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PUBLISHER: DelveInsight | PRODUCT CODE: 2023866

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PUBLISHER: DelveInsight | PRODUCT CODE: 2023866

Eosinophilic Esophagitis - Market Insight, Epidemiology, and Market Forecast - 2036

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Eosinophilic Esophagitis Insights and Trends

  • The gold standard for diagnosing and monitoring EoE remains esophageal biopsy demonstrating eosinophilic infiltration limited to the esophagus. However, diagnosis is challenging due to non-specific, overlapping symptoms and the absence of validated noninvasive biomarkers, often leading to delayed identification. Despite advances in EoE diagnosis and treatment, the persistent lack of specific biomarkers represents a key unmet clinical need, underscoring the need for further research and development of noninvasive diagnostic tools.
  • First-line treatment for EoE typically involves proton pump inhibitors (PPIs); however, many patients do not achieve adequate response. As a result, management often progresses to swallowed topical corticosteroids or biologics, alongside non-pharmacologic options such as food elimination diets and esophageal dilation, highlighting the need for a multimodal treatment approach.
  • Swallowed topical steroids (fluticasone or budesonide) reduce esophageal inflammation in EoE, while systemic steroids are reserved for short-term use. Non-pharmacologic options include elimination or elemental diets, and esophageal dilation can relieve strictures.
  • Currently, three therapies are approved for EoE: Budesonide oral dispersible tablet (ODT) [JORVEZA] (Europe, 2018, adults), dupilumab [DUPIXENT], the first and only biologic therapy (US, 2022; approved for patients age 1 and older; also approved for in Europe), and budesonide oral suspension [EOHILIA] (US, 2024, patients 11 years and older). Dupilumab covers a broader patient population and holds a strong market position over these more restricted therapies.
  • Several companies-including AstraZeneca/Amgen, Uniquity Bio, Ellodi Pharmaceuticals, EsoCap, and Revolo Biotherapeutics are developing drug candidates poised to reshape the EoE market during the forecast period. Key approaches under investigation include thymic stromal lymphopoietin inhibitors (TEZSPIRE and Solrikitug), glucocorticoid receptor agonists (APT-1011, ESO-101, and EP-104GI), and immunomodulators (IRL201104), among others.
  • Most emerging EoE therapies have received orphan drug designation from the US FDA, including Velsipity, TEZSPIRE, APT-1011, ESO-101, and IRL201104. Among these, only APT-1011 has a Fast Track designation and is expected to be the first to reach the market, providing a competitive edge. Following setbacks for AstraZeneca's FASENRA and Celldex's barzolvolimab, Allakos's lirentelimab, Bristol-Myers Squibb's cendakimab, and Ellodi's APT-1011 have emerged as the front-runners poised to challenge Dupixent in the EoE landscape.
  • Companies are focusing on novel approaches and diverse administration routes to address unmet needs not fully met by approved therapies and to improve patient symptoms: EP-104GI, delivered as a once-yearly submucosal injection, offers a unique dosing approach; IRL201104, a sublingual tablet, is designed for patients with swallowing difficulties; and APT-1011 and ESO-101, as glucocorticoid receptor agonists, aim to control esophageal inflammation and provide symptom relief.
  • The United States contributed to the largest diagnosed prevalent cases of EoE, accounting for ~72% in 2025.
  • In 2025, the total market size of EoE was approximately USD 901 million and is projected to increase during the forecast period (2026-2036).

Eosinophilic Esophagitis Market size and forecast

  • 2025 Eosinophilic Esophagitis Market Size: USD 901 million
  • 2036 Projected Eosinophilic Esophagitis Market Size: USD 3,543 million
  • Eosinophilic Esophagitis Growth Rate (2026-2036): 12.9% CAGR

DelveInsight's "Eosinophilic Esophagitis (EoE) - Market Insight, Epidemiology, and Market Forecast - 2036" report delivers an in-depth understanding of the Eosinophilic Esophagitis historical and forecasted epidemiology as well as the Eosinophilic Esophagitis market trends in the United States, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan.

The Eosinophilic Esophagitis market report provides current treatment practices, emerging drugs, Eosinophilic Esophagitis market share of individual therapies, and current and forecasted Eosinophilic Esophagitis market size from 2022 to 2036, segmented by seven major markets. The report also outlines key unmet medical needs and maps the competitive and clinical landscape to identify high-value opportunities, offering a clear view of the future growth potential of the EoE market.

Key Factors Driving the Eosinophilic Esophagitis Market

Improved Diagnostics and Awareness

Advancements in diagnostic techniques such as endoscopy and biopsy, along with increasing awareness among healthcare professionals, are enabling earlier and more accurate diagnosis, expanding the treated patient population.

Increased Adoption of Biologic Therapies

The shift toward biologics for moderate-to-severe cases due to better efficacy and targeted action is a key driver, especially in patients unresponsive to conventional therapies.

Growing Burden of Allergic Disorders

The surge in food and environmental allergies key triggers of EoE is significantly fueling market demand. Conditions like atopic disorders and chronic respiratory diseases further increase susceptibility, driving diagnosis and treatment rates.

Eosinophilic Esophagitis (EoE): Understanding and Treatment Algorithm

Eosinophilic Esophagitis Overview

Eosinophilic Esophagitis (EoE) is an emerging chronic inflammatory disease of the esophagus characterized by upper gastrointestinal symptoms, including dysphagia and esophageal food impaction. The histopathological manifestations involve intraepithelial infiltration of eosinophils (=15 Eos/HPF) and remodeling of the esophageal epithelium, including Basal Zone Hyperplasia (BZH) and Dilated Intercellular Spaces (DIS), which can lead to strictures and narrow-caliber esophagus. EoE is a complex disease characterized by heterogeneous clinical presentation (age of onset, symptomology, varying clinical manifestations and comorbidities, natural history, and responsiveness to therapy). Despite challenges in disease diagnosis and management, there is corroborative clinical and experimental evidence to suggest that EoE is driven by an underlying CD4+ T helper type 2 (Th2) allergic inflammatory response to dietary food allergens in the esophageal mucosa.

