Atherosclerotic Cardiovascular Disease (ASCVD) - Market Insight, Epidemiology and Market Forecast - 2034

Key Highlights

• The Atherosclerotic Cardiovascular Disease (ASCVD) market is projected to witness consistent growth throughout the forecast period (2023-2034). The market size of Atherosclerotic Cardiovascular Disease in the 7MM is expected to increase, driven by better diagnosis and launch of emerging therapies.
• The analyst projects that among the total cases of ASCVD in 7MM approximately 47% of cases were from the US. As per our estimations, in 2022, the US accounted for 26 million diagnosed prevalent cases of ASCVD.
• As per the analysis, EU4 and the UK comprised around 38% of the diagnosed prevalent cases of Atherosclerotic Cardiovascular Disease in 2022 among the 7MM.
• Japan accounted for more than 8.2 million diagnosed prevalent cases of Atherosclerotic Cardiovascular Disease in 2022.
• In the 7MM, the market mainly consisted of statins, which generated nearly USD 20,600 million in 2022.
• The total market size of the Atherosclerotic Cardiovascular Disease is anticipated to experience growth during the forecast period due to the emergence of new and effective treatments, namely, Olpasiran, Ziltivekimab, and Obicetrapib, among others.

The “Atherosclerotic Cardiovascular Disease (ASCVD) - Market Insights, Epidemiology, and Market Forecast - 2034” report delivers an in-depth understanding of the ASCVD, historical and forecasted epidemiology and the Atherosclerotic Cardiovascular Disease market trends in the United States, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan.

The Atherosclerotic Cardiovascular Disease market report provides current treatment practices, emerging drugs, market share of individual therapies, and current and forecasted 7MM Atherosclerotic Cardiovascular Disease market size from 2020 to 2034. The report also covers current Atherosclerotic Cardiovascular Disease treatment practices/algorithms and unmet medical needs to curate the best of the opportunities and assesses the underlying potential of the market.

Geography Covered

• The United States
• EU4 (Germany, France, Italy, and Spain) and the United Kingdom
• Japan

Study Period: 2020-2034

Disease Understanding and Treatment Algorithm

Atherosclerotic Cardiovascular Disease (ASCVD) Overview

ASCVD is a progressive and chronic condition that can affect various arteries throughout the body, including those supplying the heart (coronary arteries), brain (cerebral arteries), and legs (peripheral arteries). The most common manifestations of ASCVD include coronary artery disease (CAD), cerebrovascular disease (stroke), and peripheral arterial disease (PAD).

The development of ASCVD is influenced by a number of risk factors, such as poor diet, inactivity, cigarette use, obesity, family history, and alcohol abuse. The early stages of ASCVD are without symptoms, but later on as the artery narrows and blood flow is reduced, symptoms start to show. The type of artery that is affected and how much blood flow is impeded may also alter the symptoms. Angina, cold chills, dizziness, acute exhaustion, shortness of breath, and heart palpitations are a few typical symptoms.

Atherosclerotic Cardiovascular Disease (ASCVD) Diagnosis

In addition to symptoms, risk assessment is also used to make the diagnosis of ASCVD. Apolipoprotein E [APOE], LDLR, APOB, PCSK9, or LDLRAP1 genes; genotyping to study variations in contributing genes; and morphological examinations (ultrasonography, computed tomography, magnetic resonance imaging/angiography, or catheterization) are typically used to make a clinical diagnosis of ASCVD. Genetic testing, biomarker testing, and imaging can all be used to confirm an ASCVD diagnosis if a doctor has a suspicion. However, the cost and accessibility of genetic testing and biomarker testing may restrict their use.

Atherosclerotic Cardiovascular Disease (ASCVD) Treatment

Treatment strategies for Atherosclerotic Cardiovascular Disease occur at the population level but also engage individual adults to slow the development of ASCVD. Promoting a healthy lifestyle throughout life is the most important way to prevent ASCVD. Treatment other than lifestyle modification is based on pharmacotherapy and invasive procedures. A comprehensive patient-centered approach that addresses all aspects of a patient’s lifestyle habits and estimated risk of a future ASCVD event is the first step in deciding where there may be a need for pharmacotherapy. For clinical ASCVD, revascularization procedures such as angioplasties and bypass are warranted, among others.

