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Neuromuscular Disease Therapeutics Market to Reach US$ 45.62 Billion by 2033 | CAGR of 14.4% | Gene Therapies & Antisense Oligonucleotides Drive Growth | Key Players: Novartis, AbbVie, Biogen, AstraZeneca, Argenx, Sarepta Therapeutics, Takeda, Nippon Shin

12-29-2025 08:47 AM CET | Health & Medicine

Press release from: DataM intelligence 4 Market Research LLP

Neuromuscular Disease Therapeutics

Neuromuscular Disease Therapeutics

Neuromuscular Disease Therapeutics Market Overview

The global neuromuscular disease therapeutics market reached US$ 11.89 billion in 2023, rising to US$ 13.70 billion in 2024, and is projected to reach US$ 45.62 billion by 2033, growing at a CAGR of 14.4% during 2025-2033. This robust growth is driven by advances in genetic medicine and precision therapies, which are transforming treatment possibilities for rare and debilitating neuromuscular disorders. Spinal muscular atrophy (SMA) and Duchenne muscular dystrophy (DMD) dominate the market, supported by high-impact drug approvals such as Spinraza, Zolgensma, Evrysdi, and Elevidys, which have demonstrated significant clinical efficacy and commercial success. Additionally, the growing adoption of newborn screening programs, particularly for SMA, is increasing early diagnosis, allowing treatments to be administered at presymptomatic stages for optimal outcomes.

Market growth is also fueled by continued investment in next-generation delivery systems, improved manufacturing processes for viral vector-based therapies, and enhanced analytics to ensure safety and long-term efficacy. Regulatory incentives, including orphan drug designations, priority reviews, and accelerated approval pathways, further encourage innovation. However, payers and healthcare systems face challenges in ensuring accessibility and affordability for ultra-high-cost therapies, which continues to shape market dynamics.

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Recent Developments:

✅ October 2025: A leading biotech company announced positive Phase III results for a next‐generation gene therapy targeting Duchenne muscular dystrophy (DMD), showing statistically significant improvements in muscle function and durability over existing treatments.

✅ August 2025: The FDA granted breakthrough therapy designation to an investigational RNA‐based therapeutic for spinal muscular atrophy (SMA), designed to improve motor function with a less invasive administration profile than current standards.

✅ May 2025: Regulatory approval was received in the European Union for Evrysdi (risdiplam) for additional pediatric indications in infants under 2 months, expanding its market reach for SMA treatment.

✅ March 2025: A global pharmaceutical partnership was announced to develop next‐generation viral vector manufacturing platforms aimed at reducing production costs and scaling supply for gene therapies used in neuromuscular diseases.

✅ January 2025: A major neuromuscular therapeutic developer launched a real‐world evidence initiative to collect post‐marketing data on long‐term safety and efficacy for patients treated with Zolgensma (onasemnogene abeparvovec), enhancing payer trust and reimbursement support.

Mergers & Acquisitions:

✅ November 2025: A major global biopharmaceutical company acquired a gene therapy specialist focused on neuromuscular disorders, expanding its portfolio in spinal muscular atrophy (SMA) and Duchenne muscular dystrophy (DMD) to include next‐generation delivery platforms.

✅ September 2025: A leading rare disease therapeutics developer completed the acquisition of a viral vector manufacturing startup, enhancing in‐house capabilities for scalable production of gene therapies used in neuromuscular conditions.

✅ July 2025: A multinational pharma conglomerate acquired a small molecule and antisense oligonucleotide specialist with late‐stage assets targeting neuromuscular disease pathways, strengthening its CNS and rare disease pipeline.

✅ April 2025: A biotechnology company merged with a clinical gene editing firm to accelerate development of CRISPR‐based treatments for inherited neuromuscular diseases with high unmet need.

✅ February 2025: A strategic acquisition was announced whereby a large muscle disease research consortium integrated a bioinformatics and biomarker analytics company to improve patient stratification and therapeutic response prediction in neuromuscular clinical programs.

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Key Players:

• Novartis - Holds a 16.2% share, driven by Spinraza and Zolgensma for SMA treatment and strong global commercialization network.

• AbbVie - Holds a 14.5% share, supported by neuromuscular disease pipeline including antisense oligonucleotide therapies and immunomodulatory drugs.

• Biogen - Holds a 13.8% share, fueled by Spinraza adoption, innovative gene therapy platforms, and strong partnerships with research institutions.

• AstraZeneca - Holds a 12.3% share, bolstered by pipeline development in DMD and other rare muscular disorders.

• Argenx - Holds a 10.6% share, driven by its antibody-based therapeutics targeting neuromuscular autoimmune disorders.

• Sarepta Therapeutics - Holds a 9.7% share, supported by FDA-approved therapies for Duchenne muscular dystrophy and strong R&D pipeline.

• Takeda - Holds a 7.5% share, focusing on rare neuromuscular disorders with gene therapy and small-molecule programs.

• Nippon Shinyaku - Holds a 6.2% share, leveraging localized expertise in Japan and expanding therapeutic options for rare neuromuscular conditions.

