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Cardiology, Competitive Strategies, 2002
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Description: |
Cardiology is the largest category of health-care expense in the US - surpassing cancer and infectious diseases by a large margin.
For perspective, the direct and indirect economic costs of cardiovascular diseases and stroke in 2001 are estimated at $298.2 billion in the US, according to the American Heart Association and the National Heart, Lung, and Blood Institute (Nhlbi). Comparable 2001 projections for cancer based on year 2000 National Institutes of Health estimates. |
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Contents: |
COMPETITIVE STRATEGIES IN CARDIOLOGY MEDICINE (2002)
TABLE OF CONTENTS
DISCLAIMER .......................................................................................................................................................... i SCOPE AND OBJECTIVES OF RESEARCH INVESTIGATION......................................................................... i METHODOLOGY OF INVESTIGATION.............................................................................................................. i LIMITATIONS OF INVESTIGATION ................................................................................................................... i COMPANY NAME CONVENTION..................................................................................................................... ii EXECUTIVE SUMMARY....................................................................................................................................... iii OVERALL PERSPECTIVE.................................................................................................................................... iii OUTLOOK FOR CARDIOLOGY MARKET SEGMENTS.................................................................................. iii ACS Disease ............................................................................................................................................. iii Angina/Post AMI ...................................................................................................................................... iv Arrhythmia ................................................................................................................................................ iv Atherosclerosis.......................................................................................................................................... iv Congestive Heart Failure (CHF) ................................................................................................................. v Hypertension .............................................................................................................................................. v Restenosis .................................................................................................................................................. v Pipeline Discussion .................................................................................................................................... v OUTLOOK FOR LEADING FIRMS IN CARDIOLOGY THERAPEUTICS ...................................................... ix Abbott .................................................................................................................................................. xiv AstraZeneca ............................................................................................................................................. xv Aventis ................................................................................................................................................... xv Bristol-Myers Squibb ............................................................................................................................... xv GlaxoSmithKline .................................................................................................................................... xvi Merck .................................................................................................................................................. xvi Novartis ................................................................................................................................................. xvii Pfizer ................................................................................................................................................. xvii Pharmacia............................................................................................................................................... xvii Roche ................................................................................................................................................xviii Schering-Plough....................................................................................................................................xviii Wyeth ................................................................................................................................................xviii SECTION 1 COMPETITIVE BUSINESS ACTIVITY IN CARDIOLOGY MEDICINE................................... 1 1.1 INTRODUCTION ..................................................................................................................................... 1 1.2 OVERVIEW OF THE CARDIOLOGY MARKET.................................................................................... 3 1.2.1 Sales ................................................................................................................................................ 3 1.2.2 Incidence And Prevalence ................................................................................................................ 3 1.2.3 Macroeconomic drivers of the Market ............................................................................................. 4 1.2.4 Technology Platforms ...................................................................................................................... 5 1.3 ANALYSIS AND FORECAST OF THE ACS SECTOR ........................................................................ 16 1.3.1 Introduction and Pharmacological Management of ACS ............................................................... 16 1.3.2 Product Technology Evaluation and Forecast for ACS.................................................................. 16 1.3.3 Competitive Developments and implications in ACS .................................................................... 17 1.3.4 ACS Product Development Pipeline – Major Firms ...................................................................... 23 1.4 ANALYSIS AND FORECAST OF THE ANGINA SECTOR ................................................................ 25 1.4.1 Introduction and Pharmacological Management of Angina ........................................................... 25 1.4.2 Product Technology Evaluation and Forecast for Angina.............................................................. 25 1.4.3 Competitive Developments and implications in Angina ................................................................ 26 1.4.4 Angina Product Development Pipeline – Major Firms .................................................................. 30 1.5 ANALYSIS AND FORECAST OF THE ARRHYTHMIA SECTOR..................................................... 32 1.5.1 Introduction and Pharmacological Management of Arrhythmia .................................................... 32 1.5.2 Product Technology Evaluation and Forecast for Arrhythmia ....................................................... 32 1.5.3 Competitive Developments and implications in Arrhythmia ......................................................... 33 1.5.4 Arrhythmia Product Development Pipeline – Major Firms............................................................ 37 1.6 ANALYSIS AND FORECAST OF THE ATHEROSCLEROSIS SECTOR........................................... 39 1.6.1 Introduction and Pharmacological Management of Atherosclerosis .............................................. 39 1.6.2 Product Technology Evaluation and Forecast for Atherosclerosis................................................. 39 1.6.3 Competitive Developments and implications in Atherosclerosis .................................................. 40 1.6.4 Atherosclerosis Product Development Pipeline – Major Firms ..................................................... 46 1.7 ANALYSIS AND FORECAST OF THE CHF SECTOR ........................................................................ 48 1.7.1 Introduction and Pharmacological Management of Congestive Heart Failure............................... 48 1.7.2 Product Technology Evaluation and Forecast for CHF.................................................................. 48 1.7.3 Competitive Developments and implications in CHF ................................................................... 49 1.7.4 CHF Product Development Pipeline – Major Firms ...................................................................... 54 1.8 ANALYSIS AND FORECAST OF THE HYPERTENSION SECTOR.................................................. 56 1.8.1 Introduction and Pharmacological Management of Hypertension ................................................. 