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Report Description

Report Description

Forecast Period

2026-2030

Market Size (2024)

USD 44.64 Million

Market Size (2030)

USD 97.91 Million

CAGR (2025-2030)

13.96%

Fastest Growing Segment

Clinical Scale Operations

Largest Market

Mid-West

Market Overview

United States Live Biotherapeutics Market was valued at USD 44.64 Million in 2024 and is expected to reach USD 97.91 Million by 2030 with a CAGR of 13.96%. The United States live biotherapeutics market is experiencing significant growth, driven by advancements in microbiome research and increasing prevalence of chronic diseases. Innovations in microbiome-based therapies are expanding treatment options for conditions such as inflammatory bowel disease, C. difficile infections, and metabolic disorders. The U.S. leads in this sector, with a substantial number of clinical-stage microbiome companies and a supportive regulatory environment. The FDA has established frameworks that facilitate the development and approval of live biotherapeutic products (LBPs), providing clarity for developers and accelerating clinical development pathways.

Key trends shaping the market include the integration of artificial intelligence in biotechnology, which enhances the development of microbiome-based therapeutics. Contract Development and Manufacturing Organizations (CDMOs) are playing a crucial role in scaling these therapies, from strain development to commercial manufacturing. This growth is supported by rising chronic disease prevalence, advancements in microbiome research, increasing demand for personalized medicine, and growing investments in R&D.

Despite the promising outlook, the market faces challenges such as prolonged regulatory approval processes and complex legal frameworks. The lack of standardized guidelines for production, quality control, and safety assessment complicates the assurance of product consistency and reliability. These challenges hinder the progress of live biotherapeutic products, necessitating ongoing innovation and technological advancements to overcome these barriers.

Key Market Drivers

Increasing Prevalence of Chronic Diseases

The increasing prevalence of chronic diseases is a primary market driver for the United States Live Biotherapeutics market. Conditions such as inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), diabetes, obesity, and certain autoimmune and metabolic disorders are reaching epidemic proportions, creating a substantial and expanding patient population. This growth is quantifiable; data from the Centers for Disease Control and Prevention (CDC) indicates that as of 2023, six in ten adults in the U.S. live with a chronic disease, and four in ten have two or more. The National Health Interview Survey (NHIS) data reveals that in 2022, 11.3% of U.S. adults had been diagnosed with IBD, representing millions of potential patients. This surge creates a population actively seeking effective, long-term management solutions beyond conventional pharmaceuticals, which often provide symptomatic relief with significant side effects or diminishing efficacy.

The limitations of traditional therapies, including antibiotics and immunosuppressants, have exposed a critical unmet medical need for novel treatment modalities that address the underlying pathophysiology of these complex conditions. Scientific research has fundamentally established a strong link between gut microbiome dysbiosis and the pathogenesis of numerous chronic illnesses. This understanding positions Live Biotherapeutics, defined biological products containing live organisms, as a targeted therapeutic strategy. For a patient population weary of treatments that merely manage symptoms, the potential of these products to restore natural gut function and modify the disease course offers a compelling value proposition. This driver is amplified by a growing body of clinical evidence demonstrating the efficacy of these microbial interventions, encouraging greater investment from pharmaceutical companies and fostering acceptance within the medical community. The escalating healthcare burden, underscored by CDC reports that chronic diseases are the leading cause of death and disability and account for the majority of the nation's USD 4.5 trillion in annual health care costs, further incentivizes the development of these innovative, potentially curative therapies.

