Abstract
Ticagrelor, marketed under the brand name Brilinta, is a direct-acting oral antiplatelet agent used to prevent thrombotic events in patients with acute coronary syndrome (ACS) and those undergoing percutaneous coronary intervention (PCI). Developed by AstraZeneca, it received regulatory approval in 2011. This paper provides an in-depth analysis of ticagrelor, including its chemical properties, development history, approval timeline, market presence, competitive landscape, and the impact of generic formulations. Additionally, it presents speculative sales figures from 2020 to 2024 based on available data and market trends.
Keywords
Ticagrelor, Brilinta, antiplatelet agent, chemical properties, market analysis, global sales, generics.
Introduction
Ticagrelor is a P2Y12 receptor antagonist that inhibits platelet aggregation, thereby reducing the risk of thrombotic cardiovascular events. Its development aimed to provide a more effective and safer alternative to clopidogrel, another P2Y12 inhibitor, by offering reversible binding and a faster onset of action.
Chemical Properties
Ticagrelor has the chemical formula C23H28F2N6O4S and a molar mass of approximately 522.57 g·mol−1. Its IUPAC name is (1S,2S,3R,5S)-3-[7-[(1R,2S)-2-(3,4-difluorophenyl)cyclopropylamino]-5-(propylthio)-3H-[1,2,3]triazolo[4,5-d]pyrimidin-3-yl]-5-(2-hydroxyethoxy)cyclopentane-1,2-diol. The molecular structure of ticagrelor facilitates its role as a potent and reversible inhibitor of platelet aggregation.
Development and Approval Timeline
Ticagrelor was developed by AstraZeneca and received its first approval in the United States in 2011 under the brand name Brilinta. It was subsequently approved in various international markets for indications including the reduction of thrombotic cardiovascular events in patients with ACS and those undergoing PCI.
Time on the Market
Since its approval in 2011, ticagrelor has been available for over a decade. Its sustained presence in the market reflects its acceptance among healthcare providers and patients, attributed to its efficacy and safety profile compared to older antiplatelet agents.
Global Sales and Market Competition
In 2022, global sales of Brilinta were approximately $1.358 billion. citeturn0search6 The antiplatelet market is competitive, with key players including clopidogrel (Plavix), prasugrel (Effient), and newer agents like ticagrelor and cangrelor. Factors influencing market share include efficacy, safety profiles, cost, and patient preferences.
Generics and Related Developments
As of 2024, generic formulations of ticagrelor have entered the market, leading to increased competition and reduced prices. This has improved patient access but also impacted the market share of the brand-name product, Brilinta.
Speculated Sales Figures (2020–2024)
While exact sales data for ticagrelor from 2020 to 2024 are not publicly available, we can estimate based on market trends:
2020: Approximately $1.2 billion
2021: Approximately $1.3 billion
2022: Approximately $1.4 billion
2023: Approximately $1.5 billion
2024: Approximately $1.6 billion
These figures suggest a compound annual growth rate (CAGR) of approximately 6.5% from 2020 to 2024.
Conclusion
Ticagrelor has significantly impacted the antiplatelet market since its introduction, offering advantages over traditional therapies. Its development and sustained market presence underscore its importance in managing thrombotic cardiovascular events. The introduction of generic versions has expanded its reach, enhancing accessibility while introducing new competitive dynamics. As the market evolves, ticagrelor's role in clinical practice will continue to be influenced by ongoing research, regulatory developments, and shifts in prescribing patterns.
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