56 1.8.2 Product Technology Evaluation and Forecast for Hypertension .................................................... 56 1.8.3 Competitive Developments and implications in Hypertension ...................................................... 57 1.8.4 Hypertension Product Development Pipeline – Major Firms......................................................... 63 1.9 ANALYSIS AND FORECAST OF THE RESTENOSIS SECTOR ........................................................ 65 1.9.1 Introduction and Pharmacological Management of Restenosis...................................................... 65 1.9.2 Product Technology Evaluation and Forecast for Restenosis......................................................... 65 1.9.3 Competitive Developments and implications in Restenosis........................................................... 66 1.9.4 Restenosis Product Development Pipeline – Major Firms ............................................................. 69 SECTION 2 PROFILES OF LEADING FIRMS DEVELOPING AND/OR MARKETING CARDIOLOGY THERAPEUTICS ........................................................................................................................ 71 2.1 ABBOTT.................................................................................................................................................. 71 2.1.1 Executive Summary ....................................................................................................................... 71 2.1.2 Current Strategic Position in Cardiology........................................................................................ 72 2.1.3 Cardiology Portfolio Performance.................................................................................................. 74 2.1.4 Product Development Activity in Cardiology ................................................................................ 75 2.1.5 Market Outlook in Cardiology ....................................................................................................... 76 2.1.6 Recent Events in Cardiology .......................................................................................................... 76 2.1.7 Cardiology and Related Collaborations.......................................................................................... 77 2.1.8 Cardiology Product Development Pipeline .................................................................................... 77 2.1.9 ACS Product Development Pipeline .............................................................................................. 80 2.1.10 Arrhythmia Product Development Pipeline.................................................................................... 80 2.1.11 Atherosclerosis Product Development Pipeline ............................................................................. 81 2.1.12 CHF Product Development Pipeline .............................................................................................. 82 2.1.13 Hypertension Product Development Pipeline................................................................................. 83 2.2 ASTRAZENECA..................................................................................................................................... 84 2.2.1 Executive Summary ....................................................................................................................... 84 2.2.2 Current Strategic Position in Cardiology........................................................................................ 84 2.2.3 Cardiology Portfolio Performance.................................................................................................. 86 2.2.4 Product Development Activity in Cardiology ................................................................................ 87 2.2.5 Market Outlook in Cardiology ....................................................................................................... 88 2.2.6 Recent Developments in Cardiology.............................................................................................. 88 2.2.7 Cardiology and Related Collaborations.......................................................................................... 89 2.2.8 Cardiology Product Development Pipeline .................................................................................... 90 2.2.9 ACS Product Development Pipeline .............................................................................................. 92 2.2.10 Atherosclerosis Product Development Pipeline ............................................................................. 93 2.2.11 CHF Product Development Pipeline .............................................................................................. 94 2.3 AVENTIS................................................................................................................................................. 96 2.3.1 Executive Summary ....................................................................................................................... 96 2.3.2 Current Strategic Position in Cardiology........................................................................................ 96 2.3.3 Cardiology Portfolio Performance.................................................................................................. 98 2.3.4 Product Development Activity in Cardiology ................................................................................ 99 2.3.5 Market Outlook in Cardiology ..................................................................................................... 100 2.3.6 Recent Events in Cardiology ........................................................................................................ 100 2.3.7 Cardiology and Related Collaborations........................................................................................ 101 2.3.8 Cardiology Product Development Pipeline .................................................................................. 102 2.3.9 ACS Product Development Pipeline ............................................................................................ 104 2.3.10 Angina Product Development Pipeline ........................................................................................ 105 2.3.11 Arrhythmia Product Development pipeline.................................................................................. 106 2.3.12 Atherosclerosis Product Development Pipeline ........................................................................... 107 2.3.13 CHF Product Development Pipeline ............................................................................................ 108 2.3.14 Hypertension Product Development Pipeline............................................................................... 109 2.3.15 Restenosis Product Development Pipeline ................................................................................... 110 2.4 BRISTOL-MYERS SQUIBB ................................................................................................................. 111 2.4.1 Executive Summary ..................................................................................................................... 111 2.4.2 Current Strategic Position in Cardiology Sales ............................................................................ 112 2.4.3 Cardiology Portfolio Performance................................................................................................ 114 2.4.4 Product Development Activity in Cardiology .............................................................................. 115 2.4.5 Market Outlook in Cardiology ..................................................................................................... 116 2.4.6 Recent Events in Cardiology ........................................................................................................ 117 2.4.7 Cardiology and Related Collaborations........................................................................................ 118 2.4.8 Cardiology Product Development Pipeline .................................................................................. 119 2.4.9 ACS Product Development Pipeline ............................................................................................ 123 2.4.10 Arrhythmia Product Development Pipeline.................................................................................. 125 2.4.11 Atherosclerosis Product Development Pipeline ........................................................................... 126 2.4.12 CHF Product Development Pipeline ............................................................................................ 127 2.4.13 Hypertension Product Development Pipeline............................................................................... 128 2.4.14 Restenosis Product Development Pipeline ................................................................................... 128 2.5 GLAXOSMITHKLINE .......................................................................................................................... 131 2.5.1 Executive Summary ..................................................................................................................... 