Cell and Gene Therapies for Rare Disorders Poised for Breakthrough Growth Through 2036, Fueled by Innovation, Expanding Pipelines and Unmet Patient Needs
Dublin, Sept. 15, 2026 (GLOBE NEWSWIRE) -- "Cell and Gene Therapies in Rare Disorders - Market Insights, Epidemiology, and Market Forecast - 2036" has been added to ResearchAndMarkets.com's offering.
The global cell and gene therapies in rare disorders market is entering a period of substantial growth, supported by expanding clinical pipelines, rising regulatory approvals and continued advances in gene editing, vector delivery and cell engineering. More than 6,000 rare diseases have been identified, collectively affecting approximately 300 million people worldwide. Around 80% have a genetic origin, while nearly 70% begin during childhood, reinforcing the need for earlier diagnosis and targeted intervention.
Companies are developing cell and gene therapies for hemophilia A and B, lysosomal storage disorders, neurological diseases, musculoskeletal conditions and inherited retinal disorders. Key indications include Fabry disease, Pompe disease, Danon disease, mucopolysaccharidoses, Duchenne muscular dystrophy, limb-girdle muscular dystrophy, Batten disease, achromatopsia, choroideremia and retinitis pigmentosa.
These therapies offer the potential for durable disease modification, including one-time treatment in selected indications. Although high upfront costs, reimbursement uncertainty and complex manufacturing requirements remain significant barriers, successful therapies may reduce dependence on lifelong treatment and lower long-term healthcare utilization.
Cell and Gene Therapies in Rare Disorders Market Size and Forecast
The report, Cell and Gene Therapies in Rare Disorders - Market Insights, Epidemiology and Market Forecast - 2036, provides an assessment of historical and forecast epidemiology, treatment practices, market size, therapy uptake and competitive dynamics in the United States, Germany, France, Italy, Spain, the United Kingdom and Japan.
Its market analysis covers the 2022-2036 period and examines standards of care, treatment algorithms, diagnosed patient populations, revenue trends, therapy-level market share, peak patient share, pricing, access and unmet medical needs. It also evaluates clinical and commercial opportunities across marketed products and emerging cell and gene therapy candidates.
Key Cell and Gene Therapy Market Drivers
Growth is being supported by improved genetic screening, broader use of next-generation sequencing, increased rare disease awareness and stronger identification of patients with actionable molecular alterations. Advances in viral and non-viral vectors, CRISPR-based platforms, in vivo gene delivery and ex vivo cell modification are also broadening the range of addressable rare diseases.
Approved therapies such as HEMGENIX, LUXTURNA, ZOLGENSMA and ZYNTEGLO have established regulatory and commercial pathways for advanced therapies. Additional marketed products, including LIBMELDY and SKYSONA, further demonstrate the potential of gene replacement and ex vivo lentiviral approaches.
Despite this progress, gene and cell therapies carry clinical risks that vary by modality, vector and administration method. Long-term monitoring remains essential to assess durability, immune responses, vector-related safety and sustained gene expression or cellular function. Some scientifically viable programs also fail to advance because of limited commercial feasibility, manufacturing constraints or insufficient patient reach.
Diagnosis and Treatment Landscape
Rare disorder diagnosis frequently requires clinical assessment, laboratory testing, imaging and molecular confirmation. Next-generation sequencing, whole-exome sequencing and whole-genome sequencing increasingly support definitive diagnosis and patient stratification. Earlier identification is particularly important where treatment eligibility, disease stage or irreversible progression may influence therapeutic outcomes.
Cell and gene therapy selection depends on the molecular defect, target tissue, disease severity and delivery requirements. Treatment strategies include in vivo gene delivery, ex vivo cell modification, gene replacement, gene editing and cell-based regeneration. Post-treatment follow-up evaluates efficacy, immune response, adverse events and treatment durability.
Unmet Needs in Cell and Gene Therapies for Rare Disorders
Epidemiology Highlights
Approved and Emerging Rare Disease Therapies
HEMGENIX, developed by uniQure and commercialized by CSL Behring, is an AAV5-based gene therapy for eligible patients with hemophilia B. It delivers the Factor IX Padua variant to liver cells to support sustained production of functional factor IX and reduce abnormal bleeding.
