적으로 5세 이전에 안면 근육의 근력 저하가 나타나고, 그리고/또는 10세 이전에 어깨나 상완 근육의 근력 저하가 나타나는 것이 특징입니다. 이 조기형은 FSHD 전체 사례의 약 5-10%를 차지합니다.
  • 유전자 검사는 FSHD 진단을 확정하기 위한 중요한 수단입니다. 이 검사를 통해 이 질환과 관련된 특정 유전자 변이를 확인함으로써, 유사한 증상을 보이는 다른 질환과 감별 진단할 수 있게 됩니다. 환자분과 가족분들께서는 본인의 상황에 따라 유전자 검사가 적절한 선택인지 판단하기 위해 의료 전문가와 상담하시기를 권장합니다.
  • FSHD에 대한 완치 방법은 없지만, 현재 이용 가능한 치료법은 합병증과 사망 위험을 줄이면서 이동 능력, 일상생활 기능 및 삶의 질을 향상시키는 것을 목표로 하고 있습니다. 환자의 약 20%는 결국 일어서거나 걷는 능력을 상실하게 되어, 이동 시 휠체어에 의존할 수밖에 없게 됩니다.
  • FSHD의 새로운 개발 파이프라인에는 Delpacibart braxlosiran(del-brax)(Novartis/Avidity Biosciences), EPI-321(Epicrispr Biotechnologies), MDL-103(Modalis Therapeutics), Restem-L(Restem) 등이 포함됩니다.

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

안면견갑상완형 근디스트로피(FSHD) 시장 보고서는 표준 치료, 임상 실무 및 진화하는 치료 알고리즘을 포함하여 현재 시장 상황에 대한 종합적인 분석을 제공합니다. 본 보고서에서는 FSHD 환자의 부담 추이, 매출 및 시장 점유율 추이, 정점 시기의 환자 점유율 및 치료 도입 현황에 대한 분석을 평가함과 동시에, 전 세계 각 지역의 시장 규모에 대한 상세한 평가 및 성장률 예측(과거 데이터 및 2022-2036년 예측)을 제공합니다. 본 보고서에서는 안면견갑상완형 근디스트로피(FSHD) 분야의 주요 미충족 요구 사항을 부각시키고, 경쟁 구도와 임상 현황을 분석하여 고부가가치 성장 기회를 도출하는 한편, 향후 시장 성장 가능성에 대한 명확한 전망을 제시하고 있습니다.

안면견갑상완형 근디스트로피(FSHD) 시장을 주도하는 주요 요인

FSHD 유병률의 증가

진단 능력의 향상과 질환에 대한 인식 제고에 힘입어 FSHD의 유병률이 증가하고 있는 것이 시장 성장을 이끄는 주요 요인으로 작용하고 있습니다. 미국에서는 2025년 FSHD 환자 수가 약 7만 9,700명이었으나, 2036년까지 이보다 더 늘어날 것으로 예상됩니다.

표적 치료 및 유전자 치료 분야의 기회 확대

최근 등장하고 있는 FSHD 치료법은 DUX4에 기인한 질환 기전을 해결하는 것을 목적으로, 유전자 표적 치료, RNA 기반 접근법, 그리고 근육 조절에 초점을 맞추고 있습니다. 이러한 질환 수정 전략으로의 전환은 유전자 교정 및 근육 재생 분야에서 새로운 기회를 창출하고 있습니다.

안면견갑상완형 근디스트로피(FSHD)의 이해와 치료 알고리즘

안면견갑상완형 근디스트로피(FSHD)의 개요와 진단

안면견갑상완형 근디스트로피(FSHD)은 안면, 어깨, 상완의 근육이 점진적으로 변성되고 약화되는 것을 특징으로 하는 유전성 근질환입니다. 이는 가장 흔한 근이영양증의 일종으로, 증상은 대개 사춘기나 젊은 성인기에 나타나지만, 소아기에 발병하는 조기 발병 사례도 있습니다. FSHD는 DUX4 유전자의 비정상적인 활성화를 유발하는 유전적 변이에 의해 발생하며, 시간이 지남에 따라 근육 손상을 초래합니다. 질병의 진행 속도는 개인마다 큰 차이가 있으며, 경미한 근력 저하부터 심각한 신체 장애에 이르기까지 다양합니다. 진단은 임상 평가와 유전자 검사를 통해 확정됩니다. 현재로서는 완치를 위한 치료법은 없지만, 물리치료나 보조기구를 이용한 지지요법을 통해 증상을 관리하고 삶의 질을 향상시킬 수 있습니다.

