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다발성 혈관염 육아종증 : 시장 인사이트, 역학 및 예측(2036년)

Granulomatosis with Polyangiitis - 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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다발성 혈관염성 육아종증(GPA)에 대한 인사이트 및 동향

  • GPA는 소-중경 혈관에 괴사성 염증을 특징으로 하는 희귀한 ANCA 관련 혈관염(AAV)으로, 상기도, 하기도 및 신장에 병변이 나타나는 경우가 많습니다. 항호중구 세포질 항체(ANCA)와 관련이 있으며, 광범위한 전신 증상을 보입니다.
  • AAV는 소-중경 혈관에서 괴사성 염증을 특징으로 하는 희귀 자가면역 질환입니다. 이들은 GPA, 현미경 다발성 혈관염(MPA), 호산구 육아종성 다발성 혈관염(EGPA)의 3가지 주요 유형으로 분류됩니다. 환자의 75% 이상에서 신장에 병변이 관찰됩니다. AAV는 PR3-ANCA(c-ANCA) 및 MPO-ANCA(p-ANCA)와 관련이 있습니다. 혈관염 재단에 따르면, GPA의 유병률은 10만 명당 약 3명입니다.
  • GPA에서 일반적으로 나타나는 임상 검사 소견은 비특이적입니다. 소견으로는 신장 병변이 있는 환자에서 나타나는 신기능 검사 및 소변 검사 이상, 환자의 약 3분의 2에서 관찰되는 저역가의 양성 류마티스 인자, 그리고 ESR 및 CRP 등의 염증 마커 상승 등이 있습니다.
  • GPA 치료의 주요 목표는 신속한 관해 달성, 재발 예방, 돌이킬 수 없는 장기 손상의 최소화, 그리고 장기 치료에 수반되는 독성 경감입니다. 이러한 효과는 일반적으로 혈관 염증을 억제하고, 비정상적인 면역 반응을 억제하며, 장기적인 질환 관리를 유지하기 위해 면역억제 요법 및 표적 항염증 요법을 통해 달성됩니다.
  • 표적 치료 및 스테로이드 절약 요법의 발전에도 불구하고, GPA의 경우 지속적인 관해를 달성하고 재발률을 낮추며, 누적된 면역억제 관련 독성 및 돌이킬 수 없는 장기 손상을 최소화할 수 있는 보다 안전한 장기 치료 옵션에 대한 큰 미충족 의료 수요가 여전히 남아 있습니다.
  • GPA 시장의 성장은 리툭시맙(RITUXAN)이나 아바코판(TAVNEOS)과 같은 표적 치료제의 사용 확대는 물론, SHR-1703이나 데페모키맙 등 개발 중인 약물에 의해 주도될 것으로 예측됩니다. 이러한 치료법은 ANCA 관련 혈관염에서 관해율 향상, 재발 감소, 그리고 장기간에 걸친 글루코코르티코이드 노출을 최소화하는 것을 목적으로 합니다.

다발성 혈관염성 육아종증 시장 보고서는 표준 치료, 임상 실무, 진화하는 치료 알고리즘 등 현재의 치료 현황에 대한 종합적인 분석을 제공합니다. 본 보고서에서는 GPA 환자의 부담 추이, 수익 및 시장 점유율 추이, 피크 시기의 환자 점유율 및 치료 도입 현황에 대한 분석을 평가함과 동시에, 세계 각 지역 시장 규모에 대한 상세한 평가 및 성장률 전망(과거 데이터 및 2022-2036년 전망)을 제시하고 있습니다. 본 보고서에서는 GPA 분야의 주요 미충족 수요를 부각시키고, 경쟁 구도 및 임상 현황을 분석하여 고부가가치 성장 기회를 도출하는 한편, 향후 시장 성장 가능성에 대한 명확한 전망을 제시하고 있습니다.

다발성 혈관염성 육아종증 시장을 주도하는 주요 요인

GPA의 인지도와 진단 건수 증가

의료 종사자들의 ANCA 관련 혈관염에 대한 인식이 높아진 데다, ANCA 검사 및 첨단 영상 진단 기술에 대한 접근성이 개선됨에 따라 GPA의 조기 및 정확한 진단이 촉진되고 있습니다. 이러한 추세는 확인된 환자 수 증가에 기여할 뿐만 아니라, 돌이킬 수 없는 장기 손상을 방지하기 위한 조기 개입을 가능하게 하고 있습니다.

정밀 진단 및 질환 모니터링의 발전

ANCA 혈청 검사의 활용 확대, 질환 분류 기준의 개선, 그리고 질환 활동성 모니터링의 강화를 통해 환자 계층화 및 관리가 더욱 적절하게 이루어지고 있습니다. 이러한 발전 덕분에 임상의들은 재발을 조기에 파악하고, 치료 방침을 최적화하며, 장기적인 임상 예후를 개선할 수 있게 되었습니다.