The emerging competitive landscape includes isaralgagene civaparvovec, also known as ST-920, RGX-121 and Deramiocel, also known as CAP-1002. These programs reflect continued investment in lysosomal storage disorders, neuromuscular diseases and other genetically driven conditions.
RGX-121, or clemidsogene lanparvovec, is an investigational AAV9-based gene therapy developed by REGENXBIO for mucopolysaccharidosis type II. The program has received multiple FDA designations, including Orphan Drug, Rare Pediatric Disease, Fast Track and Regenerative Medicine Advanced Therapy designations, as well as Advanced Therapy Medicinal Product classification from the European Medicines Agency.
Recent Cell and Gene Therapy Developments
Competitive Landscape and Leading Companies
Key companies active in the cell and gene therapies in rare disorders market include Sarepta Therapeutics, uniQure, CSL Behring, Bluebird Bio, Sangamo Therapeutics, REGENXBIO, Capricor Therapeutics and Nippon Shinyaku. Competition is expected to intensify as mid- and late-stage candidates advance toward regulatory review and potential commercialization.
Market growth will depend on clinical differentiation, treatment durability, safety, manufacturing reliability, pricing and reimbursement. Regulatory setbacks, clinical holds, supply constraints and commercial underperformance demonstrate the challenges of translating scientific innovation into sustainable market adoption.
Therapy Uptake, Pricing and Market Access
Cell and gene therapy uptake is expected to range from moderate to rapid during the 2026-2036 forecast period. Adoption will be driven by clinical efficacy, durability, patient eligibility, treatment-center capacity and payer coverage. Recently marketed therapies have established demand in high-unmet-need indications, while emerging products may experience gradual initial uptake followed by broader adoption as clinical evidence and manufacturing capacity expand.
The report evaluates approved therapy pricing, analogue selection for emerging products and the effects of price on access and long-term uptake. It also incorporates views from key opinion leaders and subject matter experts regarding prescribing patterns, treatment switching, patient adherence, accessibility and epidemiology. More than 10 experts were contacted, with interviews conducted with over six experts across the seven major markets.
Report Coverage and Strategic Value
The analysis supports pharmaceutical companies, biotechnology developers, investors and healthcare stakeholders seeking to understand the evolving cell and gene therapies in rare disorders market. It provides actionable insights for clinical development, portfolio prioritization, market access, launch planning and competitive strategy across the seven major markets.
Market estimates, epidemiological figures and clinical or regulatory information are subject to revision as new data and report updates become available.
Key Topics Covered:
1. Key Insights
2. Report Introduction
3. Executive Summary
4. Key Events
4.1. Upcoming Key Catalysts
4.2. Key Transactions And Collaborations
4.3. Key Conference Highlights
4.4. News Flow
5. Epidemiology and Market Forecast Methodology of Cell and Gene Therapies in Rare Disorders
6. Cell and Gene Therapies in Rare Disorders Market Overview at a Glance
6.1. Clinical Landscape Analysis (By Phase, Molecule Type, and RoA)
6.2. Market Share (%) Distribution of Indication-wise Cell and Gene Therapies in Rare Disorders by Indication in the 7MM, in 2025
6.3. Market Share (%) Distribution of Indication-wise Cell and Gene Therapies in Rare Disorders Rare Disorders by Indication in the 7MM, in 2036
7. Disease Background and Overview on Cell and Gene Therapies in Rare Disorders
7.1. Introduction
7.2. Types
7.3. Symptoms
7.4. Causes
7.5. Pathophysiology
7.6. Diagnosis
