Autoinjectors Market Size, Share, Trends & COVID-19 Impact Analysis, By Type (Disposable, and Reusable), By Application (Autoimmune Disorders, Diabetes, Emergency Care, and Others), By Route of Administration (Intramuscular and Subcutaneous), By Distribution Channel (Hospitals Pharmacies, Retail Pharmacies, and Online Pharmacies), and Regional Forecasts, 2023-2030

The autoinjectors market size was valued at USD 102.51 billion in 2022 and is projected to grow USD 111.16 billion in 2023 to USD 233.69 billion by 2030, exhibiting a CAGR of 11.2% during forecast 2023-2030. North America dominated the global market with a share of 59.27% in 2022.

Autoinjectors are spring-loaded devices with a pre-filled syringe to self-administer a fixed dose of parental medicines in a patient. These devices treat selected chronic diseases, such as rheumatoid arthritis multiple sclerosis, and emergency treatments, including anaphylactic shock and migraine attacks. The incidence rate of emergency conditions, such as anaphylactic shock and migraine attacks, is increasing due to several causative agents, such as food allergens, insect bites, or drug insensitivity, across the globe. Owing to the rising incidence, the demand for biological therapies for treating these chronic diseases is high.

• According to an article published by NCBI in 2022, the general prevalence of anaphylaxis ranged between 0.3% – 5.1%, with an incidence of 50–112 cases per 100,000 population per year.

Thus, pharma companies are now introducing self-administration therapies to ensure patient dose compliance and easy route of administration. Several self-injection devices, such as jet injectors, pens, autoinjectors, and pre-filled syringes, are being developed by leading players for delivering medications, such as injectable vaccines and chronic disease medications.

The adoption of these devices for emergency and chronic disease therapy among the population is increasing owing to potential advantages such as easy administration and high accuracy & compliance. Thus, the rising prevalence of chronic diseases across the globe and the increasing adoption of self-injection devices among patients are expected to augment market growth over the forecast period.

Key Takeaways:

• North America holds the largest market share, contributing USD 60.76 billion in 2022.


• By type, Disposable segment accounted for the largest share of the market in 2022.


• The emergency care segment is projected to register a significant CAGR during the forecast period.

COVID-19 IMPACT

A Decline in Hospital Visits amid the Pandemic Affected Autoinjector Sales

The COVID-19 pandemic decreased the growth of the global market in 2020. Several regions witnessed restrictions in accessing medical care and treatments due to lockdowns. These factors also affected the number of patient visits to hospitals and healthcare centers, which further limited the disease diagnosis rate and treatments. International supply chain disruptions amid the pandemic led to shortages of critical medical devices.

• According to results published by NCBI of a cohort study in August 2022, emergency department visit volumes across an estimated 150 million hospital-based emergency departments in the U.S. declined by 18% in 2020.


• According to an investor presentation published by Aquestive Therapeutics, Inc., in March 2023, the volume of the U.S. generic EpiPen prescriptions by healthcare professionals decreased by 6.5%, from 3.2 million to 3.05 million in 2020.

However, the resurgence of routine healthcare services after the initial COVID-19 shutdown and patient visits to healthcare centers increased globally. Moreover, rising patient preference for self-administration of drugs at homecare settings propelled the market growth. Also, the rising production of high-efficacy devices by market players and their growing sales across developing countries further boosted the market share.

• According to Viatris annual report estimates, in 2021, the EpiPen autoinjector sales increased from USD 307.6 million in 2020 to 378.0 million in 2021.

Thus, the rebound in diagnosis and treatment of chronic diseases post-pandemic, coupled with the high adoption of these devices in home settings, boosted the global autoinjectors market growth.

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LATEST TRENDS

Broad Adoption of Disposable Autoinjectors among Patients to Boost Market Growth

Healthcare professionals have utilized injection systems as convenient drug delivery devices for treating patients by subcutaneous injections. However, challenges associated with conventional injection devices, such as needle stick injury, multiple low-dose injections, and high costs associated with recurrent hospital visits, limited their preference among patients.

Thus, several market players are focused on developing and launching self-injection and wearable devices with high efficacy, patient compliance, and low cost globally. These products comprise accurate dosage volumes and already reconstituted drugs, with minimized chances of needle stick injuries. Thus, such potential advantages of autoinjectors over other conventional devices drive patient adoption and adherence to these devices.

• According to an article published by INJECTABLE DRUG DELIVERY in May 2022, the annual volume of sales of disposable autoinjectors is estimated to be above 100.0 million.

Moreover, the number of prescriptions by healthcare professionals for self-injection devices at acute care centers increased awareness among patients suffering from chronic diseases. This led to increased awareness of drug delivery systems and a high preference for self-injection devices at home among patients. Moreover, the extensive presence of more user-friendly, efficient, and patient-compliant products by injectable device industry players augmented the adoption of these devices.

