Press release
Mucopolysaccharidosis II (Hunter Syndrome) Market Growing at a CAGR of 5.5%-6.0% during the forecast period (2025-2032)
Market OverviewThe Mucopolysaccharidosis II (MPS II), or Hunter Syndrome, market is expanding steadily due to increasing diagnostic capabilities, growing awareness of lysosomal storage disorders, and continued adoption of enzyme replacement therapies. MPS II is a rare X-linked recessive metabolic disorder caused by deficiency of the iduronate-2-sulfatase (IDS) enzyme, leading to progressive accumulation of glycosaminoglycans (GAGs) in various organs.
The global MPS II market is estimated at USD 1.40-1.50 billion in 2024 and is projected to reach approximately USD 2.10-2.30 billion by 2032, growing at a CAGR of 5.5%-6.0% during the forecast period (2025-2032). Growth is driven by the increased use of idursulfase-based treatments, expansion of newborn screening programs, and an emerging pipeline of gene and genome-modifying therapies.
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Market Dynamics
Key Drivers
• Rising adoption of Enzyme Replacement Therapy (ERT): Elaprase (idursulfase) remains the primary treatment option and is widely used for managing somatic manifestations.
• Increasing rare-disease awareness: Growing education efforts among clinicians and caregivers are improving early identification and diagnosis rates.
• Advancements in genetic and molecular diagnostics: Next-generation sequencing and biomarker testing support timely detection and enable accurate subtype characterization.
• Regulatory focus on orphan diseases: Incentives such as extended market exclusivity, fee waivers, and priority reviews are encouraging R&D investments.
• Growth of clinical research into next-generation therapies: Gene therapy, gene editing, and intrathecal ERT delivery are major areas of development.
Restraints
• High therapy costs, particularly for lifelong weekly enzyme replacement infusions.
• Limited efficacy for neurological symptoms, as current ERT does not cross the blood-brain barrier.
• Challenges in treating severe neuronopathic forms, which still lack effective disease-modifying therapies.
• Small patient population, limiting commercial viability for late-stage clinical programs.
• Reimbursement limitations, especially in developing markets where access to ERT is restricted.
Opportunities
• Gene therapy and genome editing, including AAV-based and ex vivo approaches, represent major future growth avenues.
• Intrathecal and blood-brain barrier-penetrating ERT, currently under development, may address CNS complications.
• Substrate reduction therapy and pharmacological chaperones are emerging as potential complementary treatments.
• Strategic collaborations between biopharma firms, universities, and global rare-disease foundations are increasing.
• Expanding newborn screening, enabling early intervention and better long-term outcomes.
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Trend Analysis
The MPS II market is undergoing a strong transformation driven by scientific innovation and patient-focused approaches:
• Shift toward gene therapy as companies pursue one-time, potentially curative solutions for both somatic and neurological symptoms.
• Strong momentum in intrathecal drug delivery, improving CNS penetration and expanding the therapeutic impact beyond current ERT limitations.
• Rising global participation in natural-history studies, improving disease understanding and clinical-trial design.
• Evolving therapeutic landscape, with multiple clinical-stage programs focusing on better biodistribution and improved dosing profiles.
• Digital health and remote monitoring, increasing patient engagement and supporting long-term disease management.
Segment Analysis
By Type
• Severe neuronopathic MPS II: Characterized by neurological involvement and more rapid disease progression.
• Attenuated MPS II: Presents with milder somatic symptoms and typically a slower disease course.
By Therapy Type
• Enzyme Replacement Therapy (ERT): Elaprase is the cornerstone therapy, widely used globally.
• Intrathecal ERT (research phase): Designed for CNS involvement, showing promise in early studies.
• Gene Therapy & Gene Editing: Focus on AAV-IDS delivery, stem cell approaches, and CRISPR-based correction.
• Supportive Care: Includes respiratory support, orthopedic management, cardiac monitoring, and physiotherapy.
By Diagnosis
• Genetic Testing
• Enzyme Activity Assays
• Urinary GAG Analysis
• Radiologic Evaluation and Clinical Assessment
By End User
• Hospitals & Specialized Treatment Centres
• Diagnostic Laboratories
• Academic & Research Institutions
• Homecare Infusion Providers
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Regional Analysis
North America
North America dominates the global MPS II market due to widespread availability of ERT, robust healthcare infrastructure, early diagnostic adoption, and extensive clinical-trial activity. High reimbursement coverage supports strong therapy uptake.
Europe
Europe represents a major market supported by structured rare-disease policies, high diagnostic capabilities, and broad availability of ERT. Countries such as Germany, France, the UK, and Italy have established centers of excellence for lysosomal storage disorders.
Asia-Pacific
Asia-Pacific is one of the fastest-growing regions due to increasing healthcare expenditure, improved rare-disease awareness, and expanding access to genetic screening. Japan and South Korea lead clinical innovation, while China and India are rapidly improving access to ERT.
South America & Middle East/Africa
These regions show gradual but steady growth driven by increased awareness and expanding diagnostic facilities. However, high treatment cost remains a significant barrier to broad adoption.
Market Size and Growth Outlook
The global MPS II landscape is poised for meaningful growth over the next decade. Current estimates place the market at nearly USD 1.40-1.50 billion in 2024, with expectations of reaching USD 2.10-2.30 billion by 2032, at a CAGR of 5.5%-6.0%.
Market expansion will be fueled by improved diagnostic rates, broader access to enzyme replacement therapies, and the anticipated arrival of gene-therapy candidates.
Competitive Landscape
Key Companies
• Takeda Pharmaceutical (developer of Elaprase)
• Regenxbio
• Sangamo Therapeutics
• JCR Pharmaceuticals
• Denali Therapeutics
• ArmaGen Technologies
• Ultragenyx Pharmaceutical
• Orchard Therapeutics
These companies are investing heavily in next-generation ERT, AAV-vector gene therapy, and CNS-penetrating drug development technologies.
Recent Developments
• Advancements in AAV gene therapy clinical trials, targeting IDS gene replacement.
• Promising developments in intrathecal administration technologies, aimed at addressing neurological symptoms.
• New initiatives in global rare-disease registries, improving patient identification and epidemiology mapping.
• Increasing partnerships between biopharmaceutical companies and academic research institutions.
• Expansion of newborn screening programs incorporating MPS disorders in multiple countries.
Future Outlook
The outlook for the MPS II market is highly optimistic. While current treatments provide meaningful benefits for somatic symptoms, the next wave of innovation-especially gene therapy-is expected to dramatically change the therapeutic landscape. Over the coming decade, the market will shift from lifelong weekly infusions toward engineered biologics and potential one-time genetic cures.
The market is expected to grow at a CAGR of 5.5%-6.0% from 2025 to 2032, driven by:
• Continued adoption of ERT
• Advancements in gene and genome-modifying therapies
• Early diagnosis through expanded newborn screening
• Strong regulatory support for rare diseases
• Rising investment in clinical research
As innovation accelerates, patients with both attenuated and severe forms of Hunter Syndrome may see significantly improved disease-modifying outcomes in the future.
This report is also available in the following languages : Japanese (ムコ多糖症II市場), Korean (점액다당증 II 시장), Chinese (粘多糖贮积症 II 型市场), French (Marché de la mucopolysaccharidose de type II), German (Markt für Mukopolysaccharidose II), and Italian (Mercato della mucopolisaccaridosi II), etc.
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