안면견갑상완형 근디스트로피(FSHD)의 진단

FSHD의 진단은 임상 평가, 병력 및 가족력, 그리고 특징적인 근력 저하 양상을 종합적으로 판단하여 이루어집니다. 의사는 근력 저하의 다른 원인을 배제하기 위해 혈액 검사(CK 및 알도라제 수치), 신경학적 검사, 경우에 따라서는 근생검을 실시할 수 있습니다. 그러나 이러한 검사만으로는 FSHD를 확실하게 진단할 수 없습니다. 확정 진단은 FSHD 제1형 또는 제2형을 확인하는 유전자 검사를 통해 내려집니다.

안면견갑상완형 근디스트로피(FSHD)의 치료

현재 FSHD를 완치할 수 있는 치료법은 없기 때문에 치료는 증상 관리와 삶의 질 향상에 중점을 두고 있습니다. 치료에는 일반적으로 근력과 가동 범위를 유지하고 구축을 완화하기 위한 물리치료가 포함됩니다. 작업 치료나 보조기, 이동 보조기구 등의 보조 기구는 일상생활 기능을 유지하는 데 도움이 됩니다. 또한, 편안함과 지구력을 높이기 위해 통증 관리나 개인별로 맞춤화된 운동 프로그램이 권장되기도 합니다. 중증 합병증이 있는 경우에는 외과적 개입을 고려하기도 하지만, 질환의 경과를 변화시키는 치료법에 대해서는 현재도 연구가 계속되고 있습니다.

안면견갑상완형 근디스트로피(FSHD)의 역학

안면견갑상완형 근디스트로피(FSHD)의 역학 분석 및 예측에 관한 주요 조사 결과

  • 2025년, 주요 7개국(7대 시장)에서 미국은 주요 7개국 전체 환자 수의 약 45%를 차지하고 있으며, 2036년까지 그 수는 증가할 것으로 예상됩니다.
  • 2025년, 주요 7개국에서 FSHD의 연령별 환자 수를 살펴보면, 50세 이상 환자가 가장 많았고, 18세 미만 환자가 가장 적었습니다.
  • 2025년, FSHD1의 환자 수는 1만 6,000건에 육박하며, 미국 내 전체 환자의 약 95%를 FSHD1이 차지하고 있어, FSHD2보다 현저히 높은 비율을 보이고 있습니다.
  • 2차 분석에 따르면, FSHD는 임상 평가와 유전자 검사를 종합하여 진단되며, 제1형 또는 제2형으로 분류되지만, 환자의 약 95%가 제1형으로 진단됩니다.
  • 2차 자료에 따르면, FSHD의 유병률은 미국에서는 약 8,000명 중 1명에서 1만 5,000명 중 1명, 이탈리아와 영국에서는 모두 약 2만 명 중 1명으로 추정됩니다.
  • FSHD는 가장 흔한 근질환 중 하나로, 전 세계적으로 87만 명 이상이 이 질환을 앓고 있으며, 20개 이상의 FSHD 국내 등록 제도가 운영되고 있습니다.
  • 미국에서는 FSHD 사례 중 중증도 범주(중증도 점수 7-10)가 약 40%를 차지하여 가장 높은 비율을 보이며, 그 다음으로 중증도 4-6에 해당하는 사례가 뒤를 잇습니다. 그 다음으로 중증도 1-3의 사례가 이어지며, 비율이 가장 낮은 것은 점수 0인 사례입니다.
  • 미국에서는 FSHD 환자가 남성과 여성에게 거의 균등하게 분포되어 있지만, 여성에 비해 남성이 약간 더 많은 경향을 보입니다.

안면견갑상완형 근디스트로피(FSHD) 시장의 전망

FSHD는 진행성이며 유전성 근육 질환으로, 주로 안면, 어깨, 상지의 근육에 영향을 미치며, 서서히 진행되고 종종 비대칭적인 근력 저하를 특징으로 합니다. 또한, 안정기와 급격한 악화가 번갈아 반복되는 '간헐적인 진행 양상'이 나타납니다. 임상 증상으로는 안면 근력 저하, 견갑골의 불안정성, 복부 및 고관절 근육으로의 파급 등이 있으며, 경우에 따라 망막이나 골격의 이상도 관찰되지만, 이러한 증상들은 정식 진단이 내려지기 수년 전에 나타나는 경우가 많습니다.

진단 시에는 임상 평가와 더불어 D4Z4 반복 단축을 검출하는 유전자 검사가 실시됩니다. 이를 통해 대부분의 경우 질환이 확정됩니다. 또한, 질환의 중증도를 평가하기 위한 RICCI 점수 등의 도구도 사용됩니다. 또한, CK 수치 측정, 근전도 검사(EMG), 근생검 등의 추가 검사가 실시되어 진단을 뒷받침하고 다른 신경근 질환을 배제하는 데 도움이 됩니다.

현재 승인된 질병 수정 요법은 없으며, 치료는 물리치료, 저강도 운동, 통증 관리, 그리고 특정 사례에서 기능 개선을 목적으로 하는 견갑골 고정술과 같은 외과적 중재를 포함한 대증 요법 및 지지요법에 중점을 두고 있습니다. 그러나 이러한 접근 방식으로는 질병의 진행을 막을 수 없으며, 여전히 충족되지 않은 의료적 요구가 크다는 사실이 부각되고 있습니다.