Eosinophilic Esophagitis Treatment Landscape

The treatment of EoE seeks to relieve symptoms, improve histopathology, reverse existing disease complications, and prevent future disease consequences. The primary approach involves treatment with Proton pump inhibitors, swallowed topical steroids, and diet therapy. Medical and diet therapies that significantly reduce esophageal inflammation may not effectively reverse existing esophageal strictures. In contrast, esophageal dilation can effectively manage esophageal strictures, thereby alleviating dysphagia in the absence of improvement in esophageal inflammation. Endoscopic features, as delineated by the EREFS system, identify remodeling aspects of the disease, including esophageal rings and strictures that are associated with symptom outcomes of dysphagia and food impaction risk.

Eosinophilic Esophagitis Unmet Needs

The section "unmet needs of eosinophilic esophagitis" outlines the critical gaps between the current state of patient care, diagnosis, and the ideal & effective management of the disease. It highlights the obstacles experienced by patients, clinicians, and researchers and identifies potential solutions for future progress.

1. Lack of reliable, non-invasive diagnostic and monitoring tools

2. Delayed diagnosis and under-recognition in early disease

3. Limited disease-modifying therapies and persistent fibrostenosis

4. Drug discontinuations due to target and endpoint limitations, and others.....

Eosinophilic Esophagitis Epidemiology

The Eosinophilic Esophagitis epidemiology chapter in the report provides historical as well as forecasted epidemiology segmented by the Total Diagnosed Prevalent Cases of Eosinophilic Esophagitis, Gender-specific Cases of Eosinophilic Esophagitis, Age-specific Cases of Eosinophilic Esophagitis, Treated Cases of Eosinophilic Esophagitis in the 7MM covering the United States, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan from 2022 to 2036.

  • In the 7MM, the US accounted for the highest diagnosed prevalent cases of eosinophilic esophagitis in 2025, with around 512,000 cases; these numbers are expected to increase during the forecast period.
  • Eosinophilic Esophagitis predominantly affected males, with approximately 332,000 males diagnosed compared to 179,000 females in 2025 in the US.
  • In the EU4 and the UK, individuals over the age of 18 were the most affected by Eosinophilic Esophagitis, with approximately 395,000 cases reported in 2025.

Eosinophilic Esophagitis Drug Analysis & Competitive Landscape

The drug chapter segment of the Eosinophilic Esophagitis report encloses a detailed analysis of the marketed, late-stage (Phase III), and mid-stage (Phase II) pipeline drugs. The marketed drugs segment encloses DUPIXENT, EOHILIA, JORVEZA. Furthermore, the current key players for emerging drugs and their respective drug candidates include Astrazeneca and Amgen (Tezspire), Ellodi pharmaceuticals (APT-1011), Revolo Biotherapeutics (IRL201104), EsoCap (ESO-101) and others. The drug chapter also helps understand the Eosinophilic Esophagitis clinical trial details, expressive pharmacological action, agreements and collaborations, approval and patent details, and the latest news and press releases.

Approved Therapies for Eosinophilic Esophagitis

Dupilumab (DUPIXENT): Sanofi/Regeneron Pharmaceuticals

Dupilumab, which was invented using Regeneron's proprietary VelocImmune technology, is a fully human monoclonal antibody that inhibits the signaling of the interleukin-4 (IL4) and interleukin-13 (IL13) pathways and is not an immunosuppressant. The DUPIXENT development program has shown significant clinical benefit and a decrease in type 2 inflammation in phase 3 studies, establishing that IL4 and IL13 are two of the key and central drivers of the type 2 inflammation that plays a major role in multiple related and often co-morbid diseases.

  • In January 2024, US FDA approved DUPIXENT (dupilumab) for the treatment of pediatric patients aged 1 to 11 years, weighing at least 15 kg, with EoE while, in May 2022, US FDA approved DUPIXENT (dupilumab) to treat EoE in adults and pediatric patients 12 years and older weighing at least 40 Kg.
  • In June 2024, Sanofi announced that the New England Journal of Medicine had published results from a positive Phase III study of DUPIXENT (dupilumab) in children aged 1-11 years with EoE.

Budesonide (JORVEZA): Dr. Falk Pharma GmbH

Budesonide is a non-halogenated glucocorticosteroid, which acts primarily anti-inflammatory via binding to the glucocorticoid receptor. In treating EoE with JORVEZA, budesonide inhibits the antigen-stimulated secretion of many proinflammatory signal molecules, such as thymic stromal lymphopoietin, IL-13, and eotaxin-3 in the esophageal epithelium, which results in a significant reduction of the esophageal eosinophilic inflammatory infiltrate. Additionally, the EMA granted ODD to budesonide for the treatment of EoE. The usual duration of treatment is 6 weeks.

In June 2021, the National Institute for Health and Care Excellence (NICE) has recommended JORVEZA budesonide orodispersible tablet for the treatment of EoE in adults.

Eosinophilic Esophagitis Pipeline Analysis

Tezepelumab (TEZSPIRE): AstraZeneca and Amgen

Tezepelumab is being developed by AstraZeneca in collaboration with Amgen as a first-in-class human monoclonal antibody that inhibits the action of TSLP. This key epithelial cytokine sits at the top of multiple inflammatory cascades. It is critical in the initiation and persistence of allergic, eosinophilic, and other types of airway inflammation associated with severe asthma, including airway hyperresponsiveness. In October 2021, tezepelumab was granted an Orphan Drug Designation (ODD) by the FDA for the treatment of EoE.

In its Q3 2025 presentation in November 2025, AstraZeneca anticipates that data from the CROSSING trial for the treatment of EoE will be available in the second half of 2026.