Atherosclerotic Cardiovascular Disease (ASCVD) Epidemiology

As the market is derived using the patient-based model, the Atherosclerotic Cardiovascular Disease epidemiology chapter in the report provides historical as well as forecasted epidemiology segmented by Total Diagnosed Prevalent Cases of Atherosclerotic Cardiovascular Disease, (ASCVD), Gender-specific Diagnosed Prevalent Cases of Atherosclerotic Cardiovascular Disease (ASCVD), Age-specific Diagnosed Prevalent Cases of Atherosclerotic Cardiovascular Disease (ASCVD) and Comordidity-specific Diagnosed Prevalent Cases of Atherosclerotic Cardiovascular Disease (ASCVD) in the 7MM covering the United States, EU4 countries (Germany, France, Italy, and Spain) and the United Kingdom, and Japan, from 2020 to 2034. As per the estimations, the total diagnosed prevalent cases of Atherosclerotic Cardiovascular Disease in the 7MM was approximately 55 million cases in 2022 and are projected to increase during the forecast period.

• In 2022, among the 7MM, the US recorded the highest number of diagnosed prevalent cases of Atherosclerotic Cardiovascular Disease, with approximately 26 million cases, these cases are projected to increase by 2034.
• Among EU4 and the UK, Germany had the highest diagnosed prevalent population of ASCVD, with 5.7 million cases, followed by France and Italy in 2022. On the other hand, Spain had the lowest prevalent population in the European region in 2022.
• In Japan, there were around 8.2 million diagnosed prevalent cases in 2022. These cases are expected to decrease at substantial CAGR due to a decline in the population.
• The highest proportion of ASCVD cases was observed in the 65 years and above age group in the 7MM, while the least cases were in the age group 18-44 years.
• The United States has the highest number of diagnosed cases of Atherosclerotic Cardiovascular Disease in males compared to females. In 2022, of all Atherosclerotic Cardiovascular Disease cases, approximately 56% were males, while around 44% of males were diagnosed with the condition.
• The comorbidity-specific cases of ASCVD were divided into recent ACS, ischemic stroke, PAD, other CHD, and other comorbidities comprising CKD. Other CHD had the highest number of cases, 28 million in 2022 in the 7MM.

Atherosclerotic Cardiovascular Disease (ASCVD) Drug Chapters

The drug chapter segment of the Atherosclerotic Cardiovascular Disease report encloses a detailed analysis of Atherosclerotic Cardiovascular Disease marketed drugs and late-stage (Phase III and Phase II) pipeline drugs. It also understands Atherosclerotic Cardiovascular Disease clinical trial details, expressive pharmacological action, agreements and collaborations, approval, and patent details, advantages and disadvantages of each included drug, and the latest news and press releases.

Marketed Drugs

LEQVIO (Inclisiran): Novartis Pharmaceuticals Corporation

LEQVIO (Inclisiran) is a sole small-interfering RNA (siRNA) therapy designed to lower LDL cholesterol. The drug utilizes the RNA interference mechanism and directs the catalytic breakdown of mRNA for PCSK9. This increases LDL-C receptor recycling and expression on the hepatocyte cell surface, which increases LDL-C uptake and lowers LDL-C levels in the circulation.

Note: Detailed marketed therapies assessment will be provided in the final report of ASCVD.

Emerging Drugs

Olpasiran (AMG 890): Amgen Inc.

Olpasiran (formerly AMG 890) is a small interfering RNA (siRNA) that lowers lipoprotein(a), also known as Lp(a). It is being investigated for treating ASCVD; the drug is administered subcutaneously as a solution. Currently, the company is recruiting for Phase III clinical trial to compare the effect of treatment with olpasiran, to placebo, on the risk for coronary heart disease death (CHD death), myocardial infarction, or urgent coronary revascularization in participants with ASCVD and elevated lipoprotein (a).

Obicetrapib (TA-8995): NewAmsterdam Pharma

Obicetrapib is a novel, selective CETP inhibitor that potently decreases low-density lipoprotein-cholesterol (LDL-C) as well as increases high-density lipoprotein-cholesterol (HDL-C) and the number of ApoA1-containing lipoproteins. The drug candidate is designed to be administered orally. Currently, the company is recruiting for Phase III clinical trials to evaluate the effect of obicetrapib on the risk of major adverse cardiovascular events (MACE), including cardiovascular (CV) death, non-fatal myocardial infarction, non-fatal stroke, or non-elective coronary revascularization.

Note: Detailed emerging therapies assessment will be provided in the final report of ASCVD.

Atherosclerotic Cardiovascular Disease (ASCVD) Market Outlook

Atherosclerotic Cardiovascular Disease has a diverse treatment classification associated with the disease landscape. ASCVD treatment aims to mitigate cardiovascular risk factors through lifestyle modifications, pharmacological interventions, and invasive procedures as needed.

Statins and PCSK9 inhibitors are major revenue generators in the current treatment landscape. The use of statins and PCSK9 inhibitors is guided by clinical practice guidelines, which provide evidence-based recommendations to healthcare professionals to manage ASCVD.