Rising Clinical Focus on the Human Microbiome

​The growing clinical focus on the human microbiome is a key driver for the United States Live Biotherapeutics Market. As research into the microbiome advances, its role in maintaining health and influencing disease outcomes becomes increasingly evident. The microbiome, consisting of trillions of microorganisms living in and on the human body, is now recognized for its significant impact on a wide range of health conditions, including autoimmune diseases, gastrointestinal disorders, metabolic disorders, and even neurological conditions. This growing understanding has accelerated the demand for live biotherapeutic products that leverage the microbiome to restore balance and promote health.​

Pharmaceutical companies and biotechnological firms are heavily investing in microbiome-based therapeutics, focusing on the development of live biotherapeutic products (LBPs) that utilize live bacteria to treat or prevent diseases. The clinical focus on microbiome therapy has led to an increase in the number of clinical trials aimed at demonstrating the efficacy of these treatments. As a result, there is an increased need for contract development and manufacturing organizations (CDMOs) to support the production and scale-up of microbiome-based products. The demand for specialized manufacturing expertise, including fermentation, purification, and formulation of live organisms, is growing, driving the need for CDMOs capable of supporting these complex processes.​

As the human microbiome market expands, the clinical focus on these therapies is expected to continue to intensify, creating significant opportunities for CDMOs with expertise in live biotherapeutics. This focus on clinical applications of microbiome therapies is expected to significantly contribute to the growth of the United States Live Biotherapeutics Market in the coming years.

Advances in Synthetic Biology and Strain Engineering

Advances in synthetic biology and strain engineering are significantly driving the growth of the United States Live Biotherapeutics Market. These innovations enable the precise design and optimization of microbial strains to enhance their therapeutic efficacy and safety profiles. The ability to engineer microorganisms at the genetic and molecular level has revolutionized the development of live biotherapeutics, allowing for the creation of more potent, stable, and targeted therapies. This has opened new avenues for the treatment of a range of diseases, particularly those related to the microbiome, such as gastrointestinal disorders, autoimmune diseases, and metabolic conditions.

Synthetic biology tools, such as CRISPR and gene editing technologies, empower scientists to modify microbial genomes more efficiently and with greater precision. Strain engineering enhances the production capabilities of microbes, enabling higher yields of therapeutic compounds with reduced costs. These technological advancements allow for a faster and more cost-effective development process, which is crucial for the commercial success of live biotherapeutic products. The ability to manipulate microbial strains also accelerates the transition from research to clinical application, facilitating the rapid testing and optimization of new therapies. As a result, synthetic biology and strain engineering are pivotal in expanding the scope and potential of live biotherapeutics, thereby driving market growth in the coming years.

Recent data underscores the growing significance of synthetic biology in the biomanufacturing sector. In 2023, combined private and public investment in synthetic biology totaled approximately USD 16.35 billion, with projections indicating the market could reach USD 148 billion by 2033. This surge in investment reflects the increasing confidence in synthetic biology's potential to revolutionize therapeutic development and manufacturing processes. Additionally, the U.S. bioeconomy, encompassing synthetic biology applications, is estimated to be worth nearly USD 1 trillion, highlighting the substantial economic impact of these advancements. These figures demonstrate the critical role of synthetic biology in shaping the future of live biotherapeutics and underscore the importance of continued investment and innovation in this field.


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Key Market Challenges

Regulatory Uncertainty and Evolving Guidelines

Regulatory uncertainty remains one of the major challenges for the United States Live Biotherapeutics Market. As live biotherapeutic products (LBPs) involve novel and diverse microbial strains, regulators are faced with challenges in establishing clear guidelines. The evolving nature of these regulations can create significant obstacles for manufacturers, as compliance requirements may change or remain unclear, leading to delays in product approvals. Regulatory bodies such as the FDA, EMA, and other global authorities are still developing frameworks to address the unique characteristics of live biotherapeutics, which often do not fit within traditional pharmaceutical regulations. These evolving guidelines can result in extended approval timelines and increased costs for companies attempting to bring innovative therapies to market. Additionally, the global nature of the market requires adherence to multiple regulatory standards, complicating the approval process for manufacturers who wish to introduce their products in various regions. The lack of harmonization between different regulatory bodies adds a layer of complexity for businesses, leading to higher operational costs and uncertain market entry strategies. Companies must continually monitor regulatory changes and adapt their strategies accordingly, which can be resource-intensive and slow down market growth.