FSHD 시장은 진단법의 발전, 인지도 제고, 헬스케어 투자 증가에 더해, DUX4 발현을 표적으로 하는 유전자 치료, RNA 기반 치료 및 유전자 편집 치료의 발전으로 인해 확대될 것으로 예상됩니다. 개발 중인 치료법과 제약 업계의 관심이 높아짐에 따라 치료 방식에 혁신이 일어날 것으로 기대되지만, 높은 비용과 효과적인 치료법의 부재와 같은 과제가 여전히 최적의 질환 관리를 가로막고 있습니다.

전반적으로, 동종 최초의 치료법 등장, 진단 기법의 개선, 그리고 질환에 대한 인식 제고에 힘입어 2022년부터 2036년까지 주요 7개국 규모의 FSHD 시장은 꾸준한 성장을 이룰 것으로 예상되며, 이는 시판 제품과 개발 중인 파이프라인 모두에 큰 상업적 영향을 미칠 것으로 전망됩니다.

  • 추산에 따르면, FSHD 시장에서 가장 큰 비중을 차지하는 곳은 미국이며, 2025년에는 약 6억 달러에 달할 것으로 예상됩니다.
  • 지역별 시장 동향을 살펴보면, 매출액 면에서는 미국이 1위를 차지하고 있지만, 유럽과 일본에서는 심혈관질환의 부담 증가, 진단율 향상, 그리고 FSHD 관리에 있어 새로운 보조 요법 및 맞춤형 치료 전략의 단계적 도입에 힘입어 꾸준한 성장이 나타나고 있습니다.
  • DUX4를 표적으로 하는 치료법(AOC 및 RNAi 접근법) : 델파시바트-브락스로실란(del-brax) 및 ARO-DUX4는 FSHD 병태의 주요 원인인 DUX4 유전자의 발현을 억제하거나 감소시키도록 설계되었습니다. AOC 및 RNA 간섭(RNAi) 플랫폼을 포함한 이러한 첨단 치료법은 질병의 진행을 억제하기 위한 표적 맞춤형 접근법을 두드러지게 하고 있습니다.
  • 미오스타틴 억제제(근육 성장 조절제) : 아피테그로마브는 근육 성장의 음성 조절 인자인 잠재성 미오스타틴을 선택적으로 억제하는 단일클론 항체로, 이를 통해 FSHD 환자의 근력과 기능 개선을 목표로 하고 있습니다.
  • 유전자 편집 및 유전자 치료 접근법 : EPI-321은 유전체 수준에서 DUX4의 발현을 억제하는 데 초점을 맞춘 새로운 유전자 치료 전략으로, 첨단 유전자 편집 기술을 통해 장기적인 질병 경과 개선 가능성을 제시하고 있습니다.
  • 세포 치료 및 재생 의학 : Restem-L은 면역 조절 작용과 재생 능력을 지닌 ULPC(초저분화 전구세포)를 활용하여 근육 조직의 회복을 촉진함과 동시에 질환과 관련된 염증을 완화하는 것을 목적으로 합니다.

자주 묻는 질문

  • 안면견갑상완형 근디스트로피(FSHD)의 시장 규모는 어떻게 되나요?
  • FSHD의 유병률은 어떻게 변화하고 있나요?
  • FSHD의 주요 증상은 무엇인가요?
  • FSHD의 유전자 검사는 어떤 역할을 하나요?
  • FSHD의 치료 방법은 무엇인가요?
  • FSHD의 주요 치료 개발 파이프라인에는 어떤 것들이 있나요?

