Chronic Kidney Disease in Major Markets: Disease Management, Epidemiology, Pipeline Assessment, Unmet Needs and Drug Forecast to 2035

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Published: August 19, 2026 Report Code: GDHC339PIDR-7M-ST

Report Overview
Key Players
Table of Contents
Table
Figures

This report covers the 7MM (US, 5EU, Japan) and provides an Excel-based forecast model for the chronic kidney disease (CKD) market through 2035.

GlobalData estimates the sales of CKD therapeutics to be approximately $4.3 billion across the 7MM in 2025. By 2035, GlobalData expects the CKD market to grow at a strong compound annual growth rate (CAGR) of 9.8%, reaching sales of $10.9 billion by the end of the forecast period.
The major drivers of CKD market growth over the forecast period are –
– Continued expansion of glucagon-like peptide-1 (GLP-1) receptor agonists into kidney indications
– Launch of seven oral pipeline agents and six injectable pipeline agents
– Rising global CKD prevalence
The major barriers that will restrict the growth of the CKD market during the forecast period are:
– High price of newly launched therapies remains a central constraint
– Persisting general reluctance of nephrologists and other physicians to adopt new therapies, especially given the sheer number of new mechanisms now competing for a place in treatment algorithms, which complicates positioning and sequencing decisions in practice
– Widespread use of generic CKD drugs, continuing to limit the penetration of high-priced branded therapies, particularly earlier-line CKD treatments

Scope

Overview of CKD, including epidemiology, symptoms, diagnosis, and disease management.

Annualized CKD therapeutics market revenue in 7MM (US, 5EU, and Japan), annual cost of therapy and treatment usage pattern in 2025 and forecast for 10 years to 2035.

Key topics covered include strategic competitor assessment, market characterization, unmet needs, clinical trial mapping and implications for the CKD therapeutics market.

Pipeline analysis, comprehensive data assessing emerging trends and mechanisms of action under development for CKD treatment. The most promising candidates in late-stage development are profiled.

Analysis of the current and future market competition in the 7MM CKD therapeutics market. Insightful review of the key industry drivers, restraints, and challenges. Each trend is independently researched to provide a qualitative analysis of its implications.

Reasons to Buy

Develop and design your in-licensing and out-licensing strategies through a review of pipeline products and technologies, and by identifying the companies with the most robust pipeline.

Develop business strategies by understanding the trends shaping and driving the CKD therapeutics market.

Drive revenues by understanding the key trends, innovative products and technologies, market segments, and companies likely to impact the CKD therapeutics market in the future.

Formulate effective sales and marketing strategies by understanding the competitive landscape and by analyzing the performance of various competitors.

Identify emerging players with potentially strong product portfolios and create effective counterstrategies to gain a competitive advantage.

Organize your sales and marketing efforts by identifying the market categories and segments that present maximum opportunities for consolidations, investments, and strategic partnerships.

AstraZeneca
Bayer
Boehringer Ingelheim
Eli Lilly
J&J
Lexicon Pharmaceuticals
Novo Nordisk
CSL
ProKidney Corp
Sarfez Pharmaceutical
Mitsubishi Tanabe

