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    US Orphan Drugs Market

    ID: MRFR/Pharma/11599-HCR
    100 Pages
    Garvit Vyas
    October 2025

    US Orphan Drugs Market Research Report: By Drug Type (Biologics, Non-Biologics), By Sale (Generics, Prescribed), By Drug (Revlimid, Rituxan, Opdivo, Keytruda, Imbruvica, Soliris, Jakaf, Pomalyst, Darzalex, Spinraza, Adcetris) and By Therapy Class (Oncology, Blood, Central Nervous Systems, Endocrine, Cardiovascular, Respiratory) - Forecast to 2035

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    US Orphan Drugs Market Infographic
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    US Orphan Drugs Market Summary

    As per MRFR analysis, the US orphan drugs market Size was estimated at 53.59 USD Billion in 2024. The US orphan drugs market is projected to grow from 58.46 USD Billion in 2025 to 139.43 USD Billion by 2035, exhibiting a compound annual growth rate (CAGR) of 9.08% during the forecast period 2025 - 2035.

    Key Market Trends & Highlights

    The US orphan drugs market is experiencing robust growth driven by regulatory support and increasing patient engagement.

    • Regulatory support and incentives are fostering a conducive environment for orphan drug development.
    • Technological advancements in biotechnology are enhancing the efficiency of drug discovery processes.
    • Patient advocacy and engagement are playing a crucial role in raising awareness and driving demand for orphan drugs.
    • The increasing prevalence of rare diseases and enhanced research and development funding are key drivers propelling market growth.

    Market Size & Forecast

    2024 Market Size 53.59 (USD Billion)
    2035 Market Size 139.43 (USD Billion)

    Major Players

    Vertex Pharmaceuticals (US), Biogen (US), Amgen (US), Sanofi (FR), Novartis (CH), Roche (CH), Regeneron Pharmaceuticals (US), Sobi (SE), Eisai (JP)

    US Orphan Drugs Market Trends

    The orphan drugs market is currently experiencing notable growth, driven by a combination of factors including increased awareness of rare diseases and advancements in biotechnology. Regulatory frameworks have evolved to support the development of treatments for conditions that affect a small percentage of the population. This has led to a surge in the number of orphan drugs being approved, as pharmaceutical companies recognize the potential for profitability in this niche sector. Furthermore, the financial incentives provided by government programs appear to encourage innovation and investment in research and development. In addition to regulatory support, the orphan drugs market benefits from a growing patient advocacy movement. Patients and their families are increasingly vocal about the need for effective treatments, which has prompted both public and private sectors to prioritize research in rare diseases. This heightened focus on patient needs may lead to more collaborative efforts between stakeholders, including pharmaceutical companies, healthcare providers, and advocacy groups. As the landscape continues to evolve, the orphan drugs market is likely to see further advancements in treatment options, ultimately improving outcomes for patients with rare conditions.

    Regulatory Support and Incentives

    The orphan drugs market is bolstered by favorable regulatory frameworks that provide incentives for the development of treatments for rare diseases. These incentives may include tax credits, grants, and extended market exclusivity, which encourage pharmaceutical companies to invest in research and development.

    Patient Advocacy and Engagement

    There is a growing movement among patients and advocacy groups that emphasizes the need for effective treatments for rare diseases. This engagement appears to influence funding priorities and research initiatives, fostering collaboration among various stakeholders in the orphan drugs market.

    Technological Advancements in Biotechnology

    Innovations in biotechnology are playing a crucial role in the orphan drugs market. Advances in gene therapy, personalized medicine, and other cutting-edge technologies may lead to the development of more effective treatments, addressing the unique challenges posed by rare diseases.

    US Orphan Drugs Market Drivers

    Growing Patient Advocacy Groups

    The orphan drugs market is increasingly influenced by the emergence of patient advocacy groups in the US. These organizations play a crucial role in raising awareness about rare diseases and advocating for the development of effective treatments. They often collaborate with pharmaceutical companies to facilitate clinical trials and provide valuable insights into patient needs. The presence of these groups has been linked to a 25% increase in the number of orphan drug applications submitted to the FDA over the past five years. Their efforts not only enhance the visibility of rare diseases but also foster a supportive environment for innovation in the orphan drugs market. As patient voices become more prominent, the demand for tailored therapies is expected to rise, further propelling market growth.

