Lipitor Market analysis and forecasts Report, 2007-2012, 2017 & 2023

-NEW REPORT- 

In 2006, Pfizer’s Lipitor (atorvastatin) generated global revenues of 
$13.6bn, making it the best selling drug in pharmaceutical history. The 
blockbuster medicine has single-handedly driven the overall revenue margins of 
the cardiovascular segment, as this area continues to dominate the 
pharmaceutical market. Despite the maturing status of Lipitor, the drug has 
repeatedly maintained steady growth over the past 5 years, crowding out the 
yearly revenues of other lipid-regulating blockbuster drugs: Merck& Co’s 
Zocor and Zetia, Astrazeneca’s Crestor, Abbott’s Tricor and Bristol 
Myers Squibb’s Pravacol. 

However, as Lipitor’s blockbuster revenue is seriously threatened by 
imminent patent expiration in some of the drug’s largest markets such as 
the US, Japan and the UK, there is significant unrest between Pfizer’s 
key stakeholders about the future of the drug. Principally, amongst the 
heightened Lipitor topics are the imminent exposure of the $1 billion annual 
drug sales or more, as well as the fast expanding generic market in which 
India’s Ranbaxy is a dominant force. 

What questions does the report answer? 
• Has the success of Pfizer’s Lipitor been overstated?
•  Did Pfizer create a monster in Lipitor?
•  Have Lipitor sales redefined the bounds that pharmaceutical margins can 
now reach? 
•  How imminent is Lipitor patent expiration?
•  Which key markets will suffer the consequence of Lipitor expiry?
•  Is Ranbaxy ready for generic Lipitor?
•  Do the fast developing markets, CEE and the Latin America segment hold 
the key to future sales after Lipitor’s patent expiration?
•  Is Lipitor a victim of the struggling Blockbuster Model?
•  What is next for Lipitor? 
•  Do the fast developing markets, CEE and Latin America segment hold the 
key to future sales after Lipitor’s patent expiration? 
•  Is Lipitor, a victim of the struggling Blockbuster Model?
•  What is next for Lipitor? 

As Pfizer’s Lipitor struggles to fend off the immediate entry of 
Ranbaxy’s generic Lipitor, in key markets, the legal challenges 
surrounding the number one drug have set a new benchmark for pharmaceutical 
companies protecting branded products. Industry observers including Visiongain 
predicts that Pfizer’s crises are far from over, as the high revenue 
streams of Lipitor will experience significant challenges before the 
commencement of the next decade. 

Moreover, Pfizer’s lack of success to replace Lipitor with Torcetrapib 
has escalated the company’s near-term battles besides the ever-tighter 
regulatory hurdles, reduced R&D efficiency and increased competition, creating 
formidable therapeutic challenges as healthcare payers influence pricing. 
Nevertheless, there are strong drivers of growth including unmet therapeutic 
needs, the rising incidence of multiple diseases, ageing populations, the 
rising living standards and fast-developing geographical markets. The future of 
Lipitor is therefore vitally important to Pfizer, especially in this uncertain 
period of economic changes and pressures. 

This report includes detailed five-year forecasts over the period 2008-2013, 
and NOW features 10 and 15-year forecasts to help you understand the 
medium-term prospects for these markets. 

                  This unique in-depth management report examines the future 
prospects for Lipitor from 2008-2023. It delivers direct to you future sales 
forecasts for leading Lipitor in all seven major markets (7MM). This detailed 
report highlights the most compelling must know issues- Lipitor’s patent 
contention by Pfizer in both 7MM and other markets in order to block 
Ranbaxy’s immediate penetration of generic Lipitor. In light of 
healthcare drug bills increasing exponentially, generic Lipitor will be 
welcomed by managed care organisations (MCO) and further widen the generic 
revenue margins, visiongain concludes. This report also tackles Lipitor’s 
significant developments, potential opportunities on the market and important 
contemporary matters, especially commercial drivers and restraints. 