• According to an investor presentation by Antares Pharma, Inc., in 2022, a total of 2.89 million EpiPen (Epinephrine Autoinjectors) were prescribed by healthcare providers in the U.S.

AUTOINJECTORS MARKET GROWTH FACTORS

Technological Advancements in Device Platforms to Offer Lucrative Opportunities

The demand for autoinjectors is rising across the globe owing to increasing incidence rates of chronic diseases such as diabetes and rheumatoid arthritis. Thus, owing to the high incidence, the key players are moving toward developing platform device technologies to support faster development and reduce device cost. Moreover, the rising focus of key players to enable high-volume delivery of a range of biosimilars and biologics for patients in home settings will drive market growth.

• In September 2021, Owen Mumford Pharmaceutical Services, a division of Owen Mumford Ltd., launched the Aidaptus autoinjector platform. Aidaptus is a 2-step, single-use autoinjector that accommodates both 1mL and 2.25 mL pre-filled glass syringes in the same base device.

Moreover, the production and introduction of reusable technologically advanced platforms supporting the emerging prioritization of sustainable drug delivery within the pharmaceutical industry are increasing. Similarly, key players are now emphasizing adding new devices to their existing product portfolio to enable self-administration by patients for larger-volume medications. The rising introduction of such devices with extensive application across conditions, such as cancer and autoimmune disorders will further propel the presence of these devices across developed nations, further boosting market growth.

• In May 2022, Jabil Healthcare, a division of Jabil Inc., announced the launch of the Qfinity autoinjector platform, a simple, reusable, and modular solution for subcutaneous drug self-administration at a lower cost than market alternatives.


• In October 2022, Ypsomed announced the launch of a new autoinjector platform, YpsoMate 5.5 autoinjector, for liquid medications with volumes between 1.5 mL and 5.5 mL. This latest addition to the YpsoMate portfolio enables self-administration for larger-volume medications.

Therefore, the rising production of self-injection devices by key players is boosting the introduction of advanced devices across the globe, further propelling market growth.

RESTRAINING FACTORS

Limited Availability of Adrenaline Autoinjectors across Developing Countries to Hamper Market

Adrenaline (epinephrine) is the first-line treatment for anaphylaxis by healthcare professionals. However, despite its pivotal role, the autoinjectable formulation is not readily available in most countries, thus preventing optimal management of patients with anaphylaxis. Similarly, the lack of availability of this emergency medication for immediate injection in an anaphylactic reaction increases the risk of progression to a severe episode and death.

• According to an article published by UpToDate, in February 2023, deaths reported due to anaphylaxis have annual rates of 0.21 to 0.76 per million population in the U.S.

Moreover, these devices lack extensive availability through official distribution networks, such as retail or drugstore pharmacies across the globe. Similarly, these devices are only obtained through special licensing arrangements and distribution on a named-patient basis across several developing countries.

• According to an article published by Esmon Publicidad in 2021, the availability of autoinjectors for emergency treatment of anaphylaxis was limited to 32.0% of the 195 countries globally, most of which were high-income countries.

Thus, scarcity of epinephrine injection devices across distribution channels at retail pharmacies, leading to less adoption of autoinjectors among patients, may hamper the market growth.

SEGMENTATION

By Type Analysis

High Emphasis of Key Players on Device Launches to Cater to Disposable Segment Growth

By type, the market is segmented into disposable and reusable. The disposable segment accounted for the largest share in 2022. This growth was attributed to the rising prevalence of chronic diseases across the globe, the rising recommendation of disposable devices by healthcare professionals, and the high preference for single-use devices by patients.

• According to an article published by Sciencedirect in October 2021, among 80 autoinjector devices launched by several manufacturers, 62.0% were disposable devices.

In addition, industry players' rising focus on launching innovative disposable devices and rising product approval by regulatory agencies further propelled the segment share.

• In August 2022, Rafa Laboratories, Ltd., announced that it had received FDA approval for its 10mg Midazolam autoinjector for treating status epilepticus or prolonged seizures.

Whereas, the reusable segment to register a comparatively higher CAGR over the projected period. The segment growth is driven by high potential advantages over disposable devices, such as ease of use, cost-effectiveness, and high safety. Moreover, rising emphasis by several key players on the introduction of devices to facilitate the growing market for subcutaneous injections used to treat chronic diseases such as rheumatoid arthritis, Crohn’s’ disease, and multiple sclerosis is primarily contributing to the segment growth.

• In May 2021, Phillips-Medisize, a leader in drug delivery, diagnostic, and MedTech devices, launched the Aria Smart Autoinjector platform to unlock innovation in the digital drug-delivery device market. The latest launch comprised a small, smart injection device featuring a reusable electronic drive unit to elevate patient care while reducing the environmental impact.

