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Delamanid Market

The market for Delamanid was estimated at $515 million in 2024; it is anticipated to increase to $765 million by 2030, with projections indicating growth to around $1.06 billion by 2035.

Report ID:DS1802182
Author:Debadatta Patel - Senior Consultant
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Global Delamanid Market Outlook

Revenue, 2024

$515M

Forecast, 2034

$994M

CAGR, 2025 - 2034

6.8%

The Delamanid industry revenue is expected to be around $550.3 million in 2025 and expected to showcase growth with 6.8% CAGR between 2025 and 2034. The burgeoning market for Delamanid can be attributed to a multitude of factors including significant advances in medical research, enhanced awareness about multidrug-resistant tuberculosis, and increased accessibility to healthcare. As a crucial component in the fight against drug-resistant tuberculosis, the visibility and vitality of Delamanid cant be overstated. An escalating global need for more effective anti-tuberculosis drugs paired with innovative research and development efforts invigorate Delamanids market growth, ensuring its continued relevance in the pharmaceutical sector.

The pivotal role of Delamanid, essentially an oral antibiotic specifically designed for the treatment of multidrug-resistant tuberculosis, is unequivocally recognized worldwide. Leveraging the benefits of its novel mechanism of action, it inhibits the synthesis of mycolic acid, a key component of the bacterial cell wall, thereby effectively counteracting the disease.

Delamanid market outlook with forecast trends, drivers, opportunities, supply chain, and competition 2024-2034
Delamanid Market Outlook

Market Key Insights

  • The Delamanid market is projected to grow from $515.3 million in 2024 to $995 million in 2034. This represents a CAGR of 6.8%, reflecting rising demand across Tuberculosis Treatment, Drug-Resistant Infections and Pediatric Tuberculosis.
  • Otsuka Pharmaceutical Co. Ltd, Johnson & Johnson, Sanofi S.A. are among the leading players in this market, shaping its competitive landscape.
  • U.S. and Japan are the top markets within the Delamanid market and are expected to observe the growth CAGR of 4.4% to 6.5% between 2024 and 2030.
  • Emerging markets including India, Mexico and Indonesia are expected to observe highest growth with CAGR ranging between 7.8% to 9.4%.
  • Transition like Emergence of Resistancetolerant treatments has greater influence in U.S. and Japan market's value chain; and is expected to add $30 million of additional value to Delamanid industry revenue by 2030.
  • The Delamanid market is set to add $480 million between 2024 and 2034, with manufacturer targeting Adolescent & Adult Patient Demographics projected to gain a larger market share.
  • With Tuberculosis treatment innovation, and Strategic health programs, Delamanid market to expand 93% between 2024 and 2034.
delamanid market size with pie charts of major and emerging country share, CAGR, trends for 2025 and 2032
Delamanid - Country Share Analysis

Opportunities in the Delamanid

Collaborating with global health research institutions can significantly impact Delamanids market growth. They are also potential partners for developing new applications of Delamanid beyond multidrug-resistant tuberculosis. This could further optimize and diversify the use of Delamanid, leading to growth in its market share.

Growth Opportunities in North America and Asia-Pacific

In North America, Delamanid has proven its vital significance in the healthcare sector, becoming one of the preferred drugs for treating multidrug-resistant tuberculosis . High prevalence of tuberculosis and growing awareness about disease prevention has resulted in increased acceptance for treatments such as Delamanid. Competitive landscape includes major pharmaceutical players who have made substantial investments in research and development to exploit opportunities in this market. Technological progress in drug discovery and an environment conducive for clinical trials have been primary drivers of growth in this region. However, stringent regulatory policies present a considerable challenge.
The market scenario for Delamanid in the Asia-Pacific region offers a promising future. This region has observed a significant rise in tuberculosis cases, thereby escalating the demand for effective solutions like Delamanid. Local competition is intensifying, with key participants focusing on innovative strategies for market penetration. Another significant driver of market growth is the burgeoning middle-class population, increasing the accessibility to quality healthcare. However, limited awareness about MDR-TB treatments could be a crucial stumbling block in this market.

Market Dynamics and Supply Chain

01

Driver: Tuberculosis Treatment Innovation, and Robust Medical Research and Development

The alarming rise in drug-resistant tuberculosis cases globally is also propelling the demand for innovative and effective treatment solutions. Delamanid, a highly potent anti-TB agent, is also emerging as a promising solution significantly contributing to the global effort to eradicate this deadly disease. Its ability to interrupt the synthesis of mycolic acid, a key component of the TB-causing Mycobacterium tuberculosis, makes it ideal for addressing multi-drug resistant TB, a burgeoning global health challenge. The continuous research and development in the pharmaceutical industry has also been bolstering the growth of innovative solutions like Delamanid. Investments in drug discovery and pharmaceutical R&D are also at an overwhelmingly high level, with a particular emphasis on formulating solutions for drug-resistant diseases and conditions.
Governments and health bodies worldwide are also prioritising the proactive management of TB, especially drug-resistant forms. Delamanid, being a WHO-recommended treatment, is also central to such strategies, inevitably leading to an increased demand. As countries ramp up their health systems to effectively tackle drug-resistant TB, the role of delamanid as a key component in treatment regimens is also becoming increasingly pronounced.
02

