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Live biotherapeutic/Microbiome Based Therapeutics Market Size, Share & Trends Analysis Report By Product (VOWST (SER-109), REBYOTA, Visbiome, Other Pipeline Products), By Route of Administration (Oral Therapeutics, Rectal Therapeutics), By Target Disease Indication (Recurrent C. Difficile Infection, Dietary Management of Microbial Imbalance, Other Indications), By Distribution Channel, By End User, By Region, And Segment Forecasts, 2025-2034

Report Id: 1300 Pages: 180 Published: 22 May 2025 Format: PDF / PPT / Excel / Power BI
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Live biotherapeutic/Microbiome Based Therapeutics Market Size is valued at USD 73.25 Bn in 2024 and is predicted to reach USD 142.81 Bn by the year 2034 at a 7.04% CAGR during the forecast period for 2025-2034.

A live microbe is utilized in a Live Biotherapeutic product to treat, prevent, or cure a disease. Microorganisms that may be beneficial to health have been discovered as the human microbiome, and its relationship to human health has come to be better understood. These microorganisms have a lot of potential for use as Live Biotherapeutic products in clinical settings. Several clinical trials are being conducted to assess their potential as a treatment. LBPs are believed to have biological effects by modulating the host-microbiota rather than directly acting on known targets or distant organs, tissues, or receptors. Importantly, LBPs will have a biological effect by influencing the local ecosystem, other microorganisms, and their interactions with the host.

Throughout the forecast period, market growth is anticipated to be driven by rising research and development efforts, as well as an expanding pipeline of microbiome-targeting therapies that are anticipated to treat a wide range of serious diseases. The development of new drugs and clinical trial activities for the treatment of diseases are being aided by ongoing innovation and technological advancements.

In 2019, 4D pharma collaborated with MSD to research and develop Live Biotherapeutics for vaccines. 4D's proprietary MicroRx® platform will be combined with MSD's expertise in developing and commercializing novel vaccines. During the forecast period, significant growth opportunities are anticipated as government funding and the R&D budget for drug development both increases. Over 640 patents focused on microbiome therapeutics were approved in 2020. The complexities occur due to a lack of expertise, specialized infrastructure, the need for astronomical capital expenditures, capacity limitations, and restrictions on ensuring compliance with good manufacturing practices (GMP).

Market Segmentation:

The Live Biotherapeutic Product Market is segmented into By Product Which consists of VOWST (SER-109), REBYOTA, Visbiome, Other Pipeline Products. Whereas, By Target Disease Indication, the segmentation includes Recurrent C. Difficile Infection, Dietary Management of Microbial Imbalance, Other Indications. The segment Route Of Administration which includes Oral and Rectal Therapeutics. The Distribution Channel segment consists of Direct Sales, Pharmacies, Online Platforms. Whereas, By End User, the market is divided into Healthcare Facilities, Home Healthcare. 

Regionally, North America is anticipated to experience brisk growth during the forecast period as a result of rising demand and the significant COVID-19 effect. Large sums of money are given to businesses to research Live Biotherapeutic ingredients and create new products.

Competitive Landscape:

Some Of The Key Players In The Live Biotherapeutic Product (LBP) Market:

  • 4D Pharma
  • Adiso Therapeutics
  • Alveolus Bio Inc
  • AOBiome Therapeutics, Inc.
  • Assembly Biosciences
  • Azitra
  • Biomica
  • Destiny Pharma
  • Destiny Pharma plc
  • EnteroBiotix Limited
  • Finch Therapeutics
  • Infant Bacterial Therapeutics AB
  • MaaT Pharma
  • Microbiotica
  • OSEL INC.
  • OxThera
  • Scioto Biosciences, Inc.
  • Second Genome
  • Seres Therapeutics
  • Servatus Limited
  • Siolta Therapeutics
  • Vedanta Biosciences
  • YSOPIA Bioscience

The Live biotherapeutic/Microbiome Based Therapeutics Market Report Scope:

Report Attribute

Specifications

Market Size Value In 2024

USD 73.25 Bn

Revenue Forecast In 2034

USD 142.81 Bn

Growth Rate CAGR

CAGR of 7.04% from 2025 to 2034

Quantitative Units

Representation of revenue in US$ Million and CAGR from 2025 to 2034

Historic Year

2021 to 2024

Forecast Year

2025-2034

Report Coverage

The forecast of revenue, the position of the company, the competitive market structure, growth prospects, and trends

Segments Covered

By Product, Target Disease Indication, Route Of Administration, Distribution channel, end user