표적 치료 및 스테로이드 절약 요법의 확대

GPA의 치료 방식은 기존의 면역억제요법에서 리츠크산이나 타브네오스 등의 표적 치료로 점차 전환되고 있습니다. 이 새로운 치료법은 질환 관리 개선, 재발률 감소, 그리고 장기간에 걸친 코르티코스테로이드 노출 억제를 목적으로 하며, 보다 개인 맞춤형의 지속적 관리 전략을 뒷받침하고 있습니다.

다발성 혈관염성 육아종증(GPA)의 이해와 치료 알고리즘

다발성 혈관염성 육아종증(GPA)의 개요와 진단

GPA(이전에는 베게너 육아종증으로 알려졌던 질환)는 소-중형 혈관에서 괴사성 염증 및 육아종 형성을 특징으로 하는 희귀한 전신성 자가면역 질환으로, 주로 상기도, 폐, 신장에 병변이 발생합니다. GPA는 AAV(항중성구 세포벽 항체) 군에 속하며, 대다수의 환자에서 프로테아제 3(PR3)-ANCA가 양성으로 나타납니다. 이 질환은 만성 부비동염, 코의 딱지나 궤양, 기침, 객혈, 폐결절, 급속 진행성 사구체 신염 등 다양한 증상을 보일 수 있으며, 치료를 받지 않으면 돌이킬 수 없는 장기 손상을 일으킬 가능성이 있습니다. 진단은 임상 증상, ANCA 혈청 검사, 영상 검사, 그리고 가능하다면 조직 생검을 통한 조직병리학적 확인을 종합적으로 고려하여 이루어집니다. 조기 및 정확한 진단은 적시에 치료를 시작하고, 질환의 진행을 막으며, 장기적인 장기 손상의 위험을 줄이는 데 매우 중요합니다.

다발성 혈관염성 육아종증(GPA)의 현재 치료 현황

GPA의 치료 방식은 광범위한 면역억제 요법에서 독성을 최소화하면서 지속적인 관해를 달성하는 것을 목표로 하는 보다 표적화된 접근 방식으로 발전해 왔습니다. 치료는 일반적으로 도입 요법과 유지 요법이라는 두 단계로 나뉘며, 그 목적은 염증을 신속하게 억제하고, 돌이킬 수 없는 장기 손상을 예방하며, 재발 위험을 줄이는 데 있습니다. 중증 환자의 초기 치료에는 일반적으로 리툭산(RITUXAN) 또는 시클로포스파미드와 글루코코르티코이드의 병용 요법이 사용되지만, 중증도가 낮은 환자의 경우 메토트렉세이트가 사용되기도 합니다. 유지 요법에서는 관해를 유지하기 위해 리툭시맙, 아자티오프린 또는 메토트렉세이트가 자주 사용됩니다.

최근 들어 TAVNEOS가 스테로이드 사용량을 줄일 수 있는 대안으로 등장하여, GPA 관리에 큰 진전을 가져오고 있습니다. 이러한 개선에도 불구하고, 재발, 누적된 장기 손상, 그리고 장기간에 걸친 코르티코스테로이드의 독성은 여전히 중요한 과제로 남아 있으며, 보다 안전하고 지속성이 높은 치료 전략의 필요성이 강조되고 있습니다.

다발성 혈관염성 육아종증(GPA)의 역학

다발성 혈관염성 육아종증(GPA)의 역학 분석 및 예측에 관한 주요 연구 결과

  • GPA는 AAV 중 유병률이 가장 높은 형태이며, 지역에 따라 비율은 다르지만 전 세계적으로 볼 때 인구 100만 명당 연간 약 10-20건의 발생률을 보이는 것으로 추정됩니다.
  • GPA 환자에서 상기도 병변이 가장 흔한 증상으로, 환자의 약 92%에게 영향을 미치고 있습니다. 이에 이어, 질환의 경과에 따라 하기도 병변(약 85%), 신장 병변(약 80%), 근골격계 증상(약 67%), 눈의 병변(약 52%), 피부의 병변(약 46%), 말초신경계의 병변(약 20%)이 나타납니다.
  • PR3-ANCA 양성 사례는 GPA의 혈청학적 하위 그룹 중 가장 큰 비중을 차지하며, 진단된 사례의 약 4분의 3을 차지하지만, MPO-ANCA 양성 및 ANCA 음성 사례는 환자 수가 상당히 적은 것이 현실입니다.

