Non-alcoholic steatohepatitis (NASH) treatments, including vitamin E, obeticholic acid, and resmetirom, address a progressive liver disease driven by obesity (650 million adults globally), type 2 diabetes (537 million cases), and metabolic syndrome. NASH, projected to affect 27 million U.S. patients by 2030, is a leading cause of liver transplants and increases cardiovascular risk by 50%.
The market is propelled by rising prevalence, non-invasive diagnostics improving accuracy by 40%, and accelerated regulatory approvals, such as Rezdiffra in 2024. Government funding, including USD 2.31 billion from NIDDK, and 60% OECD reimbursement coverage further drive growth. The global NASH treatment market is estimated at USD 5.0-9.0 billion in 2025, with a CAGR of 22%-30% through 2030.
This product will be delivered within 1-3 business days.
The market is propelled by rising prevalence, non-invasive diagnostics improving accuracy by 40%, and accelerated regulatory approvals, such as Rezdiffra in 2024. Government funding, including USD 2.31 billion from NIDDK, and 60% OECD reimbursement coverage further drive growth. The global NASH treatment market is estimated at USD 5.0-9.0 billion in 2025, with a CAGR of 22%-30% through 2030.
Regional Market Trends
- North America: The U.S. leads with high obesity rates and Rezdiffra adoption, while Canada emphasizes metabolic health programs.
- Europe: Germany, France, and the UK drive growth with advanced liver disease management and biomarker adoption.
- Asia Pacific: China and India see rising NASH cases due to lifestyle changes, with Japan focusing on novel therapies.
- Rest of the World: Brazil expands diagnostic infrastructure, while the Middle East addresses diabetes-related NASH.
Distribution Channel Analysis
- Hospital Pharmacies: Expected growth of 22.5%-30.5%, driven by novel therapies like resmetirom. Trends focus on specialized liver care.
- Retail and Specialty Pharmacies: Projected growth of 22.0%-30.0%, linked to outpatient management. Advances emphasize patient access.
- Other Pharmacies: Anticipated growth of 21.5%-29.5%, covering online platforms. Trends highlight digital prescriptions.
Type Analysis
- Vitamin E and Pioglitazone: Expected growth of 20.0%-28.0%, used for early-stage NASH. Trends focus on cost-effective options for mild cases.
- Obeticholic Acid (OCA): Projected growth of 22.5%-30.5%, effective for fibrosis. Advances emphasize regulatory progress and combination therapies.
- Lanifibranor: Anticipated growth of 23.0%-31.0%, valued for multi-pathway action. Trends highlight metabolic and anti-fibrotic benefits.
- Semaglutide: Expected growth of 22.8%-30.8%, leveraging weight loss and diabetes synergy. Developments prioritize dual indications.
- Resmetirom: Expected growth of 24.0%-32.0%, a first-in-class therapy reducing liver fat. Trends focus on transformative outcomes.
- Aramchol: Expected growth of 21.5%-29.5%, targeting steatosis. Trends highlight potential in combination regimens.
- Cenicriviroc: Expected growth of 21.0%-29.0%, addressing inflammation. Developments prioritize anti-fibrotic effects.
- Other Drugs: Expected growth of 20.5%-28.5%, covering pipeline candidates. Trends focus on diverse mechanisms.
Key Market Players
- Madrigal Pharmaceuticals: Pioneers resmetirom for NASH treatment.
- Intercept Pharmaceuticals: Develops obeticholic acid for fibrosis.
- Inventiva: Focuses on lanifibranor for metabolic benefits.
- Novo Nordisk: Offers semaglutide, leveraging diabetes expertise.
- Pfizer: Innovates combination therapies for NASH.
Porter’s Five Forces Analysis
- Threat of New Entrants: Moderate, as high R&D costs and regulatory hurdles exist, but unmet medical needs attract new players.
- Threat of Substitutes: Moderate, with lifestyle interventions competing, but advanced NASH requires pharmacological solutions.
- Bargaining Power of Buyers: Moderate, as insurers negotiate prices, but limited approved therapies strengthen providers.
- Bargaining Power of Suppliers: Low, with multiple suppliers of active pharmaceutical ingredients.
- Competitive Rivalry: High, with companies competing on efficacy, safety, and speed to market.
Market Opportunities and Challenges
Opportunities:
- Addressing NASH, projected to affect 27 million U.S. patients by 2030.
- Leveraging obesity and diabetes, impacting 650 million and 537 million people, respectively.
- Utilizing non-invasive diagnostics, improving accuracy by 40%.
- Benefiting from USD 2.31 billion NIDDK funding for research.
- Expanding 60% OECD reimbursement coverage for NASH therapies.
- Developing combination therapies for comprehensive management.
Challenges:
- High costs of novel therapies limiting patient access.
- Regulatory delays for pipeline drugs.
- Limited NASH awareness and diagnostics in developing regions.
- Competition from lifestyle-based interventions.
- Complexity in managing advanced NASH and comorbidities.
This product will be delivered within 1-3 business days.
Table of Contents
Chapter 1 Executive SummaryChapter 2 Abbreviation and Acronyms
Chapter 3 Preface
Chapter 4 Market Landscape
Chapter 5 Market Trend Analysis
Chapter 6 Industry Chain Analysis
Chapter 7 Latest Market Dynamics
Chapter 8 Historical and Forecast Non-Alcoholic Steatohepatitis Treatment Market in North America (2020-2030)
Chapter 9 Historical and Forecast Non-Alcoholic Steatohepatitis Treatment Market in South America (2020-2030)
Chapter 10 Historical and Forecast Non-Alcoholic Steatohepatitis Treatment Market in Asia & Pacific (2020-2030)
Chapter 11 Historical and Forecast Non-Alcoholic Steatohepatitis Treatment Market in Europe (2020-2030)
Chapter 12 Historical and Forecast Non-Alcoholic Steatohepatitis Treatment Market in MEA (2020-2030)
Chapter 13 Summary For Global Non-Alcoholic Steatohepatitis Treatment Market (2020-2025)
Chapter 14 Global Non-Alcoholic Steatohepatitis Treatment Market Forecast (2025-2030)
Chapter 15 Analysis of Global Key Vendors
List of Tables and Figures
Companies Mentioned
- Madrigal Pharmaceuticals
- Intercept Pharmaceuticals
- Inventiva
- Nordisk
- Galmed Pharmaceuticals
- Galectin Therapeutics
- Pfizer