The market for Atherosclerotic Cardiovascular Disease is expected to experience positive growth with the approval of potential drugs like MK-0616, Obicetrapib (TA-8995), and TQJ230 (pelacarsen).

• The Atherosclerotic Cardiovascular Disease (ASCVD) market’s total size in the 7MM reached approximately USD 23,000 million in 2022. Projections indicate a substantial CAGR from 2022 to 2034.
• Out of the 7MM, the United States dominated the market in 2022, representing the largest share at 51%.
• In 2022, EU4 and the UK captured nearly 35% and Japan around 13% of the total market share in the 7MM.
• Among the forecasted emerging therapies, Olpasiran (formerly AMG 890) is expected to capture the highest market in the 7MM by 2034.

Atherosclerotic Cardiovascular Disease (ASCVD) Drugs Uptake

This section focuses on the uptake rate of potential drugs expected to launch in the market during 2020-2034. For example, Obicetrapib (TA-8995) in the US is expected to have medium drug uptake with a probability-adjusted peak share of around 1%, and years to the peak is expected to be 7 years from the year of launch.

Atherosclerotic Cardiovascular Disease (ASCVD) Pipeline Development Activities

The report provides insights into different therapeutic candidates in Phase III, Phase II, and Phase I stage. It also analyzes key players involved in developing targeted therapeutics.

Pipeline Development Activities

The report covers information on collaborations, acquisitions and mergers, licensing, and patent details for Atherosclerotic Cardiovascular Disease emerging therapies.

KOL Views

To keep up with current market trends, we take KOLs and SMEs’ opinions working in the domain through primary research to fill the data gaps and validate the secondary research. Industry Experts were contacted for insights on Atherosclerotic Cardiovascular Disease evolving treatment landscape, patient reliance on conventional therapies, patient’s therapy switching acceptability, and drug uptake along with challenges related to accessibility, including KOL from Rollins School of Public Health, Emory University, Atlanta, Georgia; Department of Epidemiology and Health Monitoring, Robert Koch Institute; Cardiovascular Prevention Institute, Paris; Teikyo Academic Research Center, Teikyo University, Itabashi-ku, Tokyo, and others.

The analysts connected with 50+ KOLs to gather insights; however, interviews were conducted with 15+ KOLs in the 7MM. Their opinion helps understand and validate current and emerging therapies, treatment patterns, or Atherosclerotic Cardiovascular Disease market trends. This will support the clients in potential upcoming novel treatments by identifying the overall scenario of the market and the unmet needs.

Qualitative Analysis

We perform Qualitative and market Intelligence analysis using various approaches, such as SWOT and Conjoint Analysis. In the SWOT analysis, strengths, weaknesses, opportunities, and threats in terms of disease diagnosis, patient awareness, patient burden, competitive landscape, cost-effectiveness, and geographical accessibility of therapies are provided. These pointers are based on the Analyst’s discretion and assessment of the patient burden, cost analysis, and existing and evolving treatment landscape.

Conjoint Analysis analyzes multiple approved and emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. Scoring is given based on these parameters to analyze the effectiveness of therapy.

Further, the therapies’ safety is evaluated wherein the acceptability, tolerability, and adverse events are majorly observed, and it sets a clear understanding of the side effects posed by the drug in the trials. In addition, the scoring is also based on the route of administration, order of entry and designation, probability of success, and the addressable patient pool for each therapy. According to these parameters, the final weightage score and the ranking of the emerging therapies are decided.

Market Access and Reimbursement

The high cost of therapies for the treatment is a major factor restraining the growth of the global drug market. Because of the high cost, the economic burden is increasing, leading the patient to escape from proper treatment.

The report further provides detailed insights on the country-wise accessibility and reimbursement scenarios, cost-effectiveness scenario of approved therapies, programs making accessibility easier and out-of-pocket costs more affordable, insights on patients insured under federal or state government prescription drug programs, etc.

Scope of the Report

• The report covers a segment of key events, an executive summary, descriptive overview of Atherosclerotic Cardiovascular Disease (ASCVD), explaining its causes, signs and symptoms, pathogenesis, and currently available therapies.
• Comprehensive insight has been provided into the epidemiology segments and forecasts, the future growth potential of diagnosis rate, disease progression, and treatment guidelines.
• Additionally, an all-inclusive account of the current and emerging therapies and the elaborative profiles of late-stage and prominent therapies will impact the current treatment landscape.
• A detailed review of the Atherosclerotic Cardiovascular Disease (ASCVD) market, historical and forecasted market size, market share by therapies, detailed assumptions, and rationale behind the approach is included in the report covering the 7MM drug outreach.
• The report provides an edge while developing business strategies, by understanding trends, through SWOT analysis and expert insights/KOL views, patient journey, and treatment preference that help shape and drive the 7MM Atherosclerotic Cardiovascular Disease (ASCVD) market.