High Complexity in Strain Cultivation and Manufacturing

The complexity of strain cultivation and manufacturing presents another significant challenge for the United States Live Biotherapeutics Market. Manufacturing live biotherapeutic products involves growing a wide variety of microbial strains, each with its own unique cultivation requirements. These strains often require highly controlled environments to maintain their stability and viability, which necessitates specialized facilities and expertise. The complexity of optimizing growth conditions for different strains can lead to higher costs and inefficiencies in production. Scaling up the production process to meet commercial demand while maintaining the quality and consistency of live biotherapeutic products is particularly challenging. These products must be manufactured under stringent Good Manufacturing Practices (GMP) standards, which are difficult to achieve due to the need for precise environmental control and the complexity of microbial strain handling. Inconsistent strain performance, potential contamination issues, and difficulties in preserving the integrity of live microbes throughout the production process all pose risks to the success of the product. These challenges create barriers for smaller companies without the resources or infrastructure to handle large-scale, complex production processes, limiting the potential for innovation and growth in the sector.

Key Market Trends

Rising Interest in Microbiome-Based Therapeutics

The growing interest in microbiome-based therapeutics is significantly impacting the United States Live Biotherapeutics Market. Researchers and pharmaceutical companies have increasingly turned their attention to the human microbiome for its therapeutic potential, recognizing its role in numerous physiological processes, including immune response, metabolism, and disease prevention. As the understanding of the microbiome’s influence on health deepens, it is becoming a focal point for the development of innovative treatments for a wide range of diseases, including autoimmune disorders, gastrointestinal diseases, and even cancer. This shift in focus is driving the demand for live biotherapeutic products that are designed to modulate or restore the balance of microbiota.

The increasing number of microbiome-related clinical trials further highlights this trend. Regulatory bodies, such as the FDA and EMA, are establishing frameworks for approving microbiome-based therapies, making it more feasible for companies to bring their microbiome-related products to market. As the field continues to evolve, there is growing interest in the development of personalized microbiome therapies, tailored to individuals’ unique microbiota profiles. This level of personalization is enhancing the market’s potential by opening avenues for more effective treatments. The rising interest in microbiome-based therapeutics is also being bolstered by advancements in sequencing technology, which allows for more precise identification of beneficial microorganisms that can be used for therapeutic purposes. This trend is expected to continue expanding the market for live biotherapeutics and microbial contract development and manufacturing organizations (CDMOs).

Shift Toward Next-Generation Engineered Microbes

Next-generation engineered microbes are becoming a key trend in the United States Live Biotherapeutics Market, as advancements in synthetic biology and genetic engineering have opened new possibilities in therapeutic applications. Traditional approaches to microbial therapy often focused on using naturally occurring microbes, but now, companies are moving toward the engineering of microorganisms to improve their functionality, targeting precision, and overall therapeutic potential. By modifying the genetic structure of these microbes, researchers can enhance their ability to produce therapeutic molecules or deliver specific treatments, significantly increasing their effectiveness and safety.

These engineered microbes are being developed for a variety of applications, including targeted drug delivery, treatment of chronic diseases, and even as tools for cancer immunotherapy. The shift to next-generation microbes also aligns with the increasing interest in precision medicine, where therapies are tailored to the individual’s specific genetic makeup and disease characteristics. This trend is leading to the creation of highly specialized microbial products, optimized to address specific health conditions. As the demand for more precise and efficient treatments rises, engineered microbes will play a pivotal role in advancing the development of live biotherapeutic products.

The growing capability to design and manipulate microbial genomes using CRISPR and other gene-editing technologies has enabled the creation of novel strains with improved capabilities. These innovations are driving the demand for CDMOs with the expertise to handle the complex processes involved in producing such advanced therapies. As the biotechnology industry continues to advance, the shift towards engineered microbes will likely expand the market, offering new opportunities for companies specializing in the development and manufacturing of microbial-based therapies.

