Acute Myeloid Leukemia Market Size and Share

Acute Myeloid Leukemia Market Analysis by Mordor Intelligence
The acute myeloid leukemia market is valued at USD 2.88 billion in 2025 and is forecast to reach USD 4.72 billion by 2030, reflecting a brisk 10.42% CAGR. Therapeutic innovation is shifting clinical practice away from broad-spectrum chemotherapy toward drugs that exploit precise molecular weaknesses such as FLT3, IDH1/2, BCL-2, and menin. Regulatory agencies have quickened review timelines, resulting in several first-in-class approvals that immediately translated into commercial uptake. Venture investment and large-cap licensing deals channel fresh capital into discovery programs, while next-generation sequencing (NGS) diagnostics expand the treatable population by identifying actionable mutations. Although chemotherapy still dominates treatment volume, the commercial spotlight now falls on oral targeted combinations that lower hospitalization needs, increase adherence, and improve survival, especially among frail seniors. Supply-chain vulnerabilities and rising genetic-testing costs temper the outlook but do not derail the long-term growth trajectory.
Key Report Takeaways
- By therapy class – Chemotherapy retained 45.22% of the acute myeloid leukemia market share in 2024, whereas immunotherapy is projected to log the fastest 12.56% CAGR through 2030.
- By mechanism / molecular target – FLT3 inhibitors led with 23.54% revenue share in 2024; BCL-2 inhibitors are expected to expand at a 13.88% CAGR, the highest among all molecular targets.
- By patient age group – Adults aged 18-64 years accounted for 51.21% share in 2024, while the ≥65-year cohort is set to grow at a 12.42% CAGR on the back of better-tolerated oral regimens.
- By treatment line – First-line therapies commanded 59.34% share in 2024, yet second-line / relapsed treatments are forecast to rise at a 13.68% CAGR as survival improvements enable multiple lines of care.
- By end user – Hospitals captured 58.67% share in 2024; home and outpatient settings represent the fastest-growing channel at a 14.03% CAGR, supported by reimbursement for at-home infusions.
- By geography – North America led with 43.54% market share in 2024, while Asia-Pacific is expected to advance at a 12.32% CAGR, the steepest regional growth rate through 2030.
Global Acute Myeloid Leukemia Market Trends and Insights
Drivers Impact Analysis
Driver | (~) % Impact on CAGR Forecast | Geographic Relevance | Impact Timeline |
---|---|---|---|
Rising incidence of AML among ageing populations | +1.8% | Global; strongest in North America & Europe | Long term (≥ 4 years) |
Precision-medicine approvals for FLT3/IDH/BCL-2 inhibitors | +2.3% | North America & EU; spreading to APAC | Medium term (2-4 years) |
Escalating global R&D investments & venture financing | +1.2% | US & EU innovation hubs | Medium term (2-4 years) |
Expedited FDA/EMA pathways & orphan-drug incentives | +1.5% | North America & EU | Short term (≤ 2 years) |
Outpatient venetoclax-based regimens expanding treatable pool | +1.9% | Global; high impact in LMICs | Short term (≤ 2 years) |
Wider adoption of NGS companion diagnostics in emerging markets | +1.1% | Core APAC; spill-over to MEA & Latin America | Long term (≥ 4 years) |
Source: Mordor Intelligence
Rising Incidence Of AML Among Ageing Populations
Global life expectancy gains widen the pool of patients over 65 years who are most susceptible to AML. Incidence in this cohort accelerates demand for gentler yet potent regimens, a niche filled by venetoclax-based oral combinations that report 73% overall response in real-world frail cohorts.[1]Priyanka Chauhan, “Venetoclax and hypomethylating agent based outpatient AML induction,” journals.lww.com Outpatient-enabled dosing reduces hospital burden and widens geographic reach, driving a 12.42% CAGR among geriatric patients. National screening policies that encourage baseline bloodwork in seniors further enlarge the diagnosed population.