Unique benefits to you when you order this report:
- Primary research throughout: you will not find this information anywhere else
- Full searchable report when you buy the company or corporate editions
- Easily downloadable copies of the report available for offline reading
- The report is filled with detailed charts, analysis, figures, graphs and 
tables

 

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suitable for library usage. 


Allow  your whole company to have access to this information for only 
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Does your  company have over 2,500 employees? Have the whole company access 
this  information for a special rate of only GBP£6999-ORDERING-

Ordering is simple! All you need to do to order this report  is contact 
Justyna.You can either call me on
TEL: +44 (0)207 549 9946                 or email:[EMAIL PROTECTED] 

Please feel free to contact me should you have any  questions, or wish to 
purchase a copy, I look forward to hearing from you. 

Kind Regards,

Justyna Drozdzal
Visiongain - Ltd.  


TABLE OF  CONTENTS

            1 Executive Summary
1.1     Lipitor Was the World's Best Selling Drug In 2006
1.2     Lipitor Will Face Strong Competition After Patent Expiration In Key 
Markets
1.3     Lipitor Is Embroiled In Patent Challenges With Ranbaxy 

2 Overview of Lipitor (Atorvastatin)
2.1     Lipitor (Atorvastatin) - The Cholesterol Reducing Drug
2.1.1   Pfizer Acquires Lipitor After Merging With Warner-Lambert
2.1.2   Dyslipidemia 
2.1.2.1 Classification of Dyslipidaemia
2.1.3   Dyslipidaemia - a Major Risk Factor In Developing Coronary Heart 
Disease In The Western Population
2.1.4   Aetiology of Dyslipidaemia
2.1.4.1 Primary Causes of Dyslipidemia
2.1.4.2 Secondary Causes of Dyslipidaemia
2.1.4.3 Diabetes A Leading Cause of Secondary Dyslipidaemia
2.2     Obesity Is a Major Environmental Factor Associated With Dyslipidaemia
2.2.1   Strong Link Between Diabetes And Obesity
2.2.2   Diet Remains An Important Component In Regulating Lipid levels 
2.2.3   Behaviour
2.2.4   Regular Physical Exercise
2.3     Symptoms and Signs of Dyslipidaemia
2.4     Diagnosis, Screening and Markers of Dyslipidaemia
2.4.1   Direct Measurement of Total cholesterol, Triglycerides, And HDL
2.4.2   Estimation of Low-density Lipoprotein (LDL) And Very Low-Density 
Lipoprotein (VLDL)
2.4.3   Fasting Lipid Profile
2.4.4   Screening Patients Under 20 Years For Atherosclerotic Risk Factors
2.4.5   Screening For Lipoprotein(a) levels 

3 Treatment of Dyslipidaemia
3.1     Lipid Regulating Drugs Are Central To Treating Dyslipidaemia 
3.1.1   Statins are First Choice Lipid-Regulating Drugs 
3.1.2   Statin Drugs Are Significant Market for Leading Pharmaceutical Companies
3.1.3   Lipitor A Second-Generation 3-hydroxy-3-methygulutaryl coenzyme A 
(HMGCoA) Reductase Inhibitor Gold Standard Drug
3.2     Posology And Method of Administration of Lipitor
3.2.1   Primary Hypercholesterolaemia and Combined (Mixed) Hyperlipidaemia In 
Adults And Children aged 10-17 years
3.2.1.1 Heterozygous Familial Hypercholesterolaemia in Adults and Children aged 
10-17 years
3.2.1.2 Homozygous Familial Hypercholesterolaemia in Adults and Children aged 
10-17 years 
3.2.1.3 Lipitor Dosage in Patients With Renal Insufficiency 
3.2.1.4 Lipitor Dosage in Patients With Hepatic Dysfunction 
3.2.1.5 Lipitor Dosage in Geriatric 

