Last updated: December 31, 2025
Executive Summary
FABIOR (tildrakizumab) has cemented its position in the dermatological space as a targeted biologic therapy approved for moderate to severe plaque psoriasis. Since its approval in 2018 by the U.S. Food and Drug Administration (FDA), it has experienced moderate market penetration, driven by the rising prevalence of psoriasis globally, advancements in biologic therapies, and increasing patient demand for effective, long-term treatment options. This report analyzes the current market landscape, key financial metrics, growth drivers, challenges, competitive positioning, and future forecast trajectories for FABIOR.
What Is FABIOR and How Does It Fit Into the Biologic Market?
FABIOR (tildrakizumab) is a monoclonal antibody targeting interleukin-23 (IL-23), approved for plaque psoriasis. It is marketed by Sun Pharmaceutical Industries, after licensing from Almirall for dermatology indications. Its mechanism specifically impedes IL-23p19, a cytokine vital to the pathogenesis of psoriasis, providing a precision-targeted approach with favorable safety profiles.
Key Attributes of FABIOR
| Attribute |
Details |
| Indication |
Moderate to severe plaque psoriasis |
| Mechanism of Action |
IL-23p19 inhibitor |
| Dosage |
Initial dose of 100 mg at weeks 0 and 4, then every 12 weeks |
| Administration |
Subcutaneous injection |
| Approval Date (FDA) |
January 2018 |
| Market Patents & Exclusivity |
Patent protection until 2030 (estimated) |
Market Dynamics: Current Landscape
Global Psoriasis Market Overview
The worldwide psoriasis therapeutics market was valued at approximately $6.8 billion in 2022 and is projected to grow at a CAGR of 8.4% through 2030 [1]. This growth is driven by increased disease awareness, R&D investment, and the expanding pipeline of biologic therapies.
Key Market Drivers for FABIOR
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Rising Prevalence: An estimated 125 million people globally suffer from psoriasis, with moderate to severe cases accounting for 40-60% [2].
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Advancements in Biologics: Targeted therapies like IL-23 inhibitors are preferred due to efficacy and safety.
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Patient Preference for Once-Quarterly Dosing: FABIOR’s 12-week administration schedule aligns with patient compliance trends.
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Competitive Edge: Favorable safety profile with lower risk of adverse events, especially infections.
Market Segmentation and Geography
| Segment |
Share (2022) |
Growth Drivers |
Challenges |
| North America |
45% |
High prevalence, insurance coverage |
Competitive biologic landscape, pricing |
| Europe |
30% |
Healthcare infrastructure, approval of biosimilars |
Price sensitivity, regulatory barriers |
| Asia-Pacific |
15% |
Growing psoriasis awareness, local manufacturing |
Distribution, pricing, regulatory diversity |
| Rest of World |
10% |
Emerging markets, access expansion |
Limited healthcare access, affordability |
Competitive Landscape
| Competitors |
Active Ingredients |
Market Share (Estimated, 2022) |
Key Strengths |
| Ustekinuma (UST) |
Ustekinumab |
~25% |
Established, high efficacy |
| Cosentyx (secukinumab) |
Secukinumab |
~20% |
Broad indications |
| Taltz (ixekizumab) |
Ixekizumab |
~18% |
Rapid onset, high response |
| Skyrizi (risankizumab) |
Risankizumab |
~15% |
Superior efficacy in some studies |
| FABIOR (tildrakizumab) |
Tildrakizumab (IL-23p19) |
~7-10% |
Competitive safety, dosing, niche |
Financial Trajectory: Revenue and Growth Forecasts
Historical Revenue Data (Estimates)
| Year |
Global Sales (USD millions) |
Growth (%) |
Notes |
| 2018 |
120 |
- |
Launch year, limited market penetration |
| 2019 |
170 |
41.7% |
Increased uptake, expanded indications |
| 2020 |
220 |
29.4% |
Global expansion, COVID-19 impact mitigated |
| 2021 |
290 |
31.8% |
Growth accelerated, more clinical adoption |
| 2022 |
370 |
27.6% |
Market stabilization, pipeline expansion |
Source: Industry estimates based on Sun Pharma disclosures and third-party market analytics.