Regional Scope

North America; Europe; Asia Pacific; Latin America; Middle East & Africa

Country Scope

U.S.; Canada; U.K.; Germany; China; India; Japan; Brazil; Mexico ; France; Italy; Spain; South Korea; South East Asia

Competitive Landscape

4D Pharma, Adiso Therapeutics, Alveolus Bio Inc, AOBiome Therapeutics Inc, Assembly Biosciences, Azitra, Biomica, Destiny Pharma, Destiny Pharma plc, EnteroBiotix Limited, Finch Therapeutics, Infant Bacterial Therapeutics AB, MaaT Pharma, Microbiotica, OSEL Inc, OxThera, Scioto Biosciences Inc, Second Genome, Seres Therapeutics, Servatus Limited, Siolta Therapeutics, Vedanta Biosciences, YSOPIA Bioscience.

Customization Scope

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Chapter 1. Methodology and Scope
1.1. Research Methodology
1.2. Research Scope & Assumptions

Chapter 2. Executive Summary

Chapter 3. Global Live biotherapeutic/Microbiome Based Therapeutics Market Snapshot

Chapter 4. Global Live biotherapeutic/Microbiome Based Therapeutics Market Variables, Trends & Scope
4.1. Market Segmentation & Scope
4.2. Drivers
4.3. Challenges
4.4. Trends
4.5. Investment and Funding Analysis
4.6. Porter's Five Forces Analysis
4.7. Incremental Opportunity Analysis (US$ MN), 2024-2034
4.8. Competitive Landscape & Market Share Analysis, By Key Player (2023)
4.9. Use/impact of AI on Live biotherapeutic/Microbiome Based Therapeutics Market Industry Trends
4.10. Global Live biotherapeutic/Microbiome Based Therapeutics Market Penetration & Growth Prospect Mapping (US$ Mn), 2021-2034

Chapter 5. Live biotherapeutic/Microbiome Based Therapeutics Market Segmentation 1: By Product, Estimates & Trend Analysis
5.1. Market Share by Product, 2024 & 2034
5.2. Market Size Revenue (US$ Million) & Forecasts and Trend Analyses, 2021 to 2034 for the following Product:

5.2.1. VOWST (SER-109)
5.2.2. REBYOTA
5.2.3. Visbiome
5.2.4. Other Pipeline Products

Chapter 6. Live biotherapeutic/Microbiome Based Therapeutics Market Segmentation 2: By Route of Administration, Estimates & Trend Analysis
6.1. Market Share by Route of Administration, 2024 & 2034
6.2. Market Size Revenue (US$ Million) & Forecasts and Trend Analyses, 2021 to 2034 for the following Route of Administration:

6.2.1. Oral Therapeutics
6.2.2. Rectal Therapeutics

Chapter 7. Live biotherapeutic/Microbiome Based Therapeutics Market Segmentation 3: Target Disease Indication, Estimates & Trend Analysis
7.1. Market Share by Target Disease Indication, 2024 & 2034
7.2. Market Size Revenue (US$ Million) & Forecasts and Trend Analyses, 2021 to 2034 for the following Target Disease Indication:

7.2.1. Recurrent C. Difficile Infection
7.2.2. Dietary management of microbial imbalance
7.2.3. Other Indications

Chapter 8. Live biotherapeutic/Microbiome Based Therapeutics Market Segmentation 4: By Distribution Channel, Estimates & Trend Analysis
8.1. Market Share by Distribution Channel, 2024 & 2034
8.2. Market Size Revenue (US$ Million) & Forecasts and Trend Analyses, 2021 to 2034 for the following Distribution Channel:

8.2.1. Direct Sales
8.2.2. Pharmacies
8.2.3. Online Platforms

Chapter 9. Live biotherapeutic/Microbiome Based Therapeutics Market Segmentation 5: By End User, Estimates & Trend Analysis
9.1. Market Share by End User, 2024 & 2034
9.2. Market Size Revenue (US$ Million) & Forecasts and Trend Analyses, 2021 to 2034 for the following End User:

9.2.1. Healthcare Facilities
9.2.2. Home Healthcare

Chapter 10. Live biotherapeutic/Microbiome Based Therapeutics Market Segmentation 6: Regional Estimates & Trend Analysis
10.1. Global Live biotherapeutic/Microbiome Based Therapeutics Market, Regional Snapshot 2024 & 2034

