Global Leading Market Research Publisher Global Info Research announces the release of its latest report *"G-CSF Injection - Global Market Share and Ranking, Overall Sales and Demand Forecast 2026-2032"*. Granulocyte colony-stimulating factor (G-CSF) injection is a biologic drug used to stimulate the production of neutrophils (white blood cells) in patients with chemotherapy-induced neutropenia (CIN) , febrile neutropenia (FN) , and for stem cell mobilization before or after stem cell transplantation. As the global burden of cancer continues to rise—with over 19 million new cancer cases annually and millions of patients receiving myelosuppressive chemotherapy—the core clinical challenge remains: how to prevent neutropenia and febrile neutropenia, which can lead to infections, hospitalizations, chemotherapy dose reductions, treatment delays, and increased mortality, while offering both short-acting (daily) and long-acting (once-per-cycle) formulations to meet different clinical needs and patient preferences. Unlike antibiotics (treat infections), G-CSF injections are discrete, prophylactic biologics that boost neutrophil production before infections occur. This deep-dive analysis incorporates Global Info Research's latest forecast, supplemented by 2025–2026 market data, technology trends, and a comparative framework across long-acting G-CSF injection and short-acting G-CSF injection, as well as across neoplastic diseases, blood disorders, and other applications.
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Market Sizing & Growth Trajectory (Updated with 2026 Interim Data)
The global market for G-CSF Injection (filgrastim, pegfilgrastim, and biosimilars) was estimated to be worth approximately US$ 5-6 billion in 2025 and is projected to reach US$ 7-8 billion by 2032, growing at a CAGR of 5-6% from 2026 to 2032. In the first half of 2026 alone, demand increased 5.5% year-over-year, driven by: (1) increasing cancer incidence, (2) growing use of myelosuppressive chemotherapy, (3) guidelines recommending primary prophylaxis for febrile neutropenia (FN), (4) biosimilar competition (lower prices), (5) improved patient compliance (long-acting once-per-cycle), (6) emerging markets expansion (Asia-Pacific, Latin America, Middle East, Africa). Notably, the long-acting G-CSF injection (pegfilgrastim, once-per-cycle) segment captured 60% of market value (higher price, fewer injections), while short-acting G-CSF injection (filgrastim, daily) held 40% share (lower price, more injections). The neoplastic diseases segment (solid tumors, hematologic malignancies) dominated with 90% share, while blood disorders (stem cell mobilization, aplastic anemia) held 5%, and others (congenital neutropenia, cyclic neutropenia, HIV-associated neutropenia) held 5%.
Product Definition & Functional Differentiation
G-CSF injection is a biologic drug used to stimulate neutrophil production. Short-acting G-CSF (filgrastim) requires daily injections (7-14 doses per chemotherapy cycle). Long-acting G-CSF (pegfilgrastim) has a long plasma half-life and only needs to be administered once per chemotherapy cycle.
Short-Acting vs. Long-Acting G-CSF Injection (2026):
Parameter Short-Acting G-CSF (Filgrastim) Long-Acting G-CSF (Pegfilgrastim)
Half-life 3-4 hours 15-80 hours (pegylated)
Dosing frequency Daily (7-14 injections per cycle) Once per chemotherapy cycle (single injection)
Injections per cycle 7-14 1
Patient compliance Lower (daily burden) Higher (once-per-cycle)
Cost per cycle Lower ($500-2,000) Higher ($2,500-8,000)
On-body injector No Yes (Neulasta Onpro)
Biosimilars available Yes Yes
Examples Neupogen, Zarxio, Nivestym, Granix Neulasta, Fulphila, Udenyca, Ziextenzo, Pelgraz
G-CSF Injection Key Specifications (2026):
Parameter Short-Acting (Filgrastim) Long-Acting (Pegfilgrastim)
Dose 5 mcg/kg/day (daily) 6 mg once per cycle
Route Subcutaneous injection Subcutaneous injection
Storage Refrigerated (2-8°C) Refrigerated (2-8°C)
Shelf life 24 months 24 months
On-body injector No Yes (Neulasta Onpro)
Biosimilars Yes (Zarxio, Nivestym, etc.) Yes (Fulphila, Udenyca, Ziextenzo, Pelgraz, etc.)
G-CSF Injection Indications (2026):
Indication Short-Acting Long-Acting Guidelines
Chemotherapy-Induced Neutropenia (CIN) Yes Yes ASCO, NCCN, EORTC
Febrile Neutropenia (FN) Prophylaxis (primary) Yes Yes ASCO, NCCN, EORTC
Febrile Neutropenia (FN) Prophylaxis (secondary) Yes Yes ASCO, NCCN, EORTC
Stem Cell Mobilization (autologous) Yes (high dose) Off-label ASCO, EBMT
Stem Cell Mobilization (allogeneic) Yes (high dose) Off-label ASCO, EBMT
Congenital Neutropenia Yes Off-label -
Cyclic Neutropenia Yes Off-label -
Industry Segmentation & Recent Adoption Patterns
By Product Type:
Long-acting G-CSF Injection (pegfilgrastim, once-per-cycle) (60% market value share, fastest-growing at 7% CAGR) – Higher price, fewer injections, improved compliance.
Short-acting G-CSF Injection (filgrastim, daily) (40% share) – Lower price, more injections.
By Application:
Neoplastic Diseases (solid tumors: breast, lung, colorectal; hematologic malignancies: lymphoma, leukemia) – 90% of market, largest segment.
Blood Disorders (stem cell mobilization for autologous and allogeneic transplant, aplastic anemia) – 5% share.
Others (congenital neutropenia, cyclic neutropenia, HIV-associated neutropenia) – 5% share.
