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Table of Contents
1. Executive Summary - Hypertension is a Dangerous Medical Condition and is a
Serious Cause of Mortality Worldwide
2. Introduction to Hypertension
- 2.1 An Overview of Hypertension
- 2.2 Symptoms of Hypertension and Diagnosis of the Condition
- 2.3 Causes of Hypertension
- 2.4 Primary Hypertension
- 2.5 Secondary Hypertension
- 2.6 Pulmonary Hypertension
- 2.7 Epidemiology of Hypertension
- 2.8 Links with Other Disorders
- 2.9 The Treatment of Hypertension
- 2.9.1 Countering Hypertension Through Changes in Diet and Lifestyle - A
First Line of Attack
- 2.9.2 Treatment Targets and the Selection of Drugs
- 2.9.3 Beta Blockers
- 2.9.4 Angiotensin Converting Enzyme (ACE) Inhibitors
- 2.9.5 Calcium-Channel Blockers
- 2.9.6 Angiotensin II Blockers
- 2.9.7 Alpha Blockers
- 2.9.8 Diuretics
- 2.9.9 Other Drugs
- 2.9.10 Treatment of Pulmonary Hypertension
- 2.10 The Prospects for Patients
3. The World Hypertension Market, 2004-2010
- 3.1 Growing Demand and Shifting Internal Dynamics in the World
Antihypertensive Market, 2004-2010
- 3.2 Novartis to Become the Leading Company in the 2010 Hypertension Market
- 3.3 Angiotensin II Blockers to Continue Their Domination of the
Antihypertensive Market, 2005-2010
- 3.4 Other Classes of Antihypertensive Drug Display High Revenues during
2004-2010
- 3.5 Calcium Channel Blockers - Declining Revenues due to Competition
- 3.6 Angiotensin Converting Enzyme (ACE) Inhibitors - Will This Class Be
Superseded by the Angiotensin II Blockers?
- 3.7 Beta-Blockers - Carving a Secure Niche in a Highly Competitive Market
- 3.8 Alpha Blockers Will Maintain a Respected Position in the Hypertension
Market
- 3.9 Increasing Potential for Blockbuster Revenues During 2004-2010
- 3.10 Competition in the Antihypertensive Market to Become Increasingly
Intense
- 3.11 Monotherapy or Combination Therapy?
- 3.12 Diuretic Agents Retain Importance
4. The World Market for Angiotensin II Blockers, 2004-2010
- 4.1 Angiotensin II Blockers - Strong Growth Leads to Continuing
Predominance in the Market
- 4.1.1 The Angiotensin II Blockers Will Benefit From More Secure Patent
Protection Than The Other Classes of Antihypertensives
- 4.1.2 Other Advantages of Angiotensin II Blockers That Confer Important
Benefits in the Market
- 4.2 Diovan to Take Market Leadership from Norvasc by 2010
- 4.2.1 Diovan Benefits from Further Clinical Studies
- 4.3 Cozaar/Hyzaar - High Revenues with Continued Growth
- 4.3.1 Further Developments for Cozaar/Hyzaar
- 4.4 Blopress - Another Strong Performer
- 4.4.1 Additional FDA Approval for Blopress
- 4.5 Sanofi-Aventis' Aprovel/Avapro to Maintain Steady Growth
- 4.5.1 Avaprovel/Avapro Benefits from Continuing Development
- 4.6 Bristol-Myers Squibb's Avapro/Avalide Will Also Benefit from This
Growing Market
- 4.7 Atacand - Reversion of Licensing Rights to Original Manufacturer
- 4.8 Boehringer Ingelheim's Micardis Will Achieve Blockbuster Revenues By
2010
- 4.8.1 Micardis Shows Potential Metabolic Benefits
- 4.8.2 Micardis Benefits from Further Clinical Studies
- 4.9 Astellas Pharmaceutical's Micardis Will Achieve Very High Growth Over
The Forecast Period
- 4.9.1 Further Clinical Studies May Confer a Market Advantage to
Astellas' Micardis
- 4.10 Provas/Miten - Only Modest Success is Predicted for This Drug
- 4.11 Benicar's Revenue Growth Set to Continue Steadily
- 4.11.1 Further Licensing Agreements for Benicar
- 4.11.2 Promising Results from Further Clinical Study
- 4.12 The Angiotensin II Blockers: Summary and Conclusions
