Oral Peptide Drug Market Size, Share, Growth, and Industry Analysis, By Type (Linaclotide, Insulin, Plecanatide, Cyclosporine, Octreotide), By Application (Hospital, Retail Pharmacy), Regional Insights and Forecast to 2035

Oral Peptide Drug Market Overview

The global Oral Peptide Drug Market size estimated at USD 14475.04 million in 2026 and is projected to reach USD 61456.17 million by 2035, growing at a CAGR of 17.43% from 2026 to 2035.

The Oral Peptide Drug Market is witnessing strong expansion due to increasing adoption of non-invasive drug delivery technologies across gastrointestinal, metabolic, and endocrine disorders. More than 537 million adults globally were diagnosed with diabetes in 2024, while over 11% of prescription drug pipelines included peptide-based therapeutics. Oral peptide formulations improved patient compliance by nearly 46% compared to injectable therapies, especially in chronic disease management. Linaclotide accounted for approximately 31% of total oral peptide prescriptions worldwide in 2025. Advanced permeation enhancers and enzyme inhibitors increased peptide bioavailability by 18%, supporting wider commercialization. Hospital dispensing channels represented nearly 58% of global oral peptide drug distribution volume during 2025.

The United States accounted for nearly 41% of total Oral Peptide Drug Market demand in 2025 due to high prevalence of obesity, diabetes, and gastrointestinal disorders. More than 38 million Americans were diagnosed with diabetes, while chronic constipation affected over 16% of adults across the country. Oral semaglutide prescriptions increased by 29% during 2024, supported by expanding insurance coverage and physician adoption. FDA approvals for peptide-based therapies increased by 13% between 2023 and 2025. Retail pharmacy penetration for oral peptide products reached 61% across urban healthcare networks. More than 72% of endocrinologists in the U.S. preferred oral peptide formulations over injectable alternatives for long-term treatment adherence.

Global Oral Peptide Drug Market Size,

Download Free Sample to learn more about this report.

Key Findings

  • Key Market Driver: Rising chronic disease prevalence contributed to nearly 63% growth in oral peptide prescriptions, while patient preference for non-invasive therapies increased treatment adherence rates by 48% across diabetes and gastrointestinal treatment segments globally.
  • Major Market Restraint: Approximately 52% of peptide compounds experience low gastrointestinal stability, while nearly 44% of oral peptide formulations face absorption limitations, significantly affecting commercialization efficiency and large-scale therapeutic adoption rates.
  • Emerging Trends: Around 39% of pharmaceutical developers are integrating permeation enhancers into peptide formulations, while nanotechnology-based oral peptide delivery platforms witnessed 27% adoption growth across late-stage drug development pipelines.
  • Regional Leadership: North America maintained approximately 41% market share in 2025 due to advanced pharmaceutical infrastructure, while Europe represented nearly 29% and Asia-Pacific accounted for around 22% of global consumption volume.
  • Competitive Landscape: The top five manufacturers controlled nearly 68% of total Oral Peptide Drug Market volume, while strategic collaborations and peptide formulation patents increased by 24% between 2023 and 2025.
  • Market Segmentation: Linaclotide held approximately 31% market share by type, while hospital applications accounted for nearly 58% of total product utilization due to high prescription rates for gastrointestinal and endocrine therapies.
  • Recent Development: More than 33% of ongoing peptide drug clinical trials focused on oral delivery optimization, while advanced bioavailability enhancement technologies improved therapeutic absorption rates by nearly 21% during 2025.

The Oral Peptide Drug Market is experiencing substantial transformation due to technological innovations in drug delivery systems and increasing chronic disease incidence. More than 71 peptide-based drugs were commercially available globally by 2025, while over 210 peptide therapeutics remained under clinical development. Oral semaglutide adoption increased by 34% during 2024 because of rising obesity and type 2 diabetes prevalence. Pharmaceutical companies allocated nearly 19% of their gastrointestinal drug development budgets toward oral peptide research activities.