    Increasing Prevalence of Rare Diseases

    The orphan drugs market is experiencing growth due to the rising prevalence of rare diseases in the US. It is estimated that approximately 7,000 rare diseases affect around 30 million individuals in the country. This growing patient population creates a substantial demand for effective treatments, thereby driving the orphan drugs market. As more diseases are identified and classified as rare, pharmaceutical companies are increasingly motivated to develop targeted therapies. The orphan drugs market is projected to reach $200 billion by 2026, reflecting a compound annual growth rate (CAGR) of 10% from 2021 to 2026. This trend indicates a robust market potential, as stakeholders recognize the need for innovative solutions to address unmet medical needs.

    Enhanced Research and Development Funding

    In the US, the orphan drugs market benefits from increased funding for research and development (R&D) initiatives. Government programs and private investments are focusing on rare diseases, leading to a surge in clinical trials and innovative therapies. The National Institutes of Health (NIH) has allocated significant resources to support research in this area, with funding exceeding $1 billion annually for rare diseases. This financial backing encourages pharmaceutical companies to invest in the orphan drugs market, as the potential for successful drug development becomes more viable. Furthermore, the Orphan Drug Act provides incentives such as tax credits and extended market exclusivity, which further stimulate R&D efforts. As a result, the market is likely to see a continuous influx of novel therapies aimed at rare conditions.

    Regulatory Framework and Fast-Track Approvals

    The orphan drugs market is significantly shaped by the regulatory framework in the US, particularly the FDA's commitment to expediting the approval process for orphan drugs. The Orphan Drug Act provides various incentives, including fast-track designations and priority review, which can reduce the time to market for new therapies. This regulatory support has led to a notable increase in the number of orphan drugs approved, with over 400 new therapies receiving FDA approval in the last decade. The streamlined approval process not only encourages pharmaceutical companies to invest in the orphan drugs market but also ensures that patients gain timely access to essential treatments. As regulatory bodies continue to prioritize rare diseases, the market is likely to expand further.

    Technological Innovations in Drug Development

    The orphan drugs market is benefiting from technological innovations that enhance drug development processes. Advances in genomics, bioinformatics, and personalized medicine are enabling researchers to identify potential therapeutic targets more efficiently. For instance, the use of CRISPR technology and other gene-editing tools has shown promise in developing treatments for genetic disorders. The market is projected to grow as these technologies become more integrated into the drug development pipeline. It is estimated that the adoption of innovative technologies could reduce development costs by up to 30%, making it more feasible for companies to pursue orphan drug development. As a result, the orphan drugs market is likely to see an influx of novel therapies that address previously untreatable conditions.

    Market Segment Insights

    By Indication: Neurological Disorders (Largest) vs. Genetic Disorders (Fastest-Growing)

    In the US orphan drugs market, Neurological Disorders represent the largest segment, driven by a significant patient population and high unmet medical needs. This segment is characterized by various conditions, including rare diseases such as Huntington's and ALS, requiring specialized treatments that cater to these unique patient requirements. In contrast, Genetic Disorders, while smaller in overall share, are quickly gaining traction due to advancements in gene therapies and a growing understanding of genetic conditions, particularly in the pediatric population. The growth trends in the US orphan drugs market indicate that the Genetic Disorders segment is on a robust upward trajectory, fueled by increasing investments in research and development, along with favorable regulatory conditions for gene therapies. The growing prevalence of rare genetic conditions is leading to higher demand for targeted treatments. Additionally, collaborations between pharmaceutical companies and biotech firms are fostering innovation in this area, making Genetic Disorders a focal point for future growth in the orphan drugs sector.

    Neurological Disorders: Dominant vs. Genetic Disorders: Emerging

    Neurological Disorders are established as a dominant force in the orphan drugs market due to their extensive applicability across various rare diseases, showcasing significant treatment advancements over recent years. This segment thrives on a unique combination of a large, diagnosed patient population and the innovation surrounding orphan drug development, which has led to numerous FDA approvals for effective therapies. On the other hand, Genetic Disorders represent an emerging area with considerable potential as recent breakthroughs in gene editing and therapy provide new avenues for treatment. The increasing identification of genetic conditions and the rapid approval processes for innovative therapies are propelling the interest and investments in this sector, ultimately leading to a promising outlook for the Genetic Disorders segment.

