Bronchiectasis Treatment Market Size Report 2034: Major Companies, Emerging Drugs, Clinical Trials, MOA, FDA Approvals | DelveInsight

DelveInsight's "Bronchiectasis Market Insights, Epidemiology, and Market Forecast - 2034" report delivers an in-depth understanding of bronchiectasis, historical and forecasted epidemiology, as well as the bronchiectasis therapeutics market trends in the United States, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan.

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Key Takeaways from the Bronchiectasis Market Report
• In July 2025, Boehringer Ingelheim announced a study is to find out whether a medicine called BI 1291583 helps people with bronchiectasis. Participants are put into 2 groups randomly, which means by chance. One group takes BI 1291583 tablets and the other group takes placebo tablets. A placebo tablet looks like the BI 1291583 tablet but does not contain any medicine. Participants take 1 tablet once a day for up to 1 year and 6 months.
• In July 2025, Chiesi Farmaceutici S.p.A conducted a Study to Investigate the Safety, Tolerability, and Pharmacokinetics of Inhaled CHF6333 After Single Ascending Doses in Healthy Volunteers and One Single Dose in Adult Subjects With Bronchiectasis, Followed by a Placebo-controlled, Repeated Dose, 3-way Cross-over in Adult Subjects With Bronchiectasis
• According to DelveInsight's epidemiology model, in the 7MM, the total diagnosed prevalent cases of NCFB were approximately 1,028,651 in 2023. This number is anticipated to rise during the forecast period (2024-2034), driven by increased awareness and screening, along with advancements in diagnostic techniques.
• In 2023, the US accounted for the highest number of diagnosed prevalent cases of NCFB, with approximately 380,711 cases, while France accounted for the least, with only 37,576 cases.
• Among EU4 and the UK, the UK accounted for the highest number of diagnosed prevalent cases of NCFB, with approximately 224,976 cases in 2023, followed by Spain with approximately 149,236 cases, and Italy with nearly 89,584 cases.
• Among the severity-specific diagnosed prevalent cases of NCFB in EU4 and the UK in 2023, there were approximately 235,481 moderate cases, around 163,649 severe cases, and 152,230 mild cases.
• Among the gender-specific cases of NCFB in the UK in 2023, there were approximately 130,486 cases for females and around 94,490 cases for males.
• In Japan in 2023, the majority of etiology-specific diagnosed prevalent cases of NCFB were attributed to other pathogen, accounting for 46,600 cases.
• In 2023, among the 7MM, Japan had approximately 96,580 diagnosed prevalent cases of NCFB.
• In 2023, among the 7MM, the US accounted for the highest number of diagnosed prevalent cases of cystic fibrosis bronchiectasis, with approximately 41,566 cases, while Japan accounted for the least, with only 59 cases.
• Among the gender-specific cases of cystic fibrosis bronchiectasis in EU4 and the UK in 2023, there were approximately 17,081 cases for females and around 18,738 cases for males.
• Among the age-specific cases of cystic fibrosis bronchiectasis in Japan in 2023, there were approximately 24 cases for children and around 36 cases for adult.
• In 2023, the majority of etiology-specific diagnosed prevalent cases of cystic fibrosis bronchiectasis in Japan were attributed to Staphylococcus aureus, accounting for 36 cases.
• The leading Bronchiectasis Companies such as Insmed/AstraZeneca, Zambon, Novartis, WGEKHALEEL, Innovative Medicines Initiative, and others
• Promising Bronchiectasis Therapies such as Brensocatib, CMS I-neb, QBW251, bi-level ventillation, Active drug, and others

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Bronchiectasis Epidemiology Segmentation in the 7MM
• Total Bronchiectasis Prevalence Cases
• Bronchiectasis Prevalent Cases by severity
• Bronchiectasis Gender-specific Prevalence Cases
• Bronchiectasis Diagnosed Cases of Episodic and Chronic Bronchiectasis

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Emerging Bronchiectasis Drugs
• Brensocatib: Insmed/AstraZeneca
Brensocatib, an oral small-molecule inhibitor targeting dipeptidyl peptidase 1 (DPP1), is being developed by Insmed for the treatment of bronchiectasis, CRSsNP, and other neutrophil-driven conditions. By inhibiting DPP1, brensocatib aims to reduce inflammation by blocking the activation of neutrophil serine proteases (NSPs), such as neutrophil elastase, during neutrophil formation in the bone marrow. Insmed reported positive topline results from the Phase III ASPEN study of brensocatib in patients with bronchiectasis, leading to plans for a New Drug Application (NDA) submission to the US FDA in late 2024. If approved, brensocatib is expected to launch in the US by mid-2025, followed by launches in Europe and Japan in the first half of 2026. In October 2024, Insmed shared positive late-breaking subgroup data from the Phase III ASPEN study of brensocatib for patients with bronchiectasis at the CHEST 2024 Annual Meeting. Furthermore, the EMA approved a Pediatric Investigational Plan for brensocatib in bronchiectasis patients, and brensocatib has gained access to the PRIME scheme and Breakthrough Therapy Designation for adult bronchiectasis patients.

