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  • Published On : Jun 2022
  • Code : CMI5034
  • Industry : Pharmaceutical
  • Pages : 165
  • Formats :

Friedreich’s ataxia is caused by genetic mutations resulting in decline in production and expression of a mitochondrial protein called frataxin, which is involved in regulating iron-sulphur cluster enzymes within cells of the body. Insufficient frataxin levels result in the reduced activity of several mitochondrial enzymes involved in the electron transport chain, which leads to impaired mitochondrial metabolism such as the accumulation of iron in mitochondria dysfunction of adenosine triphosphate synthesis, reduced ATP (Adenosine triphosphate) production, and inefficient anti-oxidant response. As a consequence of mitochondrial dysfunction, neurons progressively die and Friedreich’s ataxia patients progressively lose their ability to coordinate movement and perform daily activities such as walking, running, etc. effectively. Thus, therapeutic strategies for the management or treatment of Friedreich’s ataxia patients aim at correcting some of the downstream consequences of frataxin deficiency or at restoring sufficient frataxin levels in the cell.

However, an adequate cure for Friedreich’s ataxia is not yet available for patients. Some of the pharmacology therapy approaches used for the management or treatment of Friedreich’s ataxia patients include usage of drugs such as angiotensin-converting enzyme (ACE) inhibitors, beta blockers, diuretics, para-benzoquinone, immunomodulators, skeletal muscle relaxants, anti-epileptic drugs, nuclear factor-erythroid factor 2-related factor 2 (Nrf2) inducer, histone deacetylase (HDAC) inhibitors, deuterated polyunsaturated fatty acids, trans-activators of transcription (TAT)-frataxin, iron chelators, etc. Future therapeutics of Friedreich’s ataxia involve advanced gene therapy to add a correct copy of the gene responsible for the production of frataxin protein in the body.

The global Friedreich’s ataxia market is estimated to be valued at US$ 777.2 million in 2022 and is expected to exhibit a CAGR of 13.0% over the forecast period (2022-2030).

Figure 1. Global Friedreich’s Ataxia Market Share (%), By Region, 2022

Friedreich’s Ataxia  | Coherent Market Insights

High burden of Friedreich’s ataxia is expected to drive growth of the global Friedreich’s ataxia market over the forecast period

For instance, according to data published by the Ataxia UK, a charity registered in Scotland and England & Wales in November 2020, it was estimated that the incidence of Friedreich’s ataxia based on carrier frequency of 1 in 85 was 1:29,000 in Europe in 2020.

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Friedreich’s Ataxia Market Report Coverage

Report Coverage Details
Base Year: 2021 Market Size in 2022: US$  777.2 Mn
Historical Data for: 2017 to 2020 Forecast Period: 2022 to 2030
Forecast Period 2022 to 2030 CAGR: 13.0% 2030 Value Projection: US$ 2,062.9 Mn
Geographies covered:
  • North America: U.S. and Canada
  • Latin America: Brazil, Argentina, Mexico, and Rest of Latin America
  • Europe: Germany, U.K., Spain, France, Italy, Russia, and Rest of Europe
  • Asia Pacific: China, India, Japan, Australia, South Korea, ASEAN, and Rest of Asia Pacific
  • Middle East: GCC Countries, Israel, and Rest of Middle East
  • Africa: South Africa, North Africa, and Central Africa
Segments covered:
  • By Drug Class: ACE Inhibitors, Beta Blockers, Diuretics, Para-Benzoquinone, Others (Vitamin E, Immunomodulators, Skeletal Muscle Relaxants, and Anti-Epileptic Drugs, among others)
  • By Route of Administration: Oral, Injectable
  • By Distribution Channel: Hospital Pharmacies, Retail Pharmacies, Online Pharmacies 
Companies covered:

Reata Pharmaceuticals, Inc., Retrotope Inc., Minoryx, PTC Therapeutics, Design Therapeutics, Inc., Larimar Therapeutics, Inc., Jupiter Neurosciences, Inc., Lexeo Therapeutics, Zydus Lifesciences Ltd., Cipla Limited, GlaxoSmithKline Plc., Aurobindo Pharma Ltd., Sun Pharmaceutical Industries Ltd., Torrent Pharmaceuticals Ltd., and Intas Pharmaceuticals Ltd.