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By Application Analysis

Increasing Demand for Insulin Injectable Led to Diabetes Segment Growth

Based on application, the market is segmented into autoimmune disorders, diabetes, emergency care, and others.

By application, the diabetes segment accounted for the highest autoinjectors market share in 2022, owing to the increasing demand for injectable insulin among the rising diabetes population and initiatives by leading players to develop novel products to cater the demand for diabetes management among patients.

• In July 2020, Xeris Pharmaceuticals, Inc., a pioneer in ready-to-use injectable and infusible drug formulations, announced that Gvoke HypoPen (glucagon injection) was available by prescription in the U.S. for the treatment of severe hypoglycemia in adults and children with suffering from diabetes ages two years and above. Gvoke HypoPen is the first ready-to-use glucagon in a premixed autoinjector with no visible needle.

On the other hand, the emergency care segment is projected to register a significant CAGR during the forecast period. The growth is attributable to a high incidence rate of anaphylactic episodes among the population due to specific causative agents such as food allergens, insect bites, and drug hypersensitivity and rising demand for self-injection devices for the treatment of anaphylaxis.

• As per Allergy & Asthma Network statistics, the prevalence rate of anaphylaxis in the U.S. population is between 1.6% and 5.1%. Among the causative agents, medication allergy to non-steroidal anti-inflammatories (NSAIDs) constituted the most common factor for anaphylaxis (34.0%), followed by food allergy (31.0%).

By Route of Administration Analysis

High Potential Advantages of Intramuscular Administration to Boost the Adoption

On the basis of the route of administration, the global autoinjectors market is segmented into intramuscular and subcutaneous.

The intramuscular segment held a higher share of the market in 2022. The dominant share was due to the high potential advantages of intramuscular products, such as rapid onset of action, convenience, and minimal pain among patients. Similarly, the high adoption of intramuscular injections among healthcare professionals for pediatric patients further boosts the segment share in the global market.

• According to a study article published by NCBI in 2021, the intramuscular injection of adrenaline autoinjectors could achieve greater results owing to its rapid action as compared to the subcutaneous route among patients.

On the contrary, the subcutaneous segment to register relatively higher CAGR during 2023-2030, owing to increasing demand for self-administration devices among home-use patients. Similarly, the rising production of subcutaneous devices by key players owing to high demand further propels the segment growth.

• In February 2023, AstraZeneca and Amgen announced the launch of Tezspire (tezepelumab) subcutaneous autoinjector in the U.S. for self-administration in patients aged 12 years and older with severe asthma.

By Distribution Channel Analysis

Rising Hospital Visits for Chronic Disorders to Boost Uptake of Autoinjectors

Based on distribution channels, the market is segmented into hospital pharmacies, retail pharmacies, and online pharmacies.

The hospital pharmacies segment accounted for the highest market share in 2022. The highest share was attributed to the rising prevalence of chronic diseases, such as diabetes and rheumatoid arthritis among the geriatric population and increasing hospital visits to diagnose and treat these chronic diseases across the globe. Moreover, rising emergency cases in hospital settings owing to several factors, such as hospital-acquired infections and drug-induced anaphylaxis, among others, also boosted the use of these devices, further propelling the segment growth.

• According to an article published by Anaphylaxis UK, in 2020, the NHS hospital admissions for anaphylactic shock in adults had increased from 3,751 to 4,756 from 2019 to 2020. Similar estimates showed that the number of adult patients admitted to the hospital due to allergies was 27,172 in 2020.


• According to an article published by Karger International, in 2020, approximately 1 in 3,000 hospitalized patients suffered from drug-induced anaphylaxis across the globe.

Retail pharmacies are expected to grow at a significant CAGR during the forecast period. The growth is attributable to key players' rising focus on enhancing sales and distribution networks of these devices across developing countries.

REGIONAL INSIGHTS

Rising Autoinjector Prescriptions by Healthcare Professionals to Propel Market Growth in North America

Based on region, the market can be divided into Europe, Latin America, North America, Asia Pacific, and the Middle East & Africa.

North America dominated the autoinjectors market with a share of 59.27% and was valued at USD 60.76 billion in 2022. An increase in R&D and the introduction of new technologies in self-injection devices by the key players to support in-patient treatment likely to drive the market growth in North America. Moreover, healthcare professionals' rising emphasis and recommendation of autoinjector prescriptions against anaphylactic episodes will further boost the regional share.

• According to the Medical Device Network Statistics, the average prescription rate for epinephrine autoinjectors to peanut allergy patients in the U.S. is around 90.0%.

Europe is the second most dominated region in terms of revenue and market share in 2022. The market in Europe held a significant share due to increasing collaborations among manufacturing players to boost production, and rising approvals of new injectable devices across the region further boosted the European market.