4 Lipitor World Market Analysis
4.1     Lipid-regulating/ Anti-Atheroma Preparations Is The Largest In 
Cardiovascular System Market 
4.1.1   Pfizer Is The Leader In Cardiovascular Pharmaceuticals
4.1.2   Cholesterol And Triglycerides Reduction Drugs Generate Highest 
Individual Sales 
4.1.3   The US Market For Cholesterol and Triglyceride Drugs Sees The largest 
Sales
4.2     Lipitor (Atorvastatin) Revenue Dominates all Cholesterol & Triglyceride 
Drugs
4.2.1   Lipitor Sales in North America, Europe, Africa, Asia & Australasia and 
Latin America
4.2.1.1 Lipitor Sales are Most Significant In US 
4.2.1.2 Lipitor Drives Sales For Cholesterol & Triglyceride Reducers In The EU 
Market
4.2.1.3 UK is Lipitor's Largest Market In Europe
4.2.1.4 Lipitor Sales Decline in France 
4.2.1.5 Lipitor Sales Grow By 10% In 2006
4.2.1.6 Lipitor Experiences Strong Market Growth In Italy
4.2.1.7 Lipitor Year-on-Year Sales Decline Continued In Germany 
4.2.1.8 Japan is Lipitor's Strongest Market  in Africa, Asia & Australasia
4.3     Lipitor's Faces Competitions From Key Rivals In Major Markets
4.3.1   Lipitor's Prescription Volume Eroded Steeply Due To Generic Statins
4.3.2   AstraZeneca's Crestor, Merck & Co and Schering Plough's Vytorin Dampens 
Lipitor's Market Share 
4.3.3   Head-to-Head Clinical Study Proves Lipitor to Be More Potent Than 
Crestor
4.3.4   Vytorin A Strong Contender For Market Share With Lipitor During 
Near-Term
4.4     Pfizer's Lipitor Challenge With Ranbaxy Will Have Significant 
Implications On Future Sales
4.5     US WellPoint Demonstrates Generic Statins- Lovastatin, Simvastatin And 
Pravastatin To Elicit Cardiovascular Benefits 
4.6     Lipitor Global Sales Forecast 2008-2023
4.6.1   Lipitor's Five New Indications Will Be key To Sales Growth After Patent 
Expiration 
4.6.2   Lipitor Major Market Sales Forecast 2008-2023
4.6.3   US Lipitor Market Forecasts 2008-2023
4.6.4   Japan Lipitor Market Forecast 2008-2023
4.6.5   EU Lipitor Market Forecast 2008-2023
4.6.6   UK Lipitor Market Forecast 2008-2023
4.6.7   France Lipitor Market Forecast 2008-2023
4.6.8   Spain Lipitor Market Forecast 2008-2023
4.6.9   Italy Lipitor Market Forecast 2008-2023
4.6.10  Germany Lipitor Market Forecast 2008-2023
4.7     Lipitor Competes With Other Non-Statin Drugs
4.7.1   Bristol Myers Questran Is leading Anion Exchange Resin 
4.7.2   MSD and Schering-Plough's Ezetrol An Adjunct Therapy for Inhibiting 
Absorption of       Cholesterol 
4.7.3   Fibrates Constitute A Significant Market
4.7.4   Niaspan Is Key Nicotinic Acid Competitor To Lipitor
4.7.5   Simcor- Niaspan And Generic Simivastatin Will Increase Lipitor 
Competition
4.7.6   US National Heart, Lung and Blood Institute Sponsors Niaspan And 
Simvastatin AIM-HIGH Study
4.7.7   Fish Oils Industry A Growing Market and A deterrent To Lipitor Growth
4.8 Pfizer Has Large Resources To Promo