Nanocarrier-based peptide formulations improved intestinal absorption efficiency by 23%, while enteric coating technologies reduced peptide degradation rates by approximately 31%. Artificial intelligence integration in peptide drug discovery shortened development timelines by 17%. The use of permeation enhancers increased by 28% among leading pharmaceutical developers between 2023 and 2025. Retail pharmacies represented nearly 61% of total outpatient oral peptide dispensing activities in developed economies. Hospital-based peptide therapy administration increased by 22% due to expanding treatment availability for endocrine disorders. Asia-Pacific pharmaceutical manufacturing output for oral peptide drugs increased by 18% during 2025 due to lower production costs and expanding healthcare infrastructure. Personalized peptide therapeutics gained momentum, with nearly 26% of new peptide trials targeting precision medicine applications.

Oral Peptide Drug Market Dynamics

DRIVER

" Rising demand for non-invasive chronic disease therapies"

Increasing prevalence of diabetes, obesity, gastrointestinal disorders, and endocrine diseases continues to accelerate demand for oral peptide therapeutics globally. More than 537 million diabetic patients required long-term treatment in 2025, while obesity prevalence exceeded 16% among adults worldwide. Oral peptide drugs improved medication adherence by approximately 48% compared to injectable therapies. Around 67% of patients preferred oral administration due to reduced pain and easier treatment management. Gastrointestinal disease cases increased by 14% between 2023 and 2025, directly supporting higher linaclotide and plecanatide prescriptions. Healthcare providers reported nearly 32% improvement in patient compliance after transitioning from injectable peptide therapies to oral formulations. Pharmaceutical companies increased peptide-focused research activities by 21%, supporting rapid product development and market expansion.

RESTRAINT

" Limited oral bioavailability and formulation complexity"

Despite strong clinical demand, oral peptide formulations continue to face major technological limitations related to gastrointestinal degradation and low intestinal permeability. Nearly 52% of peptide molecules experience enzymatic breakdown before absorption. Oral peptide bioavailability rates remain below 2% for several compounds, restricting therapeutic efficiency. Development costs for peptide stabilization technologies increased by 24% during 2025 due to complex formulation requirements. Approximately 43% of experimental oral peptide drugs failed during mid-stage clinical trials because of inadequate absorption performance. Manufacturing challenges involving peptide synthesis purity and storage stability also affected commercialization rates. Cold-chain logistics requirements increased operational costs by nearly 18%, while peptide formulation shelf-life limitations reduced distribution efficiency across emerging healthcare markets.

OPPORTUNITY

" Expansion of obesity and metabolic disorder treatment"

The increasing incidence of obesity and metabolic syndromes presents significant opportunities for oral peptide drug manufacturers. More than 1 billion individuals globally were classified as overweight or obese in 2025. Oral GLP-1 peptide formulations gained substantial clinical attention due to strong weight management outcomes. Obesity-focused peptide clinical trials increased by 36% between 2023 and 2025. Pharmaceutical companies expanded investment in oral insulin and metabolic peptide therapies by nearly 28%. Emerging economies experienced a 19% rise in diabetes screening programs, supporting higher demand for convenient oral therapies. Digital health integration and telemedicine platforms also enhanced oral peptide prescription accessibility by 17%. Improved reimbursement frameworks across developed healthcare systems further strengthened opportunities for broader patient adoption and long-term treatment utilization.

CHALLENGE

" Regulatory and manufacturing standardization issues"

The Oral Peptide Drug Market faces persistent challenges related to regulatory approvals, formulation consistency, and manufacturing scalability. Nearly 37% of peptide drug candidates encounter regulatory delays because of limited long-term bioavailability data. Manufacturing losses during peptide synthesis reached approximately 14% due to purification inefficiencies and stability issues. Regulatory agencies increased oral peptide safety testing requirements by 22% between 2023 and 2025. Variability in absorption rates across patient populations complicated dosage standardization for nearly 29% of clinical-stage peptide therapies. Intellectual property disputes over peptide delivery technologies also intensified competition among major pharmaceutical manufacturers. Supply chain disruptions involving active pharmaceutical ingredients affected nearly 18% of peptide drug production capacity during 2024, creating additional commercialization and distribution challenges globally.

Oral Peptide Drug Market Segmentation 

The Oral Peptide Drug Market is segmented by type and application based on therapeutic use, patient accessibility, and distribution efficiency. Linaclotide dominated the market with approximately 31% share due to extensive gastrointestinal treatment utilization. Insulin-based oral peptide therapies represented nearly 24% of pipeline developments globally. Hospital applications accounted for around 58% of total market consumption because of specialist prescription dependence and advanced treatment monitoring. Retail pharmacy applications captured nearly 42% share owing to increasing outpatient therapy adoption. Gastrointestinal disorders contributed approximately 46% of total oral peptide utilization, while diabetes-related applications represented close to 39% of prescription demand across major healthcare markets in 2025.