Precision-Medicine Approvals For FLT3/IDH/BCL-2 Inhibitors
Mutation-specific drugs are rewriting first-line standards. Revumenib became the first menin inhibitor approved for KMT2A-rearranged leukemia, while quizartinib nearly doubled median overall survival in FLT3-ITD-positive disease when paired with backbone chemotherapy. Regulatory confidence in these data spurs companies to broaden label indications and bundle companion diagnostics, resulting in a multiplier effect across therapeutic and testing revenues.
Escalating Global R&D Investments & Venture Financing
Large-cap firms are pouring capital into differentiated modalities. Gilead earmarked USD 1.5 billion for trispecific T-cell engagers, highlighting confidence in next-wave immunotherapies. Grant support such as NIH-backed protein therapeutics extends the innovative runway for smaller biotechs. Deepening pipelines shorten cycle times between discovery and first-in-human studies, sustaining the acute myeloid leukemia market growth engine.
Expedited FDA/EMA Pathways & Orphan-Drug Incentives
Breakthrough, fast-track, and orphan designations truncate review cycles and add exclusivity benefits. Ziftomenib secured breakthrough status for NPM1-mutant AML, granting rolling submissions and frequent FDA guidance. Comparable EMA mechanisms ensure synchronized European launches, reinforcing global revenue prospects.
Restraints Impact Analysis
Restraint | (~) % Impact on CAGR Forecast | Geographic Relevance | Impact Timeline |
---|---|---|---|
Stringent multi-phase clinical-trial attrition | -1.4% | Global; highest where trial infrastructure is weak | Long term (≥ 4 years) |
Severe chemo-toxicity & treatment-related mortality | -1.1% | Global; acute among elderly | Medium term (2-4 years) |
Cold-chain/IP barriers limiting novel-drug access in LMICs | -0.9% | APAC, MEA, Latin America | Long term (≥ 4 years) |
Rising cost burden of genomics-driven care | -1.2% | Varies with reimbursement stringency | Medium term (2-4 years) |
Source: Mordor Intelligence
Stringent Multi-Phase Clinical-Trial Attrition
AML’s biological diversity demands large, stratified trials that encounter enrollment bottlenecks and soaring costs. Moleculin’s MIRACLE study illustrates the challenge of recruiting mutation-matched subjects across multiple continents, a hurdle that prolongs timelines and inflates budgets. Investors price this risk into financing terms, potentially slowing pipeline expansion.
Severe Chemo-Toxicity & Treatment-Related Mortality
Legacy induction regimens still carry high mortality, especially in patients over 70 years, prompting clinicians to favor lower-intensity options or hospice care. Although targeted drugs mitigate toxicity, they often serve as add-ons rather than substitutes, leaving cumulative side-effects unresolved and curbing overall adoption.[2]Hagop M. Kantarjian, “Acute Myeloid Leukemia Management and Research in 2025,” PubMed, pubmed.ncbi.nlm.nih.gov
Segment Analysis
By Therapy Class: Immunotherapy Drives Innovation Wave
Chemotherapy controlled 45.22% of the acute myeloid leukemia market in 2024, yet immunotherapy’s 12.56% CAGR defines the future revenue slope. Early clinical data on CD371-directed CAR-T cells and CD33-GSPT1 antibody-drug conjugates show durable remissions in relapsed populations where cytotoxics fail.[3]Memorial Sloan Kettering Cancer Center, “CD371-Targeted CAR T-Cell Therapy Shows Promise in AML,” mskcc.org Stem-cell transplant conditioning also entered the precision era with FDA approval of treosulfan plus fludarabine, a regimen that produces superior long-term survival compared with older busulfan protocols.[4]Center for Drug Evaluation and Research, “FDA Approves Treosulfan with Fludarabine as a Preparative Regimen,” fda.gov
Investment inflows sustain this momentum. Bristol Myers Squibb aligns its cell-therapy franchise with antibody conjugates to capture multiple immune pathways, and academic consortia explore dual-antigen CAR designs to bypass antigen-loss relapse. Supportive-care innovations now focus on cytokine-release mitigation, broadening eligibility for outpatient administration. The therapy-class mix will therefore shift steadily toward immune-modulating agents that integrate seamlessly with targeted small molecules, expanding the acute myeloid leukemia market.

