Prurigo Nodularis market to exhibit growth at a CAGR of 23.2% (2020-2034), driven by strong uptake of DUPIXENT, recent approval of NEMLUVIO, promising JAK and OX40 inhibitors in the Pipeline, along with rising prevalence | DelveInsight

Prurigo Nodularis market to exhibit growth at a CAGR of 23.2% (2020-2034), driven by strong uptake of DUPIXENT, recent approval of NEMLUVIO, promising JAK and OX40 inhibitors in the Pipeline, along with rising prevalence | DelveInsight

PR Newswire

LAS VEGAS, Sept. 22, 2025

The prurigo nodularis treatment landscape has been evolving in recent years, with increasing attention from the pharmaceutical industry due to the chronic and debilitating nature of the condition. There is growing recognition of the need for effective treatments that can break the persistent itch-scratch cycle that exacerbates the disease. Additionally, the launch of emerging therapies such as Povorcitinib, OPZELURA, Rocatinlimab, Barzolvolimab, and others will further fuel the market growth.

LAS VEGAS, Sept. 22, 2025 /PRNewswire/ -- DelveInsight's Prurigo Nodularis Market Insights report includes a comprehensive understanding of current treatment practices, prurigo nodularis emerging drugs, market share of individual therapies, and current and forecasted market size from 2020 to 2034, segmented into leading markets [the United States, the EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan]. 

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Key Takeaways from the Prurigo Nodularis Market Report

Discover which therapies are expected to grab the major prurigo nodularis treatment market share @ Prurigo Nodularis Market Report

Key Factors Driving the Prurigo Nodularis Market 

Rising Prurigo Nodularis Disease Prevalence and Awareness

The increasing prevalence of prurigo nodularis, particularly among individuals with underlying skin conditions like atopic dermatitis and eczema, has heightened the demand for effective treatments. The US accounted for approximately 261K diagnosed prevalent cases of prurigo nodularis in 2024. These cases are expected to increase during the forecast period (2025−2034) owing to growing populations, improved diagnostic methods, changes in lifestyle and environmental factors, and advancements in medical technology, allowing for better treatment. Moreover, there is a growing awareness among healthcare professionals and patients about the condition, leading to earlier diagnosis and intervention.

Drug Approvals in Prurigo Nodularis Market

The approval of DUPIXENT (dupilumab) in 2022 and NEMLUVIO (nemolizumab) in 2024 provides a significant breakthrough for patients with moderate-to-severe prurigo nodularis. These prurigo nodularis therapies offer targeted therapies with proven efficacy. As more treatments are developed and approved, expanding access to biologic therapies like DUPIXENT and NEMLUVIO through improved insurance coverage and cost reduction programs could make these therapies more accessible to a broader range of patients.

Emerging Therapies in Prurigo Nodularis Market

The emerging prurigo nodularis clinical trial landscape offers a diverse range of therapeutic alternatives, including rocatinlimab (Amgen/Kyowa Kirin), povorcitinib and ruxolitinib (Incyte), barzolvolimab (Celldex), and others across various treatment lines. The expected launch of these therapies shall further create a positive impact on the prurigo nodularis market.

Prurigo Nodularis Market Analysis

The treatment landscape for prurigo nodularis has seen significant advancements in recent years, driven by growing interest from the pharmaceutical sector due to the condition's chronic and distressing nature. Current therapies aim primarily to alleviate itching and inflammation. Potent topical corticosteroids are frequently used to calm inflamed skin and ease itching, while tacrolimus ointment offers a non-steroidal alternative with anti-inflammatory benefits. Moisturizers, or emollients, play a vital role in hydrating dry skin and enhancing the effectiveness of other treatments. 

Non-drowsy antihistamines like fexofenadine can also help control the itch. Phototherapy, including UVA or UVB light therapy, is effective in reducing nodules and itching. Psychological support may help patients cope with stress-related flare-ups. In more severe cases, systemic immunosuppressants such as oral corticosteroids, ciclosporin, methotrexate, or azathioprine are prescribed.

A major milestone in treatment was the FDA approval of DUPIXENT, the first medication specifically authorized for prurigo nodularis. DUPIXENT, a monoclonal antibody that blocks IL-4 and IL-13 signaling, helps reduce inflammation and severe itching. Another breakthrough came in August 2024 with the FDA approval of NEMLUVIO, a monoclonal antibody targeting IL-31, offering a new therapeutic option for managing this condition.