다발성 혈관염성 육아종증 시장 전망

GPA 및 더 넓은 의미의 AAV에 대한 치료 방식은 기존의 광범위한 면역억제 요법에서 표적 요법 및 스테로이드 절약 요법으로 발전해 왔습니다. 역사적으로 글루코코르티코이드는 신속한 항염증 작용 덕분에 AAV 치료의 핵심을 이루어 왔으나, 시클로포스파미드는 강력한 면역억제 작용을 통해 중증 환자의 관해율을 현저히 개선했습니다. 그러나 이러한 치료법에 수반되는 장기적인 독성, 재발 위험, 감염증의 부담, 불임에 대한 우려, 그리고 누적된 장기 손상 등으로 인해, 보다 안전한 대체 요법의 필요성이 부각되었습니다. 메토트렉세이트, 아자티오프린, 레플루노미드 등의 기존 약물은 중증이 아닌 특정 사례나 유지 요법에서 현재도 계속 사용되고 있습니다.

현재의 치료 패러다임은 관해 지속성 향상, 재발률 감소, 그리고 글루코코르티코이드 의존성 최소화를 목표로 하는 표적 생물학적 제제에 의해 점점 더 주도되고 있습니다. '리츠키산'은 현재 중등도에서 중증 질환에 대한 표준 치료제로 사용되는 생물학적 제제인 반면, '타브네오스'는 C5a 수용체 신호 전달을 표적으로 삼음으로써 스테로이드 사용량을 줄이는 효과적인 전략을 제시했습니다. 개발 파이프라인은 호산구 및 사이토카인 매개 기전을 포함한 주요 염증 경로를 표적으로 하는 정밀 의학 기반의 치료법으로 진화하고 있습니다. 데페모키마브나 NS-229와 같은 신약에 대해서는 질환 조절을 더욱 개선하고 코르티코스테로이드 의존성을 낮출 가능성에 대한 연구가 진행되고 있습니다.

생물학적 제제의 사용 확대, 질환에 대한 인식 제고, 조기 진단, 그리고 지속적인 임상적 혁신이 시장 성장을 뒷받침할 것으로 예상되지만, 고액의 치료비와 장기적인 면역 억제와 관련된 안전성 우려는 여전히 중요한 과제로 남아 있습니다.

  • 추산에 따르면, 2025년에는 주요 7개국(주요 7개 시장) 중 미국이 GPA 시장 규모에서 가장 큰 비중을 차지했으며, 예측 기간 동안 상당한 연평균 성장률(CAGR)을 기록하며 그 우위를 유지할 것으로 전망됩니다.
  • C5aR 길항제 : C5aR 길항제는 보체 성분인 C5a와 호중구 및 기타 염증 세포 표면의 C5a 수용체(C5aR) 간의 상호작용을 억제하는 표적 치료제입니다. C5a를 매개로 하는 신호 전달을 억제함으로써, ANCA 관련 혈관염에서 호중구의 활성화, 혈관 염증 및 조직 손상을 완화합니다. GPA의 경우, C5aR 길항 작용을 통해 스테로이드 사용량을 줄이는 접근이 가능해지며, 글루코코르티코이드와 관련된 독성을 최소화하면서 질환 관리를 개선할 수 있을 가능성이 있습니다.
  • 항-CD20 단일클론 항체 : 항-CD20 단일클론 항체(mAb)는 B 림프구 표면의 CD20 항원에 결합하여, 면역 매개성 세포 독성 기전을 통해 B 세포의 감소를 유도하는 표적 생물학적 요법입니다. 병원성 B세포의 활성을 억제하고 자가항체 생성을 억제함으로써, ANCA 관련 혈관염에서 면역 조절 이상 및 염증 억제에 기여합니다. GPA 및 관련 질환의 경우, 이러한 약물은 관해를 달성하고 유지하면서 재발 위험을 낮추기 위해 도입 요법과 유지 요법 모두에 사용됩니다.

자주 묻는 질문

  • 다발성 혈관염성 육아종증(GPA)의 유병률은 어떻게 되나요?
  • GPA 치료의 주요 목표는 무엇인가요?
  • GPA 시장의 성장 요인은 무엇인가요?
  • GPA의 주요 증상은 무엇인가요?
  • GPA 치료에 사용되는 주요 약물은 무엇인가요?
  • 2025년 GPA 시장 규모는 어떻게 예측되나요?