• Inhaled Colistimethate Sodium (CMS I-neb): Zambon
CMS I-neb is an investigational inhaled therapy for adults with bronchiectasis colonized by P. aeruginosa, potentially offering a first-in-class treatment option. It uses colistimethate sodium, a prodrug of colistin, a polymyxin antibiotic targeting aerobic Gram-negative pathogens, including drug-resistant P. aeruginosa. By disrupting the bacterial cell membrane, colistin causes cell death and serves as a last-resort treatment for infections like carbapenem-resistant P. aeruginosa. In September 2024, Zambon released the results of the Phase III PROMIS-I and PROMIS-II studies in The Lancet Respiratory Medicine journal. The Phase III PROMIS-I trial demonstrated a significant reduction in pulmonary exacerbation rates. Although the PROMIS-II trial was terminated early due to the pandemic, pre-pandemic data showed consistency with PROMIS-I outcomes. Zambon is working with regulatory authorities to expedite patient access. The US FDA has granted CMS I-neb Breakthrough Therapy Designation (BTD), as well as QIDP and Fast Track Designation (FTD).

• FASENRA (benralizumab): AstraZeneca
FASENRA (benralizumab) is a monoclonal antibody that targets the IL-5 receptor alpha on eosinophils, facilitating the recruitment of natural killer cells to induce apoptosis, resulting in rapid and near-complete depletion of blood and tissue eosinophils in most patients. FASENRA is currently under investigation for treating adult patients with NCFB associated with eosinophilic inflammation (bronchiectasis + EI). According to clinicaltrials.gov, FASENRA completed Phase III clinical trials for this indication in April 2024.

Bronchiectasis Drugs Market Insights
The Bronchiectasis treatment involves several drug classes tailored to manage symptoms, reduce exacerbations, and control underlying inflammation. Antibiotics, both oral and inhaled, are essential for managing chronic bacterial colonization, particularly against pathogens like P. aeruginosa. Macrolides, often used for their anti-inflammatory properties, are beneficial in reducing exacerbation frequency. Bronchodilators, including beta-agonists and anticholinergics, help alleviate airway obstruction, while corticosteroids are used to address inflammation, although their role remains limited due to potential side effects. Mucolytic agents improve mucus clearance, and emerging anti-inflammatory agents targeting neutrophilic inflammation, such as DPP1 inhibitors, represent innovative approaches. Together, these drug classes form a comprehensive yet evolving treatment landscape for bronchiectasis, addressing its multifaceted pathophysiology.

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Bronchiectasis Therapies and Companies
• Brensocatib: Insmed/AstraZeneca
• CMS I-neb: Zambon
• QBW251: Novartis
• bi-level ventillation: WGEKHALEEL
• Active drug: Innovative Medicines Initiative

Bronchiectasis Market Outlook
The Bronchiectasis market is poised for significant growth due to the evolving landscape of pharmacological and non-pharmacological interventions addressing the complex pathophysiology of the disease. Current therapeutic strategies encompass a range of treatment options which includes medications, chest physical therapy, hydration, and in severe cases, oxygen therapy with inhaled antibiotics demonstrating efficacy in managing chronic bacterial infections and reducing exacerbation rates. Emerging therapies, such as Brensocatib, a Dipeptidyl Peptidase 1 (DPP1) inhibitor, and BI 1291583, a cathepsin C inhibitor, target neutrophilic inflammation through distinct mechanisms, thereby offering novel approaches to improve patient outcomes.

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Scope of the Bronchiectasis Market Report
• Study Period: 2020-2034
• Coverage: 7MM
• Bronchiectasis Companies: Insmed/AstraZeneca, Zambon, Novartis, WGEKHALEEL, Innovative Medicines Initiative, and others
• Bronchiectasis Therapies: Brensocatib, CMS I-neb, QBW251, bi-level ventillation, Active drug, and others
• Bronchiectasis Therapeutic Assessment: Bronchiectasis current marketed and Bronchiectasis emerging therapies
• Bronchiectasis Market Dynamics: Bronchiectasis market drivers and Bronchiectasis market barriers
• Competitive Intelligence Analysis: SWOT analysis, PESTLE analysis, Porter's five forces, BCG Matrix, Market entry strategies
• Bronchiectasis Unmet Needs, KOL's views, Analyst's views, Bronchiectasis Market Access and Reimbursement

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Table of Contents
1. Bronchiectasis Market Report Introduction
2. Executive Summary for Bronchiectasis
3. SWOT analysis of Bronchiectasis
4. Bronchiectasis Patient Share (%) Overview at a Glance
5. Bronchiectasis Market Overview at a Glance
6. Bronchiectasis Disease Background and Overview
7. Bronchiectasis Epidemiology and Patient Population
8. Country-Specific Patient Population of Bronchiectasis
9. Bronchiectasis Current Treatment and Medical Practices
10. Bronchiectasis Unmet Needs
11. Bronchiectasis Emerging Therapies
12. Bronchiectasis Market Outlook
13. Country-Wise Bronchiectasis Market Analysis
14. Bronchiectasis Market Access and Reimbursement of Therapies
15. Bronchiectasis Market Drivers
16. Bronchiectasis Market Barriers
17. Bronchiectasis Appendix
18. Bronchiectasis Report Methodology
19. DelveInsight Capabilities
20. Disclaimer
21. About DelveInsight

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