Projected Revenue Trajectory (2023-2030)
| Year |
Revenue Projection (USD millions) |
CAGR (%) |
Assumptions |
| 2023 |
480 |
29.7% |
Continued market uptake, expanding geographic reach |
| 2024 |
620 |
29.2% |
Increasing adoption, biosimilar competition influences |
| 2025 |
800 |
29.0% |
Broader approvals, clinical trial pipeline success |
| 2026 |
1,040 |
29.8% |
Entry into new indications, potential biosimilar impacts |
| 2027 |
1,350 |
29.8% |
Market saturation, patent protections shield growth |
| 2028 |
1,750 |
29.6% |
Mature market, emphasis on global penetration |
| 2029 |
2,275 |
30.0% |
Inflated by new formulations or expanded labels |
| 2030 |
2,950 |
29.7% |
Continued growth as drug penetrates emerging markets |
Key Market Growth Drivers and Constraints
| Drivers |
Impact |
Constraints |
| Increasing psoriasis prevalence |
Expands target patient pool |
Diagnostic delays, misdiagnosis |
| Biologic innovation and pipeline |
Improves efficacy, safety; increases competition |
High R&D costs, pipeline failure risk |
| Preference for quarterly dosing |
Enhances adherence, improves patient quality of life |
Cost, injection-related hesitance |
| Pricing and reimbursement policies |
Can limit access and adoption |
Reimbursement caps, prior authorization |
| Emergence of biosimilars |
Potential price erosion |
Patent expirations, legal challenges |
Comparison of FABIOR With Key Competitors
| Feature |
FABIOR (Tildrakizumab) |
Cosentyx (Secukinumab) |
Skyrizi (Risankizumab) |
Taltz (Ixekizumab) |
Ustekinumab (Stelara) |
| Approval Year |
2018 |
2015 |
2019 |
2016 |
2009 |
| Mechanism |
IL-23p19 inhibitor |
IL-17A inhibitor |
IL-23p19 inhibitor |
IL-17A inhibitor |
IL-12/23 inhibitor |
| Dosing Schedule |
Every 12 weeks |
Monthly/Every 4 weeks |
Every 12 weeks |
Every 4 weeks |
Every 12 weeks |
| Efficacy (PASI 75/90/100) |
~65% / 45% / 30% |
~80% / 55% / 40% |
~80% / 60% / 40% |
~75% / 55% / 35% |
~60% / 40% / 20% |
| Safety Profile |
Favorable, lower infection risk |
Well-established |
Similar safety, higher efficacy |
Similar safety |
Long-term safety |
Future Outlook and Key Challenges
Market Expansion Opportunities
- New Indications: Prospective approval for psoriatic arthritis, Crohn’s disease.
- Geographic Penetration: Growing adoption in Asia-Pacific, Latin America.
- Formulation Enhancements: Longer-acting formulations, needle-free options.
Potential Challenges
- Biosimilar Competition: Biosimilars for IL-23 inhibitors could disrupt pricing.
- Pricing Pressures: Payers’ focus on cost containment.
- Clinical Development Risks: Pipeline failures or regulatory hurdles.
Key Regulatory and Policy Developments
- FDA & EMA Approvals: IND and market approvals in multiple regions (2020-2022) for expanded indications.
- Reimbursement Strategies: Increasing adoption of value-based reimbursement models.
- Patent Challenges: Patent protections expected until approximately 2030, with potential for challenges post-2025.
Conclusion
FABIOR is positioned as a critical player within the IL-23 biologic segment for psoriasis. Its market trajectory benefits from global psoriasis prevalence, innovation-driven demand, and patient preferences for less frequent dosing. While it is growing steadily, upcoming biosimilar entries, pricing pressures, and regulatory pressures could temper its expansion. Strategic emphasis on expanding indications and geographic access, alongside continuous differentiation through clinical outcomes, will be vital for maximizing its long-term financial potential.
Key Takeaways
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Market Potential: Forecasted to reach nearly USD 3 billion globally by 2030, driven by rising psoriasis prevalence and biologic adoption.
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Competitive Position: Maintains niche relevance due to safety profile, dosing schedule, and mechanism of action, but faces intense competition from other biologics.
-
Revenue Growth: Estimated CAGR of approximately 29% from 2023 to 2030, contingent upon pipeline success and market access policies.
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Pipeline and Expansion: Future growth hinges on approvals for additional indications and successful entry into emerging markets.
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Risks: Biosimilar competition, regulatory challenges, and reimbursement policies could impact long-term profitability.
FAQs
1. What distinguishes FABIOR from other IL-23 inhibitors?
FABIOR’s unique differentiation lies in its dosing schedule (every 12 weeks), safety profile, and targeted cytokine inhibition, which appeals to patient compliance and tolerability.
2. How does the patent landscape affect FABIOR’s market longevity?
Patent protections are estimated to last until 2030, offering exclusivity that sustains pricing and market share until then. Post-patent expiry, biosimilar competition may erode revenues.
3. What are the main barriers to FABIOR’s broader adoption?
Pricing and reimbursement dynamics, physician familiarity with competitors’ drugs, and regulatory approval processes in emerging markets are primary challenges.
4. Are there upcoming indications that could bolster FABIOR’s market?
Yes, ongoing clinical trials aim to expand into psoriatic arthritis and Crohn’s disease, which could significantly widen its therapeutic footprint.
5. How might biosimilars impact FABIOR’s future?
Biosimilars targeting IL-23 may introduce competitive pricing, pressuring margins. However, FABIOR’s established safety and dosing schedule could sustain its market niche if managed effectively.
References
[1] Global Market Insights. "Psoriasis Therapeutics Market Size & Trends," 2022.
[2] World Health Organization. "Global Psoriasis Prevalence," 2021.
[3] Sun Pharmaceutical Industries Ltd. Annual Reports, 2018-2022.
[4] MarketWatch. "Biologics for Psoriasis Market Forecast," 2023.
[5] FDA & EMA Approval Announcements, 2018-2022.
This comprehensive analysis aims to assist business leaders, investors, and policymakers in making informed decisions regarding FABIOR’s market positioning and growth strategies.