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Alagille Syndrome Market Research Report Information By Symptom (Liver Problems, Nutrition Problems, Heart Problems, Other), by Treatment (Medications, Kidney Surgery, Other), by Diagnosis (Blood Test, Urinalysis, X-ray Imaging, Other), by End-User-Forecast Till 2032


ID: MRFR/Pharma/4863-HCR | 100 Pages | Author: Rahul Gotadki| July 2025

Alagille Syndrome Market Summary

As per MRFR Analysis, the Alagille Syndrome market was valued at USD 0.40 Billion in 2023 and is projected to grow to USD 0.75 Billion by 2032, with a CAGR of 6.32% from 2024 to 2032. Alagille syndrome is a rare genetic disorder affecting the liver and other organs, characterized by a reduced number of bile ducts. Recent FDA approvals for treatments like odevixibat and LIVMARLI have expanded therapeutic options for patients, particularly for cholestatic pruritus associated with the syndrome. The estimated prevalence of Alagille syndrome is 1 in 70,000 newborns, highlighting the need for increased awareness and treatment options.

Key Market Trends & Highlights

The Alagille Syndrome market is witnessing significant developments driven by treatment advancements and increasing prevalence.

  • Market Size in 2023: USD 0.40 Billion.
  • Projected Market Size by 2032: USD 0.75 Billion.
  • CAGR from 2024 to 2032: 6.32%.
  • FDA approvals for odevixibat and LIVMARLI enhance treatment options for cholestatic pruritus.

Market Size & Forecast

2023 Market Size: USD 0.40 Billion
2024 Market Size: USD 0.43 Billion
2032 Market Size: USD 0.75 Billion
CAGR (2024-2032): 6.32%
Estimated prevalence: 1 in 70,000 newborns.

Major Players

Sanofi AG, Teva Pharmaceutical Industries Ltd., Allergen Plc, Lannett, Albireo Pharma Inc., AstraZeneca Plc, Novartis AG, Pfizer Inc., Shire, Bristol-Myers Squibb Company, GlaxoSmithKline Plc, Merck & Co. Inc.

  Alagille Syndrome Market1  


June 2023:


The US Food and Drug Administration (FDA) has broadened the approved use of odevixibat (Bylvay) to treat cholestatic pruritus linked to Alagille syndrome (ALGS) in patients as young as 12 months. ALGS is an uncommon hereditary condition characterized by the accumulation of bile in the liver due to an insufficient number of bile ducts, resulting in liver injury. ALGS can also impact several organ systems, such as the cardiovascular system, musculoskeletal system, visual system, and renal system. Almost all individuals with the illness exhibit persistent cholestasis, typically occurring within the initial months of birth.


Additionally, up to 88% of these individuals also experience intense and uncontrollable itching. Odevixibat is a powerful, non-systemic inhibitor of bile acid transport in the ileum. The FDA granted approval for the medication in 2021 to treat individuals suffering from cholestatic pruritus caused by progressive familial intrahepatic cholestasis. The FDA approval for odevixibat in ALGS was granted based on the findings of the phase 3 ASSERT study. This study assessed the safety and effectiveness of administering 120 µg/kg/day of odevixibat for a duration of 24 weeks. The study aimed to determine the extent to which odevixibat might alleviate pruritus in individuals ranging from newborns to teenagers, aged from birth to 17 years, who have genetically-confirmed ALGS. The research was carried out at 32 locations spanning North America, Europe, the Middle East, and the Asia Pacific region.


March 2024:


Mirum Pharmaceuticals Inc. has declared that the United States. The Food and Drug Administration (FDA) has granted approval for the use of LIVMARLI® (maralixibat) oral solution in the treatment of cholestatic pruritus in patients who are at least five years old and have progressive familial intrahepatic cholestasis (PFIC). Mirum has filed an additional supplemental new drug application (sNDA) to provide a more concentrated formulation of LIVMARLI, which was utilized in the MARCH research. The purpose of this application is to expand the approved uses of LIVMARLI to include younger patients with PFIC. This label extension is expected to occur later this year. LIVMARLI is authorized for the management of cholestatic pruritus in patients diagnosed with Alagille syndrome (ALGS) in the United States (for individuals aged three months and older), Europe (for individuals aged two months and older), Canada, and other regions worldwide. LIVMARLI has the capacity to bring about a significant and profound change in the treatment of patients suffering from cholestatic pruritus linked to PFIC. It is particularly noteworthy that LIVMARLI provides a viable choice for patients with the most uncommon subtypes of this condition.


This causes the bile to build-up inside the liver, which in turn causes liver scarring and damage. Moreover, the signs and symptoms of this syndrome are generally noticed in infancy or early childhood.   The growing occurrence of alagille syndrome, increasing healthcare expenditure, and rising prevalence of genetic diseases are anticipated to drive the growth of the market. According to the US National Library of Medicine, the estimated prevalence of alagille syndrome is 1 in 70,000 newborns.   Despite the drivers, lack of awareness about the syndrome in the developing regions may hamper the growth of the market during the assessment period.


Alagille Syndrome Market Segmentation


The alagille syndrome global market has been segmented into symptom, treatment, diagnosis, and end-user. The market on the basis of symptom has been segmented into liver problems, nutrition problems, heart problems, distinctive facial features, neurologic problems, and others.   The market, by treatment, has been segmented into medication, biliary diversion procedures, vitamin supplements, liver transplantation, kidney surgery, heart surgery, and others. The medication segment has been further segmented into Ursodeoxycholic acid, cholestyramine, rifampin, naltrexone, and anti-histamine. The anti-histamine segment has been further segmented into hydroxyzine and others. The market, by diagnosis, has been segmented into blood test, urinalysis, X-ray imaging, cardiology exam, slit-lamp exam, liver biopsy, genetic testing , prenatal DNA testing, and others.  


