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  • Published On : May 2023
  • Code : CMI2596
  • Industry : Pharmaceutical
  • Pages : 210
  • Formats :

Global Hepatic Encephalopathy Market is estimated to be valued at US$ 403.3 million in 2023 and is expected to exhibit a CAGR of 5.6% during the forecast period (2023-2030). Increase in product launches by key market players is expected to drive the market growth during the forecast period. Moreover, an increase in prevalence of disease such as jaundice and others is also expected to drive the market growth.

Analysts’ Views on Global Hepatic Encephalopathy Market:

Increasing research and development activities for the treatment of liver diseases is expected to drive the global hepatic encephalopathy market growth over the forecast period. For instance, in March 2020, Bausch Health Companies Inc, is a Canadian multinational specialty pharmaceutical company, announced positive results for the Phase II study for the combination therapy, which included rifaximin in combination with the lactulose. The trial was carried out to study the effectiveness of combination therapy for the treatment of Overt Hepatic Encephalopathy (OHE).

Figure 1. Global Hepatic Encephalopathy Market Share (%), By Drug Class, 2023

Hepatic Encephalopathy  | Coherent Market Insights 

Global Hepatic Encephalopathy Market - Driver

Increasing New Therapies Associated With Liver Disease

An increase in the diagnosis of liver disease is expected to increase the demand for new therapies by key players operating in the market, which in turn is expected to drive the global hepatic encephalopathy market growth during the forecast period. The therapy involve methods besides non-absorbable disaccharides and non-absorbable antibiotics for example polyethylene glycol, l-ornithine l-aspartate, non-ureic nitrogen scavengers and albumin therapy.

Increasing submissions of abbreviated new drug application (ANDA)

Market players are involved in submitting the abbreviated new drug application (ANDA), which is an important step for launching new drugs in the market. For instance, in February 2016, Allergan plc, is an American, Irish-domiciled pharmaceutical company, announced that the U.S. Food and Drug Administration (FDA) accepted its abbreviated new drug application (ANDA) for gaining approval to market generic rifaximin tablets, 550 mg, which is indicated for the treatment of overt hepatic encephalopathy (HE) recurrence in adults.

Figure 2. Global Hepatic Encephalopathy Market Share (%), By Region, 2023

Hepatic Encephalopathy  | Coherent Market Insights

 Global Hepatic Encephalopathy Market - Regional Analysis

Among all regions, North America is expected to dominate the global market over the forecast period. This is attributed to North America holding a 34.8% market share and due to presence of major players such as ASKA Pharmaceutical Co., Ltd., Cosmo Pharmaceuticals N.V, Lupin Limited., Kaleido Biosciences., and others are contributing for development of Hepatic Encephalopathy market.

The European region is expected to be second dominating region over the forecast period, due to increase in cirrhosis and liver failure. For instance, September, 2021 according to the National Center of Biotechnology and Information and clinical liver disease (CLD), cirrhosis is a leading cause of mortality and morbidity across the world. It is the 11th leading cause of death and 15th  leading cause of morbidity, accounting for 2.2% of deaths and 1.5% of disability‐adjusted life years worldwide in 2016. 1 CLD caused 1.32 million deaths, approximately two‐thirds among men and one‐third among women.

Global Hepatic Encephalopathy Market – Impact of Coronavirus (COVID-19) Pandemic

Since the COVID-19 virus outbreak in December 2019, the disease has spread to over 100 countries across the globe and the World Health Organization declared it a public health emergency on January 30, 2020.

The market for managing liver disease continues to positive impact overall from COVID-19. The rise in COVID-19 prevalence has fueled the desire for precise diagnosis and treatment tools in a number of nations. Solutions for managing liver diseases have proven to be highly beneficial in this regard since they enable healthcare providers to easily combine SGLT1 and SGLT2, patient management, and care management solutions with solutions for healthcare payers, such as claim management and payment management systems. Additionally, lockdowns and restrictions brought on by the disease's quick global spread have raised the requirement for electronic data transfer and claim administration.

In particular, the pandemic – now at its two-year mark – has played a pivotal role in changing the health landscape by hindering hepatic encephalopathy for many patients, raising the specter of more severe illness for many with underlying health conditions. Such factors are contributing to a rise in mortality or some of the leading causes of death in the U.S., such as hepatitis A, B and Hepatitis C and liver failure.

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Hepatic Encephalopathy Market Report Coverage

Report Coverage Details
Base Year: 2022 Market Size in 2023: US$ 403.3 Mn
Historical Data for: 2017 to 2021 Forecast Period: 2023 to 2030
Forecast Period 2023 to 2030 CAGR: 5.6% 2030 Value Projection: US$ 592.9 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: Antibiotics, Laxatives, L-ornithine L-aspartate, Others 
  • By Route of Administration: Oral, Intravenous, Rectal 
  • By Distribution Channel: Hospital Pharmacies, Retail Pharmacies, Online Pharmacies 
Companies covered:

ASKA Pharmaceutical Co., Ltd., Cosmo Pharmaceuticals N.V, Lupin Limited., Kaleido Biosciences, Kannalife Sciences Inc., Bausch Health Companies Inc., Ferring Pharmaceuticals Inc., Mallinckrodt Pharmaceuticals, Umecrine Cognition AB., Norgine B.V., Abbott Laboratories, QR Science and Technology development Co.