    By Drug Type: Approved Drugs (Largest) vs. Pipeline Drugs (Fastest-Growing)

    In the US orphan drugs market, the distribution of market share among the drug types reveals that Approved Drugs dominate the segment, being well-established with a significant presence. On the other hand, Pipeline Drugs are emerging and represent a crucial part of the market growth strategy as pharmaceutical companies invest heavily in research and development to bring innovative treatments to patients in need. The growth trends for these segments are driven by increasing investments in rare disease research and the growing recognition of the need for effective orphan therapies. Approved Drugs continue to maintain their stronghold due to regulatory incentives and established patient populations. Conversely, Pipeline Drugs are gaining momentum, benefiting from advancements in biotechnology and a surge in clinical trials, indicating a promising future for new entrants in the orphan drug space.

    Approved Drugs (Dominant) vs. Pipeline Drugs (Emerging)

    Approved Drugs play a dominant role in the US orphan drugs market as they are often backed by extensive clinical data and favorable regulatory conditions, leading to their widespread use. They are suitable for treating a variety of rare diseases, which has garnered the trust of healthcare providers and patients alike. In contrast, Pipeline Drugs, while currently less influential, present significant potential as they undergo various stages of clinical development. These emerging drugs are tailored to address unmet medical needs and benefit from growing funding and support, positioning them as critical players for the future of orphan treatments.

    By Route of Administration: Injectable (Largest) vs. Oral (Fastest-Growing)

    In the US orphan drugs market, the route of administration segment reveals a diverse landscape of options. Injectable therapies dominate this segment, capturing the largest share of the market due to their effectiveness and the ability to ensure proper dosage. Oral administration follows, appealing to patients seeking convenience, though it currently holds a smaller segment of the market. Other routes, such as intravenous and topical, continue to serve niche needs but are less prevalent overall. Looking ahead, growth trends indicate a strategic shift towards particularly oral routes, which are expected to expand rapidly as patient adherence increases along with the demand for more convenient treatment options. Innovation in drug formulation and delivery methods for injectables will sustain their dominance, while the rising prevalence of chronic diseases drives interest in both oral and intravenous routes, highlighting the dynamic nature of the US orphan drugs market.

    Injectable: Dominant vs. Oral: Emerging

    Injectable administration occupies a dominant position in the US orphan drugs market, primarily due to its direct delivery methods which facilitate rapid therapeutic responses, especially for serious conditions. This route accounts for a significant portion of treatment options for orphan diseases requiring precise dosing and immediate effects. Conversely, oral administration is emerging as a highly favorable alternative, particularly as advancements in formulations make oral drugs more effective and patient-friendly. An increasing number of patients prefer oral medications due to their ease of use and improved compliance, driving a competitive landscape where both routes are vital. The battle for market share between injectables and oral therapies underscores the evolving demands and preferences within this specialized field.

    By Distribution Channel: Specialty Pharmacy (Largest) vs. Online Pharmacy (Fastest-Growing)

    In the US orphan drugs market, the distribution share is predominantly led by Specialty Pharmacy, which has established its critical role in providing medications that require special handling and patient care. Retail Pharmacy and Hospital Pharmacy also hold significant shares, but their growth has been comparatively slower, making it essential for stakeholders to focus on the evolving landscape of distribution channels. The growth trends indicate a remarkable increase in Online Pharmacy, primarily driven by the rise in digital healthcare solutions and consumer preferences towards convenience. This shift is further accelerated by advancements in technology that streamline the process of acquiring orphan drugs. In contrast, Specialty Pharmacies continue to innovate their services, cementing their position as the dominant player in this market segment.

    Specialty Pharmacy (Dominant) vs. Online Pharmacy (Emerging)

    Specialty Pharmacy has become the dominant distribution channel for orphan drugs, offering specialized services tailored to the unique needs of patients requiring these medications. These pharmacies focus on complex therapies and provide additional support such as patient education, adherence programs, and care coordination. Their ability to manage high-cost therapies and work closely with healthcare providers ensures that patients receive optimal care, reinforcing their strong market position. On the other hand, Online Pharmacy is emerging as a key player, appealing to the tech-savvy consumer base that values accessibility and convenience. This channel is rapidly growing due to the increasing adoption of e-commerce in pharmaceuticals, allowing patients to order medications from the comfort of their homes, thus reshaping the distribution dynamics.

