Next™ BriefCircular RNA and the Future of Durable RNA Therapeutics
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Meticulous Next™HealthcareNov 2026106 ppMRN-1323

Circular rna Market Outlook 2026–2038: Growth Drivers, Key Companies, Strategic Developments & Adoption Forecast — A Meticulous Next™ Foresight Brief

Brief ID: MRN-1323Format: PDF + Summary DeckDelivery: InstantHorizon: 12-yr horizonSignal: Emerging
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Adoption maturity (indexed)
Mainstream inflection: ~2033
Horizon: 2026–2038 · Signal: Emerging
12 yrs
Forward horizon
~2033
Mainstream inflection
Emerging
Signal strength

What This Brief Covers

This Meticulous Next™ brief examines circular RNA, RNA joined end to end into a closed loop that resists the enzymes that break down linear mRNA, and its use as a longer-lasting platform for making therapeutic proteins in the body. It tests how fast circular RNA moves from preclinical work into clinical programmes, and which participants capture value among platform developers, large biopharma firms, delivery and manufacturing suppliers and research groups.

In February 2026 Eli Lilly announced the acquisition of Orna Therapeutics, with shareholders able to receive up to USD 2.4 billion in cash including an upfront payment and later payments tied to clinical development milestones. Orna uses engineered circular RNA with lipid nanoparticles, and its lead program ORN-252 is a clinical trial-ready CD19 targeting in vivo CAR-T therapy for B cell driven autoimmune disease. The conclusion is that a large biopharma firm has put a priced bet on circular RNA as the carrier for in vivo cell therapy, and the value depends on clinical milestones still to come.

The case for the platform rests on stability. In a 2015 study of mammary cells, circular RNA had median half-lives of 18.8 to 23.7 hours, at least 2.5 times longer than the 4.0 to 7.4 hours of linear counterparts. Orna reported in 2023 that its circular RNA delivered higher and more durable protein expression than mRNA and was easier to formulate in lipid nanoparticles, and in October 2025 it presented an in vivo panCAR approach for autoimmune disease at the American College of Rheumatology meeting. The conclusion is that longer expression could lower dose and dosing frequency, although the evidence is still from cells and animal models.

Most naturally occurring circular RNAs have an unclear function, and delivery to tissue beyond the liver and immune cells remains a limit. Orna stated in October 2025 that ORN-252 was expected to enter the clinic in the first half of 2026. The conclusion is that the first human data will decide whether the stability seen in the laboratory carries over to patients.

The brief treats circular RNA as an emerging category with a twelve year horizon to 2038. It identifies which applications, regions and operators scale first and what each means for platform developers, large biopharma firms, suppliers and research groups.

It is a focused 106-page decision brief for biopharma firms, investors and research groups. It presents an indicative trajectory rather than a segmented market model. Its purpose is to identify which applications scale first and who captures value.

Brief Snapshot
ParameterDetails
Forward horizon2026–2038 (12 years)
Emerging forceCircular RNA: longer-lasting expression platforms entering preclinical and early clinical work
Technology readinessPreclinical platforms with one in vivo CAR-T candidate moving toward the clinic; no approved product; one large acquisition by a biopharma firm
Indicative market size & forecastThe circular RNA market, covering platform licensing and collaboration revenue, preclinical and clinical stage circular RNA therapeutics, and related manufacturing and services, is valued at USD 0.05–0.1 billion in 2026 and is projected to reach USD 1.16–2.33 billion by 2038, at a CAGR of 30%
Mainstream inflection~2033, when clinical data on durable expression support pivotal programmes and manufacturing scales
Signal strengthA priced acquisition of up to USD 2.4 billion and a candidate expected in clinical trials in the first half of 2026
Primary beneficiariesPlatform developers with clinical proof; large biopharma firms with partnered programmes; suppliers of RNA and lipid nanoparticles at scale
Brief length / format106 pages · PDF + executive summary deck · instant delivery

Understanding the Technology

A circular RNA is a single strand joined end to end, so it has no free ends for exonucleases to attack. This gives it a longer half-life than linear RNA.

Engineered circular RNA is made by self-circularization of a linear precursor, carries an internal ribosome entry site that starts protein synthesis without a cap, and is purified and formulated in lipid nanoparticles.

Delivery sets the target cell. Lipid nanoparticles reach the liver and, with targeting, immune cells that express a chimeric antigen receptor or a replacement protein.

Uses are in vivo cell therapy for autoimmune disease and cancer, protein replacement and vaccines, each under RNA and cell therapy regulation.

The limits are unproven expression and safety in humans, delivery beyond the liver and immune cells, immune effects of impurities and competition from linear mRNA and viral vectors. The decade turns on whether durable expression lowers dose and cost in patients.