5. The World Market for Calcium Channel Blockers, 2004-2010
- 5.1 Increased Competition Will Lower Revenues
- 5.2 Norvasc - 2004 Market Leader Set to Lose Dominance to Leading
Angiotensin II Blockers
- 5.2.1 Norvasc Benefits from Further Clinical Testing
- 5.2.2 Active Ingredient in Norvasc Combined with that of Lipitor to
Form Dual Action Cardiovascular Drug
- 5.3 Adelat - The Second Largest Calcium Blocker, But Significantly Behind
Norvasc
- 5.4 Plendil - Declining Revenues Predicted
- 5.5 Coniel Will Sustain Revenues
- 5.6 Herbesser Faces Slight Decline in Revenues
- 5.6.1 The Outcome of Further Clinical Studies on Herbesser
- 5.7 Lercanidipine - Optimism Due to Further Launches and Product
Development
- 5.7.1 Lercandipine to Be Released in More Countries
- 5.7.2 Lercandipine Receives Continuing Product Development
- 5.8 Perpidine/Perpidine LA - Revenue Decline Predicted
- 5.9 Calslot Will Show Moderate Revenue Growth
- 5.10 Lower Revenue Calcium Blockers: Nivadil, Verelan PM and Cardizem LA
- 5.10.1 Cardizem LA Is Undergoing Further Development
- 5.11 The Calcium Blockers: Summary and Conclusions
6. The World Market for Angiotensin Converting Enzyme (ACE) Inhibitors,
2004-2010
- 6.1 How Well Will The ACE Inhibitors Resist Competition From The
Angiotensin II Blockers?
- 6.1.1 ACE Inhibitors Will Retain Prominence in The Market
- 6.2 Delix/Tritace Will Lose Predominance In This Class
- 6.2.1 Licensing Agreements for International Distribution
- 6.2.2 Further Clinical Studies and Life Cycle Management to Confer
Benefits to Delix/Tritace
- 6.3 Lotrel Will Become The ACE Inhibitor With The Highest Revenues
- 6.4 Vasotec/Vaseretic - This Older Drug Will Face Decline
- 6.4.1 Additional Clinical Studies and Product Development to Benefit
Vasotec
- 6.5 Accupril/Accuretic - Revenues Set To Fall
- 6.5.1 Accupril/Accuretic Faces Patent Challenges
- 6.6 Zestril - Expiry of Patent Leads to Continuing Decline
- 6.7 Monopril Faces a Steep Decline In Revenue
- 6.8 Tanatril Is Likely to Struggle to Maintain Revenues
- 6.9 ACE Inhibitors With Lower Revenues: Acecol and Longes
- 6.10 The ACE inhibitors: Summary and Conclusions
7. The World Market for Beta-Blockers, 2004-2010
- 7.1 Beta Blockers Will Retain Their Niche in a Highly Competitive Market
- 7.1.1 Uses and Limitations of Beta Blockers That Affect Their Position
In The Market
- 7.2 Toprol-XL/Seloken Will Become the Second Most Important Beta Blocker
- 7.2.1 Toprol-XL Faces Patent Challenges
- 7.3 Coreg Is Set to Lead the Beta Blocker Class
- 7.3.1 Coreg May Benefit From Further Clinical Studies
- 7.4 Maintate Faces Declining Revenues
- 7.5 The Beta Blockers: Summary and Conclusions
8. The World Market for Alpha Blockers, 2004-2010
- 8.1 Alpha blockers Will Defend Their Position in the Hypertension Market
- 8.1.1 Alpha Blockers Are Also Used to Treat BPH
- 8.1.2 Limitations On The Use of Alpha Blockers Influence Their
Performance in The Market
- 8.2 Cardura Will Dominate the Alpha Blocker Class
- 8.3 Catapresan Will Be Second Largest Drug In Its Class
- 8.4 Ebrantil Will Have Lowest Market Share in Class
- 8.5 The Alpha Blockers: Summary and Conclusions
9. An Analysis of Factors That Influence the Hypertension Market
- 9.1 SWOT Analysis of the Hypertension Market
- 9.2 An Expanding Patient Population Constitutes the Principal Driver in
the Hypertension Market
- 9.3 The Hypertension Market Has Opportunities for Continuing Growth
- 9.4 Changes in Blood Pressure Treatment Guidelines - Can Both Patients and
Drug Companies Benefit?