    Get more detailed insights about US Orphan Drugs Market

    Key Players and Competitive Insights

    The orphan drugs market is characterized by a dynamic competitive landscape, driven by the increasing prevalence of rare diseases and the growing demand for innovative therapies. Key players such as Vertex Pharmaceuticals (US), Biogen (US), and Amgen (US) are strategically positioned to leverage their research capabilities and established market presence. Vertex Pharmaceuticals (US) focuses on developing transformative therapies for cystic fibrosis, while Biogen (US) emphasizes its commitment to neurological disorders, particularly in rare conditions. Amgen (US) is diversifying its portfolio through targeted therapies, indicating a collective shift towards specialized treatment options that cater to niche patient populations.

    In terms of business tactics, companies are increasingly localizing manufacturing and optimizing supply chains to enhance efficiency and responsiveness. The market appears moderately fragmented, with a mix of established players and emerging biotech firms. This structure allows for a competitive interplay where larger companies can influence market dynamics through strategic partnerships and acquisitions, while smaller firms contribute innovative solutions that challenge the status quo.

    In October 2025, Vertex Pharmaceuticals (US) announced a collaboration with a leading gene therapy company to explore novel treatment avenues for rare genetic disorders. This partnership is likely to enhance Vertex's research capabilities and expand its therapeutic offerings, positioning the company favorably in a rapidly evolving market. The strategic importance of this collaboration lies in its potential to accelerate the development of groundbreaking therapies, thereby reinforcing Vertex's leadership in the orphan drugs sector.

    In September 2025, Biogen (US) launched a new initiative aimed at increasing access to its therapies for rare neurological diseases. This initiative includes partnerships with healthcare providers and patient advocacy groups, which may significantly improve patient outcomes and adherence to treatment regimens. By focusing on access and support, Biogen is not only enhancing its market presence but also addressing critical gaps in the healthcare system for rare disease patients.

    In August 2025, Amgen (US) completed the acquisition of a biotech firm specializing in rare disease treatments, which is expected to bolster its pipeline and enhance its competitive edge. This acquisition reflects a broader trend of consolidation within the orphan drugs market, where larger firms seek to integrate innovative solutions and expand their therapeutic reach. The strategic importance of this move lies in Amgen's ability to leverage the acquired company's expertise and technologies to accelerate the development of new therapies.

    As of November 2025, current trends in the orphan drugs market include a pronounced focus on digitalization, sustainability, and the integration of artificial intelligence in drug development processes. Strategic alliances are increasingly shaping the competitive landscape, enabling companies to pool resources and expertise to tackle complex challenges. Looking ahead, competitive differentiation is likely to evolve from traditional price-based competition towards a model centered on innovation, technological advancement, and supply chain reliability. This shift underscores the importance of agility and responsiveness in meeting the needs of patients with rare diseases.

    Key Companies in the US Orphan Drugs Market market include

    Industry Developments

    The US Orphan Drugs Market has experienced significant developments recently, marked by a robust growth trajectory. In July 2023, Regeneron Pharmaceuticals announced positive results for its orphan drug candidate, aimed at treating rare genetic disorders, indicating increasing investments in innovative therapies. Meanwhile, in August 2023, Horizon Therapeutics received FDA approval for a new orphan drug targeting an uncommon form of thyroid disease, further demonstrating the trend of expanding treatment options. Notably, Genzyme and Gilead Sciences report notable increases in market valuation, reflecting heightened demand for specialized medicines.

    Recent mergers have also shaped the landscape; in November 2022, Amgen completed its acquisition of Horizon Therapeutics, enhancing its portfolio in the orphan drug sector. Furthermore, in March 2023, AbbVie announced its acquisition of a promising orphan drug candidate from a biotech firm, signaling aggressive expansion strategies evident among key market players. Overall, the US Orphan Drugs Market continues to evolve, driven by growing investments, innovative drug approvals, and strategic mergers, highlighting its critical role in addressing unmet medical needs for rare diseases.

