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Exocrine Pancreatic Insufficiency Treatment Market is Projected to Reach USD 18.97 Billion, with a Robust 5.69% CAGR Till 2035

The Exocrine Pancreatic Insufficiency Treatment Market is experiencing significant growth, driven by various factors including the rising prevalence of EPI-related conditions, advancements in enzyme replacement therapies, and increased awareness among healthcare professionals and patients. While challenges such as high treatment costs and regulatory hurdles exist, ongoing innovations and strategic initiatives by key market players are expected to address these issues, ensuring continued market expansion and improved patient outcomes.
Published 22 October 2025

Exocrine Pancreatic Insufficiency Treatment Market: A Comprehensive Overview

Introduction

Exocrine Pancreatic Insufficiency (EPI) is a condition characterized by the insufficient production of digestive enzymes by the pancreas, leading to malabsorption of nutrients. This condition can result from various underlying causes, including chronic pancreatitis, cystic fibrosis, and pancreatic cancer. The global market for EPI treatments is experiencing significant growth, driven by increasing disease prevalence, advancements in therapeutic options, and rising awareness among healthcare professionals and patients.

Market Overview

The global Exocrine Pancreatic Insufficiency Treatment Market was valued at USD 10.32 billion in 2024 and is projected to reach USD 18.97 billion by 2035, growing at a CAGR of 5.69% from 2025 to 2035. This growth is attributed to several factors, including the rising incidence of EPI-related conditions, advancements in enzyme replacement therapies, and increased healthcare expenditure globally.

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Market Drivers

  1. Rising Prevalence of EPI-Related Conditions: The increasing incidence of chronic pancreatitis, cystic fibrosis, and pancreatic cancer contributes to the growing demand for effective EPI treatments. For instance, chronic pancreatitis often leads to pancreatic insufficiency, necessitating lifelong enzyme replacement therapy.
  2. Advancements in Enzyme Replacement Therapies (ERT): Innovations in ERT formulations, such as enteric-coated capsules and controlled-release formulations, have improved the efficacy and patient compliance of treatments. These advancements allow for better management of symptoms and enhanced quality of life for patients.
  3. Aging Population: The global aging population is more susceptible to conditions like chronic pancreatitis and pancreatic cancer, leading to an increased need for EPI treatments. According to the World Health Organization, the global population aged 60 years and older is expected to reach 2.1 billion by 2050, further driving market growth.
  4. Increased Awareness and Diagnosis: Enhanced awareness among healthcare providers and patients has led to earlier diagnosis and treatment of EPI. Improved diagnostic tools and techniques facilitate the identification of the condition, allowing for timely intervention.

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Market Segmentation

  1. By Treatment Type:
  • Pancreatic Enzyme Replacement Therapy (PERT): This segment holds the largest market share, driven by the widespread use of enzyme supplements to manage EPI symptoms.
  • Nutritional Therapy: Complementary to PERT, nutritional therapy focuses on dietary modifications to support digestion and nutrient absorption.
  1. By Drug Type:
  • Creon: A leading drug in the market, Creon contains a mixture of digestive enzymes and is widely prescribed for EPI management.
  • Zenpep, Pancreaze, Viokace: Other notable drugs in the market, each offering unique formulations to cater to patient needs.
  1. By Route of Administration:
  • Oral: The most common route, offering convenience and ease of use for patients.
  • Intravenous: Used in specific cases where oral administration is not feasible.

Regional Insights

  1. North America: Dominates the global market due to advanced healthcare infrastructure, high disease awareness, and the presence of key pharmaceutical companies. The U.S. accounts for a significant share of the market, with a projected value of USD 7.3 billion by 2032.
  2. Europe: Exhibits steady growth, driven by increasing healthcare expenditure and rising prevalence of EPI-related conditions. The European market is expected to reach USD 3.5 billion by 2032.
  3. Asia-Pacific: Represents the fastest-growing region, attributed to improving healthcare facilities, rising awareness, and a large patient population. The market in this region is projected to grow from USD 1.8 billion in 2023 to USD 2.8 billion by 2032.
  4. Latin America and Middle East & Africa: These regions show potential for growth due to improving healthcare access and increasing disease awareness, though they currently hold smaller market shares.

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Competitive Landscape

Key players in the Exocrine Pancreatic Insufficiency Treatment Market include:

  • AbbVie Inc.
  • Allergan plc
  • Horizon Therapeutics
  • Halozyme Therapeutics
  • Reddy's Laboratories
  • Theravance Biopharma
  • Evotec SE
  • Johnson & Johnson
  • Roche
  • Novo Nordisk
  • S. WorldMeds
  • Zealand Pharma
  • Axcella Health
  • Cumberland Pharmaceuticals
  • Shire
  • Mallinckrodt

These companies focus on product innovation, strategic partnerships, and expanding their market presence to cater to the growing demand for EPI treatments.

Challenges

Despite the positive market outlook, several challenges persist:

  • High Treatment Costs: The cost of enzyme replacement therapies can be prohibitive, especially in low-income regions, limiting patient access to necessary treatments.
  • Regulatory Hurdles: Stringent regulatory requirements for drug approval can delay the availability of new treatments in the market.
  • Patient Compliance: Ensuring consistent patient adherence to prescribed therapies remains a challenge, impacting treatment outcomes.

Future Outlook

The Exocrine Pancreatic Insufficiency Treatment Market is poised for continued growth, driven by ongoing advancements in therapeutic options, increasing disease prevalence, and rising healthcare investments globally. The focus on personalized medicine, development of novel drug formulations, and expansion into emerging markets are expected to further propel market expansion.

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