APT-1011 (fluticasone propionate): Ellodi Pharmaceuticals

APT-1011 is a novel, once-daily, ODT designed specifically to deliver fluticasone propionate to the esophageal mucosa to exert local anti-inflammatory effects with low systemic absorption. The successful completion of FLUTE 1 (Phase IIb study) and FLUTE 2 (Phase III study) has facilitated the initiation of FLUTE 3 (ongoing second Phase III study). APT-1011 has received ODD from the FDA and the EMA, and also received Fast Track Designation (FTD) from the FDA in 2021.

In May 2024, Ellodi Pharmaceuticals presented an oral presentation at the Digestive Disease Week (DDW) 2024 Annual Scientific Meeting. It highlighted the results of APT-1011 in the FLUTE-2 Phase III clinical study in EoE.

Eosinophilic Esophagitis Key Players, Market Leaders and Emerging Companies

  • AstraZeneca and Amgen
  • Ellodi Pharmaceuticals
  • Revolo Biotherapeutics
  • Phathom Pharmaceuticals
  • Uniquity Bio
  • EsoCap AG
  • DBV technologies
  • Eupraxia Pharmaceuticals, and others

Eosinophilic Esophagitis Drug Updates

  • In January 2026, Phantom Pharmaceuticals anticipates topline data in 2027 from its Phase II clinical trial (pHalcon-EoE-201) in patients with EoE.
  • In May 2025, Eupraxia Pharmaceuticals announced positive treatment outcomes from its ongoing RESOLVE Phase Ib/IIa trial. Most notably, 9-month data were disclosed for the first time, demonstrating that all three patients dosed at 48mg of EP-104GI experienced sustained or improved treatment outcomes after 9 months of therapy.
  • In August 2025, Revolo Biotherapeutics announced its decision to accelerate the advancement of a sublingual tablet to enter the clinic in 2026.

Eosinophilic Esophagitis Market Outlook

EoE is a chronic, progressive condition, and without treatment, patients experience persistent symptoms and risk of disease progression. Early intervention is critical to control symptoms, reduce esophageal inflammation, and prevent fibrostenotic complications. Current management strategies include dietary, pharmacologic, and endoscopic interventions, with the primary goals of symptom control, histologic remission, and, in pediatric patients, restoration of normal growth and development. Food-elimination diets, PPIs, and topical corticosteroids remain first-line anti-inflammatory therapies, while esophageal dilation is used in selected patients with strictures, although it carries a risk of complications such as esophageal perforation. Currently, three drugs are approved for EoE treatment, including dupilumab (DUPIXENT), Budesonide ODT (JORVEZA), and Budesonide oral suspension (EOHILIA).

JORVEZA (budesonide orodispersible tablet) is the first approved oral corticosteroid specifically developed for EoE. Approved by the EMA in 2018 and granted orphan drug designation, JORVEZA is the first and only licensed oral steroid globally and in the UK for adult EoE, establishing a clear first-mover advantage in this segment. The therapy is positioned for adult patients with confirmed EoE who have had an inadequate response to PPIs.

Dupilumab (DUPIXENT)'s evolution in eosinophilic esophagitis reflects a rapid and impactful regulatory trajectory. Recognized early with FDA BTD in 2020, the therapy advanced through Priority Review in 2022, leading to its first-ever FDA approval for EoE in adolescents and adults, establishing DUPIXENT as the first targeted treatment for EoE in the US. Subsequent approvals in the EU (2023) reinforced its global positioning. The landmark expansion into pediatric EoE in 2024, covering children as young as one year in both the US and EU, addressed a critical unmet need where many patients remained uncontrolled on standard care.

EOHILIA (budesonide oral suspension) from Takeda Pharmaceuticals faced a rocky path to approval. After an initial FDA rejection in late 2021 due to requests for additional clinical data, EOHILIA's launch was delayed, jeopardizing its prospect of becoming the first FDA-approved therapy for patients aged 11 years and older for EoE.

Companies, including AstraZeneca/Amgen, Ellodi Pharmaceuticals, Revolo Biotherapeutics, EsoCap, Phathom Pharmaceuticals, Uniquity Bio, Eupraxia Pharmaceuticals, and others, are investigating potential drug candidates that can significantly change the market landscape during the forecast period. Approaches include anti-TSLP pathway (Tezepelumab and Solrikitug), Glucocorticoid receptor agonists (APT-1011, ESO-101, and EP-104GI), and Immunomodulator (IRL201104), Potassium-competitive Acid Blocker (Vonoprazan), and others.

Key Findings

  • In 2025, the United States held the largest market share for EoE among the 7MM, accounting for approximately 72% of the total market.
  • In 2025, DUPIXENT led the US EoE treatment market and is projected to retain its position as the dominant market leader through 2036.
  • In 2025, Proton Pump Inhibitor (PPIs) treatment for EoE generated approximately USD 346 million in revenue across the 7MM countries.

Drug Class/Insights into Leading Emerging and Marketed Therapies in Eosinophilic Esophagitis (2022-2036 Forecast)

The EoE market comprises of different mechanism class, including IL-4 and IL-13 inhibitor, glucocorticoid receptor agonists, and TSLP inhibitors, each designed to target distinct inflammatory pathways underlying disease pathophysiology.

  • IL-4 and IL-13 Inhibitor: IL-3 and IL-4 pathway inhibition in eosinophilic esophagitis works by disrupting key cytokine signals that drive type-2 inflammation. IL-4 promotes Th2 cell differentiation and IgE-mediated immune responses, while IL-13 (often targeted alongside IL-4 via shared receptor pathways) induces epithelial barrier dysfunction, eosinophil recruitment, and tissue remodeling in the esophagus. By blocking IL-4/IL-13 signaling, these inhibitors reduce eosinophilic inflammation, improve epithelial integrity, and alleviate dysphagia and other EoE symptoms.
  • Established combination therapies: Glucocorticoid receptor agonists exert their effect in EoE by binding to intracellular glucocorticoid receptors, leading to transcriptional suppression of pro-inflammatory genes and upregulation of anti-inflammatory mediators. This results in reduced eosinophil activation and infiltration, inhibition of cytokines involved in type-2 inflammation, and decreased mucosal edema and fibrosis in the esophagus, thereby improving histologic remission and clinical symptoms. Examples include swallowed topical corticosteroids such as budesonide (e.g., EOHILIA, JORVEZA) and fluticasone propionate (APT-1011).

