시장보고서
상품코드
2082891

당뇨병성 신증 : 시장 인사이트, 역학 및 시장 예측(2036년)

Diabetic Nephropathy - Market Insight, Epidemiology, and Market Forecast - 2036

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

    
    
    




■ 보고서에 따라 최신 정보로 업데이트하여 보내드립니다. 배송일정은 문의해 주시기 바랍니다.

가격
PDF (Single User License) help
PDF 보고서를 1명만 이용할 수 있는 라이선스입니다. 인쇄 가능하며 인쇄물의 이용 범위는 PDF 이용 범위와 동일합니다.
US $ 7,990 금액 안내 화살표 ₩ 11,488,000
PDF & Excel (2-3 User License) help
PDF 및 Excel 보고서를 동일 사업장에서 3명까지 이용할 수 있는 라이선스입니다. PDF·Excel 내 텍스트 등의 복사 및 붙여넣기는 가능하나, 사내 이용으로만 제한됩니다. 인쇄 가능하며 인쇄물의 이용 범위는 PDF 이용 범위와 동일합니다.
US $ 9,988 금액 안내 화살표 ₩ 14,360,000
PDF & Excel (Site License) help
PDF 및 Excel 보고서를 동일 사업장(소재지) 내 모든 분이 이용할 수 있는 라이선스입니다. PDF·Excel 내 텍스트 등의 복사 및 붙여넣기는 가능하나, 사내 이용으로만 제한됩니다. 인쇄 가능하며 인쇄물의 이용 범위는 PDF 이용 범위와 동일합니다.
US $ 13,983 금액 안내 화살표 ₩ 20,104,000
PDF & Excel (Global License) help
PDF 및 Excel 보고서를 동일 기업의 모든 분이 이용할 수 있는 라이선스입니다. PDF·Excel 내 텍스트 등의 복사 및 붙여넣기는 가능하나, 사내 이용으로만 제한됩니다. 인쇄 가능하며 인쇄물의 이용 범위는 PDF 이용 범위와 동일합니다.
US $ 17,978 금액 안내 화살표 ₩ 25,848,000
※ 부가세 별도
한글목차
영문목차

당뇨병성 신증/당뇨병성 신질환(DKD)에 대한 인사이트와 동향

  • DelveInsight사의 분석에 따르면, 2025년 주요 시장(미국, EU4(독일, 프랑스, 이탈리아, 스페인), 영국, 일본)의 DKD 시장 규모는 약 88억 달러인 것으로 나타났습니다.
  • 18-59세에 비해 60세 이상 인구에서 DKD 사례가 더 많이 나타나는 것은 이 질환이 진행성이며 장기간 지속되는 당뇨병과 밀접한 관련이 있음을 여실히 보여줍니다. 이는 질병의 진행을 늦추고 장기적인 신장 및 심혈관계 합병증을 줄이기 위해, 젊은 연령대의 환자에 대한 조기 선별 검사, 적시적인 개입, 그리고 지속적인 관리가 필요함을 강조하고 있습니다.
  • DKD의 치료 관리는 기초가 되는 대사 및 혈역학적 요인을 관리함으로써 질환의 진행을 늦추고, 신장 기능을 유지하며, 심혈관 위험을 줄이는 데 중점을 두고 있습니다. 현재의 치료 전략은 단계적이고 개별화된 접근 방식을 채택하고 있으며, 생활 습관 개선, 혈당 및 혈압 관리, 레닌-안지오텐신-알도스테론계(RAAS) 억제제, 나트륨-포도당 공동수송체 2(SGLT2) 억제제, 비스테로이드성(미네랄코르티코이드 수용체 길항제) MRA, 그리고 기타 새로운 표적 치료법이 포함되어 있습니다.
  • DKD의 현재 치료 현황은 베링거 인겔하임/일라이 릴리(JARDIANCE), 바이엘(KERENDIA), 아스트라제네카(FARXIGA/FORXIGA) 등 주요 기업들이 주도하는 다양한 작용기전을 아우르는 일련의 표적 치료법으로 구성되어 있으며, 이는 DKD 시장에서 지속되는 혁신과 치열한 경쟁을 여실히 보여주고 있습니다.
  • DKD 치료제 파이프라인은 지속적으로 발전하고 있으며, 에삭셀레논(MINNEBRO), SER150, 브레멜라노티드(VYLEESI) 등 수많은 신흥 치료법들이 초기 신장 기능 장애부터 진행기에 이르기까지 질환의 중증도가 다른 각 단계에서 평가되고 있으며, 이는 병기에 따른 치료나 진행을 표적으로 한 치료 접근법에 대한 관심이 높아지고 있음을 반영하고 있습니다.

