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Oral Thrombopoietin Receptor Agonists Market Size, Shares and Trends

Oral Thrombopoietin Receptor Agonists Market to Set USD 9.95 Bn by 2034

In July 2024, Gyre Therapeutics announced that its subsidiary, Gyre Pharmaceuticals, gained approval from China's NMPA for avatrombopag maleate tablets to treat thrombocytopenia linked to chronic liver disease in adults. Earlier, in March 2024, Doptelet® received an additional indication for idiopathic thrombocytopenic purpura in Japan.

Oral Thrombopoietin Receptor Agonists Market Companies and Growth Factors

The global oral thrombopoietin receptor agonists market was estimated at US$ 4.73 billion in 2023 and is projected to grow to US$ 9.95 billion by 2034, rising at a compound annual growth rate (CAGR) of 7% from 2024 to 2034. The demand for agonists is increasing due to their support in platelet production, which is needed during various treatments.

Oral Thrombopoietin Receptor Agonists Market Revenue 2023 to 2034

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Market Overview

Treating immunological thrombocytopenia using thrombopoietin-receptor agonists (TPO-RAs) is currently the state of the art. Reducing bleeding and the requirement for concurrent or rescue treatment is accomplished with TPO-RA. There are presently over 100 nations that use TPO-Ras. A paradigm change in the way ITP is treated was signaled by their arrival. These days, a lot of hematologists are familiar with them, and they are utilized extensively. TPO-RAs' pharmacokinetic, pharmacodynamic, and mechanistic properties provide a variety of therapeutic prospects.

  • In October 2024, Eltrombopag Viatris, a medication used to treat adults and children with primary immune thrombocytopenia (ITP) and thrombocytopenia linked to chronic hepatitis C, was recommended to be approved for marketing by the Committee for Medicinal Products for Human Use (CHMP) in a positive opinion.
  • In January 2024, the National Medical Products Administration of China has authorized the Group's "Eltrombopag Olamine Tablets" for sale to adults and children aged six and above, according to a statement released by the board of directors of Sino Biopharmaceutical Limited.

Market Opportunity: Improving Safety & Efficacy of TPO-Ras

Currently, many TPO-RAs are not approved in many countries and for various conditions due to their safety and efficacy in treating those health issues. However, the oral thrombopoietin receptor agonists market has growth opportunities because the therapeutics are gaining attention due to ongoing research. With the growing research, researchers will be able to enhance drug formulations, better & targeted delivery systems, and improve safety and efficacy, which will increase the adoption of the therapeutics in various countries.

Market Challenge: Side Effects

The use of TPO-RAs to treat ITP has grown throughout the last ten years. In clinical practice, thrombosis is among the growing number of adverse events that have been noted. TPO-RAs may raise the risk of thrombosis by boosting the formation of younger, more hemostatic platelets and raising the platelet count.

Regional Insights

North America dominated the oral thrombopoietin receptor agonists market in 2023.

The region is dominating because of the growing research, collaboration by key market players, government support, and investments in improving healthcare services. All the stakeholders in the region are making continuous efforts to improve the quality of care and current treatment options. The two major countries that contribute to the growth of the market are the U.S. and Canada. Apart from all the advancements, there is a growing prevalence of diseases that require TPO-RAs during treatment.

In the U.S., chronic liver disease (CLD) is quickly evolving. This illness is presently the fourth most common cause of mortality for those between the ages of 45 and 64. Over two million people die from liver disease each year, including cirrhosis, viral hepatitis, and liver cancer. It also accounts for 4% of all fatalities globally or one out of every 25 deaths; females account for one out of every three liver-related deaths. Liver cancer is responsible for 600,000 to 900,000 fatalities, according to this estimate. In adults in the US, Europe, and Asia, there has been a rise in the incidence of hepatitis A infection 69,70 mostly because of the increased frequency of person-to-person transmission among people who struggle with drug abuse and are homeless.

Asia Pacific is expected to grow at the fastest rate during the forecast period.

The oral thrombopoietin receptor agonists market is growing strongly in Asia Pacific due to growing investment from other regions and growing collaboration among various stakeholders. The region holds the largest population which gives a boost to the region in terms of manpower. Various market players in the region are also conducting research and development for the betterment of therapeutics in Asia Pacific and to create a dominant position across the world.

Segmental Insights

By type, the eltrombopag segment held a significant share of the oral thrombopoietin receptor agonists market in 2023. Thrombocytopenia, or reduced platelets in the blood, is a blood condition known as chronic immune thrombocytopenia (ITP), which is treated with eltrombopag. This medication is used after a splenectomy or surgery to remove the spleen when other medications, such as immunoglobulin or steroids, have not been effective enough.

