Europe Sodium-dependent Glucose Cotransporter 2 Market Size and Share

Europe Sodium-dependent Glucose Cotransporter 2 Market Summary
Image © Mordor Intelligence. Reuse requires attribution under CC BY 4.0.
View Global Report

Europe Sodium-dependent Glucose Cotransporter 2 Market Analysis by Mordor Intelligence

The Europe Sodium-dependent Glucose Cotransporter 2 market size is expected to grow from USD 1.42 billion in 2025 to USD 1.55 billion in 2026 and is forecast to reach USD 2.38 billion by 2031 at 8.98% CAGR over 2026-2031.

The European region had witnessed an alarming increase in the prevalence of diabetes, in recent years. Diabetes is associated with many health complications. Patients with diabetes require many corrections throughout the day for maintaining nominal blood glucose levels, such as medications or ingestion of additional carbohydrates by monitoring their blood glucose levels.

The disease's growing incidence, prevalence, and progressive nature encouraged the development of new drugs to provide additional treatment options for diabetic patients. Non-insulin treatments, used as first-line therapies for patients with type 2 diabetes, currently capture more than half the sales in the anti-diabetic market. Over the past decade, two important classes entered this market: dipeptidyl peptidase-4 inhibitors (DPP-4) and sodium-glucose cotransporter-2 inhibitors (SGLT-2). These agents work in various ways to reduce blood sugar levels in people with type 2 diabetes. Some stimulate insulin secretion by the pancreas, and others improve the responsiveness of cells to insulin or prevent glucose production by the liver. Others slow the absorption of glucose after meals.

Therefore, owing to the aforementioned factors the studied market is anticipated to witness growth over the analysis period.

Note: Market size and forecast figures in this report are generated using Mordor Intelligence’s proprietary estimation framework, updated with the latest available data and insights as of 2026.

Competitive Landscape

The European SGLT-2 market is consolidated, with a few significant global manufacturers: Janssen, Eli Lilly, AstraZeneca, and Bristol Myers Squibb. The joint ventures that occurred between players in the recent past helped the companies strengthen their market presence. For example, Eli Lilly and Boehringer Ingelheim make Jardiance, a very popular SGLT-2 class drug.

Europe Sodium-dependent Glucose Cotransporter 2 Industry Leaders

  1. Bristol Myers Squibb

  2. AstraZeneca

  3. Boehringer Ingelheim

  4. Janssen Pharmaceuticals

  5. Eli Lilly and Company

  6. *Disclaimer: Major Players sorted in no particular order
Europe Sodium-dependent Glucose Cotransporter 2 Market Concentration
Image © Mordor Intelligence. Reuse requires attribution under CC BY 4.0.

Recent Industry Developments

  • July 2026: The UK Court of Appeal rejected AstraZeneca's appeal and upheld a prior ruling that the European patent covering dapagliflozin was invalid. The decision increased the risk of earlier competitive entry around dapagliflozin in the UK and may affect parallel challenges and commercial strategy across key European markets.
  • July 2025: The Netherlands National Health Care Institute (Zorginstituut Nederland) issued advice adopted by the Minister of Health, Welfare and Sport to remove reimbursement conditions for SGLT2 inhibitors (including canagliflozin, dapagliflozin, empagliflozin, and ertugliflozin), effective 1 August 2025. This policy action simplified access criteria and can broaden utilization by reducing administrative and prescribing barriers within the Dutch reimbursement system.
  • May 2025: NICE recommended AstraZeneca's Forxiga (dapagliflozin) for the treatment of chronic kidney disease in adults, expanding eligibility in England and Wales. The recommendation supported wider adoption of SGLT-2 inhibitors beyond glycemic control and reinforced cardio-renal indications as a competitive dimension for established brands in Europe.

