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Alagille Syndrome Market Share

ID: MRFR//4863-HCR | 100 Pages | Author: Rahul Gotadki| December 2024

The market dynamics of Alagille Syndrome unfold within the landscape of rare genetic disorders, emphasizing the challenges and opportunities associated with the diagnosis, treatment, and management of this condition. Alagille Syndrome is a rare genetic disorder characterized by liver, heart, and other organ abnormalities, affecting approximately 1 in 30,000 to 1 in 50,000 individuals. One key driver of the market is the increasing awareness and understanding of Alagille Syndrome among healthcare professionals, patients, and their families. As knowledge about this rare condition expands, the demand for effective diagnostic tools, therapeutic interventions, and supportive care options rises, shaping the market dynamics significantly.

Technological advancements in genetic testing and diagnostic imaging contribute significantly to the market dynamics of the Alagille Syndrome market. Innovations in genetic sequencing technologies allow for more accurate and comprehensive identification of mutations associated with Alagille Syndrome, facilitating early and precise diagnosis. Additionally, advanced imaging techniques, such as magnetic resonance imaging (MRI) and ultrasound, assist healthcare professionals in assessing the extent of organ involvement and guiding treatment strategies. The continuous evolution of diagnostic tools underscores the commitment of the healthcare industry to improve early detection and intervention for individuals affected by Alagille Syndrome.

Collaborations and partnerships between research institutions, healthcare organizations, and pharmaceutical companies contribute to the dynamic landscape of the Alagille Syndrome market. These alliances foster knowledge exchange, facilitate clinical trials, and drive research initiatives aimed at developing innovative therapeutic interventions. Given the rarity and complexity of Alagille Syndrome, collaborative efforts within the scientific community are instrumental in advancing our understanding of the condition, refining diagnostic approaches, and exploring potential treatment options. The synergy between different stakeholders accelerates progress in addressing the unique challenges posed by this rare genetic disorder.

The pharmaceutical industry's engagement in the development of targeted therapies for Alagille Syndrome is a significant factor shaping market dynamics. As the molecular mechanisms underlying the disorder become clearer, pharmaceutical companies invest in research and development to create therapeutic interventions that address the specific genetic defects and associated symptoms. The pursuit of novel drugs and treatment options reflects a commitment to improving the quality of life for individuals with Alagille Syndrome, driving innovation in the field and contributing to the overall growth and competitiveness of the market.

Regulatory frameworks and standards also play a critical role in guiding the market dynamics of the Alagille Syndrome market. Adherence to regulatory requirements ensures the safety and efficacy of diagnostic tests and therapeutic interventions. Regulatory oversight provides a framework for the development and approval of new drugs, diagnostic devices, and treatment protocols, ensuring that they meet rigorous standards and contribute to improved patient outcomes.

Economic factors, including healthcare spending and reimbursement policies, contribute to the market dynamics of Alagille Syndrome. The economic feasibility of diagnostic tests, medications, and treatment options influences their accessibility and adoption within healthcare systems. As stakeholders seek cost-effective solutions that align with budgetary constraints, the market responds by striving to deliver value-based care for individuals affected by Alagille Syndrome.

Alagille Syndrome Market Overview


Alagille Syndrome Market Size was valued at USD 0.40 Billion in 2023. The Global Alagille Syndrome industry is projected to grow from USD 0.43 Billion in 2024 to USD 0.75 Billion by 2032, exhibiting a compound annual growth rate (CAGR) of 6.32% during the forecast period (2024 - 2032). Alagille syndrome is a rare genetic condition that can affect the liver and other parts of the body. An individual having alagille syndrome has a fewer number of small bile ducts inside the liver.

Alagille Syndrome Market1

June 2023:


The US Food and Drug Administration (FDA) has broadened the approved use of odevixibat (Bylvay) to treat cholestatic pruritus linked to Alagille syndrome (ALGS) in patients as young as 12 months. ALGS is an uncommon hereditary condition characterized by the accumulation of bile in the liver due to an insufficient number of bile ducts, resulting in liver injury. ALGS can also impact several organ systems, such as the cardiovascular system, musculoskeletal system, visual system, and renal system. Almost all individuals with the illness exhibit persistent cholestasis, typically occurring within the initial months of birth. Additionally, up to 88% of these individuals also experience intense and uncontrollable itching. Odevixibat is a powerful, non-systemic inhibitor of bile acid transport in the ileum. The FDA granted approval for the medication in 2021 to treat individuals suffering from cholestatic pruritus caused by progressive familial intrahepatic cholestasis. The FDA approval for odevixibat in ALGS was granted based on the findings of the phase 3 ASSERT study. This study assessed the safety and effectiveness of administering 120 µg/kg/day of odevixibat for a duration of 24 weeks. The study aimed to determine the extent to which odevixibat might alleviate pruritus in individuals ranging from newborns to teenagers, aged from birth to 17 years, who have genetically-confirmed ALGS. The research was carried out at 32 locations spanning North America, Europe, the Middle East, and the Asia Pacific region.


March 2024:


Mirum Pharmaceuticals Inc. has declared that the United States. The Food and Drug Administration (FDA) has granted approval for the use of LIVMARLI® (maralixibat) oral solution in the treatment of cholestatic pruritus in patients who are at least five years old and have progressive familial intrahepatic cholestasis (PFIC). Mirum has filed an additional supplemental new drug application (sNDA) to provide a more concentrated formulation of LIVMARLI, which was utilized in the MARCH research. The purpose of this application is to expand the approved uses of LIVMARLI to include younger patients with PFIC. This label extension is expected to occur later this year. LIVMARLI is authorized for the management of cholestatic pruritus in patients diagnosed with Alagille syndrome (ALGS) in the United States (for individuals aged three months and older), Europe (for individuals aged two months and older), Canada, and other regions worldwide. LIVMARLI has the capacity to bring about a significant and profound change in the treatment of patients suffering from cholestatic pruritus linked to PFIC. It is particularly noteworthy that LIVMARLI provides a viable choice for patients with the most uncommon subtypes of this condition.