7.7. Treatment
8. Treatment Guidelines of Cell and Gene Therapies in Rare Disorders
9. Epidemiology and Patient Population of Cell and Gene Therapies in Rare Disorders
9.1. Key Findings
9.2. Assumptions and Rationale
9.3. Total Prevalent Cases of selected indications for Cell and Gene Therapies Targeting Rare Disorders
in the 7MM
9.4. The United States
9.4.1. Total Prevalent Cases of Selected Indications for Cell and Gene Therapies in Rare Disorders in the US
9.4.2. Total Indication-wise Eligible Cases for Cell and Gene Therapies in Rare Disorders in the US
9.4.3. Total Indication-wise Treated Cases of Cell and Gene Therapies in Rare Disorders in the US
9.5. EU4 and the UK
9.5.1. Total Prevalent Cases of Selected Indications for Cell and Gene Therapies in Rare Disorders in EU4 and the UK
9.5.2. Total Indication-wise Eligible Cases for Cell and Gene Therapies in Rare Disorders in EU4 and the UK
9.5.3. Total Indication-wise Treated Cases of Cell and Gene Therapies in Rare Disorders in EU4 and the UK
9.6. Japan
9.6.1. Total Prevalent Cases of Selected Indications for Cell and Gene Therapies in Rare Disorders in Japan
9.6.2. Total Indication-wise Eligible Cases for Cell and Gene Therapies in Rare Disorders in Japan
9.6.3. Total Indication-wise Treated Cases of Cell and Gene Therapies in Rare Disorders in Japan
10. Patient Journey of Cell and Gene Therapies in Rare Disorders
11. Marketed Therapies
11.1. Marketed Competitive Landscape of Cell and Gene Therapies in Rare Disorders
11.2. Etranacogene dezaparvovec (HEMGENIX): CSL Behring/uniQure
11.2.1. Drug Description
11.2.2. Regulatory Milestones
11.2.3. Other Developmental Activities
11.2.4. Summary of Pivotal Trials
11.2.5. Clinical Development
11.2.5.1. Clinical Trial Information
11.2.6. Analyst Views
11.3. Voretigene neparvovec-rzyl (LUXTURNA): Sparks Therapeutics (a company of Roche)/Novartis
11.3.1. Drug Description
11.3.2. Regulatory Milestones
11.3.3. Other Developmental Activities
11.3.4. Summary of Pivotal Trials
11.3.5. Clinical Development
11.3.5.1. Clinical Trial Information
11.3.6. Analyst Views
List to be continued...
12. Emerging Therapies
12.1. Emerging Competitive Landscape of Cell and Gene Therapies in Rare Disorders
12.2. RGX-121: REGENXBIO
12.2.1. Drug Description
12.2.2. Other Developmental Activities
12.2.3. Clinical Development
12.2.3.1. Clinical Trials Information
12.2.4. Analyst Views
12.3. Isaralgagene civaparvovec (ST-920): Sangamo Therapeutics
12.3.1. Drug Description
12.3.2. Other Developmental Activity
12.3.3. Clinical Development
12.3.3.1. Clinical Trials Information
12.3.4. Analyst Views
List to be continued...
13. Cell and Gene Therapies in Rare Disorders: 7MM Analysis
13.1. Key Findings
13.2. Market Outlook of Cell and Gene Therapies in Rare Disorders
13.3. Key Market Forecast Assumptions
13.3.1. Cost Assumptions
13.3.2. Pricing Trends
13.3.3. Analogue Assessment
13.3.4. Launch Year and Therapy Uptakes
13.4. Conjoint Analysis of Cell and Gene Therapies in Rare Disorders
13.5. Total Market Size of Cell and Gene Therapies in Rare Disorders by Indications in the 7MM
13.6. Total Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in the 7MM
13.7. The United States
13.7.1. Total Market Size of Cell and Gene Therapies in Rare Disorders by Indications in the United States
13.7.2. Total Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in the United States
13.8. EU4 and the UK
13.8.1. Total Market Size of Cell and Gene Therapies in Rare Disorders by Indications in EU4 and the UK
13.8.2. Total Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in EU4 and the UK
13.9. Japan
13.9.1. Total Market Size of Cell and Gene Therapies in Rare Disorders by Indications in Japan
13.9.2. Total Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in Japan
14. Unmet Needs of Cell and Gene Therapies in Rare Disorders
