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PROFILE ON OLMESARTAN
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
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
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
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.
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
7
Comparative properties of ARB’s
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
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
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
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
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
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
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
15
Comparative pharmacokinetics of ARBs
Characteristics and labeled indications ARBs
There are currently seven ARBs in the market
16
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
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
19
Indian formulators of Olmesartan
Name of the formulator Brand name Active Pharma Ingredients
Aamorb (Xeena) OUKAT Olmesartan
Aamorb (Xeena) OUKAT-H Olmesartan
AHPL WINBP – AM Olmesartan
AHPL WINBP- H Olmesartan
AHPL WINBP Olmesartan
AHPL WINBP TRIO Olmesartan
Ajanta ORTAN Olmesartan
AstraZeneca OLWAYS Olmesartan
AstraZeneca OLWAYS Olmesartan
Avyukt OLMISTAR Olmesartan
Avyukt OLMISTAR-H Olmesartan
Biocon OLMESAT Olmesartan
Biocon OLMESAT-AM Olmesartan
Biocon OLMESAT-ID Olmesartan
Cadila OLVAS Olmesartan
Cadila OLVAS Olmesartan
CE-Biotec OLMECARE Olmesartan
CE-Biotec OLMECARE-H Olmesartan
Cipla OLMECIP Olmesartan
Cipla OLMECIP-AM Olmesartan
Cipla OLMECIP-H Olmesartan
Cipla OLMECIP-TRIO Olmesartan
Zydus OLMY Olmesartan
Cubit Cucard) CULMI Olmesartan
Cubit (Cucard) ] CULMI-H Olmesartan
East West HYBREED-H Olmesartan
Emcure OLMEGARD Olmesartan
Emcure OLMEGARD-H Olmesartan
Eris OLMIN Olmesartan
Eris OLMIN-CH Olmesartan
Eris OLMIN-H Olmesartan
Fenestra OLMISTRA Olmesartan
Glenmark (Healtheon) OLMAX Olmesartan
Glenmark (Healtheon) OLMAX-AM Olmesartan
Glenmark (Healtheon) OLMAX-H Olmesartan
Glenmark (Healtheon) - OLMAX-M Olmesartan
GSK BENITEC Olmesartan
GSK BENITEC-H Olmesartan
Intas OLMARK Olmesartan
Intas OLMARK-A Olmesartan
Intas OLMARK-H Olmesartan
Intas ZOLTAB Olmesartan
Intra Labs OLMEFAST Olmesartan
20
Intra Labs OLMEFAST-H Olmesartan
Invision SOLMIREST Olmesartan
Invision SOLMIREST-H Olmesartan
Johnlee (Vista) OMTEN Olmesartan
Johnlee (Vista) ] OMTEN Olmesartan
Johnlee(Vista) OMTEN-AH Olmesartan
Johnlee(Vista) OMTEN-AM Olmesartan
Johnlee(Vista) OMTEN-H Olmesartan
Lifecare OLMELIFE Olmesartan
Lifecare OLMELIFE-H Olmesartan
Lupin (Pinnacle) PINOM Olmesartan
Lupin (Pinnacle) PINOM-A Olmesartan
Lupin (Pinnacle) PINOM-H Olmesartan
Lupin (Pinnacle) PINOM-M Olmesartan
Macleods AMLOVAS-OL Amlodipine
+Olmesartan
Macleods NEXOVAS-O Cilnidipine + Olmesartan
Medoxomil
Macleods OLMESAR Olmesartan
Macleods OLMESAR-A Amlodipine + Olmesartan
Macleods OLMESAR-AV Olmesartan
Macleods OLMESAR-CH Olmesartan
Macleods OLMESAR-H Olmesartan
Macleods OLMESAR-M Olmesartan
Macleods TRINEXOVAS Chlortalidone+Cilnidipine
Olmesartan
Macleods TRIOLMESAR Olmesartan
Mankind OLMETIME-AM Olmesartan
Mankind OLMETIME-AMH Olmesartan
Mankind OLMETIME-H Olmesartan
Merck OLMIGHTY Olmesartan
Merck OLMIGHTY-AM Olmesartan
Merck OLMIGHTY-H Olmesartan
Micro Carsyon OLMAT Olmesartan
Micro Carsyon OLMAT-AM Olmesartan
Micro Carsyon OLMAT-AMH Olmesartan
Micro Carsyon OLMAT-H Olmesartan
Olcare(Cardium) O-RELATE Olmesartan
Olcare(Cardium) O-RELATE-H Olmesartan
Pax Healthcare XOLMI H Olmesartan
Race Pharma ROLMEX-AM Olmesartan
Ranbaxy OLVANCE Olmesartan
