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Delamanid Market
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Delamanid Market

Author: Debadatta Patel - Senior Consultant, Report ID - DS1802182, Published - April 2025

Segmented in Application (Multidrug-Resistant TB, Extensively Drug-Resistant TB), Patient Demographics (Pediatric, Adolescent, Adult), Therapy Type, Distribution Channel and Regions - Global Industry Analysis, Size, Share, Trends, and Forecast 2024 – 2034

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Global Delamanid Market Outlook

The market, for Delamanid was estimated at $515.3 million in 2024; and it is anticipated to increase to $764.7 million by 2030 with projections indicating a growth to around $1.1 billion by 2035. This expansion represents a compound annual growth rate (CAGR) of 6.8% over the forecast period. 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.


Market Size Forecast & Key Insights

2019
$515M2024
2029
$994M2034

Absolute Growth Opportunity = $480M

The Delamanid market is projected to grow from $515.3 million in 2024 to $994 million in 2034. This represents a CAGR of 6.8%, reflecting rising demand across Tuberculosis Treatment, Drug-Resistant Infections and Pediatric Tuberculosis.

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.

Opportunities in the Delamanid Market

Strategic Collaboration with Research Institutions

Collaborating with global health research institutions can significantly impact Delamanids market growth. They are 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.

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.

Growth Opportunities in North America and Asia-Pacific

Asia Pacific Outlook

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.

North America Outlook

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.

North America Outlook

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.

Asia-Pacific Outlook

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.

Growth Opportunities in North America and Asia-Pacific

Established and Emerging Market's Growth Trend 2025–2034

1

Major Markets : U.S., Japan, Germany, France, UK are expected to grow at 4.4% to 6.5% CAGR

2

Emerging Markets : India, Mexico, Indonesia are expected to grow at 7.8% to 9.4% CAGR

Market Analysis Chart

The growth trajectory of Delamanid, an essential drug used in the treatment of multidrug-resistant tuberculosis , is bolstered by several critical market drivers. Primarily, the escalating global prevalence of MDR-TB makes Delamanid an increasingly required medical intervention. Secondly, the rise in government and non-government healthcare initiatives, providing necessary awareness, detection, and treatment options, further invigorates the need for Delamanid.

Recent Developments and Technological Advancement

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.

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.

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.

1

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.

2

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.

Global Events Shaping Future Growth

The chart below highlights how external events including emerging market developments, regulatory changes, and technological disruptions, have added another layer of complexity to the Pharmaceutical industry. These events have disrupted supply networks, changed consumption behavior, and reshaped growth patterns. Together with structural industry transitions, they demonstrate how changes within the Pharmaceutical industry cascade into the Delamanid market, setting the stage for its future growth trajectory.

Market Dynamics and Supply Chain

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.

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.

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

Raw Material Suppliers

Johnson Matthey

BASF SE

API & Intermediate Providers

Shionogi & Co. Ltd

Otsuka Pharmaceutical

Manufacturing & Production
Mylan N.V. / Cipla Ltd
Distribution & End Users
Hospitals / Specialty clinics / Pharmaceutical retailers
Raw Material Suppliers

Johnson Matthey

BASF SE

API & Intermediate Providers

Shionogi & Co. Ltd

Otsuka Pharmaceutical

Manufacturing & Production

Mylan N.V.

Cipla Ltd

Distribution & End Users

Hospitals

Specialty clinics

Pharmaceutical retailers

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Leading Providers and Their Strategies

Application AreaIndustryLeading Providers / ConsumersProvider Strategies
Tuberculosis Treatment
Pharmaceuticals
Otsuka Pharmaceutical Co., Ltd.
Focusing on research and development to improve effectiveness of Delamanid
Multi-Drug Resistant Tuberculosis Management
Healthcare
Johnson & Johnson
R&D specific towards multi-drug resistant tuberculosis treatment, leveraging Delamanid
Latent Tuberculosis Infection
Medical
Mylan N.V.
Strategizing to broaden the application of Delamanid in treating Latent TB infections
Pediatric Tuberculosis Therapy
Healthcare
Sanofi
Developing pediatric dosage and drug combination involving Delamanid to effectively treat Pediatric TB

Elevate your strategic vision with in-depth analysis of key applications, leading market players, and their strategies. The report analyzes industry leaders' views and statements on the Delamanid market's present and future growth.

Our research is created following strict editorial standards. See our Editorial Policy

Applications of Delamanid in Drug-Resistant Infections, Tuberculosis Treatment and Pediatric Tuberculosis

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.

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.

Delamanid vs. Substitutes:
Performance and Positioning Analysis

Delamanid stands out for its advanced efficacy in treating multidrug-resistant tuberculosis , offering an edge over its alternatives. The unique market positioning of Delamanid and its potential for growth is rooted in the escalating global need for effective MDR-TB treatments. These Alternatives specially Bedaquiline has experienced a rapid growth as detailed in our latest report.

