Companies are grouped by the primary mechanism their lead programme targets. Counts reflect a company's declared primary focus area, so a platform business with a senolytic asset appears once, under platform.
Platform & tools
29 companiesDiscovery engines, AI-driven target identification, ageing-clock software and funds. Sells into the rest of the field rather than to patients, so revenue arrives earlier than clinical proof.
Tracked examples: Recursion Pharmaceuticals, Gerostate Alpha, Spring Discovery, Gero AI, Novos Labs, VitaDAO
Aging biology (broad geroscience)
24 companiesCompanies whose lead programmes address a hallmark of ageing directly, usually with a disease indication attached for regulatory purposes.
Tracked examples: Alector, Maze Therapeutics, Kronos Bio, Biosplice Therapeutics, Deep Genomics, Variant Bio
Diagnostics & biomarkers
19 companiesEpigenetic clocks, multi-omic panels and functional assays. The commercial bright spot of the field, and the layer any ageing trial ultimately depends on for endpoints.
Tracked examples: Deep Longevity, EpiAge, AgeMeter, Veritas Genetics, Biomarker Labs, Elevage Medical
Senolytics & senotherapeutics
15 companiesClearing or reprogramming senescent cells. Strong preclinical rationale; the clinical record so far is mixed and highly tissue-dependent.
Tracked examples: Aclaris Therapeutics, Marble Therapeutics, Geros Senotherapeutics, Senolytx Therapeutics, Nuvation Bio, Vor Biopharma
NAD+ & metabolism
11 companiesNAD+ precursors, mitochondrial and mTOR-adjacent metabolic programmes. Split between consumer supplement economics and genuine drug development.
Tracked examples: Navitor Pharmaceuticals, Mitobridge (AbbVie Subsidiary), Iduna Therapeutics, Qualia Life Sciences, Mthera Pharma, Timeline Nutrition
Epigenetics
7 companiesModulating the epigenome to restore youthful gene expression, plus the measurement tooling that makes such claims testable.
Tracked examples: Eterna Therapeutics, EpiBeat Therapeutics, Amplitude Therapeutics, Longevica Pharmaceuticals
Cell therapy
7 companiesAutologous and allogeneic cell products aimed at regenerating exhausted tissue compartments — kidney, immune system, cartilage.
Tracked examples: ProKidney, Cellino Biotech, ImmunAge Biotech, Seachange Bio
Rejuvenation
6 companiesPlasma-fraction, xenotransplant and systemic-factor approaches. Scientifically bold, and the sub-segment where evidence quality varies most.
Tracked examples: Alkahest, eGenesis, Centauri Therapeutics, Young Blood Institute
Partial reprogramming
5 companiesTransient expression of pluripotency factors or equivalent to reset cellular age without losing cell identity. Almost entirely preclinical.
Tracked examples: Tome Biosciences, Exsilio Therapeutics, Kriya Therapeutics, Minicircle
Gene therapy
4 companiesDelivering longevity-associated genes (telomerase, follistatin, Klotho variants) via viral and non-viral vectors.
Tracked examples: Genflow Biosciences, Geron Corporation, BioViva Science
Damage clearance
4 companiesRemoving accumulated molecular damage — crosslinks, aggregates, lipofuscin — that no existing clearance pathway handles well.
Tracked examples: Revel Pharmaceuticals, Underdog Pharmaceuticals, Fortify Biosystems
Proteomics
3 companiesHigh-plex protein measurement, now the main engine behind proteomic ageing clocks and organ-specific age estimates.
Tracked examples: SomaLogic, Olink Proteomics, Seer Bio