목차

제1장 주요 인사이트

제2장 서론

제3장 다발성 혈관염 육아종증 : 주요 요약

제4장 주요 이벤트

제5장 다발성 혈관염 육아종증 : 역학 및 예측 조사 방법

제6장 다발성 혈관염 육아종증 : 시장 개요

제7장 다발성 혈관염 육아종증 : 질환 배경 및 개요

제8장 치료

제9장 다발성 혈관염 육아종증 : 역학 및 환자 인구

제10장 다발성 혈관염 육아종증 : 환자 경과

제11장 시판 치료제

제12장 신흥 치료법

제13장 다발성 혈관염 육아종증 : 주요 7개국 분석

제14장 다발성 혈관염 육아종증 : 미충족 수요

제15장 다발성 혈관염 육아종증 : SWOT 분석

제16장 다발성 혈관염 육아종증 : KOL(Key Opinion Leader)의 견해

제17장 다발성 혈관염 육아종증 : 시장 참여 및 상환

제18장 부록

제19장 DelveInsight의 서비스 내용

제20장 면책사항

제21장 DelveInsight에 대해

KTH

Granulomatosis with Polyangiitis (GPA) Insights and Trends

  • GPA is a rare ANCA-associated vasculitis (AAV) characterized by necrotizing inflammation of small- to medium-sized blood vessels, often involving the upper and lower respiratory tracts and kidneys. It is associated with anti-neutrophil cytoplasmic antibodies (ANCA) and presents with a wide range of systemic manifestations.
  • AAVs are rare autoimmune disorders characterized by necrotizing inflammation of small- to medium-sized blood vessels. They are classified into three main types: GPA, microscopic polyangiitis (MPA), and eosinophilic granulomatosis with polyangiitis (EGPA). Renal involvement occurs in over 75% of patients. AAV is associated with PR3-ANCA (c-ANCA) and MPO-ANCA (p-ANCA). GPA affects approximately 3 per 100,000 people, according to the Vasculitis Foundation.
  • Routine laboratory tests in GPA are nonspecific. Findings may include abnormal renal function tests and urinalysis in patients with kidney involvement, low-titer positive rheumatoid factor in approximately two-thirds of patients, and elevated inflammatory markers such as ESR and CRP.
  • The primary goal of treatment in GPA is to achieve rapid remission, prevent relapse, minimize irreversible organ damage, and reduce long-term treatment toxicity. This is typically accomplished using immunosuppressive and targeted anti-inflammatory therapies to control vascular inflammation, suppress aberrant immune activity, and maintain long-term disease control.
  • Despite advances in targeted and steroid-sparing therapies, a significant unmet need remains in GPA for safer long-term options that achieve sustained remission, reduce relapse rates, and minimize cumulative immunosuppression-related toxicity and irreversible organ damage.
  • Market growth in GPA is expected to be driven by increasing use of targeted therapies such as rituximab (RITUXAN) and avacopan (TAVNEOS), along with emerging pipeline agents like SHR-1703 and depemokimab. These therapies aim to improve remission rates, reduce relapses, and minimize long-term glucocorticoid exposure in ANCA-associated vasculitis.

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

The Granulomatosis with Polyangiitis (GPA) market report delivers a comprehensive analysis of the current treatment landscape, including standards of care, clinical practices, and evolving therapeutic algorithms. It evaluates GPA 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 GPA 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 Granulomatosis with Polyangiitis (GPA) Market

Increasing Recognition and Diagnosis of GPA

Growing awareness of ANCA-associated vasculitis among healthcare professionals, coupled with improved access to ANCA testing and advanced imaging techniques, is supporting earlier and more accurate diagnosis of GPA. This trend is contributing to a larger identified patient population and enabling earlier intervention to prevent irreversible organ damage.

Advancements in Precision Diagnostics and Disease Monitoring

The increasing use of ANCA serology, improved disease classification criteria, and enhanced monitoring of disease activity are facilitating better patient stratification and management. These developments are helping clinicians identify relapses earlier, optimize treatment decisions, and improve long-term clinical outcomes.

Expansion of Targeted and Steroid-Sparing Therapies

The treatment landscape for GPA is shifting from conventional immunosuppression toward targeted therapies such as RITUXAN and TAVNEOS. Emerging treatments aim to improve disease control, reduce relapse rates, and limit long-term corticosteroid exposure, supporting more personalized and durable management strategies.

Granulomatosis with Polyangiitis (GPA) Understanding and Treatment Algorithm

Granulomatosis with Polyangiitis (GPA) Overview and Diagnosis

GPA, formerly known as Wegener's granulomatosis, is a rare, systemic autoimmune disorder characterized by necrotizing inflammation of small- to medium-sized blood vessels and granuloma formation, primarily affecting the upper respiratory tract, lungs, and kidneys. GPA belongs to the group of AAV, with the majority of patients testing positive for proteinase 3 (PR3)-ANCA. The disease can present with a wide range of manifestations, including chronic sinusitis, nasal crusting or ulcers, cough, hemoptysis, pulmonary nodules, and rapidly progressive glomerulonephritis, potentially leading to irreversible organ damage if left untreated. Diagnosis is based on a combination of clinical presentation, ANCA serology, imaging studies, and histopathological confirmation through tissue biopsy when feasible. Early and accurate diagnosis is critical to initiating timely treatment, preventing disease progression, and reducing the risk of long-term organ impairment.