Segmental Insights

Application Insights

Based on the Application, C.difficle emerged as the dominant segment in the United States Live Biotherapeutics Market in 2024. Clostridium difficile (C. difficile) infection has become a major focus in the United States Live Biotherapeutics Market, emerging as the dominant application in 2024. C. difficile infections, which cause severe gastrointestinal symptoms, are often linked to antibiotic overuse and can lead to life-threatening complications. The rising prevalence of C. difficile infections, particularly in healthcare settings, has driven the demand for therapeutic solutions, especially those leveraging live biotherapeutics. These therapies aim to restore the balance of the gut microbiome and provide an alternative to traditional antibiotic treatments. Live biotherapeutics, particularly fecal microbiota transplants (FMT) and engineered probiotics, have shown promising results in treating recurrent C. difficile infections, providing a significant improvement over conventional method. As a result, pharmaceutical companies and CDMOs are increasingly focusing on developing and manufacturing live biotherapeutics specifically targeted at C. difficile infections. The potential to address unmet medical needs and reduce the frequency of recurrence has made this application a priority in the market. This trend is expected to drive continued growth in the C. difficile segment, as the therapeutic options expand, with more personalized and effective treatments on the horizon.

Product Insights

Based on the Product, APIs emerged as the dominant segment in the United States Live Biotherapeutics Market in 2024. Active Pharmaceutical Ingredients (APIs) emerged as the dominant product segment in the United States Live Biotherapeutics Market in 2024. APIs, being the core substance in any pharmaceutical formulation, play a vital role in the production of live biotherapeutics. In the context of live biotherapeutics, APIs are essential for ensuring the correct functioning of microorganisms engineered for therapeutic purposes. These biotherapeutic APIs, derived from live microbes, help in modulating the microbiome and delivering therapeutic effects for various conditions, such as gastrointestinal disorders, metabolic diseases, and immune system regulation. As the biotherapeutic landscape continues to expand, particularly in areas like microbiome-based therapies and engineered probiotics, the demand for APIs is growing rapidly. These APIs enable more precise targeting of specific health conditions and allow for the development of personalized treatments, improving both efficacy and safety.


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Regional Insights

The Mid-West region emerged as the dominant region in the United States Live Biotherapeutics Market in 2024. This is due to a combination of strategic infrastructure, strong research capabilities, and active industry participation. The region hosts a concentration of leading biotechnology and pharmaceutical companies specializing in microbiome research and live biotherapeutic products. This cluster effect has created an ecosystem conducive to innovation, enabling companies to collaborate with academic institutions and clinical research organizations to accelerate product development. Investment in state-of-the-art manufacturing facilities and advanced laboratory infrastructure in the Mid-West has enhanced the production and quality control of live biotherapeutic products. The region’s favorable regulatory environment and support from local authorities facilitate clinical trials and streamline approval processes, attracting startups and established firms alike. Additionally, the presence of skilled professionals, including microbiologists, biotechnologists, and bioengineers, ensures a steady talent pool to support R&D and commercialization activities.

Recent Developments

  • In September 2024, Vironexis Biotherapeutics received FDA clearance for its investigational new drug (IND) application for VNX-101, an AAV vector-based gene therapy. This approval paves the way for a Phase 1/2 clinical trial targeting CD19+ acute lymphoblastic leukemia. VNX-101 is designed to transduce liver cells to express a bispecific T-cell engager that targets CD19 on tumor cells and CD3 on T-cells, enabling targeted cancer cell destruction by the body's immune system. The therapy is based on the company’s TransJoin platform, which is also being explored for other cancers through additional investigational candidates in preclinical stages. This announcement follows a USD 26 million seed financing round and marks the company's exit from stealth mode.
  • In August 2024, Fujifilm Diosynth Biotechnologies, a leading contract development and manufacturing organization (CDMO), launched a new microbial fermentation facility in Billingham. The facility enhances microbial production capacity, tripling existing throughput with the addition of a new production line featuring two 4,000 L fermenters, a primary separations suite, and a modular purification suite. Designed with flexibility in mind, the expansion accommodates future projects and strengthens supply chain resilience. This facility will also support a major pharmaceutical partner focused on developing a specialized ophthalmic therapeutic for wet age-related macular degeneration (AMD).
  • In March 2024, Siolta Therapeutics, a clinical-stage biotech company, completed a USD 12 million Series C financing round. The round was co-led by SymBiosis and Khosla Ventures, with participation from existing investors such as TIME Ventures, Seventure, and Global Brain. The funds will support the clinical development of Siolta's lead product, STMC-103H, a Live Biotherapeutic Product (LBP) aimed at preventing atopic diseases in newborns. This financing is crucial as Siolta explores the potential of microbiome-based treatments for maternal and infant health.

