2. 2
PROFILE ON OLMESARTAN
1. PRODUCT ANALYSIS ..............................................................................................................................4
Drug Class..................................................................................................................................................4
CAS Registry Number................................................................................................................................4
Formula.....................................................................................................................................................4
Popular brand name .................................................................................................................................4
Pharmacokinetic data ...............................................................................................................................4
Clinical uses...............................................................................................................................................5
Side effect .................................................................................................................................................5
Precautions ...............................................................................................................................................5
Interactions...............................................................................................................................................6
Developments of ARB’s.............................................................................................................................6
Comparative properties of ARB’s..............................................................................................................7
2. ANTIHYPERTENSIVE MEDICATIONS ......................................................................................................8
List of Antihypertensive Medications .......................................................................................................8
Angiotensin II Receptor Blockers..............................................................................................................8
Other antihypertensives ...........................................................................................................................9
Recommended usual starting and maximum dosages and elimination half-lives .................................14
of angiotensin II type 1 receptor antagonists in the US .........................................................................14
Comparative pharmacokinetics of ARBs.................................................................................................15
Characteristics and labeled indications ARBs .........................................................................................15
Mechanisms of antagonism....................................................................................................................17
Key properties of ARB’s...........................................................................................................................17
3. INDIAN DEMAND SUPPLY SCENARIO..................................................................................................18
Major Indian suppliers ............................................................................................................................18
Indian import demand............................................................................................................................18
Indian export market ..............................................................................................................................18
Indian formulators of Olmesartan ..........................................................................................................19
3. 3
4. WORLD DEMAND SUPPLY SCENARIO .................................................................................................22
Major International Manufacturers........................................................................................................22
World market for Angiotensin II Receptor Blockers..............................................................................22
World market for Benicar (Daiichi Sankyo).............................................................................................22
Sales of olmesartan.................................................................................................................................23
5. PATENT SCENARIO ..............................................................................................................................24
4. 4
PRODUCT ANALYSIS
Drug Class Angiotensin receptor blockers (ARBs)
CAS Registry Number 144689-63-4 Yes
Formula C29H30N6O6
Popular brand name
Japan Olmetec, Rezaltas
US Benicar, Benicar HCT, Azor, Tribenzor
Europe Olmetec, Olmetec Plus, Sevikar, Sevikar HCT
Olmesartan medoxomil is an angiotensin II receptor antagonist which has been used for the treatment
of high blood pressure.
It was developed by Sankyo in 1995, and is sold under the trade name Benicar and Olmecip (Cipla).
An ester prodrug, it is completely and rapidly hydrolyzed to the active acid form, olmesartan (RNH-6270)
The U.S. Food and Drug Administration (FDA) has determined that the benefits of Benicar continue to
outweigh its potential risks when used for the treatment of patients with high blood pressure according
to the drug label.
Pharmacokinetic data
Bioavailability 26%
Metabolism Hepatic (cannot be removed by hemodialysis)
Half-life 13 hours
Excretion Renal 40%, biliary 60%
5. 5
Clinical uses
Used to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes,
heart attacks, and kidney problems.
Olmesartan belongs to a class of drugs called angiotensin receptor blockers (ARBs). It works by relaxing
blood vessels so that blood can flow more easily.
This medication is also used to treat heart failure.
Unlike many angiotensin II receptor blockers, olmesartan is not recommended as a treatment to delay
or prevent microalbuminuria in diabetic patients.
Side effect
Dizziness or lightheadedness may occur as your body adjusts to the medication.
To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying
position.
It should be remembered that the doctor has prescribed this medication because he or she has judged
that the benefit is greater than the risk of side effects. Many people using this medication do not have
serious side effects.
Advised to tell the doctor right away if one has any serious side effects, including: fainting, symptoms of
a high potassium blood level (such as muscle weakness, slow/irregular heartbeat), unusual decrease in
the amount of urine, severe/persistent diarrhea...
Precautions
Before taking olmesartan, it is advised to tell the doctor or pharmacist if he is allergic to it; or if he has
any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or
other problems.
Before using this medication, advised to tell the doctor or pharmacist his medical history, especially of:
kidney disease, liver disease, severe loss of body water and minerals (dehydration).
This drug may make him dizzy. Not advised to drive, use machinery, or do any activity that requires
alertness until he/ she is sure he/ she can perform such activities safely. Limit alcoholic beverages.
This medication may increase the potassium levels. Before using potassium supplements or salt
substitutes that contain potassium, advised to consult the doctor.