The lusutrombopag segment is to witness notable growth in the market during the forecast period. The body produces more platelets when one takes LUSUTROMBOPAG. When a procedure is planned for an adult with chronic liver illness, it is utilized to treat low platelets. In the treatment of patients with thrombocytopenia and CLD undergoing invasive operations, lusutrombopag is a safe and efficient way to increase PCs and decrease the need for platelet transfusions.

By application, the hospital and clinic segment held the largest share of the oral thrombopoietin receptor agonists market in 2023. Hospitals and clinics dominate because TPO-RAs are used to treat various health conditions such as ITP and CLD. Patients who require these medications visit hospitals for proper treatment and care. Apart from this, proper supervision by professionals ensures that the patients are getting appropriate resources and attention to avoid any emergency situations.

The pharmacy segment is estimated to grow significantly during 2024-2034. Now, when TPO-RA medications are coming in the form of tablets, they will be more often sold in pharmacies, which will increase the growth of the segment in the future. Patients, based on the doctor’s prescription, will be able to buy the medications from offline or online pharmacies.

Recent Developments in the Oral Thrombopoietin Receptor Agonists Market

  • In July 2024, Gyre Therapeutics reported that avatrombopag maleate tablets from Gyre Pharmaceuticals, an indirectly controlled subsidiary of Gyre, have been approved by China's National Medical Products Administration ("NMPA") for the treatment of thrombocytopenia ("TP") linked to chronic liver disease ("CLD") in adult patients.
  • In March 2024, Doptelet®, a thrombopoietin receptor agonist (generic name: avatrombopag maleate), has an additional indication of idiopathic thrombocytopenic purpura (immune thrombocytopenia)1, for which Asahi Kasei Pharma has entered into an agreement with Swedish Orphan Biovitrum Japan Co., Ltd. (Sobi Japan) to obtain exclusive distribution rights in Japan.
  • In June 2023, in order to treat thrombocytopenia in adult patients with chronic liver disease (CLD), Shionogi & Co., Ltd. announced that Mulpleta® (Lusutrombopag), a once-daily, oral, small molecule thrombopoietin (TPO) receptor agonist, has been approved.

Oral Thrombopoietin Receptor Agonists Market Companies

Top Companies in the Oral Thrombopoietin Receptor Agonists Market

  • Shionogi
  • 3SBio
  • AkaRx
  • Qilu Pharmaceutical
  • Jiangsu Hengrui Pharmaceuticals
  • Grand Pharmaceutical
  • Chia Tai Tianqing Pharmaceutical
  • Novartis
  • Shanghai Fosun Pharmaceutical
  • Annora Pharma
  • Teva
  • Actavis Laboratories
  • Amneal Pharmaceuticals
  • Sichuan Kelun Pharmaceutical
  • Hetero

Segments Covered in the Report

By Type

  • Eltrombopag
  • Lusutrombopag
  • Herombopag
  • Avatrombopag

By Application

  • Hospital and Clinic
  • Pharmacy
  • Other

By Region

  • North America
    • U.S.
    • Canada
  • Asia Pacific
    • China
    • Japan
    • India
    • South Korea
    • Thailand
  • Europe
    • Germany
    • UK
    • France
    • Italy
    • Spain
    • Sweden
    • Denmark
    • Norway
  • Latin America
    • Brazil
    • Mexico
    • Argentina
  • Middle East and Africa (MEA)
    • South Africa
    • UAE
    • Saudi Arabia
    • Kuwait
  • Insight Code: 5296
  • No. of Pages: 150+
  • Format: PDF/PPT/Excel
  • Published: October 2024
  • Report Covered: [Revenue + Volume]
  • Historical Year: 2021-2022
  • Base Year: 2023
  • Estimated Years: 2024-2033

Meet the Team

Shivani Zoting is a healthcare market research expert with 2+ years of experience, specializing in analyzing trends, identifying growth opportunities, and providing actionable insights for businesses across healthcare sectors.

Learn more about Shivani Zoting

Aditi Shivarkar, with 14+ years of healthcare market research experience, ensures the accuracy, clarity, and relevance of reports. Her expertise helps businesses make informed decisions and stay competitive in healthcare sectors.

Learn more about Aditi Shivarkar

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FAQ's

Non-immunogenic, second-generation thrombopoietin growth factors called TPO-RAs attach to and activate thrombopoietin receptors in a manner akin to that of thrombopoietin.

High sustained platelet response rates (70–80%) have been seen in randomized clinical studies for romiplostim, eltrombopag, and thrombopoietin receptor agonists (TPO-RAs).

Ministry of Health and Family Welfare, Government of India, National Institutes of Health, FDA, WHO, PIB, CDC, European Medicines Agency.