Growth Drivers:
  • Rapid research and development activities for development of novel therapeutics for Friedreich's ataxia treatment
  • Increasing inorganic business growth strategies such as collaborations, acquisitions, and others among market players
Restraints & Challenges:
  • Challenges faced during designing and conducting clinical trials for development of Freidreich's ataxia treatment

Figure 2. Global Friedreich’s Ataxia Market Value (US$ Mn), By Route of Administration, 2022

Friedreich’s Ataxia  | Coherent Market Insights

Increasing research and development activities for introduction of novel Friedreich’s ataxia therapeutics is expected to drive the market growth over the forecast period.

For instance, according to an article published in the Neurobiology of Disease journal, in January 2021, an oral drug called leriglitazone had shown benefits in treating Friedrich's ataxia in cellular and animal models. Leriglitazone is manufactured by Minoryx Therapeutics, a Spain-based clinical-stage biotechnology company, and is currently in advanced Phase 2/3 of clinical trials for the treatment of Friedrich's ataxia. Leriglitazone restores mitochondrial function which is generally hampered due to the absence of mitochondrial protein frataxin (FXN) in Friedreich's ataxia disease.

Furthermore, in February 2022, Design Therapeutics, Inc., a U.S.-based biotechnology company, announced that it is currently conducting Phase 1 clinical trial of its investigational drug DT-216, an intravenous (IV) injection for the treatment of Friedreich's Ataxia and this clinical trial study is expected to be completed by December 2022.

Key players operating in market are focusing on obtaining regulatory approval of their Friedreich’s ataxia drugs, which is expected to drive growth of the global Friedreich’s ataxia market over the forecast period.

In March 2022, Stealth BioTherapeutics Inc., a Cayman Islands-based biotechnology company, announced that it received Orphan Drug Designation from the U.S. Food and Drug Administration (US FDA) Office of Orphan Products Development for its drug Elamipretide, which is indicated for the treatment of Friedreich's ataxia.

Global Friedreich’s Ataxia Market – Impact of Coronavirus (Covid-19) Pandemic

SARS-CoV-2 (Severe acute respiratory syndrome coronavirus) was first reported from Wuhan, China in December 2019, and was declared as a global pandemic by the World Health Organization (WHO), which designates this SARS-CoV-2 infection as novel Coronavirus (COVID-19). According to the Coronavirus (COVID-19), Weekly Epidemiological Update by the World Health Organization, COVID-19 has spread across the globe infecting over 519 million population leading to more than 6.3 million deaths as of May 15, 2022. The negative impact of COVID-19 on the healthcare domain is huge and it has significantly disrupted the healthcare industries’ entire supply chain, from raw materials to manufacturing and delivery. Similarly, the COVID-19 pandemic had a negative impact on the overall growth of the Friedreich’s ataxia market, owing to movement restrictions and lockdowns.

Similarly, demand and supply for Friedreich’s ataxia therapeutics was disrupted, owing to halt of clinical trials aimed at developing treatment drugs for Freidreich’s ataxia, as well as disrupted supply of Friedreich’s ataxia treatment drugs during the lockdown. Moreover, physiotherapy, rehabilitation programs, physical training, etc. for management of Friedreich’s ataxia was at halt during the lockdown.

For instance, according to an electronic survey conducted amongst Friedreich ataxia (FA) patients in Italy and published in the Cerebellum & Ataxias journal, an open access scientific journal in January 2021, it was found that the number of patients undergoing physiotherapy was reduced by 72.2% due to the COVID-19 lockdown. According to the same source, over 60% of Friedreich ataxia patients reported worsening of their health in absence of physiotherapy during COVID-19 lockdown.