- 9.5 Advances in Technology Are Likely to Bring Benefits to the Market
- 9.6 The Principal Restraints in the Hypertension Market
- 9.7 To What Extent is the Hypertension Market Threatened by Generic
Substitutes?
- 9.8 What Unmet Market Needs Exist in the Hypertension Market? - Experts
Provide Their Views
- 9.8.1 Resistant Hypertension Constitutes a Major Limitation of Present
Treatments
- 9.8.2 Important Patient Sub-Populations: Potential For Companies To
Increase Market Leverage Through Product Differentiation
- 9.9 Comparative Studies - A Two Edged Sword
10. A Geographical Breakdown of the World Hypertension Market
- 10.1 The US Will Lead a High Revenue Global Market in 2010
- 10.2 The Prevalence of Hypertension Worldwide - Many Hypertensive People
Currently Untreated or Under-treated
- 10.3 Conclusions: There is An Urgent Requirement To Expand the Treatment
of Hypertension on a Global Scale
11. Pipeline Drugs for Hypertension
- 11.1 Agents in Phase II of Clinical Development
- 11.1.1 Darusentan From Myogen
- 11.1.2 MC-4232 From Medicure
- 11.1.3 MC-1 From Medicure
- 11.1.4 MC-4262 From Medicure
- 11.1.5 Ventavis From CoTherix For More Specialised Indication
- 11.2 Agents in Phase III of Clinical Development
- 11.2.1 Aliskiren (SPP100) From Novartis
- 11.2.2 Ambrisentan From Myogen
- 11.2.3 Thelin From Encysive
- 11.2.4 PW2101 From Penwest
- 11.2.5 (S)-amlodipine From Sepracor
- 11.3 Recently Approved Agents for Treating Hypertension
- 11.3.1 Revatio From Pfizer
- 11.3.2 Nebivolol From Mylan
- 11.3.3 Ventavis From CoTherix
- 11.3.4 Ventavis Monopril-HCT From Ranbaxy
- 11.3.5 Hydrochlorothiazide From Ivax
- 11.3.6 Other Recently Approved Agents for Hypertension
- 11.4 An Overall Assessment of Pipeline Developments for the Hypertension
Market
12. Conclusions: Hypertension Constitutes a Large Drugs Market With Scope For
Expansion Worldwide
- 12.1 Hypertension is a Serious, Growing Problem Worldwide
- 12.2 Hypertension Constitutes a High Revenue Market with Continuing
Growth Potential
- 12.3 Hypertension Drugs will Achieve High Revenues in all the Major
Geographical Markets from 2005-2010
- 12.4 The Pipeline for Hypertension Drugs is Strong
- 12.5 Continuing Public and Private Sector Investment is Required
TABLES
- Table 2.1, Categories for Blood Pressure Levels in Adults
- Table 2.2, Leading Beta-Blockers to Treat Hypertension, 2004
- Table 2.3, Leading ACE Inhibitors to Treat Hypertension
- Table 2.4, Leading Calcium Channel Blockers to Treat Hypertension
- Table 2.5, Leading Angiotensin II Blockers to Treat Hypertension
- Table 2.6, Leading Alpha Blockers to Treat Hypertension, 2004
- Table 3.1, Blockbuster Drugs in the World Hypertension Market, 2004
- Table 3.2, World Revenues ($m) for the Leading Hypertension Drugs, by
Class, 2004-2010
- Table 3.3, World Market Revenue ($m) and Market Share (%) for Leading
Hypertension Drugs by Class, 2010
- Table 3.4, Blockbuster Drugs in the World Hypertension Market, 2010