Market & Strategic Analysis:

  • Together, established treatments such as PPIs, swallowed topical corticosteroids, and dietary therapy, alongside emerging targeted biologics, define the core innovation landscape in EoE, with conventional regimens remaining foundational in clinical practice while agents like dupilumab and next-generation biologics are shaping pipeline-driven growth.
  • Ongoing challenges including variable treatment response, high relapse rates, need for long-term disease control, and limitations of steroid- and diet-based approaches continue to create opportunities for first-in-class mechanisms, improved formulations, and precision-based therapies, supporting sustained market expansion and differentiation.

Eosinophilic Esophagitis Drugs Uptake

This section focuses on the uptake rate of potential drugs expected to be launched in the market during 2026-2036, which depends on the competitive landscape, safety, and efficacy data along with order of entry. It is important to understand that the key players evaluating their novel therapies in the pivotal and confirmatory trials should remain vigilant when selecting appropriate comparators to stand the greatest chance of a positive opinion from regulatory bodies, leading to approval, smooth launch, and rapid uptake.

The EoE market shows a clear uptake split between established therapies and newer targeted agents. PPIs, swallowed topical corticosteroids, and dietary therapy remain dominant in first-line use due to guideline support and long-standing clinical experience, while biologics such as DUPIXENT have seen rapid uptake in refractory patients driven by strong efficacy and disease-targeted mechanisms. Emerging pipeline agents are expected to experience more gradual adoption as clinical evidence matures and guideline integration evolves.

Market Access and Reimbursement Key Developments in 2025

The report further provides detailed insights on the country-wise accessibility and reimbursement scenarios, cost-effectiveness scenario of approved therapies, programs making accessibility easier and out-of-pocket costs more affordable, insights on patients insured under federal or state government prescription drug programs, etc.

The United States

Dupilumab (DUPIXENT)

DUPIXENT MyWay is a patient support program designed to help you get access to DUPIXENT and stay on track while providing helpful tools and resources.

With the DUPIXENT MyWay Co-pay Card, eligible patients with commercial health insurance may pay as little as USD 0 in copay per fill of DUPIXENT. Terms and conditions apply. Eligible patients will receive their cards by email.

Budesonide oral suspension (EOHILIA)

The EOHILIA Patient Support and Co-pay Program

The EOHILIA Patient Support and Co-pay Program is designed to help guide you along your EoE treatment journey. Eligible commercial patients may qualify for Head Start, providing EOHILIA at no cost (for up to 3 months or until coverage is approved). If coverage is approved, eligible patients may participate in the EOHILIA Copay Offer to pay as little as USD 0 for EOHILIA.

Eligible patients may pay as little as USD 0 if EOHILIA (budesonide oral suspension) is covered by their commercial insurance, with a max annual benefit of up to USD 5000 off their copay or out-of-pocket expenses. A valid Prescriber ID is required on the prescription. Offer not valid for cash-paying patients. One must be 18 years or older to use the EOHILIA Copay Offer.

Reimbursement is a crucial factor that affects the drug's access to the market. Often, the decision to reimburse comes down to the price of the drug relative to the benefit it produces in treated patients. To reduce the healthcare burden of these high-cost therapies, many payment models are being considered by payers and other industry insiders.

Further Details are provided in the final report....

Eosinophilic Esophagitis Therapies Price Scenario and Trends

The pricing landscape for therapies in EoE reflects regimen cost variability, payer value assessments, and the balance between clinical efficacy and affordability. This section summarizes the cost of approved treatments, benchmarks expected pricing for emerging therapies, and analyzes how pricing influences market access, adherence, and long-term uptake.

Pricing of Approved Therapies

Approved therapies generally adopt premium WAC pricing, supported by high unmet need and limited competition. Annual treatment cost, dosing intensity, and administration setting shape payer coverage and patient affordability.

EOHILIA is administered orally at a recommended dose of 2 mg for a 12-week treatment course. The WAC is approximately USD 1,875 per month, resulting in an estimated total treatment cost of about USD 5,625 for a 3-month course.

DUPIXENT is a prescription injectable biologic, with pricing driven by its complex manufacturing process. For uninsured patients, the list price is approximately USD 3,803.20 per carton. Recommended dosing is weight-based: 200 mg every two weeks (Q2W) for patients 15 to <30 kg, 300 mg Q2W for 30 to <40 kg, and 300 mg weekly (QW) for patient's =40 kg. Based on this regimen, the estimated annual treatment cost is approximately USD 74,500.

Benchmarking Emerging Therapies

The estimated cost assumptions for the emerging drugs have been considered based on the competitive pricing of the therapies currently available.

TEZSPIRE is priced at approximately USD 4,368.96 per 210 mg/mL prefilled syringe. Approved for asthma, it is administered at a recommended dose of 210 mg once every four weeks. Based on this regimen, the estimated annual treatment cost is approximately USD 55,620.

For emerging therapies, Solrikitug is priced at USD 68,406, benchmarked against TEZSPIRE. IRL201104 is estimated at USD 22,350 and benchmarked to DUPIXENT, reflecting its peptide-based modality, which is generally less complex and less costly to manufacture than monoclonal antibodies.

Overall, pricing will significantly influence early adoption, competitive positioning, and long-term penetration across the 7MM EoE market.

Industry Experts and Physician Views of Eosinophilic Esophagitis

To keep up with current market trends, we take KOLs and SME's opinions working in the domain through primary research to fill the data gaps and validate our secondary research. Industry Experts were contacted for insights on the EoE emerging therapies, evolving treatment landscape, patient adherence to conventional therapies, therapy switching trends, drug adoption and uptake, accessibility challenges, and epidemiology and prevalence patterns in rare mitochondrial disorders, including MD, PhD, Instructor, Postdoctoral Researcher, Professor, Researcher, and others.

