Global antiplatelet sales trend: A focus on P2Y12 inhibitors from 2008 to 2018

Background: P2Y12 inhibitors are an important component of dual antiplatelet therapy. Yet, their accessibility and affordability across countries stratified by income levels have not been studied. Methods: Sales data were retrieved from the IQVIA Multinational Integrated Data Analysis System for the...

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Main Authors: Xuxiao Ye, Jessica J.P. Shami, Vincent K.C. Yan, Wei Kang, Joseph E. Blais, Jiaxi Zhao, Wallis C.Y. Lau, Li Wei, Ian C.K. Wong, Esther W. Chan
Format: Article
Language:English
Published: Elsevier 2021-04-01
Series:American Heart Journal Plus
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666602221000185
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author Xuxiao Ye
Jessica J.P. Shami
Vincent K.C. Yan
Wei Kang
Joseph E. Blais
Jiaxi Zhao
Wallis C.Y. Lau
Li Wei
Ian C.K. Wong
Esther W. Chan
author_facet Xuxiao Ye
Jessica J.P. Shami
Vincent K.C. Yan
Wei Kang
Joseph E. Blais
Jiaxi Zhao
Wallis C.Y. Lau
Li Wei
Ian C.K. Wong
Esther W. Chan
author_sort Xuxiao Ye
collection DOAJ
description Background: P2Y12 inhibitors are an important component of dual antiplatelet therapy. Yet, their accessibility and affordability across countries stratified by income levels have not been studied. Methods: Sales data were retrieved from the IQVIA Multinational Integrated Data Analysis System for the description of P2Y12 inhibitors global sales. Countries were stratified into 38 high-income countries and 27 middle-income countries. Results: Global sales of P2Y12 inhibitors increased from 0.80 SU per year per person in 2008 to 1.79 in 2018. Growth in sales of P2Y12 inhibitors was greater in middle-income countries compared to high-income countries. Clopidogrel had the highest sales volume in both high-income and middle-income countries from 2008 to 2018, while ticagrelor sales volume increased mainly in high-income countries. Conclusions: Despite current guideline recommendations favoring ticagrelor and prasugrel for the prevention of atherothrombotic complications in patients with an acute coronary syndrome, clopidogrel retained the highest sales volume among the P2Y12 inhibitors from 2008 to 2018.
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spelling doaj.art-51987162d94149e1a598e7588b0a60db2022-12-22T02:40:00ZengElsevierAmerican Heart Journal Plus2666-60222021-04-014100020Global antiplatelet sales trend: A focus on P2Y12 inhibitors from 2008 to 2018Xuxiao Ye0Jessica J.P. Shami1Vincent K.C. Yan2Wei Kang3Joseph E. Blais4Jiaxi Zhao5Wallis C.Y. Lau6Li Wei7Ian C.K. Wong8Esther W. Chan9Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, University of Hong Kong, Hong Kong Special Administrative RegionCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, University of Hong Kong, Hong Kong Special Administrative RegionCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, University of Hong Kong, Hong Kong Special Administrative RegionCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, University of Hong Kong, Hong Kong Special Administrative RegionCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, University of Hong Kong, Hong Kong Special Administrative RegionCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, University of Hong Kong, Hong Kong Special Administrative RegionCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, University of Hong Kong, Hong Kong Special Administrative Region; Laboratory of Data Discovery for Health, Hong Kong Special Administrative Region; Research Department of Practice and Policy, UCL School of Pharmacy, London, UKLaboratory of Data Discovery for Health, Hong Kong Special Administrative Region; Research Department of Practice and Policy, UCL School of Pharmacy, London, UKCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, University of Hong Kong, Hong Kong Special Administrative Region; Laboratory of Data Discovery for Health, Hong Kong Special Administrative Region; Research Department of Practice and Policy, UCL School of Pharmacy, London, UK; Department of Pharmacy, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China; The University of Hong Kong Shenzhen Institute of Research and Innovation, Shenzhen, ChinaCentre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, University of Hong Kong, Hong Kong Special Administrative Region; Laboratory of Data Discovery for Health, Hong Kong Special Administrative Region; Department of Pharmacy, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China; The University of Hong Kong Shenzhen Institute of Research and Innovation, Shenzhen, China; Corresponding author at: Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, General Office, L02-56 2/F, Laboratory Block LKS Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong Special Administrative Region.Background: P2Y12 inhibitors are an important component of dual antiplatelet therapy. Yet, their accessibility and affordability across countries stratified by income levels have not been studied. Methods: Sales data were retrieved from the IQVIA Multinational Integrated Data Analysis System for the description of P2Y12 inhibitors global sales. Countries were stratified into 38 high-income countries and 27 middle-income countries. Results: Global sales of P2Y12 inhibitors increased from 0.80 SU per year per person in 2008 to 1.79 in 2018. Growth in sales of P2Y12 inhibitors was greater in middle-income countries compared to high-income countries. Clopidogrel had the highest sales volume in both high-income and middle-income countries from 2008 to 2018, while ticagrelor sales volume increased mainly in high-income countries. Conclusions: Despite current guideline recommendations favoring ticagrelor and prasugrel for the prevention of atherothrombotic complications in patients with an acute coronary syndrome, clopidogrel retained the highest sales volume among the P2Y12 inhibitors from 2008 to 2018.http://www.sciencedirect.com/science/article/pii/S2666602221000185P2Y12 inhibitorsSales trendsIncome levelAntiplateletsDrug utilization
spellingShingle Xuxiao Ye
Jessica J.P. Shami
Vincent K.C. Yan
Wei Kang
Joseph E. Blais
Jiaxi Zhao
Wallis C.Y. Lau
Li Wei
Ian C.K. Wong
Esther W. Chan
Global antiplatelet sales trend: A focus on P2Y12 inhibitors from 2008 to 2018
American Heart Journal Plus
P2Y12 inhibitors
Sales trends
Income level
Antiplatelets
Drug utilization
title Global antiplatelet sales trend: A focus on P2Y12 inhibitors from 2008 to 2018
title_full Global antiplatelet sales trend: A focus on P2Y12 inhibitors from 2008 to 2018
title_fullStr Global antiplatelet sales trend: A focus on P2Y12 inhibitors from 2008 to 2018
title_full_unstemmed Global antiplatelet sales trend: A focus on P2Y12 inhibitors from 2008 to 2018
title_short Global antiplatelet sales trend: A focus on P2Y12 inhibitors from 2008 to 2018
title_sort global antiplatelet sales trend a focus on p2y12 inhibitors from 2008 to 2018
topic P2Y12 inhibitors
Sales trends
Income level
Antiplatelets
Drug utilization
url http://www.sciencedirect.com/science/article/pii/S2666602221000185
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