• In May 2022, Stevanato Group S.p.A., a global drug delivery and diagnostic solutions provider, signed an exclusive agreement with leading medical device manufacturer Owen Mumford Ltd. for its Aidaptus autoinjector.

In Asia Pacific, the market growth is driven by the growing prevalence of chronic disorders amongst the population. Huge demand for emergency care at home settings among patients is anticipated for the region's growth at the highest CAGR.

• As per data published by Frontiers Media S.A. in October 2022, the prevalence of rheumatoid arthritis is estimated to be 0.2% – 0.3% in China, with approximately 3.0 million patients.

Conversely, the Latin American market is likely to grow slower. The region's growth is due to rising chronic disease prevalence amongst the population and the high adoption of these devices by patients in homecare settings. The market in the Middle East & Africa region is projected to grow at a moderate CAGR during the forecast period owing to the rising diagnosis and treatment rate of anaphylaxis, creating demand for these devices.

KEY INDUSTRY PLAYERS

Leading Companies Focus on Adoption of Various Organic and Inorganic Growth Strategies to Maintain Their Positions

The global market is majorly led by producers such as Viatris, Bristol-Myers Squibb, Teva Pharmaceutical Industries Ltd., and other prominent players. Prominent market participants are concentrating on increasing investments in device production centers and rising collaborations & acquisitions owing to the huge demand for these devices globally. These factors are expected to boost the market growth.

• In July 2023, Viatris Inc. and Kindeva Drug Delivery L.P., a manufacturer of complex drug-delivery formats, including autoinjectors and other injectables, announced the launch of Breyna inhalation aerosol, the first generic version of AstraZeneca's Symbicort. Breyna, a drug-device combination product, is indicated for certain patients with asthma or chronic obstructive pulmonary disease (COPD).

Similarly, other major market players, including Recipharm AB, ALK-Abelló A/S, and Phillips-Medisize, are constantly focused on inorganic developments, such as enhancing their distribution channel across the global market through strategic partnerships and extensive product approvals across the globe. Such initiatives by key players are projected to propel the global market and register growth by 2030.

• In July 2021, ALK-Abelló A/S, a Danish allergy immunotherapy company, announced a licensing agreement with China Grand Pharmaceutical and Healthcare Holdings (Grandpharma), which registered and launched ALK’s adrenaline auto-injector (AAI) Jext in China, and expanded its presence in the country.

Thus, such continuous engagements in the production of devices by several market players and a rising focus on enhancing their distribution channels across the global market through inorganic strategies to establish their footprints in emerging nations are expected to propel market expansion over the forecast period.

LIST OF KEY COMPANIES PROFILED IN AUTOINJECTORS MARKET:

• Viatris Inc. (U.S.)


• Teva Pharmaceuticals, Inc. (Netherlands)


• Ypsomed AG (Switzerland)


• Recipharm AB (Sweden)


• Becton Dickinson and Company (U.S.)


• Halozyme, Inc. (U.S.)


• AstraZeneca (U.K.)


• Bristol-Myers Squibb (U.S.)


• Phillips-Medisize (U.S.)


• SHL Medical AG (Switzerland)


• Xeris Pharmaceuticals, Inc. (U.S.)

KEY INDUSTRY DEVELOPMENTS:

• May 2023 - Boehringer Ingelheim International GmbH announced that the U.S. FDA has approved the Cyltezo Pen, an autoinjector option for Cyltezo (adalimumab), an FDA-approved interchangeable biosimilar to Humira.


• May 2022 - The FDA approved Eli Lilly and Company's Mounjaro (tirzepatide) injection, indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes. The drug is available in six dose forms and will come in a well-established autoinjector.


• April 2022 - Halozyme Therapeutics, Inc., entered into a definitive agreement to acquire Antares Pharma, Inc. The acquisition created a leading drug delivery and specialty product company in the business of autoinjector platforms.


• August 2021 - Gerresheimer AG and Midas Pharma announced a strategic partnership for developing and marketing its new generation autoinjector. The new-generation autoinjector is suitable for subcutaneous injection with up to 3ml injection volume.


• March 2021 - Ipsen Pharma announced that it invested in a new electronic autoinjector for Somatuline Autogel / Somatuline Depot (lanreotide) to deliver further innovation in the class to improve administration and the injection experience for patients.

REPORT COVERAGE

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The autoinjectors market report provides detailed market analysis and focuses on crucial aspects such as leading players, product types, and major applications of the product. Additionally, it offers insights into market trends, key industry developments such as mergers, partnerships, & acquisitions, and the impact of COVID-19 on the market. In addition to the factors mentioned above, the report includes the factors that have contributed to the market's growth in recent years with a regional analysis of different segments.

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