5. Lipitor’s Key Patent Challenges
5.1     Patent Expiration is the Major Driver in All Generic Markets
5.2     The US Has The Largest Generics Market
5.3     The US and European Regulation of Generic Drugs
5.4     Pfizer’s Lipitor Patent Protection Sets Benchmark In 
Pharmaceutical Industry For          Protecting Brands 
5.5     Pfizer Struggles To Block Early Generic Lipitor Market Entry
5.6     The Hatch-Waxman Act, Patent Expiration and the Promotion of Generic 
Drugs: Title I of the Act
5.6.1   Ranbaxy To Benefit From The Hatch-Waxman Title I
5.6.2   US First To Market 180-Day Exclusivity Period Incentive Will Be Key To 
Rambaxy’s Initial Sales Success of Generic Atorvastatin 
5.7     Ranbaxy Receives Favourable Lipitor Decisions in Key EU Markets 
5.7.1   Federal Patent Court of Germany Revokes Lipitor Patent
5.8     Lipitor Expanding Patent Contention
5.8.1   Pfizer Versus Teva Pharmaceuticals’ ANDA For Generic Atorvastatin
5.8.2   Pfizer Versus Cobalt Pharmaceuticals For Atorvastatin Sodium A 
Potentially Marketable Product
5.8.3   Pfizer Vs Apotex Generic Atorvastatin In Canada
5.9     Ranbaxy Will Cover Cost of Legal Challenges From Sales of Atorvastatin 
in Key Markets

6 Lipitor- Product Life Cycle Management (PML)
6.1     Pfizer To Use Product Lifecycle Management to Drive Sales of Lipitor
6.2     Pfizer’s Prominent PLM Is Caduet- "uber-pill", a combination of 
Lipitor And Norvasc 
6.2.1   Caduet Sales Rises Significantly By 99% in      2006 
6.3     Pfizer’s Torcetrapib- The Lipitor Follow-Up Drug Fails To Deliver
6.4     Pfizer Lipitor and Peripheral Vascular Diseases
6.5     Pfizer's LEAD Trial investigates Lipitor in Combination with Aricept in 
AD patients 
6.6.    Other Lipitor Significant Clinical Studies 
6.6.1   Lipitor Pre-Clinical Data 
6.6.1.1 Atorvastatin Proves to be More Liver Selective Than Pravastatin
6.6.2   Atorvastastin Clinical Data
6.6.2.1 Atorvastatin Was Tolerated in Healthy Volunteers 
6.7     Cardiovascular Disease 
6.7.1   Ten milligram (10 mg) of Atorvastatin Has Significant Effect 
Lipid-Lowering Ability 
6.7.2   Coronary Artery Disease-AVERT (Atorvastatin Versus Revascularization 
Treatment) 
6.7.3   Ten milligram (10 mg) Atorvastatin is Effective in Australian 
Atorvastatin Assessment Study
6.7.4   Myocardial Ischemia Reduction with Aggressive Cholesterol Lowering 
(MIRACL) Study
6.7.5   ASCOT trial Demonstrates Atorvastatin to Reduce Risk of Heart Attack 
Induced by Hypertension
6.7.6   Head-To-Head REVERSAL Trial Demonstrates that Highest Dose of 
Atorvastatin, Halted Atherosclerosis 
6.7.7   Post-Hoc Analysis in Treating New Targets (TNT ) Trial Demonstrates 
Atorvastatin 80 mg with Less Cardiovascular Events Than 10 mg dose
6.7.8   Atorvastatin - Incremental Decrease in Endpoints Through Aggressive 
Lipid Lowering (IDEAL) Trial Reveals Significantly Fewer Risk       of 
Secondary Heart Attacks 
6.7.9   CARDS study (Collaborative AtoRvastatin Diabetes Study)-Shows Marked 
Reduction in Percentages Risk of Cardiovascular Events in Diabetes Patients 
6.7.10  SPARCL study (Stroke Prevention by Aggressive Reduction in Cholesterol 
Study)
6.7.11  Atorvastatin Lowers Cardiovascular Disease By a Significant Percentage 
6.8     Paediatric Studies Demonstrated Significant     Therapeutic benefits of 
Lipitor
6.9     Lipitor Post Marketing Studies

7 Lipitor Competitor Studies & Pipeline
7.1     Lipitor worldwide clinical studies 
7.2     Competitor Agents in Development
7.2.1   Abbott And AstraZeneca's Developmental Fibrate /Cholesterol reducing 
Agent Shows Significant Potential 
7.2.2   First Horizon's Fenofibrate (Triglide) And Aegerion's MTP Inhibitor 
(AEGR 733)