This medication is not recommended for use during pregnancy due to the risk for harm to an unborn
baby.
6. Interactions
Drug interactions may change how one’s medications work or increase your risk for serious side effects.
Some products that may interact with this drug include: aliskiren, lithium, drugs that may increase the
level of potassium in the blood (such as ACE inhibitors including benazepril/lisinopril, birth control pills
containing drospirenone).
Developments of ARB’s
Losartan1986
Valsartan,
Candesartan
Irbesartan
1990
Became the first
successful Ang II
antagonist drug
Valsartan
nonheterocyclic ARB
Candesartan
have stronger blood
pressure lowering
effects than and
losartan. Irebesartan
longer acting than
valsartan & losartan
6
Drug interactions may change how one’s medications work or increase your risk for serious side effects.
ct with this drug include: aliskiren, lithium, drugs that may increase the
level of potassium in the blood (such as ACE inhibitors including benazepril/lisinopril, birth control pills
Valsartan,
Candesartan
Irbesartan
Telmisarta
n
1991 Olmesartan1995
Valsartan –
nonheterocyclic ARB
Candesartan – Prodrug
have stronger blood
pressure lowering
effects than and
losartan. Irebesartan -
longer acting than
valsartan & losartan
Telmisartan -
longest
elimination
half-life of the
ARBs or about
24 hours
Olmesartan
Newest ARB
on the
market,
marketed in
2002
Drug interactions may change how one’s medications work or increase your risk for serious side effects.
ct with this drug include: aliskiren, lithium, drugs that may increase the
level of potassium in the blood (such as ACE inhibitors including benazepril/lisinopril, birth control pills
Olmesartan
Olmesartan -
Newest ARB
on the
market,
marketed in
2002
8. 8
ANTIHYPERTENSIVE MEDICATIONS
List of Antihypertensive Medications
• Alpha-Blockers, Antihypertensives
• Alpha2-Agonists, Central-Acting
• Aldosterone Antagonists, Selective
• Angiotensin II Receptor Blockers
• ACE (Angiotensin Converting Enzyme) Inhibitors
• Beta-blockers
• Calcium Channel Blockers
• Diuretics, Loop
• Diuretics, Potassium-Sparing
• Diuretics, Thiazide
• Peripheral Adrenergic Inhibitors
• Renin Inhibitors
• Vasodilators
• Antihypertensive Combinations
Angiotensin II Receptor Blockers
Angiotensin receptor blockers work by blocking the effects of hormone angiotensin II (type 1 receptor).
As a result, blood vessels dilate and blood pressure is reduced.
Generic Brand Name
Azilsartan Edarbi
Candesartan Atacand
Eprosartan Teveten
Irbesartan Avapro
Losartan Cozaar
Olmesartan Benicar
Telmisartan Micardis
Valsartan Diovan
9. 9
Other antihypertensives
Alpha-Blockers (Antihypertensive)
Alpha blockers, also called alpha-adrenergic antagonists, dilate blood vessels by blocking postsynaptic
alpha1-adrenergic receptors. Alpha blockers are generally not recommended as initial therapy.
Generic Brand Name
Doxazosin Cardura, Carduran
Prazosin Minipress, Minipress XL
Terazosin Hytrin
Alpha-2 Agonists, Central-Acting
Alpha-2 agonists work by stimulating alpha-2 receptors and decreasing sympathetic activity, which leads
to decreased blood pressure and heart rate.
Generic Brand Name
Generic Brand Name
Clonidine Catapres, Catapres TTS (patch), Dixarit, Duraclon,
Jenloga, Kapvay, Nexiclon XR
Guanabenz Wytensin
Guanfacine Intuniv, Tenex
Methyldopa Aldomet
Lofexidine Britlofex
Aldosterone Antagonists, Selective
Generic Brand Name
Eplerenone Inspra
ACE (Angiotensin Converting Enzyme) Inhibitors
ACE inhibitors remain the initial treatment of choice for hypertension. This class of drugs blocks the
conversion of angiotensin I to angiotensin II by inhibiting angiotensin-converting enzyme (ACE), thus
preventing constriction of blood vessels.