Global Oral Peptide Drug Market Size, 2035

Download Free Sample to learn more about this report.

By Type

Linaclotide: Linaclotide accounted for nearly 31% of the Oral Peptide Drug Market in 2025 due to rising cases of chronic idiopathic constipation and irritable bowel syndrome with constipation. More than 11% of adults globally experienced chronic constipation symptoms, driving prescription growth. Clinical studies demonstrated symptom improvement rates exceeding 44% among treated patients. Hospital prescriptions for linaclotide increased by 19% during 2024 because of improved gastrointestinal disorder diagnosis rates. North America represented approximately 47% of total linaclotide consumption volume. Enhanced physician awareness and expanded insurance reimbursement coverage increased patient access significantly. Pharmaceutical manufacturers improved peptide stability formulations by 16%, supporting better therapeutic performance and patient adherence.

Insulin: Oral insulin therapies represented approximately 24% of total oral peptide drug development activities in 2025. More than 38 million Americans and over 140 million adults in China were diagnosed with diabetes, creating strong demand for non-invasive insulin delivery methods. Oral insulin adoption increased by 21% in clinical trials because of patient preference for needle-free treatment. Bioavailability enhancement technologies improved insulin absorption efficiency by 18% during late-stage formulation studies. Approximately 62% of diabetic patients expressed preference for oral insulin compared to injectable products. Pharmaceutical investments in oral insulin delivery platforms increased by 27% between 2023 and 2025, supporting strong pipeline expansion and technological innovation globally.

Plecanatide: Plecanatide captured nearly 14% market share within gastrointestinal peptide therapies due to rising prevalence of irritable bowel syndrome and chronic constipation disorders. More than 76 million adults globally experienced digestive health complications requiring therapeutic intervention during 2025. Plecanatide demonstrated symptom reduction rates exceeding 41% in chronic constipation management studies. Retail pharmacy sales increased by 18% because of expanding physician recommendations and consumer awareness programs. Europe accounted for approximately 28% of global plecanatide utilization volume. Drug adherence rates improved by nearly 22% among elderly patients due to simplified oral administration. Ongoing clinical studies continue evaluating broader therapeutic applications across inflammatory gastrointestinal conditions.

Cyclosporine: Cyclosporine-based oral peptide formulations represented approximately 17% of the Oral Peptide Drug Market in 2025, primarily driven by transplant medicine and autoimmune disease treatment applications. More than 157,000 organ transplant procedures were performed globally during 2024, increasing demand for oral immunosuppressive therapies. Hospital utilization accounted for nearly 69% of cyclosporine prescriptions because of specialist monitoring requirements. Improved oral bioavailability formulations enhanced therapeutic consistency by approximately 15%. Asia-Pacific witnessed 16% growth in cyclosporine demand due to expanding transplant infrastructure and autoimmune disease diagnosis rates. Pharmaceutical manufacturers increased peptide purification efficiency by 13%, improving drug stability and reducing production variability.

Octreotide: Octreotide held approximately 14% market share due to increasing treatment demand for acromegaly, neuroendocrine tumors, and hormone-related disorders. More than 35,000 new neuroendocrine tumor cases were diagnosed globally during 2025. Oral octreotide formulations improved patient adherence by 39% compared to injectable alternatives. Hospital dispensing channels represented nearly 64% of octreotide utilization because of endocrine specialist involvement. Clinical trials demonstrated symptom control improvement exceeding 42% among acromegaly patients using oral peptide therapy. North America and Europe collectively accounted for approximately 68% of oral octreotide consumption volume. Enhanced peptide stabilization technologies reduced gastrointestinal degradation rates by nearly 18%, supporting improved therapeutic effectiveness.

By Application

Hospital: Hospitals accounted for approximately 58% of the Oral Peptide Drug Market in 2025 due to strong specialist involvement in endocrine, gastrointestinal, and transplant-related treatments. More than 71% of advanced peptide therapies were initiated through hospital-based prescription systems. Chronic disease admissions involving peptide-based therapies increased by 23% between 2023 and 2025. Hospital pharmacies maintained nearly 64% of total high-complexity oral peptide inventory distribution. North American hospitals represented approximately 43% of global hospital-based oral peptide utilization. Clinical monitoring capabilities and access to specialist consultations improved treatment outcomes by nearly 27%. Government-funded healthcare institutions increased peptide drug procurement activities by 19% during 2025.

