By 2026, the U.S. Transthyretin Amyloidosis Treatment Market is expected to reach a value of $1,077.7million.
Transthyretin
(TTR) amyloidosis is a slowly progressing disease in which abnormal deposits of
a protein called amyloid (amyloidosis) form in the body's organs and tissues.
Hereditary transthyretin amyloidosis (hATTR) and wild-type transthyretin
amyloidosis are the two main kinds of transthyretin amyloidosis (ATTRwt).
Transthyretin amyloidosis is an uncommon condition with limited treatment
options.
Genetic
mutations in the genes responsible for transthyretin production cause hATTR.
Familial amyloid polyneuropathy (FAP) and familial amyloid cardiomyopathy
(FACM) are two subtypes (FAC). The heart is primarily affected by ATTRwt. The
Val30Met variation of TTR is the most common cause of FAP. After the patient
reaches the age of 30, the signs of FAP become apparent.
The symptoms
might appear as young as 20 years old or as late as 80 years old. The symptoms
are categorized as peripheral neuropathy or autonomic neuropathy depending on
where they occur. When extra amyloid protein builds up in the nerves, the
symptoms grow more severe.
Some
supportive treatment options for transthyretin amyloidosis include Tafamidis
(not licensed in the United States) and Diflunisal (off-label indication),
which solely treat symptoms of the condition. For familial transthyretin
polyneuropathy, doctors advocate a liver transplant as a viable treatment
option. For hereditary transthyretin cardiomyopathy or wild-type TTR, this
method is not suggested.
The U.S. Transthyretin Amyloidosis Treatment Market is estimated to
reach US$ 36.9 million in 2018, with a CAGR of 52.4 percent over the forecast
period (2018–2026).
The market's
growth is also likely to be aided by a strong pipeline of innovative
medications. Patisiran from Alnylam Pharmaceuticals, Inc. and Inotersen from
Ionis Pharmaceuticals, Inc., for example, are likely to be approved by the US
Food and Drug Administration in 2018. (FDA). These treatments are based on gene
silencing and work by either interfering with aberrant transthyretin formation
or silencing the gene responsible for transthyretin protein production
(antisense). Patisiran and Inotersen are estimated to produce six-figure annual
costs ranging from US$ 200,000 to US$ 400,000.
Over the
projection period, the market's expansion is expected to be hampered by the
high cost of therapies. Tafamidis, for example, is used to treat familial
transthyretin polyneuropathy and costs over $200,000 per year.
Alnylam
Pharmaceuticals, Inc., Pfizer, Inc., Prothena Corporation Plc, GlaxoSmithKline
Plc, Ionis Pharmaceuticals, Inc., Eidos Therapeutics, and SOM Innovation
Biotech, S.L. are among the major participants in the transthyretin amyloidosis
therapy market in the United States.

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