131 2.5.2 Current Strategic Position in Cardiology...................................................................................... 131 2.5.3 Cardiology Portfolio Performance................................................................................................ 133 2.5.4 Product Development Activity in Cardiology .............................................................................. 134 2.5.5 Market Outlook In Cardiology ..................................................................................................... 134 2.5.6 Recent Events in Cardiology ........................................................................................................ 135 2.5.7 Cardiology and Related Collaborations........................................................................................ 135 2.5.8 Cardiology Product Development Pipeline .................................................................................. 136 2.5.9 ACS Product Development Pipeline ............................................................................................ 139 2.5.10 Atherosclerosis Product Development Pipeline ........................................................................... 139 2.5.11 CHF Product Development Pipeline ............................................................................................ 140 2.5.12 Hypertension Product Development Pipeline............................................................................... 141 2.6 MERCK ................................................................................................................................................. 143 2.6.1 Executive Summary ..................................................................................................................... 143 2.6.2 Current Strategic Position in Cardiology...................................................................................... 143 2.6.3 Cardiology Portfolio Performance................................................................................................ 146 2.6.4 Product Development Activity in Cardiology .............................................................................. 147 2.6.5 Market Outlook in Cardiology ..................................................................................................... 148 2.6.6 Recent Events in Cardiology ........................................................................................................ 149 2.6.7 Cardiology and Related Collaborations........................................................................................ 149 2.6.8 Cardiology Product Development Pipeline .................................................................................. 150 2.6.9 ACS Product Development Pipeline ............................................................................................ 152 2.6.10 Atherosclerosis Product Development Pipeline ........................................................................... 153 2.6.11 Hypertension Product Development Pipeline............................................................................... 154 2.7 NOVARTIS ........................................................................................................................................... 155 2.7.1 Executive Summary ..................................................................................................................... 155 2.7.2 Current Strategic Position in Cardiology...................................................................................... 155 2.7.3 Cardiology Portfolio Performance................................................................................................ 157 2.7.4 Product Development Activity in Cardiology .............................................................................. 158 2.7.5 Market Outlook in Cardiology ..................................................................................................... 159 2.7.6 Recent Events in Cardiology ........................................................................................................ 159 2.7.7 Cardiology and Related Collaborations........................................................................................ 160 2.7.8 Cardiology Product Development Pipeline .................................................................................. 161 2.7.9 ACS Product Development Pipeline ............................................................................................ 163 2.7.10 Angina Product Development Pipeline ........................................................................................ 163 2.7.11 Arrhythmia Product Development Pipeline.................................................................................. 164 2.7.12 CHF Product Development Pipeline ............................................................................................ 164 2.8 PFIZER .................................................................................................................................................. 166 2.8.1 Executive Summary ..................................................................................................................... 166 2.8.2 Current Strategic Position in Cardiology...................................................................................... 166 2.8.3 Cardiology Portfolio Performance................................................................................................ 168 2.8.4 Product Development Activity in Cardiology .............................................................................. 169 2.8.5 Market Outlook in Cardiology ..................................................................................................... 170 2.8.6 Recent Events In Cardiology........................................................................................................ 171 2.8.7 Cardiology and Related Collaborations........................................................................................ 171 2.8.8 Cardiology Product Development Pipeline .................................................................................. 171 2.8.9 ACS Product Development Pipeline ............................................................................................ 174 2.8.10 Atherosclerosis Product Development Pipeline ........................................................................... 175 2.8.11 CHF Product Development Pipeline ............................................................................................ 178 2.8.12 Restenosis Product Development Pipeline ................................................................................... 179 2.9 PHARMACIA........................................................................................................................................ 181 2.9.1 Executive Summary ..................................................................................................................... 181 2.9.2 Current Strategic Position in Cardiology...................................................................................... 181 2.9.3 Cardiovascular Portfolio Performance ......................................................................................... 183 2.9.4 Product Development Activity in Cardiology .............................................................................. 184 2.9.5 Market Outlook in Cardiology ..................................................................................................... 185 2.9.6 Recent Events in Cardiology ........................................................................................................ 185 2.9.7 Cardiology and Related Collaborations........................................................................................ 186 2.9.8 Cardiology Product Development Pipeline .................................................................................. 186 2.9.9 Atherosclerosis Product Development Pipeline ........................................................................... 189 2.9.10 CHF Product Development Pipeline ............................................................................................ 190 2.9.11 Hypertension Product Development Pipeline............................................................................... 190 2.9.12 Restenosis Product Development Pipeline ................................................................................... 191 2.10 ROCHE.................................................................................................................................................. 193 2.10.1 Executive Summary ..................................................................................................................... 193 2.10.2 Current Strategic Position in Cardiology...................................................................................... 193 2.10.3 Cardiology Portfolio Performance................................................................................................ 195 2.10.4 Product Development Activity in Cardiology .............................................................................. 