DelveInsight's analysts connected with 15+ KOLs to gather insights; however, interviews were conducted with 10+ KOLs in the 7MM. Centers such as the National Institutes of Health, Cincinnati Children's Hospital Medical Center, Boston Children's Hospital, Great Ormond Street Hospital, etc. were contacted. Their opinion helps understand and validate current and emerging EoE therapies, highlight unmet medical needs, provide epidemiological context, and support strategic decisions for market access, therapy adoption, and pipeline prioritization in EoE.

Qualitative Analysis: SWOT and Conjoint Analysis

We perform qualitative and market Intelligence analysis using various approaches, such as SWOT analysis and conjoint analysis.

In the SWOT analysis EoE, strengths, weaknesses, opportunities, and threats in terms of disease diagnosis, patient awareness, patient burden, competitive landscape, cost-effectiveness, and geographical accessibility of therapies are provided. These pointers are based on the analyst's discretion and assessment of the patient burden, cost analysis, and existing and evolving treatment landscape.

Conjoint analysis analyzes emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. Scoring is given based on these parameters to analyze the effectiveness of therapy.

The analyst analyzes multiple emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. In efficacy, the trial's primary and secondary outcome measures are evaluated.

Further, the therapies' safety is evaluated, wherein the acceptability, tolerability, and adverse events are majorly observed, and it sets a clear understanding of the side effects posed by the drug in the trials. In addition, the scoring is also based on the route of administration, order of entry and designation, probability of success, and the addressable patient pool for each therapy. According to these parameters, the final weightage score and the ranking of the emerging therapies are decided.

Scope of the Report:

  • The report covers a segment of key events, an executive summary, and a descriptive overview of Eosinophilic Esophagitis, explaining its causes, signs, symptoms, pathogenesis, and currently used therapies.
  • Comprehensive insight into the epidemiology segments and forecasts, disease progression, and treatment guidelines has been provided.
  • Additionally, an all-inclusive account of the emerging therapies and the elaborative profiles of late-stage and prominent therapies will impact the current treatment landscape.
  • A detailed review of the Eosinophilic Esophagitis market, historical and forecasted market size, market share by therapies, detailed assumptions, and rationale behind our approach is included in the report, covering the 7MM drug outreach.
  • The report provides an edge while developing business strategies by understanding trends through SWOT analysis and KOL views, patient journey, and treatment preferences that help shape and drive Eosinophilic Esophagitis market.

Report Insights

  • Eosinophilic Esophagitis Patient population forecast
  • Eosinophilic Esophagitis Market Opportunity (Current and forecasted)
  • Eosinophilic Esophagitis Pipeline Analysis
  • Eosinophilic Esophagitis Market Size and Trends

Report Key Strengths

  • Epidemiology-based (Epi-based) bottom-up forecasting
  • Artificial Intelligence (AI)-enabled market research report
  • 11-year forecast
  • Eosinophilic Esophagitis market outlook (North America, Europe, Asia-Pacific)
  • Patient Burden trends (by geography)
  • Eosinophilic Esophagitis Treatment addressable Market (TAM)
  • Eosinophilic Esophagitis Competitive Landscape
  • Eosinophilic Esophagitis major companies Insights
  • Eosinophilic Esophagitis price trends and analogue assessment
  • Eosinophilic Esophagitis therapies and Drug Adoption/Uptake
  • Eosinophilic Esophagitis therapies Peak Patient Share Analysis

Report Assessment

  • Eosinophilic Esophagitis Current treatment practices
  • Eosinophilic Esophagitis Unmet needs
  • Eosinophilic Esophagitis Clinical development Analysis
  • Eosinophilic Esophagitis emerging drugs product profiles
  • Eosinophilic Esophagitis Market attractiveness
  • Eosinophilic Esophagitis Qualitative analysis (SWOT and conjoint analysis)

FAQs:

Market Insights

  • What was the Eosinophilic Esophagitis market size, the market size by therapies, market share (%) distribution in 2025, and what would it look like by 2036? What are the contributing factors for this growth?
  • What are the anticipated pricing variations among different geographies for the emerging therapies in the future?
  • What can be the future treatment paradigm of eosinophilic esophagitis?
  • What are the disease risks, burdens, and unmet needs of eosinophilic esophagitis? What will be the growth opportunities across the 7MM concerning the patient population with eosinophilic esophagitis?
  • Who is the major future competitor in the market, and how will the competitors affect their market share?
  • What are the current options for the treatment of eosinophilic esophagitis? What are the current guidelines for treating eosinophilic esophagitis in the US, Europe, and Japan?

Reasons to Buy:

  • The report will help in developing business strategies by understanding the latest trends and changing treatment dynamics driving the eosinophilic esophagitis market.
  • Bottom up forecasting builds from the affected population to product forecasts, delivering a robust, data driven approach ideal for new therapies and novel classes.
  • Insights on patient burden/disease incidence, evolution in diagnosis, and factors contributing to the change in the epidemiology of the disease during the forecast years.
  • Understand the existing market opportunities in varying geographies and the growth potential over the coming years.
  • Identifying strong upcoming players in the market will help devise strategies to help get ahead of competitors.
  • Detailed analysis and ranking of class-wise potential current and emerging therapies under the conjoint analysis section to provide visibility around leading classes.
  • To understand KOLs' perspectives on the accessibility, acceptability, and compliance-related challenges of existing treatment to overcome barriers in the future.
  • Detailed insights on the unmet needs of the existing market so that the upcoming players can strengthen their development and launch strategy.
  • This Artificial Intelligence (AI) enabled report summarize and simplify complex datasets withing the report into clear, actionable insights for stakeholders, investors, and healthcare providers, enabling faster, data driven decisions.
Product Code: DIMI0410

Table of Contents

1. Key Insights

2. Report Introduction

3. Executive Summary

4. Key Events

  • 4.1. Upcoming Key Catalyst
  • 4.2. Data Presentation
  • 4.3. News Flow

5. Epidemiology and Market Forecast Methodology

6. Eosinophilic Esophagitis Market Overview at a Glance

  • 6.1. Clinical Landscape Analysis (By Mechanism of Action [MoA] and Molecule Type)
  • 6.2. Market Share of EoE by Therapies (%) in the 7MM in 2025
  • 6.3. Market Share of EoE by Therapies (%) in the 7MM in 2036