List of Contents

List of Tables

1 Executive Summary

1.1 Market overview

1.2 The CKD market will exhibit strong growth between 2025 and 2035

1.3 Late-stage pipeline therapies are anticipated to drive growth in the CKD market

1.4 Unmet needs remain in the CKD market despite the availability of well-established therapies

1.5 Oral agents will dominate the CKD market

1.6 What do physicians think?

2 Introduction

2.1 Catalyst

2.2 Related reports

2.3 Upcoming reports

3 Disease Overview

3.1 Etiology and pathophysiology

3.1.1 Etiology

3.1.2 Pathophysiology

3.2 Classification or staging systems

4 Epidemiology

4.1 Disease background

4.2 Risk factors and comorbidities

4.3 Global and historical trends

4.4 7MM forecast methodology

4.4.1 Sources

4.4.2 Forecast assumptions and methods

4.4.3 Forecast assumptions and methods: total prevalent cases of CKD

4.4.4 Forecast assumptions and methods: total prevalent cases of CKD by stage

4.4.5 Diagnosed prevalent cases of CKD

4.4.6 Diagnosed prevalent cases of CKD by stage

4.4.7 Diagnosed prevalent cases of CKD based on dialysis dependence

4.5 Epidemiological forecast for CKD (2025-35)

4.5.1 Total prevalent cases of CKD

4.5.2 Total prevalent cases of CKD by stage

4.5.3 Diagnosed prevalent cases of CKD

4.5.4 Age-specific diagnosed prevalent cases of CKD

4.5.5 Sex-specific diagnosed prevalent cases of CKD

4.5.6 Diagnosed prevalent cases of CKD by stage

4.5.7 Diagnosed prevalent cases of CKD by dialysis dependence

4.6 Discussion

4.6.1 Epidemiological forecast insight

4.6.2 Limitations of the analysis

4.6.3 Strengths of the analysis

5 Disease Management

5.1 Diagnosis and treatment overview

5.2 Key opinion leader insights on disease management

6 Current Treatment Options

6.1 Overview

7 Unmet Needs and Opportunity Assessment

7.1 Overview

7.2 Drug cost and market access

7.3 Improved patient compliance

7.4 Clinical trial endpoint and patient selection

7.5 Patient education and awareness

8 R&D Strategies

8.1 Overview

8.1.1 Optimizing and combining systemic disease–modifying agents

8.1.2 New pathway–based strategies

8.2 Clinical trials design

8.2.1 Clinical endpoints for CKD

8.2.2 Large event-driven trials

9 Pipeline Assessment

9.1 Overview

9.2 Promising drugs in clinical development

10 Pipeline Valuation Analysis

10.1 Overview

10.2 Competitive assessment

11 Current and Future Players

11.1 Overview

11.2 Deal-making trends

12 Market Outlook

12.1 Seven major markets

12.1.1 Forecast

12.1.2 Drivers and barriers – global issues

12.2 US

12.2.1 Forecast

12.2.2 Key events

12.2.3 Drivers and barriers

12.3 5EU

12.3.1 Forecast

12.3.2 Key events

12.3.3 Drivers and barriers

12.4 Japan

12.4.1 Forecast

12.4.2 Key events

12.4.3 Drivers and barriers

13 Appendix

13.1 Bibliography

13.2 Abbreviations

13.3 Methodology

13.3.1 Forecast methodology

13.4 Primary research – Key opinion leaders interviewed for this report

13.4.1 Key opinion leaders

13.5 Primary research – prescriber survey

13.6 About the authors

13.6.1 Managing Analyst

13.6.2 Therapy Area Director

13.6.3 Epidemiologists

13.6.4 Vice President of Disease Intelligence and Epidemiology

13.6.5 Global Head of Pharma Research, Analysis, and Competitive Intelligence

About GlobalData

Table

Table 1: CKD key metrics in the 7MM

Table 2: Stages of CKD

Table 3: KDIGO classification of CKD

Table 4: Risk factors and comorbidities for CKD

Table 5: Common diagnostic tests for CKD

Table 6: Treatment guidelines for CKD

Table 7: Top 10 deals by value, 2023–26

Table 8: CKD market – global drivers and barriers, 2025-35

Table 9: Key events impacting sales for CKD in the US, 2025-35

Table 10: CKD market – drivers and barriers in the US, 2025-35

Table 11: Key events impacting sales for CKD in the 5EU, 2025-35

Table 12: CKD market – drivers and barriers in the 5EU, 2025-35

Table 13: Key events impacting sales for CKD in Japan, 2025-35

Table 14: CKD market – drivers and barriers in Japan, 2025-35

Table 15: High-prescribing physicians (non-KOLs) surveyed, by country

Figures

Figure 1: Global CKD sales forecast by country in 2025 and 2035

Figure 2: Analysis of the company portfolio gap in CKD during the forecast period

Figure 3: Competitive assessment of the late-stage pipeline agents that GlobalData expects to be licensed for the treatment of CKD during the forecast period

Figure 4: The etiology of CKD

Figure 5: The pathophysiology of ESRD

Figure 6: 7MM, total prevalence of CKD, men and women, %, ≥18 years, 2015–35

Figure 7: 7MM, diagnosed prevalence of CKD, men and women, %, ≥18 years, 2015–35

Figure 8: 7MM, sources used to forecast the total prevalent cases of CKD

Figure 9: 7MM, sources used to forecast the total prevalent cases of CKD by stage

Figure 10: 7MM, sources used to forecast the diagnosed prevalent cases of CKD

Figure 11: 7MM, sources used to forecast the diagnosed prevalent cases of CKD by stage

Figure 12: 7MM, sources used to forecast the diagnosed prevalent cases of CKD by dialysis dependence

Figure 13: 7MM, total prevalent cases of CKD, N, both sexes, ages ≥18 years, 2025

Figure 14: 7MM, total prevalent cases of CKD by stage, N, both sexes, ages ≥18 years, 2025

Figure 15: 7MM, diagnosed prevalent cases of CKD, N, both sexes, ages ≥18 years, 2025

Figure 16: 7MM, diagnosed prevalent cases of CKD by age, N, both sexes, 2025

Figure 17: 7MM, diagnosed prevalent cases of CKD by sex, N, ages ≥18 years, 2025

Figure 18: 7MM, diagnosed prevalent cases of CKD by stage, N, ages ≥18 years, 2025

Figure 19: 7MM, diagnosed prevalent cases of CKD by dialysis dependence, N, both sexes, ages ≥18 years, 2025

Figure 20: 7MM, diagnosed prevalent cases of CKD based on dialysis-dependence subtype, N, both sexes, ages ≥18 years, 2025

Figure 21: Unmet needs and opportunities in CKD

Figure 22: Overview of the development pipeline in CKD

Figure 23: Key late-stage trials for the promising pipeline agents that GlobalData expects to be licensed for the treatment of CKD in the 7MM during the forecast period

Figure 24: Competitive assessment of the late-stage pipeline agents that GlobalData expects to be licensed for the treatment of CKD during the forecast period

Figure 25: Competitive assessment of the oral pipeline drugs benchmarked against the standard of care

Figure 26: Competitive assessment of the injectable pipeline drugs benchmarked against the standard of care

Figure 27: Analysis of the company portfolio gap in CKD during the forecast period

Figure 28: 7MM sales forecast by country for CKD in 2025 and 2035

Figure 29: Sales forecast by class for CKD in 2025 and 2035

Figure 30: Sales forecast by class for CKD in the 5EU 2025 and 2035

Figure 31: Sales forecast by class for CKD in Japan in 2025 and 2035

Chronic Kidney Disease in Major Markets: Disease Management, Epidemiology, Pipeline Assessment, Unmet Needs and Drug Forecast to 2035 standard reports

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