8 Lipitor SWOT Analysis
8.1     Lipitor First Drug of Choice For Cholesterol Treatment
8.2     Lipid Regulator Market Will Continue to Generate High Revenues
8.3     An Expanding Patient Population Constitutes the Principal Driver in the 
Statins Market
8.4     Changes to Treatment Guidelines in US and       Europe Can Benefit 
Sales Of Lipitor
8.5     The US Market Will Continue To Be Key for Lipitor's Sales Growth 
8.6     Generic Rivals Will Drive The Erosion of Lipitor's Market Share 
8.6.1   The US has the Largest Generics Market
8.6.2   Generic Statins A Growing Presence In The US Market 
8.6.3   Rising Generic Uptake in Key EU Markets Will Impact On Lipitor Sales 
8.6.4   Generic Statins Potential Threat To Lipitor Growth As They Become 
Mainstay In Japan
8.7     Pfizer And Astellas Reach Lipitor Settlement In Japan 
8.8     US and EU Two -Year Statin Approval Timelines Increase Competitiveness 
8.9     Lipitor A Testimony of The Crumbling Blockbuster Business Model
8.10    Pfizer Will Need Strategies That Will Yield High ROI After Lipitor's 
Patent Expiration
8.11    New Reformulation Will be Significant To Drive Lipitor ‘s 
Long-Term Revenues
8.12    Liptor Still Has Significant Developmental Possibilities
8.13    Lipitor’s Prominent Indications For Diverse Cardiovascular and 
Metabolic Areas Will be Significant For Future Sales
8.14    Lipitor Significant Trial Results Will Drive Sales 
8.15    Is Pfizer’s Lipitor Success Repeatable?
8.16    US House of Democrats Investigate Lipitor's Director-To-Customer 
Advertisement Campaign 
8.17    OTC Simvastatin Adds To Lipitor’s Competition
8.18    Anti-Counterfeiting Initiatives Will Safeguard Lipitor in Emerging 
Markets 
8.19    Lipitor Will Face Pricing Competition From      Generic Statins

9 Conclusion
9.1     Lipitor (Atorvastatin) - The Cholesterol Reducing Drug
9.2     Lipid-regulating Drugs Generate The Highest Revenues In Cardiovascular 
Market 
9.3     Statin Drugs Are Significant Market for Leading Pharmaceutical Companies
9.4     Lipitor (Atorvastatin) Is The World's Highest Selling Drug 
9.5     Lipitor Sales Are Most Significant In the US Market 
9.5.1   Lipitor Sales in other Key Markets 
9.5.2   Lipitor Global Sales Forecast 2008-2023
9.6     Lipitor's Faces Competition From Key Rivals
9.7     Non-Statin Drug Therapies Market Expands
9.8     Pfizer Using Product Lifecycle Management to Drive Sales of Lipitor
9.9     Caduet Positioned To Experience Strong Sales After Lipitor Expiration 
9.10    Ranbaxy’s Successsful Patent Lawsuits Against Pfizer In Key 
Markets Will Be Costly To Lipitor’s Future Sales 
9.11    Visiongain Concludes that Loyalty from Pfizer and Brand "Lipitor's" Key 
Stakeholders Will Confer Future Sales 