7. Disease Background and Overview of Eosinophilic Esophagitis

  • 7.1. Introduction
  • 7.2. Symptoms
  • 7.3. Causes and Risk Factors
  • 7.4. Pathophysiology
  • 7.5. Diagnosis
    • 7.5.1. Diagnostic Algorithm
  • 7.6. Diagnostic Guidelines
    • 7.6.1. American College of Gastroenterology (ACG) Diagnostic Guideline of EoE (2025)
    • 7.6.2. The 1st EoETALY Consensus on the Diagnosis of EoE (2024)
    • 7.6.3. British Society of Gastroenterology (BSG) and British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN) Joint Consensus Guidelines on the Diagnosis of EoE in Children and Adults (2022)

8. Treatment of Eosinophilic Esophagitis

  • 8.1. Treatment Algorithm
  • 8.2. Treatment Guidelines
    • 8.2.1. ACG Management Guideline of EoE (2025)
    • 8.2.2. American Gastroenterological Association (AGA) Institute and Joint Task Force on Allergy-immunology Practice Parameters (JTF) Recommendations on the Management of EoE (2020)
    • 8.2.3. BSG and BSPGHAN Joint Consensus Guidelines on the Diagnosis of EoE in Children and Adults (2022)

9. Eosinophilic Esophagitis: 7MM Analysis

  • 9.1. Key Findings
  • 9.2. Assumptions and Rationale
  • 9.3. Total Diagnosed Prevalent Cases of EoE in the 7MM
  • 9.4. The United States
    • 9.4.1. Total Diagnosed Prevalent Cases of EoE in the United States
    • 9.4.2. Gender-specific Diagnosed Prevalent Cases of EoE in the United States
    • 9.4.3. Age-specific Diagnosed Prevalent Cases of EoE in the United States
    • 9.4.4. Total Treated Cases of EoE in the United States
  • 9.5. EU4 and the UK
    • 9.5.1. Total Diagnosed Prevalent Cases of EoE in EU4 and the UK
    • 9.5.2. Gender-specific Diagnosed Prevalent Cases of EoE in EU4 and the UK
    • 9.5.3. Age-specific Diagnosed Prevalent Cases of EoE in EU4 and the UK
    • 9.5.4. Total Treated Cases of EoE in EU4 and the UK
  • 9.6. Japan
    • 9.6.1. Total Diagnosed Prevalent Cases of EoE in Japan
    • 9.6.2. Gender-specific Diagnosed Prevalent Cases of EoE in Japan
    • 9.6.3. Age-specific Diagnosed Prevalent Cases of EoE in Japan
    • 9.6.4. Total Treated Cases of EoE in Japan

10. Patient Journey of Eosinophilic Esophagitis

11. Marketed Therapies

  • 11.1. Competitive Landscape: Marketed Therapies
  • 11.2. Dupilumab (DUPIXENT): Sanofi/Regeneron Pharmaceuticals
    • 11.2.1. Product Description
    • 11.2.2. Regulatory Milestones
    • 11.2.3. Other Developmental Activities
    • 11.2.4. Clinical Development
      • 11.2.4.1. Clinical Trials Information
    • 11.2.5. Summary of Pivotal Trials
    • 11.2.6. Safety and Efficacy
    • 11.2.7. Analyst's View
  • 11.3. Budesonide ODT (JORVEZA): Dr. Falk Pharma GmbH
    • 11.3.1. Product Description
    • 11.3.2. Regulatory Milestones
    • 11.3.3. Other Developmental Activities
    • 11.3.4. Clinical Development
      • 11.3.4.1. Clinical Trials Information
    • 11.3.5. Summary of Pivotal Trials
    • 11.3.6. Safety and Efficacy
    • 11.3.7. Analyst's View
  • 11.4. Budesonide Oral Suspension (EOHILIA): Takeda
    • 11.4.1. Product Description
    • 11.4.2. Regulatory Milestones
    • 11.4.3. Other Developmental Activities
    • 11.4.4. Summary of Pivotal Trials
    • 11.4.5. Safety and Efficacy
    • 11.4.6. Analyst's Views

12. Emerging Therapies

  • 12.1. Competitive Landscape: Emerging Therapies
  • 12.2. Tezepelumab (TEZSPIRE): AstraZeneca and Amgen
    • 12.2.1. Product Description
    • 12.2.2. Other Developmental Activities
    • 12.2.3. Clinical Development
      • 12.2.3.1. Clinical Trials Information
    • 12.2.4. Analyst's View
  • 12.3. APT-1011 (fluticasone propionate): Ellodi Pharmaceuticals
    • 12.3.1. Product Description
    • 12.3.2. Other Developmental Activities
    • 12.3.3. Clinical Development
      • 12.3.3.1. Clinical Trials Information
    • 12.3.4. Safety and Efficacy
    • 12.3.5. Analyst's View
  • 12.4. IRL201104: Revolo Biotherapeutics
    • 12.4.1. Product Description
    • 12.4.2. Other Developmental Activities
    • 12.4.3. Clinical Development
      • 12.4.3.1. Clinical Trials Information
    • 12.4.4. Safety and Efficacy
    • 12.4.5. Analyst's Views
  • 12.5. Vonoprazan (VOQUEZNA): Phathom Pharmaceuticals
    • 12.5.1. Product Description
    • 12.5.2. Other Developmental Activities
    • 12.5.3. Clinical Development
      • 12.5.3.1. Clinical Trials Information
    • 12.5.4. Analyst's View
  • 12.6. Solrikitug (NSI-8226): Uniquity Bio
    • 12.6.1. Product Description
    • 12.6.2. Clinical Development
      • 12.6.2.1. Clinical Trials Information
    • 12.6.3. Safety and Efficacy
    • 12.6.4. Analyst's Views
  • 12.7. ESO-101: EsoCap AG
    • 12.7.1. Product Description
    • 12.7.2. Other Developmental Activities
    • 12.7.3. Clinical Development
      • 12.7.3.1. Clinical Trials Information
    • 12.7.4. Safety and Efficacy
    • 12.7.5. Analyst's View
  • 12.8. Viaskin milk (DBV-135): DBV technologies
    • 12.8.1. Product Description
    • 12.8.2. Other Developmental Activities
    • 12.8.3. Clinical Development
      • 12.8.3.1. Clinical Trials Information
    • 12.8.4. Safety and Efficacy
    • 12.8.5. Analyst's View
  • 12.9. EP-104GI: Eupraxia Pharmaceuticals
    • 12.9.1. Product Description
    • 12.9.2. Other Developmental Activities
    • 12.9.3. Clinical Development
      • 12.9.3.1. Clinical Trials Information
    • 12.9.4. Safety and Efficacy
    • 12.9.5. Analyst's View