- Table 4.1, World Revenues ($m) for Angiotensin II Blockers, 2004-2010
- Table 4.2, Patent Expiry for Angiotensin II Blockers, 2005
- Table 4.3, World Market Shares (%) for Angiotensin II Blockers, 2004 and
2010
- Table 5.1, World Revenues ($m) for Calcium Channel Blockers, 2004-2010
- Table 5.2, Patent Expiry for Calcium Channel Blockers to Treat Hypertension
- Table 5.3, World Market Shares (%) for Calcium Blockers, 2004 and 2010
- Table 6.1, World Revenues ($m) for ACE Inhibitors, 2004-2010
- Table 6.2, Patent Expiry for ACE Inhibitors to Treat Hypertension
- Table 6.3, World Market Shares (%) for ACE Inhibitors, 2004 and 2010
- Table 7.1, World Revenues ($m) for Beta-Blockers, 2004-2010
- Table 7.2, Patent Expiry for Beta-Blockers to Treat Hypertension
- Table 7.3, World Market Shares (%) for Beta Blockers, 2004 and 2010
- Table 8.1, World Revenues ($m) for Alpha Blockers, 2004-2010
- Table 8.2, Patent Expiry for Alpha Blockers to Treat Hypertension
- Table 8.3, World Market Shares (%) for Alpha Blockers, 2004 and 2010
- Table 9.1, Leading Antihypertensive Drugs That Face The Greatest Threat
From Generic Competition, 2005
- Table 10.1, Estimated Hypertensive Patient Populations by Country, 2004
- Table 10.2, Estimated Revenues ($m) For Hypertension Drugs by Country and
(%) World Market Shares, 2004 and 2010
- Table 12.1, World Market Revenue ($m) and Market Share (%) for Leading
Hypertension Drugs by Class, 2010
- Table 12.2, Revenues ($m) For Hypertension Drugs by Country, 2010
FIGURES
- Figure 3.1, World Revenues ($m) for the Classes of Leading Drugs to Treat
Hypertension, 2004-2010
- Figure 3.2, World Market Share (%) for Hypertension by Class, 2004
- Figure 3.3, World Market Share (%) for Hypertension by Class, 2010
- Figure 3.4, Market Share (%) for Leading Hypertension Drugs by Company,
2004
- Figure 3.5, Market Share (%) for Leading Hypertension Drugs by Company,
2010
- Figure 3.6, Changes ($m) in World Revenues for the Classes of Hypertension
Drugs, 2004-2010
- Figure 3.7, Changes (%) in World Revenues for the Classes of Hypertension
Drugs, 2004-2010
- Figure 4.1, World Revenues ($m) for All Angiotensin II Blockers, 2004-2010
- Figure 4.10, World Micardis (Boehringer Ingelheim) Revenues ($m), 2004-2010
- Figure 4.11, World Micardis (Astellas Pharma) Revenues ($m), 2004-2010
- Figure 4.12, World Provas/Miten Revenues ($m), 2004-2010
- Figure 4.13, World Benicar Revenues ($m), 2004-2010
- Figure 4.2, World Revenues ($m) for the Angiotensin II Blockers by drug,
2004-2010
- Figure 4.3, World Market Share (%) for Angiotensin II Blockers, 2004
- Figure 4.4, World Market Share (%) for the Angiotensin II Blockers, 2010
- Figure 4.5, World Diovan/Co-Diovan Revenues ($m), 2004-2010
- Figure 4.6, World Cozaar/Hyzaar Revenues ($m), 2004-2010
- Figure 4.7, World Blopress Revenues ($m), 2004-2010
- Figure 4.8, World Aprovel/Avapro Revenues ($m), 2004-2010