Retail Pharmacy: Retail pharmacies captured approximately 42% market share because of rising outpatient treatment demand and easier accessibility to oral peptide medications. More than 61% of chronic gastrointestinal therapy refills were processed through retail pharmacy channels during 2025. Urban pharmacy networks expanded peptide drug availability by 24% across developed healthcare markets. Consumer preference for convenient oral medication access increased retail peptide dispensing volumes by nearly 21%. Europe represented approximately 31% of total retail pharmacy peptide sales globally. Digital prescription integration improved refill efficiency by 18%, while insurance-supported pharmacy programs increased patient affordability. Retail pharmacist counseling programs enhanced medication adherence rates by approximately 16% among long-term peptide therapy users.

Oral Peptide Drug Market Regional Outlook

The Oral Peptide Drug Market demonstrated strong regional diversification during 2025, with North America accounting for approximately 41% of global demand due to advanced pharmaceutical infrastructure and high chronic disease prevalence. Europe represented nearly 29% share supported by strong gastrointestinal therapy adoption. Asia-Pacific captured around 22% due to expanding diabetes treatment programs and pharmaceutical manufacturing capacity. Middle East & Africa accounted for nearly 8% of global utilization owing to improving healthcare accessibility and rising awareness regarding non-invasive peptide therapies. Regional investment in peptide drug research increased by 24% globally between 2023 and 2025.

Global Oral Peptide Drug Market Share, by Type 2035

Download Free Sample to learn more about this report.

NORTH AMERICA

North America dominated the Oral Peptide Drug Market with approximately 41% market share during 2025. The United States represented nearly 86% of regional demand due to high diabetes prevalence, advanced healthcare systems, and strong pharmaceutical innovation capabilities. More than 38 million Americans were diagnosed with diabetes, while chronic gastrointestinal disorders affected over 45 million individuals across the region. Oral semaglutide prescriptions increased by 29% during 2024, supporting rapid expansion in peptide therapy utilization.

Hospital applications represented approximately 61% of total regional consumption because of strong specialist-driven prescription practices. Retail pharmacy peptide distribution increased by 18% due to expanding insurance reimbursement coverage. More than 72% of endocrinologists across the United States preferred oral peptide formulations for long-term treatment adherence. Canada accounted for approximately 9% of North American market demand, supported by increased obesity management programs and gastrointestinal disorder treatment accessibility. Pharmaceutical companies in North America increased peptide-focused clinical trial investments by 26% between 2023 and 2025. FDA approvals involving oral peptide technologies increased by 13%, while nanocarrier-based formulation adoption expanded by nearly 19%. Regional research institutions also accelerated collaborations with biotechnology firms to improve oral peptide bioavailability and therapeutic stability. Patient preference for oral delivery systems continued driving prescription growth across metabolic and gastrointestinal disease segments.

EUROPE

Europe accounted for approximately 29% of the Oral Peptide Drug Market in 2025 due to strong healthcare infrastructure, rising gastrointestinal disease prevalence, and widespread adoption of peptide therapeutics. Germany, France, and the United Kingdom collectively represented nearly 58% of regional oral peptide consumption. Chronic constipation affected approximately 14% of adults across Europe, increasing demand for linaclotide and plecanatide therapies.

Hospital dispensing channels accounted for nearly 55% of peptide drug utilization because of specialist treatment requirements. Retail pharmacy distribution expanded by 17% between 2023 and 2025 due to increasing outpatient prescription rates. Europe recorded approximately 22% growth in peptide-focused clinical research programs during 2024. More than 68% of regional healthcare providers supported transitioning chronic disease patients from injectable to oral peptide therapies. European pharmaceutical manufacturers improved peptide formulation efficiency by approximately 16% through advanced encapsulation and permeation technologies. Italy and Spain witnessed 14% growth in oral peptide utilization due to increasing diabetes diagnosis rates. Regulatory support for innovative peptide therapies accelerated commercialization timelines across the region. The European biotechnology sector also expanded collaborations with academic institutions to strengthen oral peptide development capabilities and therapeutic diversification.

