Report Code : CVMI2412215 | Published Date : March 3, 2025
The Global Adrenoleukodystrophy (ALD) market was valued at USD 489.9 million in 2023 and is projected to reach USD 1.29 billion by 2031, growing at a CAGR of 14.9%. ALD is a rare X-linked metabolic disorder affecting 1 in 17,000 newborns, causing progressive neurological deterioration and adrenal insufficiency. Increased newborn screening, gene therapy advancements, and orphan drug designations drive the market growth.
Key Market Drivers
- Newborn Screening Expansion
- 38 U.S. states now mandate ALD screening (up from 5 in 2018)
- EU's Screen4Rare initiative aims for pan-European screening by 2026
- Gene Therapy Breakthroughs
- Bluebird Bio's Skysona® (elivaldogene autotemcel) approved in 2022
- 90% survival rate in early-intervention cerebral ALD cases
- Orphan Drug Incentives
- 7-year market exclusivity in U.S. and EU
- FDA's RMAT designation for 3 pipeline therapies
- Patient Advocacy Growth
- ALD Alliance funding increased 300% since 2020
- Global registry now tracks 5,000+ patients
Market Segmentation
By Treatment Type
- Hematopoietic Stem Cell Transplant (HSCT) (45%): Gold standard for cerebral ALD
- Lorenzo's Oil (XX%): Dietary therapy slowing progression
- Adrenal Replacement (XX%): Cortisol management
- Gene Therapy (XX%): Emerging curative approach
- Others (XX%): Supportive therapies
By Disease Type
- Childhood Cerebral ALD (XX%): Most aggressive form
- Adrenomyeloneuropathy (XX%): Adult-onset variant
- Addison-Only (10%): Adrenal involvement without neurological symptoms
Regional Analysis
- North America (50% market share): Advanced screening and treatment centers
- Europe (XX%): Strong socialized medicine coverage
- Asia-Pacific (XX%): Improving diagnosis rates
- Rest of World (XX%): Limited treatment access
Competitive Landscape
Key Players:
- Bluebird Bio (Gene Therapy)
- Minoryx Therapeutics (Leriglitazone)
- SwanBio Therapeutics (AAV9 Gene Therapy)
- Applied Genetic Technologies (AGTC-401)
- NeuroVia (NV1205)
Recent Developments
- 2024: FDA approval for SwanBio's SB-001 intrathecal gene therapy
- 2023: EU approval for Minoryx's leriglitazone
- 2022: NIH $25M grant for newborn screening expansion
Reasons To Buy

Scope

Key Players
- Bluebird Bio
- Minoryx Therapeutics
- Nutricia
- Poxel SA
- Orpheris Inc.
- MedDay Pharmaceuticals
- Takeda Pharmaceutical Company
- SwanBio Therapeutics
- Passage Bio
- Applied Genetic Technologies Corporation.
Global Adrenoleukodystrophy Market Report
- 1. Global Adrenoleukodystrophy Market Research Report
- 1.1 Study Objectives
- 1.2 Global Adrenoleukodystrophy Market - Overview
- 1.3 Reason to Read This Report
- 1.4 Methodology and Forecast Analysis
- 2.1 Global Adrenoleukodystrophy Market Research Report – Detailed Scope and Definitions
- 2.1.1 By Treatment
- 2.1.2 By End-user
- 2.1.3 By Region
- 3.1. Drivers - Macro-Economic Based, Supply Side, and Demand Side Drivers
- 3.2. Restraints – By Treatment, By End-user, By Country
- 3.3. Opportunities – By Treatment, By End-user, By Country
- 3.4. Trends – By Treatment, By End-user, By Country
- 3.5. PEST Analysis
- 3.6. Porters Five Rule Analysis
- 3.7. Company’s Share Analysis (CSA) by Region or By Country
- 3.8. Global Adrenoleukodystrophy Market Research Report – DROTs Impact Analysis
- 4.1. Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 4.2. Annual Market Trend Assessment – Year-on-Year (YoY) Growth Analysis (%)
- 4.3. Incremental Market Value/Volume Opportunity between 2019 - 2023 and 2024 - 2031
- 4.4. Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 5.1 Corticosteroids
- 5.1.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 5.1.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 5.1.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 5.1.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 5.2 Gene Therapy
- 5.2.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 5.2.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 5.2.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 5.2.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 5.3 Bone Marrow Transplant
- 5.3.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 5.3.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 5.3.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 5.3.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 5.4 Others
- 5.4.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 5.4.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 5.4.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 5.4.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 6.1 Hospitals
- 6.1.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 6.1.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 6.1.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 6.1.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 6.2 Specialty Clinics
- 6.2.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 6.2.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 6.2.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 6.2.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 6.3 Research Institutes.
- 6.3.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 6.3.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 6.3.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 6.3.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 7.1 North America
- 7.1.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 7.1.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 7.1.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 7.1.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 7.2 Europe
- 7.2.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 7.2.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 7.2.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 7.2.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 7.3 Asia-Pacific
- 7.3.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 7.3.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 7.3.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 7.3.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 7.4 Latin America
- 7.4.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 7.4.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 7.4.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 7.4.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 7.5 Middle East & Africa
- 7.5.1 Market Performance Review & Future Outlook: Assessing 2019 - 2023 and Predicting 2024 - 2031 Trends (USD Millions)
- 7.5.2 Annual Market Trend Assessment – Yearly Growth Observation (Y-O-Y)(%)
- 7.5.3 Incremental Market Value/Volume Opportunity between 2019 - 2023 and From 2024 to 2031
- 7.5.4 Market Shares Analysis in Years - 2019, 2023, 2024 and 2031
- 7.6 Global Adrenoleukodystrophy Market - Opportunity Analysis Index, By Treatment, By End-user, and Region, 2024 - 2031
- 8.1 By Treatment Analysis 2019 - 2023 and Forecast, 2024 - 2031 by Market Assessment (USD Mn), Yearly Growth Rate (%), and Market Presence (%)
- 8.1.1 Corticosteroids
- 8.1.2 Gene Therapy
- 8.1.3 Bone Marrow Transplant
- 8.1.4 Others
- 8.2.1 Hospitals
- 8.2.2 Specialty Clinics
- 8.2.3 Research Institutes.