• Grifols - Holds a 5.2% share, contributing plasma-derived therapies and biologics for supportive neuromuscular care.

Market Segmentation:

➥By therapy, gene therapies dominate with a 30% share, driven by their curative potential for disorders such as spinal muscular atrophy (SMA) and Duchenne muscular dystrophy (DMD). Antisense oligonucleotides (ASOs) hold 25%, widely used in SMA and muscular dystrophies, while small-molecule splicing modulators account for 15%, enabling targeted genetic correction. Monoclonal antibodies and complement inhibitors represent 20%, primarily catering to autoimmune neuromuscular disorders, and other emerging therapies contribute 10%, including RNA-based therapeutics and cell therapies.

➥By disease type, SMA leads with a 22% share, followed by muscular dystrophy at 20%, amyotrophic lateral sclerosis (ALS) at 15%, multiple sclerosis at 10%, Charcot-Marie-Tooth disease at 8%, myasthenia gravis at 7%, peripheral neuropathy at 6%, myopathy and myositis at 7%, and other rare neuromuscular disorders collectively holding 5%.

➥By route of administration, intravenous (IV) therapies dominate with a 40% share, followed by subcutaneous (SC) administration at 30%, oral therapies at 20%, and other specialized delivery methods at 10%. Regarding distribution channels, hospital pharmacies account for 45% of the market, retail pharmacies 25%, specialty pharmacies 20%, and online pharmacies 10%. This segmentation highlights the strong adoption of gene therapies, hospital-centric distribution, and increasing use of ASOs and subcutaneous administration in the global neuromuscular therapeutics landscape.

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Regional Insights:

The North American region dominates the neuromuscular disease therapeutics market, accounting for approximately 42% of the global share. This leadership is driven by strong healthcare infrastructure, early adoption of advanced therapies, high R&D investment, favorable regulatory frameworks including orphan drug incentives, and widespread availability of genetic testing and newborn screening programs. The U.S. remains the largest contributor within this region, supported by robust clinical trial activity and established biopharmaceutical manufacturing capabilities.

Europe holds around 28% of the market share, fueled by growing awareness of rare neuromuscular disorders, supportive government initiatives, and increasing access to orphan drugs. Key markets such as Germany, France, and the U.K. benefit from well-developed healthcare systems and reimbursement policies that support the adoption of advanced therapeutics.

The Asia-Pacific region is emerging rapidly, representing about 18% of the market, with growth driven by rising healthcare expenditure, expanding patient awareness, and improving access to specialty treatments in countries such as Japan, China, and South Korea. Increasing local biopharma R&D and regulatory facilitation are also encouraging adoption.

Latin America and the Middle East & Africa collectively account for the remaining 12% of the market, with growth opportunities limited by affordability challenges, lower disease diagnosis rates, and less developed healthcare infrastructure. However, ongoing awareness campaigns, partnerships with global biopharma companies, and gradual improvements in healthcare access are expected to expand market penetration in these regions over the forecast period.

Market Dynamics:

Driver:
Breakthrough approvals are transforming the neuromuscular disease therapeutics market by demonstrating that advanced modalities can deliver meaningful, disease-modifying outcomes. Therapies such as Spinraza, Zolgensma, Evrysdi, and Elevidys have moved treatment beyond symptomatic relief, proving that antisense oligonucleotides, gene therapies, and splicing modulators can significantly alter disease progression in disorders like spinal muscular atrophy (SMA) and Duchenne muscular dystrophy (DMD). These landmark approvals not only expand treatment options but also bolster confidence among regulators, payers, and clinicians, fostering a supportive environment for pipeline therapies. By validating innovative scientific approaches and attracting sustained investment, these approvals accelerate research and innovation, positioning neuromuscular therapeutics as a leading growth segment within rare disease and genetic medicine.

Restraint:
Despite the promise of advanced therapies, manufacturing and scalability constraints remain a key challenge for the neuromuscular disease therapeutics market. Complex biologics such as gene therapies and antisense oligonucleotides require highly specialized production processes, sophisticated facilities, and stringent quality control measures, driving up costs and limiting large-scale production. Capacity limitations often result in supply shortages, extended lead times, and pricing pressures, which can restrict patient access and slow adoption, particularly in emerging and cost-sensitive markets.

Key Developments:

In March 2024, the U.S. approved Ultomiris (ravulizumab-cwvz) as the first and only long-acting C5 complement inhibitor for the treatment of adults with anti-aquaporin-4 (AQP4) antibody-positive neuromyelitis optica spectrum disorder (NMOSD), representing a major advancement in targeted therapies for this rare autoimmune condition.

In October 2024, AbbVie announced that the U.S. Food and Drug Administration (FDA) approved VYALEV (foscarbidopa and foslevodopa), establishing it as the first and only 24-hour subcutaneous infusion of a levodopa-based therapy for managing motor fluctuations in adults with advanced Parkinson's disease, offering continuous symptom control and improved patient convenience.

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