목차

제1장 주요 인사이트

제2장 소개

제3장 주요 요약

제4장 안면견갑상완형 근디스트로피 : 시장 개요

제5장 안면견갑상완형 근디스트로피 : 역학 및 시장 예측 조사 방법

제6장 주요 사건

제7장 안면견갑상완형 근디스트로피 : 질환 배경과 개요

제8장 치료와 관리

제9장 주요 7개국의 안면견갑상완형 근디스트로피(FSHD) 역학 및 환자 인구

제10장 환자 경과

제11장 새로운 치료법

제12장 안면견갑상완형 근디스트로피 : 주요 7개국 분석

제13장 안면견갑상완형 근디스트로피 : 미충족 수요

제14장 안면견갑상완형 근디스트로피 : SWOT 분석

제15장 안면견갑상완형 근디스트로피 : KOL의 견해

제16장 시장 진입 및 상환

제17장 부록

제18장 DelveInsight의 서비스 내용

제19장 면책사항

제20장 DelveInsight 소개

KSM 26.07.20

Facioscapulohumeral Muscular Dystrophy (FSHD) Insights and Trends

  • According to DelveInsight's analysis, the FSHD market size was found to be ~USD 600 million in the leading markets (the United States, the EU4 (Germany, France, Italy, and Spain), the United Kingdom, and Japan) in 2025.
  • FSHD is the second most common adult-onset muscular dystrophy worldwide. It presents with weakness in the facial, shoulder-girdle, and upper-arm muscles and progressively extends to the abdominal, lower-limb, and pelvic-girdle muscles. This characteristic pattern of muscle involvement is central to its diagnosis and clinical management.
  • About 80% of people with the FSHD genotype will develop symptoms, while 20% who test positive are asymptomatic (do not have symptoms). Symptoms may appear later in life or be so mild that they go unnoticed.
  • In FSHD1, a child of an affected parent has a 50% chance of inheriting the condition, while in FSHD2, the risk varies based on both parents' genetics but is generally between 25% and 50%.
  • Early-onset FSHD is generally characterised by facial muscle weakness appearing before age 5 and/or weakness in the shoulder and upper arm muscles before age 10. This early form represents roughly 5-10% of all FSHD cases.
  • Genetic testing is a valuable tool for confirming an FSHD diagnosis, as it identifies the specific genetic changes associated with the condition and helps differentiate it from other disorders with similar symptoms. Individuals and their families are encouraged to consult healthcare professionals to determine whether genetic testing is an appropriate option for their situation.
  • While there is no cure for FSHD, available therapies aim to enhance mobility, daily functioning, and quality of life while reducing complications and mortality risk. About 20% eventually lose the ability to stand and walk, becoming reliant on a wheelchair for mobility.
  • The emerging pipeline in FSHD includes Delpacibart braxlosiran (del-brax) (Novartis/Avidity Biosciences), EPI-321 (Epicrispr Biotechnologies), MDL-103 (Modalis Therapeutics), Restem-L (Restem), and others.

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

DelveInsight's 'Facioscapulohumeral Muscular Dystrophy (FSHD) - Market Insights, Epidemiology and Market Forecast - 2036' report delivers an in-depth understanding of the FSHD, historical and forecasted epidemiology, as well as the FSHD market trends in the United States, EU4 (Germany, Spain, Italy, and France) and the United Kingdom, and Japan.

The Facioscapulohumeral Muscular Dystrophy (FSHD) market report delivers a comprehensive analysis of the current treatment landscape, including standards of care, clinical practices, and evolving therapeutic algorithms. It evaluates FSHD 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 Facioscapulohumeral Muscular Dystrophy (FSHD) 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 Facioscapulohumeral Muscular Dystrophy (FSHD) Market

Rising FSHD Prevalence

The increasing prevalence of FSHD, supported by improved diagnostic capabilities and greater disease awareness, is a key factor driving market growth. In the US, there were ~79,700 prevalent cases of FSHD in 2025, which are expected to increase further by 2036.

Rising Opportunities in Targeted and Genetic Therapies

Emerging FSHD therapies focus on gene-targeting, RNA-based approaches, and muscle modulation, aiming to address DUX4-driven disease mechanisms. This shift toward disease-modifying strategies creates opportunities in genetic correction and muscle regeneration.

Emerging FSHD Competitive Landscape

Some of the FSHD drugs in clinical trials include Delpacibart braxlosiran (del-brax), ARO-DUX4, Apitegromab, and others.

Facioscapulohumeral Muscular Dystrophy (FSHD) Understanding and Treatment Algorithm

Facioscapulohumeral Muscular Dystrophy (FSHD) Overview and Diagnosis

Facioscapulohumeral Muscular Dystrophy (FSHD) is a genetic muscle disorder characterised by progressive weakening of the facial, shoulder, and upper arm muscles. It is one of the most common forms of muscular dystrophy, with symptoms often beginning in adolescence or early adulthood, though early-onset cases can occur in childhood. FSHD is caused by genetic changes that lead to inappropriate activation of the DUX4 gene, resulting in muscle damage over time. The disease progression is highly variable, ranging from mild muscle weakness to significant physical disability. Diagnosis is confirmed through clinical evaluation and genetic testing. While there is currently no cure, supportive therapies such as physical therapy and assistive devices help manage symptoms and improve quality of life.

Facioscapulohumeral Muscular Dystrophy (FSHD) Diagnosis

Diagnosis of FSHD is based on a combination of clinical evaluation, medical and family history, and characteristic patterns of muscle weakness. Doctors may use blood tests (CK and aldolase levels), neurological examinations, and sometimes a muscle biopsy to rule out other causes of muscle weakness. However, these tests alone cannot confirm FSHD with certainty. A definitive diagnosis is made through genetic testing, which identifies FSHD Type 1 or Type 2.