본 '당뇨병성 신증/당뇨병성 신질환(DKD)' 시장 보고서는 표준 치료, 임상 실무, 그리고 진화하는 치료 알고리즘을 포함하여 현재 시장 상황에 대한 종합적인 분석을 제공합니다. 본 보고서에서는 당뇨병성 신증/ 당뇨병성 신질환(DKD)의 환자 부담 동향, 매출액 및 시장 점유율 추이, 정점 시기의 환자 점유율 및 치료 도입 현황에 대한 분석을 평가함과 동시에, 세계 각 지역 시장 규모에 대한 상세한 평가 및 성장률 예측(과거 데이터 및 2022년-2036년 예측)을 제공합니다. 본 보고서는 당뇨병성 신증/당뇨병성 신질환(DKD) 분야의 주요 미충족 의료 수요를 부각시키고, 경쟁 구도 및 임상 현황을 분석하여 고부가가치 성장 기회를 도출함으로써, 향후 시장 성장 가능성에 대한 명확한 전망을 제시하고 있습니다.

당뇨병성 신증/당뇨병성 신질환(DKD) 시장을 주도하는 주요 요인

당뇨병성 신증/당뇨병성 신질환(DKD)의 유병률 증가

특히 60세 이상 연령층에서 DKD 유병률이 증가하는 것은 시장 성장의 주요 촉진요인으로 작용하고 있습니다.

당뇨병성 신증/당뇨병성 신질환(DKD) 치료 기회의 확대

SGLT2 억제제나 비스테로이드성 MRA 등 신약의 유효성 및 신장 보호 효과를 입증하는 새로운 임상적 근거가 밝혀짐에 따라, 제약 기업 입장에서는 DKD에서 발생하는 염증, 섬유화, 대사 이상에 관여하는 주요 경로를 표적으로 한 치료법에 주력할 기회가 확대되고 있음이 부각되고 있습니다.

당뇨병성 신증/당뇨병성 신질환(DKD)의 이해와 치료 알고리즘

당뇨병성 신증/당뇨병성 신질환(DKD)의 개요와 진단

DKD(당뇨병성 신증)는 당뇨병성 신증(DN)이라고도 불리며, 지속적인 알부민뇨와 신기능의 진행성 저하를 특징으로 하는 임상 증후군으로, 이 용어는 전형적인 사구체 질환 양상이 존재함을 시사합니다. DKD는 일반적으로 고혈압 및 심혈관계 질환의 발병률과 사망률 증가와 관련이 있습니다. DKD의 원인은 복잡하며, 여러 요인이 관여하는 것으로 보이지만, 주요 원인은 고혈당입니다. 초기 단계에서는 증상이 나타나지 않는 경우도 있습니다. 그러나 신장 기능이 더 악화되면 노폐물이 체내에 쌓이게 됩니다. 그 결과, 환자는 메스꺼움이나 구토를 느끼거나, 식욕 부진이나 딸꾹질이 생기거나, 체액 저류로 인한 체중 증가가 나타나는 경우가 종종 있습니다. 치료를 하지 않고 방치할 경우, 심부전이나 폐부종을 동반할 가능성이 있습니다.

당뇨병성 신병증(DKD)의 진단

DKD의 검출과 진단에는 어려움이 있습니다. 선별 검사와 신장 생검은 환자의 DKD를 확인하기 위해 시행되는 두 가지 주요 진단 검사입니다. 비알부민뇨성 DKD에서 고려해야 할 기타 진단으로는 허혈성 신증, 단백 이상증, 그리고 세뇨관-간질성 신염(TIN)이 있습니다. 미국당뇨병학회(ADA) 및 신장질환 세계 결과 개선 기구(KDIGO)의 지침에 따르면, 2형 당뇨병(T2DM) 환자 모두에게 매년 신장 기능과 알부민뇨 검사를 실시할 것을 권장하고 있습니다. 1형 당뇨병(T1DM)의 경우, 초기 진단 시점부터 측정을 시작할 수도 있고, 진단 후 5년이 경과한 시점부터 시작할 수도 있습니다.

당뇨병성 신증/당뇨병성 신질환(DKD)의 치료

현재의 약물 치료에는 혈당 조절 외에도 레닌-안지오텐신-알도스테론계(RAS) 억제제, SGLT2 억제제, 비구아나이드계 약물, 메글리티니드계 약물, DPP-4 억제제, 설포닐우레아 계열 약물을 이용한 혈압 및 지질 조절이 포함됩니다. DKD 환자의 경우, 혈압을 130/80 mmHg 미만으로 낮추는 것이 권장됩니다. 대부분의 DKD 환자에게는 항고혈압제의 병용 요법이 필요합니다. 이러한 경우, ACE 억제제 또는 ARB와 디하이드로피리딘계 칼슘 채널 차단제의 병용이 종종 권장되지만, 알부민뇨가 현저히 증가한 환자의 경우, 디하이드로피리딘계 칼슘채널 차단제 대신 비디하이드로피리딘계 칼슘채널 차단제나 이뇨제가 권장될 수 있습니다. 적절한 체중 관리와 식이 지도, 금연 지도와 같은 비약물적 치료도 매우 중요합니다.