Current Granulomatosis with Polyangiitis (GPA) Treatment Landscape

The treatment landscape for GPA has evolved from broad immunosuppression toward more targeted approaches aimed at achieving durable remission while minimizing toxicity. Management is typically divided into induction and maintenance phases, with goals of rapidly controlling inflammation, preventing irreversible organ damage, and reducing relapse risk. For severe disease, induction therapy commonly includes RITUXAN or cyclophosphamide in combination with glucocorticoids, while methotrexate may be used in less severe cases. Maintenance therapy often involves rituximab, azathioprine, or methotrexate to sustain remission.

More recently, TAVNEOS has emerged as a steroid-sparing option, representing a significant advancement in GPA management. Despite these improvements, relapse, cumulative organ damage, and long-term corticosteroid toxicity remain key challenges, underscoring the need for safer and more durable treatment strategies.

Granulomatosis with Polyangiitis (GPA) Unmet Needs

The section "unmet needs of Granulomatosis with Polyangiitis (GPA)" outlines the critical gaps between the current state of patient care, diagnosis, and the ideal & effective management of the disease. It highlights the obstacles experienced by patients, clinicians, and researchers and identifies potential solutions for future progress.

1. High Relapse Rates Despite Available Therapies

2. Need for Safer Long-Term Treatment Options

3. Limited Biomarkers for Disease Activity and Relapse Prediction

4. Persistent Risk of Irreversible Organ Damage, and others.....

Granulomatosis with Polyangiitis (GPA) Epidemiology

Key Findings from Granulomatosis with Polyangiitis (GPA) Epidemiological Analysis and Forecast

  • GPA is the most prevalent form of AAV, with an estimated annual incidence of approximately 10-20 cases per million population worldwide, although rates vary by geographic region.
  • Among patients with GPA, upper respiratory tract involvement is the most common manifestation, affecting approximately 92% of patients, followed by lower respiratory tract involvement (~85%), renal involvement (~80%), musculoskeletal symptoms (~67%), ocular involvement (~52%), skin involvement (~46%), and peripheral nervous system involvement (~20%) over the disease course.
  • PR3-ANCA-positive disease constitutes the largest serological subgroup of GPA, representing approximately three-quarters of diagnosed cases, whereas MPO-ANCA-positive and ANCA-negative disease account for considerably smaller patient populations.

Granulomatosis with Polyangiitis (GPA) Drug Analysis & Competitive Landscape

The GPA 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, patents, collaborations, and strategic partnerships, upcoming key catalysts for each therapy, along with their advantages, limitations, and recent developments. This section offers critical insights into the GPA treatment landscape, supporting market assessment, competitive analysis, and growth forecasting for the GPA therapeutics market.

Approved Therapies for Granulomatosis with Polyangiitis (GPA)

Avacopan (TAVNEOS): Amgen

TAVNEOS is an oral C5a receptor (C5aR) antagonist approved for the treatment of severe active GPA and MPA, in combination with standard therapy. By selectively blocking C5a-mediated neutrophil activation-a key driver of vascular inflammation in ANCA-associated vasculitis-it helps control disease activity while reducing dependence on high-dose glucocorticoids. Its introduction represents a major advancement in GPA management, offering a steroid-sparing approach with improved long-term safety and outcomes.

In October 2022, Amgen Inc. completed its approximately USD 3.7 billion acquisition of ChemoCentryx Inc., strengthening its inflammation and nephrology portfolio with TAVNEOS, the first-in-class oral therapy for severe active ANCA-associated vasculitis.

Granulomatosis with Polyangiitis (GPA) Pipeline Analysis

Depemokimab: GSK

Depemokimab is an ultra-long-acting anti-interleukin-5 (IL-5) monoclonal antibody developed by GlaxoSmithKline for eosinophil-driven inflammatory diseases, including eosinophilic granulomatosis with polyangiitis (EGPA). By selectively inhibiting IL-5-a key cytokine involved in eosinophil growth and survival-it aims to provide sustained suppression of eosinophilic inflammation with less frequent dosing compared to existing IL-5-targeted therapies. The therapy is being evaluated for its potential to reduce disease relapses, decrease corticosteroid dependence, and improve long-term disease control in EGPA and other severe eosinophilic disorders. It is currently in Phase III clinical development.

NS-229: NS Pharma

NS-229 is an investigational selective Janus kinase 1 (JAK1) inhibitor developed by NS Pharma Inc. for the treatment of EGPA. By modulating multiple cytokine signaling pathways involved in eosinophilic inflammation and immune activation, it aims to reduce vascular inflammation, control disease activity, and decrease corticosteroid dependence. The therapy is currently being evaluated in a global Phase II clinical trial, reflecting growing interest in targeted oral immunomodulatory approaches for EGPA and other autoimmune diseases.