Ranbaxy OLVANCE-H Olmesartan
Ranbaxy TRIOLVANCE Olmesartan
Ranbaxy (Cardiovasculars) OL-VAMLO - Olmesartan
Shrrishti HC OLEMAR Olmesartan
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
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
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
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
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
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

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Profile on olmesartan

  • 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
  • 15. 15 Comparative pharmacokinetics of ARBs Characteristics and labeled indications ARBs There are currently seven ARBs in the market
  • 16. 16
  • 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
  • 19. 19 Indian formulators of Olmesartan Name of the formulator Brand name Active Pharma Ingredients Aamorb (Xeena) OUKAT Olmesartan Aamorb (Xeena) OUKAT-H Olmesartan AHPL WINBP – AM Olmesartan AHPL WINBP- H Olmesartan AHPL WINBP Olmesartan AHPL WINBP TRIO Olmesartan Ajanta ORTAN Olmesartan AstraZeneca OLWAYS Olmesartan AstraZeneca OLWAYS Olmesartan Avyukt OLMISTAR Olmesartan Avyukt OLMISTAR-H Olmesartan Biocon OLMESAT Olmesartan Biocon OLMESAT-AM Olmesartan Biocon OLMESAT-ID Olmesartan Cadila OLVAS Olmesartan Cadila OLVAS Olmesartan CE-Biotec OLMECARE Olmesartan CE-Biotec OLMECARE-H Olmesartan Cipla OLMECIP Olmesartan Cipla OLMECIP-AM Olmesartan Cipla OLMECIP-H Olmesartan Cipla OLMECIP-TRIO Olmesartan Zydus OLMY Olmesartan Cubit Cucard) CULMI Olmesartan Cubit (Cucard) ] CULMI-H Olmesartan East West HYBREED-H Olmesartan Emcure OLMEGARD Olmesartan Emcure OLMEGARD-H Olmesartan Eris OLMIN Olmesartan Eris OLMIN-CH Olmesartan Eris OLMIN-H Olmesartan Fenestra OLMISTRA Olmesartan Glenmark (Healtheon) OLMAX Olmesartan Glenmark (Healtheon) OLMAX-AM Olmesartan Glenmark (Healtheon) OLMAX-H Olmesartan Glenmark (Healtheon) - OLMAX-M Olmesartan GSK BENITEC Olmesartan GSK BENITEC-H Olmesartan Intas OLMARK Olmesartan Intas OLMARK-A Olmesartan Intas OLMARK-H Olmesartan Intas ZOLTAB Olmesartan Intra Labs OLMEFAST Olmesartan
  • 20. 20 Intra Labs OLMEFAST-H Olmesartan Invision SOLMIREST Olmesartan Invision SOLMIREST-H Olmesartan Johnlee (Vista) OMTEN Olmesartan Johnlee (Vista) ] OMTEN Olmesartan Johnlee(Vista) OMTEN-AH Olmesartan Johnlee(Vista) OMTEN-AM Olmesartan Johnlee(Vista) OMTEN-H Olmesartan Lifecare OLMELIFE Olmesartan Lifecare OLMELIFE-H Olmesartan Lupin (Pinnacle) PINOM Olmesartan Lupin (Pinnacle) PINOM-A Olmesartan Lupin (Pinnacle) PINOM-H Olmesartan Lupin (Pinnacle) PINOM-M Olmesartan Macleods AMLOVAS-OL Amlodipine +Olmesartan Macleods NEXOVAS-O Cilnidipine + Olmesartan Medoxomil Macleods OLMESAR Olmesartan Macleods OLMESAR-A Amlodipine + Olmesartan Macleods OLMESAR-AV Olmesartan Macleods OLMESAR-CH Olmesartan Macleods OLMESAR-H Olmesartan Macleods OLMESAR-M Olmesartan Macleods TRINEXOVAS Chlortalidone+Cilnidipine Olmesartan Macleods TRIOLMESAR Olmesartan Mankind OLMETIME-AM Olmesartan Mankind OLMETIME-AMH Olmesartan Mankind OLMETIME-H Olmesartan Merck OLMIGHTY Olmesartan Merck OLMIGHTY-AM Olmesartan Merck OLMIGHTY-H Olmesartan Micro Carsyon OLMAT Olmesartan Micro Carsyon OLMAT-AM Olmesartan Micro Carsyon OLMAT-AMH Olmesartan Micro Carsyon OLMAT-H Olmesartan Olcare(Cardium) O-RELATE Olmesartan Olcare(Cardium) O-RELATE-H Olmesartan Pax Healthcare XOLMI H Olmesartan Race Pharma ROLMEX-AM Olmesartan Ranbaxy OLVANCE Olmesartan Ranbaxy OLVANCE-H Olmesartan Ranbaxy TRIOLVANCE Olmesartan Ranbaxy (Cardiovasculars) OL-VAMLO - Olmesartan Shrrishti HC OLEMAR Olmesartan
  • 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