Growth Drivers:
  • Increasing new therapies associated with liver disease
  • Increasing submissions of abbreviated new drug application (ANDA)
Restraints & Challenges:
  • High cost of rifaximin associated the treatment of hepatic encephalopathy 

Global Hepatic Encephalopathy Market Segmentation:

The global hepatic encephalopathy market report is segmented into drug class, route of administration, distribution channel, and Region

Based on Drug Class, the market is segmented into hepatic encephalopathy, antibiotics, laxatives, l-ornithine l-aspartate and others. Out of which, the antibiotics is segment is expected to dominate the global hepatic encephalopathy market during the forecast period owing to the increasing product launches and approvals by the major market players.

Based on Route of Administration, the market is segmented into oral, intravenous, rectal and others. Out of which, the intravenous, segment is expected to dominate the market over the forecast period. Increase in product launches by key market players is likely drive the growth of segment. For instance, in August, 2022, the Food and Drug Administration (FDA) approved injectable HepatAmine (8% Amino Acid Injection) to treat the symptoms of hepatic encephalopathy in patients with Cirrhosis or Hepatitis.   

Based on Distribution Channel, the market is segmented into hospital pharmacies, retail pharmacies and online pharmacies. Out of which, the hospital pharmacies is expected to dominate the market over the forecast period. For instance, increasing prevalence of Hepatitis A, B and C and liver Cirrhosis leads to increase in patient visits in hospitals and thereby drive the growth of segment

Based on Region, the market is segmented into North America, Latin America, Europe, Asia pacific, Middle East and Africa out of the North America segment is dominated market over the forecast period. Market players operating in the region are focused on various strategies such as product launches and agreement with other key market players, which is expected to drive the market growth in this region

Global Hepatic Encephalopathy Market Cross Sectional Analysis:

The global hepatic encephalopathy market is growing in Asia Pacific region, owing to the increasing incidence of liver diseases such as Hepatitis A, B and C, liver failure and others. This represents more product approvals for stimulators and inhibitors across the Asia Pacific region. For instance, on March 3, 2023, according to pharmaceutical technology drug-specific phase transition and likelihood of approval scores, in addition to indication benchmarks based off 18 years of historical drug development data

 The characteristics of the medicine, the company, and its clinical trials are crucial to the PTSR and chance of approval for that drug.

Global Hepatic Encephalopathy Market: Key Developments

In September, 2022, GENFIT, a late-stage biopharmaceutical company dedicated to improving the lives of patients with liver diseases, announced that they have acquired Clinical-stage Biopharmaceutical company, Versantis, with VS-01-ACLF, a Phase 2 ready program based on first-in-class scavenging liposomes technology, VS-01-UCD, a pediatric program focused on urea cycle disorder (UCD), and VS-02-HE, an early-stage program focused on hepatic encephalopathy (HE).

On April 7, 2023, Merck, a German multinational science and technology company, and Eisai, a Japanese pharmaceutical company, released information regarding Phase 3 Trials for the treatment of Advanced Melanoma and Metastatic Colorectal Cancer using the orally available multiple receptor tyrosine kinase inhibitors of KEYTRUDA (pembrolizumab) and LENVIMA (lenvatinib) respectively.

On March 3, 2023, Bausch Health Companies Inc. is a Canadian multinational specialty pharmaceutical company, has announced Rifaximin SSD (soluble solid dispersion) tablets plus lactulose is under the clinical trial phase III for treatment of overt hepatic encephalopathy.

Global Hepatic Encephalopathy Market: Restraint

High cost associated the treatment of hepatic encephalopathy

High cost of the treatment of overt hepatic encephalopathy (OHE) is one of the factor that is restrain the growth of the market in forecast period. For instance, according to the National Center for Biotechnology Information, in 2022, hepatic encephalopathy is the second most common reason for hospitalization in patients suffering from liver cirrhosis, in the U.S., after ascites. According to the same source, the national expenditures for the U.S., related to hospitalizations for hepatic encephalopathy have been estimated to range from around US$ 1 billion per year to above US$ 7 billion per year.

Global Hepatic Encephalopathy Market: Key Players

Major players operating in the global hepatic encephalopathy market include ASKA Pharmaceutical Co., Ltd., Cosmo Pharmaceuticals N.V, Lupin Limited., Kaleido Biosciences, Kannalife Sciences Inc., Bausch Health Companies Inc., Ferring Pharmaceuticals Inc., Mallinckrodt Pharmaceuticals, Umecrine Cognition AB., Norgine B.V., Abbott Laboratories, QR Science and Technology development Co.