당뇨병성 신증/당뇨병성 신질환(DKD)의 역학

당뇨병성 신증/당뇨병성 신질환(DKD)의 역학적 분석 및 예측에 관한 주요 조사 결과

  • DelveInsight사의 추산에 따르면, 2025년 주요 7개국에서 당뇨병(DKD) 환자 수는 총 약 3,400만 명에 달할 것으로 보이며, 예측 기간 동안 증가할 것으로 전망됩니다.
  • 2025년 미국의 DKD 환자 총수는 약 1,500만 명에 달했습니다.
  • 2025년 미국의 경우, DKD 환자의 약 30%는 18-59세에서 발생하는 반면, 그 대부분인 약 70%는 60세 이상에서 발생하고 있습니다.
  • EU4 국가 및 영국 중에서 2025년 당뇨병 유병자 수가 가장 많았던 나라는 독일이었으며, 그 다음은 스페인이었습니다. 반면, 프랑스는 가장 적었습니다.
  • 일본에서는 2-4기 환자의 약 95%가 적극적으로 치료를 원하고 있으며, 중등도에서 중증 단계에서 치료 수용률이 높은 것으로 나타났습니다.

당뇨병성 신증(DKD) 시장 전망

당뇨병과 관련된 만성 신장 질환(CKD)의 일종인 DKD는 말기 신장 질환의 가장 흔한 원인이 되고 있습니다. DKD의 진행은 혈당 조절이 제대로 이루어지지 않는 것과 상관관계가 있습니다. 혈당 수치를 효과적으로 관리하면서 동시에 만성 신장 질환(CKD)의 진행을 억제하는 것은 당뇨병성 신장병(DKD) 환자의 치료에서 오랫동안 추구해 온 목표입니다. 그러나 많은 혈당강하제(GLD)는 DKD 환자에게 금기이거나, 세심한 용량 조정이 필요하기 때문에 문제가 되고 있습니다. CKD 환자의 혈당 조절은 더욱 복잡해집니다. 어떤 약물을 안전하게 사용할 수 있는지, 또한 신장 질환이 이러한 약물의 대사에 어떤 영향을 미치는지에 대해 상세한 지식이 필요합니다. 처음에는 치료 옵션으로 ACE 억제제(ACEi)와 안지오텐신 II 수용체 길항제(ARB)밖에 없었습니다. SGLT2 억제제의 등장으로 치료 패러다임에 긍정적인 변화가 가져왔습니다. 이러한 약물은 당뇨병이 없는 환자나 소변에서 알부민이 검출되는 초기 신장 질환 환자들에게서도 신장 기능을 보호하는 데 유망한 것으로 평가받고 있습니다. 현재 DKD 치료에 사용되는 FDA 승인을 받은 SGLT2 억제제에는 INVOKANA, FARXIGA, JARDIANCE 등이 있습니다. DKD 치료에 일반적으로 사용되는 다른 약물군으로는 비스테로이드성 미네랄코르티코이드 길항제(MRA)와 GLP-1 RA(글루카곤 유사 펩티드-1 수용체 작용제) 등이 있습니다. '케렌디아(KERENDIA)'는 2형 당뇨병 관련 신장 질환 환자를 대상으로 FDA 승인을 획득했습니다. GLP-1 RA의 사용은 특히 신장 질환에 더해 심근경색, 관상동맥 스텐트 삽입, 우회술 등의 병세를 동반한 관상동맥 질환을 앓고 있는 환자에게 권장됩니다.

DKD의 치료 패러다임에는 당뇨병 관리, 혈압 조절, 그리고 신장 손상 진행 억제를 목표로 하는 다각적인 접근법이 포함됩니다. 이는 매우 역동적인 분야이며, 에사크셀레논(MINNEBRO), SER150, 브레멜라노티드(VYLEESI) 등 유망한 치료법의 등장은 DKD 치료 상황에 긍정적인 변화를 가져올 가능성이 있습니다. 따라서 주요 의약품의 출시와 더불어 DKD 유병률 증가가 맞물려, 예측 기간 동안 시장이 더욱 성장할 것으로 전망됩니다.

  • 추산에 따르면, 주요 7개국의 DKD 시장 규모는 88억 달러로 평가되었고, 미국이 가장 큰 점유율을 차지하고 있으며, 2036년까지 높은 연평균 성장률(CAGR)을 기록하며 성장할 것으로 전망됩니다.
  • EU4 및 영국 중에서 2025년 DKD 시장 규모가 가장 컸던 나라는 독일이었으며, 그 다음으로 이탈리아, 프랑스가 가장 작았습니다.
  • DKD 시장은 신장 및 심혈관계에 미치는 유익성, 뛰어난 안전성, 그리고 임상에서의 사용 확대 등을 배경으로, 기존의 치료법에서 SGLT2 억제제나 비스테로이드성 MRA(미네랄 알칼리 리테인제) 등의 표적 치료제로 점차 전환되고 있습니다.
  • 2025년에는 DKD 치료제 전체 중에서 주요 7개국에서 판매되는 항당뇨병제가 가장 높은 매출을 올릴 것으로 추정됩니다.
  • 표적 지향성 저분자 약물: 다파글리플로진(FARXIGA/FORXIGA) 및 엠파글리플로진(JARDIANCE)과 같은 SGLT2 억제제는 혈당 조절을 개선하는 동시에, 포도당의 재흡수 및 사구체 내압을 조절함으로써 신장 및 심혈관계에 대한 현저한 보호 효과를 가져오며, DKD에서 작용기전에 기반한 경구 요법의 임상적 및 상업적 잠재력을 입증하고 있습니다.
  • 비스테로이드성 MRA인 피네레논(KERENDIA)은 미네랄코르티코이드 수용체의 과도한 활성화를 선택적으로 억제하여 신장의 염증과 섬유화를 완화합니다. 이를 통해, 질환 진행 억제 과정에서 심신 경로를 표적으로 삼는 것의 중요성이 부각되고 있습니다.

