Healthcare Insights

Liquid Biopsy Market Set to Grow in the Coming Years

The liquid biopsy market size is poised to grow by USD 21.06 billion by 2033 from USD 5.43 billion in 2023, exhibiting a CAGR of 14.52% during the forecast period 2024-2033.

The liquid biopsy market refers to the industry of the medical and diagnostic industry focused on the development, production, and use of liquid biopsy tests. A liquid biopsy is a blood test that looks for malignant tumors by detecting circulating tumor cells (CTC’s) and circulating tumor DNA (ctDNA). These components give proof of a malignant tumor and genetic information about it, helping healthcare practitioners determine the best course of therapy.

Liquid biopsies vary from biopsy in that they look for signs of tumor rather than tumor tissue. A liquid biopsy is advised for individuals with metastatic cancer who are not responding to existing therapy. It can predict prognosis by detecting CTCs linked with certain tumors and determining if the patient is a good candidate for targeted therapy treatments. Research into its advantages is ongoing, and the FDA has authorized various applications for liquid biopsies.

Liquid Biopsy Market Highlights:

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Liquid Biopsy Market Dynamics:

Driver: Wide range of advantages

Liquid biopsy is a less intrusive process than tissue biopsy, providing early diagnosis and risk assessment for metastatic recurrence or progression. It also enables classification and real-time monitoring of medicines, resulting in more effective therapeutic goals.

The liquid biopsy test has an advantage over tissue biopsy since it may be repeated and used as frequently as needed to assess the patient’s development. Additionally, liquid biopsy is typically less expensive to do.

Restraint: Initial histological diagnosis

The downsides of liquid biopsy include the necessity for an initial histological diagnosis, restricted tumor characteristics, and the possibility of false negatives or positives. Assays for ctDNA do not give information on tumor burden, and low variant frequency may result in false negatives or positives.

Assays for ctDNA are more technically sensitive, but their genomic breadth is sometimes restricted, resulting in inconsistencies when done on the same patients. CtDNA tests may reduce inter- and intratumoral heterogeneity, but they may pose difficulties when a patient has several clonal processes. Laboratories must consider test use, hazards, and potential “over interpretation” in clinical settings.

Opportunity: Leveraging imaging and AI along with liquid biopsy for early detection

Cancer is a complicated illness that frequently presents with metastatic disease, resulting in restricted treatment options and a poor prognosis. Early identification is critical to better patients’ outcomes and lower death rates.

Liquid biopsy, a minimally invasive procedure, may identify exosomes, circulating DNA, and proteins, offering a complete picture of tumor state. It can also detect genetic changes and disease-related indicators, allowing for more tailored treatment options. However, imaging and AI technologies can supplement liquid biopsy by providing higher spatial resolutions, improved contrast, and functional evaluations of malignancies. Combining these strategies can considerably enhance cancer diagnosis and care, allowing for early identification, comprehensive disease evaluation, and risk management.

Liquid Biopsy Market Regional Stance 

North America dominated the liquid biopsy market in 2023. The North American market is predicted to expand due to greater knowledge of sophisticated diagnostic technologies and rising healthcare costs. Major market companies are prioritizing service launches and approvals during this critical era. Improved procedures and methods also help to enhance the industry. Manufacturers are introducing new services, and advancements in sophisticated healthcare practices are driving market growth. The market is predicted to expand over the forecast year.

Asia Pacific is observed to grow at the fastest rate during the forecast period. The Asia-Pacific region has a rapidly expanding biotech industry, with numerous companies involved in the research, development, and commercialization of liquid biopsy technologies. The presence of these companies accelerates market growth. The region has a growing aging population, which is more susceptible to cancer. The demand for diagnostic and monitoring tools like liquid biopsies increases as the population ages.

Liquid Biopsy Market Segments Outlook

Technology Outlook

In 2023, the multi-gene-parallel analysis (NGS) segment led the market with a substantial revenue share of 76% and is anticipated to maintain the highest growth rate throughout the forecast period. NGS technology is pivotal for detecting a range of mutations associated with tumor development and for identifying resistance mechanisms from pre-existing clones post-treatment. Advances in NGS have notably decreased sequencing costs while preserving high levels of accuracy.