*Definition: Hepatic encephalopathy (HE) is a reversible syndrome observed in patients with advanced liver dysfunction. This syndrome is characterized by a wide spectrum of neuropsychiatric abnormalities resulting from the accumulation of neurotoxic substances in the brain.

Hepatic encephalopathy (HE) is the leading cause of mortality in patients suffering from acute liver failure and also in those patients suffering from liver cirrhosis and associated with end stage liver disease. A person suffering from hepatic encephalopathy loses the ability to metabolize ammonia, which results in the buildup of ammonia in various tissues and organs of the body. Moreover, ammonia crosses the blood–brain barrier, and thus causing neurocognitive impairment. Hepatic encephalopathy can be classified into two types: covert hepatic encephalopathy (CHE) and overt hepatic encephalopathy (OHE), out of which, overt hepatic encephalopathy is associated with high rates of mortality and poor quality of life, as compared to covert hepatic encephalopathy (CHET). The major market participants have developed novel technologies and techniques for treating liver disorders. The market will expand as a result in the coming year.

Increase in the government and non-government organizations initiatives to improve access to affordable liver related treatment option. Rise in the awareness regarding the importance of liver health among the people and favorable reimbursement are the factors likely drive the market growth. For instance,  in October 2022, Bausch Health Companies Inc., and its gastroenterology business, Salix Pharmaceuticals, one of the largest specialty pharmaceutical companies announced the endorsement of the implementation of K76.82, an ICD-10 code from the Centers for Medicare & Medicaid Services (CMS) for hepatic encephalopathy (HE), a complication of cirrhosis that affects the brain

Key features of the study:

  • This report provides in-depth analysis of the global hepatic encephalopathy market, and provides market size (US$ Million) and compound annual growth rate (CAGR%) for the forecast period (2023–2030), considering 2022 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 product launches or approval, market trends,  regional outlook, and competitive strategies adopted by key players
  • It profiles key players in the global hepatic encephalopathy market based on the following parameters – company highlights, products portfolio, key highlights, financial performance, and strategies
  • Key companies covered as a part of this study include ASKER Pharmaceutical Co., Ltd, Cosmo Pharmaceuticals N.V, Lupin Limited, Kaleido Biosciences, Kannalife Sciences Inc., Bausch Health Companies Inc, Ferring Pharmaceuticals In, Mallinckrodt Pharmaceuticals, Umecrine Cognition AB, Norgine B.V, Abbott Laboratories, QR Science and Technology Development Co.
  • Insights from this report would allow marketers and the management authorities of the companies to make informed decisions regarding their future product launches, type up-gradation, market expansion, and marketing tactics
  • The global hepatic encephalopathy market report caters to various stakeholders in this industry including investors, suppliers, product manufacturers, distributors, new entrants, and financial analysts
  • Stakeholders would have ease in decision-making through various strategy matrices used in analyzing the global hepatic encephalopathy market

Detailed Segmentation:

  • Global Hepatic Encephalopathy Market, By Drug Class:
    • Antibiotics
    • Laxatives
    • L-ornithine L-aspartate
    • Others
  • Global Hepatic Encephalopathy Market, By Route of administration:
    • Oral
    • Intravenous
    • Rectal
  • Global Hepatic Encephalopathy Market, By Distribution Channel:
    • Hospital Pharmacies
    • Retail Pharmacies
    • Online Pharmacies
  • Global Hepatic Encephalopathy 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:
        • GCC
        • Israel
        • Rest of Middle East
    • Africa
      • By Country/Region:
        • South Africa
        • Central Africa
        • North Africa
  • Company Profiles
    • ASKA Pharmaceutical Co., Ltd.
      • Company Highlights
      • Products Portfolio
      • Key Highlights
      • Financial Performance
      • Strategies
    • Cosmo Pharmaceuticals N.V
    • Lupin Limited
    • Kaleido Biosciences
    • Kannalife Sciences Inc.
    • Bausch Health Companies Inc.
    • Ferring Pharmaceuticals Inc.
    • Mallinckrodt Pharmaceuticals
    • Umecrine Cognition AB
    • Norgine B.V
    • Abbott Laboratories
    • Kos Pharmaceuticals, Inc.
    • QR Science and Technology Development Co.

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

Frequently Asked Questions

The global hepatic encephalopathy market is estimated to be valued at US$ 403.3 million in 2023 and is expected to exhibit a CAGR of 5.6% between 2023 and 2030.
Increasing prevalence of liver cirrhosis and increase in the funding by government organization are expected to drive the market growth.
Injectable is the leading segment in the market growth
The major factors that can hamper growth of the market include high cost associated with liver cirrhosis treatment
Major players operating in the market is ASKA Pharmaceutical Co., Ltd., Cosmo Pharmaceuticals N.V, Lupin Limited., Kaleido Biosciences, Kannalife Sciences Inc., Bausch Health Companies Inc., Ferring Pharmaceuticals Inc., Mallinckrodt Pharmaceuticals, Umecrine Cognition AB., Norgine B.V., Abbott Laboratories, QR Science and Technology development Co..,

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