Market Overview
The global ticagrelor market is experiencing significant growth, driven by several key factors. As of 2022, the market was valued at USD 1,672 million and is projected to reach USD 3,692 million by 2031, growing at a Compound Annual Growth Rate (CAGR) of 9.2% during the forecast period of 2023-2031[1].
Key Drivers of Market Growth
Increasing Geriatric Population
The rising geriatric population is a major driver of the ticagrelor market. In the Americas, for instance, the aging population is significant, with around 49.2 million individuals aged 65 or older in 2016, accounting for over 15.2% of the total population. This demographic shift increases the demand for cardiovascular treatments, including ticagrelor[1].
Rising Burden of Heart Diseases
Heart diseases are a leading cause of morbidity and mortality globally. According to the American Heart Association, cardiovascular diseases caused one in every three fatalities in the US in 2014. This increasing burden of heart diseases directly impacts the demand for antiplatelet drugs like ticagrelor[4].
Government Initiatives and Healthcare Quality
In regions like the Asia-Pacific, government initiatives to enhance healthcare quality and the rising incidence of cardiovascular diseases are driving the market growth. China, India, and Australia are particularly lucrative markets for ticagrelor due to these factors[1].
Regional Market Analysis
Americas
The Americas hold the largest share in the global ticagrelor market and are anticipated to grow at a CAGR of 9.31% during the forecast period. This growth is attributed to the sustainable development in GDP per capita income and the increasing geriatric population prone to degenerative diseases and chronic illnesses[1].
Europe
Europe is expected to be the fastest-growing market for ticagrelor. The region benefits from positive reimbursement decisions, such as those made by the Scottish Medicines Consortium (SMC) and the Ministry of Health and Prevention in Denmark, which have approved ticagrelor for national reimbursement[5].
Asia-Pacific
The Asia-Pacific region is also witnessing significant growth due to the increasing per capita income, government initiatives to improve healthcare, and the rising prevalence of cardiovascular diseases. By 2030, the number of older people in this region is expected to increase by 56%, further driving the demand for ticagrelor[1][3].
Dosage and Efficacy
90 mg Segment
The 90 mg segment of ticagrelor holds the highest market share and is expected to grow at a CAGR of 9.47% during the forecast period. This high efficacy and platelet reactivity make AstraZeneca's ticagrelor (Brilinta) 90 mg a preferred treatment for acute coronary syndrome (ACS) and myocardial infarction (MI)[1].
Cost-Effectiveness
Comparative Analysis with Clopidogrel
Studies, such as the PLATO trial, have shown that ticagrelor is cost-effective compared to generic clopidogrel. The additional cost of one year of ticagrelor therapy, relative to clopidogrel, was estimated to be $29,665 per quality-adjusted life-year (QALY) gained, with a high likelihood of cost-effectiveness at a willingness-to-pay threshold of $100,000[2].
Health Economics Substudy
A health economics substudy of the PLATO trial demonstrated that ticagrelor provided a cost-effective gain in QALYs compared to generic clopidogrel. The study showed that ACS patients treated with ticagrelor and aspirin gained an additional 0.13 QALYs at a cost range of €2,350 to €5,700 per QALY[5].
Regulatory Approvals and Reimbursement
FDA Approvals
Significant approvals from regulatory bodies like the U.S. Food and Drug Administration (USFDA) have aided in the growth of the ticagrelor market. For example, in July 2018, the USFDA approved ticagrelor tablets for reducing the rate of cardiovascular deaths and stroke in patients with ACS or a history of myocardial infarction (MI)[4].
Reimbursement Decisions
Positive reimbursement decisions in various countries, such as Scotland and Denmark, have also supported the market growth. These decisions make ticagrelor more accessible to patients, further boosting its market share[5].
Challenges and Limitations
Product Failures
Despite the overall positive trend, instances of product failures can hamper market growth. For example, in October 2016, AstraZeneca's Brilinta (containing 90 mg ticagrelor) failed to demonstrate its benefit over clopidogrel for a new indication in peripheral artery disease (PAD), leading to a temporary decline in market shares[4].
Real-World Use vs. Clinical Trials
There are limitations in translating clinical trial results to real-world use. The PLATO study, while robust, did not consider other antiplatelet strategies like prasugrel or personalized therapy with platelet testing or genotyping, which could affect the cost-effectiveness analysis in real-world scenarios[2].
Market Size and Trends
Historical and Forecast Period
The global ticagrelor market has shown significant growth from its historical period. In 2017, the market was valued at USD 1,145 million and was expected to witness a CAGR of 12.3% during the forecast period of 2018-2026. The current forecast period indicates a continued strong growth trajectory[4].
Key Takeaways
- The global ticagrelor market is projected to grow from USD 1,672 million in 2022 to USD 3,692 million by 2031.
- The Americas hold the largest market share, while Europe is expected to be the fastest-growing region.
- The 90 mg segment of ticagrelor dominates the market due to its high efficacy.
- Ticagrelor is cost-effective compared to generic clopidogrel, with significant gains in QALYs.
- Regulatory approvals and positive reimbursement decisions are crucial for market growth.
- Despite challenges like product failures, the overall market trend remains positive.
FAQs
What is the current market size of ticagrelor and its projected growth?
The global ticagrelor market was valued at USD 1,672 million in 2022 and is estimated to reach USD 3,692 million by 2031, growing at a CAGR of 9.2% during the forecast period[1].
Which region holds the largest share in the ticagrelor market?
The Americas hold the largest share in the global ticagrelor market and are anticipated to grow at a CAGR of 9.31% during the forecast period[1].
How cost-effective is ticagrelor compared to clopidogrel?
Ticagrelor is cost-effective compared to generic clopidogrel, with an additional cost of $29,665 per QALY gained, and a high likelihood of cost-effectiveness at a willingness-to-pay threshold of $100,000[2].
What are the key drivers of the ticagrelor market growth?
The key drivers include the increasing geriatric population, rising burden of heart diseases, and government initiatives to enhance healthcare quality, particularly in the Asia-Pacific region[1][3].
What are the regulatory approvals that have impacted the ticagrelor market?
Significant approvals from the USFDA, such as the approval for ticagrelor tablets in July 2018, and positive reimbursement decisions in countries like Scotland and Denmark have aided in the market growth[4][5].
What challenges might affect the ticagrelor market growth?
Instances of product failures, such as the failure of Brilinta to demonstrate its benefit over clopidogrel for peripheral artery disease, and limitations in translating clinical trial results to real-world use can hamper market growth[2][4].