Atherosclerotic Cardiovascular Disease (ASCVD) Report Insights

• Patient Population
• Therapeutic Approaches
• Atherosclerotic Cardiovascular Disease Pipeline Analysis
• Atherosclerotic Cardiovascular Disease Market Size and Trends
• Existing and Future Market Opportunity

Atherosclerotic Cardiovascular Disease (ASCVD) Report Key Strengths

• 12 years Forecast
• The 7MM Coverage
• Atherosclerotic Cardiovascular Disease Epidemiology Segmentation
• Key Cross Competition
• Attribute Analysis
• Drugs Uptake and Key Market Forecast Assumptions

Atherosclerotic Cardiovascular Disease (ASCVD) Report Assessment

• Current Treatment Practices
• Unmet Needs
• Pipeline Product Profiles
• Market Attractiveness
• Qualitative Analysis (SWOT and Conjoint Analysis)

Key Questions

Market Insights

• What was the Atherosclerotic Cardiovascular Disease (ASCVD) total market size, the market size by therapies, and market share (%) distribution in 2020, and how would it all look in 2034? What are the contributing factors for this growth?
• What unmet needs are associated with the current treatment market of Atherosclerotic Cardiovascular Disease (ASCVD)?
• What will be the impact of the NEXLETOL patent expiry in the market?
• How will MK-0616 compete with the existing therapies for Atherosclerotic Cardiovascular Disease (ASCVD) during the study period?
• Which drug is going to be the largest contributor in 2034?
• What are the pricing variations among different geographies for approved and off-label therapies?
• How would the market drivers, barriers, and future opportunities affect the market dynamics and subsequent analysis of the associated trends?

Epidemiology Insights

• What are the disease risk, burdens, and unmet needs of Atherosclerotic Cardiovascular Disease (ASCVD)? What will be the growth opportunities across the 7MM concerning the patient population of Atherosclerotic Cardiovascular Disease (ASCVD)?
• What is the historical and forecasted Atherosclerotic Cardiovascular Disease (ASCVD) patient pool in the United States, EU4 (Germany, France, Italy, and Spain), the United Kingdom, and Japan?
• Why do only limited patients appear for diagnosis?
• Which country is more prevalent for Atherosclerotic Cardiovascular Disease (ASCVD) and why?
• What factors are affecting the diagnosis of the indication?

Current Treatment Scenario, Marketed Drugs, and Emerging Therapies

• What are the current options for treating Atherosclerotic Cardiovascular Disease (ASCVD)? What are the current guidelines for treating Atherosclerotic Cardiovascular Disease (ASCVD) in the US and Europe?
• How many companies are developing therapies for treating Atherosclerotic Cardiovascular Disease (ASCVD)?
• How many emerging therapies are in the mid-stage and late stage of development for treating Atherosclerotic Cardiovascular Disease (ASCVD)?
• What are the recent novel therapies, targets, mechanisms of action, and technologies developed to overcome the limitation of existing therapies?
• What are the key designations that have been granted for the emerging therapies for Atherosclerotic Cardiovascular Disease (ASCVD)?
• Patient acceptability in terms of preferred treatment options as per real-world scenarios?
• What are the country-specific accessibility issues of expensive, recently approved therapies? Focus on reimbursement policies.
• What are the 7MM historical and forecasted markets of Atherosclerotic Cardiovascular Disease (ASCVD)?

Reasons to Buy

• The report will help develop business strategies by understanding the latest trends and changing treatment dynamics driving the Atherosclerotic Cardiovascular Disease (ASCVD) Market.
• Insights on patient burden/disease prevalence, evolution in diagnosis, and factors contributing to the change in the epidemiology of the disease during the forecast years.
• To understand the existing market opportunity in varying geographies and the growth potential over the coming years.
• Distribution of historical and current patient share based on real-world prescription data along with reported sales of approved products in the US, EU4 (Germany, France, Italy, and Spain), the United Kingdom, and Japan.
• Identifying strong upcoming players in the market will help devise strategies that will help get ahead of competitors.
• Detailed analysis and ranking of potential current and emerging therapies under the conjoint analysis section to provide visibility around leading classes.
• Highlights of Access and Reimbursement policies of approved therapies, barriers to accessibility of off-label expensive therapies, and patient assistance programs.
• To understand the perspective of Key Opinion Leaders around the accessibility, acceptability, and compliance-related challenges of existing treatment to overcome barriers in the future.
• Detailed insights on the unmet need of the existing market so that the upcoming players can strengthen their development and launch strategy.