Key Market Players

  • Arrant Bio
  • 4D Pharma
  • Cerbios
  • Biose Industrie
  • Assembly Biosciences, Inc.
  • Wacker Chemie AG
  • Quay Pharmaceuticals
  • NIZO
  • Lonza
  • Inpac Probiotics

By Application

By Product

By Type of Formulation

By Scale of Operation

By Region

  • C.difficle
  • Crohns Disease
  • IBS
  • Diabetes
  • Others
  • APIs
  • FDFs
  • Solid Formulations
  • Oral Liquids
  • Injectables
  • Others
  • Preclinical Scale Operations
  • Clinical Scale Operations
  • Commercial Scale Operations
  • North-East
  • Mid-West
  • West
  • South

 

Report Scope:

In this report, the United States Live Biotherapeutics Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:

  • United States Live Biotherapeutics Market, By Application:

o   C.difficle

o   Crohns Disease

o   IBS

o   Diabetes

o   Others

  • United States Live Biotherapeutics Market, By Product:

o   APIs

o   FDFs

  • United States Live Biotherapeutics Market, By Type of Formulation:

o   Solid Formulations

o   Oral Liquids

o   Injectables

o   Others

  • United States Live Biotherapeutics Market, By Scale of Operation:

o   Preclinical Scale Operations

o   Clinical Scale Operations

o   Commercial Scale Operations

  • United States Live Biotherapeutics Market, By Region:

o   North-East

o   Mid-West

o   West

o   South

Competitive Landscape

Company Profiles: Detailed analysis of the major companies present in the United States Live Biotherapeutics Market.

Available Customizations:

United States Live Biotherapeutics Market report with the given market data, TechSci Research offers customizations according to a company's specific needs. The following customization options are available for the report:

Company Information

  • Detailed analysis and profiling of additional market players (up to five).

United States Live Biotherapeutics Market is an upcoming report to be released soon. If you wish an early delivery of this report or want to confirm the date of release, please contact us at [email protected]

Table of content

Table of content

1.    Product Overview

1.1.  Market Definition

1.2.  Scope of the Market

1.2.1.           Markets Covered

1.2.2.           Years Considered for Study

1.2.3.           Key Market Segmentations

2.    Research Methodology

2.1.  Objective of the Study

2.2.  Baseline Methodology

2.3.  Key Industry Partners

2.4.  Major Association and Secondary Sources

2.5.  Forecasting Methodology

2.6.  Data Triangulation & Validation

2.7.  Assumptions and Limitations

3.    Executive Summary

3.1.  Overview of the Market

3.2.  Overview of Key Market Segmentations

3.3.  Overview of Key Market Players

3.4.  Overview of Key Regions/Countries

3.5.  Overview of Market Drivers, Challenges, Trends

4.    Voice of Customer

5.    United States Live Biotherapeutics Market Outlook

5.1.  Market Size & Forecast

5.1.1.           By Value

5.2.  Market Share & Forecast

5.2.1.           By Application (C.difficle, Crohns disease, IBS, Diabetes, Others)

5.2.2.           By Product (APIs, FDFs)

5.2.3.           By Type of Formulation (Solid Formulations, Oral Liquids, Injectables, Others)

5.2.4.           By Scale of Operation (Preclinical Scale Operations, Clinical Scale Operations, Commercial Scale Operations)