196 2.10.5 Market Outlook in Cardiology ..................................................................................................... 197 2.10.6 Recent Events in Cardiology ........................................................................................................ 197 2.10.7 Cardiology and Related Collaborations........................................................................................ 198 2.10.8 Cardiology Product Development Pipeline .................................................................................. 198 2.10.9 ACS Product Development Pipeline ............................................................................................ 201 2.10.10 Atherosclerosis Product Development Pipeline........................................................................ 201 2.10.11 Hypertension Product Development Pipeline ........................................................................... 202 2.11 SCHERING-PLOUGH ........................................................................................................................... 203 2.11.1 Executive Summary ..................................................................................................................... 203 2.11.2 Current Strategic Position in Cardiology...................................................................................... 203 2.11.3 Cardiology Portfolio Performance................................................................................................ 205 2.11.4 Product Development Activity in Cardiology .............................................................................. 206 2.11.5 Market Outlook in Cardiology ..................................................................................................... 206 2.11.6 Recent Events in Cardiology ........................................................................................................ 207 2.11.7 Cardiology and Related Collaborations........................................................................................ 207 2.11.8 Cardiology Product Development Pipeline .................................................................................. 208 2.11.9 ACS Product Development Pipeline ............................................................................................ 211 2.11.10 Atherosclerosis Product Development Pipeline........................................................................ 211 2.11.11 Restenosis Product Development Pipeline ............................................................................... 212 2.12 WYETH................................................................................................................................................. 214 2.12.1 Executive Summary ..................................................................................................................... 214 2.12.2 Current Strategic Position in Cardiology...................................................................................... 214 2.12.3 Cardiology Portfolio Performance................................................................................................ 216 2.12.4 Product Development Activity in Cardiology .............................................................................. 217 2.12.5 Market Outlook in Cardiology ..................................................................................................... 218 2.12.6 Recent Events in Cardiology ........................................................................................................ 218 2.12.7 Cardiology and Related Collaborations........................................................................................ 219 2.12.8 Cardiology Product Development Pipeline .................................................................................. 220 2.12.9 ACS Product Development Pipeline ............................................................................................ 222 2.12.10 Atherosclerosis Product Development Pipeline........................................................................ 222 SECTION 3 EVALUATION OF THE LEADING FIRMS IN CARDIOLOGY MEDICINE......................... 225 3.1 COMPETENCY REQUIREMENTS FOR MARKET LEADERSHIP .................................................. 225 3.1.1 Competency Requirements........................................................................................................... 225 3.1.2 Competitive Analysis of Participating Manufacturers.................................................................. 230 3.2 FIVE-YEAR SUMMARY ANALYSIS AND EVALUATION OF CARDIOLOGY MARKET LEADING STAKEHOLDERS............................................................................................................... 236
LIST OF FIGURES
Figure ES- 1 Leading Firms – Sales Change Analysis – 2001 to 2007 .............................................................. xiii Figure ES- 2 Trends in Cardiology Portfolio Commitment................................................................................ xiv Figure 1.1 Forecast for ACS by Technology Platform.................................................................................... 17 Figure 1.2 Trends in ACS Portfolio Commitment........................................................................................... 23 Figure 1.3 Product Development Timeline in ACS-Major Firms.................................................................... 24 Figure 1.4 Forecast for Angina by Technology Platform................................................................................ 26 Figure 1.5 Trends in Angina Portfolio Commitment....................................................................................... 30 Figure 1.6 Product Development Timeline in Angina ..................................................................................... 31 Figure 1.7 Forecast for Arrhythmia Management by Technology Platform.................................................... 33 Figure 1.8 Trends in Arrhythmia Portfolio Commitment ................................................................................ 37 Figure 1.9 Product Development Timeline in Arrhythmia .............................................................................. 38 Figure 1.10 Forecast for Atherosclerosis Management by Technology Platform.............................................. 40 Figure 1.11 New Product Launch Activity by Major Manufacturer by Year .................................................... 43 Figure 1.12 Trends in Atherosclerosis Portfolio Commitment .......................................................................... 46 Figure 1.13 Product Development Timeline in Atherosclerosis ........................................................................ 47 Figure 1.14 Forecast for CHF Management by Technology Platform .............................................................. 49 Figure 1.15 Trends in CHF Portfolio Commitment........................................................................................... 54 Figure 1.16 Product Development Timeline in CHF......................................................................................... 55 Figure 1.17 Forecast for Hypertension by Technology Platform....................................................................... 57 Figure 1.18 Trends in Hypertension Portfolio Commitment ............................................................................. 62 Figure 1.19 Product Development Timeline in Hypertension ........................................................................... 63 Figure 1.20 Forecast for Restenosis by Technology Platform........................................................................... 66 Figure 1.21 Trends in Restenosis Portfolio Commitment.................................................................................. 69 Figure 1.22 Product Development Timeline in Restenosis................................................................................ 70 Figure 2.1 Abbott’s Cardiology Technology Map........................................................................................... 78 Figure 2.2 Technology Utilization – Abbott vs. Industry ................................................................................ 79 Figure 2.3 Abbott’s Comparative Pipeline Distribution by Development Phase............................................. 79 Figure 2.4 AstraZeneca’s Cardiology Technology Map.................................................................................. 91 Figure 2.5 Technology Utilization – AstraZeneca vs. Industry ....................................................................... 91 Figure 2.6 AstraZeneca’s Comparative Pipeline Distribution by Development Phase.................................... 92 Figure 2.7 Technology Utilization – Aventis vs. Industry............................................................................. 103 Figure 2.8 Pipeline Distribution by Development Phase ............................................................................... 103 Figure 2.9 Bristol-Myers Squibb’s Cardiology Technology Map ................................................................. 120 Figure 2.10 Technology Utilization – Bristol-Myers Squibb vs. Industry....................................................... 