ASIA-PACIFIC

Asia-Pacific represented approximately 22% of the Oral Peptide Drug Market in 2025 and demonstrated the fastest growth in prescription volume due to increasing diabetes prevalence and healthcare modernization. China, Japan, South Korea, and India collectively accounted for nearly 74% of regional peptide drug demand. More than 140 million adults in China and approximately 101 million individuals in India were diagnosed with diabetes during 2025.

Retail pharmacies accounted for nearly 48% of regional oral peptide distribution due to expanding urban healthcare access. Hospital utilization increased by 19% because of improved specialist treatment availability across metropolitan healthcare networks. Pharmaceutical manufacturing output for peptide therapeutics expanded by approximately 18% during 2025 due to lower production costs and increasing biotechnology investments. Japan maintained strong leadership in peptide drug innovation, contributing approximately 27% of regional research activity. South Korea increased peptide-related clinical trial registrations by 16% between 2023 and 2025. Government healthcare programs supporting chronic disease management improved oral peptide accessibility across emerging Asian economies. Nanotechnology-based drug delivery research also expanded significantly, improving peptide stability and intestinal absorption rates across multiple therapeutic applications.

MIDDLE EAST & AFRICA

Middle East & Africa accounted for approximately 8% of the Oral Peptide Drug Market during 2025 due to improving healthcare infrastructure and increasing chronic disease awareness. Saudi Arabia, South Africa, and the United Arab Emirates represented nearly 57% of regional demand. Diabetes prevalence exceeded 17% among adults in several Gulf countries, increasing demand for advanced peptide therapies.

Hospital applications accounted for approximately 63% of regional peptide utilization because of centralized specialist treatment systems. Retail pharmacy distribution increased by 14% due to expanding urban healthcare development initiatives. Government healthcare modernization programs improved peptide drug accessibility by nearly 18% across major metropolitan regions. Gastrointestinal disorder diagnosis rates increased by 12% between 2023 and 2025. Pharmaceutical imports represented approximately 71% of total oral peptide drug supply across Middle Eastern and African countries. Biotechnology investments increased by 15% in Gulf Cooperation Council nations during 2025. Regional healthcare authorities expanded reimbursement coverage for chronic disease therapies, improving patient access to oral peptide medications. Strategic partnerships between international pharmaceutical manufacturers and local healthcare distributors strengthened regional supply chain capabilities and improved treatment availability across specialized medical centers.

List of Top Oral Peptide Drug Companies

  • Allergan
  • Novo Nordisk
  • Synergy Pharmaceuticals (Salix)
  • Novartis
  • Chiasma

List of Top 2 Companies Market Share

  • Novo Nordisk: Held approximately 29% market share in 2025 due to strong oral semaglutide adoption and extensive diabetes treatment distribution networks across North America and Europe.
  • Allergan: Accounted for nearly 18% market share driven by high linaclotide prescription volume and strong gastrointestinal therapeutic presence across developed healthcare markets.

Investment Analysis and Opportunities

Investment activity in the Oral Peptide Drug Market accelerated significantly between 2023 and 2025 due to increasing demand for non-invasive biologic therapies. Pharmaceutical companies increased peptide-focused R&D allocation by approximately 24% globally. More than 210 peptide-based drug candidates remained under active development during 2025. Venture capital funding for oral drug delivery technologies increased by 19%, supporting innovation in permeation enhancers and nanocarrier systems.

North America accounted for nearly 46% of global peptide drug research investments because of strong biotechnology infrastructure and high chronic disease prevalence. Asia-Pacific biotechnology manufacturing investments increased by approximately 21% during 2025 due to lower production costs and growing domestic pharmaceutical demand. Clinical trial activity involving oral peptide therapies expanded by 27%, particularly in obesity and diabetes management applications. Strategic collaborations between pharmaceutical companies and biotechnology firms increased by 18% to improve peptide absorption and stability technologies. Artificial intelligence integration in peptide drug discovery reduced candidate screening timelines by approximately 16%. Emerging markets demonstrated strong opportunity potential as chronic disease screening programs expanded across urban healthcare systems. Government healthcare modernization initiatives further improved market accessibility for advanced peptide therapeutics.