On the basis of end-user, the market has been segmented into hospitals and clinics, diagnostic centers, and others. The market has been segmented, by region, into the Americas, Europe, Asia-Pacific, and the Middle East & Africa. The alagille syndrome market in the Americas has further been segmented into North America and South America, with the North American market divided into the US and Canada.   The European alagille syndrome market has been segmented into Western Europe and Eastern Europe. Western Europe has further been classified as Germany, France, the UK, Italy, Spain, and the rest of Western Europe.    The alagille syndrome global market in Asia-Pacific has been segmented into Japan, China, India, South Korea, Australia, and the rest of Asia-Pacific. The alagille syndrome market in the Middle East & Africa has been segmented into the Middle East and Africa.


Key players



  • Sanofi AG

  • Teva Pharmaceutical Industries Ltd.

  • Allergen Plc

  • Lannett

  • Albireo Pharma Inc.

  • AstraZeneca Plc

  • Novartis AG

  • Pfizer Inc.

  • Shire

  • Bristol-Myers Squibb Company

  • GlaxoSmithKline Plc

  • Merck & Co. Inc.


Geographically, the Americas is anticipated to dominate the global alagille syndrome market owing to a well-developed healthcare sector, rising prevalence of rare genetic disease and growing healthcare expenditure. According to the Global Genes Project, rare and genetic diseases affect 1 in 10 people in the United States Additionally, increasing awareness among the people regarding the disease and well-developed technology is likely to contribute to the growth of the market.


Europe is expected to hold the second largest position in the alagille syndrome global market. The market growth in this region is attributed to the growing prevalence of several liver diseases, increasing prevalence of genetic disease, availability of funds for research, and increasing healthcare expenditure. According to the Public Health England, approximately 11,597 number of people died with an underlying cause of liver disease in England in 2014.  In addition, according to the Office for National Statistics, gross domestic expenditure on research and development (R&D) was Euro 33.1 billion (USD 35.2 billion) in 2016.


Asia-Pacific is anticipated to be the fastest growing region in the market due to the presence of a huge patient population, continuously developing economies, growing occurrences of rare diseases and increasing government funding for the healthcare sector.


On the other hand, the Middle East & Africa has the least share of the market. Majority of the market of this region is expected to be held by the Middle East region due to a well-developed healthcare sector and growing government initiatives for the healthcare sector.


Alagille Syndrome Market, by Symptom



  • Liver Problems

  • Nutrition Problems

  • Heart Problems

  • Distinctive Facial Features

  • Neurologic Problems

  • Others


Alagille Syndrome Market, by Treatment



  • Medications

  • Ursodeoxycholic Acid

  • Cholestyramine

  • Rifampin

  • Naltrexone

  • Anti-histamines

  • Hydroxyzine

  • Others

  • Biliary Diversion Supplements

  • Vitamin supplements

  • Liver Transplantation

  • Kidney Surgery

  • Heart Surgery

  • Others


Alagille Syndrome Market, by Diagnosis



  • Blood Test

  • Urinalysis

  • X-ray Imaging

  • Cardiology Exam

  • Slit-lamp Exam

  • Liver Biopsy

  • Genetic Testing

  • Prenatal DNA testing

  • Others


Alagille Syndrome Market, by End-User



  • Hospitals and Clinics

  • Diagnostic Centers

  • Others


Alagille Syndrome Market, by Region




    • North America




      • US



      • Canada




    • Europe




      • Germany



      • France



      • UK



      • Italy



      • Spain



      • Rest of Europe




    • Asia-Pacific




      • China



      • Japan



      • India



      • Australia



      • South Korea



      • Rest of Asia-Pacific




    • Rest of the World




      • Middle East



      • Africa



      • Latin America




Intended Audience




    • Pharmaceutical Companies



    • Research and Development (R&D) Companies



    • Diagnostic Laboratories



    • Government Research Institute



    • Academic Institutes and Universities


Report Attribute/Metric Details
Market Size 2023 0.40 (USD Billion)
Market Size 2024 0.43 (USD Billion)
Market Size 2032 0.75 (USD Billion)
Compound Annual Growth Rate (CAGR) 6.32 % (2024 - 2032)
Report Coverage Revenue Forecast, Competitive Landscape, Growth Factors, and Trends
Base Year 2023
Market Forecast Period 2024 - 2032
Historical Data 2019 - 2023
  Geographies Covered   North America, Europe, Asia-Pacific, and Rest of the World (RoW)
  Key Vendors   Sanofi AG, Teva Pharmaceutical Industries Ltd., Allergen Plc, Lannett, Albireo Pharma, Inc., AstraZeneca Plc, Novartis AG, Pfizer, Inc., Shire, Bristol-Myers Squibb Company, GlaxoSmithKline Plc, Merck & Co., Inc
  Key Market Opportunities   Increasing government funding for the healthcare sector
  Key Market Drivers ·  Increasing healthcare expenditure ·  Rising prevalence of genetic diseases


Frequently Asked Questions (FAQ) :

Alagille market may suffer a setback due to a lack of awareness.

Symptoms included in the alagille syndrome market are nutrition problems, liver problems, distinctive facial features, neurologic problems, heart problems, and others.

The segments in alagille syndrome market report are biliary diversion procedures, medication, liver transplantation, vitamin supplements, heart surgery, kidney surgery, and others.

The segments included in alagille syndrome market report are urinalysis, prenatal DNA testing, blood test, slit-lamp exam, X-ray imaging, cardiology exam, genetic testing, liver biopsy, and others.

The end users involved in alagille syndrome market report are diagnostic centers, hospitals & clinics, and others.

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