Delamanid
    Effective treatment for multidrug-resistant tuberculosis, Reduces mortality rate associated with tuberculosis
    Potential side effects such as nausea, vomiting, Dizziness and neuropathy may occur
    Effective treatment outcomes, lower side effects
    Higher cost, potential for resistance development

Delamanid vs. Substitutes:
Performance and Positioning Analysis

Delamanid

  • Effective treatment for multidrug-resistant tuberculosis, Reduces mortality rate associated with tuberculosis
  • Potential side effects such as nausea, vomiting, Dizziness and neuropathy may occur

Bedaquiline / Clofazimine / Pretomanid

  • Effective treatment outcomes, lower side effects
  • Higher cost, potential for resistance development

Delamanid stands out for its advanced efficacy in treating multidrug-resistant tuberculosis , offering an edge over its alternatives. The unique market positioning of Delamanid and its potential for growth is rooted in the escalating global need for effective MDR-TB treatments. These Alternatives specially Bedaquiline has experienced a rapid growth as detailed in our latest report.

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Research Methodology

This market research methodology defines the Delamanid market scope, gathers reliable data, and validates findings using integrated primary and secondary research. Our systematic framework ensures precise market sizing, growth trend analysis, and competitive benchmarking.


Secondary Research Approach


We begin secondary research by defining the targeted market at Country and Regional levels. As part of the Pharmaceutical ecosystem, we analyze Delamanid across Multidrug-Resistant TB and Extensively Drug-Resistant TB Applications. Our team gathers data systematically from country level ministerial sources, industry associations & federations, trade databases, company annual & quarterly reports and other credential sources, enabling us to map global and regional market size, pricing trends, regulatory standards, and technology advancements.


Key Sources Referenced:


We benchmark competitors such as Otsuka Pharmaceutical Co. Ltd, Johnson & Johnson, and Sanofi S.A. by reviewing company financial statements, and regulatory filings. Our secondary insights identify key market drivers and constraints, forming the analytical foundation for primary research.


Primary Research Methods


We conduct structured interviews and surveys with industry stakeholders, including Raw Material Suppliers, API & Intermediate Providers, and Manufacturing & Production. Our geographic coverage spans Americas (40%), Europe (30%), Asia-Pacific (25%) and Middle East & Africa (5%). Our online surveys generally achieve a response rate of above 65%, and telephone interviews yield 60%, resulting in above 92% confidence level with a ±7% margin of error.


Through targeted questionnaires and in-depth interviews, we capture purchase intent, adoption barriers, brand perception across Segment Type. We use interview guides to ensure consistency and anonymous survey options to mitigate response bias. These primary insights validate secondary findings and align market sizing with real-world conditions.


Market Engineering & Data Analysis Framework


Our data analysis framework integrates Top-Down, Bottom-Up, and Company Market Share approaches to estimate and project market size with precision.


Top-down & Bottom-Up Process


In Top-down approach, we disaggregate global Pharmaceutical revenues to estimate the Delamanid segment, using historical growth patterns to set baseline trends. Simultaneously, in Bottom-up approach, we aggregate Country-Level Demand Data to derive regional and global forecasts, which provide granular consumption insights. By reconciling both approaches, we ensure statistical precision and cross-validation accuracy.


We evaluate the supply chain, spanning Raw Material Suppliers (Johnson Matthey, BASF SE), API & Intermediate Providers (Shionogi & Co. Ltd, Otsuka Pharmaceutical), and Manufacturing & Production. Our parallel substitute analysis examines Bedaquiline, Clofazimine, and Pretomanid, highlighting diversification opportunities and competitive risks.


Company Market Share & Benchmarking


We benchmark leading companies such as Otsuka Pharmaceutical Co. Ltd, Johnson & Johnson, and Sanofi S.A., analyzing their capabilities in pricing, product features, technology adoption, and distribution reach. By assessing company-level revenues and product portfolios, we derive market share comparisons, clarifying competitive positioning and growth trajectories across the ecosystem.


Our integration of data triangulation, supply chain evaluation, and company benchmarking, supported by our proprietary Directional Superposition methodology enables us to deliver precise forecasts and actionable strategic insights into the Delamanid market.


Quality Assurance and Compliance


We cross-reference secondary data with primary inputs and external expert reviews to confirm consistency. Further, we use stratified sampling, anonymous surveys, third-party interviews, and time-based sampling to reduce bias and strengthen our results.


Our methodology is developed in alignment with ISO 20252 standards and ICC/ESOMAR guidelines for research ethics. The study methodology follows globally recognized frameworks such as ISO 20252 and ICC codes of practice.