The Single Gene Analysis (PCR Microarrays) segment is expected to see significant growth during the forecast period, driven by innovations in PCR techniques. The advent of Droplet Digital PCR (ddPCR) represents a major advancement, allowing for highly precise quantification of nucleic acids with improved sensitivity and accuracy. This technology is becoming an essential tool for rapid and accurate detection and monitoring of various cancer types.

Biomarker Outlook

In 2023, the Circulating Nucleic Acids biomarker segment held the largest market share at 36%, primarily due to the widespread use of circulating tumor DNA (ctDNA) in liquid biopsies. Researchers are increasingly utilizing ctDNA from tumors through liquid biopsy techniques, which offers promising prospects for cancer diagnosis. ctDNA is seen as a potential biomarker for molecular profiling of tumor DNA, providing a less invasive alternative to traditional methods.

The Exosomes/Microvesicles segment is projected to experience the fastest compound annual growth rate (CAGR) during the forecast period. Exosomes, found in various body fluids such as plasma, cerebrospinal fluid, and urine, offer significant benefits for liquid biopsy applications. Their stability, due to lipid bilayer encapsulation, and their role in mediating cellular interactions during cancer progression and metastasis make them a crucial focus in cancer research.

Application Outlook

In 2023, the Cancer application segment dominated the market with an impressive revenue share of 87%. This dominance is attributed to the growing adoption of liquid biopsy technologies for cancer detection, spurred by the increasing global prevalence of cancer. Liquid biopsy is emerging as a rapidly evolving diagnostic technology, offering precision oncology benefits, including longitudinal monitoring and less invasive molecular diagnostics for therapeutic applications.

The Reproductive Health segment is expected to achieve the highest CAGR of 12.85% over the forecast period, driven by advancements in liquid biopsy technology for reproductive health management. This growth is supported by ongoing research and strategic partnerships in the industry. For example, in September 2021, Bionano Genomics and NuProbe collaborated to enhance liquid biopsy testing in reproductive health and oncology, aiming to detect genetic variations not identifiable by traditional NGS methods.

End-use Outlook

In 2023, the Hospitals and Laboratories segment was the leading end-use category, accounting for 43% of the market share. Hospitals are preferred for their comprehensive service offerings and their ability to provide timely test results, even in emergency situations. Liquid biopsy technology has transformed cancer diagnosis by delivering highly accurate results quickly, reducing delays in treatment, and enabling routine monitoring of cancer patients.

The Specialty Clinics segment is set to experience the fastest CAGR of 12.25% over the forecast period. This growth is driven by increased awareness of personalized medicine, technological advancements, and a rising demand for cost-effective healthcare services. Government initiatives, such as reimbursement for diagnostic tests, and collaborations between healthcare institutions and laboratories to offer a broad range of clinical tests are expected to further boost the market for specialty clinics.

Liquid Biopsy Market Case Studies

1. Case Study: Early Detection of Non-Small Cell Lung Cancer (NSCLC)

Overview: In a groundbreaking study, researchers used liquid biopsy to detect non-small cell lung cancer (NSCLC) at an early stage. Traditional methods of detection often involve invasive procedures and are typically used at more advanced stages of the disease. Liquid biopsy offers a less invasive alternative that can identify biomarkers in the bloodstream.

Implementation:

Outcomes:

2. Case Study: Monitoring Treatment Response in Colorectal Cancer

Overview: A major clinical trial investigated the use of liquid biopsy to monitor treatment responses in colorectal cancer patients. This study aimed to assess how well liquid biopsy could track changes in ctDNA levels in response to therapy, providing insights into treatment effectiveness and disease progression.

Implementation:

Outcomes:

3. Case Study: Genetic Profiling for Personalized Medicine in Breast Cancer

Overview: A case study focused on using liquid biopsy for genetic profiling in breast cancer patients. The objective was to use liquid biopsy to identify specific genetic mutations and alterations that could inform personalized treatment plans.

Implementation:

Outcomes:

4. Case Study: Liquid Biopsy in Reproductive Health

Overview: This case study explored the application of liquid biopsy in monitoring genetic conditions during pregnancy, focusing on non-invasive prenatal testing (NIPT). Liquid biopsy was used to analyze fetal DNA from maternal blood samples to assess the risk of genetic disorders.

Implementation:

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Liquid Biopsy Market Top Companies

Liquid Biopsy Market Segmentations:

By Sample Type

By Biomarker

By Application

By End-use

By Clinical Application

By Product

By Region

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