Facioscapulohumeral Muscular Dystrophy (FSHD) Treatment

FSHD treatment focuses on managing symptoms and improving quality of life, as there is currently no cure. Care typically includes physical therapy to maintain muscle strength and mobility and reduce contractures. Occupational therapy and assistive devices, such as braces or mobility aids, help support daily functioning. Pain management and tailored exercise programs may also be recommended to improve comfort and endurance. In some cases, surgical interventions may be considered for severe complications, while ongoing research continues to explore disease-modifying therapies.

Facioscapulohumeral Muscular Dystrophy (FSHD) Unmet Needs

The section "unmet needs of Facioscapulohumeral Muscular Dystrophy (FSHD)" 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 earlier and more accurate diagnosis to reduce delays in disease identification

2. Lack of disease-modifying therapies to slow or stop progression

3. Limited treatment options for muscle weakness, fatigue, and functional impairment

4. Inadequate management strategies for pain and long-term disability

5. Need for better multidisciplinary care and long-term patient support, and others.....

Comprehensive unmet needs insights in Facioscapulohumeral Muscular Dystrophy (FSHD) and their strategic implications are provided in the full report.

Facioscapulohumeral Muscular Dystrophy (FSHD) Epidemiology

Key Findings from Facioscapulohumeral Muscular Dystrophy (FSHD) Epidemiological Analysis and Forecast

  • In 2025, among the 7MM, the US accounted for approximately 45% of total cases in the 7MM, which are expected to increase by 2036.
  • In 2025, among the age-specific cases of FSHD in the 7MM, the highest cases were in patients aged 50 years and above, while the lowest were in those below 18.
  • In 2025, there were nearly 16,000 cases of FSHD1, with FSHD1 accounting for approximately 95% of cases in the US, significantly higher than FSHD2.
  • According to secondary analysis, FSHD is diagnosed through a combination of clinical evaluation and genetic testing and is classified as either Type 1 or Type 2, with approximately 95% of patients diagnosed with Type 1.
  • As per secondary sources, the prevalence of FSHD is estimated at approximately 1 in 8,000 to 1 in 15,000 in the US and about 1 in 20,000 in both Italy and the UK.
  • FSHD is one of the most common myopathies, involving over 870,000 people worldwide and over 20 FSHD national registries.
  • In the US, the highest proportion of FSHD cases is observed in the most severe category (severity score 7 to 10) at ~40%, followed by 4 to 6 severity. This is followed by 1 to 3 severity, while the lowest proportion is seen in score 0 cases.
  • In the US, FSHD cases are distributed almost equally between males and females, with a slight predominance in males compared to females.

Facioscapulohumeral Muscular Dystrophy (FSHD) Drug Chapters & Competitive Analysis

The FSHD drug chapter provides a detailed, market-focused review of current treatment 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 FSHD treatment landscape, supporting market assessment, competitive analysis, and growth forecasting for the FSHD therapeutics market.

Facioscapulohumeral Muscular Dystrophy (FSHD) Pipeline Analysis

Delpacibart braxlosiran (del-brax): Novartis (Avidity Biosciences)

Del-brax is designed to treat the underlying cause of FSHD, which is caused by the abnormal expression of a gene called double homeobox 4 or DUX4. Del-brax is currently in development in the registrational, fully enrolled ongoing FORTITUDE biomarker cohort in the Phase I/II FORTITUDE trial, the Phase II FORTITUDE open-label extension (FORTITUDE-OLE) trial and the Phase III FORTITUDE-3 (formerly known as FORWARD) trial. The US FDA and the EMA have granted Orphan designation (ODD) for del-brax, and the FDA has granted del-brax Fast Track designation (FTD).

Topline data from the FORTITUDE biomarker cohort is expected in Q2 2026. The company has aligned with the FDA on accelerated and full approval pathways for del-brax and has launched the global Phase III FORTITUDE-3 trial to support worldwide approvals. The Phase III readout and global regulatory submissions are anticipated in 2028.

EPI-321: Epicrispr Biotechnologies

Epicrispr's lead candidate, EPI-321, is the first and only epigenetic editing therapy to receive IND authorisation within the U.S. and is currently being evaluated in a first-in-human Phase I/II trial in the US. EPI-321 has received FDA FTD, ODD, and Rare Pediatric Disease Designation for FSHD. Designed to suppress pathogenic gene activity without cutting DNA, EPI-321 targets the root cause of FSHD and has the potential to be a one-time, disease-modifying, curative therapy for this progressive neuromuscular condition affecting more than one million people globally.