Generic Brand Name
Benazepril Lotensin
Captopril Capoten
Enalapril Vasotec
Fosinopril Monopril
Lisinopril Prinivil
Moexipril Univasc
10. 10
Perindopril Aceon
Quinapril Accupril
Ramipril Altace
Trandolapril Mavik
Beta-blockers
Beta-blockers produce antihypertensive action by reducing heart rate and cardiac output. Currently
beta-blockers are not recommended as first-line treatment due to the risk of stroke and new-onset of
type 2 diabetes when compared to other medications4
Generic Brand Name
Beta-blockers with alpha activity
Carvedilol Coreg, Coreg CR
Labetalol Trandate
Beta-blockers with intrinsic sympathomimetic activity
Acebutolol Sectral
Pindolol Visken
Penbutolol Levatol
Beta-1 cardioselective beta-blockers
Atenolol Tenormin
Betaxolol Kerlone
Bisoprolol Zebeta
Celiprolol Selectol
Metoprolol Lopressor, Toprol XL
Nebivolol Bystolic
Sotalol Betapace, Betapace AF, Sorine
Nonselective beta-blockers
Nadolol Corgard
Propranolol Inderal LA, InnoPran XL
Timolol Blocadren
11. 11
Calcium Channel Blockers
Calcium channel blockers decrease the entry of calcium into the cells of the heart and blood vessels. By
blocking the entry of calcium, this class of drugs reduces heart rate and contractility and dilates arteries.
Generic Brand Name
Amlodipine Norvasc, Lotrel
Bepridil Vascor
Clevidipine Cleviprex
Diltiazem Calan, Calan SR, Cardizem, Covera HS, Isoptin SR,
Verelan, Verelan PM
Felodipine Plendil
Lacidipine Caldine, Lacimen, Lacipil, Midotens, Motens
Lercanidipine Lercadip, Zanidip
Levamlodipine EsCordi Cor, Esam, Eslo, S-Amlip
Isradipine DynaCirc, DynaCirc CR
Nicardipine Cardene SR
Nifedipine Adalat, Nifediac, Nifedical, Procardia
Nimodipine Nimotop
Nisoldipine Sular
Verapamil Calan, Calan SR, Covera-HS, Isoptin SR, Verelan,
Verelan PM
Diuretics, Loop
Loop diuretics inhibit the sodium-potassium-chloride cotransporter in the thick ascending limb of the
loop of Henle. Loop diuretics promote increased water loss and sodium loss.
Generic Brand Name
Bumetanide Bumex
Ethacrynic acid Edecrin
Furosemide Lasix
Piretanide
Torsemide Demadex
12. 12
Diuretics, Potassium-Sparing
Potassium-sparing diuretics work by leaving more potassium in the blood, as a result more sodium and
water are excreted in the urine. Potassium-sparing diuretics are weak antihypertensives when used
alone.
Generic Brand Name
Amiloride Midamore
Spironolactone Aldactone
Triamterene Dyrenium
Diuretics, Thiazide
Thiazide diuretics reduce sodium absorption from the distal tubule segment of the kidney. Thiazide
diuretics are known to worsen insulin sensitivity and elevate serum total cholesterol levels4
.
Generic Brand Name
Bendroflumethiazide Aprinox
Chlorothiazide Diuril
Chlorthalidone Hygroton
Indapamide Lozol
Hydrochlorothiazide Hydrodiuril
Methyclothiazide Enduron
Metolazone Zaroxolyn, Diulo, Mykrox
Peripheral Adrenergic Inhibitors
These medications are rarely used unless other medications don't help.
Generic Brand Name
Guanadrel Hylorel
Guanethidine Ismelin
Reserpine Serpasil
Renin Inhibitors
Renin inhibitors act by inhibiting the activity of renin, the enzyme responsible for angiotensin II levels.
Generic Brand Name
Aliskiren Tekturna
13. 13
Vasodilators
Vasodilators work by dilating arterioles. However, vasodilatation by itself causes increased sympathetic
outflow to the heart, leading to tachycardia and increased contraction.