Restraint: Fragmented Regulatory Environment

One key challenge is the fragmented regulatory environment for Delamanid, a newer drug used in multidrug-resistant tuberculosis treatment. While it has been approved and endorsed by institutions like the World Health Organization , local regulatory authorities in different countries require separate approvals, creating a complex maze for penetration and distribution. This uncertainty can negatively impact market dynamics and restrain the demand for Delamanid. Additionally, inconsistencies in regulatory standards from region to region result in extended time to market, leading to slower adoption and weaker growth projections.
03

Opportunity: Expansion into New Geographies and Technological Innovation in Drug Delivery

Delamanid, primarily used for treating multidrug-resistant tuberculosis, possesses high growth potential in countries burdened by this global health crisis. Expanding the availability of this drug in regions like Eastern Europe, Sub-Saharan Africa, and Southeast Asia offers lucrative opportunities. By capitalizing on government programs, health initiatives, and increasing healthcare infrastructure in these regions, companies can create a significant impact and reach untapped markets.
The enhancement in drug delivery methods could strengthen Delamanids market position. Incorporating current pharmaceutical advancements such as nanoparticle drug delivery systems or drug-eluting devices offers the potential to improve the bioavailability and effectiveness of this drug, leading to improved patient outcomes. Furthermore, these innovative methods may bolster patient adherence to treatment.
04

Challenge: High Treatment Costs

Another is the high cost of Delamanid, which can prevent patients in low-income countries from accessing this important treatment. Although some international health organizations offer programs to subsidize costs, these do not only sufficiently cover the overwhelming number of patients needing treatment. As a result, the high restricted accessibility to Delamanid decreases market demand, particularly in regions grappling with high MDR-TB prevalence.

Supply Chain Landscape

1

Raw Material Suppliers

Johnson MattheyBASF SE
2

API & Intermediate Providers

Shionogi & Co. LtdOtsuka Pharmaceutical
3

Manufacturing & Production

Mylan N.V.Cipla Ltd
4

Distribution & End Users

HospitalsSpecialty clinicsPharmaceutical retailers
Delamanid - Supply Chain

Use Cases of Delamanid in Tuberculosis Treatment & Drug-Resistant Infections

Tuberculosis Treatment : Delamanid, a nitroimidazole antituberculosis agent, is predominantly used in the treatment of multidrug-resistant tuberculosis . This antibiotic approach has shown to be remarkably effective in eliminating MDR-TB pathogens and is typically used in conjunction with other TB medications for enhanced efficacy. Notable players in this application include Otsuka Pharmaceutical, a leading pharmaceutical company renowned for its strength in the TB drug market and the developer of Delamanid itself.
Pediatric Tuberculosis : Delamanid is also widely used in pediatric tuberculosis management, due to its suitable pharmacokinetics and safety profile in children. In this application, Delamanid is typically administered in smaller doses or in conjunction with other pediatric TB medications, providing potent pharmacotherapeutic management for this vulnerable demographic. The World Health Organization recommends its use in children from 6 years and older, with many national health organizations following this directive, demonstrating the high level of trust in Delamanids efficacy and safety in pediatric applications.
Drug-Resistant Infections : Aside from TB treatment, Delamanid has been explored for its potential efficacy against other drug-resistant bacterial infections. Its mechanism of action, which involves the inhibition of mycolic acid synthesis, lends potential for its use in other mycobacterial infections, expanding potential uses for Delamanid into broader infectious disease management.

Recent Developments

Delamanid, an essential medicine for the treatment of multi-drug resistant tuberculosis , has shown significant market expansion due to its effectiveness and increasing global health concern. As per the World Health Organization , there has been a marked upturn in the prevalence of MDR-TB, igniting an urgent need for efficacious medication like Delamanid.
December 2024 : Otsuka Pharmaceutical expanded its production facilities to increase the manufacturing scale of Delamanid to meet the rising global demand.
November 2024 : WHO revised its global TB treatment guidelines, recommending Delamanid as a key drug for multidrug-resistant TB treatment, leading to a surge in its adoption worldwide.
October 2024 : Within the ongoing clinical trials, promising results for the improved effectiveness of Delamanid against extensively drug-resistant TB were reported.

Impact of Industry Transitions on the Delamanid Market

As a core segment of the Pharmaceutical industry, the Delamanid market develops in line with broader industry shifts. Over recent years, transitions such as Emergence of Resistancetolerant treatments and Advancement towards Personalized Medicine have redefined priorities across the Pharmaceutical sector, influencing how the Delamanid market evolves in terms of demand, applications and competitive dynamics. These transitions highlight the structural changes shaping long-term growth opportunities.
01

Emergence of Resistancetolerant treatments

With the advent of multidrugresistant tuberculosis , the medical industry witnessed a remarkable transition. Previously, drugs were unable to show significant efficacy against this formidable disease. However, the introduction of Delamanid, a novel antiTB medication, led to a groundbreaking shift. Delamanid demonstrated superior outcomes treating MDRTB, commanding attention across the healthcare sector. Its use is a significant step forward in the battle against tuberculosis, impacting the global mitigation strategies of several healthcare organizations. This industry transition is expected to add $30 million in the industry revenue between 2024 and 2030.
02

Advancement towards Personalized Medicine

The second significant industry transition is the movement towards personalized medicine. Known for its unique inhibitory mechanism on Mycobacterium tuberculosis, Delamanids introduction has fueled studies into targeted therapies in the field of infectious diseases. Physicians can now tailor treatment protocols to the individual patients needs, enhancing the success rates considerably. This transition fosters innovation within pharmaceutical research, resulting in development of more diseasespecific drugs, ultimately leading to improvements in global healthcare outcomes.
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