표적 지향형 저분자 화합물과 MRA는 DKD 분야의 혁신을 주도하고 있으며, 확립된 치료법이 현재의 임상 실무를 이끌고, 차세대 약물이 미래 시장 성장을 뒷받침하고 있습니다.

자주 묻는 질문

  • 2025년 당뇨병성 신증(DKD) 시장 규모는 어떻게 되나요?
  • 당뇨병성 신증(DKD) 환자의 유병률은 어떤 추세를 보이고 있나요?
  • DKD 치료에 사용되는 주요 약물은 무엇인가요?
  • DKD의 치료 관리에서 중점을 두는 요소는 무엇인가요?
  • DKD의 진단 방법은 무엇이 있나요?
  • DKD 치료제의 파이프라인은 어떤 상황인가요?

목차

제1장 주요 인사이트

제2장 서론

제3장 주요 요약

제4장 주요 이벤트

제5장 당뇨병성 신증 : 역학 및 시장 예측 조사 방법

제6장 당뇨병성 신증 : 시장 개요

제7장 당뇨병성 신증 : 질환 배경과 개요

제8장 치료

제9장 당뇨병성 신증 : 역학 및 환자 인구

제10장 당뇨병성 신증 : 환자 경과

제11장 시판 치료제

제12장 신흥 치료제

제13장 당뇨병성 신증 : 주요 7개국 분석

제14장 당뇨병성 신증 : 미충족 요구

제15장 당뇨병성 신증 : SWOT 분석

제16장 당뇨병성 신증 : KOL(Key Opinion Leader)의 견해

제17장 당뇨병성 신증 : 시장 참여 및 상환

제18장 부록

제19장 DelveInsight의 서비스 내용

제20장 면책사항

제21장 DelveInsight에 대해

LSH 26.07.27

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Insights and Trends

  • According to DelveInsight's analysis, the DKD market size was found to be ~USD 8,800 million in the leading markets (the United States, the EU4 (Germany, France, Italy, and Spain), the United Kingdom, and Japan) in 2025.
  • A higher concentration of DKD cases in the >= 60 years population compared to 18-59 years highlights the progressive nature of the disease and its strong association with long-standing diabetes. This underscores the need for early screening, timely intervention, and sustained management in younger patients to delay progression and reduce long-term renal and cardiovascular complications.
  • Therapeutic management in DKD is focused on slowing disease progression, preserving renal function, and reducing cardiovascular risk by addressing underlying metabolic and hemodynamic factors. Current treatment strategies follow a step-wise and individualized approach, incorporating lifestyle modifications, glycemic and blood pressure control, renin-angiotensin-aldosterone system (RAAS) inhibitors, sodium-glucose cotransporter 2 inhibitors (SGLT2) inhibitors, non-steroidal (mineralocorticoid receptor antagonists) MRAs, and other emerging targeted therapies.
  • The current treatment landscape of DKD comprises a range of targeted therapies across multiple mechanisms of action, led by major pharmaceutical companies such as Boehringer Ingelheim/Eli Lilly (JARDIANCE), Bayer (KERENDIA), and AstraZeneca (FARXIGA/FORXIGA), highlighting ongoing innovation and competitive dynamics in the DKD market.
  • Whereas the DKD pipeline continues to evolve, a number of emerging therapies such as esaxerenone (MINNEBRO), SER150, and bremelanotide (VYLEESI) are being evaluated across different stages of disease severity, from early-stage renal impairment to advanced stages, reflecting a growing focus on stage-specific and progression-targeted treatment approaches.

DelveInsight's 'Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) - Market Insights, Epidemiology and Market Forecast - 2036' report delivers an in-depth understanding of the DKD, historical, and forecasted epidemiology, as well as the DKD market trends in the United States, EU4 (Germany, Spain, Italy, and France), the United Kingdom, and Japan.

The Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) market report delivers a comprehensive analysis of the current treatment landscape, including standards of care, clinical practices, and evolving therapeutic algorithms. It evaluates Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) 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 Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) 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 Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Market

Rising Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Incidence

The rising prevalence of DKD, particularly among individuals aged >=60 years, is a key driver of market growth.

Rising Opportunities in Diabetic Nephropathy/ Diabetes Kidney Disease (DKD)-Targeted Therapies

Emerging clinical evidence demonstrating the efficacy and renal-protective benefits of novel agents such as SGLT2 inhibitors and non-steroidal MRAs highlights a growing opportunity for drug developers to focus on therapies targeting key pathways involved in inflammation, fibrosis, and metabolic dysregulation in DKD.