Generic Brand Name
Diazoxide Proglycem
Hydralazine Apresoline, Dralzine
Minoxidil Loniten
Nitroprusside Nipride, Nitropress, Sodium Nitroprusside
Antihypertensive Combinations
Generic Brand Name
Alpha blockers and diuretics
Prazosin/Polythiazide Minizide
ACE inhibitors and Diuretics
Benazepril/HCTZ Lotensin HCT
Captopril/HCTZ Capozide
Enalapril/HCTZ Vaseretic
Fosinopril/HCTZ Monopril HCT
Lisinopril/HCTZ Prinzide, Zestoretic
Moexipril/HCTZ Uniretic
Quinapril/HCTZ Accuretic
Angiotensin ll Antagonists and Diuretics
Candesartan/HCTZ Atacand HCT
Eprosartan/HCTZ Teveten HCT
Irbesartan/HCTZ Avalide
Losartan/HCTZ Hyzaar
Olmesartan/HCTZ Benicar HCT
Telmisartan/HCTZ Micardis HCT
Valsartan/HCTZ Diovan HCT
Beta-blockers and Diuretics
Atenolol/Chlorthalidone Tenoretic
Bisoprolol/HCTZ Ziac
Metoprolol/HCTZ Lopressor HCT
Nadolol/Bendroflumethiazide Corzide
Propranolol/HCTZ Inderide
Timolol/HCTZ Timolide
Calcium channel blockers and ACE inhibitors
Amlodipine/Benzapril Lotrel
Diltiazem/Enalapril Teczem
Felodipine/Enalapril Lexxel
Lercanidipine/Enalapril Carmen ACE, Coripren
Verapamil/Trandolapril Tarka
14. 14
Calcium channel blockers and Angiotensin II receptor antagonist
Amlodipine/Olmesartan Azor
Amlodipine/Olmesartan/HCTZ Tribenzor
Amlodipine/Telmisartan Twynsta
Amlodipine/Valsartan Exforge
Amlodipine/Valsartan/HCTZ Exforge HCT
Centrally acting drugs and Diuretics
Methyldopa/HCTZ Aldoril
Reserpine/Chlorothiazide Diupres
Reserpine/HCTZ Hydropres
Diuretic combinations
Amiloride/HCTZ Moduretic
Spironolactone/HCTZ Aldactone
Triamterene/HCTZ Dyazide, Maxzide
Clonidine/Chlorthalidone Combipres
Hydralazine/HCTZ Apresazide
Methyldopa/HCTZ Aldoril
Prazosin/Polythiazide Minizide
Other combinations
Amlodipine/Atorvastatin Caduet
Amlodipine/Aliskiren Tekamlo
Amlodipine/Aliskiren/HCTZ Amturnide
Aliskiren/HCTZ Tekturna HCT
Aliskiren/Valsartan Valturna
Recommended usual starting and maximum dosages and elimination half-lives
of angiotensin II type 1 receptor antagonists in the US
17. 17
Mechanisms of antagonism
The mechanisms of antagonism also vary between the ARBs: some show insurmountable antagonism
(e.g. candesartan) and others show surmountable antagonism (e.g. losartan). Insurmountable
antagonism is characterised by long-lasting inhibition, slow dissociation, irreversible binding,
conformational changes and potentially internalisation, whereas surmountable antagonism is
characterised by short-lasting inhibition and fast, reversible binding.
Losartan only binds at two angiotensin II type 1 receptor (AT1) sites, compared to candesartan which
shows high binding affinity at four sites.2 It is suggested that the tight binding and slow dissociation of
candesartan from the AT1 receptor may account for the magnitude of the antihypertensive efficacy of
candesartan and for its long duration of action, inducing long-lasting suppression of the RAAS.
Key properties of ARB’s
Losartan: The only medicine in its class proven to lower the chance of stroke.
Only ARB that has been shown to reduce serum uric acid levels.
Only ARB approved by the FDA for treating nephropathy in patients withT2DM
Valsartan First ARB to receive approval in Heart Failure
Reverses ventricular remodeling and Improves survival outcome in HF
Telmisartan Highly selective inhibition of the angiotensin II receptor 1 (AT1)
Has the longest plasma half-life and largest volume of distribution of any ARB
Powerful 24-hour action, curbing the morning surge in blood pressure
compared to other leading ARB’s Has PPAR-gamma activity and hence improves Insulin
sensitivity
Olmesartan Significant mean double-digit blood pressure (BP) reductions vs baseline at
the starting dose
18. 18
INDIAN DEMAND SUPPLY SCENARIO
Major Indian suppliers
• Abbott Healthcare Pvt. Ltd
• AstraZeneca
• Cadila Pharmaceuticals
• Cipla
• Dr. Reddys’s Laboratories
• Glenmark (Healtheon)
• GSK
• Lupin (Pinnacle)
• Matrix Laboratories
• Ranbaxy Laboratories
• Sun Pharmaceuticals
• Unimark Remedies
• Torrent Pharmaceuticals
• Alembic Limited