Key Players & Competitive Dynamics (2026 Update)
Leading vendors include: Amgen Inc. (USA), Pfizer (USA), Sandoz (Novartis, Switzerland), Spectrum Pharmaceuticals (USA), Biocon Biologics Inc. (India), Coherus BioSciences, Inc. (USA), Teva Pharmaceutical (Israel), Sanofi (France), Yifan Pharmaceutical (China), CSPC (China), Jiangsu Hengrui Medicine (China), Qilu Pharmaceutical (China), Shan Dong Kexing Biopharm (China). Amgen dominates the G-CSF injection market with Neupogen (filgrastim, short-acting) and Neulasta (pegfilgrastim, long-acting). Pfizer (Filgrastim, biosimilars) and Sandoz (Zarxio, biosimilar) are major players. Chinese manufacturers (Yifan, CSPC, Hengrui, Qilu, Shan Dong Kexing) dominate the Chinese domestic market with low-cost G-CSF injections. In 2026, Amgen continued to supply Neupogen (filgrastim) and Neulasta (pegfilgrastim) ($1,000-8,000 per dose). Pfizer launched "Nivestym" (filgrastim biosimilar). Sandoz launched "Zarxio" (filgrastim biosimilar) and "Ziextenzo" (pegfilgrastim biosimilar). Coherus BioSciences launched "Udenyca" (pegfilgrastim biosimilar). Biocon (India) launched "Fulphila" (pegfilgrastim biosimilar). Chinese manufacturers (Yifan, CSPC, Hengrui, Qilu, Shan Dong Kexing) launched low-cost filgrastim and pegfilgrastim biosimilars ($50-500 per dose) for Chinese domestic and emerging markets.
Original Deep-Dive: Exclusive Observations & Industry Layering (2025–2026)
1. Discrete Short-Acting vs. Long-Acting G-CSF Economics
Parameter Short-Acting (Filgrastim) Long-Acting (Pegfilgrastim)
Cost per dose $50-200 $2,500-8,000
Doses per cycle 7-14 1
Cost per cycle $500-2,000 $2,500-8,000
Patient preference Lower (daily injections) Higher (once-per-cycle)
Guideline recommendation Yes Yes (preferred for convenience)
2. Technical Pain Points & Recent Breakthroughs (2025–2026)
Biosimilar competition (lower prices) : G-CSF biosimilars have reduced prices by 30-70%. New filgrastim biosimilars (Pfizer, Sandoz, 2025) at $50-200 per dose. New pegfilgrastim biosimilars (Coherus, Sandoz, Biocon, 2025) at $2,500-4,000 per dose.
On-body injector (convenience) : Patients must return to clinic for injection (or self-inject at home). New on-body injector (Neulasta Onpro) (Amgen, 2025) applied to skin, automatically injects 27 hours later, eliminating return visit.
Febrile neutropenia (FN) prophylaxis guidelines : ASCO, NCCN, EORTC guidelines recommend primary prophylaxis with G-CSF for high-risk regimens (>20% FN risk). New guideline updates (2025) expanding use of G-CSF.
Home self-injection (patient convenience) : Patients can self-inject at home with training. New pre-filled syringes and auto-injectors for patient self-administration.
3. Real-World User Cases (2025–2026)
Case A – Breast Cancer (Short-Acting G-CSF) : Patient (USA) with breast cancer receiving dose-dense AC-T used filgrastim (short-acting, daily injections for 7 days) (2025). Results: (1) no febrile neutropenia; (2) no chemotherapy delays; (3) lower cost ($1,000 per cycle); (4) daily injections burdensome. "Short-acting G-CSF is effective but requires daily injections."
Case B – Non-Hodgkin Lymphoma (Long-Acting G-CSF) : Patient (China) with NHL receiving R-CHOP used CSPC pegfilgrastim biosimilar (once-per-cycle) (2026). Results: (1) no febrile neutropenia; (2) low cost ($500 per dose); (3) once-per-cycle convenient; (4) well-tolerated. "Long-acting G-CSF biosimilars are cost-effective and convenient for emerging markets."
Strategic Implications for Stakeholders
For oncologists, pharmacists, and patients, G-CSF injection selection depends on: (1) type (short-acting vs. long-acting), (2) dosing frequency (daily vs. once-per-cycle), (3) cost ($500-8,000 per cycle), (4) insurance coverage, (5) patient preference (convenience vs. cost), (6) febrile neutropenia risk, (7) chemotherapy regimen, (8) biosimilar availability, (9) on-body injector availability, (10) home self-injection capability. For manufacturers, growth opportunities include: (1) long-acting G-CSF (once-per-cycle, fastest-growing), (2) biosimilars (lower cost, fastest-growing), (3) on-body injector technology (convenience), (4) emerging markets (Asia-Pacific, Latin America, Middle East, Africa), (5) home self-injection (auto-injectors), (6) combination products (G-CSF + chemotherapy), (7) digital health (remote monitoring), (8) patient assistance programs, (9) clinical guidelines (FN prophylaxis), (10) stem cell mobilization (high-dose G-CSF).
Conclusion
The G-CSF injection market is growing at 5-6% CAGR, driven by cancer incidence, febrile neutropenia prophylaxis, and biosimilar competition. Long-acting G-CSF (60% share) dominates and is fastest-growing. Neoplastic diseases (90% share) is the largest application. Amgen, Pfizer, Sandoz, Coherus, Biocon, and Chinese manufacturers lead the market. As Global Info Research's forthcoming report details, the convergence of long-acting G-CSF (once-per-cycle) , biosimilars (lower cost) , on-body injector technology (convenience) , emerging markets expansion , and clinical guidelines (FN prophylaxis) will continue expanding the category as the standard for neutropenia prevention.
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