This causes the bile to build-up inside the liver, which in turn causes liver scarring and damage. Moreover, the signs and symptoms of this syndrome are generally noticed in infancy or early childhood.

The growing occurrence of alagille syndrome, increasing healthcare expenditure, and rising prevalence of genetic diseases are anticipated to drive the growth of the market. According to the US National Library of Medicine, the estimated prevalence of alagille syndrome is 1 in 70,000 newborns.

Despite the drivers, lack of awareness about the syndrome in the developing regions may hamper the growth of the market during the assessment period.

Alagille Syndrome Market Segmentation

The alagille syndrome global market has been segmented into symptom, treatment, diagnosis, and end-user.

The market on the basis of symptom has been segmented into liver problems, nutrition problems, heart problems, distinctive facial features, neurologic problems, and others.

The market, by treatment, has been segmented into medication, biliary diversion procedures, vitamin supplements, liver transplantation, kidney surgery, heart surgery, and others. The medication segment has been further segmented into Ursodeoxycholic acid, cholestyramine, rifampin, naltrexone, and anti-histamine. The anti-histamine segment has been further segmented into hydroxyzine and others.

The market, by diagnosis, has been segmented into blood test, urinalysis, X-ray imaging, cardiology exam, slit-lamp exam, liver biopsy, genetic testing, prenatal DNA testing, and others.

On the basis of end-user, the market has been segmented into hospitals and clinics, diagnostic centers, and others.

The market has been segmented, by region, into the Americas, Europe, Asia-Pacific, and the Middle East & Africa. The alagille syndrome market in the Americas has further been segmented into North America and South America, with the North American market divided into the US and Canada.

The European alagille syndrome market has been segmented into Western Europe and Eastern Europe. Western Europe has further been classified as Germany, France, the UK, Italy, Spain, and the rest of Western Europe. 

The alagille syndrome global market in Asia-Pacific has been segmented into Japan, China, India, South Korea, Australia, and the rest of Asia-Pacific. The alagille syndrome market in the Middle East & Africa has been segmented into the Middle East and Africa.

Key players



  • Sanofi AG

  • Teva Pharmaceutical Industries Ltd.

  • Allergen Plc

  • Lannett

  • Albireo Pharma Inc.

  • AstraZeneca Plc

  • Novartis AG

  • Pfizer Inc.

  • Shire

  • Bristol-Myers Squibb Company

  • GlaxoSmithKline Plc

  • Merck & Co. Inc.


Geographically, the Americas is anticipated to dominate the global alagille syndrome market owing to a well-developed healthcare sector, rising prevalence of rare genetic disease and growing healthcare expenditure. According to the Global Genes Project, rare and genetic diseases affect 1 in 10 people in the United States Additionally, increasing awareness among the people regarding the disease and well-developed technology is likely to contribute to the growth of the market.


Europe is expected to hold the second largest position in the alagille syndrome global market. The market growth in this region is attributed to the growing prevalence of several liver diseases, increasing prevalence of genetic disease, availability of funds for research, and increasing healthcare expenditure. According to the Public Health England, approximately 11,597 number of people died with an underlying cause of liver disease in England in 2014.  In addition, according to the Office for National Statistics, gross domestic expenditure on research and development (R&D) was Euro 33.1 billion (USD 35.2 billion) in 2016.


Asia-Pacific is anticipated to be the fastest growing region in the market due to the presence of a huge patient population, continuously developing economies, growing occurrences of rare diseases and increasing government funding for the healthcare sector.


On the other hand, the Middle East & Africa has the least share of the market. Majority of the market of this region is expected to be held by the Middle East region due to a well-developed healthcare sector and growing government initiatives for the healthcare sector.


Alagille Syndrome Market, by Symptom



  • Liver Problems

  • Nutrition Problems

  • Heart Problems

  • Distinctive Facial Features

  • Neurologic Problems

  • Others


Alagille Syndrome Market, by Treatment



  • Medications

  • Ursodeoxycholic Acid

  • Cholestyramine

  • Rifampin

  • Naltrexone

  • Anti-histamines

  • Hydroxyzine

  • Others

  • Biliary Diversion Supplements

  • Vitamin supplements

  • Liver Transplantation

  • Kidney Surgery

  • Heart Surgery

  • Others


Alagille Syndrome Market, by Diagnosis



  • Blood Test

  • Urinalysis

  • X-ray Imaging

  • Cardiology Exam

  • Slit-lamp Exam

  • Liver Biopsy

  • Genetic Testing

  • Prenatal DNA testing

  • Others


Alagille Syndrome Market, by End-User



  • Hospitals and Clinics

  • Diagnostic Centers

  • Others


Alagille Syndrome Market, by Region



  • North America


    • US

    • Canada


  • Europe


    • Germany

    • France

    • UK

    • Italy

    • Spain

    • Rest of Europe


  • Asia-Pacific


    • China

    • Japan

    • India

    • Australia

    • South Korea

    • Rest of Asia-Pacific


  • Rest of the World


    • Middle East

    • Africa

    • Latin America



Intended Audience



  • Pharmaceutical Companies

  • Research and Development (R&D) Companies

  • Diagnostic Laboratories

  • Government Research Institute

  • Academic Institutes and Universities

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