Emerging Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Competitive Landscape

The DKD market is being propelled by a robust and evolving pipeline, with emerging therapies such as Esaxerenone from Daiichi Sankyo, SER150 from Serodus, Bremelanotide from Palatin Technologies, and INV-202 from Novo Nordisk/Inversago Pharma, supporting continued innovation and expanding future treatment options.

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Understanding and Treatment Algorithm

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Overview and Diagnosis

DKD, also known as Diabetic Nephropathy (DN), is a clinical syndrome characterized by persistent albuminuria and a progressive decline in renal function, and the term infers the presence of a typical pattern of glomerular disease. DKD is usually associated with arterial hypertension and increased cardiovascular morbidity and mortality. The causes of DKD are complex and most likely related to many factors, but the major factor is hyperglycemia. In the early stages, there may not be any symptoms. However, as kidney function decreases further, toxic wastes build up. Consequently, patients often feel sick to their stomachs and throw up, lose their appetites, have hiccups, and gain weight due to fluid retention. If left untreated, patients can develop heart failure and fluid in their lungs.

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Diagnosis

The detection and diagnosis of DKD can be challenging. Screening and renal biopsy are the two primary diagnostic tests that are conducted to detect DKD in patients. Other diagnoses considered in non-albumin uric DKD are ischemic nephropathy, dysproteinemia, and tubule-interstitial nephritis (TIN). Guidelines from the American Diabetes Association (ADA) and Kidney Disease Improving Global Outcomes (KDIGO) recommend that all people with T2DM should have their renal function and albuminuria measured annually, starting from initial diagnosis in T1DM; this can start from 5 years after diagnosis.

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Treatment

The current pharmacological treatments include blood glucose control and blood pressure and lipid control with renin-angiotensin-aldosterone system (RAS) inhibitors, SGLT2 inhibitors, biguanides, meglitinides, DPP-4 inhibitors, and sulfonylureas. Blood pressure lowering in patients with DKD to levels below 130/80 mmHg is recommended. Combination antihypertensive therapy is required for most individuals with DKD. In such cases, the combination of an ACE inhibitor or ARB plus a dihydropyridine calcium channel blocker is often preferred; however, a non-dihydropyridine calcium channel blocker or a diuretic may be preferred rather than a dihydropyridine calcium channel blocker in patients with severely increased albuminuria. Non-pharmacological approaches with appropriate weight management and guidance for diet and smoking cessation are also crucial.

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Unmet Needs

The section "unmet needs of Diabetic Nephropathy/ Diabetes Kidney Disease (DKD)" 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. Limited Disease-Modifying Therapies and Regulatory Gaps

2. Persistent Cardiovascular Risk and Mortality Burden

3. Delayed Diagnosis and Inadequate Early Screening

4. Lack of Sensitive and Predictive Biomarkers, and others.....

Comprehensive unmet needs insights in DKD and their strategic implications are provided in the full report.

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Epidemiology

Key Findings from Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Epidemiological Analysis and Forecast

  • According to DelveInsight's estimates, the total number of prevalent cases of DKD in the 7MM was nearly 34,000,000 cases in 2025 and is projected to increase during the forecasted period.
  • The total number of prevalent cases of DKD in the United States was nearly 15,000,000 in 2025.
  • In 2025 in the US, approximately 30% of DKD cases are observed in individuals aged 18-59 years, while the majority, around 70%, occur in those aged 60 years and above.
  • Among the EU4 and the UK, Germany accounted for the highest number of prevalent cases of DKD, followed by Spain, whereas France accounted for the lowest number of cases in 2025.
  • In Japan, approximately 95% of patients in Stages 2-4 actively seek treatment, indicating a high treatment uptake in moderate-to-severe disease stages.

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Drug Chapters & Competitive Analysis

The DKD 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 DKD treatment landscape, supporting market assessment, competitive analysis, and growth forecasting for the DKD therapeutics market.

Approved Therapies for Diabetic Nephropathy/ Diabetes Kidney Disease (DKD)

Empagliflozin (JARDIANCE): Boehringer Ingelheim/Eli Lilly

JARDIANCE is an oral, once-daily, highly selective SGLT2 inhibitor. Inhibition of SGLT2 with JARDIANCE in people with type 2 diabetes (T2D) and high blood sugar levels prevents sugar from being reabsorbed by the kidneys, leading to the excretion of excess sugar in the urine. In addition, the initiation of JARDIANCE also prevents salt from being reabsorbed, leading to increased excretion of salt from the body and reducing the fluid load of the body's blood vessel system (i.e., intravascular volume).

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Pipeline Analysis

Esaxerenone (MINNEBRO): Daiichi Sankyo

Esaxerenone is an orally administered, nonsteroidal, selective inhibitor of the mineralocorticoid receptor (MR). The binding of aldosterone to the MR plays a central role in the regulation of plasma sodium (Na+), extracellular potassium (K+), and arterial blood pressure by acting on the collecting ducts in nephrons.

