C3 Glomerulopathy Treatment Market Size, Share, Industry, and Outlook (2024-2031)

Global C3 Glomerulopathy Treatment Market is segmented By Drug Class (Corticosteroids, ACE Inhibitors, Immunosuppressive Therapy, Others) By Route of Administration (Oral, Parenteral, Others) By Distribution Channel (Hospital Pharmacies, Retail Pharmacies, Online Pharmacies) and By Region (North America, Europe, South America, Asia Pacific, Middle East, and Africa) – Share, Size, Outlook, and Opportunity Analysis, 2023-2030

Market Overview

The Global C3 Glomerulopathy Treatment Market reached US$ YY million in 2022 and is expected to reach US$ YY million by 2030, growing with a CAGR of YY% during the forecast period 2023-2030.

Complement dysregulation in the fluid phase and in the glomerular milieu, which results in substantial complement C3 deposition in kidney biopsy samples, characterizes the rare category of kidney illnesses known as C3 glomerulopathies. Dense deposit disease (DDD) and C3 glomerulonephritis (C3GN), the two main subgroups of C3 glomerulopathy, have clinical and pathological characteristics that point to the existence of a disease continuum. 

Although terminal pathway dysregulation is also frequent, dysregulation of the complement alternative route is crucial to the signs of C3 glomerulopathy. In the majority of patients, acquired factors, such as autoantibodies that target the C3 or C5 convertases, are what cause disease. 

Market Scope

Market Dynamics: Drivers 

The Increasing Research Activities

The course of IC-MPGN and C3G is thought to be significantly influenced by unchecked activation of the complement cascade, a component of the body's immune system, where excessive buildup of C3 breakdown products in the kidney promotes inflammation and organ damage.1-4 Up to 8,000 people in Europe and 5,000 people in the United States are thought to have IC-MPGN or C3G, and 50% of those patients have renal failure within five to ten years of diagnosis. Around half of persons with C3G have end-stage renal disease within ten years of diagnosis, with a global frequency of 2-3 per million.

For instance, in June 2021, Novartis reported that Iptacopan (LNP023), a first-in-class oral, targeted factor B inhibitor, improved estimated glomerular filtration rate (eGFR) slope and stabilized kidney function in patients with C3 glomerulopathy (C3G). According to the interim analysis results from the open-label Phase II study (NCT03832114) in patients with C3G, twice-daily 200mg of iptacopan stabilized kidney function as indicated by a change in eGFR slope1, a crucial indicator of kidney clearance function that gauges the rate at which blood passes through and is filtered by the kidneys. 

In addition, in December 2022, Kira Pharmaceuticals, a global biotechnology company that pioneers transformational complement therapies to treat immune-mediated diseases reported that the Chinese National Medical Products Administration (NMPA) and the Australian Therapeutic Goods Administration (TGA) have approved the start of Phase 2 studies for the evaluation of KP104, a first-in-class bifunctional biologic that selectively targets the alternative and terminal complement pathways, in a renal basket study including IgA nephropathy (IgAN) and complement 3 glomerulopathy (C3G). 

Limited Targeted Therapies

A rare kidney condition called C3 glomerulopathy can make it difficult to create new treatments and expand the market. Due to the small patient population, pharmaceutical companies may be less likely to invest in research and development for rare diseases. It has been difficult to create targeted treatments that address the underlying dysregulation of the complement system; hence, the market's potential expansion may be constrained. Creating novel treatments can be expensive and time-consuming, especially for rare disorders. Investment in this field may be discouraged by the significant expenses involved with carrying out clinical trials and obtaining regulatory licenses.

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Segment Analysis

The global C3 glomerulopathy treatment market is segmented based on drug class, route of administration, distribution channel, and region.

The corticosteroids segment accounted for approximately 47.3% of the market share

Some patients continue to have a high risk of developing progressive CKD even with the best supportive therapy. In addition to conventional therapy, these patients could require immunosuppressive therapy. The therapy also aims to improve hematuria and stabilize renal function. Patients with IgAN are considered to be at high risk of disease development and may be eligible for immunosuppressive medication if they continue to have proteinuria of less than 1 g/day after three to six months of optimal supportive care.  

According to BMC Nephrology, in 2023, there are no known treatments for C3G, in contrast to immune-complex mediated MPGN, where treatment focuses on underlying disorders, such as chronic infections, autoimmune diseases, or cancer. In tiny patient cohorts, immunosuppressive therapies such as plasma infusion or plasmapheresis (calcineurin inhibitors, cyclophosphamide, mycophenolate mofetil, or rituximab) have had erratic results. 

Geographical Analysis

North America accounted for approximately 40.1% of the market share

North America has been a dominant force in the global C3 glomerulopathy treatment market.  According to estimates, there are between 0.5 and 3 instances of C3G per million people in the US, with a point prevalence of 14 to 40 cases per million people.1 DDD is typically diagnosed in childhood or early adulthood and seems to be less prevalent than C3GN. Patients typically have proteinuria and hematuria when they first present, which can range from asymptomatic abnormalities in the urine to classic acute glomerulonephritis with kidney failure and hypertension. 

For instance, ChemoCentryx, Inc. developed Tavneos and is continuing to do so for the treatment of patients with hidradenitis suppurativ (HS) and C3 Glomerulopathy (C3G). Tavneos has been given orphan medical product classification by Swissmedic for the adjunctive treatment of MPA and GPA (formerly known as Wegener's granulomatosis), two types of ANCA-associated vasculitis, as well as C3G. 

COVID-19 Impact Analysis

The outbreak of the COVID-19 pandemic in late 2019 created unprecedented challenges for industries worldwide, including the global C3 glomerulopathy treatment market. Treatment options for C3 glomerulopathy, an uncommon and complicated kidney condition, have historically been scarce. Immunosuppressive medications are frequently used in conjunction with blood pressure control, proteinuria treatment, and other management strategies. 

The complement system-targeting drug eculizumab has showed potential in some patients, but it is not always efficient. In 2021, efforts were made in research and development to find more specialized treatments for C3 glomerulopathy. These initiatives intended to treat the disease's characteristic complement dysregulation, which was at the root of these efforts. Clinical trials for novel therapeutics were ongoing, and their success might increase the range of available treatments.

Competitive Landscape

The major global players in the market include Hoffmann-La Roche Ltd., Mylan N.V., Teva Pharmaceutical Industries Ltd., Sanofi, Pfizer Inc., GSK plc Novartis AG Alexion Pharmaceuticals, Omeros Corporation, and ChemoCentryx among others.   

Key Developments

• In June 2022, Apellis Pharmaceuticals, Inc. and Sobi stated that The Phase 3 VALIANT study, which is examining pegcetacoplan, a targeted C3 therapy, in patients with primary immune-complex membranoproliferative glomerulonephritis (IC-MPGN) and C3 glomerulopathy (C3G), two rare and debilitating kidney diseases with related underlying causes and no approved treatment, has dosed its first patient. 

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• To visualize the global C3 glomerulopathy treatment market segmentation based on drug class, route of administration, distribution channel and region as well as understand key commercial assets and players.
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The global C3 glomerulopathy treatment market report would provide approximately 61 tables, 58 figures, and 186 Pages.

Target Audience 2023

• Manufacturers/ Buyers
• Industry Investors/Investment Bankers
• Research Professionals
• Emerging Companies