- Figure 4.9, World Avapro/Avalide Revenues ($m), 2004-2010
- Figure 5.1, World Revenue ($m) for Calcium Channel Blockers, 2004-2010
- Figure 5.10, World Lercandidipine Revenues ($m), 2004-2010
- Figure 5.11, World Perpidine/Perpidine LA Revenues ($m), 2004-2010
- Figure 5.12, World Calslot Revenues ($m), 2004-2010
- Figure 5.13, World Nivadil Revenues ($m), 2004-2010
- Figure 5.14, World Verelan PM Revenues ($m), 2004-2010
- Figure 5.15, Cardizem LA Revenues ($m), 2004-2010
- Figure 5.2, World Revenues ($m) for Calcium Channel Blockers, 2010
- Figure 5.3, World Market Share (%) for Calcium Channel Blockers, 2004
- Figure 5.4, World Market Share (%) for Calcium Channel Blockers, 2010
- Figure 5.5, World Norvasc Revenues ($m), 2004-2010
- Figure 5.6, World Adalat Revenues ($m), 2004-2010
- Figure 5.7, World Plendil Revenues ($m), 2004-2010
- Figure 5.8, World Coniel Revenues ($m), 2004-2010
- Figure 5.9, World Herbesser Revenues ($m), 2004-2010
- Figure 6.1, World Revenue ($m) for All ACE Inhibitors, 2004-2010
- Figure 6.10, World Monopril Revenues ($m), 2004-2010
- Figure 6.11, World Tanatril Revenues ($m), 2004-2010
- Figure 6.12, World Acecol Revenues ($m), 2004-2010
- Figure 6.13, World Longes Revenues ($m), 2004-2010
- Figure 6.2a, World Revenues ($m) for the ACE Inhibitors, 2004-2010
- Figure 6.2b, World Revenues ($m) for Monopril, Tanatril, Acecol & Longes,
2004-2010
- Figure 6.3, World Market Share (%) for ACE Inhibitors, 2004
- Figure 6.4, World Market Share (%) for ACE Inhibitors, 2010
- Figure 6.5, World Delix/Tritace Revenues ($m), 2004-2010
- Figure 6.6, World Lotrel Revenues ($m), 2004-2010
- Figure 6.7, World Vasotec/Vaseretic Revenues ($m), 2004-2010
- Figure 6.8, World Accupril/Accuretic Revenues ($m), 2004-2010
- Figure 6.9, World Zestril Revenues ($m), 2004-2010
- Figure 7.1, World Revenues ($m) for the Beta Blockers: Total for Class,
2004-2010
- Figure 7.2, World Revenues ($m) for the Beta Blockers, 2004-2010
- Figure 7.3, World Market Share (%) for Beta-Blockers, 2004
- Figure 7.4, World Market Share (%) for Beta-Blockers, 2010
- Figure 7.5, World Toprol-XL/Seloken Revenues ($m), 2004-2010
- Figure 7.6, World Coreg Revenues ($m), 2004-2010
- Figure 7.7, World Maintate Revenues ($m), 2004-2010
- Figure 8.1, World Revenues ($m) for the Alpha Blockers: Total for Market,
2004-2010
- Figure 8.2, World Revenues ($m) for the Alpha Blockers, 2004-2010
- Figure 8.3, World Market Share (%) for Alpha Blockers, 2004
- Figure 8.4, World Market Share (%) for Alpha Blockers, 2010
- Figure 8.5, World Cardura Revenues ($m), 2004-2010
- Figure 8.6, Catapresan Revenues ($m), 2004-2010
- Figure 8.7, Ebrantil Revenues ($m), 2004-2010
- Figure 9.1, A SWOT Chart for the Hypertension Market, 2005-2010
- Figure 10.1, Estimated Hypertensive Populations by Country
- Figure 10.2, Revenues ($m) for Hypertension Drugs by Country, 2010
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