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Key Players, Market Leaders, and Emerging Companies

  • Boehringer Ingelheim
  • Eli Lilly
  • Bayer
  • AstraZeneca
  • UCB Biopharma
  • Serodus
  • Palatin, and others

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Drug Updates

  • In March 2026, a Phase III study reported that KERENDIA met its primary endpoint in patients with chronic kidney disease, demonstrating a statistically significant improvement in kidney function decline (eGFR slope) compared to placebo, with a safety profile consistent with previous findings.

Drug Class Insights

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Market Outlook

DKD, a form of CKD linked to diabetes, represents the most prevalent cause of end-stage renal disease. The progression of DKD has been correlated with inadequate glycemic control. Effectively managing glucose levels while concurrently impeding the advancement of CKD has been a longstanding objective in treating individuals with DKD. However, numerous glucose-lowering drugs (GLDs) pose challenges, either being contraindicated or demanding meticulous dose adjustments for DKD patients. Blood sugar control in those with CKD adds another level of complexity. It requires detailed knowledge of which medications can be safely used and how kidney disease affects the metabolism of these medications. Initially, the treatment scenario included only ACE inhibitors (ACEi) and angiotensin II receptor blockers (ARBs). The advent of SGLT2 inhibitors has led to a positive shift in the treatment paradigm. They also show promise in safeguarding kidney function for non-diabetic individuals with early kidney disease, but detectable albumin in their urine. There are various FDA-approved SGLT2 inhibitors currently being used to treat DKD, including INVOKANA, FARXIGA, and JARDIANCE. The other class of drugs commonly used to treat DKD includes nonsteroidal mineralocorticoid antagonists (MRA) and GLP-1 RA (Glucagon-like peptide-1 receptor agonists). KERENDIA has been granted FDA approval for individuals with type 2 diabetes-related kidney disease. The utilization of GLP-1 RAs is particularly recommended for individuals contending with kidney disease and coronary artery issues, encompassing conditions like heart attacks, coronary stents, or bypass surgeries.

The treatment paradigm for DKD involves a multifaceted approach aimed at managing diabetes, controlling blood pressure, and mitigating the progression of kidney damage. It is highly dynamic, and the emergence of promising therapies such as esaxerenone (MINNEBRO), SER150, bremelanotide (VYLEESI), and others might lead to a positive shift as far as the treatment landscape of DKD is concerned. Thus, the launch of key assets, along with an increase in the DKD prevalence, will further boost the market during the forecasted period.

  • According to estimates, the DKD market in the 7MM is valued at USD 8,800 million, with the United States accounting for the largest share and projected to grow at a significant CAGR through 2036.
  • Among the EU4 and the UK, Germany held the largest DKD market size in 2025, followed by Italy, with France having the smallest.
  • The DKD market is shifting from conventional therapies to targeted agents like SGLT2 inhibitors and non-steroidal MRAs, driven by their renal/cardiovascular benefits, superior safety, and rising clinical use.
  • In 2025, among all the therapies for DKD, the highest revenue is estimated to be generated by antidiabetic drugs in the 7MM.

Drug Class/Insights into Leading Emerging and Marketed Therapies in Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) (2022-2036 Forecast)

The DKD market comprises targeted small molecules and supportive therapies alongside standard-of-care treatments, each addressing distinct metabolic, hemodynamic, and fibrotic pathways underlying disease progression.

  • Targeted small molecules: SGLT2 inhibitors such as dapagliflozin (FARXIGA/FORXIGA) and empagliflozin (JARDIANCE) improve glycemic control while delivering significant renal and cardiovascular protection by modulating glucose reabsorption and intra-glomerular pressure, validating the clinical and commercial potential of mechanism-driven oral therapies in DKD.
  • Non-steroidal MRAs: Finerenone (KERENDIA) selectively blocks mineralocorticoid receptor over-activation, reducing inflammation and fibrosis in the kidneys and highlighting the importance of targeting cardio-renal pathways for disease modification.

Targeted small molecules and MRAs together define the core innovation landscape in DKD, with established therapies driving current clinical practice and next-generation agents supporting future market growth.

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) 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 DKD market's uptake by drugs, patient uptake by therapy, and sales of each drug.

The uptake of therapies in DKD is expected to vary across SGLT2 inhibitors, non-steroidal mineralocorticoid receptor antagonists (MRAs), and conventional standard-of-care treatments such as RAAS inhibitors. Recently approved and emerging targeted therapies such as dapagliflozin (FARXIGA/FORXIGA), empagliflozin (JARDIANCE), and finerenone (KERENDIA) are demonstrating moderate to high uptake, supported by strong clinical evidence in slowing disease progression, reducing cardiovascular risk, and increasing physician confidence in early intervention. Their adoption is largely driven by the limitations of conventional therapies in halting renal decline and the growing need for cardio-renal protective strategies.

In comparison, other emerging therapies such as esaxerenone and pipeline agents are expected to show gradual but steady uptake as further clinical data become available and treatment guidelines increasingly incorporate these agents into DKD management pathways.

Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Therapies Price Scenario & Trends

Pricing and analogue assessment of DKD 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 Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Approved Drugs

Bayer's once-daily KERENDIA carries a list price of USD 19 per day before discounts and patient assistance, equating to an annual therapy cost of approximately USD 6,935.

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

Industry Experts and Physician Views for Diabetic Nephropathy/ Diabetes Kidney Disease (DKD)

To keep up with DKD 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 DKD 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 DKD, 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 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 DKD therapies, highlight unmet medical needs, provide epidemiological context, and support strategic decisions for market access, therapy adoption, and pipeline prioritization in DKD.

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 Diabetic Nephropathy/ Diabetes Kidney Disease (DKD), 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 Diabetic Nephropathy/ Diabetes Kidney Disease (DKD), 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 Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) 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 Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) market.

Report Insights

  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Patient Population Forecast
  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Therapeutics Market Size
  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Pipeline Analysis
  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Market Size and Trends
  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) 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
  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Market Outlook (North America, Europe, Asia-Pacific)
  • Patient Burden Trends (by geography)
  • Diabetic Nephropathy/ Diabetes kidney disease (DKD) Treatment Addressable Market (TAM)
  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Competitive Landscape
  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Major Companies Insights
  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Price Trends and Analogue Assessment
  • Diabetic Nephropathy/ Diabetes kidney disease (DKD) Therapies Drug Adoption/Uptake
  • Diabetic Nephropathy/ Diabetes kidney disease (DKD) Therapies Peak Patient Share analysis

Report Assessment

  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Current Treatment Practices
  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Unmet Needs
  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Clinical Development Analysis
  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Emerging Drugs Product Profiles
  • Diabetic Nephropathy/ Diabetes Kidney Disease (DKD) Market Attractiveness
  • Diabetic Nephropathy/ Diabetes kidney disease (DKD) Qualitative Analysis (SWOT and Conjoint Analysis)

FAQs:

Market Insights

  • What was the Diabetic Nephropathy/ Diabetes kidney disease (DKD) 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 Diabetic Nephropathy/ Diabetes kidney disease (DKD)?
  • What are the disease risks, burdens, and unmet needs of Diabetic Nephropathy/ Diabetes kidney disease (DKD)? What will be the growth opportunities across the 7MM concerning the patient population with Diabetic Nephropathy/ Diabetes kidney disease (DKD)?
  • 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 Diabetic Nephropathy/ Diabetes kidney disease (DKD)? What are the current guidelines for treating Diabetic Nephropathy/ Diabetes kidney disease (DKD) 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 Diabetic Nephropathy/ Diabetes kidney disease (DKD) 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 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. News Flow

5. Epidemiology and Market Forecast Methodology of DKD

6. DKD Market Overview at a Glance

  • 6.1. Emerging Landscape Analysis (By Phase, Molecule Type, and RoA)
  • 6.2. Market Share (%) Distribution of DKD by Therapies in the 7MM, in 2025
  • 6.3. Market Share (%) Distribution of DKD by Therapies in the 7MM, in 2036

7. Disease background and overview of DKD

  • 7.1. Introduction
  • 7.2. Classification
  • 7.3. Pathophysiology
  • 7.4. Risk factor
  • 7.5. Diagnosis

8. Treatment

  • 8.1. Treatment guidelines
    • 8.1.1. American Diabetes Association (ADA) and Kidney Disease: Improving Global Outcomes (KDIGO): A Consensus Report
    • 8.1.2. Japanese Clinical Practice Guideline for Diabetes
    • 8.1.3. KDIGO 2022 Clinical Practice Guideline for Diabetes Management in CKD: Key Takeaways

9. Epidemiology and Patient Population of DKD

  • 9.1. Key Findings
  • 9.2. Assumptions and Rationale
  • 9.3. Diagnosed Prevalent Cases of DKD in the 7MM
  • 9.4. The United States
    • 9.4.1. Total Prevalent cases of Diabetic Kidney Disease (DKD) in the US
    • 9.4.2. Total Diagnosed Prevalent cases of Diabetic Kidney Disease (DKD) in the US
    • 9.4.3. Gender-specific Prevalent Cases of Diabetic Kidney Disease (DKD) in the US
    • 9.4.4. Stage-specific Prevalent Cases of Diabetic Kidney Disease (DKD) in the US
    • 9.4.5. Age-specific Prevalent Cases of Diabetic Kidney Disease (DKD) in the US
    • 9.4.6. Treatment Eligible Cases of Diabetic Kidney Disease (DKD) in the US
  • 9.5. EU4 and the UK
    • 9.5.1. Total Prevalent cases of Diabetic Kidney Disease (DKD) in the EU4 and the UK
    • 9.5.2. Total Diagnosed Prevalent cases of Diabetic Kidney Disease (DKD) in the EU4 and the UK
    • 9.5.3. Gender-specific Prevalent Cases of Diabetic Kidney Disease (DKD) in the EU4 and the UK
    • 9.5.4. Stage-specific Prevalent Cases of Diabetic Kidney Disease (DKD) in the EU4 and the UK
    • 9.5.5. Age-specific Prevalent Cases of Diabetic Kidney Disease (DKD) in the EU4 and the UK
    • 9.5.6. Treatment Eligible Cases of Diabetic Kidney Disease (DKD) in the EU4 and the UK
  • 9.6. Japan
    • 9.6.1. Total Prevalent cases of Diabetic Kidney Disease (DKD) in Japan
    • 9.6.2. Total Diagnosed Prevalent cases of Diabetic Kidney Disease (DKD) in Japan
    • 9.6.3. Gender-specific Prevalent Cases of Diabetic Kidney Disease (DKD) in Japan
    • 9.6.4. Stage-specific Prevalent Cases of Diabetic Kidney Disease (DKD) in Japan
    • 9.6.5. Age-specific Prevalent Cases of Diabetic Kidney Disease (DKD) in Japan
    • 9.6.6. Treatment Eligible Cases of Diabetic Kidney Disease (DKD) in Japan

