India Anti-VEGF Market Size, Share, Trends and Forecasts 2031

Key Findings

• The India Anti-VEGF Market is expanding steadily due to the growing prevalence of retinal disorders, cancers, and vascular complications.

• Increasing adoption of intravitreal anti-VEGF therapies such as ranibizumab, aflibercept, and bevacizumab is driving treatment demand in India.

• Rising geriatric population and higher incidence of age-related macular degeneration (AMD) are strengthening market growth.

• Advances in drug delivery technologies, including sustained-release implants and biosimilars, are transforming the treatment landscape.

• Expanding oncology applications for anti-VEGF agents in colorectal, lung, and renal cancers are broadening therapeutic reach.

• Favorable reimbursement frameworks and government support for ophthalmologic care are improving patient access to anti-VEGF therapy in India.

• Increasing clinical research in combination therapy and next-generation antibody fragments is enhancing treatment efficacy and durability.

• Growing collaborations between biotechnology firms and academic institutions are accelerating drug development and innovation in India.

India Anti-VEGF Market Size and Forecast

The India Anti-VEGF Market is projected to grow from USD 7.8 billion in 2025 to USD 13.9 billion by 2031, at a CAGR of 9.8%. The market’s expansion is primarily driven by the rising prevalence of neovascular eye diseases, including diabetic macular edema (DME) and retinal vein occlusion (RVO), alongside cancer indications such as colorectal and non-small cell lung cancer. Improved diagnostic accessibility and growing awareness of retinal health are further promoting early intervention. The entry of biosimilars and long-acting formulations is expanding affordability and compliance. In India, increasing investments in ophthalmic infrastructure, supportive reimbursement programs, and R&D collaborations are reinforcing the therapeutic adoption of anti-VEGF agents across clinical specialties.

Introduction

Anti-VEGF (vascular endothelial growth factor) therapies inhibit angiogenesis by blocking VEGF-mediated signaling pathways responsible for abnormal blood vessel growth and permeability. These drugs are widely used in ophthalmology to manage diseases like wet AMD, DME, and RVO, and in oncology to suppress tumor vascularization. In India, the market for anti-VEGF treatments is growing rapidly as both ophthalmologists and oncologists integrate these agents into standard care regimens. With the rise in chronic lifestyle diseases such as diabetes and hypertension, retinal vascular disorders are becoming more prevalent. Simultaneously, the expansion of oncology clinical trials involving VEGF inhibitors is diversifying the therapeutic applications of these biologics.

Future Outlook

By 2031, the India Anti-VEGF Market will shift toward longer-acting formulations, sustained-release delivery systems, and personalized treatment protocols. Gene therapy and nanoparticle-based VEGF inhibition will emerge as promising alternatives, reducing injection frequency and improving compliance. AI-assisted retinal diagnostics and digital imaging will enhance patient monitoring and treatment optimization. Biosimilars will gain substantial market share as patents for major biologics expire, driving competitive pricing and broader access. Furthermore, advances in combination therapy with corticosteroids, anti-inflammatory agents, and tyrosine kinase inhibitors will enhance therapeutic efficacy. India is expected to become a key regional hub for ophthalmic biologics manufacturing and clinical research innovation by the end of the forecast period.

India Anti-VEGF Market Trends

• Rising Prevalence of Retinal Disorders and Diabetic Complications
  In India, the increasing incidence of diabetes, hypertension, and aging-related ocular degeneration is leading to a surge in retinal disorders. Diseases such as DME, AMD, and RVO are now among the leading causes of vision loss. Anti-VEGF injections have become the gold standard for managing these conditions by preventing abnormal vessel growth. Public health initiatives focusing on early diagnosis and diabetic eye screening are further improving treatment uptake. As awareness of ocular health grows, demand for anti-VEGF therapy is expected to accelerate across both public and private healthcare sectors.

• Emergence of Long-Acting and Sustained-Release Formulations
  Frequent dosing and invasive administration have historically limited patient adherence to anti-VEGF therapy. To overcome this, pharmaceutical companies in India are developing long-acting delivery systems such as refillable implants, biodegradable depots, and nanoparticles. These innovations enable extended drug release over months, reducing injection frequency. Notable advancements include port delivery systems and microparticle-based formulations. The trend toward durable therapeutics will redefine patient experience and optimize healthcare resource utilization.

• Expansion of Biosimilars and Cost-Effective Alternatives
  Patent expirations of blockbuster anti-VEGF drugs are paving the way for biosimilar competition in India. Biosimilars offer comparable efficacy at significantly reduced costs, increasing affordability and access for patients. Healthcare providers are increasingly adopting these options in both ophthalmology and oncology. Governments and insurers are promoting biosimilar utilization to reduce public health expenditure. As regulatory agencies streamline biosimilar approvals, market penetration is expected to expand rapidly across hospitals and specialty clinics.

• Integration of Artificial Intelligence in Ophthalmic Diagnostics
  AI-driven diagnostic platforms and retinal imaging systems are revolutionizing anti-VEGF treatment workflows in India. Automated image analysis enables early detection of macular edema, neovascularization, and treatment response tracking. AI tools assist clinicians in determining optimal dosing schedules and predicting recurrence. The integration of AI into clinical decision-making enhances precision and treatment personalization. This digital transformation aligns with the global movement toward data-driven ophthalmology.

• Clinical Expansion into Oncology and Systemic Applications
  Beyond ophthalmology, anti-VEGF agents are increasingly utilized in oncology to inhibit tumor angiogenesis in colorectal, lung, renal, and glioblastoma cancers. In India, combination regimens involving bevacizumab with chemotherapy or immunotherapy are gaining traction. Ongoing research into multi-targeted VEGF pathway inhibitors is expanding the therapeutic landscape. This cross-specialty application demonstrates the versatility and long-term potential of VEGF inhibition across disease areas.