Granulomatosis with Polyangiitis (GPA) Key Players, Market Leaders, and Emerging Companies

  • GSK
  • Amgen
  • NS Pharma, and others

Granulomatosis with Polyangiitis (GPA) Drug Updates

  • In June 2026, Amgen announced new data presentations at EULAR 2026 across rare autoimmune and inflammatory diseases, including real-world evidence showing that avacopan continues to demonstrate established efficacy and safety with reduced steroid use in patients with ANCA-associated vasculitis.
  • In October 2025, according to its Q3 presentation, GlaxoSmithKline outlined planned regulatory milestones for Depemokimab in EGPA during H2 2026, supporting its broader expansion into eosinophil-driven inflammatory diseases.

Granulomatosis with Polyangiitis (GPA) Market Outlook

The treatment landscape for GPA and broader AAV has evolved from conventional broad immunosuppression toward targeted and steroid-sparing therapies. Historically, glucocorticoids formed the backbone of AAV management due to their rapid anti-inflammatory effects, while cyclophosphamide significantly improved remission rates in severe disease through potent immunosuppressive activity. However, long-term toxicities, relapse risk, infection burden, infertility concerns, and cumulative organ damage associated with these therapies highlighted the need for safer alternatives. Conventional agents such as methotrexate, azathioprine, and leflunomide continue to be used in selected non-severe cases and for maintenance therapy.

The current treatment paradigm is increasingly driven by targeted biologics aimed at improving remission durability, reducing relapse rates, and minimizing glucocorticoid dependence. RITUXAN is now a standard-of-care biologic for moderate-to-severe disease, while TAVNEOS has introduced an effective steroid-sparing strategy by targeting C5a receptor signaling. The pipeline is evolving toward precision-based therapies targeting key inflammatory pathways, including eosinophilic and cytokine-driven mechanisms. Emerging agents such as Depemokimab and NS-229 are being investigated for their potential to further improve disease control and reduce corticosteroid dependence.

Increasing biologic adoption, improved disease awareness, earlier diagnosis, and continued clinical innovation are expected to support market growth, although high treatment costs and long-term immunosuppression-related safety concerns remain key challenges.

  • According to estimates, the United States accounted for the largest GPA market size among the 7MM in 2025 and is expected to maintain its dominance, growing at a significant CAGR during the forecast period.

Drug Class/Insights into Leading Emerging and Marketed Therapies in Granulomatosis with Polyangiitis (GPA) (2022-2036)

The GPA pipeline comprises therapies targeting diverse inflammatory and immune-mediated pathogenic pathways, including B-cell depletion, complement pathway inhibition, suppression of eosinophilic inflammation, modulation of neutrophil activation, and reduction of vascular injury and tissue inflammation, to improve disease remission, reduce relapse frequency, minimize glucocorticoid exposure, and prevent long-term organ damage associated with ANCA-associated vasculitis.

  • C5aR antagonists: C5aR antagonists are targeted therapies that block the interaction between complement component C5a and the C5a receptor (C5aR) on neutrophils and other inflammatory cells. By inhibiting C5a-mediated signaling, they reduce neutrophil activation, vascular inflammation, and tissue injury in ANCA-associated vasculitis. In GPA, C5aR antagonism offers a steroid-sparing approach that may improve disease control while minimizing glucocorticoid-related toxicity.
  • Anti-CD20 monoclonal antibodies: Anti-CD20 mAbs are targeted biologic therapies that bind to the CD20 antigen on B lymphocytes, leading to B-cell depletion via immune-mediated cytotoxic mechanisms. By reducing pathogenic B-cell activity and autoantibody production, they help suppress immune dysregulation and inflammation in ANCA-associated vasculitis. In GPA and related disorders, these agents are used for both induction and maintenance therapy to achieve and sustain remission while reducing relapse risk.

Granulomatosis with Polyangiitis (GPA) 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 GPA drug's uptake, performance at peak, factors affecting performance during prime years of growth, patient uptake by therapy, and anticipated sales generated by each drug.

Overall, therapy uptake in the GPA market is expected to increase steadily, driven by a growing shift toward targeted and steroid-sparing treatment approaches. RITUXAN is expected to maintain strong adoption due to its established efficacy in both induction and maintenance therapy, extensive clinical experience, and guideline-supported use in moderate-to-severe disease. In contrast, TAVNEOS is anticipated to gain uptake owing to its steroid-sparing benefits and ability to maintain disease control with improved tolerability. However, its adoption may be moderated initially by higher costs, reimbursement constraints, and limited long-term real-world evidence, while rituximab is likely to continue dominating due to broad physician familiarity and a well-established safety and efficacy profile. Emerging therapies targeting novel inflammatory and immune pathways are expected to further reshape the treatment landscape and address remaining unmet needs in GPA management.