Table of Contents for Europe Sodium-dependent Glucose Cotransporter 2 Industry Report

1. INTRODUCTION

  • 1.1 Study Assumptions and Market Definition
  • 1.2 Scope of the Study

2. RESEARCH METHODOLOGY

3. EXECUTIVE SUMMARY

4. MARKET DYNAMICS

  • 4.1 Market Overview
  • 4.2 Market Drivers
  • 4.3 Market Restraints
  • 4.4 Porter's Five Forces Analysis
    • 4.4.1 Bargaining Power of Suppliers
    • 4.4.2 Bargaining Power of Consumers
    • 4.4.3 Threat of New Entrants
    • 4.4.4 Threat of Substitute Products and Services
    • 4.4.5 Intensity of Competitive Rivalry

5. MARKET SEGMENTATION

  • 5.1 Drugs
    • 5.1.1 Invokana (Canagliflozin)
    • 5.1.2 Jardiance (Empagliflozin)
    • 5.1.3 Farxiga/Forxiga (Dapagliflozin)
  • 5.2 Geography
    • 5.2.1 France
    • 5.2.2 Germany
    • 5.2.3 Italy
    • 5.2.4 Spain
    • 5.2.5 United Kingdom
    • 5.2.6 Russia
    • 5.2.7 Rest of Europe

6. MARKET INDICATORS

  • 6.1 Type-1 Diabetes Population
  • 6.2 Type-2 Diabetes Population

7. COMPETITIVE LANDSCAPE

  • 7.1 COMPANY PROFILES
    • 7.1.1 Eli Lilly
    • 7.1.2 Janssen Pharmaceuticals
    • 7.1.3 Boehringer Ingelheim
    • 7.1.4 AstraZeneca
    • 7.1.5 Bristol Myers Squibb
  • *List Not Exhaustive
  • 7.2 COMPANY SHARE ANALYSIS

8. MARKET OPPORTUNITES AND FUTURE TRENDS

**Subject to Availability
**Competitive Landscape covers- Business Overview, Financials, Products and Strategies, and Recent Developments

Research Methodology Framework and Report Scope

Market Definition and Coverage

This market covers the revenues generated in Europe from prescription sodium-dependent glucose cotransporter 2 (SGLT2) inhibitor medicines used mainly for adult type 2 diabetes care, as captured at the drug sales value level across the covered countries.

Scope exclusions: We exclude non-SGLT2 antidiabetic classes and non-prescription products, and we do not count hospital procedure revenues that are not directly tied to these drugs.

Segmentation Overview

  • Drugs
    • Invokana (Canagliflozin)
    • Jardiance (Empagliflozin)
    • Farxiga/Forxiga (Dapagliflozin)
  • Geography
    • France
    • Germany
    • Italy
    • Spain
    • United Kingdom
    • Russia
    • Rest of Europe

Data Sources, Market Sizing, and Validation

Desk Research

Desk research was used to set the clinical and commercial backdrop before the model was built. We leaned on public epidemiology and treatment guidance for diabetes care in Europe, and then aligned it with country-level medicine use patterns and public pricing signals where they are available.

Source types referenced include, for example, the World Health Organization and OECD health statistics, European Commission and national health ministry publications, the European Medicines Agency for approvals and label changes, and peer reviewed journals tracking outcomes and utilization. To understand company-level performance directionally, we also reviewed annual reports, investor decks, and credible press coverage. Where needed, we checked paid subscription sources for company financials and for patent and clinical pipeline context, mainly to validate launch timing and product lifecycle assumptions. These examples are illustrative only and not exhaustive, since many other public sources were also consulted for data collection, validation, and clarification.

Primary Interviews and Surveys

Primary work focused on validating what desk research cannot fully pin down, especially the on-ground mix across countries and how demand is shifting between diabetes and cardio-renal use. We spoke with prescribers, pharmacy channel stakeholders, and industry participants across major European markets, and then used their inputs to confirm adoption pace, pricing behavior, and near-term policy impacts.

Distribution of primary research fieldwork respondents

Company typeRespondent positionRegion
Top tier: 31% CXOs: 14%
Mid tier: 55% Functional/Unit leaders: 32%
Smaller Players: 14% Managers: 54%

Market-Sizing & Forecasting

Sizing starts from a top-down build where the treated type 2 diabetes pool is reconstructed by country, then filtered through SGLT2 class penetration and average therapy cost to reach a value estimate. After that picture is formed, we test it using selective bottom-up checks such as sampled country sales roll-ups, channel feedback on unit volumes, and price per pack signals, which we use to adjust outliers.