Note: Segment shares of all individual segments available upon report purchase
By Mechanism/Molecular Target: BCL-2 Inhibitors Lead Growth
FLT3 inhibitors held 23.54% mechanism-level share in 2024, yet the BCL-2 subclass posts the sharpest 13.88% CAGR, propelled by venetoclax’s robust complete-remission depth when combined with hypomethylating agents. Menin inhibition inaugurates a new mechanistic era after revumenib’s approval, broadening therapeutic geometry beyond kinase or epigenetic targets.
Pipeline synergies multiply as developers pair BCL-2 blockade with FLT3 or IDH inhibition to forestall clonal escape. Hedgehog and CD33 pathways retain strategic relevance in combination cocktails aimed at minimal residual disease. Consequently, sponsors with diversified target portfolios rather than single-asset bets are positioned to harvest the acute myeloid leukemia market size gains projected for the period.
By Patient Age Group: Geriatric Segment Transforms Treatment
The ≥65-year cohort drives a 12.42% CAGR even though adults aged 18-64 years still generate the largest revenue slice. Venetoclax-based low-intensity regimens deliver 73% composite remission in octo- and nonagenarians, shifting therapeutic decision-making from palliation to disease eradication in seniors. Reduced transfusion and hospitalization requirements enable decentralized care, improving quality of life.
Pediatric incidence remains low but benefits from dedicated centers employing genomic-guided risk stratification and early transplant referral. Intravenous delivery innovations, including smaller-volume CAR-T products, may eventually bridge the age divide. Overall, a fine-grained, age-aware model replaces the historical one-size-fits-all paradigm, expanding the acute myeloid leukemia market.
By Treatment Line: Second-Line Therapies Gain Momentum
First-line settings capture 59.34% of revenue, but second-line and relapsed therapy areas accelerate at 13.68% CAGR as survival gains allow multiple treatment sequences. Venetoclax plus cytidine analogs dominate salvage regimens, while emergent cell therapies anchor bridge-to-transplant strategies. Maintenance therapy enters commercial focus, utilizing low-dose targeted agents to sustain remission and generate annuity-like revenue streams that lift the acute myeloid leukemia market size.
Sequential therapy design now guides clinical-trial architecture, with sponsors developing drug portfolios explicitly staged for first, second, and maintenance lines to maximize lifetime value per patient. The trend reinforces demand for molecular monitoring tools that detect early relapse, connecting diagnostic and therapeutic revenue.

Note: Segment shares of all individual segments available upon report purchase
By End User: Home Care Revolution Accelerates
Hospitals represented 58.67% of the acute myeloid leukemia market in 2024, yet home/outpatient venues set the fastest 14.03% CAGR through 2030. Medicare’s 2025 reimbursement update authorizes higher payment for home infusions, removing a key financial barrier. Portable infusion pumps and digital adherence tools make daily orals feasible outside inpatient wards, further decentralizing care.
Academic centers remain indispensable for complex cellular therapies, yet they increasingly partner with community clinics for post-infusion follow-up. Ambulatory centers navigate coverage intricacies but benefit from patient preference for shorter stays. Taken together, shifting care delivery patterns expand the acute myeloid leukemia market while easing capacity constraints at tertiary hospitals.
Geography Analysis
North America captured 43.54% of the acute myeloid leukemia market in 2024. The United States drives this dominance through robust private and public reimbursement, widespread mutation testing mandates, and rapid FDA pathways that cut the time from submission to bedside. Academic networks such as the Alliance for Clinical Trials link smaller hospitals into nationwide studies, accelerating trial recruitment and broadening early access. Cellular-therapy centers of excellence anchor a thriving referral ecosystem, ensuring continued uptake of high-value interventions. Canada mirrors practice patterns but faces occasional formulary lags, while Mexico improves access through cross-border clinical-trial participation. Collectively, the region maintains momentum through 2030 as payer policies increasingly endorse precision approaches that demonstrate superior value.
