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Cardiology, Competitive Strategies, 2002


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.


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


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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