Homozygous Familial Hypercholesterolemia Treatment Market to Surge by 2034
The Homozygous Familial Hypercholesterolemia (HoFH) treatment market, valued at approximately USD 108 million in 2022, is expected to grow significantly by 2034. With key players like Arrowhead Pharmaceutical and Novartis leading the charge, the market is set to benefit from increased disease prevalence, awareness, and the launch of innovative therapies. The FDA's recent approval of Evkeeza for children marks a pivotal advancement in HoFH treatment.
The Homozygous Familial Hypercholesterolemia (HoFH) market is on a trajectory for significant growth, with projections indicating a substantial increase from its 2022 valuation of approximately USD 108 million. This growth is fueled by the rising prevalence of HoFH, heightened disease awareness, and the introduction of novel therapies. Key companies such as Arrowhead Pharmaceutical, Novartis, and Alnylam Pharmaceutical are at the forefront of developing innovative treatments for this rare genetic disorder.
DelveInsight's analysis reveals that there were approximately 2,845 diagnosed prevalent cases of HoFH in the 7MM (Seven Major Markets) in 2022, with expectations for this number to rise significantly by 2034. The United States alone accounted for about 47% of these cases, highlighting the critical need for effective treatments in this region.
A landmark development in HoFH treatment was the FDA's approval of Evkeeza (evinacumab-dgnb) for children aged 5 to 11, marking it as the first ANGPTL3 inhibitor medication for this age group. This approval underscores the ongoing advancements in therapeutic options for HoFH, aiming to reduce dangerously high levels of LDL-C caused by the disorder.
HoFH is a rare genetic condition characterized by extremely high levels of low-density lipoprotein cholesterol (LDL-C) from birth, leading to an increased risk of early-onset cardiovascular disease. The condition results from inheriting defective copies of the LDL receptor (LDLR) gene from both parents, impairing the body's ability to remove LDL-C from the bloodstream.
Management of HoFH involves aggressive lipid-lowering strategies, including high-dose statins, ezetimibe, PCSK9 inhibitors, and novel therapies such as evinacumab or lomitapide. Lipoprotein apheresis, a procedure to physically remove LDL-C from the blood, is often necessary. Early and intensive management is crucial for improving outcomes and reducing the risk of life-threatening cardiovascular events in HoFH patients.
The HoFH market is poised for transformation, driven by the disease's increasing prevalence and the launch of various pipeline products. Advances in research have led to the discovery of novel molecules like siRNA and recombinant fusion protein, offering new avenues for significantly lowering LDL levels. Furthermore, preclinical studies exploring gene therapy and CRISPR-based gene editing approaches hold promise for curative therapies in the future.
As the HoFH treatment market continues to evolve, the focus remains on developing more effective therapies and improving early detection and personalized management strategies. With ongoing research and clinical trials, the future holds promising prospects for patients suffering from this challenging condition.

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Homozygous Familial Hypercholesterolemia Treatment ...
theglobeandmail.com · Jan 7, 2025
Homozygous Familial Hypercholesterolemia (HoFH) is a rare genetic disorder causing high LDL-C levels, leading to early c...