1 Executive Summary
2 Dyslipidaemia and Coronary Heart Disease
2.1 Cholesterol and Triglycerides
2.2 Lipoproteins Transport Cholesterol and Triglycerides
2.3 Dyslipidaemia and Atherosclerosis
2.4 Cholesterol Risk Levels
2.5 The Fredrickson/World Health Organization (WHO) Classification of Dyslipidaemia
2.6 Cardiovascular Disease
2.7 CHD Risk Factors
2.8 Cholesterol Testing
2.9 Primary and Secondary Prevention of Atherosclerosis
3 Statins and Other Lipid-Lowering Drugs
3.1 Statins: Mechanism of Action and Types
3.2 Lovastatin
3.2.1 Lovastatin Indications
3.2.2 Lovastatin Brands and Generic Manufacturers
3.3 Simvastatin
3.3.1 Simvastatin Indications
3.3.2 Simvastatin Brands and Generic Manufacturers
3.4 Pravastatin
3.4.1 Pravastatin Indications
3.4.2 Pravastatin Brands and Generic Manufacturers
3.5 Fluvastatin
3.5.1 Fluvastatin Indications
3.5.2 Fluvastatin Brands and Generic Manufacturers
3.6 Atorvastatin
3.6.1 Atorvastatin Indications
3.6.2 Atorvastatin Brands and Generic Manufacturers
3.7 Rosuvastatin
3.7.1 Rosuvastatin Indications
3.7.2 Rosuvastatin Brands and Generic Manufacturers
3.8 Pitavastatin
3.9 Statin/Other Lipid-Lowering Drug Combinations
3.9.1 Lovastatin/Nicotinic Acid
3.9.2 Simvastatin/Nicotinic Acid
3.9.3 Simvastatin/Ezetimibe
3.9.4 Atorvastatin/Fenofibrate
3.9.5 Atorvastatin/Ezetimibe
3.9.6 Atorvastatin/Ezetimibe/Fenofibrate
3.10 Statin/Other Cardiovascular Drug Combinations
3.10.1 Caduet (Atorvastatin/Amlodipine)
3.10.2 Pravadual (Pravastatin/Aspirin)
3.10.3 Generic Statin/Other Cardiovascular Drugs
3.11 Other Dyslipidaemia Drugs
3.11.1 Anion-Exchange Resins
3.11.2 Ezetimibe
3.11.3 Fibrates
3.11.4 Nicotinic Acid
3.11.5 Omega-3-Acid Ethyl Esters
4 The World Statin Market
4.1 Statins Dominate the Lipid-Lowering Drug Market
4.1.1 The World Lipid-Lowering Drug Market
4.1.2 World Lipid-Lowering Drug Market Forecast, 2009-2024
4.2 The World Statin Market, 2009-2024
4.2.1 The World Statin Market, 2008
4.2.2 Scope for Further Growth: World Statin Market Forecast, 2009-2011
4.2.3 The Impact of Atorvastatin Genericisation on the World Statin Market, 2011-2014
4.2.4 Further Generic Opportunities: World Statin Market Forecast, 2014-2019
4.2.5 What are the Prospects for the World Statin Market from 2019 to 2024?
4.2.6 Statin Type Market Forecast, 2009-2024
4.3 The Branded and Generic Statin Markets
4.3.1 The Branded and Generic Statin Markets, 2008
4.3.2 By 2018 Sales of Generic Statins Will Exceed Branded Revenues
4.4 Atorvastatin
4.4.1 The Atorvastatin Market in 2008
4.4.2 Atorvastatin Market Forecast, 2009-2024
4.4.3 Lipitor Market Forecast, 2009-2011
4.4.4 The Ultimate Patent Cliff: Lipitor Market Forecast, 2011-2014
4.4.5 The Fate of Lipitor: Market Forecast, 2014-2024
4.4.6 Generic Atorvastatin Market Forecast, 2009-2024
4.5 Rosuvastatin
4.5.1 The Rosuvastatin Market in 2008
4.5.2 Rosuvastatin Market Forecast, 2009-2024
4.5.3 Bucking the Trend of Other Branded Statins: Crestor Market Forecast, 2009-2014
4.5.4 What are Crestor’s Prospects During 2014-2024?
4.5.5 Generic Rosuvastatin Market Forecast, 2009-2024
4.6 Simvastatin
4.6.1 The Simvastatin Market in 2008
4.6.2 Simvastatin Market Forecast, 2009-2024
4.6.3 Zocor Market Forecast, 2009-2024
