Ultra Market Research | United States Hereditary Transthyretin-Mediated Amyloidosis Market
Market overview chart showing growth forecast and therapeutic segmentation for the United States Hereditary Transthyretin‑Mediated Amyloidosis Market.

United States Hereditary Transthyretin-Mediated Amyloidosis Market

  • Report ID : 1171

  • Category : United-States(US)

  • No Of Pages : 156

  • Published on: June 2025

  • Status: Published

  • Format : Power Point PDF Excel Word

Key Question Answer

check-box

Global Market Outlook

check-box

In-depth analysis of global and regional trends

check-box

Analyze and identify the major players in the market, their market share, key developments, etc.

check-box

To understand the capability of the major players based on products offered, financials, and strategies.

check-box

Identify disrupting products, companies, and trends.

check-box

To identify opportunities in the market.

check-box

Analyze the regional penetration of players, products, and services in the market.

check-box

Comparison of major players financial performance.

check-box

Evaluate strategies adopted by major players.

check-box

Recommendations

 Introduction

The United States Hereditary Transthyretin‑Mediated Amyloidosis Market is centered around treatments of hereditary transthyretin amyloidosis (hATTR), a rare inherited disorder in which misfolded transthyretin protein aggregates lead to nerve and heart damage. Therapeutic uses involve RNA interference (e.g., vutrisiran/Amvuttra, patisiran/Onpattro), antisense oligonucleotides (e.g., inotersen/Tegsedi, eplontersen/Wainua), and stabilizers (e.g., tafamidis/Vyndaqel, acoramidis/Attruby). The last few years witnessed accelerated drug approvals and increasing awareness, with U.S. market value increasing from around USD 1.36 billion in 2024 to a forecast USD 2.14 billion by 2029 at ~9.4% CAGR (researchandmarkets.com). The market is dominated by current therapies such as Vyndaqel, and newer players like Amvuttra and Attruby target growing patient spaces .

 

 Segmentation

 

Type

Hereditary (hATTR)

Polyneuropathy

Early stage

Advanced

Others

Cardiomyopathy

Mild

Severe

Mixed

Others

Wild‑type (wATTR)

Cardiomyopathy

Mild

Severe

Others

Therapy Class

RNAi therapies

Patisiran (Onpattro)

Vutrisiran (Amvuttra)

Others

Antisense oligonucleotides

Inotersen (Tegsedi)

Eplontersen (Wainua)

Others

Stabilizers

Tafamidis (Vyndaqel/Vyndamax)

Acoramidis (Attruby)

Others

Supportive care

Symptomatic treatments

Patient support services

Others

Distribution Channel

Hospital pharmacies

Specialty/Retail pharmacies

Online pharmacies

Others

End‑User

Hospitals/clinics

Neurologists

Cardiologists

Specialty treatment centers

Home healthcare

Others

 

 Market Players

Key active companies in the United States Hereditary Transthyretin‑Mediated Amyloidosis Market:

Alnylam Pharmaceuticals (USA)

Ionis Pharmaceuticals (USA)

Pfizer Inc. (USA)

BridgeBio Pharma (USA)

AstraZeneca (UK)

Prothena Corporation (Ireland)

Eidos Therapeutics (USA)

Akcea Therapeutics (USA)

GSK plc (UK)

Bristol‑Myers Squibb (USA)

Novo Nordisk (Denmark)

Regeneron Pharmaceuticals (USA)

Corino Therapeutics (USA)

Attralus, Inc. (USA)

Intellia Therapeutics (USA)

 

 Drivers

United States Hereditary Transthyretin‑Mediated Amyloidosis Market growth is bolstered by the spurt in FDA approvals and market launch of sophisticated treatments: RNAi (Amvuttra, Onpattro), antisense oligonucleotides (Wainua, Tegsedi), and stabilizers (Attruby). Moreover, the growing geriatric population and enhanced diagnostic efficiency—in terms of genetic screening—are raising disease awareness and early diagnosis (imarcgroup.com, en.wikipedia.org, grandviewresearch.com, researchandmarkets.com, coherentmarketinsights.com). High disease burden, particularly of hATTR‑CM and hATTR‑PN, drives demand. In addition, robust R&D spending and collaborations (for example, Ionis–AstraZeneca, Alnylam's pipeline) are driving quicker therapeutic advances and improving patient availability .

 

Restraints

Obstacles are high therapy prices—prices vary from ~$100K (Amvuttra) to more than $260K (Vyndaqel) per year—which can limit payer reimbursement and restrict access (reuters.com). Underdiagnosis of the disease and nonspecific early symptoms lead to therapy delay. Emerging safety issues—e.g., platelet risks with inotersen—justify REMS programs, which increase patient management complexity . Finally, oral competition and entrenched incumbents might moderate uptake of newer injectables in some patient segments.

 

 Opportunity

The United States Hereditary Transthyretin‑Mediated Amyloidosis Market is poised to gain from promising pipeline therapies (e.g., next-gen gene editing, new RNAi/ASOs), broader indications into cardiomyopathy, and greater payer acceptance of value-based pricing models. Early genetic testing programs and family-health outreach programs—such as Alnylam's "Family Health History Road Trip"—can drive diagnosis rates . Moreover, expanding patient support infrastructure and telehealth enable enhanced treatment compliance and expand market access.

 

Trend

A prevalent trend is the move towards RNA therapies with reduced dosing frequency. Amvuttra (vutrisiran) provides quarterly subcutaneous dosing compared to daily or monthly regimens (en.wikipedia.org). Oral stabilizers like angiotensin inhibitors are becoming increasingly accepted—Attruby (acoramidis) was FDA-approved in late 2024 (reuters.com). Strategic initiatives like the distribution agreement between Ionis and AstraZeneca for Wainua extend market reach. Telemedicine integration and remote monitoring platforms are also emerging as useful patient-management tools.

 

 

 Approved & Pipeline Products

Approved: Vyndaqel/Vyndamax (tafamidis), Onpattro (patisiran), Amvuttra (vutrisiran), Tegsedi (inotersen), Wainua (eplontersen), Attruby (acoramidis).

Pipeline / Pre-reg: Novel ASOs/gene‑editing candidates from Alnylam, Ionis, Prothena, and Eidos under clinical evaluation.

 

Key Target Audience

Biopharma decision‑makers

Healthcare investors and analysts

Rare‑disease research organizations

Hospital formulary committees

Diagnostic/genetic testing firms

Payer and reimbursement teams

Patient advocacy groups

 

Approximately USD 1.36B in 2024, projected to reach USD 2.14B by 2029
Leading options include RNAi (Onpattro, Amvuttra), ASOs (Tegsedi, Wainua), and stabilizers (Vyndaqel, Attruby).
CAGR around 9–9.7% over 2024–2030 .
High treatment cost and diagnostic delays pose major challenges.
Yes—Amvuttra expanded to cardiomyopathy (Mar 2025) ; Attruby approved Nov 2024 .

Choose License Type

  • $3999

  • $5550

  • $6999

Our Reports Look Like This

Ultra Market Research

HAVE A QUESTION

will help you find what you are looking for:


Related Reports

Recent Reports

Subscribe to Newsletter

Provide your email to get email notification when we publish new reports.

whatsapp