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ACE Inhibitor Intolerance: A major driver of growth for the Aiirbs
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Description: |
This brief explores in detail the impact of generic ACE inhibitors on the Aiirb market, a theme raised in recent Datamonitor reports covering antihypertensive drugs. It is particularly topical, given the recent FDA approval of Sankyo Pharma/Forest Laboratories'' new angiotensin II receptor blocker, Benicar (olmesartan) for marketing in the US. The Brief draws together and builds on Treatment Algorithm survey findings in heart failure and hypertension for 7 countries, with epidemiology data, literature search material and a case study based on UK Department of Health prescription audit data for England. The Brief provides: * detailed analysis of the estimated proportion of hypertensive and heart failure patients that are ACE intolerant in the seven major pharmaceutical markets (US, Japan, Germany, France, Italy, Spain, UK) * clinical trial data investigating ACE inhibitor intolerance * a breakdown of the causes of ACE inhibitor intolerance * assessment of alternative therapies for ACE intolerant patients * summary of ACE inhibitor and Aiirb prescription trends in England from 1998 to 2001, and an analysis of the impact of generic enalapril within this market |
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Contents: |
EXECUTIVE SUMMARY
INTRODUCTION
OVERVIEW OF DRUG CLASSES
Angiotensin converting enzyme (ACE) inhibitors
Class overview
Approved indications
Angiotensin II receptor blockers (AIIRBs)
Class overview
Approved indications
ACE inhibitors versus AIIRBs
Global sales of the leading ACE inhibitors and AIIRBs
Hypertensive patients receiving ACE inhibitors and AIIRBs
Increased use of ACE inhibitors
ACE INHIBITOR INTOLERANCE
ACE inhibitor intolerance in the seven major markets
Hypertensive patients
Heart failure patients
SPICE – Studies of Patients Intolerant to Converting Enzyme
What causes intolerance to ACE inhibitors?
Alternative therapy for ACE inhibitor intolerant patients
Hypertensive patients
Heart failure patients
Review of clinical trial data
ONTARGET and TRANSCEND – head-to-head trial
CASE STUDY
ACE inhibitor and AIIRB trends in England
Prescription volume
Prescription value
Cost per prescription
Branded enalapril versus generic enalapril
Summary
APPENDIX
Datamonitor's Cardiovascular Business Unit
Bibliography
Further reading from Datamonitor
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