Market Growth Drivers

• Rising Incidence of Age-Related Macular Degeneration (AMD)
  The aging population in India is leading to higher AMD prevalence, particularly neovascular or “wet” AMD, which accounts for the majority of vision loss cases in the elderly. Anti-VEGF therapy remains the most effective treatment, significantly improving patient outcomes. The rising life expectancy and healthcare awareness in India are increasing the demand for consistent retinal therapy.

• Expanding Oncology Applications of VEGF Inhibitors
  Anti-VEGF agents such as bevacizumab and aflibercept are now standard in oncology for inhibiting tumor vascularization. In India, cancer centers are increasingly integrating VEGF blockade in treatment regimens for colorectal and lung cancers. Ongoing clinical trials exploring new cancer indications will further fuel adoption. The intersection of oncology and biologics R&D is a key growth catalyst for this market.

• Technological Innovations in Drug Delivery Systems
  Continuous advancements in controlled-release and minimally invasive delivery systems are improving patient comfort and adherence. Microneedle arrays, ocular implants, and transscleral delivery technologies are under active development in India. These innovations are expected to reduce hospital visits and long-term costs, making therapy more accessible and sustainable.

• Supportive Reimbursement and Healthcare Infrastructure
  Favorable reimbursement policies and government subsidies for ophthalmic and oncology care are driving wider adoption in India. National insurance schemes are covering anti-VEGF treatments, improving affordability for patients. Expanding ophthalmic care facilities and specialized retina clinics further enhance treatment access, especially in urban centers.

• Growing Research Collaboration and Clinical Pipeline Expansion
  Research partnerships between biotechnology firms, universities, and healthcare providers are strengthening the anti-VEGF pipeline in India. New molecules targeting multi-VEGF isoforms and combination agents are progressing through clinical trials. These collaborations accelerate innovation, regulatory approval, and commercialization of advanced biologics and biosimilars in the region.

Challenges in the Market

• High Treatment Costs and Limited Access in Rural Areas
  Despite reimbursement efforts, the cost of anti-VEGF injections remains high for many patients in India. Frequent dosing schedules further increase financial burden. Limited access to retina specialists in rural areas exacerbates healthcare inequity. Expanding outreach programs and mobile ophthalmic services are necessary to ensure broader access.

• Patient Non-Compliance Due to Invasive Administration
  Intravitreal injections, though effective, require repeated administration over long periods, leading to discomfort and non-compliance. In India, many patients discontinue treatment prematurely, resulting in disease progression. Research into non-invasive and sustained-delivery options aims to overcome this barrier.

• Emerging Competition from Alternative Therapeutic Pathways
  Novel treatments such as gene therapy, tyrosine kinase inhibitors, and bispecific antibodies pose competition to conventional anti-VEGF agents. In India, regulatory approvals for next-generation therapies could shift treatment paradigms. Ensuring therapeutic differentiation and cost efficiency will be key for sustained market dominance.

• Complex Regulatory Landscape for Biologics and Biosimilars
  The development, testing, and approval of biologics require stringent regulatory oversight. In India, biosimilar approval processes can be lengthy, delaying market entry. Variability in regional standards further complicates global commercialization strategies. Streamlined frameworks will be vital to encourage timely product availability.

• Risk of Adverse Effects and Resistance Development
  Repeated anti-VEGF exposure can lead to tachyphylaxis or reduced therapeutic response. Potential side effects, including ocular inflammation, endophthalmitis, and systemic hypertension, remain clinical concerns. Continued pharmacovigilance and personalized dosing are necessary to maintain efficacy and safety.

India Anti-VEGF Market Segmentation

By Drug Type

• Bevacizumab (Avastin)

• Ranibizumab (Lucentis)

• Aflibercept (Eylea)

• Brolucizumab (Beovu)

• Biosimilars and Emerging Molecules

By Indication

• Age-Related Macular Degeneration (AMD)

• Diabetic Retinopathy and Macular Edema

• Retinal Vein Occlusion (RVO)

• Oncology (Colorectal, Lung, Renal Cancer)

• Others

By Route of Administration

• Intravitreal

• Intravenous

• Subcutaneous

By End-User

• Hospitals and Specialty Clinics

• Ophthalmic Centers

• Cancer Treatment Centers

• Research and Academic Institutes

Leading Key Players

• Genentech (Roche Holding AG)

• Regeneron Pharmaceuticals, Inc.

• Novartis AG

• Bayer AG

• Amgen Inc.

• Samsung Bioepis Co., Ltd.

• Biocon Biologics Ltd.

• Pfizer Inc.

• Alcon, Inc.

• Kiniksa Pharmaceuticals

Recent Developments

• Roche Holding AG launched a long-acting anti-VEGF biosimilar in India targeting wet AMD and diabetic macular edema.

• Regeneron Pharmaceuticals introduced a next-generation aflibercept formulation in India offering extended dosing intervals of up to 16 weeks.

• Novartis AG announced clinical trial results in India demonstrating improved visual outcomes with brolucizumab in DME patients.

• Bayer AG partnered with healthcare authorities in India to expand access programs for anti-VEGF therapies in underserved populations.

• Biocon Biologics initiated development of a cost-effective bevacizumab biosimilar for oncology and ophthalmic indications in India.

This Market Report Will Answer the Following Questions

1. What is the projected market size and CAGR of the India Anti-VEGF Market by 2031?

2. Which drug types and therapeutic indications are driving the strongest demand in India?

3. How are biosimilars and long-acting delivery systems influencing treatment accessibility?

4. What are the major barriers related to cost, compliance, and regulatory complexities?

5. Who are the leading companies driving innovation in the India Anti-VEGF Market?