Europe ranks second by revenue, leveraging centralized EMA approvals to harmonize drug availability. Markets such as Germany and the United Kingdom rapidly integrate newly authorized therapies after rigorous health-technology appraisals validate cost-effectiveness. Recent EMA endorsements of Rytelo and the CRISPR-derived Casgevy illustrate a willingness to back transformative modalities. National genomic strategies fund NGS panels, ensuring that mutation-matched therapies reach eligible patients. Southern European countries adopt at a measured pace due to budget constraints yet benefit from EU joint procurement initiatives that negotiate volume-based discounts. Overall, Europe’s evidence-driven environment sustains stable growth and drives clinical-trial diversity essential for mechanistic validation.
Asia-Pacific logs the highest 12.32% CAGR as healthcare infrastructure modernizes and diagnostic capacity expands. Japan’s universal coverage rapidly reimburses approved agents, while local studies adapt global regimens to Asian metabolic profiles. China’s domestic innovators leverage government funding to enter international phase 3 trials, aiming to match or exceed Western benchmarks in survival. India proves the cost-effectiveness of outpatient venetoclax protocols, making precision care viable even in lower-resource settings. Australia and South Korea serve as clinical-trial gateways for multinationals targeting regional approval. The Middle East and Africa remain nascent but show incremental progress through public–private partnerships that build diagnostic labs and negotiate tiered pricing. Together these trends propel the acute myeloid leukemia market into new high-growth territories.

Competitive Landscape
The acute myeloid leukemia market remains moderately fragmented. AbbVie and Genentech’s venetoclax franchise delivers blockbuster revenue on the back of compelling survival benefit and flexible oral dosing. Bristol Myers Squibb expands its hematology footprint through CAR-T platforms and a CD33-GSPT1 conjugate that seeks to outrun antigen escape. Gilead’s USD 1.5 billion collaboration with Merus underlines industry appetite for multispecific T-cell engagers that promise off-the-shelf convenience and deep remissions. Pfizer strengthens position via quizartinib, creating a dual-FLT3 offering alongside gilteritinib, while Astellas co-develops maintenance regimens to extend patient journey and lifetime value.
Emerging players carve niches with differentiated science. Actinium Pharmaceuticals’ Actimab-A couples alpha particle payloads to a CD33 antibody, showing activity across mutational backgrounds and synergy with FLT3 and menin inhibitors. Academic spin-outs pilot protein-degradation technologies aimed at transcription factors historically deemed undruggable. Venture-backed startups exploit epitranscriptomic targets, hoping to leapfrog crowded kinase spaces. Partnership models prevail, pairing biotech creativity with big-pharma capital and commercialization muscle. Competitive intensity will therefore continue to rise, with combination-ready portfolios emerging as the winning formula in the acute myeloid leukemia market.
Acute Myeloid Leukemia Industry Leaders
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Pfizer Inc.
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Novartis AG
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Bristol Myers Squibb
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Astellas Pharma
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AbbVie
- *Disclaimer: Major Players sorted in no particular order

Recent Industry Developments
- March 2025: Actinium Pharmaceuticals and Memorial Sloan Kettering Cancer Center expanded a collaboration on Actimab-A combinations with FLT3 and menin inhibitors to address a multi-billion-dollar opportunity.
- March 2025: Johnson & Johnson launched the Camelot-2 phase 3 trial of bleximenib plus venetoclax and azacitidine in frontline AML patients ineligible for intensive chemotherapy, positioning against Syndax’s revumenib program.
- January 2025: FDA approved treosulfan with fludarabine as a preparative regimen for allogeneic stem-cell transplant in AML or MDS, reporting superior overall survival versus busulfan-based conditioning.
Global Acute Myeloid Leukemia Market Report Scope
As per the scope of this report, acute myeloid leukemia is also known as acute myelogenous leukemia, acute myeloblastic leukemia, acute granulocytic leukemia, or acute non-lymphocytic leukemia. In acute myeloid leukemia, abnormal white blood cells are rapidly collected in the bone marrow and disturb the production of normal blood cells.