15. SWOT Analysis of Cell and Gene Therapies in Rare Disorders
16. KOL Views of Cell and Gene Therapies in Rare Disorders
17. Market Access and Reimbursement of Cell and Gene Therapies in Rare Disorders
17.1. The United States
17.2. EU4 and the UK
17.2.1. Germany
17.2.2. France
17.2.3. Italy
17.2.4. Spain
17.2.5. United Kingdom
17.3. Japan
17.4. Summary and comparison of Market Access and Pricing Policy Developments in 2025
17.5. Market Access and Reimbursement of Cell and Gene Therapies in Rare Disorders
18. Appendix
18.1. Bibliography
18.2. Report Methodology
19. Analyst's Capabilities
20. Disclaimer
21. About the Publisher
List of Tables
Table 1: Summary of Cell and Gene Therapies in Rare Disorders Market and Epidemiology (2022-2036)
Table 2: List of Sources Used for Epidemiology Evaluation for Shortlisted Indication
Table 3: Total Prevalent Cases of Selected Indications for Cell and Gene Therapies in Rare Disorders in the 7MM (2022-2036)
Table 4: Total Indication-wise Eligible Cases in the 7MM (2022-2036)
Table 5: Total Indication-wise Treated Cases of Cell and Gene Therapies in Rare Disorders in the 7MM (2022-2036)
Table 6: Comparison of Marketed Products
Table 7: ROCTAVIAN (valoctocogene roxaparvovec); Clinical Trial Description, 2023
Table 8: HEMGENIX (etranacogene dezaparvovec), Clinical Trial Description, 2023
Table 9: LUXTURNA, Clinical Trial Description, 2023
Table 10: ZOLGENSMA, Clinical Trial Description, 2023
Table 11: LIBMELDY (OTL-200), Clinical Trial Description, 2023
Table 12: SKYSONA (elivaldogene autotemcel), Clinical Trial Description, 2023
Table 13: ZYNTEGLO, Clinical Trial Description, 2023
Table 14: UPSTAZA, Clinical Trial Description, 2023
Table 15: Key Cross of Emerging Therapies
Table 16: Giroctocogene Fitelparvovec, Clinical Trial Description, 2023
Table 17: SPK-8011, Clinical Trial Description, 2023
Table 18: Fidanacogene elaparvovec, Clinical Trial Description, 2023
Table 19: Verbrinacogene setparvovec (FLT-180a), Clinical Trial Description, 2023
Table 20: FLT190, Clinical Trial Description, 2023
Table 21: ST-920, Clinical Trial Description, 2023
Table 22: 4D-310, Clinical Trial Description, 2023
Table 23: SPK-3006, Clinical Trial Description, 2023
Table 24: AT845, Clinical Trial Description, 2023
Table 25: ACTUS-101, Clinical Trial Description, 2023
Table 26: LUMEVOQ (GS010; lenadogene nolparvovec), Clinical Trial Description, 2023
Table 27: AAV2/5-hPDE6B, Clinical Trial Description, 2023
Table 28: Botaretigene sparoparvovec, Clinical Trial Description, 2023
Table 29: ATGC-501, Clinical Trial Description, 2023
Table 30: GS030, Clinical Trial Description, 2023
Table 31: MCO-010, Clinical Trial Description, 2023
Table 32: 4D-125, Clinical Trial Description, 2023
Table 33: OCU400, Clinical Trial Description, 2023
Table 34: jCell, Clinical Trial Description, 2023
Table 35: hRPC, Clinical Trial Description, 2023
Table 36: RGX-121, Clinical Trial Description, 2023
Table 37: AT-GTX-502, Clinical Trial Description, 2023
Table 38: PF-06939926, Clinical Trial Description, 2023
Table 39: SRP-9001, Clinical Trial Description, 2023
Table 40: CAP-1002, Clinical Trial Description, 2023
Table 41: NurOwn, Clinical Trial Description, 2023
Table 42: CTX001, Clinical Trial Description, 2023
Table 43: EDIT-301, Clinical Trial Description, 2023
Table 44: BIVV003, Clinical Trial Description, 2023
Table 45: VYJUVEK (beremagene geperpavec), Clinical Trial Description, 2023
Table 46: EB-101, Clinical Trial Description, 2023
Table 47: D-Fi (dabocemagene autoficel), Clinical Trial Description, 2023
Table 48: RV-LAMB3-transduced Epidermal Stem Cells, Clinical Trial Description, 2023
Table 49: Allogenic ABCB5-positive Stem Cells, Clinical Trial Description, 2023
Table 50: ISN001, Clinical Trial Description, 2023
Table 51: ALLO-ASC-SHEET, Clinical Trial Description, 2023
Table 52: DTX301, Clinical Trial Description, 2023