Detailed insights into emerging therapies' drug uptake are included in the report.

Market Access and Reimbursement of Approved Therapies in Granulomatosis with Polyangiitis (GPA)

Reimbursement is a crucial factor that affects the drug's access to the market. Often, the decision to reimburse comes down to the price of the drug relative to the benefit it produces in treated patients. To reduce the healthcare burden of these high-cost therapies, many payment models are being considered by payers and other industry insiders.

NOTE: Further Details are provided in the final report....

Granulomatosis with Polyangiitis (GPA) Therapies Price Scenario & Trends

Pricing and analogue assessment of GPA 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 the understanding of how pricing influences market access, adherence, and long-term uptake.

Industry Experts and Physician Views for Granulomatosis with Polyangiitis (GPA)

To keep up with GPA 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 GPA 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 GPA, 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 Minnesota Medical School, Bambino Gesu Children's Hospital, the University of Nottingham, etc., were contacted. Their opinion helps understand and validate current and emerging GPA therapies, highlight unmet medical needs, provide epidemiological context, and support strategic decisions for market access, therapy adoption, and pipeline prioritization in GPA.

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 GPA, 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 GPA, 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 prominent therapies, will have an impact on the current treatment landscape.
  • A detailed review of the GPA 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 GPA market.

Report Insights

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

Report Assessment

  • Granulomatosis with Polyangiitis (GPA) Current Treatment Practices
  • Granulomatosis with Polyangiitis (GPA) Unmet Needs
  • Granulomatosis with Polyangiitis (GPA) Clinical Development Analysis
  • Granulomatosis with Polyangiitis (GPA) Emerging Drugs Product Profiles
  • Granulomatosis with Polyangiitis (GPA) Market attractiveness
  • Granulomatosis with Polyangiitis (GPA) Qualitative Analysis (SWOT and Conjoint analysis)

FAQs:

Market Insights

  • What was the GPA market size, the market size by therapies, the 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 GPA?
  • What are the disease risks, burdens, and unmet needs of GPA? What will be the growth opportunities across the 7MM concerning the patient population with GPA?
  • 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 GPA? What are the current guidelines for treating GPA 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 GPA 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 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 summarizes 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 of Granulomatosis with Polyangiitis (GPA)

4. Key Events

  • 4.1. Upcoming Key Catalyst
  • 4.2. Key Conferences and Meetings
  • 4.3. Key Transactions and Collaborations
  • 4.4. News Flow

5. Epidemiology and Market Forecast Methodology of Granulomatosis with Polyangiitis (GPA)

6. Granulomatosis with Polyangiitis (GPA) Market Overview at a Glance

  • 6.1. Clinical Landscape Analysis (by Phase, MoA, and RoA)
  • 6.2. Market Share (%) Distribution of Granulomatosis with Polyangiitis (GPA) by Therapies in the 7MM in 2025
  • 6.3. Market Share (%) Distribution of Granulomatosis with Polyangiitis (GPA) by Therapies in the 7MM in 2036

7. Disease Background and Overview of Granulomatosis with Polyangiitis (GPA)

  • 7.1. Introduction
  • 7.2. Cause and Inheritance
  • 7.3. Signs and Symptoms
  • 7.4. Complications
  • 7.5. Pathophysiology
  • 7.6. Diagnosis
    • 7.6.1. Differential Diagnosis
    • 7.6.2. Diagnosis Algorithm
    • 7.6.3. Diagnosis Guidelines

8. Treatment

  • 8.1. Treatment Algorithm
  • 8.2. Treatment Guidelines
    • 8.2.1. Practical Guidelines for Managing Adults with Granulomatosis with Polyangiitis (GPA)
    • 8.2.2. Towards a Safety Net For Management of Granulomatosis with Polyangiitis (GPA): Guidelines

