Kidney Transplant Rejection Market to Observe Growth at a CAGR of 4.9% During the Forecast Period (2024-2034) | DelveInsight

The kidney transplant rejection prophylaxis market is projected to experience steady growth, driven by the introduction of innovative therapies such as MDR-101, tegoprubart (AT-1501), riliprubart (BIVV020, SAR445088), and TRK-001 (Treg). Additionally, the growing number of kidney transplants, fueled by the increasing prevalence of end-stage renal disease (ESRD), further supports the market's expansion.

LAS VEGAS, Feb. 12, 2025 /PRNewswire/ -- DelveInsight's Kidney Transplant Rejection Market Insights report includes a comprehensive understanding of current treatment practices, kidney transplant rejection emerging drugs, market share of individual therapies, and current and forecasted market size from 2020 to 2034, segmented into 7MM [the United States, the EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan]. 

Key Takeaways from the Kidney Transplant Rejection Market Report

• According to DelveInsight's analysis, the market size for kidney transplant rejection was found to be approximately USD 4 billion in the 7MM in 2023.
• Among the 7MM, the US contributed the largest market share of the total kidney transplant rejection market size and will continue to experience a steep rise in the market size throughout the forecast period.
• Estimates suggest that MDR-101 is expected to generate USD 332.8 million by 2034 in the 7MM.
• In 2023, there were an estimated 44K total incident cases of kidney transplants across the 7MM, with the number expected to rise by 2034.
• Leading kidney transplant rejection companies developing emerging therapies, such as Medeor Therapeutics, Eledon Pharmaceuticals, Sanofi, TRACT Therapeutics, Sangamo Therapeutics, Asahi Kasei (Veloxis Pharmaceuticals), and others are developing novel kidney transplant rejection drugs that can be available in the kidney transplant rejection market in the coming years. 
• The promising kidney transplant rejection therapies in the pipeline include MDR-101, Tegoprubart (AT-1501), Riliprubart (BIVV020, SAR445088), TRK-001 (Tregs), TX200, VEL-101, and others. 
• A novel therapeutic approach utilizing Regulatory T cells (Tregs) is being investigated in clinical trials to prevent kidney transplant rejection. Two prominent examples are TRK-001 (Phase II) and TX200 (Phase I/II). TRK-001 demonstrated promising results in Phase I and is now undergoing Phase II trials. Additionally, TX200 has been well tolerated in all patients dosed as of November 2024.

Discover which therapies are expected to grab the major kidney transplant rejection market share @ Kidney Transplant Rejection Market Report

Kidney Transplant Rejection Overview

Kidney transplant rejection occurs when the recipient's immune system recognizes the donor kidney as foreign and mounts an attack against it. This immune response can be triggered by several factors, including differences in human leukocyte antigens (HLAs), inadequate immunosuppressive therapy, or infections that stimulate immune activation. There are primarily two types of rejection: acute, which may develop days to months post-transplant and is often mediated by T cells and antibodies, and chronic, which evolves over years and leads to progressive scarring and loss of kidney function. 

Common symptoms include a sudden decline in urine output, swelling, fever, and tenderness over the transplant site; however, some patients may be asymptomatic in the early stages. Diagnosis typically involves regular monitoring through blood tests—particularly serum creatinine levels—to assess kidney function, imaging studies like ultrasounds to evaluate blood flow and structure, and often a kidney biopsy to confirm the presence and type of immune-mediated injury. Timely recognition and intervention are crucial to adjust immunosuppressive therapy and preserve the function of the transplanted kidney.

Kidney Transplant Rejection Epidemiology Segmentation

The kidney transplant rejection epidemiology section provides insights into the historical and current kidney transplant rejection patient pool and forecasted trends for the 7MM. It helps recognize the causes of current and forecasted patient trends by exploring numerous studies and views of key opinion leaders.

The kidney transplant rejection market report proffers epidemiological analysis for the study period 2020–2034 in the 7MM segmented into:

• Total Incident Cases of Kidney Transplants
• Total Living Cases of Kidney Transplants
• Type-specific Cases of Kidney Transplant Rejection 

Kidney Transplant Rejection Treatment Market 

Managing kidney transplant rejection remains a major challenge in post-transplant care, necessitating effective immunosuppressive therapies to prevent rejection and ensure long-term graft survival. Various approved medications play a crucial role in immunosuppression by targeting specific immune pathways.