13. Eosinophilic Esophagitis: 7MM Analysis

  • 13.1. Key Findings
  • 13.2. Market Outlook
  • 13.3. Conjoint Analysis
  • 13.1. Key Market Forecast Assumptions
    • 13.1.1. Cost Assumptions
  • 13.2. Total Market Size of EOE in the 7MM
  • 13.3. Total Market Size of EOE by Therapies in the 7MM
  • 13.4. The United States
    • 13.4.1. Total Market Size of EOE in the United States
    • 13.4.2. Total Market Size of EOE by Therapies in the United States
  • 13.5. EU4 and the UK
    • 13.5.1. Total Market Size of EOE in EU4 and the UK
    • 13.5.2. Total Market Size of EOE by Therapies in EU4 and the UK
  • 13.6. Japan
    • 13.6.1. Total Market Size of EOE in Japan
    • 13.6.2. Total Market Size of EOE by Therapies in Japan

14. Unmet Needs of Eosinophilic Esophagitis

15. SWOT Analysis of Eosinophilic Esophagitis

16. KOL Views of Eosinophilic Esophagitis

  • 16.1. Expert/KOL Interview Highlights

17. Market Access and Reimbursement of Eosinophilic Esophagitis

  • 17.1. The US
  • 17.2. In 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 EoE Therapies

18. Appendix

  • 18.1. Bibliography
  • 18.2. Report Methodology

19. DelveInsight Capabilities

20. Disclaimer

21. About DelveInsight

Product Code: DIMI0410

List of Tables

  • Table 1: Summary of EOE Market and Epidemiology (2022-2036)
  • Table 2: Upcoming Key Catalyst
  • Table 3: Data Presentation
  • Table 4: News Flow
  • Table 5: ACG Diagnostic Guideline for EoE
  • Table 6: EoETALY Consensus on the Diagnosis of EoE
  • Table 7: BSG and BSPGHAN Joint Consensus Guidelines on the Diagnosis
  • Table 8: ACG Management Guideline for EoE
  • Table 9: AGA and JTF Guideline Recommendations on the Management of EoE
  • Table 10: BSG and BSPGHAN Joint Consensus Guidelines on the Management of EoE
  • Table 11: Total Diagnosed Prevalent Cases of EoE in the 7MM (2022-2036) (In Thousands)
  • Table 12: Total Diagnosed Prevalent Cases of EoE in the United States (2022-2036) (In Thousands)
  • Table 13: Gender-specific Diagnosed Prevalent Cases of EoE in the United States (2022-2036) (In Thousands)
  • Table 14: Age-specific Diagnosed Prevalent Cases of EoE in the United States (2022-2036) (In Thousands)
  • Table 15: Total Treated Cases of EoE in the United States (2022-2036) (In Thousands)
  • Table 16: Total Diagnosed Prevalent Cases of EoE in EU4 and the UK (2022-2036) (In Thousands)
  • Table 17: Gender-specific Diagnosed Prevalent Cases of EoE in Germany (2022-2036) (In Thousands)
  • Table 18: Gender-specific Diagnosed Prevalent Cases of EoE in France (2022-2036) (In Thousands)
  • Table 19: Gender-specific Diagnosed Prevalent Cases of EoE in Italy (2022-2036) (In Thousands)
  • Table 20: Gender-specific Diagnosed Prevalent Cases of EoE in Spain (2022-2036) (In Thousands)
  • Table 21: Gender-specific Diagnosed Prevalent Cases of EoE in the UK (2022-2036) (In Thousands)
  • Table 22: Gender-specific Diagnosed Prevalent Cases of EoE in EU4 and the UK (2022-2036) (In Thousands)
  • Table 23: Age-specific Diagnosed Prevalent Cases of EoE in Germany (2022-2036) (In Thousands)
  • Table 24: Age-specific Diagnosed Prevalent Cases of EoE in France (2022-2036) (In Thousands)
  • Table 25: Age-specific Diagnosed Prevalent Cases of EoE in Italy (2022-2036) (In Thousands)
  • Table 26: Age-specific Diagnosed Prevalent Cases of EoE in Spain (2022-2036) (In Thousands)
  • Table 27: Age-specific Diagnosed Prevalent Cases of EoE in the UK (2022-2036) (In Thousands)
  • Table 28: Age-specific Diagnosed Prevalent Cases of EoE in EU4 and the UK (2022-2036) (In Thousands)
  • Table 29: Total Treated Cases of EoE in Germany (2022-2036) (In Thousands)
  • Table 30: Total Treated Cases of EoE in France (2022-2036) (In Thousands)
  • Table 31: Total Treated Cases of EoE in Italy (2022-2036) (In Thousands)
  • Table 32: Total Treated Cases of EoE in Spain (2022-2036) (In Thousands)
  • Table 33: Total Treated Cases of EoE in the UK (2022-2036) (In Thousands)
  • Table 34: Total Treated Cases of EoE in EU4 and the UK (2022-2036) (In Thousands)
  • Table 35: Total Diagnosed Prevalent Cases of EoE in Japan (2022-2036) (In Thousands)
  • Table 36: Gender-specific Diagnosed Prevalent Cases of EoE in Japan (2022-2036) (In Thousands)
  • Table 37: Age-specific Diagnosed Prevalent Cases of EoE in Japan (2022-2036) (In Thousands)
  • Table 38: Total Treated Cases of EoE in Japan (2022-2036) (In Thousands)
  • Table 39: Comparison of Marketed Drugs
  • Table 40: Dupilumab, Clinical Trial Description, 2026
  • Table 41: Budesonide, Clinical Trial Description, 2026
  • Table 42: Emerging Drugs Key Cross
  • Table 43: Tezepelumab, Clinical Trial Description, 2026
  • Table 44: APT-1011, Clinical Trial Description, 2026
  • Table 45: IRL201104, Clinical Trial Description, 2026
  • Table 46: APT-1011, Clinical Trial Description, 2026
  • Table 47: Solrikitug, Clinical Trial Description, 2026
  • Table 48: ESO-101, Clinical Trial Description, 2026
  • Table 49: Viaskin Milk, Clinical Trial Description, 2026
  • Table 50: EP-104GI, Clinical Trial Description, 2026
  • Table 51: Key Market Forecast Assumptions of EOE in the United States
  • Table 52: Key Market Forecast Assumptions of EOE in EU4 and the UK
  • Table 53: Key Market Forecast Assumptions of EOE in Japan
  • Table 54: Total Market Size of EOE in the 7MM, USD million (2022-2036)
  • Table 55: Total Market Size of EOE by Therapies in the 7MM, USD million (2022-2036)
  • Table 56: Total Market Size of EOE in the United States, USD million (2022-2036)
  • Table 57: Total Market Size of EOE by Therapies in the United States, USD million (2022-2036)
  • Table 58: Total Market Size of EOE in EU4 and the UK, USD million (2022-2036)
  • Table 59: Total Market Size of EOE by Therapies in Germany, USD million (2022-2036)
  • Table 60: Total Market Size of EOE by Therapies in France, USD million (2022-2036)
  • Table 61: Total Market Size of EOE by Therapies in Italy, USD million (2022-2036)
  • Table 62: Total Market Size of EOE by Therapies in Spain, USD million (2022-2036)
  • Table 63: Total Market Size of EOE by Therapies in the UK, USD million (2022-2036)
  • Table 64: Total Market Size of EOE by Therapies in EU4 and the UK, USD million (2022-2036)
  • Table 65: Total Market Size of EOE in Japan, USD million (2022-2036)
  • Table 66: Total Market Size of EOE by Therapies in Japan, USD million (2022-2036)
  • Table 67: Summary of Recommendations in EU4 and The UK
  • Table 68: IQWiG Assessment for EoE therapies
  • Table 69: HAS Decisions for EoE Therapies
  • Table 70: AIFA Assessment for EoE Therapies
  • Table 71: AEMPS Assessment for EoE Therapies
  • Table 72: NICE Decision for EoE Therapies