Global Friedreich’s Ataxia Market - Restraint

Challenges faced during designing and conducting clinical trials for development of Freidreich's ataxia treatment are the factors that are expected to hinder growth of the global Friedreich’s ataxia market over the forecast period.

Designing clinical trials for rare neurodegenerative diseases such as Friedreich's ataxia is tricky due to the insufficient number of Friedreich's ataxia patients, heterogeneous nature of the disease with a slow and variable progression rate, which makes it difficult to identify reliable outcome measures to monitor the progression of Friedreich's ataxia.

For instance, according to an article published by the Orphanet Journal of Rare Diseases, in August 2020, Friedreich's ataxia is a genetic, neurodegenerative movement disorder, with a typical age of onset (the age at which the symptoms of a disease first appear) between 10 and 15 years. Thus, the diagnosis of the disease takes a long time since its initial stage. The same source also estimated that the average time taken for the diagnosis of rare disorders such as Friedreich's ataxia is 5 years.

Key Players

Major players operating in the global Friedreich’s ataxia market include Reata Pharmaceuticals, Inc., Retrotope Inc., Minoryx, PTC Therapeutics, Design Therapeutics, Inc., Larimar Therapeutics, Inc., Jupiter Neurosciences, Inc., Lexeo Therapeutics, Zydus Lifesciences Ltd., Cipla Limited, GlaxoSmithKline Plc., Aurobindo Pharma Ltd., Sun Pharmaceutical Industries Ltd., Torrent Pharmaceuticals Ltd., and Intas Pharmaceuticals Ltd.

Ataxia refers to a group of degenerative neurological diseases that affect coordination and movement center of the brain (cerebellum). People suffering from ataxia have difficulty in swallowing, speech, and maintaining balance or coordination. Ataxia can be of several types such as spinocerebellar ataxia, Friedreich’s ataxia, ataxia-telangiectasia, multiple system atrophy (MSA), episodic ataxia, and others. Friedreich’s ataxia can develop at any age and is progressive in nature i.e. it worsens with time. Friedreich’s ataxia (FA) is a genetic ataxia that is caused when a damaged gene which leads to FA is passed from one generation to the other. In addition to common movement related symptoms, people suffering from Friedreich’s ataxia also experience symptoms such as stiffness and loss of sensation in muscles, weakness in the body, heart condition (hypertrophic cardiomyopathy), and others.

Market Dynamics

High burden of Friedreich’s ataxia, rising technological advancements, and increasing adoption of inorganic growth strategies such as acquisitions, mergers, and collaborations by key players operating in the market are the major factors that are expected to drive growth of the global Friedreich’s ataxia  market over the forecast period.

For instance, according to a review article published by the Frontiers in Neuroscience journal, a peer-reviewed open access scientific journal, in February 2022, it was estimated that the prevalence of Friedreich ataxia was 1:50,000 individuals, around the globe as of 2021

Moreover, in February 2019, the University of Oxford, England and Harrington Discovery Institute at University Hospitals in Ohio, U.S. announced a global partnership to address unmet need of patients suffering from rare diseases such as muscular dystrophy, cystic fibrosis, ataxia, and others

Key features of the study:

  • This report provides an in-depth analysis of the global Friedreich’s ataxia  market, and provides market size (US$ Mn) and compound annual growth rate (CAGR%) for the forecast period (2022–2030), considering 2021 as the base year
  • It elucidates potential revenue opportunities across different segments and explains attractive investment proposition matrices for this market
  • This study also provides key insights about market drivers, restraints, opportunities, new Material launches or approval, market trends,  regional outlook, and competitive strategies adopted by key players
  • It profiles key players in the global Friedreich’s ataxia  market based on the following parameters – company overview, financial performance, Material portfolio, market presence, distribution strategies, key developments, strategies, and future plans
  • Key companies covered as a part of this study include Reata Pharmaceuticals, Inc., Retrotope Inc., Minoryx, PTC Therapeutics, Design Therapeutics, Inc., Larimar Therapeutics, Inc., Jupiter Neurosciences, Inc., Lexeo Therapeutics, Zydus Lifesciences Ltd., Cipla Limited, GlaxoSmithKline Plc., Aurobindo Pharma Ltd., Sun Pharmaceutical Industries Ltd., Torrent Pharmaceuticals Ltd., and Intas Pharmaceuticals Ltd.
  • Insights from this report would allow marketers and the management authorities of the companies to make informed decisions regarding their future Material launches, type up-gradation, market expansion, and marketing tactics
  • The global Friedreich’s ataxia  market report caters to various stakeholders in this industry including investors, suppliers, Material manufacturers, distributors, new entrants, and financial analysts
  • Stakeholders would have ease in decision-making through various strategy matrices used in analyzing the global Friedreich’s ataxia market