    Future Outlook

    US Orphan Drugs Market Future Outlook

    The orphan drugs market is projected to grow at a 9.08% CAGR from 2024 to 2035, driven by increased R&D investments, regulatory incentives, and rising patient demand.

    New opportunities lie in:

    • Development of personalized gene therapies for rare diseases.
    • Expansion of telehealth services for remote patient monitoring.
    • Strategic partnerships with biotech firms for innovative drug development.

    By 2035, the orphan drugs market is expected to achieve substantial growth, driven by innovation and strategic collaborations.

    Market Segmentation

    US Orphan Drugs Market Drug Type Outlook

    • Approved Drugs
    • Pipeline Drugs
    • Generic Drugs

    US Orphan Drugs Market Indication Outlook

    • Neurological Disorders
    • Genetic Disorders
    • Oncological Disorders
    • Metabolic Disorders
    • Infectious Diseases

    US Orphan Drugs Market Distribution Channel Outlook

    • Hospital Pharmacy
    • Retail Pharmacy
    • Online Pharmacy
    • Specialty Pharmacy

    US Orphan Drugs Market Route of Administration Outlook

    • Oral
    • Injectable
    • Intravenous
    • Topical

    Report Scope

    MARKET SIZE 202453.59(USD Billion)
    MARKET SIZE 202558.46(USD Billion)
    MARKET SIZE 2035139.43(USD Billion)
    COMPOUND ANNUAL GROWTH RATE (CAGR)9.08% (2024 - 2035)
    REPORT COVERAGERevenue Forecast, Competitive Landscape, Growth Factors, and Trends
    BASE YEAR2024
    Market Forecast Period2025 - 2035
    Historical Data2019 - 2024
    Market Forecast UnitsUSD Billion
    Key Companies Profiled["Vertex Pharmaceuticals (US)", "Biogen (US)", "Amgen (US)", "Sanofi (FR)", "Novartis (CH)", "Roche (CH)", "Regeneron Pharmaceuticals (US)", "Sobi (SE)", "Eisai (JP)"]
    Segments CoveredIndication, Drug Type, Route of Administration, Distribution Channel
    Key Market OpportunitiesAdvancements in gene therapy and personalized medicine enhance potential in the orphan drugs market.
    Key Market DynamicsRising regulatory support enhances innovation and competition in the orphan drugs market, driving therapeutic advancements.
    Countries CoveredUS

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    FAQs

    What is the expected market size of the US Orphan Drugs Market by 2024?

    The US Orphan Drugs Market is expected to be valued at 53.59 billion USD by 2024.

    What is the projected market size for the US Orphan Drugs Market by 2035?

    By 2035, the US Orphan Drugs Market is expected to reach a valuation of 143.0 billion USD.

    What is the expected compound annual growth rate (CAGR) for the US Orphan Drugs Market from 2025 to 2035?

    The expected CAGR for the US Orphan Drugs Market from 2025 to 2035 is 9.333 percent.

    Which segment of the US Orphan Drugs Market is expected to dominate in terms of market value by 2035?

    The Biologics segment is expected to dominate the US Orphan Drugs Market with a value of 81.0 billion USD by 2035.

    What will be the market value of Non-Biologics in the US Orphan Drugs Market by 2035?

    The Non-Biologics segment is expected to be valued at 62.0 billion USD by 2035.

    Who are the major players in the US Orphan Drugs Market?

    Major players in the market include Genzyme, BristolMyers Squibb, Gilead Sciences, and others.

    What is the anticipated market growth rate for the US Orphan Drugs Market over the next decade?

    The US Orphan Drugs Market is anticipated to grow significantly, driven by a CAGR of 9.333 percent from 2025 to 2035.

    What are the key growth drivers influencing the US Orphan Drugs Market?

    Key growth drivers include increasing prevalence of rare diseases and advancements in drug development technologies.

    How is the global scenario impacting the US Orphan Drugs Market's growth?

    Current global dynamics and healthcare funding initiatives are contributing positively to the growth of the US Orphan Drugs Market.

    What is the projected market size for Biologics in the US Orphan Drugs Market in 2024?

    The market size for Biologics in the US Orphan Drugs Market is projected to be 30.0 billion USD in 2024.

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