Facioscapulohumeral Muscular Dystrophy (FSHD) Key Players, Market Leaders and Emerging Companies

  • Novartis (Avidity Biosciences)
  • Arrowhead Pharmaceuticals
  • Scholar Rock
  • Epicrispr Biotechnologies
  • Restem
  • Modalis Therapeutics, and others

Facioscapulohumeral Muscular Dystrophy (FSHD) Drug Updates

  • In March 2026, Chugai Pharmaceutical announced that Roche had decided to discontinue the clinical development of GYM329 (emugrobart), an investigational anti-latent myostatin-sweeping antibody for FSHD.
  • In February 2026, Novartis completes the acquisition of Avidity Biosciences, strengthening its late-stage neuroscience pipeline and advancing its xRNA strategy.
  • In January 2026, Epicrispr reported early clinical data from its ongoing first-in-human, open-label study evaluating EPI-321, an investigational epigenetic therapy for FSHD.
  • In August 2025, Epicrispr Biotechnologies announced it had dosed the first patient in its global first-in-human clinical trial of EPI-321, the first investigational therapy designed to silence DUX4 expression through epigenetic modulation for FSHD.

Drug Class Insights

Facioscapulohumeral Muscular Dystrophy (FSHD) Market Outlook

FSHD is a progressive and genetically driven muscle disorder marked by gradual and often asymmetric muscle weakness, primarily affecting the facial, shoulder, and upper limb muscles, with a "stuttering progression pattern" characterised by periods of stability followed by rapid decline. Clinical manifestations may include facial weakness, scapular instability, abdominal and hip muscle involvement, and, in some cases, retinal and skeletal abnormalities, often appearing years before formal diagnosis.

Diagnosis involves clinical evaluation, supported by genetic testing detecting D4Z4 repeat contraction, which confirms the condition in most cases, along with tools such as the RICCI score to assess disease severity. Additional investigations, such as CK levels, EMG, and muscle biopsy, are used to support the diagnosis and exclude other neuromuscular disorders.

Currently, there are no approved disease-modifying therapies, and treatment focuses on symptomatic and supportive care, including physical therapy, low-intensity exercise, pain management, and, in selected cases, surgical interventions such as scapular fixation to improve function. However, these approaches do not halt disease progression, highlighting a significant unmet need.

The FSHD market is anticipated to expand due to improved diagnosis, increasing awareness, and rising healthcare investment, alongside advancements in genetic, RNA-based, and gene-editing therapies targeting DUX4 expression. Emerging pipeline therapies and growing pharmaceutical interest are expected to transform the treatment landscape, although challenges such as high costs and lack of effective therapies continue to limit optimal disease management.

Overall, the launch of first-in-class therapies, improved diagnostic approaches, and increasing disease awareness are expected to drive steady growth in the 7MM FSHD market from 2022 to 2036, with strong commercial implications for both marketed products and emerging pipelines.

  • According to the estimates, the largest market size of FSHD was captured by the United States, i.e., ~USD 600 million in 2025.
  • Regional market dynamics show the US leading in revenue, while Europe and Japan demonstrate steady growth, supported by increasing cardiovascular disease burden, improved diagnosis rates, and gradual adoption of novel adjunctive therapies and personalised treatment strategies in FSHD management.

Drug Class/Insights into Leading Emerging and Marketed Therapies in Facioscapulohumeral Muscular Dystrophy (FSHD) (2022-2036 Forecast)

The FSHD pipeline is primarily driven by gene-targeting therapies, RNA-based approaches, and muscle-modulating biologics, focusing on key disease mechanisms such as DUX4 gene expression and muscle degeneration pathways. These emerging therapies aim to address the underlying genetic cause of FSHD and improve muscle function.

  • DUX4-targeting therapies (AOC & RNAi approaches): Delpacibart braxlosiran (del-brax) and ARO-DUX4 are designed to silence or reduce DUX4 gene expression, the primary driver of FSHD pathology. These advanced therapies, including AOC and RNA interference (RNAi) platforms, highlight a targeted approach to modifying disease progression.
  • Myostatin inhibitors (muscle growth modulators): Apitegromab is a monoclonal antibody that selectively inhibits latent myostatin, a negative regulator of muscle growth, thereby aiming to improve muscle strength and function in FSHD patients.
  • Gene-editing and gene therapy approaches: EPI-321 represents a novel gene therapy strategy focused on silencing DUX4 expression at the genomic level, offering potential long-term disease modification through advanced gene-editing technologies.
  • Cell-based and regenerative therapies: Restem-L utilises ULPCs with immunomodulatory and regenerative properties, aiming to support muscle repair and reduce disease-related inflammation.

Facioscapulohumeral Muscular Dystrophy (FSHD) 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 FSHD market's uptake by drugs, patient uptake by therapy, and sales of each drug.

The current market uptake in FSHD remains limited, as there are no approved disease-modifying therapies, and treatment primarily relies on symptomatic management such as physical therapy, pain control, and supportive care. However, the emergence of gene-targeting, RNA-based, and regenerative therapies is expected to gradually improve uptake, with future adoption likely to increase as these innovative treatments demonstrate clinical efficacy and receive regulatory approval.