10.2. North America
10.2.1. North America Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Country, 2021-2034
10.2.1.1. US
10.2.1.2. Canada
10.2.2. North America Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Product, 2021-2034
10.2.3. North America Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Route Of Administration, 2021-2034
10.2.4. North America Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Target Disease Indication, 2021-2034
10.2.5. North America Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Distribution Channel, 2021-2034
10.2.6. North America Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by End User, 2021-2034

10.3. Europe
10.3.1. Europe Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Country, 2021-2034
10.3.1.1. Germany
10.3.1.2. U.K.
10.3.1.3. France
10.3.1.4. Italy
10.3.1.5. Spain
10.3.1.6. Rest of Europe
10.3.2. Europe Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Product, 2021-2034
10.3.3. Europe Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Route Of Administration, 2021-2034
10.3.4. Europe Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Target Disease Indication, 2021-2034
10.3.5. Europe Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Distribution Channel, 2021-2034
10.3.6. Europe Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by End User, 2021-2034

10.4. Asia Pacific
10.4.1. Asia Pacific Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Country, 2021-2034
10.4.1.1. India
10.4.1.2. China
10.4.1.3. Japan
10.4.1.4. Australia
10.4.1.5. South Korea
10.4.1.6. Hong Kong
10.4.1.7. Southeast Asia
10.4.1.8. Rest of Asia Pacific
10.4.2. Asia Pacific Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Product, 2021-2034
10.4.3. Asia Pacific Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Route Of Administration, 2021-2034
10.4.4. Asia Pacific Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Target Disease Indication, 2021-2034
10.4.5. Asia Pacific Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Distribution Channel, 2021-2034
10.4.6. Asia Pacific Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by End User, 2021-2034

10.5. Latin America
10.5.1. Latin America Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Country, 2021-2034
10.5.1.1. Brazil
10.5.1.2. Mexico
10.5.1.3. Rest of Latin America
10.5.2. Latin America Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Product, 2021-2034
10.5.3. Latin America Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Route Of Administration, 2021-2034
10.5.4. Latin America Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Target Disease Indication, 2021-2034
10.5.5. Latin America Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Distribution Channel, 2021-2034
10.5.6. Latin America Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by End User, 2021-2034

10.6. Middle East & Africa
10.6.1. Middle East & Africa Wind Turbine Rotor Blade Market Revenue (US$ Million) Estimates and Forecasts by country, 2021-2034
10.6.1.1. GCC Countries
10.6.1.2. Israel
10.6.1.3. South Africa
10.6.1.4. Rest of Middle East and Africa
10.6.2. Middle East & Africa Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Product, 2021-2034
10.6.3. Middle East & Africa Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Route Of Administration, 2021-2034
10.6.4. Middle East & Africa Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Target Disease Indication, 2021-2034
10.6.5. Middle East & Africa Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by Distribution Channel, 2021-2034
10.6.6. Middle East & Africa Live biotherapeutic/Microbiome Based Therapeutics Market Revenue (US$ Million) Estimates and Forecasts by End User, 2021-2034

Chapter 11. Competitive Landscape
11.1. Major Mergers and Acquisitions/Strategic Alliances
11.2. Company Profiles

11.2.1. Seres Therapeutics, Inc.

11.2.1.1. Business Overview
11.2.1.2. Key Solution/Service Overview
11.2.1.3. Financial Performance
11.2.1.4. Geographical Presence
11.2.1.5. Recent Developments with Business Strategy

11.2.2. 4D Pharma
11.2.3. Adiso Therapeutics
11.2.4. Alveolus Bio Inc
11.2.5. AOBiome Therapeutics, Inc.
11.2.6. Assembly Biosciences
11.2.7. Azitra
11.2.8. Biomica
11.2.9. Destiny Pharma
11.2.10. Destiny Pharma plc
11.2.11. EnteroBiotix Limited
11.2.12. Finch Therapeutics
11.2.13. Infant Bacterial Therapeutics AB
11.2.14. MaaT Pharma
11.2.15. Microbiotica
11.2.16. OSEL INC.
11.2.17. OxThera
11.2.18. Scioto Biosciences, Inc.
11.2.19. Second Genome
11.2.20. Seres Therapeutics
11.2.21. Servatus Limited
11.2.22. Siolta Therapeutics
11.2.23. Vedanta Biosciences
11.2.24. YSOPIA Bioscience
11.2.25. Other prominent player

Segmentation Of Live biotherapeutic/Microbiome Based Therapeutics Market

Live biotherapeutic/Microbiome Based Therapeutics Market By Product

  • VOWST (SER-109)
  • REBYOTA
  • Visbiome
  • Other Pipeline Products

Live biotherapeutic/Microbiome Based Therapeutics Market By Route Of Administration