Table 53: UX111(ABO-102), Clinical Trial Description, 2023
Table 54: DTX401 (AAV8G6PC); Clinical Trial Description, 2023
Table 55: Key Market Forecast Assumption of Cell and Gene Therapies in Rare Disorders in the US
Table 56: Key Market Forecast Assumption of Cell and Gene Therapies in Rare Disorders in EU4 and the UK
Table 57: Key Market Forecast Assumption of Cell and Gene Therapies in Rare Disorders in Japan
Table 58: Indication-wise Market Size of Cell and Gene Therapies in Rare Disorders in the 7MM, USD million (2022-2036)
Table 59: Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in the 7MM, USD million (2022-2036)
Table 60: The United States Indication-wise Market Size of Cell and Gene Therapies in Rare Disorders, USD million (2022-2036)
Table 61: The United States Market Size of Cell and Gene Therapies in Rare Disorders by Therapies, USD million (2022-2036)
Table 62: Indication-wise Market Size of Cell and Gene Therapies in Rare Disorders in Germany, USD million (2022-2036)
Table 63: Indication-wise Market Size of Cell and Gene Therapies in Rare Disorders in France, USD million (2022-2036)
Table 64: Indication-wise Market Size of Cell and Gene Therapies in Rare Disorders in Italy, USD million (2022-2036)
Table 65: Indication-wise Market Size of Cell and Gene Therapies in Rare Disorders in Spain, USD million (2022-2036)
Table 66: Indication-wise Market Size of Cell and Gene Therapies in Rare Disorders in the UK, USD million (2022-2036)
Table 67: Indication-wise Market Size of Cell and Gene Therapies in Rare Disorders in EU4 and the UK, USD million (2022-2036)
Table 68: Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in Germany, USD million (2022-2036)
Table 69: Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in France, USD million (2022-2036)
Table 70: Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in Italy, USD million (2022-2036)
Table 71: Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in Spain, USD million (2022-2036)
Table 72: Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in the UK, USD million (2022-2036)
Table 73: Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in EU4 and the UK, USD million (2022-2036)
Table 74: Indication-wise Market Size of Cell and Gene Therapies in Rare Disorders in Japan, USD million (2022-2036)
Table 75: Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in Japan, USD million (2022-2036)
List of Figures
Figure 1: Cell Therapy Process
Figure 2: Total Prevalent Cases of Selected Indications for Cell and Gene Therapies in Rare Disorders in the 7MM (2022-2036)
Figure 3: Total Indication-wise Eligible Cases in the 7MM (2022-2036)
Figure 4: Indication-wise Treated Cases of Cell and Gene Therapies in Rare Disorders in the 7MM (2022-2036)
Figure 5: Indication-wise Market size of Cell and Gene Therapies in Rare Disorders in the 7MM, USD million (2022-2036)
Figure 6: Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in the 7MM, USD million (2022-2036)
Figure 7: Indication-wise Market Size of Cell and Gene Therapies in Rare Disorders in the United States, USD million (2022-2036)
Figure 8: Total Market Size of Cell and Gene Therapies in Rare Disorders in the United States by Therapy, USD million (2022-2036)
Figure 9: Indication-wise Market Size of Cell and Gene Therapies in Rare Disorders in EU4 and the UK, USD million (2022-2036)
Figure 10: Market Size of Cell and Gene Therapies in Rare Disorders by Therapies in EU4 and the UK, USD million (2022-2036)
Figure 11: Indication-wise Market Size of Cell and Gene Therapies in Rare Disorders in Japan, USD million (2022-2036)
Figure 12: Market Size of Cell and Gene Therapies in rare Disorders in Japan by Therapy, USD million (2022-2036)
A selection of companies mentioned in this report includes, but is not limited to:
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