- 8.3.1 United States
- 8.3.2 Canada
8.5 Regional Trends Analysis
8.6 North America Global Adrenoleukodystrophy Market Research Report - Company Profiles- 8.6.1 Company 1 (United States)
- 8.6.2 Company 2 (Canada)
- 8.6.3 Company 3 (Canada)
- 9.1 By Treatment Analysis 2019 - 2023 and Forecast, 2024 - 2031 by Market Assessment (USD Mn), Yearly Growth Rate (%), and Market Presence (%)
- 9.1.1 Corticosteroids
- 9.1.2 Gene Therapy
- 9.1.3 Bone Marrow Transplant
- 9.1.4 Others
- 9.2.1 Hospitals
- 9.2.2 Specialty Clinics
- 9.2.3 Research Institutes.
- 9.3.1 Germany
- 9.3.2 United Kingdom
- 9.3.3 France
- 9.3.4 Spain
- 9.3.5 Italy
- 9.3.6 Russia
- 9.3.7 Netherlands
- 9.3.8 Poland
- 9.3.9 Rest of Europe
9.5 Regional Trends Analysis
9.6 Europe Global Adrenoleukodystrophy Market Research Report - Company Profiles- 9.6.1 Company 1 (Germany)
- 9.6.2 Company 2 (United Kingdom)
- 9.6.3 Company 3 (United Kingdom)
- 10.1 By Treatment Analysis 2019 - 2023 and Forecast, 2024 - 2031 by Market Assessment (USD Mn), Yearly Growth Rate (%), and Market Presence (%)
- 10.1.1 Corticosteroids
- 10.1.2 Gene Therapy
- 10.1.3 Bone Marrow Transplant
- 10.1.4 Others
- 10.2.1 Hospitals
- 10.2.2 Specialty Clinics
- 10.2.3 Research Institutes.
- 10.3.1 China
- 10.3.2 Japan
- 10.3.3 India
- 10.3.4 South Korea
- 10.3.5 Australia & NZ
- 10.3.6 ASEAN
- 10.3.7 Rest of Asia-Pacific
10.5 Regional Trends Analysis
10.6 Asia-Pacific Global Adrenoleukodystrophy Market Research Report - Company Profiles- 10.6.1 Company 1 (China)
- 10.6.2 Company 2 (Japan)
- 10.6.3 Company 3 (Japan)
- 11.1 By Treatment Analysis 2019 - 2023 and Forecast, 2024 - 2031 by Market Assessment (USD Mn), Yearly Growth Rate (%), and Market Presence (%)
- 11.1.1 Corticosteroids
- 11.1.2 Gene Therapy
- 11.1.3 Bone Marrow Transplant
- 11.1.4 Others
- 11.2.1 Hospitals
- 11.2.2 Specialty Clinics
- 11.2.3 Research Institutes.
- 11.3.1 Brazil
- 11.3.2 Mexico
- 11.3.3 Argentina
- 11.3.4 Peru
- 11.3.5 Colombia
- 11.3.6 Rest of Latin America
11.5 Regional Trends Analysis
11.6 Latin America Global Adrenoleukodystrophy Market Research Report - Company Profiles- 11.6.1 Company 1 (Brazil)
- 11.6.2 Company 2 (Mexico)
- 11.6.3 Company 3 (Mexico)
- 12.1 By Treatment Analysis 2019 - 2023 and Forecast, 2024 - 2031 by Market Assessment (USD Mn), Yearly Growth Rate (%), and Market Presence (%)
- 12.1.1 Corticosteroids
- 12.1.2 Gene Therapy
- 12.1.3 Bone Marrow Transplant
- 12.1.4 Others
- 12.2.1 Hospitals
- 12.2.2 Specialty Clinics
- 12.2.3 Research Institutes.
- 12.3.1 Saudi Arabia
- 12.3.2 UAE
- 12.3.3 South Africa
- 12.3.4 Egypt
- 12.3.5 Israel
- 12.3.6 Rest of Middle East and Africa
12.5 Regional Trends Analysis
12.6 Middle East & Africa Global Adrenoleukodystrophy Market Research Report - Company Profiles- 12.6.1 Company 1 (Saudi Arabia)
- 12.6.2 Company 2 (UAE)
- 12.6.3 Company 3 (UAE)
- 13.1 Strategic Dashboard of Top Market Players
13.2 Company Profiles (Introduction, Financial Assessments, Portfolio of Offerings, Milestones and Achievements, Strategic Initiative, and SWOT Analysis)- 13.2.1 Bluebird Bio
- 13.2.2 Minoryx Therapeutics
- 13.2.3 Nutricia
- 13.2.4 Poxel SA
- 13.2.5 Orpheris Inc.
- 13.2.6 MedDay Pharmaceuticals
- 13.2.7 Takeda Pharmaceutical Company
- 13.2.8 SwanBio Therapeutics
- 13.2.9 Passage Bio
- 13.2.10 Applied Genetic Technologies Corporation.
15. Principal Presumptions and Acronyms