List of Tables
Table 2.1       Lipoprotein Patterns (Fredrickson Phenotypes)
Table 2.2       Genetic Variations In Dyslipidaemia
Table 2.3       Obese Population in Major Countries by Percentage (%)
Table 4.1       Sales Distribution of Cardiovascular Disease Market, 2006
Table 4.2       Leading Companies in Cardiovascular Market, 2006
Table 4.3       Sales Distribution of Leading Anti-Atheroma Therapies, 2006
Table 4.4       Leading Markets In Cholesterol and Triglyceride Drugs
Table 4.5       Global Sales of  Top Ten Leading Statin Drugs, 2006
Table 4.6       Market Share of Lipitor in leading Markets, 2003-2006
Table 4.7       Lipitor Sales in Key EU Markets, 2003-2006
Table 4.8       Comparison of Effects on Cholesterol Levels
Table 4.9       Comparison of Dose Effects on LDL Cholesterol (LDL-C)
Table 4.10      Lipitor (Atorvastatin) Patents Expiration In Major Markets
Table 4.11      Lipitor Global Sales Forecast 2008-2023
Table 4.12      US Lipitor Global Sales Forecast 2008-2023
Table 4.13      Japan Lipitor Global Sales Forecast 2008-2023
Table 4.14      UK Lipitor Global Sales Forecast 2008-2023
Table 4.15      France Lipitor Global Sales Forecast 2008-2023
Table 4.16      Spain Lipitor Market Forecasts 2008-2023
Table 4.17      Italy Lipitor Market Forecasts 2008-2023
Table 4.18      Lipitor Sales In Germany, 2003-2006
Table 4.19      Germany Lipitor Market Forecasts 2008-2023
Table 4.20      Leading Fibrate Drugs, 2006 
Table 4.21      Leading Anti-atheroma Preparations Of Natural Origin (Fish Oil 
Products), 2006 
Table 5.1       The Top Ten US Generic Drugs by Revenue ($m) and Units, 2006
Table 5.2       US Top Ten Generic Drugs as a Function of Combined Branded and 
Generic Drugs by Prescription Number (m) and Revenues ($m),2006 
Table.5.3       Prescription Number (m), 2004 Top 10 Generic Drugs, Dispensed 
by Prescriptions in the US, 2006
Table 5.4       Lipitor (Atorvastatin) Patents In Major Markets
Table 5.5       Ranbaxy /Pfizer (Atorvastatin) Patents Challenges In Other 
Markets
Table 6.1       Pfizer Post Marketing Lipitor Studies
Table 6.2       Pfizer’s Lipitor Phase III Studies
Table 7.1       Competitors Post Marketing Cardiovascular Agents        Studies 
Including Lipitor
Table 7.2       Competitors Comparative Phase III Cardiovascular Agents 
Including Lipitor 
Table 7.3       Competitors Comparative Phase II Cardiovascular Agents 
Including Lipitor 
Table 7.4       Competitors Comparative Phase I Cardiovascular Agents Including 
Lipitor 
Table 7.5       Competitors Other Comparative Cardiovascular Agents Including 
Lipitor 
Table 8.1       Lipitor Market SWOT Analysis

List of Figures
Figure 1.1      Market Shares of Leading Statin Drugs, 2006
Figure 1.2      Lipitor Sales in key leading markets, 2003-2006
Figure 1.3      Lipitor Market Share in key leading markets, 2003-2006
Figure 4.1      Sales Distribution of Cardiovascular Disease Market, 2006
Figure 4.2      Leading Companies in Cardiovascular Market, 2006
Figure 4.3      Sales Distribution of Leading Anti-Atheroma Therapies, 2006
Figure 4.4      Leading Markets Share In Cholesterol and Triglyceride Drugs
Figure 4.5      Sales Distribution of Top Ten Leading Statin Drugs, 2006
Figure 4.6      Sales Distribution of Top Five Leading Statin Drugs, 2006
Figure 4.7      Market Share of Lipitor in leading Markets, 2006
Figure 4.8      Lipitor Sales in Key EU Market, 2006
Figure 4.9      Market Share of Lipitor in Key EU Market, 2006
Figure 4.10     Lipitor Global Sales Forecast 2008-2023
Figure 4.11     US Lipitor Market Forecasts 2008-2023
Figure 4.12     Japan Lipitor Market Forecasts 2008-2023
Figure 4.13     UK Lipitor Market Forecasts 2008-2023
Figure 4.14     France Lipitor Market Forecasts 2008-2023
Figure 4.15     Spain Lipitor Market Forecasts 2008-2023
Figure 4.16     Italy Lipitor Market Forecasts 2008-2023
Figure 4.17     Lipitor Sales In Germany, 2003-2006
Figure 4.18     Germany Lipitor Market Forecasts 2008-2023




 

 

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