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Updated: Jan 10, 2026

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Micro-scale Engineering for Cell Biology
Published on: October 1, 2007
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The next decade in cell and gene therapy
Sharon E Phares1, Colin M Young1, Katie I Phillip1
1Tufts Medical Center, 800 Washington Street, Box 63, Boston, MA 02111, USA.
Drug Discovery Today
|November 20, 2025
Summary
Durable cell and gene therapies (dCGTs) have seen rapid growth since 2014. Projections show continued expansion, with approximately 79 new approvals and $28.8 billion in revenue by 2034.
Area of Science:
- Biotechnology
- Pharmaceuticals
- Healthcare Economics
Background:
- The US Food and Drug Administration (FDA) approved the first durable cell and gene therapy (dCGT) 8 years ago.
- Over 32 dCGT product-indication approvals have occurred since then.
- Numerous dCGTs are currently in development and the pipeline.
Purpose of the Study:
- To forecast the future growth of durable cell and gene therapies.
- To estimate the number of new product-indication approvals by 2034.
- To project the associated patient growth and drug revenues.
Main Methods:
- A novel multi-modal Markov chain Monte Carlo (MCMC)-based model was utilized.
- The model analyzed historical approval data and pipeline information.
- Forecasts were generated for patient numbers and revenue.
Main Results:
- An estimated 79 new product-indication approvals are expected by 2034.
- This represents an average annual growth of 29% in treated patients.
- Projected list price drug revenues are estimated at US$28.8 billion by 2034.
Conclusions:
- The durable cell and gene therapy sector is poised for significant expansion.
- The pipeline suggests substantial increases in patient access and market value.
- These projections do not account for potential healthcare cost offsets or broader societal benefits.
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