To know more about prurigo nodularis treatment guidelines, visit @ Prurigo Nodularis Treatment Options

Prurigo Nodularis Competitive Landscape

Although there are very few approved medications for prurigo nodularis, several drugs are currently under research and development. These include rocatinlimab (Amgen/Kyowa Kirin), povorcitinib and ruxolitinib (Incyte), and barzolvolimab (Celldex), which are being investigated as potential treatments for prurigo nodularis.

Povorcitinib is an oral JAK1 inhibitor currently in Phase III clinical trials for prurigo nodularis, with data expected by 2026 and a launch anticipated between 2027–2028. In March 2024, Incyte presented positive late-breaking Phase II data showing that povorcitinib met its primary and secondary endpoints in treating prurigo nodularis. Ruxolitinib, a topical JAK1/2 inhibitor, is also being investigated for prurigo nodularis, with Phase III trial data was presented in March 2025, and a launch is anticipated between 2026–2027. Currently, no oral or topical therapies are approved for prurigo nodularis. While the first study, TRuE-PN1, met its primary endpoint and all key secondary endpoints, the second trial, TRuE-PN2, did not reach statistical significance on its primary endpoint despite the numbers favoring OPZELURA.

Rocatinlimab (formerly AMG 451 / KHK4083) is a monoclonal antibody that targets the OX40 receptor to inhibit and reduce pathogenic T-cells, with potential for treating prurigo nodularis. The company launched a Phase III trial for rocatinlimab in July 2024 to assess its efficacy in treating prurigo nodularis.

The anticipated launch of these emerging therapies is poised to transform the prurigo nodularis market landscape in the coming years. As these cutting-edge therapies continue to mature and gain regulatory approval, they are expected to reshape the prurigo nodularis market landscape, offering new standards of care and unlocking opportunities for medical innovation and economic growth.

Discover more about prurigo nodularis marketed and pipeline drugs @ Prurigo Nodularis Clinical Trials 

Recent Developments in the Prurigo Nodularis Market

What is Prurigo Nodularis?

Prurigo nodularis is a long-term skin condition marked by the presence of numerous firm, itchy bumps or nodules that often result from persistent scratching or rubbing. These nodules can vary in size and commonly appear on the arms, legs, back, and chest. The main symptom is severe itching, which leads to repeated scratching, worsening the skin lesions, and causing them to become thickened, scaly, or darkened. In more advanced cases, the nodules may break open or become infected due to continuous irritation and trauma.

While the precise cause of prurigo nodularis is not fully understood, it is frequently linked to underlying health issues such as atopic dermatitis, chronic kidney or liver disease, and psychological conditions like anxiety or depression. Diagnosis is mainly clinical, based on the distinct appearance of itchy, raised nodules. Healthcare professionals typically review the patient's medical history, particularly any related conditions, and perform a physical examination to assess the size, number, and distribution of the nodules, which are usually found on the limbs and trunk.

Prurigo Nodularis Epidemiology Segmentation

The prurigo nodularis epidemiology section provides insights into the historical and current prurigo nodularis patient pool and forecasted trends for the leading markets. The total diagnosed prevalent cases of prurigo nodularis in the US were around 261,900 cases in 2024. According to DelveInsight estimates, in 2024, among the age-specific diagnosed prevalent cases of prurigo nodularis in the US, the highest number of cases were found in the =65 years age group, followed by the 25–44 years age group, while the lowest number of cases was observed in the <15 years age group.

The prurigo nodularis market report proffers epidemiological analysis for the study period 2020–2034 in the 7MM segmented into:

Prurigo Nodularis Market Report Metrics

Details

Study Period

2020–2034

Coverage

7MM [The United States, the EU4 (Germany, France, Italy, and Spain) and The United Kingdom, and Japan].

Prurigo Nodularis Market CAGR

23.2 %

Prurigo Nodularis Market Size in 2024

USD 1 Billion

Key Prurigo Nodularis Companies

Incyte, Amgen, Kyowa Kirin, Celldex Therapeutics, Sanofi, Regeneron, Galderma, Maruho, and others

Key Approved and Pipeline Prurigo Nodularis Therapies

Povorcitinib, OPZELURA (ruxolitinib), Rocatinlimab, Barzolvolimab (CDX-0159), DUPIXENT (dupilumab), NEMLUVIO/ MITCHGA (nemolizumab), and others

Scope of the Prurigo Nodularis Market Report

Download the report to understand which factors are driving prurigo nodularis market trends @ Prurigo Nodularis Drug Treatment