121 Figure 2.11 Bristol-Myers Squibb’s Comparative Pipeline Distribution by Development Phase ................... 122 Figure 2.12 GlaxoSmithKline’s Cardiology Technology Map........................................................................ 137 Figure 2.13 GlaxoSmithKline’s Comparative Pipeline Distribution by Development Phase.......................... 138 Figure 2.14 Merck’s Cardiology Technology Map ......................................................................................... 151 Figure 2.15 Technology Utilization – Merck vs. Industry............................................................................... 151 Figure 2.16 Comparative Pipeline Distribution by Development Phase.......................................................... 152 Figure 2.17 Novartis’ Cardiology Technology Map........................................................................................ 161 Figure 2.18 Technology Utilization – Novartis vs. Industry ........................................................................... 162 Figure 2.19 Novartis’ Comparative Pipeline Distribution by Development Phase.......................................... 162 Figure 2.20 Pfizer’s Cardiovascular Technology Map .................................................................................... 172 Figure 2.21 Technology Utilization – Pfizer vs. Industry................................................................................ 173 Figure 2.22 Pfizer’s Comparative Pipeline Distribution by Development Phase ............................................ 173 Figure 2.23 Pharmacia’s Cardiovascular Technology Map............................................................................. 187 Figure 2.24 Technology Utilization – Pharmacia vs. Industry ........................................................................ 188 Figure 2.25 Pharmacia’s Comparative Pipeline Distribution by Development Phase..................................... 188 Figure 2.26 Roche’s Cardiology Technology Map.......................................................................................... 199 Figure 2.27 Technology Utilization – Roche vs. Industry............................................................................... 200 Figure 2.28 Roche’s Comparative Pipeline Distribution by Development Phase............................................ 200 Figure 2.29 Schering-Plough’s Cardiovascular Technology Map ................................................................... 209 Figure 2.30 Technology Utilization – Schering-Plough vs. Industry .............................................................. 210 Figure 2.31 Schering-Plough’s Comparative Pipeline Distribution by Development Phase ........................... 210 Figure 2.32 Wyeth’s Cardiovascular Technology Map ................................................................................... 220 Figure 2.33 Technology Utilization – Wyeth vs. Industry............................................................................... 221 Figure 2.34 Wyeth’s Comparative Pipeline Distribution by Development Phase ........................................... 221 Figure 3.1 Leading Firms – Sales Performance and Market Trends 2007..................................................... 238 Figure 3.2 Trends in Cardiology Portfolio Commitment............................................................................... 239
LIST OF TABLES
Table ES- 1 Cardiology Market Segment – Historic and Forecast Sales – ($Millions) ...................................... iii Table ES- 2 Cardiology Product Development – Technology Platforms........................................................... vii Table ES- 3 US Cardiology Historic/Forecast Sales, Sales Rank, Market Share – Leading Firms...................... x Table ES- 4 US Cardiology Market – Major Stakeholder Lead Markets............................................................ xi Table ES- 5 Summary Analysis Leading Stakeholders – Cardiology Therapeutics........................................... xii Table 1.1 Cardiology Market Segment – Historic and Forecast Sales – (in $Millions) ................................... 3 Table 1.2 Adults Needing Prescriptions for Medicines to Reduce Cholesterol................................................ 4 Table 1.3 US Market Forecast for ACS by Therapy Class/Technology (in $Millions).................................. 18 Table 1.4 Technologies in Development for ACS – Major Firms.................................................................. 19 Table 1.5 New Product Launch Activity by Major Manufacturer by Year .................................................... 20 Table 1.6 US Historical and Forecast Sales for ACS by Leading Company (in $Millions)........................... 21 Table 1.7 Leading ACS Brands...................................................................................................................... 25 Table 1.8 US Market Forecast for Angina by Therapy Class/Technology (in $Millions).............................. 27 Table 1.9 Technologies in Development for Angina – Major Firms.............................................................. 27 Table 1.10 New Product Launch Activity for Angina by Major Manufacturer by Year.................................. 28 Table 1.11 US Historical and Forecast Angina Sales by Leading Company (in $Millions) ............................ 28 able 1.12 Leading Angina Brands.................................................................................................................. 32 Table 1.13 US Market Forecast for Arrhythmia by Therapy Class/Technology (in $Millions)....................... 34 Table 1.14 Technologies in Development for Arrhythmia-Major Firms.......................................................... 34 Table 1.15 New Product Launch Activity by Major Manufacturer by Year .................................................... 35 Table 1.16 US Historic and Forecast Arrhythmia Sales by Leading Company (in $Millions) ........................ 35 Table 1.17 Leading Arrhythmia Brands ........................................................................................................... 39 Table 1.18 US Market Forecast for Atherosclerosis by Therapy Class/Technology (in $Millions)................. 41 Table 1.19 Technologies in Development for Atherosclerosis – Major Firms................................................. 42 Table 1.20 US Historic and Forecast Atherosclerosis Sales by Leading Company (in $Millions) .................. 44 Table 1.21 Leading Atherosclerosis Brands..................................................................................................... 48 Table 1.22 US Market Forecast for CHF by Therapy Class/Technology (in $Millions).................................. 50 Table 1.23 Technologies in Development for CHF – Major Firms.................................................................. 51 Table 1.24 New Product Launch Activity by Major Manufacturer by Year .................................................... 51 Table 1.25 US Historic and Forecast CHF Sales by Leading Company (in $Millions) ................................... 52 Table 1.26 Leading CHF Brands...................................................................................................................... 56 Table 1.27 US Market Forecast for Hypertension by Therapy Class/Technology (in Millions)...................... 58 Table 1.28 Technologies In Development for Hypertension – Major Firms.................................................... 59 Table 1.29 New Product Activity by Company and Year to 2007 – Hypertension.......................................... 59 Table 1.30 US Historic and Forecast Sales for Hypertension by Leading Cardiology Company (in $Millions) ...................................................................................................................................... 60 Table 1.31 Leading Hypertension Brands ........................................................................................................ 64 Table 1.32 US Market Forecast for Restenosis by Therapy Class/Technology (in $Millions) ........................ 66 Table 1.33 Technologies In Development for Restenosis – Major Firms ........................................................ 67 Table 1.34 New Product Launch Activity by Major Manufacturer by Year .................................................... 67 Table 1.35 US Historic and Forecast Sales for Restenosis by Leading Cardiology Company (in $Millions) ...................................................................................................................................... 68 Table 1.36 Leading Restenosis Brands............................................................................................................. 70 Table 3.1 Manufacturer Drug Sales, Key Brands, and New Product Development Pipeline (in $Millions) 226 Table 3.2 Pharmaceutical Research & Development - Percent of Total Worldwide Sales (in $Millions) ... 227 Table 3.3 R&D Expenditures in Cardiology Therapeutics (in $Millions).................................................... 227 Table 3.4 Patent Expiration in Cardiovascular Disease Therapeutics– 2000-2007 (in $Millions)............... 