4.6.4 Generic Simvastatin Market Forecast, 2009-2024
4.7 Pravastatin
4.7.1 The Pravastatin Market in 2008
4.7.2 Pravastatin Market Forecast, 2009-2024
4.7.3 Mevalotin/Pravachol Market Forecast, 2009-2024
4.7.4 Generic Pravastatin Market Forecast, 2009-2024
4.8 Fluvastatin
4.8.1 The Fluvastatin Market in 2008
4.8.2 Fluvastatin Market Forecast, 2009-2024
4.8.3 Lescol/Lochol Market Forecast, 2009-2024
4.8.4 Generic Pravastatin Market Forecast, 2009-2024
4.9 Pitavastatin
4.9.1 The Pitavastatin Market in 2008
4.9.2 Pitavastatin Market Forecast, 2009-2024
4.10 Lovastatin
4.10.1 The Lovastatin Market in 2008
4.10.2 Lovastatin Market Forecast, 2009-2024
4.11 Statin/Non-Statin Combination Drugs
4.11.1 The Statin/Non-Statin Combination Drug Market in 2008
4.11.2 Launch of new Statin Combination Drugs Will Drive Growth During 2009-2014
4.11.3 Genericisation in the Statin/Non-Statin Combination Sector, 2014-2024
4.11.4 Vytorin/Inegy Market Forecast, 2009-2013
4.11.5 Vytorin/Inegy Market Forecast, 2014-2024
4.11.6 Caduet Market Forecast, 2009-2024
4.12 Leading Statin Manufacturers
4.12.1 Leading Statin Manufacturers, 2008: Seven Players Control 85% of the Market
4.12.2 Pfizer’s Statin Revenues Forecast, 2009-2014
4.12.3 A New Leading Statin Manufacturer by 2013
4.12.4 Merck & Co./Schering-Plough Statin Revenues Forecast, 2009-2014
5 Issues Affecting the Statin Industry
5.1 SWOT Analysis of the Statin Industry
5.2 Patient Compliance
5.2.1 Patients on Statins Exhibit Poor Patient Compliance
5.2.2 Effective Contact Between Patients and Healthcare Practitioners is the Key to Improving Patient Compliance
5.2.3 Developments in Cholesterol Testing
5.2.4 Diagnostic Testing for Genetic Markers May Increase Patient Compliance
5.2.5 Increasing Use of Web-Based Information Technology Will Improve Patient Compliance
5.3 Generic Statins
5.3.1 Expected Patent Expiries in the Statin Market
5.3.2 Governments and Insurers Will Favour Generic Statins
5.4 Statin Clinical Trials
5.5 Safety of Statins
5.6 Statin OTC Switching
5.6.1 The Rationale for OTC Switching
5.6.2 Statin OTC Switching in the UK
5.6.3 Statin OTC Switching in the US
5.6.4 What are the Worldwide Prospects for Statin OTC Switching?
5.7 Prevalence of Coronary Heart Disease
5.7.1 Coronary Heart Disease is the Leading Cause of Death Worldwide
5.7.2 Future Projections for Prevalence of Coronary Heart Disease
5.7.3 The Economic Cost of Coronary Heart Disease
5.8 Promising Non-Statin Lipid-Lowering Pipeline
5.8.1 Statins Cannot Treat All Forms of Dyslipidaemia
5.8.2 Developments in Existing Rivals for Statins
5.8.2.1 Novel Nicotinic Acid Formulations
5.8.2.2 New Formulation of Fibrates
5.8.2.3 Omega-3 Fatty Acids
5.8.2.4 Functional Foods and Nutritional Supplements
5.8.3 Novel Lipid-Lowering Agents
5.8.3.1 CETP Inhibitors
5.8.3.2 Cholesterol Absorption Inhibitors
5.8.3.3 Antisense Oligonucleotides
5.8.3.4 PPAR-Alpha Agonists
5.8.3.5 MTP Inhibitors
5.8.3.6 Phospholipase A2 Inhibitors
5.8.3.7 Nicotinic Acid Receptor Agonists
5.8.3.8 Human Antibodies
6 Expert Opinion on Methods to Improve Patient Compliance
6.1 Statin Patient Compliance: Humayun J. Chaudhry, D.O., M.S., FACP, Commissioner of Health Services, Suffolk County, New York