Market Outlook

The circular RNA market, covering platform licensing and collaboration revenue, preclinical and clinical stage circular RNA therapeutics, and related manufacturing and services, is valued at USD 0.05–0.1 billion in 2026 and is projected to reach USD 1.16–2.33 billion by 2038, at a CAGR of 30%.

The 2026 base rests on collaboration and licensing revenue, acquisition related payments and preclinical services. Growth then follows first-in-human data, pivotal programmes and the first approvals.

The forecast is sensitive to clinical results, delivery to new tissues, manufacturing cost and the pace of in vivo cell therapy. Regionally, North America leads on companies and deals, Asia-Pacific on a growing group of circular RNA developers, and Europe on academic research and manufacturing.

Scenarios

The base case assumes first clinical data confirm durable expression and pivotal programmes start around 2030, giving the inflection in 2033. An accelerated case assumes strong early data and lower manufacturing cost, bringing the inflection to 2031 and lifting the 2038 value to the top of the range. A delayed case assumes weak expression in patients and safety concerns, holding growth at the bottom of the range.

Factors Behind Growth

Growth drivers

  • Limited duration of linear mRNA.
  • In vivo CAR-T for autoimmune disease and cancer.
  • Protein replacement in rare disease.
  • Simpler manufacturing and lipid nanoparticle formulation.

Enablers

  • Venture funding and financing rounds.
  • Biopharma acquisition and partnering.
  • Public research funding.
  • Lipid nanoparticle delivery.

Restraints and barriers

  • Unproven expression and safety in humans.
  • Competition from linear mRNA and viral vectors.
  • Delivery limits outside targeted cells.
  • Cost of development and manufacture.

The Forces at Play

The direction of circular RNA is set by the need for longer lasting RNA expression, regulation, new delivery systems and in vivo cell therapy, biopharma acquisition and partnering, and manufacturing cost.

Adoption Outlook

How the shift is likely to unfold across three time horizons.

Near term2026–2030
First-in-human data

First clinical data from in vivo CAR-T and other circular RNA candidates.

Mid term2030–2034
Pivotal programmes

Pivotal trials start and delivery to new tissues qualifies.

Long term2034–2038
Wider uses

Circular RNA broadens to more diseases and delivery routes.

Latest Strategic Developments

DateDevelopmentTypeSignificance
May 2023Orna Therapeutics reports preclinical data on its circular RNA based in situ CAR therapy at the PEGS and ASGCT meetingsResearchShows redosable in vivo CAR expression in a mouse model
Oct 2025Orna Therapeutics presents an in vivo panCAR approach using circular RNA for autoimmune disease at the American College of Rheumatology meetingResearchExtends the platform from oncology to autoimmune disease
Feb 2026Eli Lilly announces the acquisition of Orna Therapeutics for up to USD 2.4 billion in cash including milestone paymentsM&AFirst priced large acquisition of a circular RNA company

Key Players & Competitive Landscape

The key participants in circular RNA include Eli Lilly and Company, Sail Biomedicines, Inc., CirCode Biomed Co., Ltd., Moderna, Inc., BioNTech SE, Pfizer Inc., Sanofi, GSK plc, Novartis AG, AstraZeneca PLC, Takeda Pharmaceutical Company Limited, F. Hoffmann-La Roche Ltd, AbbVie Inc., Merck & Co., Inc., Roivant Sciences Ltd., Acuitas Therapeutics Inc., Everest Medicines Limited, Lonza Group Ltd, Thermo Fisher Scientific Inc., Agilent Technologies, Inc., Danaher Corporation, Merck KGaA, Nitto Denko Corporation, Bachem Holding AG, Massachusetts Institute of Technology, Harvard Medical School, American Society of Gene & Cell Therapy, American College of Rheumatology, International Society for Cell & Gene Therapy, RNA Society, Flagship Pioneering, Inc., MPM Capital, BioImpact Capital, National Institutes of Health, U.S. Food and Drug Administration, European Medicines Agency, Medicines and Healthcare products Regulatory Agency, Pharmaceuticals and Medical Devices Agency, National Medical Products Administration and United States Pharmacopeia.

The brief profiles representative participants in each archetype and assesses which are positioned to lead as circular RNA matures.

Platform developers such as Sail Biomedicines and CirCode Biomed lead the science alongside the platform now held by Eli Lilly, while large biopharma and RNA medicine firms, RNA manufacturing and delivery suppliers, research institutes and investors, and regulators shape how fast circular RNA reaches patients. Competitive intensity is low in 2026 because few developers hold circular RNA platforms and none has an approved product, and it rises as large biopharma firms acquire or partner for platforms and as linear mRNA developers add durable formats.

