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The Cardiovascular Market Outlook To 2010

Published by: Business Insights

Published: Oct. 1, 2005 - 174 Pages


Table of Contents


Table of Contents

The Cardiovascular Market Outlook to 2010

Executive summary 10

Patient potential 10

Global cardiovascular market analysis 11

Leading players in the cardiovascular market 12

Analysis of potential future cardiovascular blockbusters 13

Chapter 1 Patient potential 16

Summary 16

Introduction 17

Disease description 17

Defining patient potential 19

Limitations of cardiovascular epidemiology data 19

Cardiovascular risk factors 20

Hypertension 20

Prevalence 23

Factors driving prevalence 24

Forecast prevalence of hypertension in the seven major markets 25

Dyslipidemia 26

Prevalence 29

Factors driving prevalence 30

Forecast prevalence of dyslipidemia 31

Diabetes 32

Cardiovascular disease 35

Prevalence 36

Acute thrombotic events 38

Acute coronary syndromes 38

ST-segment elevation myocardial infarction (STEMI)/acute MI 40

Unstable angina and NSTEMI 41

Venous thromboembolism 44

Stroke 46

Cardiovascular procedures 48

4

Chapter 2 Global cardiovascular market

analysis 52

Summary 52

Introduction 53

Market breakdown by therapy area 53

Leading products 56

Anti-hypertensives 57

Introduction 57

Analysis of the top 10 anti-hypertensives 60

Market analysis by drug class 62

ACE inhibitors 62

Calcium channel blockers 68

Angiotensin receptor blockers 71

Beta blockers 78

Diuretics 80

Other hypertension drugs 82

Anti-hypertensives sales forecasts 82

Anti-dyslipidemics 84

Introduction 84

Top 10 anti-dyslipidemics 85

Market analysis by drug class 87

Statins 87

Fibrates 90

Non-statin products 91

Other anti-dyslipidemics 92

Anti-dyslipidemic sales forecasts 92

Anti-thrombotics 93

Introduction 93

Top 10 anti-thrombotics 96

Market analysis by drug class 98

Anti-platelets 98

Heparins 101

Vitamin K antagonists 104

Fibrinolytics 106

Anti-thrombotics sales forecasts 107

Cardiac Therapies 108

Introduction 108

Top 10 cardiac therapies 110

Market analysis by drug class 110

Other cardiac therapies 110

Nitrites and nitrates 112

Anti-arrhythmics 113

Cardiac therapies sales forecasts 113

5

Chapter 3 Leading players in the

cardiovascular market 116

Summary 116

Introduction 117

Global market shares 117

Pfizer 119

Marketed products 120

R&D compounds 121

Cardiovascular portfolio sales forecasts 122

Merck & Co. 123

Marketed products 123

R&D compounds 124

Cardiovascular portfolio sales forecasts 125

Bristol-Myers Squibb 126

Marketed products 126

R&D compounds 127

Cardiovascular portfolio sales forecasts 128

Novartis 129

Marketed products 129

R&D compounds 130

Cardiovascular portfolio sales forecasts 131

AstraZeneca 132

Marketed products 132

R&D compounds 133

Cardiovascular portfolio sales forecasts 134

Sanofi-Aventis 135

Marketed products 135

R&D compounds 136

Cardiovascular portfolio sales forecasts 137

Chapter 4 Analysis of potential future

cardiovascular blockbusters 140

Summary 140

Introduction 141

Drug profiles 142

AGI-1067 142

Caduet 144

Exanta (ximelagatran/melagatran) 145

Idraparinux 148

LY-674 150

NKS-104/Livalo (pitavastatin) 151

Pactimibe 153

6

Ranexa (ranolazine) 155

SPP100 (aliskiren) 157

Thelin (sitaxsentan) 160

torcetrapib and torcetrapib/atorvastatin 162

480848 164

Chapter 5 Appendix 168

IMS sales figures 168

Glossary 169

Index 171

List of Figures

Figure 1.1: Relationship between cardiovascular disease and risk factors 18

Figure 1.2: Proportion of hypertension sufferers which have controlled hypertension 22

Figure 1.3: Risk factors associated with hypertension 24

Figure 2.4: Competitive dynamics in the global cardiovascular market, 55

Figure 2.5: Competitive dynamics in the global anti-hypertensives market by class, 2003-04 58

Figure 2.6: Competitive dynamics of the top ten anti-hypertensives by drug class, 2002-03 61

Figure 2.7: Competitive dynamics in the global anti-dyslipidemics market by leading brands,

2003-04 86

Figure 2.8: Competitive dynamics in the global anti-thrombotics market, 2003-04 95

Figure 2.9: Competitive dynamics in the global anti-thrombotics market by leading brands, 2003-

04 97

Figure 2.10: Competitive dynamics in the global cardiac therapies market, 2003-04 109

Figure 3.11: Key players in the global cardiovascular market, 2000 & 2004 119

Figure 4.12: High potential drugs in late-stage development or that have been recently launched141

Figure 4.13: Forecast sales of AGI-1067 143

Figure 4.14: Forecast sales of Caduet, 2005-2010 145

Figure 4.15: Forecast sales of Exanta 147

Figure 4.16: Forecast sales of idraparinux, 2005-2010 149

Figure 4.17: Forecast sales of NKS-104 153

Figure 4.18: Forecast sales of pactimibe, 2005-2010 155

Figure 4.19: Forecast sales of Ranexa, 2005-2010 157

Figure 4.20: Forecast sales of SPP-100 159

Figure 4.21: Forecast sales of Thelin, 2005-2010 162

Figure 4.22: Forecast sales of torcetrapib/Lipitor 164

Figure 4.23: Forecast sales of 480848 166

7

List of Tables

Table 1.1: Prevalence of hypertension in the seven major markets, 2004 23

Table 1.2: Estimated prevalence of hypertension in the seven major markets, 2005-10 25