The Acute Myeloid Leukemia Market is segmented by chemotherapy (Cytarabine, Anthracycline Drugs, Alkylating Agents, Anti-metabolites, Tyrosine Kinase Inhibitors, hormonal therapy, and other chemotherapies) and geography (North America, Europe, Asia-Pacific, Middle East & Africa, and South America). The report also covers the estimated market sizes and trends for 17 countries across major global regions. The report offers the value in (USD million) for the above segments.
By Therapy Class | Chemotherapy | ||
Targeted Therapy | |||
Immunotherapy (incl. CAR-T, bispecifics) | |||
Stem-cell Transplant | |||
Supportive / Others | |||
By Mechanism / Molecular Target | FLT3 Inhibitors | ||
IDH1/2 Inhibitors | |||
BCL-2 Inhibitors | |||
Hedgehog Pathway Inhibitors | |||
CD33-Directed Antibody–Drug Conjugates | |||
By Patient Age Group | Paediatric (<18 yrs) | ||
Adults (18-64 yrs) | |||
Geriatric (≥65 yrs) | |||
By Treatment Line | First-line | ||
Second-line/Relapsed | |||
Maintenance | |||
By End User | Hospitals | ||
Specialty Oncology Centres | |||
Academic & Research Institutes | |||
Home/Out-patient Settings | |||
By Geography | North America | United States | |
Canada | |||
Mexico | |||
Europe | Germany | ||
United Kingdom | |||
France | |||
Italy | |||
Spain | |||
Rest of Europe | |||
Asia-Pacific | China | ||
Japan | |||
India | |||
Australia | |||
South Korea | |||
Rest of Asia-Pacific | |||
Middle East and Africa | GCC | ||
South Africa | |||
Rest of Middle East and Africa | |||
South America | Brazil | ||
Argentina | |||
Rest of South America |
Chemotherapy |
Targeted Therapy |
Immunotherapy (incl. CAR-T, bispecifics) |
Stem-cell Transplant |
Supportive / Others |
FLT3 Inhibitors |
IDH1/2 Inhibitors |
BCL-2 Inhibitors |
Hedgehog Pathway Inhibitors |
CD33-Directed Antibody–Drug Conjugates |
Paediatric (<18 yrs) |
Adults (18-64 yrs) |
Geriatric (≥65 yrs) |
First-line |
Second-line/Relapsed |
Maintenance |
Hospitals |
Specialty Oncology Centres |
Academic & Research Institutes |
Home/Out-patient Settings |
North America | United States |
Canada | |
Mexico | |
Europe | Germany |
United Kingdom | |
France | |
Italy | |
Spain | |
Rest of Europe | |
Asia-Pacific | China |
Japan | |
India | |
Australia | |
South Korea | |
Rest of Asia-Pacific | |
Middle East and Africa | GCC |
South Africa | |
Rest of Middle East and Africa | |
South America | Brazil |
Argentina | |
Rest of South America |
Key Questions Answered in the Report
1. What is the current size of the acute myeloid leukemia market?
The acute myeloid leukemia market stands at USD 2.88 billion in 2025 and is projected to reach USD 4.72 billion by 2030 at a 10.42% CAGR.
2. Which therapy class is growing fastest in acute myeloid leukemia treatment?
Immunotherapy, including CAR-T cells and antibody-drug conjugates, is expanding at a 12.56% CAGR, outpacing other classes.
3. Why is Asia-Pacific considered the high-growth region for AML drugs?
Improved healthcare infrastructure, broader NGS access, and rising investment propel a 12.32% CAGR in Asia-Pacific.
4. How are outpatient regimens shaping AML care?
Oral venetoclax-based combinations enable home administration, cut hospital costs, and expand the treatable patient pool, especially among seniors.
5. What recent FDA approval significantly impacts transplant conditioning?
In January 2025, the FDA cleared treosulfan with fludarabine, offering better survival than busulfan-based regimens for allogeneic transplant candidates.
6. How concentrated is the AML treatment market?
A market concentration score of 5 signals moderate competition, with the top five firms controlling about half of total revenue.