United States Congenital Adrenal Hyperplasia Treatment Market: Neurocrine, Spruce & Crinetics Competition Guide By 2025-2033 | Major Companies - Neurocrine Biosciences, Inc., Pfizer Inc., Johnson & Johnson Services, Inc., AdvaCare Pharma

The Global Congenital Adrenal Hyperplasia Treatment Market reached US$ 0.25 billion in 2024 and is expected to reach US$ 0.41 billion by 2033, growing at a CAGR of 6.6% during the forecast period 2025-2033.

According to DataM Intelligence Comprehensive Report has released its latest report on the "Congenital Adrenal Hyperplasia Treatment Market Size 2025," providing a detailed analysis of market trends, key growth drivers, competitive landscape, and regional insights. The report includes market size (value and volume), CAGR projections, and emerging opportunities that help businesses identify growth areas and build effective strategies. Backed by data-driven insights and future outlook, this study serves as a valuable resource for companies looking to stay competitive and capitalize on market potential.

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Industry Developments:

USA Developments

September 2025 (Commercial Update): Neurocrine Biosciences reported strong initial net sales of its drug Crenessity (crinecerfont), a first-in-class, non-glucocorticoid adjunctive treatment for classic CAH, confirming its successful launch and rapid market uptake after its FDA approval.

August 21, 2025 (Pipeline Advancement): The FDA granted Orphan Drug Designation to Crinetics Pharmaceuticals' atumelnant, an investigational oral ACTH receptor antagonist, accelerating the development of a potential strong second-in-line non-steroidal therapy for classic CAH.

Japan Developments

Ongoing Trend (Jul-Sept 2025): The market saw a sustained focus on improving newborn screening and early diagnosis programs for CAH, ensuring timely initiation of treatment which is critical for long-term management and market growth for existing hormone replacement therapies.

Ongoing R&D Focus (Jul-Sept 2025): Japanese researchers and pharmaceutical companies continued to contribute to global clinical trials and development efforts for next-generation treatments, including studies on gene editing and cell-based therapies to address the root genetic cause of the disorder.

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Latest M & A:

Advancements in gene therapy, enzyme replacement treatments, and personalized medicine are driving market growth, supported by an increasing focus on newborn screening and early diagnosis programs.​

Crinetics Pharmaceuticals reported positive topline Phase 2 results for atumelnant, an investigational oral ACTH receptor antagonist, in classic CAH and plans to initiate Phase III studies in 2025, with a possible launch by 2028 in the US.​

Neurocrine Biosciences received FDA approval for Crenessity, a new CAH treatment, and presented one-year Phase 3 data showing sustained efficacy and safety.​

BridgeBio Pharma discontinued its gene therapy program BBP-631 for CAH due to underwhelming clinical results.​

The market is expanding in regions like the US, UK, France, Japan, China, and Australia-NZ, with growth rates ranging from 7.1% to 9.5% CAGR, driven by improved healthcare infrastructure, regulatory support for orphan drugs, and increasing awareness.​

Government programs and collaborations with healthcare providers are enhancing patient access and facilitating research and development in CAH therapies.​

Challenges remain regarding high treatment costs, limited availability in some regions, and the need for safer, more effective long-term treatments to reduce dependency on glucocorticoids and mineralocorticoids.​

Telehealth services and remote patient monitoring are emerging to improve treatment adherence and support patient care outside traditional hospital settings.​

Ongoing clinical trials focus on novel compounds like SPR001, Chronocort, and Lu AG13909, a Lundbeck asset in early-phase development offering promise for long-term CAH management pending clinical validation.​

Major Key Player:

Neurocrine Biosciences, Inc., Pfizer Inc., Johnson & Johnson Services, Inc., AdvaCare Pharma, Teva Pharmaceuticals USA, Inc., Sandoz, THE SEARLE COMPANY LTD., Spruce Biosciences, Inc., Crinetics Pharmaceuticals, Inc., BridgeBio Inc., and H. Lundbeck A/S

Key Segments:

➥ By Type: Classic Congenital Adrenal Hyperplasia, Nonclassic Congenital Adrenal Hyperplasia

➥ By Drug Type: Corticosteroids, Hydrocortisone, Prednisone, Dexamethasone, Fludrocortisone, Crinecerfont, Spironolactone, Others

➥ By Route of Administration: Oral, Injectable

➥ By Distribution Channel: Hospital Pharmacies, Retail Pharmacies, Online Pharmacies

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