9. Epidemiology and Patient Population of Granulomatosis with Polyangiitis (GPA)

  • 9.1. Key Findings
  • 9.2. Assumptions and Rationale
  • 9.3. Total Prevalent Cases of Granulomatosis with Polyangiitis (GPA) in the 7MM
  • 9.4. The United States
    • 9.4.1. Total Diagnosed Prevalent of Granulomatosis with Polyangiitis (GPA) in the US
    • 9.4.2. Diagnosed Prevalent Cases of Granulomatosis with Polyangiitis (GPA) by Organ Involvement in the US
    • 9.4.3. Diagnosed Prevalent Cases of Granulomatosis with Polyangiitis (GPA) by Antibody Type in the US
    • 9.4.4. Diagnosed Prevalent Cases of Granulomatosis with Polyangiitis (GPA) by Severity in the US
    • 9.4.5. Total Treated Cases of Granulomatosis with Polyangiitis (GPA) in the US
  • 9.5. EU4 and the UK
    • 9.5.1. Total Diagnosed Prevalent of Granulomatosis with Polyangiitis (GPA) in EU4 and the UK
    • 9.5.2. Diagnosed Prevalent Cases of Granulomatosis with Polyangiitis (GPA) by Organ Involvement in EU4 and the UK
    • 9.5.3. Diagnosed Prevalent Cases of Granulomatosis with Polyangiitis (GPA) by Antibody Type in EU4 and the UK
    • 9.5.4. Diagnosed Prevalent Cases of Granulomatosis with Polyangiitis (GPA) by Severity in EU4 and the UK
    • 9.5.5. Total Treated Cases of Granulomatosis with Polyangiitis (GPA) in EU4 and the UK
  • 9.6. Japan
    • 9.6.1. Total Diagnosed Prevalent of Granulomatosis with Polyangiitis (GPA) in Japan
    • 9.6.2. Diagnosed Prevalent Cases of Granulomatosis with Polyangiitis (GPA) by Organ Involvement in Japan
    • 9.6.3. Diagnosed Prevalent Cases of Granulomatosis with Polyangiitis (GPA) by Antibody Type in Japan
    • 9.6.4. Diagnosed Prevalent Cases of Granulomatosis with Polyangiitis (GPA) by Severity in Japan
    • 9.6.5. Total Treated Cases of Granulomatosis with Polyangiitis (GPA) in Japan

10. Patient Journey of Granulomatosis with Polyangiitis (GPA)

11. Marketed Therapies

  • 11.1. Marketed Competitive Landscape of Granulomatosis with Polyangiitis (GPA)
  • 11.2. Avacopan (TAVNEOS): Amgen
    • 11.2.1. Product Description
    • 11.2.2. Regulatory Milestones
    • 11.2.3. Other Developmental Activities
    • 11.2.4. Summary of Pivotal Trials
    • 11.2.5. Clinical Development
      • 11.2.5.1. Clinical Trial Information
    • 11.2.6. Analyst Views
    • 11.2.7. Safety and Efficacy

12. Emerging Therapies

  • 12.1. Emerging Competitive Landscape of Granulomatosis with Polyangiitis (GPA)
  • 12.2. Depemokimab: GSK
    • 12.3.1. Product Description
    • 12.3.2. Other Developmental Activities
    • 12.3.3. Clinical Development
      • 12.3.3.1. Clinical trial information
    • 12.3.4. Safety and Efficacy
    • 12.3.5. Analyst Views
  • 12.4. NS-229: NS Pharma
    • 12.4.1. Product Description
    • 12.4.2. Other Developmental Activities
    • 12.4.3. Clinical Development
      • 12.4.3.1. Clinical trial information
    • 12.4.4. Safety and Efficacy
    • 12.4.5. Analyst Views

13. Granulomatosis with Polyangiitis (GPA): 7MM Analysis

  • 13.1. Key Findings
  • 13.2. Market Outlook
  • 13.3. Conjoint Analysis
  • 13.4. Key Market Forecast Assumptions
    • 13.4.1. Cost Assumptions and Rebates
    • 13.4.2. Pricing Trends
    • 13.4.3. Analogue Assessment
    • 13.4.4. Launch Year and Therapy Uptakes
  • 13.5. Total Market Size of Granulomatosis with Polyangiitis (GPA) in the 7MM
  • 13.6. The United States
    • 13.6.1. Total Market Size of Granulomatosis with Polyangiitis (GPA) in the US
    • 13.6.2. Market Size of Granulomatosis with Polyangiitis (GPA) by Therapies in the US
  • 13.7. EU4 and the UK
    • 13.7.1. Total Market Size of Granulomatosis with Polyangiitis (GPA) in EU4 and the UK
    • 13.7.2. Market Size of Granulomatosis with Polyangiitis (GPA) by Therapies in EU4 and the UK
  • 13.8. Japan
    • 13.8.1. Total Market Size of Granulomatosis with Polyangiitis (GPA) in Japan
    • 13.8.2. Market Size of Granulomatosis with Polyangiitis (GPA) by Therapies in Japan

14. Unmet Needs of Granulomatosis with Polyangiitis (GPA)

15. SWOT Analysis of Granulomatosis with Polyangiitis (GPA)

16. KOL Views of Granulomatosis with Polyangiitis (GPA)

17. Market Access and Reimbursement of Granulomatosis with Polyangiitis (GPA)

  • 17.1. The US
  • 17.2. In 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 Granulomatosis with Polyangiitis (GPA) Therapies

18. Appendix

  • 18.1. Bibliography
  • 18.2. Report Methodology

19. DelveInsight Capabilities

20. Disclaimer

21. About DelveInsight

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