6.1.1 Improving Patient Compliance in Statin Therapy
6.1.2 The Future of Cholesterol Testing
6.1.3 Web-Based Information Technology in Statin Prescribing
6.2 Genetic Markers to Improve Patient Compliance: Thomas White, Ph.D., Chief Scientific Officer and Vice President of Research and David P. Speechly, PhD Vice President Corporate Affairs, Celera
6.2.1 Patient Compliance for Statins is Poor
6.2.2 Genetic Markers: The KIF6 Risk Allele
6.2.3 Genetic Markers Could Improve Patient Compliance
6.2.4 Diagnostic Tests for Genetic Markers
6.2.5 Evidence for Genetic Marker Tests Increasing Patient Compliance
6.2.6 Effect of Genetic Marker Diagnostic Effects on Future Statin Prescribing Patterns
6.2.7 The Future of Cholesterol Testing
6.2.8 Effect of Genetic Markers on Clinical Trials Involving Statins
6.2.9 Web-Based Technologies to Improve Patient Compliance
7 Statin Country Markets
7.1 Leading Country Markets in 2008
7.2 Leading Country-Market Forecasts, 2009-2024
7.3 The US Statin Market
7.3.1 The US Statin Market in 2008
7.3.2 US Statin Market Forecast, 2009-2014
7.3.3 US Statin Market Forecast, 2014-2024
7.4 The Japanese Statin Market
7.4.1 The Japanese Statin Market in 2008
7.4.2 Japanese Statin Market Forecast, 2009-2024
7.5 The Canadian Statin Market
7.6 European Statin Markets
7.7 Emerging Statin Markets: China and India
8 The Statin Pipeline
8.1 The Statin Pipeline Lacks New Products
8.2 New Statins and Statin Combination Drugs in Development
8.2.1 Crestor/TriLipix
8.2.2 Crestor for Patients with Elevated CRP
8.2.3 Simvastatin and Nicotinic Acid/Laropiprant
8.2.4 Pravastatin and Fenofibrate Combination Therapy
8.2.5 Simvastatin and Fenofibrate Combination Therapy
8.2.6 Vytorin for Kidney Disease and Acute Coronary Syndrome.
8.2.7 Simvastatin/Rosiglitazone
8.2.8 PPD Statin/RBx 10558
8.2.9 Simvastatin/Aspirin/Lisinopril/Hydrochlorothiazide
8.2.10 Simvastatin/Aspirin/Ramipril
8.2.11 NCX 6560
8.2.12 Atorvastatin/Ezetimibe
9 Conclusions
9.1 The Statin Market in 2008
9.2 Future Challenges for the Statin Industry
9.3 Rise of the Generics: World Statin Market Forecast, 2009-2024
9.4 Leading Statin Manufacturers and Country Markets
List of Tables
Table 2.1 Risk Levels for Total Cholesterol
Table 2.2 Risk Levels for LDL Cholesterol
Table 2.3 Risk Levels for HDL Cholesterol
Table 2.4 Risk Levels for Triglycerides
Table 2.5 The Fredrickson/WHO Classification of Dyslipidaemia
Table 3.1 Leading Generic Lovastatin Manufacturers
Table 3.2 Leading Generic Simvastatin Manufacturers
Table 3.3 Leading Generic Pravastatin Manufacturers
Table 3.4 Branded Fibrates
Table 3.5 Leading Prescription Omega-3 Acid Products
Table 4.1 World Lipid-Lowering Drug Market, 2008
Table 4.2 Non-Statin Lipid-Lowering Drug Market, 2008
Table 4.3 World Lipid-Lowering Drug Market Forecasts, 2009-2014
Table 4.4 World Lipid-Lowering Drug Market Forecasts, 2015-2024
Table 4.5 Leading Statin Types and Brands, 2008
Table 4.6 Statin Type Market Forecasts, 2009-2014
Table 4.7 Statin Type Market Forecasts, 2015-2024
Table 4.8 The Branded and Generic Statin Markets, 2008
Table 4.9 Branded and Generic Statin Market Forecasts, 2009-2014