Table of Contents

1

Key Insights

2

Report Introduction

3

Executive Summary

4

Key Events

5

Epidemiology and Market Forecast Methodology

6

Prurigo Nodularis Market Overview at a Glance

6.1

Market Share (%) Distribution of Prurigo Nodularis by Therapies in 2024

6.2

Market Share (%) Distribution of Prurigo Nodularis by Therapies in 2034

7

Disease Background and Overview

7.1

Introduction

7.2

Classification

7.3

Clinical Signs and Symptoms

7.4

Pathophysiology

7.5

Diagnosis

7.6

Differential Diagnosis

7.7

Etiology

7.8

Treatment and Management

7.8.1

Treatment algorithm

8

Guidelines

8.1.1

Prurigo Nodularis Guidelines: The United States 

8.1.2

Prurigo Nodularis IFSI Guidelines: Europe 

8.1.3

Prurigo Nodularis Guidelines: Japan 

9

Epidemiology and Patient Population of Prurigo Nodularis in the 7MM

9.1

Key Findings

9.2

Assumptions and Rationales

9.3

Total Diagnosed Prevalent Cases of Prurigo Nodularis in the 7MM

9.4

The United States

9.4.1

Total Diagnosed Prevalent Cases of Prurigo Nodularis in the United States

9.4.2

Gender-specific Diagnosed Prevalent Cases of Prurigo Nodularis in the United States

9.4.3

Age-specific Diagnosed Prevalent Cases of Prurigo Nodularis in the United States

9.4.4

Severity-specific Diagnosed Prevalent Cases of Prurigo Nodularis in the United States

9.5

EU4 and the UK

9.5.1

Total Diagnosed Prevalent Cases of Prurigo Nodularis in EU4 and the UK

9.5.2

Gender-specific Diagnosed Prevalent Cases of Prurigo Nodularis in EU4 and the UK

9.5.3

Age-specific Diagnosed Prevalent Cases of Prurigo Nodularis in EU4 and the UK

9.5.4

Severity-specific Diagnosed Prevalent Cases of Prurigo Nodularis in EU4 and the UK

9.6

Japan

9.6.1

Total Diagnosed Prevalent Cases of Prurigo Nodularis in Japan

9.6.2

Gender-specific Diagnosed Prevalent Cases of Prurigo Nodularis in Japan

9.6.3

Age-specific Diagnosed Prevalent Cases of Prurigo Nodularis in Japan

9.6.4

Severity-specific Diagnosed Prevalent Cases of Prurigo Nodularis in Japan

10

Patient Journey

11

Marketed Drugs

11.1

Key Cross Competition

11.2

NEMLUVIO/MITCHGA (nemolizumab-ilto): Galderma Laboratories/Maruho

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 Trial Information

11.2.5

Safety and Efficacy

11.2.6

Analyst Views

11.3

DUPIXENT (dupilumab): Sanofi/Regeneron

12

Emerging Therapies

12.1

Key Cross Competition

12.2

Povorcitinib: Incyte

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

Safety and Efficacy

12.2.5

Analyst Views

12.3

OPZELURA (ruxolitinib): Incyte

12.4

Rocatinlimab: Amgen/Kyowa Kirin

12.5

Barzolvolimab (CDX-0159): Celldex Therapeutics

13

Prurigo Nodularis: 7MM Analysis

13.1

Key Findings

13.2

Market Outlook

13.3

Key Market Forecast Assumptions

13.4

Conjoint Analysis

13.5

Total Market Size of Prurigo Nodularis in the 7MM

13.6

Market Size of Prurigo Nodularis by Therapies in the 7MM

13.7

The United States Market Size

13.7.1

Total Market Size of Prurigo Nodularis in the United States

13.7.2

Market Size of Prurigo Nodularis by Therapies in United States

13.8

EU4 and the UK Market Size

13.8.1

Total Market Size of Prurigo Nodularis in EU4 and the UK

13.8.2

Market Size of Prurigo Nodularis by Therapies in EU4 and the UK

13.9

Japan Market Size

13.9.1

Total Market Size of Prurigo Nodularis in Japan

13.9.2

Market Size of Prurigo Nodularis by Therapies in Japan

14

Unmet Needs

15

SWOT Analysis

16

KOL Views

17

Market Access and Reimbursement

17.1

The United States

17.2

EU4 and the UK

17.3

Japan

17.4

Market Access and Reimbursement of Prurigo Nodularis

18

Bibliography

19

Prurigo Nodularis Market Report Methodology

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