ArchetypeRepresentative playersPosition in 2026Outlook to 2038
Circular RNA developersSail Biomedicines, CirCode BiomedEngineered circular RNA platformsDevelop circular RNA platforms and candidates
Large biopharma and RNA medicine firmsEli Lilly, Moderna, BioNTech, Pfizer, Sanofi, GSK, Novartis, AstraZeneca, Takeda, Roche, AbbVie, Merck, Everest MedicinesIn vivo cell therapy and RNA programmesAcquire, license and develop circular RNA
RNA manufacturing and delivery suppliersAcuitas Therapeutics, Roivant Sciences, Lonza, Thermo Fisher Scientific, Agilent Technologies, Danaher, Merck KGaA, Nitto Denko, BachemLipid nanoparticles and RNA manufacturingMake and deliver RNA at scale
Research institutes, societies and investorsMassachusetts Institute of Technology, Harvard Medical School, American Society of Gene & Cell Therapy, American College of Rheumatology, International Society for Cell & Gene Therapy, RNA Society, Flagship Pioneering, MPM Capital, BioImpact Capital, National Institutes of HealthResearch, clinical guidance and fundingFund and advance platform science
Government agencies and regulatorsU.S. Food and Drug Administration, European Medicines Agency, Medicines and Healthcare products Regulatory Agency, Pharmaceuticals and Medical Devices Agency, National Medical Products AdministrationApproval of RNA and cell therapy productsApprove trials and products
Standards bodiesUnited States PharmacopeiaQuality standardsSet quality standards

Where value migrates.

In 2026 value sits with the platform developers and the firms that acquire or license them, and with suppliers of lipid nanoparticles and RNA. By 2033 it moves toward companies with clinical proof of durable expression and repeat dose data, because pivotal programmes need evidence that dose and cost fall. By 2038 it settles in integrated circular RNA and delivery platforms and suppliers with RNA manufacturing at scale. Margins hold for platforms with clinical proof and narrow for late followers.

Who Will Win — and Why

The archetypes best positioned to capture value as the shift matures.

Developers with clinical proof of durable expression

Firms that show longer expression and lower dose in patients.

Large biopharma firms with partnered programmes

Firms that bring clinical and commercial capacity to a platform.

Suppliers of RNA and delivery at scale

Firms that cut cost per dose as programmes advance.

Regulatory Landscape

JurisdictionMilestoneIndicative timingEffect on adoption
FDA guidance for RNA and cell therapy productsUS guidance on development of RNA medicines and cell therapy productsIn forceShapes trial design and safety follow-up
EU rules for advanced therapy medicinal productsEU framework for approval of advanced therapiesIn forceSets the approval path in Europe
Clinical trial approvals in the United States and EuropeRegulatory clearance for first-in-human and early trialsIn forceAllows early programmes to enter patients
Repeat dose safety requirementsRequirements to show safety across repeated dosingIn forceAdd cost and time to development
Expedited review programmesFast track and similar programmes for serious conditionsIn forceSpeed first approvals in selected indications

Investment Signals

The signals converge on investment ahead of clinical proof. A large biopharma firm agreed in February 2026 to acquire a circular RNA company for up to USD 2.4 billion, and the lead candidate was described as ready for clinical trials in the first half of 2026. Each signal supports growth, and no human expression data have yet been reported.

Structural limits show where progress could slow: unproven expression and safety in humans, delivery beyond targeted cells, immune effects and competition from linear mRNA and viral vectors. The brief therefore tracks four indicators: first-in-human data, trial starts, manufacturing cost per dose and new acquisitions or partnerships.

Regionally, North America leads on companies and deals, Asia-Pacific on a growing group of circular RNA developers, and Europe on academic research and manufacturing. In vivo cell therapy for autoimmune disease, then protein replacement in rare disease, then vaccines are the expected order of development.

Questions This Brief Answers

01What is circular RNA, and why does it matter for durable RNA therapeutics?
02What is the market size in 2026, and what is the forecast to 2038?
03What do the Lilly and Orna deal and the clinical timelines indicate?
04What factors are driving growth, and what evidence and delivery barriers remain?
05Which key participants are active, and which archetypes are positioned to win?
06What are the latest developments?
07How will first clinical data shape adoption between 2026 and 2038?
08What should developers, biopharma firms and investors do now?

Strategic Implications

  • Circular RNA developers: generate human expression data and secure large partners.
  • Large biopharma firms: acquire or license platforms and build delivery capability for in vivo cell therapy.
  • Delivery suppliers, clinicians and research groups: scale lipid nanoparticle and RNA supply and share clinical data.
  • Policy makers: clarify requirements for RNA based cell therapy and repeat dosing.
  • Investors: treat first-in-human data, trial starts, manufacturing cost per dose and new acquisitions as the leading indicators.
Analyst Perspective

"A priced acquisition has put circular RNA ahead of its own clinical proof. The next few years will show whether a longer lasting RNA works in patients."

Lead Foresight Analyst
Biotechnology & Life Sciences · Meticulous Next™

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