Table 4.10 Branded and Generic Statin Market Forecasts, 2015-2024
Table 4.11 Atorvastatin Market, 2008
Table 4.12 Atorvastatin Drugs Forecasts, 2009-2014
Table 4.13 Atorvastatin Drugs Forecasts, 2015-2024
Table 4.14 Rosuvastatin Market, 2008
Table 4.15 Rosuvastatin Drugs Forecasts, 2009-2014
Table 4.16 Rosuvastatin Drugs Forecasts, 2015-2024
Table 4.17 Simvastatin Market, 2008
Table 4.18 Simvastatin Drugs Forecasts, 2009-2014
Table 4.19 Simvastatin Drugs Forecasts, 2015-2024
Table 4.20 Pravastatin Market, 2008
Table 4.21 Pravastatin Drugs Forecasts, 2009-2014
Table 4.22 Pravastatin Drugs Forecasts, 2015-2024
Table 4.23 Fluvastatin Market, 2008
Table 4.24 Fluvastatin Drugs Forecasts, 2009-2014
Table 4.25 Fluvastatin Drugs Forecasts, 2015-2024
Table 4.26 Pitavastatin Drugs Forecasts, 2009-2014
Table 4.27 Pitavastatin Drugs Forecasts, 2015-2024
Table 4.28 Lovastatin Drugs Forecasts, 2009-2014
Table 4.29 Lovastatin Drugs Forecasts, 2015-2024
Table 4.30 Statin and Statin/Non-Statin Combination Drug Sales, 2008
Table 4.31 Statin/Non-Statin Combination Drug Market, 2008
Table 4.32 Statin/Non-Statin Combination Drugs Forecasts, 2009-2014
Table 4.33 Statin/Non-Statin Combination Drugs Forecasts, 2015-2024
Table 4.34 Leading Statin Manufacturers, 2008
Table 4.35 Leading Statin Manufacturers’ Revenue Forecasts, 2009-2014
Table 5.1 SWOT Chart for the Statins Industry, 2009-2024
Table 5.2 Expected Statin Patent Expiry Dates, 2009-2024
Table 5.3 Novel Lipid-Lowering Drugs in Development
Table 7.1 Leading Statin Country Markets, 2008
Table 7.2 Leading Statin Country-Market Forecasts, 2009-2014
Table 7.3 Leading Statin Country Market Forecasts, 2015-2024
Table 8.1 The Statins Pipeline
List of Figures
Figure 4.1 World Lipid-Lowering Drug Market, 2008
Figure 4.2 World Lipid-Lowering Drug Market Forecast, 2009-2024
Figure 4.3 Statin Type Market Share, 2008
Figure 4.4 Leading Statin Brand Market Share, 2008
Figure 4.5 World Statin Market Forecast, 2009-2024
Figure 4.6 Statin Type Market Forecast, 2009-2024
Figure 4.7 Statin Type Market Share, 2014
Figure 4.8 Statin Type Market Share, 2019
Figure 4.9 Statin Type Market Share, 2024
Figure 4.10 Branded and Generic Statin Market Forecasts, 2009-2024
Figure 4.11 Atorvastatin Drugs Forecasts, 2009-2024
Figure 4.12 Rosuvastatin Drugs Forecasts, 2009-2024
Figure 4.13 Simvastatin Drugs Forecasts, 2009-2024
Figure 4.14 Pravastatin Drugs Forecasts, 2009-2024
Figure 4.15 Fluvastatin Drugs Forecasts, 2009-2024
Figure 4.16 Pitavastatin Drugs Forecasts, 2009-2024
Figure 4.17 Lovastatin Drugs Forecasts, 2009-2024
Figure 4.18 Statin Combination Drugs Forecasts, 2009-2024
Figure 4.19 Leading Statin Manufacturers, 2008
Figure 4.20 Leading Statin Manufacturers’ Revenue Forecasts, 2009-2014
Figure 7.1 Statin Market Share by Country, 2008
Figure 7.2 Statin Market Share by Country, 2014
Figure 7.3 Statin Market Share by Country, 2019
Figure 7.4 Statin Market Share by Country, 2024
Figure 7.5 US Statin Market Forecast, 2009-2024
Figure 7.6 Japanese Statin Market Forecast, 2009-2024
Figure 7.7 Canadian Statin Market Forecast, 2009-2024
Figure 7.8 French, UK, Chinese and Indian Statin Market Forecasts, 2009-2024
Figure 9.1 World Statin Market Forecast, 2009-2024