Detailed Segmentation:

  • Global Friedreich’s Ataxia Market, By Drug Class:
    • ACE Inhibitors
    • Beta Blockers
    • Diuretics
    • Para-Benzoquinone
    • Others (Vitamin E, immunomodulators, skeletal muscle relaxants, and anti-epileptic drugs, among others)
  • Global Friedreich’s Ataxia Market, By Route of Administration:
    • Oral
    • Injectable
  • Global Friedreich’s Ataxia Market, By Distribution Channel:
    • Hospital Pharmacies
    • Retail Pharmacies
    • Online Pharmacies
  • Global Friedreich’s Ataxia Market, By Region:
    • North America
      • By Country
        • U.S.
        • Canada
    • Latin America
      • By Country
        • Brazil
        • Mexico
        • Argentina
        • Rest of Latin America
    • Europe
      • By Country
        • Germany
        • U.K.
        • France
        • Italy
        • Spain
        • Russia
        • Rest of Europe
    • Asia Pacific
      • By Country
        • China
        • India
        • Japan
        • Australia
        • South Korea
        • ASEAN
        • Rest of Asia Pacific
    • Middle East
      • By Country
        • GCC
        • Israel
        • Rest of Middle East
    • Africa
      • By Country/Region
        • South Africa
        • Central Africa
        • North Africa
  • Company Profiles
    • Reata Pharmaceuticals, Inc.*
      • Company Overview
      • Material Portfolio
      • Financial Performance
      • Key Highlights
      • Market Strategies
    • Retrotope Inc.
    • Minoryx
    • PTC Therapeutics
    • Design Therapeutics, Inc.
    • Larimar Therapeutics, Inc.
    • Jupiter Neurosciences, Inc.
    • Lexeo Therapeutics
    • Zydus Lifesciences Ltd.
    • Cipla Limited
    • GlaxoSmithKline Plc.
    • Aurobindo Pharma Ltd.
    • Sun Pharmaceutical Industries Ltd.
    • Torrent Pharmaceuticals Ltd.
    • Intas Pharmaceuticals Ltd.

 “*” marked represents similar segmentation in other categories in the respective section.

Frequently Asked Questions

Global Friedreich’s ataxia market size is estimated to be valued at US$ 777.2 million in 2022 and is expected to exhibit a CAGR of 13.0% between 2022 and 2030.
High burden of Friedreich's ataxia and rapid research and development activities for development of novel therapeutics for Friedreich's ataxia treatment are expected to drive the market growth over the forecast period.
Oral segment is expected to hold the major market share in the market.
North America holds the largest market share in the market.  
Major factors hampering growth of the market include challenges faced during designing and conducting clinical trials for development of Freidreich's ataxia treatment
Major players operating in the market include Reata Pharmaceuticals, Inc., Retrotope Inc., Minoryx, PTC Therapeutics, Design Therapeutics, Inc., Larimar Therapeutics, Inc., Jupiter Neurosciences, Inc., Lexeo Therapeutics, Zydus Lifesciences Ltd., Cipla Limited, GlaxoSmithKline Plc., Aurobindo Pharma Ltd., Sun Pharmaceutical Industries Ltd., Torrent Pharmaceuticals Ltd., and Intas Pharmaceuticals Ltd.

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