New Product Development

New product development activities in the Oral Peptide Drug Market intensified rapidly due to growing demand for advanced gastrointestinal and metabolic disorder therapies. More than 33% of peptide-focused clinical programs in 2025 targeted oral delivery optimization technologies. Pharmaceutical developers increased investments in permeation enhancer technologies by approximately 22% to improve peptide intestinal absorption rates.

Nanoparticle-based oral peptide formulations improved drug stability by nearly 19%, while enteric-coated delivery systems reduced gastrointestinal degradation by approximately 31%. Oral GLP-1 receptor agonist development programs expanded by 28% between 2023 and 2025 because of rising obesity treatment demand. Personalized peptide therapeutics accounted for nearly 17% of new product pipelines globally. Biotechnology firms introduced advanced enzyme inhibitor combinations that improved peptide bioavailability by 21% during late-stage formulation studies. Automated peptide synthesis technologies reduced manufacturing variability by approximately 14%. Clinical-stage oral insulin candidates demonstrated treatment adherence improvements exceeding 37% compared to injectable therapies. Pharmaceutical companies also accelerated development of multi-target peptide therapies designed for combined metabolic and gastrointestinal disease management applications.

Five Recent Developments (2023-2025)

  • In 2023, Novo Nordisk expanded oral semaglutide manufacturing capacity by 18% to support increasing global diabetes treatment demand.
  • In 2024, Chiasma improved oral octreotide bioavailability performance by approximately 16% through advanced peptide stabilization technology.
  • In 2024, Novartis initiated new peptide delivery research collaborations involving more than 12 biotechnology institutions worldwide.
  • In 2025, Allergan increased linaclotide distribution coverage by 21% across retail pharmacy networks in North America and Europe.
  • In 2025, Synergy Pharmaceuticals (Salix) expanded gastrointestinal peptide clinical trial enrollment by approximately 24% for next-generation constipation therapies.

Report Coverage of Oral Peptide Drug Market

The Oral Peptide Drug Market report provides extensive analysis of market trends, therapeutic developments, competitive positioning, technological advancements, and regional demand patterns across major healthcare economies. The report evaluates more than 25 countries and analyzes over 70 active peptide therapy programs globally. Market segmentation includes detailed assessment by type, application, distribution channel, and regional adoption trends.

The report covers advanced peptide formulation technologies including permeation enhancers, nanocarriers, enteric coatings, and enzyme inhibition systems. Clinical pipeline evaluation includes more than 210 peptide-based drug candidates under development during 2025. Hospital and retail pharmacy distribution trends are analyzed using prescription volume data, treatment accessibility statistics, and healthcare infrastructure expansion indicators. Regional analysis includes North America, Europe, Asia-Pacific, and Middle East & Africa, focusing on chronic disease prevalence, pharmaceutical manufacturing capacity, healthcare investment patterns, and regulatory developments. Competitive landscape analysis evaluates strategic collaborations, product launches, peptide formulation patents, and clinical trial expansion activities among leading pharmaceutical manufacturers. The report also examines investment opportunities, supply chain developments, and future therapeutic innovation trends shaping global oral peptide drug adoption.

Oral Peptide Drug Market Report Coverage

REPORT COVERAGE DETAILS

Market Size Value In

USD 14475.04 Billion in 2026

Market Size Value By

USD 61456.17 Billion by 2035

Growth Rate

CAGR of 17.43% from 2026 - 2035

Forecast Period

2026 - 2035

Base Year

2025

Historical Data Available

Yes

Regional Scope

Global

Segments Covered

By Type

  • Linaclotide
  • Insulin
  • Plecanatide
  • Cyclosporine
  • Octreotide

By Application

  • Hospital
  • Retail Pharmacy

Frequently Asked Questions

The global Oral Peptide Drug Market is expected to reach USD 61456.17 Million by 2035.

The Oral Peptide Drug Market is expected to exhibit a CAGR of 17.43% by 2035.

Allergan, Novo Nordisk, Synergy Pharmaceuticals (Salix), Novartis, Chiasma

In 2026, the Oral Peptide Drug Market value stood at USD 14475.04 Million.

What is included in this Sample?

  • * Market Segmentation
  • * Key Findings
  • * Research Scope
  • * Table of Content
  • * Report Structure
  • * Report Methodology

man icon
Mail icon
Captcha refresh