5.2.5.           By Region

5.2.6.           By Company (2024)

5.3.  Market Map

6.    North-East Live Biotherapeutics Market Outlook

6.1.  Market Size & Forecast

6.1.1.           By Value

6.2.  Market Share & Forecast

6.2.1.           By Application

6.2.2.           By Product

6.2.3.           By Type of Formulation

6.2.4.           By Scale of Operation

7.    Mid-West Live Biotherapeutics Market Outlook

7.1.  Market Size & Forecast

7.1.1.           By Value

7.2.  Market Share & Forecast

7.2.1.           By Application

7.2.2.           By Product

7.2.3.           By Type of Formulation

7.2.4.           By Scale of Operation

8.    West Live Biotherapeutics Market Outlook

8.1.  Market Size & Forecast

8.1.1.           By Value

8.2.  Market Share & Forecast

8.2.1.           By Application

8.2.2.           By Product

8.2.3.           By Type of Formulation

8.2.4.           By Scale of Operation

9.    South Live Biotherapeutics Market Outlook

9.1.  Market Size & Forecast

9.1.1.           By Value

9.2.  Market Share & Forecast

9.2.1.           By Application

9.2.2.           By Product

9.2.3.           By Type of Formulation

9.2.4.           By Scale of Operation

10.  Market Dynamics

10.1.   Drivers

10.2.   Challenges

11.  Market Trends & Developments

11.1.   Merger & Acquisition (If Any)

11.2.   Product Launches (If Any)

11.3.   Recent Developments

12.  Disruptions: Conflicts, Pandemics and Trade Barriers

13.  Policy & Regulatory Landscape

14.  United States Economic Profile

15.  United States Live Biotherapeutics Market: SWOT Analysis

16.  Porter’s Five Forces Analysis

16.1.   Competition in the Industry

16.2.   Potential of New Entrants

16.3.   Power of Suppliers

16.4.   Power of Customers

16.5.   Threat of Substitute Products

17.  Competitive Landscape

17.1.   Arrant Bio

17.1.1.        Business Overview

17.1.2.        Company Snapshot

17.1.3.        Products & Services

17.1.4.        Financials (As Reported)

17.1.5.        Recent Developments

17.1.6.        Key Personnel Details

17.1.7.        SWOT Analysis

17.2.   4D Pharma

17.3.   Cerbios

17.4.   Biose Industrie

17.5.   Assembly Biosciences, Inc.

17.6.   Wacker Chemie AG

17.7.   Quay Pharmaceuticals

17.8.   NIZO

17.9.   Lonza

17.10. Inpac Probiotics

18.  Strategic Recommendations

19.  About Us & Disclaimer

Figures and Tables

Frequently asked questions

Frequently asked questions

The market size of the United States Live Biotherapeutics Market was estimated to be USD 44.64 Million in 2024.

Arrant Bio, 4D Pharma, Cerbios, Biose Industrie, Assembly Biosciences, Inc., Wacker Chemie AG, Quay Pharmaceuticals, NIZO, Lonza, Inpac Probiotics were the top players operating in the United States Live Biotherapeutics Market in 2024.

Limited standardization in manufacturing processes, complex regulatory frameworks across different regions, difficulties in large-scale cultivation of live microorganisms, limited clinical data supporting therapeutic efficacy, and high operational costs involved in maintaining GMP compliance are the major challenges faced by the United States Live Biotherapeutics Market in the upcoming years.

Rising demand for personalized medicine, increasing investment in microbiome-based therapies, advancements in microbial biotechnology, growing prevalence of chronic diseases and immune-related disorders, and enhanced focus on the development of novel microbial therapeutics are the major drivers for the United States Live Biotherapeutics Market.

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