Market Access and Reimbursement of FSHD

Reimbursement may be referred to as the negotiation of a price between a manufacturer and a payer that allows the manufacturer access to the market. It is provided to reduce the high costs and make the essential drugs affordable. Health technology assessment (HTA) plays an important role in reimbursement decision-making and recommending the use of a drug. These recommendations vary widely throughout the seven major markets, even for the same drug. In the US healthcare system, both Public and Private health insurance coverage are included. Also, Medicare and Medicaid are the largest government-funded programs in the US. The major healthcare programs, including Medicare, Medicaid, Health Insurance Program (CHIP), and the state and federal health insurance marketplaces, are overseen by the Centres for Medicare & Medicaid Services (CMS). Other than these, Pharmacy Benefit Managers (PBMs) and third-party organisations that provide services and educational programs to aid patients are also present.

The report further provides detailed insights on the country-wise accessibility and reimbursement scenarios, cost-effectiveness scenario of currently used therapies, programs making accessibility easier and out-of-pocket costs more affordable, insights on patients insured under federal or state government prescription drug programs, etc.

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

Facioscapulohumeral Muscular Dystrophy (FSHD) Therapies Price Scenario & Trends

Pricing and analogue assessment of FSHD therapies highlights evolving price dynamics structures. This section summarises 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.

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

Industry Experts and Physician Views for Facioscapulohumeral Muscular Dystrophy (FSHD)

To keep up with FSHD 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 FSHD 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 FSHD, 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 Utah, University of Verona, and the University of Nottingham, etc. were contacted. Their opinion helps understand and validate current and emerging FSHD therapies, highlight unmet medical needs, provide epidemiological context, and support strategic decisions for market access, therapy adoption, and pipeline prioritisation in FSHD.

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 Facioscapulohumeral Muscular Dystrophy (FSHD), 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 analyses 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 analyse the effectiveness of therapy.

The team of analysts analyses 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 Facioscapulohumeral Muscular Dystrophy (FSHD), 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 elaborate profiles of late-stage and prominent therapies, will have an impact on the current treatment landscape.
  • A detailed review of the Facioscapulohumeral Muscular Dystrophy (FSHD) 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 Facioscapulohumeral Muscular Dystrophy (FSHD) market.

Report Insights

  • Facioscapulohumeral Muscular Dystrophy (FSHD) Patient Population Forecast
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Therapeutics Market Size
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Pipeline Analysis
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Market Size and Trends
  • Facioscapulohumeral Muscular Dystrophy (FSHD) 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
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Market Outlook (North America, Europe, Asia-Pacific)
  • Patient Burden Trends (by geography)
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Treatment Addressable Market (TAM)
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Competitive Landscape
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Major Companies Insights
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Price Trends and Analogue Assessment
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Therapies Drug Adoption/Uptake
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Therapies Peak Patient Share analysis

Report Assessment

  • Facioscapulohumeral Muscular Dystrophy (FSHD) Current Treatment Practices
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Unmet Needs
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Clinical Development Analysis
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Emerging Drugs Product Profiles
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Market Attractiveness
  • Facioscapulohumeral Muscular Dystrophy (FSHD) Qualitative Analysis (SWOT and Conjoint Analysis)

FAQs:

Market Insights

  • What was the Facioscapulohumeral Muscular Dystrophy (FSHD) 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 Facioscapulohumeral Muscular Dystrophy (FSHD)?
  • What are the disease risks, burdens, and unmet needs of Facioscapulohumeral Muscular Dystrophy (FSHD)? What will be the growth opportunities across the 7MM concerning the patient population with Facioscapulohumeral Muscular Dystrophy (FSHD)?
  • 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 Facioscapulohumeral Muscular Dystrophy (FSHD)? What are the current guidelines for treating Facioscapulohumeral Muscular Dystrophy (FSHD) 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 Facioscapulohumeral Muscular Dystrophy (FSHD) 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 summarises and simplifies 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. Facioscapulohumeral Muscular Dystrophy (FSHD) Market Overview at a Glance

  • 4.1. Emerging Landscape Analysis (By Phase, Molecule Type, and RoA)
  • 4.2. Market Share (%) Distribution of FSHD by Therapies in the 7MM, in 2029
  • 4.3. Market Share (%) Distribution of FSHD by Therapies in the 7MM, in 2036

5. Epidemiology and Market Forecast Methodology of Facioscapulohumeral Muscular Dystrophy (FSHD)

6. Key Events

  • 6.1. Upcoming Key Catalysts
  • 6.2. Key Transactions And Collaborations
  • 6.3. News Flow
  • 6.4. Key Conference Highlights

7. Disease Background and Overview of Facioscapulohumeral Muscular Dystrophy (FSHD)

  • 7.1. Introduction
  • 7.2. Sign and Symptoms
  • 7.3. Risk Factors
  • 7.4. Pathogenesis
  • 7.5. Classification of FSHD
  • 7.6. Biomarkers
  • 7.7. Diagnosis
    • 7.7.1. Differential Diagnosis