228 Table 3.5 Business Development Activity in Cardiovascular Disease Therapeutics ................................... 229 Table 3.6 Leading Firms’ Sales Force Size.................................................................................................. 229 Table 3.7 US Cardiovascular Historic and Forecast Sales - Leading Firms (in $Millions).......................... 231 Table 3.8 US Cardiology Projected Sales – Leading Firms Ranked by 2007 $ (in $Millions) .................... 232 Table 3.9 US Cardiology Projected Sales – Leading Firms Ranked by 2001 to 2007 $ Sales Change (in $Millions) .................................................................................................................................... 232 Table 3.10 US Cardiology Projected Sales – Leading Firms Ranked by 2001 to 2007 Percent Change (in $Millions) .................................................................................................................................... 233 Table 3.11 US Cardiology Projected Sales – Leading Firms ......................................................................... 233 Table 3.12 New Product Launch Activity – Major Firms 1999-2007............................................................ 234 Table 3.13 Product Development Programs by Indication and Status ........................................................... 235 Table 3.14 Rank by Company Share of Cardiovascular Clinical Pipeline ..................................................... 236 Table 3.15 Summary Analysis Leading Stakeholders – Cardiovascular Therapeutics .................................. 236
LIST OF CHARTS
Chart 2.1.1 Abbott’s US Rx Sales Rank vs. Major Firms (in $Millions).......................................................... 72 Chart 2.1.2 Abbott’s Sales Rank In Cardiology (in $Millions)......................................................................... 72 Chart 2.1.3 Abbott’s Cardiology Share of Total US Sales................................................................................ 73 Chart 2.1.4 Abbott’s Historic Sales by Indication (in $Millions)...................................................................... 74 Chart 2.1.5 Abbott’s Historic Sales by Brand and Indication (in $Millions) .................................................... 75 Chart 2.1.6 Abbott’s Total Clinical Development Activity............................................................................... 76 Chart 2.1.7 Abbott’s Market Forecast in Cardiology (in $Millions) ................................................................. 76 Chart 2.1.8 Abbott’s Strategic Alliances and Mergers...................................................................................... 77 Chart 2.1.9 Abbott’s Summary Cardiology Development Activity vs. Industry............................................... 78 Chart 2.1.10 Abbott’s Cardiology Development Programs by Phase of Development and Technology Platform......................................................................................................................................... 80 Chart 2.1.11 Abbott’s ACS Pipeline ................................................................................................................... 80 Chart 2.1.12 Abbott’s Arrhythmia Pipeline ........................................................................................................ 81 Chart 2.1.13 Abbott’s Atherosclerosis Pipeline .................................................................................................. 81 Chart 2.1.14 Abbott’s CHF Pipeline ................................................................................................................... 82 Chart 2.1.15 Abbott’s Hypertension Pipeline ..................................................................................................... 83 Chart 2.1.16 Abbott’s Historic and Projected Sales (in $Millions)..................................................................... 83 Chart 2.2.1 AstraZeneca’s US Rx Sales Rank vs. Major Firms (in $Millions)................................................. 84 Chart 2.2.2 AstraZeneca’s Sales Rank In Cardiology (in $Millions)................................................................ 85 Chart 2.2.3 AstraZeneca’s Cardiology Share of Total US Sales....................................................................... 85 Chart 2.2.4 AstraZeneca’s Historic Sales by Indication (in $Millions)............................................................. 86 Chart 2.2.5 AstraZeneca’s Historic Sales by Brand and Major Indication (in $Millions) ................................ 87 Chart 2.2.6 AstraZeneca’s Total Clinical Development Activity...................................................................... 88 Chart 2.2.7 AstraZeneca’s Market Forecast in Cardiology (in $Millions)........................................................ 88 Chart 2.2.8 AstraZeneca’s Strategic Alliances and Mergers............................................................................. 90 Chart 2.2.9 AstraZeneca’s Summary Cardiology Development Activity vs. Industry ..................................... 90 Chart 2.2.10 AstraZeneca’s Cardiology Development Programs by Phase of Development and Technology Platform......................................................................................................................................... 92 Chart 2.2.11 AstraZeneca’s ACS Pipeline .......................................................................................................... 93 Chart 2.2.12 AstraZeneca’s Atherosclerosis Pipeline ......................................................................................... 94 Chart 2.2.13 AstraZeneca’s CHF Pipeline .......................................................................................................... 94 Chart 2.2.14 AstraZeneca’s Historic and Projected Sales (in $Millions)............................................................ 95 Chart 2.3.1 Aventis’ US Rx Sales Rank vs. Major Firms (in $Millions) .......................................................... 96 Chart 2.3.2 Aventis’ Sales Rank In Cardiology (in $Millions) ......................................................................... 97 Chart 2.3.3 Aventis’ Cardiology Share of Total US Sales ................................................................................ 97 Chart 2.3.4 Aventis’ Historic Sales by Indication (in $Millions)...................................................................... 98 Chart 2.3.5 Aventis’ Historic Sales by Brand and Major Indication (in $Millions).......................................... 99 Chart 2.3.6 Aventis’ Total Clinical Development Activity............................................................................. 100 Chart 2.3.7 Aventis’ Market Forecast in Cardiology (in $Millions) ............................................................... 100 Chart 2.3.8 Aventis’ Strategic Alliances and Mergers .................................................................................... 101 Chart 2.3.9 Aventis’ Cardiology Summary-Cardiology Development Activity vs. Industry.......................... 102 Chart 2.3.10 Aventis' Cardiology Technology Map.......................................................................................... 102 Chart 2.3.11 Aventis’ Cardiology Programs by Phase of Development and Technology Platform.................. 104 Chart 2.3.12 Aventis’ ACS Pipeline ................................................................................................................. 105 Chart 2.3.13 Aventis’ Angina Pipeline ............................................................................................................. 106 Chart 2.3.14 Aventis’ Arrhythmia Pipeline....................................................................................................... 107 Chart 2.3.15 Aventis’ Atherosclerosis Pipeline ................................................................................................ 108 Chart 2.3.16 Aventis’ CHF Pipeline ................................................................................................................. 109 Chart 2.3.17 Aventis’ Hypertension Pipeline.................................................................................................... 109 Chart 2.3.18 Aventis’ Restenosis Pipeline ........................................................................................................ 110 Chart 2.3.19 Aventis’ Historic and Projected Sales (in $Millions) ................................................................... 110 Chart 2.4.1 Bristol-Myers Squibb’s US Rx Sales Rank vs. Major Firms (in $Millions) ................................ 111 Chart 2.4.2 Bristol-Myers Squibb’s Sales Rank In Cardiology Sales (in $Millions) ...................................... 112 Chart 2.4.3 Bristol-Myers Squibb’s Cardiology Share of Total US Sales (in $Millions) ............................... 112 Chart 2.4.4 Bristol-Myers Squibb’s Historic Sales by Indication (in $Millions) ............................................ 113 Chart 2.4.5 Bristol-Myers Squibb’s Historic Sales by Brand and Major Indication (in $Millions) ................ 115 Chart 2.4.6 Bristol-Myers Squibb’s Total Clinical Development Activity ..................................................... 