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Delamanid Market Data: Size, Segmentation & Growth Forecast

Report AttributeDetails
Market Value in 2025USD 550 million
Revenue Forecast in 2034USD 994 million
Growth RateCAGR of 6.8% from 2025 to 2034
Base Year for Estimation2024
Industry Revenue 2024515 million
Growth OpportunityUSD 480 million
Historical Data2019 - 2023
Growth Projection / Forecast Period2025 - 2034
Market Size UnitsMarket Revenue in USD million and Industry Statistics
Market Size 2024515 million USD
Market Size 2027627 million USD
Market Size 2029716 million USD
Market Size 2030764 million USD
Market Size 2034994 million USD
Market Size 20351.06 billion USD
Report CoverageMarket revenue for past 5 years and forecast for future 10 years, Competitive Analysis & Company Market Share, Strategic Insights & trends
Segments CoveredApplication, Patient Demographics, Therapy Type, Distribution Channel
Regional scopeNorth America, Europe, Asia Pacific, Latin America and Middle East & Africa
Country scopeU.S., Canada, Mexico, UK, Germany, France, Italy, Spain, China, India, Japan, South Korea, Brazil, Mexico, Argentina, Saudi Arabia, UAE and South Africa
Companies ProfiledOtsuka Pharmaceutical Co. Ltd, Johnson & Johnson, Sanofi S.A., Eli Lilly and Company, Novartis AG, Pfizer Inc., Merck & Co. Inc, GlaxoSmithKline Plc, AstraZeneca Plc, Boehringer Ingelheim GmbH, Bayer AG and Cipla Ltd.
CustomizationFree customization at segment, region or country scope and direct contact with report analyst team for 10 to 20 working hours for any additional niche requirement which is almost equivalent to 10% of report value

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Table of Contents

Industry Insights Report - Table Of Contents

Chapter 1

Executive Summary

Major Markets & Their Performance - Statistical Snapshots

Chapter 2

Research Methodology

2.1Axioms & Postulates
2.2Market Introduction & Research MethodologyEstimation & Forecast Parameters / Major Databases & Sources
Chapter 3

Market Dynamics

3.1Market OverviewDrivers / Restraints / Opportunities / M4 Factors
3.2Market Trends
3.2.1Introduction & Narratives
3.2.2Market Trends - Impact Analysis(Short, Medium & Long Term Impacts)
3.3Supply Chain Analysis
3.4Porter's Five ForcesSuppliers & Buyers' Bargaining Power, Threat of Substitution & New Market Entrants, Competitive Rivalry
Chapter 4

Delamanid Market Size, Opportunities & Strategic Insights, by Application

4.1Multidrug-Resistant TB
4.2Extensively Drug-Resistant TB
Chapter 5

Delamanid Market Size, Opportunities & Strategic Insights, by Patient Demographics

5.1Pediatric
5.2Adolescent
5.3Adult
Chapter 6

Delamanid Market Size, Opportunities & Strategic Insights, by Therapy Type

6.1First-Line Treatment
6.2Second-Line Treatment
Chapter 7

Delamanid Market Size, Opportunities & Strategic Insights, by Distribution Channel

7.1Hospital Pharmacies
7.2Retail Pharmacies
7.3Online Pharmacies
Chapter 8

Delamanid Market, by Region

8.1North America Delamanid Market Size, Opportunities, Key Trends & Strategic Insights
8.1.1U.S.
8.1.2Canada
8.2Europe Delamanid Market Size, Opportunities, Key Trends & Strategic Insights
8.2.1Germany
8.2.2France
8.2.3UK
8.2.4Italy
8.2.5The Netherlands
8.2.6Rest of EU
8.3Asia Pacific Delamanid Market Size, Opportunities, Key Trends & Strategic Insights
8.3.1China
8.3.2Japan
8.3.3South Korea
8.3.4India
8.3.5Australia
8.3.6Thailand
8.3.7Rest of APAC
8.4Middle East & Africa Delamanid Market Size, Opportunities, Key Trends & Strategic Insights
8.4.1Saudi Arabia
8.4.2United Arab Emirates
8.4.3South Africa
8.4.4Rest of MEA
8.5Latin America Delamanid Market Size, Opportunities, Key Trends & Strategic Insights
8.5.1Brazil
8.5.2Mexico
8.5.3Rest of LA
8.6CIS Delamanid Market Size, Opportunities, Key Trends & Strategic Insights
8.6.1Russia
8.6.2Rest of CIS
Chapter 9

Competitive Landscape

9.1Competitive Dashboard & Market Share Analysis
9.2Company Profiles (Overview, Financials, Developments, SWOT)
9.2.1Otsuka Pharmaceutical Co. Ltd
9.2.2Johnson & Johnson
9.2.3Sanofi S.A.
9.2.4Eli Lilly and Company
9.2.5Novartis AG
9.2.6Pfizer Inc.
9.2.7Merck & Co. Inc
9.2.8GlaxoSmithKline Plc
9.2.9AstraZeneca Plc
9.2.10Boehringer Ingelheim GmbH
9.2.11Bayer AG
9.2.12Cipla Ltd.