List of Figures

  • Figure 1: EoE Description
  • Figure 2: Pathophysiology of EoE
  • Figure 3: Diagnostic Approach of EoE
  • Figure 4: Treatment Algorithm of EoE
  • Figure 5: Treatment Algorithm of EoE for Adults, Adolescents, and Children
  • Figure 6: Total Diagnosed Prevalent Cases of EoE in the 7MM (2022-2036)
  • Figure 7: Total Diagnosed Prevalent Cases of EoE in the United States (2022-2036)
  • Figure 8: Gender-specific Diagnosed Prevalent Cases of EoE in the United States (2022-2036)
  • Figure 9: Age-specific Diagnosed Prevalent Cases of EoE in the United States (2022-2036)
  • Figure 10: Total Treated Cases of EoE in the United States (2022-2036)
  • Figure 11: Total Diagnosed Prevalent Cases of EoE in EU4 and the UK (2022-2036)
  • Figure 12: Gender-specific Diagnosed Prevalent Cases of EoE in EU4 and the UK (2022-2036)
  • Figure 13: Age-specific Diagnosed Prevalent Cases of EoE in EU4 and the UK (2022-2036)
  • Figure 14: Total Treated Cases of EoE in EU4 and the UK (2022-2036)
  • Figure 15: Total Diagnosed Prevalent Cases of EoE in Japan (2022-2036)
  • Figure 16: Gender-specific Diagnosed Prevalent Cases of EoE in Japan (2022-2036)
  • Figure 17: Age-specific Diagnosed Prevalent Cases of EoE in Japan (2022-2036)
  • Figure 18: Total Treated Cases of EoE in Japan (2022-2036)
  • Figure 19: Total Market Size of EOE in the 7MM in USD million (2022-2036)
  • Figure 20: Total Market Size of EOE by Therapies in the 7MM in USD million (2022-2036)
  • Figure 21: Total Market Size of EOE in the United States in USD million (2022-2036)
  • Figure 22: Total Market Size of EOE by Therapies in the United States in USD million (2022-2036)
  • Figure 23: Total Market Size of EOE in EU4 and the UK in USD million (2022-2036)
  • Figure 24: Total Market Size of EOE by Therapies in EU4 and the UK in USD million (2022-2036)
  • Figure 25: Total Market Size of EOE in Japan in USD million (2022-2036)
  • Figure 26: Total Market Size of EOE by Therapies in Japan in USD million (2022-2036)
  • Figure 27: HTA
  • Figure 28: The 7MM HTA Bodies
  • Figure 29: The US Healthcare Programs
  • Figure 30: Reimbursement Process of Germany
  • Figure 31: Reimbursement Process of France
  • Figure 32: Reimbursement Process of Italy
  • Figure 33: Reimbursement Process in Spain
  • Figure 34: Reimbursement Process in the United Kingdom
  • Figure 35: UK MHRA Approval Through IRF
  • Figure 36: Reimbursement Process in Japan
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