10. Patient Journey of DKD

11. Marketed Therapies

  • 11.1. Marketed Competitive Landscape of DKD
  • 11.2. Empagliflozin (JARDIANCE): Boehringer Ingelheim
    • 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's Views
  • 11.3. Finerenone (KERENDIA): Bayer
    • 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's Views
  • 11.4. Dapagliflozin (FARXIGA/FORXIGA): Astrazeneca
    • 11.4.1. Drug Description
    • 11.4.2. Regulatory Milestones
    • 11.4.3. Other Developmental Activities
    • 11.4.4. Summary of Pivotal Trials
    • 11.4.5. Clinical Development
      • 11.4.5.1. Clinical Trial Information
    • 11.4.6. Analyst's Views

12. Emerging Drugs

  • 12.1. Emerging Competitive Landscape of DKD
  • 12.2. Esaxerenone (MINNEBRO): Daiichi Sankyo
    • 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's Views
  • 12.3. SER150: Serodus
    • 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's Views
  • 12.4. Bremelanotide (VYLEESI): Palatin
    • 12.4.1. Drug Description
    • 12.4.2. Clinical Development
      • 12.4.2.1. Clinical Trial Information
    • 12.4.3. Safety and Efficacy
    • 12.4.4. Analyst's Views
  • 12.5. Zibotentan + Dapagliflozin: Astrazeneca
    • 12.5.1. Drug Description
    • 12.5.2. Clinical Development
      • 12.5.2.1. Clinical Trial Information
    • 12.5.3. Safety and Efficacy
    • 12.5.4. Analyst's Views
  • 12.6. Atrasentan: Chinook Therapeutics/Novartis
    • 12.6.1. Drug Description
    • 12.6.2. Clinical Development
      • 12.6.2.1. Clinical Trial Information
    • 12.6.3. Safety and Efficacy
    • 12.6.4. Analyst's Views
  • 12.7. Lorundrostat: Mineralys Therapeutics
    • 12.7.1. Drug Description
    • 12.7.2. Clinical Development
      • 12.7.2.1. Clinical Trial Information
    • 12.7.3. Safety and Efficacy
    • 12.7.4. Analyst's Views
  • 12.8. BI 690517 + Empagliflozin: Boehringer Ingelheim
    • 12.8.1. Drug Description
    • 12.8.2. Clinical Development
      • 12.8.2.1. Clinical Trial Information
    • 12.8.3. Safety and Efficacy
    • 12.8.4. Analyst's Views
  • 12.9. INV-202: Inversago Pharma
    • 12.9.1. Drug Description
    • 12.9.2. Clinical Development
      • 12.9.2.1. Clinical Trial Information
    • 12.9.3. Safety and Efficacy
    • 12.9.4. Analyst's Views

13. DKD 7MM Analysis

  • 13.1. Key Findings
  • 13.2. Market Outlook of DKD
  • 13.3. Key Market Forecast Assumptions
    • 13.3.1. Cost Assumptions
  • 13.4. Conjoint Analysis of DKD
  • 13.5. Total Market Size of DKD in the 7MM
  • 13.6. Total Market Size of DKD by Therapies in the 7MM
  • 13.7. The United States
    • 13.7.1. Total Market Size of DKD in the United States
    • 13.7.2. Total Market Size of DKD by Therapies in the United States
  • 13.8. EU4 and the UK
    • 13.8.1. Total Market Size of DKD in EU4 and the UK
    • 13.8.2. Total Market Size of DKD by Therapies in EU4 and the UK
  • 13.9. Japan
    • 13.9.1. Total Market Size of DKD in Japan
    • 13.9.2. Total Market Size of DKD by Therapies in Japan

14. Unmet Needs of DKD

15. SWOT Analysis of DKD

16. KOL Views of DKD

17. Market Access and Reimbursement of DKD

  • 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 DKD Therapies

18. Appendix

  • 18.1. Bibliography
  • 18.2. Report Methodology

19. DelveInsight Capabilities

20. Disclaimer

21. About DelveInsight

샘플 요청 목록
0 건의 상품을 선택 중
목록 보기
전체삭제
문의
원하시는 정보를
찾아 드릴까요?
문의주시면 필요한 정보를
신속하게 찾아드릴게요.
02-2025-2992
email
문의하기