Indian import demand
Indian export market
Indian import of olmesartan API and its derivative products Neg
Indian import of formulated products containing olmesartan medoxomil
Import value Rs. 4.3 crores
Indian export of olmesartan API and its derivative products
Export quantity 600 kgs
Export value Rs. 3.6 crores
Indian export of formulated products containing olmesartan medoxomil
Export value Rs. 100 crores
21. 21
Shrrishti HC OLEMAR-AM Olmesartan
Sun OLMEZEST-AM Olmesartan
Sun OLMEZEST-BETA Olmesartan
Sun OLMEZEST-CH Olmesartan
Sun OLMEZEST-H Olmesartan
Sun TRIOLMEZEST Olmesartan
Sun (Azura) OLMEZEST Olmesartan
Torrent (Delta) OLMETOR-H Olmesartan
Torrent (Psycan) OLMETOR Olmesartan
Unichem OLSAR Olmesartan
Unichem OLSAR-A Olmesartan
Unichem OLSAR-AH Olmesartan
Unichem OLSAR-H Olmesartan
Unichem OLSAR-M TAB Olmesartan
Unichem OLSAR-M Olmesartan
USV OLMETRACK Olmesartan
USV OLMETRACK-AM Olmesartan
USV OLMETRACK-CT Olmesartan
USV OLMETRACK-H Olmesartan
Wonder (Xtra) OLMEDER Olmesartan
World Wide OLMIWALL Olmesartan
World Wide OLMIWALL-H Olmesartan
Zydus (CND) OLMY-A Amlodipine+ Olmesartan
Zydus (CND) OLMY-H Olmesartan
Zydus (CND) OLMY-R Ramipril+ Olmesartan
Indian market value for olmesartan API and its formulation
Indian market value for olmesartan API and its formulation
Around Rs. 1200 crores
22. 22
WORLD DEMAND SUPPLY SCENARIO
Major International Manufacturers
• Daiichi Sankyo, Japan
• Beijing Winsunny Pharmaceutical Co., Ltd, China
• Shanghai Sankyo Pharmaceutical Co., Ltd, China
• Zhangjiang Hi-Tech Park Development Co., Ltd, China
• Shanghai Sine Promod Pharmaceutical Co., Ltd. , China
• Chemieliva Pharmaceutical Co., Ltd, China
• Finetech Industry Ltd, UK
• Second Pharma Co. China
World market for Angiotensin II Receptor Blockers
World market for Angiotensin II Receptor Blockers
(including ARB/ CCB and other ARB combination products) USD 7.5 billion
Share of ARBs in total hypertension drug market 53%
World market for Benicar (Daiichi Sankyo)
World sales in USD billion
0
0.5
1
1.5
2
2.5
3
3.5
2011 2012 2012 2013 2014
23. 23
Business development activities by Daiichi Sankyo
• Expand business in emerging countries through Ranbaxy and the Daiichi
• Sankyo business in ASCA*
• Maintain leadership in the US injectable iron market through launch of Injectafer
• Increase profitability of generic and vaccine businesses in Japan
Sales of olmesartan
Japan: (Olmetec, Rezaltas)
US: Benicar, Benicar HCT, Azor, Tribenzor)
Europe: Olmetec, Olmetec Plus, Sevikar, Sevikar HCT)
ASCA Asia, South Central America
0
200
400
600
800
1000
1200
2009 2010 2011 2012 2013 2014
JPN (JPY Bn)
EU (EUR Mn)
ASCA etc (JPY Bn)
US (USD Mn)
24. 24
PATENT SCENARIO
Patent expiry on ‘Benicar’ –(Daiichi Sankyo) October 2016
Mylan Pharmaceuticals ($MYL) has won the right to sell the drug exclusively for the first 180 days after
the patent expires on the blockbuster.
Still, both companies may face competition sooner than they thought. In November 2012, Apotex
petitioned a U.S. court to rule that its Benicar generic wouldn't infringe patent rights. A finding of
noninfringement, Apotex said, would let it compete with Mylan sooner. But Apotex has yet to get its
own drug approved by the FDA.
Benicar's patent doesn't expire till 2016, but it's already feeling the pressure from generic drug makers
that think they can push their copies to market sooner.
Patent on olmesartan / olmesartan medoxomil
Companywise patents
Total number of patents filed 371
0
10
20
30
40
50
60
70
80
90
100
Daiichi Sankyo Teva Pharma Lek Pharma Ranbaxy Cipla Daewong Hanall Pharma
25. 25
Yearwise patent
Total number of patents filed 371
Regionwise patents
Total number of patents filed 371
0
20
40
60
80
100
120
140
160
180
200
1995-1999 2000-2004 2005-2009 2010-2015
0
50
100
150
200
250
US Europe JPN WIPO Other global regions
26. 26
Patent based on formulation / Process for API
Total number of patents filed 371
66%
34%
Preparation of API and
intermediate and purification
process
Formulation of API