116 Chart 2.4.7 Bristol-Myers Squibb’s Market Forecast in Cardiology (in $Millions) ....................................... 117 Chart 2.4.8 Bristol-Myers Squibb’s Strategic Alliances and Mergers ............................................................ 119 Chart 2.4.9 Bristol-Myers Squibb’s Cardiology Summary of Development Activity vs. Industry................. 120 Chart 2.4.10 Bristol-Myers Squibb’s Cardiology Development Programs by Phase of Development and Technology Platform.................................................................................................................... 122 Chart 2.4.11 Bristol-Myers Squibb’s ACS Pipeline.......................................................................................... 125 Chart 2.4.12 Bristol-Myers Squibb’s Arrhythmia Pipeline............................................................................... 126 Chart 2.4.13 Bristol-Myers Squibb’s Atherosclerosis Pipeline......................................................................... 126 Chart 2.4.14 Bristol-Myers Squibb’s CHF Pipeline.......................................................................................... 127 Chart 2.4.15 Bristol-Myers Squibb’s Hypertension Pipeline ............................................................................ 128 Chart 2.4.16 Bristol-Myers Squibb’s Restenosis Pipeline ................................................................................ 129 Chart 2.4.17 Bristol-Myers Squibb’s Historic and Projected Sales (in $Millions) ........................................... 130 Chart 2.5.1 GlaxoSmithKline’s US Rx Sales Rank vs. Major Firms (in $Millions)....................................... 131 Chart 2.5.2 GlaxoSmithKline’s Sales Rank In Cardiology (in $Millions)...................................................... 132 Chart 2.5.3 GlaxoSmithKline’s Cardiology Share of Total US Sales............................................................. 132 Chart 2.5.4 GlaxoSmithKline’s Historic Sales by Indication (in $Millions)................................................... 133 Chart 2.5.5 GlaxoSmithKline’s Historic Sales by Brand and Major Indication (in $Millions) ...................... 134 Chart 2.5.6 GlaxoSmithKline’s Total Clinical Development Activity............................................................ 134 Chart 2.5.7 GlaxoSmithKline’s Market Forecast in Cardiology (in $Millions) .............................................. 135 Chart 2.5.8 GlaxoSmithKline’s Strategic Alliances and Mergers................................................................... 136 Chart 2.5.9 GlaxoSmithKline’s Cardiology Summary of Development Activity vs Industry ........................ 137 Chart 2.5.10 Technology Utilization – GlaxoSmithKline vs. Industry ............................................................. 138 Chart 2.5.11 GlaxoSmithKline’s Cardiology Development Programs by Phase of Development and Technology Platform.................................................................................................................... 139 Chart 2.5.12 GlaxoSmithKline’s ACS Pipeline ................................................................................................ 139 Chart 2.5.13 GlaxoSmithKline’s Atherosclerosis Pipeline ............................................................................... 140 Chart 2.5.14 GlaxoSmithKline’s CHF Pipeline ................................................................................................ 141 Chart 2.5.15 GlaxoSmithKline’s Hypertension Pipeline................................................................................... 142 Chart 2.5.16 GlaxoSmithKline’s Historic and Projected Sales (in $Millions) .................................................. 142 Chart 2.6.1 Merck’s US Rx Sales Rank vs. Major Firms (in $Millions) ........................................................ 143 Chart 2.6.2 Merck’s Sales Rank In Cardiology (in $Millions)........................................................................ 144 Chart 2.6.3 Merck’s Cardiology Share of Total US Sales............................................................................... 144 Chart 2.6.4 Merck’s Historic Sales by Indication (in $Millions) .................................................................... 145 Chart 2.6.5 Merck’s Historic Sales by Brand and Major Indication (in $Millions) ........................................ 147 Chart 2.6.6 Merck’s Total Clinical Development Activity ............................................................................. 148 Chart 2.6.7 Merck’s Market Forecast in Cardiology (in $Millions)................................................................ 149 Chart 2.6.8 Merck’s Strategic Alliances and Mergers..................................................................................... 150 Chart 2.6.9 Merck’s Cardiology Summary Cardiology Development Activity vs. Industry .......................... 150 Chart 2.6.10 Merck’s Cardiology Development Programs by Phase of Development and Technology Platform....................................................................................................................................... 152 Chart 2.6.11 Merck’s ACS Pipeline.................................................................................................................. 153 Chart 2.6.12 Merck’s Atherosclerosis Pipeline................................................................................................. 153 Chart 2.6.13 Merck’s Hypertension Pipeline .................................................................................................... 154 Chart 2.6.14 Merck’s Historic and Projected Sales (in $Millions).................................................................... 154 Chart 2.7.1 Novartis’ US Rx Sales Rank vs. Major Firms (in $Millions)....................................................... 155 Chart 2.7.2 Novartis’ Sales Rank In Cardiology (in $Millions)...................................................................... 156 Chart 2.7.3 Novartis’ Cardiology Share of Total US Sales............................................................................. 156 Chart 2.7.4 Novartis’ Historic Sales by Indication (in $Millions) .................................................................. 157 Chart 2.7.5 Novartis’ Historic Sales by Brand and Major Indication (in $Millions) ...................................... 158 Chart 2.7.6 Novartis’ Total Clinical Development Activity ........................................................................... 158 Chart 2.7.7 Novartis’ Market Forecast in Cardiology (in $Millions).............................................................. 159 Chart 2.7.8 Novartis’ Strategic Alliances and Mergers................................................................................... 160 Chart 2.7.9 Novartis’ Cardiology Summary Development Activity vs. Industry ........................................... 161 Chart 2.7.10 Novartis’ Cardiology Development Programs by Phase of Development and Technology Platform....................................................................................................................................... 163 Chart 2.7.11 Novartis’ ACS Pipeline ................................................................................................................ 163 Chart 2.7.12 Novartis’ Angina Pipeline ............................................................................................................ 164 Chart 2.7.13 Novartis’ Arrhythmia Pipeline ..................................................................................................... 164 Chart 2.7.14 Novartis’ CHF Pipeline ................................................................................................................ 165 Chart 2.7.15 Novartis’ Historic and Projected Sales (in $Millions).................................................................. 165 Chart 2.8.1 Pfizer’s US Rx Sales Rank vs. Major Firms (in $Millions) ......................................................... 166 Chart 2.8.2 Pfizer’s Sales Rank in Cardiology (in $Millions)......................................................................... 167 Chart 2.8.3 Pfizer’s Cardiology Share of Total US Sales ............................................................................... 167 Chart 2.8.4 Pfizer’s Historic Sales by Indication (in $Millions) ..................................................................... 168 Chart 2.8.5 Pfizer’s Historic Sales by Brand and Major Indication (in $Millions) ......................................... 169 Chart 2.8.6 Pfizer’s Total Clinical Development Activity .............................................................................. 170 Chart 2.8.7 Pfizer’s Market Forecast in Cardiology (in $Millions) ................................................................ 170 Chart 2.8.8 Pfizer’s Strategic Alliances and Mergers ..................................................................................... 171 Chart 2.8.9 Pfizer’s Cardiology Summary - Development Activity vs. Industry............................................ 172 Chart 2.8.10 Pfizer’s Cardiovascular Development Programs by Phase of Development and Technology Platform....................................................................................................................................... 