8. Treatment and Management

  • 8.1. Treatment and Management Guidelines

9. Epidemiology and Patient Population of Facioscapulohumeral Muscular Dystrophy (FSHD) in the 7MM

  • 9.1. Key Findings
  • 9.2. Assumptions and Rationale
  • 9.3. Total Prevalent Cases of FSHD in the 7MM
  • 9.4. The United States
    • 9.4.1. Total Prevalent Cases of FSHD in the United States
    • 9.4.2. Total Diagnosed Prevalent Cases of FSHD in the United States
    • 9.4.3. Type-specific Diagnosed Prevalent Cases of FSHD in the United States
    • 9.4.4. Gender-specific Diagnosed Prevalent Cases of FSHD in the United States
    • 9.4.5. Age-specific Diagnosed Prevalent Cases of FSHD in the United States
    • 9.4.6. Severity-specific Diagnosed Prevalent Cases of FSHD in the United States
    • 9.4.7. Total Treated Cases of FSHD in the United States
  • 9.5. EU4 and the UK
    • 9.5.1. Total Prevalent Cases of FSHD in EU4 and the UK
    • 9.5.2. Total Diagnosed Prevalent Cases of FSHD in EU4 and the UK
    • 9.5.3. Type-specific Diagnosed Prevalent Cases of FSHD in EU4 and the UK
    • 9.5.4. Gender-specific Diagnosed Prevalent Cases of FSHD in EU4 and the UK
    • 9.5.5. Age-specific Diagnosed Prevalent Cases of FSHD in EU4 and the UK
    • 9.5.6. Severity -specific Diagnosed Prevalent Cases of FSHD in EU4 and the UK
    • 9.5.7. Total Treated Cases of FSHD in EU4 and the UK
  • 9.6. Japan
    • 9.6.1. Total Prevalent Cases of FSHD in Japan
    • 9.6.2. Total Diagnosed Prevalent Cases of FSHD in Japan
    • 9.6.3. Type-specific Diagnosed Prevalent Cases of FSHD in Japan
    • 9.6.4. Gender-specific Diagnosed Prevalent Cases of FSHD in Japan
    • 9.6.5. Age-specific Diagnosed Prevalent Cases of FSHD in Japan
    • 9.6.6. Severity-specific Diagnosed Prevalent Cases of FSHD in Japan
    • 9.6.7. Total Treated Cases of FSHD in Japan

10. Patient Journey

  • 10.1. Patient Descriptions

11. Emerging Therapies

  • 11.1. Emerging Competitive Landscape of Facioscapulohumeral Muscular Dystrophy (FSHD)
  • 11.2. Delpacibart braxlosiran (del-brax): Novartis (Avidity Biosciences)
    • 11.2.1. Product Description
    • 11.2.2. Other Developmental Activities
    • 11.2.3. Clinical Development
    • 11.2.4. Safety and Efficacy
    • 11.2.5. Analyst's View
  • 11.3. EPI-321: Epicrispr Biotechnologies
    • 11.3.1. Product Description
    • 11.3.2. Other Developmental Activities
    • 11.3.3. Clinical Development
    • 11.3.4. Safety and Efficacy
    • 11.3.5. Analyst's View

12. Facioscapulohumeral Muscular Dystrophy (FSHD): 7MM Analysis

  • 12.1. Key Findings
  • 12.2. Market Outlook of Facioscapulohumeral Muscular Dystrophy (FSHD)
  • 12.3. Conjoint Analysis of Facioscapulohumeral Muscular Dystrophy (FSHD)
  • 12.4. Key Market Forecast Assumptions of Facioscapulohumeral Muscular Dystrophy (FSHD)
    • 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 FSHD in the 7MM
  • 12.6. The United States Market Size
    • 12.6.1. Total Market Size of FSHD in the United States
    • 12.6.2. Market Size of FSHD by Therapies in the United States
  • 12.7. EU4 and the UK Market Size
    • 12.7.1. Total Market Size of FSHD in EU4 and the UK
    • 12.7.2. Market Size of FSHD by Therapies in EU4 and the UK
  • 12.8. Japan Market Size
    • 12.8.1. Total Market Size of FSHD in Japan
    • 12.8.2. Market Size of FSHD by Therapies in Japan

13. Unmet Needs of Facioscapulohumeral Muscular Dystrophy (FSHD)

14. SWOT Analysis of Facioscapulohumeral Muscular Dystrophy (FSHD)

15. KOL Views of Facioscapulohumeral Muscular Dystrophy (FSHD)

16. Market Access and Reimbursement

  • 16.1. United States
    • 16.1.1. Centre for Medicare and Medicaid Services (CMS)
  • 16.2. 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
    • 16.3.1. MHLW
  • 16.4. Summary and comparison of Market Access and Pricing Policy Developments in 2025

17. Appendix

  • 17.1. Bibliography
  • 17.2. Report Methodology

18. DelveInsight Capabilities

19. Disclaimer

20. About DelveInsight

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