Key inputs used in the model include diagnosed type 2 diabetes prevalence and treated share, new initiation rates for SGLT2 therapy, switching patterns from other oral classes, average daily dose and persistence assumptions, and net price progression after tenders or reimbursement updates. We track label expansions and guideline adoption as well, since they change the eligible patient pool and therefore the demand curve.

For forecasting, scenario analysis was used so adoption and pricing can be flexed in a simple but realistic way. Assumptions for each country were aligned to the consensus view collected from interviews, and then cross-checked against recent policy and prescribing signals. Where a bottom-up check could not be built cleanly for a smaller country, we used peer country analogs and then revalidated the resulting shares with experts.

Data Validation & Update Cycle

Validation is handled through several passes, where we compare the model outputs against independent signals like diabetes drug spend direction, therapy mix trends, and country-level reimbursement movements. If a country output deviates sharply from expected uptake or pricing behavior, we re-check the input chain and, when needed, reconnect with primary sources to understand what changed.

Before sign-off, the model and narrative go through multi-step internal reviews so the calculation logic, assumptions, and country splits are consistent. The report is refreshed annually, and interim updates are made when major events occur such as a label change, pricing shock, or a meaningful shift in guidelines. Right before delivery, a final analyst pass is completed so clients receive the most current view available.

Mordor Intelligence's Europe Sodium Dependent Glucose Cotransporter 2 Market Size Versus Other Published Estimates

Published market sizes for Europe SGLT2 inhibitors can differ even when the topic name looks similar, since each publisher may count different drugs, years, and pricing concepts. Differences also come from how countries are grouped, whether volume is converted using list price or estimated net price, and how quickly assumptions are refreshed when reimbursement and tender outcomes change.

The main gap comes from whether fixed-dose combinations and expanded cardio-renal use are counted inside the SGLT2 total. Mordor Intelligence treats the market as SGLT2 inhibitor drug revenues, and it keeps country pricing aligned to net, not list, by updating discount assumptions when new policy signals appear.

Benchmark comparison

SourceMarket SizeGaps in Research Methodology
Mordor Intelligence USD 1.42 B (2025)
Global Publisher A USD 2.86 B (2025)This estimate appears to use a wider inclusion of fixed-dose combinations and may layer in heart failure and chronic kidney disease use as separate demand blocks, which increases the counted value versus a core SGLT2 inhibitor revenue model.
Industry Publisher B USD 4.24 B (2023)This estimate is anchored to an earlier base year and can reflect higher list-price conversions and broader channel assumptions, which can lift the reported number when net discounts are not normalized consistently by country.

Across the three figures, the spread is mostly explained by what is counted as SGLT2 revenue and by how price is translated into a comparable USD value across countries and years. When the model is tied back to treated patients, adoption rates, and country price behavior, it is easier to reproduce and simpler to update without breaking the logic chain.

Key Questions Answered in the Report

How big is the Europe Sodium-dependent Glucose Cotransporter 2 Market?

The Europe Sodium-dependent Glucose Cotransporter 2 Market size is expected to reach USD 1.55 billion in 2026 and grow at a CAGR of 8.98% to reach USD 2.38 billion by 2031.

What is the current Europe Sodium-dependent Glucose Cotransporter 2 Market size?

In 2026, the Europe Sodium-dependent Glucose Cotransporter 2 Market size is expected to reach USD 1.55 billion.

Who are the key players in Europe Sodium-dependent Glucose Cotransporter 2 Market?

Bristol Myers Squibb, AstraZeneca, Boehringer Ingelheim, Janssen Pharmaceuticals and Eli Lilly and Company are the major companies operating in the Europe Sodium-dependent Glucose Cotransporter 2 Market.

What years does this Europe Sodium-dependent Glucose Cotransporter 2 Market cover, and what was the market size in 2025?

In 2025, the Europe Sodium-dependent Glucose Cotransporter 2 Market size was estimated at USD 1.55 billion. The report covers the Europe Sodium-dependent Glucose Cotransporter 2 Market historical market size for years: 2019, 2020, 2021, 2022, 2023 and 2024. The report also forecasts the Europe Sodium-dependent Glucose Cotransporter 2 Market size for years: 2026, 2027, 2028, 2029, 2030 and 2031.

Page last updated on:

Europe Sodium-dependent Glucose Cotransporter 2 Market Report Snapshots