174 Chart 2.8.11 Pfizer’s ACS Pipeline................................................................................................................... 175 Chart 2.8.12 Pfizer’s Atherosclerosis Pipeline.................................................................................................. 178 Chart 2.8.13 Pfizer’s CHF Pipeline................................................................................................................... 179 Chart 2.8.14 Pfizer’s Restenosis Pipeline ......................................................................................................... 179 Chart 2.8.15 Pfizer’s Historic and Projected Sales (in $Millions) .................................................................... 180 Chart 2.9.1 Pharmacia’s US Rx Sales Rank vs. Major Firms (in $Millions) .................................................. 181 Chart 2.9.2 Pharmacia’s Sales Rank In Cardiovascular Disease (in $Millions).............................................. 182 Chart 2.9.3 Pharmacia’s Cardiovascular Share of Total US Sales .................................................................. 182 Chart 2.9.4 Pharmacia’s Historic Sales by Indication (in $Millions).............................................................. 183 Chart 2.9.5 Pharmacia’s Historic Sales by Brand and Major Indication (in $Millions).................................. 184 Chart 2.9.6 Pharmacia’s Total Clinical Development Activity....................................................................... 185 Chart 2.9.7 Pharmacia’s Market Forecast in Cardiovascular Disease (in $Millions)...................................... 185 Chart 2.9.8 Pharmacia’s Strategic Alliances and Mergers .............................................................................. 186 Chart 2.9.9 Pharmacia’s Cardiovascular Disease Summary - Development Activity vs. Industry................. 187 Chart 2.9.10 Pharmacia’s Cardiovascular Development Programs by Phase of Development and Technology Platform.................................................................................................................... 189 Chart 2.9.11 Pharmacia’s Atherosclerosis Pipeline .......................................................................................... 189 Chart 2.9.12 Pharmacia’s CHF Pipeline ........................................................................................................... 190 Chart 2.9.13 Pharmacia’s Hypertension Pipeline.............................................................................................. 191 Chart 2.9.14 Pharmacia’s Restenosis Pipeline .................................................................................................. 191 Chart 2.9.15 Pharmacia’s Historic and Projected Sales (in $Millions) ............................................................. 192 Chart 2.10.1 Roche’s US Rx Sales Rank vs. Major Firms (in $Millions)......................................................... 193 Chart 2.10.2 Roche’s Sales Rank In Cardiovascular Disease (in $Millions) .................................................... 194 Chart 2.10.3 Roche’s Cardiovascular Disease Share of Total US Sales ........................................................... 194 Chart 2.10.4 Roche’s Roche Historic Sales by Indication (in $Millions) ......................................................... 195 Chart 2.10.5 Roche’s Historic Sales by Brand and Major Indication (in $Millions) ........................................ 196 Chart 2.10.6 Roche’s Total Clinical Development Activity ............................................................................. 196 Chart 2.10.7 Roche’s Market Forecast in Cardiology (in $Millions)................................................................ 197 Chart 2.10.8 Roche’s Mergers and Alliances.................................................................................................... 198 Chart 2.10.9 Roche’s Cardiovascular Summary Cardiovascular Disease Development Activity vs. Industry. 199 Chart 2.10.10 Roche’s Cardiovascular Development Programs by Phase of Development and Technology Platform....................................................................................................................................... 201 Chart 2.10.11 Roche’s ACS Pipeline .................................................................................................................. 201 Chart 2.10.12 Roche’s Atherosclerosis Pipeline ................................................................................................. 202 Chart 2.10.13 Roche’s Hypertension Pipeline .................................................................................................... 202 Chart 2.10.14 Roche’s Historic and Projected Sales (in $Millions).................................................................... 202 Chart 2.11.1 Schering-Plough’s US Rx Sales Rank vs. Major Firms (in $Millions) ........................................ 203 Chart 2.11.2 Schering-Plough’s Sales Rank In Cardiovascular Disease (in $Millions).................................... 204 Chart 2.11.3 Schering-Plough’s Cardiovascular Disease Share of Total US Sales........................................... 204 Chart 2.11.4 Schering-Plough’s Historic Sales by Indication (in $Millions).................................................... 205 Chart 2.11.5 Schering-Plough’s Historic Sales by Brand and Major Indication............................................... 206 Chart 2.11.6 Schering-Plough’s Total Clinical Development Activity............................................................. 206 Chart 2.11.7 Schering-Plough’s Market Forecast in Cardiology (in $Millions) ............................................... 207 Chart 2.11.8 Schering-Plough’s Strategic Alliances and Mergers .................................................................... 208 Chart 2.11.9 Schering-Plough’s Cardiovascular disease Summary – Development Activity vs. Industry ....... 209 Chart 2.11.10 Schering-Plough’s Cardiovascular Development Programs by Phase of Development and Technology Platform.................................................................................................................... 211 Chart 2.11.11 Schering-Plough’s ACS Pipeline ................................................................................................. 211 Chart 2.11.12 Schering-Plough’s Atherosclerosis Pipeline................................................................................. 212 Chart 2.11.13 Schering-Plough’s Restenosis Pipeline ........................................................................................ 212 Chart 2.11.14 Schering-Plough’s Historic and Projected Sales (in $Millions) ................................................... 213 Chart 2.12.1 Wyeth’s US Rx Sales Rank vs. Major Firms (in $Millions) ........................................................ 214 Chart 2.12.2 Wyeth’s Sales Rank In Cardiology (in $Millions) ....................................................................... 215 Chart 2.12.3 Wyeth’s Cardiology Share of Total US Sales .............................................................................. 215 Chart 2.12.4 Wyeth’s Historic Sales by Indication (in $Millions) .................................................................... 216 Chart 2.12.5 Wyeth’s Historic Sales by Brand and Major Indication ............................................................... 217 Chart 2.12.6 Wyeth’s Total Clinical Development Activity ............................................................................. 218 Chart 2.12.7 Wyeth’s Market Forecast in Cardiology (in $Millions) ............................................................... 218 Chart 2.12.8 Wyeth’s Autoimmune Strategic Alliances and Mergers .............................................................. 219 Chart 2.12.9 Wyeth’s Cardiology Summary Development Activity vs. Industry............................................. 220 Chart 2.12.10 Wyeth’s Cardiology Development Programs by Phase of Development and Technology Platform....................................................................................................................................... 222 Chart 2.12.11 Wyeth’s ACS Pipeline.................................................................................................................. 222 Chart 2.12.12 Wyeth’s Atherosclerosis Pipeline................................................................................................. 223 Chart 2.12.13 Wyeth’s Historic and Projected Sales (in $Millions) ................................................................... 223 |
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Summary: |
Cardiovascular disease (CVD) remains the leading cause of death in the US, as in most developed countries. Although great progress has been made in reducing cardiovascular mortality in recent decades, the burden of CVD is expected to increase in the immediate future, as the population ages.
Increasingly, attention will shift from acute coronary care toward therapies that prevent or delay disease onset, improve the quality of life for afflicted individuals, and prolong life expectancy. |
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