One such drug is MYHIBBIN (mycophenolate mofetil oral suspension), an oral small molecule approved by the US FDA in 2024. It works by inhibiting inosine monophosphate dehydrogenase (IMPDH), an enzyme essential for purine synthesis and lymphocyte proliferation, making it effective in preventing acute rejection in kidney transplant patients.

Another key therapy is ENVARSUS XR, which received FDA approval in December 2018 for preventing organ rejection in newly transplanted kidney patients. Originally approved in 2015 for conversion from immediate-release tacrolimus, it is now used in over 90% of US transplant centers, addressing a significant unmet need in transplant care.

In the EU, IDEFIRIX (imlifidase), a biologic therapy approved in 2020, has also been granted Orphan Drug Designation (ODD) in the US. It works by cleaving immunoglobulin G (IgG), thereby suppressing the immune response responsible for transplant rejection. Administered intravenously, it is particularly beneficial for kidney transplant recipients with high levels of donor-specific antibodies (DSAs).

Another widely used immunosuppressive therapy is THYMOGLOBULIN (anti-thymocyte globulin [rabbit]), a polyclonal antibody marketed by Sanofi. By depleting T cells, it helps lower the risk of acute rejection. Approved in the US in 2017 and earlier in the EU and Japan, it is primarily used during the induction phase of transplantation and holds Orphan Drug Designation (ODD) in the US for its role in transplant immunosuppression.

To know more about kidney transplant rejection treatment guidelines, visit @ Kidney Transplant Rejection Management 

Kidney Transplant Rejection Pipeline Therapies and Key Companies

• MDR-101: Medeor Therapeutics
• Tegoprubart (AT-1501): Eledon Pharmaceuticals
• Riliprubart (BIVV020, SAR445088): Sanofi
• TRK-001 (Tregs): TRACT Therapeutics
• TX200: Sangamo Therapeutics
• VEL-101: Asahi Kasei (Veloxis Pharmaceuticals)

Discover more about kidney transplant rejection drugs in development @ Kidney Transplant Rejection Clinical Trials 

Kidney Transplant Rejection Market Dynamics

The kidney transplant rejection market dynamics are expected to change in the coming years. The rising number of kidney transplants worldwide, driven by advancements in surgical techniques and immunosuppressive therapies, is fueling market growth, while the availability of innovative diagnostic tools, such as biomarker-based assays, aids in early rejection detection; additionally, the development of novel biologics and immunosuppressive drugs with improved safety and efficacy, along with non-invasive tools for monitoring drug levels and immune activity, could significantly enhance transplant success rates and prophylaxis strategies.

Furthermore, potential therapies are being investigated for the treatment of kidney transplant rejection, and it is safe to predict that the treatment space will significantly impact the kidney transplant rejection market during the forecast period. Moreover, the anticipated introduction of emerging therapies with improved efficacy and a further improvement in the diagnosis rate are expected to drive the growth of the kidney transplant rejection market in the 7MM.

However several factors may impede the growth of the kidney transplant rejection market. Chronic kidney transplant rejection progresses silently, making early detection difficult and leading to gradual graft damage, while the high cost of immunosuppressive medications and post-transplant care burdens patients and healthcare systems, particularly in resource-limited settings; additionally, the shortage of donor kidneys and lengthy waiting lists may constrain the transplant market, indirectly affecting rejection management and immunosuppressive therapies, while patent expirations of key immunosuppressive drugs could intensify generic competition, eroding branded therapy market share and revenue.

Moreover, kidney transplant rejection treatment poses a significant economic burden and disrupts patients' overall well-being and QOL. Furthermore, the kidney transplant rejection market growth may be offset by failures and discontinuation of emerging therapies, unaffordable pricing, market access and reimbursement issues, and a shortage of healthcare specialists. In addition, the undiagnosed, unreported cases and the unawareness about the disease may also impact the kidney transplant rejection market growth.

Scope of the Kidney Transplant Rejection Market Report

• Therapeutic Assessment: Kidney Transplant Rejection current marketed and emerging therapies
• Kidney Transplant Rejection Market Dynamics: Key Market Forecast Assumptions of Emerging Kidney Transplant Rejection Drugs and Market Outlook
• Competitive Intelligence Analysis: SWOT analysis and Market entry strategies
• Unmet Needs, KOL's views, Analyst's views, Kidney Transplant Rejection Market Access and Reimbursement

Download the report to understand which factors are driving kidney transplant rejection market trends @ Kidney Transplant Rejection Market Trends

Table of Contents

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