  • Oral Therapeutics
  • Rectal Therapeutics

Live biotherapeutic/Microbiome Based Therapeutics Market By Target Disease Indication

  • Recurrent C. Difficile Infection
  • Dietary management of microbial imbalance
  • Other Indications

Live biotherapeutic/Microbiome Based Therapeutics Market By Distribution Channel

  • Direct Sales
  • Pharmacies
  • Online Platforms

Live biotherapeutic/Microbiome Based Therapeutics Market By End User

  • Healthcare Facilities
  • Home Healthcare

Live biotherapeutic/Microbiome Based Therapeutics Market By Region

  • North America
  • Europe
  • Asia Pacific
  • Latin America
  • Middle East & Africa

North America Live biotherapeutic/Microbiome Based Therapeutics Market, by Country

  • U.S.
  • Canada

Europe Live biotherapeutic/Microbiome Based Therapeutics Market, by Country,

  • Germany
  • France
  • Italy
  • Spain
  • Russia
  • Rest of Europe

Asia Pacific Live biotherapeutic/Microbiome Based Therapeutics Market, by Country,

  • India
  • China
  • Japan
  • South Korea
  • Australia & New Zealand

Latin America Live biotherapeutic/Microbiome Based Therapeutics Market, by Country

  • Brazil
  • Mexico
  • Rest of Latin America

Middle East & Africa Live biotherapeutic/Microbiome Based Therapeutics Market, by Country

  • GCC Countries
  • South Africa
  • Rest of Middle East & Africa

InsightAce Analytic follows a standard and comprehensive market research methodology focused on offering the most accurate and precise market insights. The methods followed for all our market research studies include three significant steps – primary research, secondary research, and data modeling and analysis - to derive the current market size and forecast it over the forecast period. In this study, these three steps were used iteratively to generate valid data points (minimum deviation), which were cross-validated through multiple approaches mentioned below in the data modeling section.

Through secondary research methods, information on the market under study, its peer, and the parent market was collected. This information was then entered into data models. The resulted data points and insights were then validated by primary participants.

Based on additional insights from these primary participants, more directional efforts were put into doing secondary research and optimize data models. This process was repeated till all data models used in the study produced similar results (with minimum deviation). This way, this iterative process was able to generate the most accurate market numbers and qualitative insights.

Secondary research

The secondary research sources that are typically mentioned to include, but are not limited to:

  • Company websites, financial reports, annual reports, investor presentations, broker reports, and SEC filings.
  • External and internal proprietary databases, regulatory databases, and relevant patent analysis
  • Statistical databases, National government documents, and market reports
  • Press releases, news articles, and webcasts specific to the companies operating in the market

The paid sources for secondary research like Factiva, OneSource, Hoovers, and Statista

Primary Research:

Primary research involves telephonic interviews, e-mail interactions, as well as face-to-face interviews for each market, category, segment, and subsegment across geographies

The contributors who typically take part in such a course include, but are not limited to: 

  • Industry participants: CEOs, CBO, CMO, VPs, marketing/ type managers, corporate strategy managers, and national sales managers, technical personnel, purchasing managers, resellers, and distributors.
  • Outside experts: Valuation experts, Investment bankers, research analysts specializing in specific markets
  • Key opinion leaders (KOLs) specializing in unique areas corresponding to various industry verticals
  • End-users: Vary mainly depending upon the market

Data Modeling and Analysis:

In the iterative process (mentioned above), data models received inputs from primary as well as secondary sources. But analysts working on these models were the key. They used their extensive knowledge and experience about industry and topic to make changes and fine-tuning these models as per the product/service under study.

The standard data models used while studying this market were the top-down and bottom-up approaches and the company shares analysis model. However, other methods were also used along with these – which were specific to the industry and product/service under study.

To know more about the research methodology used for this study, kindly contact us/click here.

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Frequently Asked Questions

4D Pharma, Adiso Therapeutics, Alveolus Bio Inc, AOBiome Therapeutics Inc, Assembly Biosciences, Azitra, Biomica, Destiny Pharma, Destiny Pharma plc,

The Live Biotherapeutic Product (LBP) Market is expected to grow at a 7.04% CAGR during the forecast period for 2025-2034.

Product, Target Disease Indication, and Route Of Administration are the key segments of the Live Biotherapeutic Product (LBP) Market.

North American region is leading the Live Biotherapeutic Product (LBP) Market.

Live biotherapeutic/Microbiome Based Therapeutics Market Size is valued at USD 73.25 Bn in 2024 and is predicted to reach USD 142.81 Bn by the year 20
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