Table 1.3: Clinical guidelines for adult patients at borderline and high risk of cardiovascular

disease by serum levels of lipids 28

Table 1.4: Prevalence of hypercholesterolemia in the seven major markets, 2004 29

Table 1.5: Estimated prevalence of hypercholesterolemia in the seven major markets, 2005-10 31

Table 1.6: Estimated prevalence of diabetes in the seven major markets, 2004 33

Table 1.7: Estimated prevalence of diabetes in the seven major markets, 2005-10 34

Table 1.8: Estimated prevalence of major cardiovascular diseases in the seven major markets,

2004 37

Table 1.9: Estimated incidence of ACS in the seven major markets, 2004 39

Table 1.10: Estimated incidence of STEMI in the seven major markets, broken down by age, 2004

40

Table 1.11: Estimated incidence of NSTEMI in the seven major markets, broken down by age,

2004 42

Table 1.12: Estimated incidence of UA in the seven major markets, broken down by age, 2004 43

Table 1.13: Estimated incidence of VTE in the seven major markets, 2004 45

Table 1.14: Prevalence of stroke in the seven major markets, 2004 47

Table 1.15: Estimated incidence of cardiovascular procedures in the seven major markets, 2004 49

Table 2.16: Global sales of key cardiovascular therapy areas, 2000-2004 53

Table 2.17: Global top 10 selling cardiovascular products, 2004 56

Table 2.18: Breakdown of the global anti-hypertensives market by drug class, 2003-04 57

Table 2.19: Breakdown of the global anti-hypertensives market by leading brands, 2003-04 60

Table 2.20: Breakdown of the global ACE inhibitor market by leading brands, 2003-04 63

Table 2.21: Breakdown of the global CCB market by leading brands, 2003-04 69

Table 2.22: Breakdown of the global ARB market by leading brands, 2003-04 73

Table 2.23: Breakdown of the global beta-blocker market by leading brands, 2003-04 78

Table 2.24: Breakdown of the global diuretics market by leading brands, 2003-04 81

Table 2.25: Global sales forecasts for drug classes within the anti-hypertensives market, 2004-10

82

Table 2.26: Breakdown of the global anti-dyslipidemics market by drug class, 2003-04 84

Table 2.27: Breakdown of the global anti-dyslipidemics market by leading brands, 2003-04 85

Table 2.28: Global sales forecasts for drug classes within the anti-dyslipidemics market, 2004-10

92

Table 2.29: Breakdown of the global anti-thrombotics market by drug class, 2003-04 93

Table 2.30: Breakdown of the global anti-thrombotics market by leading brands, 2003-04 96

Table 2.31: Breakdown of the global anti-platelets market by leading brands, 2003-04 99

Table 2.32: Breakdown of the global heparin market by leading brands, 2003-04 102

Table 2.33: Global sales forecasts for drug classes within the anti-thrombotics market, 2004-10 107

Table 2.34: Breakdown of the global cardiac therapies market by drug class, 2003-04 108

Table 2.35: Breakdown of the global cardiac therapies market by leading brands, 2003-04 110

Table 2.36: Global sales forecasts for drug classes within the anti-dyslipidemics market, 2004-10

114

Table 3.37: Key players in the global cardiovascular market, 2000-2004 117

Table 3.38: Pfizer’s marketed cardiovascular portfolio, 2004 120

Table 3.39: Pfizer’s cardiovascular R&D pipeline, 2005 121

8

Table 3.40: Forecast sales for Pfizer’s cardiovascular portfolio, 2004-10 122

Table 3.41: Merck & Co.’s marketed cardiovascular portfolio, 2004 123

Table 3.42: Merck’s cardiovascular R&D pipeline, 2004 124

Table 3.43: Forecast sales for Merck’s cardiovascular portfolio, 2004-10 125

Table 3.44: Bristol-Myers Squibb’s marketed cardiovascular portfolio, 2004 126

Table 3.45: Bristol-Myers Squibb’s cardiovascular R&D pipeline, 2005 127

Table 3.46: Forecast sales for Bristol-Myers Squibb’s cardiovascular portfolio, 2004-10 128

Table 3.47: Novartis’ marketed cardiovascular portfolio, 2004 129

Table 3.48: Novartis’ cardiovascular R&D pipeline, 2005 130

Table 3.49: Forecast sales for Novartis’ cardiovascular portfolio, 2004-09 131

Table 3.50: AstraZeneca’s marketed cardiovascular portfolio, 2004 132

Table 3.51: AstraZeneca’s cardiovascular R&D pipeline, 2004 133

Table 3.52: Forecast sales for AstraZeneca’s cardiovascular portfolio, 134

Table 3.53: Sanofi-Aventis’ marketed cardiovascular portfolio, 2004 135

Table 3.54: Sanofi-Aventis’ cardiovascular R&D pipeline, 2004 136

Table 3.55: Forecast sales for Sanofi-Aventis’ cardiovascular portfolio, 2005-10 137

Abstract

The range of conditions within cardiovascular disease is wide, although the basic etiology of cardiovascular disease is generally well understood the focus on treatment in cardiovascular disease is twofold: firstly lowering the risk associated with cardiovascular risk factors in order to prevent an acute cardiovascular event; and secondly delaying or preventing the onset of chronic cardiovascular disease. This report provides information on the prevalence and incidence of cardiovascular disease in the seven largest pharmaceutical markets in 2004, and provides forecast epidemiological data for major therapeutic indications over the period 2004 to 2010.


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