Press release
Human Immunodeficiency Virus Type 1 (HIV-1) Market to Set Phenomenal Growth From 2025 to 2034
IntroductionHuman Immunodeficiency Virus Type 1 (HIV-1) remains the most common and widespread form of HIV infection, responsible for the global HIV/AIDS epidemic. Despite decades of progress, HIV-1 continues to affect over 38 million people worldwide, with Sub-Saharan Africa carrying the highest burden.
While no definitive cure has yet been achieved, advances in antiretroviral therapy (ART), long-acting injectables, preventive therapies (PrEP), and gene-editing technologies are reshaping the market. Increasing awareness, supportive global health programs, and significant biopharmaceutical investment are expected to fuel steady market expansion over the next decade.
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Market Overview
The global HIV-1 market was valued at USD 29.5 billion in 2024 and is projected to reach USD 47.2 billion by 2034, growing at a CAGR of 4.8% during the forecast period.
Key Highlights
• Market Size 2024: Estimated at USD 29.5 billion
• Forecast 2034: Expected to reach USD 47.2 billion
• CAGR (2025-2034): 4.8%
Market Drivers
• Growing adoption of long-acting injectable therapies improving patient adherence.
• Expanding global access to ART through government and NGO programs.
• Increasing uptake of preventive strategies such as pre-exposure prophylaxis (PrEP).
• Rising investments in gene-editing and curative research.
Market Challenges
• Lifelong treatment requirement and high drug costs.
• Stigma associated with HIV/AIDS leading to underdiagnosis.
• Unequal global access, with developing regions struggling to afford advanced therapies.
Leading Players
Key companies in the HIV-1 market include Gilead Sciences, ViiV Healthcare (GlaxoSmithKline, Pfizer, Shionogi), Johnson & Johnson (Janssen), Merck & Co., AbbVie, Roche, Moderna, Bristol Myers Squibb, and Cipla Ltd.
Segmentation Analysis
By Product
• Antiretroviral Therapy (ART) - NRTIs, NNRTIs, PIs, INSTIs
• Long-Acting Injectables
• Pre-Exposure Prophylaxis (PrEP) Drugs
• Monoclonal Antibodies
• Gene Therapy & RNA-Based Candidates
By Technology
• Oral Therapy
• Injectable / Long-Acting Therapy
• Gene Editing / RNAi Platforms
By End Use
• Hospitals
• Specialty Clinics
• Research Institutes
• Homecare Settings
By Application
• HIV-1 Treatment
• HIV-1 Prevention (PrEP)
• Opportunistic Infection Management
• Curative Therapy Research
Summary:
ART remains the cornerstone of HIV-1 treatment, but long-acting injectables and PrEP therapies are expected to grow rapidly. Emerging gene therapies and monoclonal antibodies hold transformative potential, although still in early clinical development.
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Regional Analysis
• North America
Largest market, with widespread ART adoption, robust R&D, and availability of advanced therapies. The U.S. leads in innovation with strong government support through programs like PEPFAR.
• Europe
Strong second, driven by comprehensive healthcare systems, high awareness, and robust HIV prevention campaigns. Germany, the UK, and France dominate the region.
• Asia-Pacific
Fastest-growing region due to large patient pools in India and China, government programs for HIV management, and expanding access to generics. Japan is also contributing through innovative R&D.
• Middle East & Africa
Home to the highest prevalence, particularly in Sub-Saharan Africa. Despite limited resources, international funding from NGOs and WHO initiatives are driving market growth.
• Latin America
Moderate growth, with Brazil and Mexico leading through national ART distribution programs and rising use of preventive therapies.
Regional Summary:
North America and Europe lead revenues, while Asia-Pacific and Africa represent the largest patient bases and fastest-growing opportunities, fueled by public health investments and increased generic adoption.
Market Dynamics
Key Growth Drivers
• Expansion of global HIV/AIDS programs ensuring wider treatment access.
• Breakthroughs in long-acting and once-monthly injectables improving compliance.
• Rising focus on preventive measures such as PrEP and post-exposure prophylaxis (PEP).
• Investment in curative technologies such as CRISPR gene editing.
Key Challenges
• Treatment affordability and inequitable access in developing regions.
• Stigma and social barriers limiting patient engagement in care.
• Need for lifelong adherence to ART, increasing the risk of resistance.
Latest Market Trends
• Launch of cabotegravir-based injectables for PrEP and treatment.
• Exploration of broadly neutralizing antibodies (bNAbs) as potential therapies.
• Development of therapeutic vaccines to enhance immune response.
• Expansion of telemedicine and digital adherence tools to support HIV patients.
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Competitor Analysis
Major Players
• Gilead Sciences - Global leader in HIV therapies with products like Biktarvy and Truvada (PrEP).
• ViiV Healthcare (GSK, Pfizer, Shionogi) - Known for Cabenuva, the first long-acting injectable therapy.
• Johnson & Johnson (Janssen) - Developer of rilpivirine-based therapies and vaccine research.
• Merck & Co. - Advancing novel HIV prevention therapies and integrase inhibitors.
• AbbVie - Strong pipeline in HIV drug combinations.
• Roche & Moderna - Researching monoclonal antibodies and mRNA-based HIV vaccines.
• Bristol Myers Squibb - Active in immunotherapy and HIV research.
• Cipla Ltd. - Major generic manufacturer improving ART affordability worldwide.
Competitive Landscape Summary:
The HIV-1 market is characterized by intense competition between established leaders like Gilead and ViiV Healthcare, while emerging biotechs focus on vaccines and curative strategies. The shift toward long-acting therapies and prevention tools is reshaping market dynamics.
Conclusion
The Human Immunodeficiency Virus Type 1 (HIV-1) market is set to grow from USD 29.5 billion in 2024 to USD 47.2 billion by 2034, at a CAGR of 4.8%. Growth is fueled by long-acting injectables, PrEP therapies, and ongoing research into curative technologies.
Although affordability and stigma remain barriers, the global outlook is optimistic as governments, NGOs, and pharmaceutical companies continue to prioritize HIV/AIDS elimination goals.
Outlook:
North America and Europe will remain leading revenue markets, but Asia-Pacific and Africa will be the true drivers of global impact, due to their large patient populations and growing access programs. Companies that focus on affordable innovation, equitable access, and patient-friendly delivery models will define the future of the HIV-1 therapeutics market.
This report is also available in the following languages : Japanese (ヒト免疫不全ウイルス1型(HIV-1)市場), Korean (인간 면역 결핍 바이러스 1형(HIV-1) 시장), Chinese (人类免疫缺陷病毒 1 型(HIV-1)市场), French (Marché du virus de l'immunodéficience humaine de type 1 (VIH-1)), German (Markt für das humane Immundefizienzvirus Typ 1 (HIV-1)), and Italian (Mercato del virus dell'immunodeficienza umana di tipo 1 (HIV-1)), etc.
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