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시장보고서
상품코드
2082858
급성 심근경색 : 시장 인사이트, 역학 및 시장 예측(2036년)Acute Myocardial Infarction - Market Insights, Epidemiology, and Market Forecast - 2036 |
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DelveInsight
G7 국가들의 급성 심근경색(AMI) 시장 규모 및 전망
급성 심근경색(AMI) 시장 보고서는 표준 치료, 임상 실무, 진화하는 치료 알고리즘 등 현재 시장 상황에 대한 종합적인 분석을 제공합니다. 본 보고서에서는 AMI 환자의 부담 동향, 수익 및 시장 점유율 동향, 피크 시기의 환자 점유율 및 치료 도입 현황에 대한 분석을 평가함과 동시에, 전 세계 각 지역의 시장 규모에 대한 상세한 평가 및 성장률 예측(과거 데이터 및 2022-2036년 예측)을 제공합니다. 본 보고서에서는 AMI 분야의 주요 미충족 요구 사항에 초점을 맞추어, 경쟁 구도와 임상 현황을 분석함으로써 고부가가치 비즈니스 기회를 도출하는 한편, 향후 시장 성장 가능성에 대한 명확한 전망을 제시하고 있습니다.
치료법의 확대와 혁신
AMI 시장에서는 잔존 심혈관 위험, 염증, 플라크 안정화를 표적으로 하는 새로운 치료법이 등장하며 급속한 혁신이 진행되고 있습니다. 암젠, 노보 노르디스크, 브리스톨-마이어스 스퀴브 등 기업들이 개발 중인 주요 파이프라인 후보들은 예측 기간 동안 치료 패러다임을 혁신할 것으로 기대됩니다.
예방 및 장기 관리에 대한 관심 증가
심혈관 사건의 재발을 억제하기 위해 지질 저하 요법, 항혈소판제, 항염증제 등의 2차 예방 전략에 대한 관심이 높아지고 있으며, 이에 따라 장기 치료 시장이 확대되고 있습니다.
의료비 증가와 건강에 대한 인식 제고
G7 국가 전체의 의료비 증가, 첨단 치료에 대한 접근성 개선, 그리고 심혈관질환에 대한 인식 제고가 특히 선진 지역에서 시장 확대를 뒷받침하고 있습니다.
급성 심근경색(AMI)의 개요와 진단
AMI는 심근 조직의 허혈성 괴사를 말하며, 가장 흔한 원인은 관상동맥 질환 및 혈전을 동반한 급성 플라크 파열입니다. 일반적으로 급성 관상동맥 증후군(ACS)의 일부로 나타나며, 흉통, 호흡곤란, 메스꺼움, 발한 등의 증상을 동반합니다. 심근경색은 크게 STEMI(ST 상승형 심근경색)와 NSTEMI(비-ST 상승형 심근경색), 그리고 제1형 MI(동맥경화성 혈전성)와 제2형 MI(산소 공급과 수요의 불균형)로 분류됩니다. 의학의 발전에도 불구하고, 급성 심근경색(AMI)은 여전히 전 세계적으로 주요 사망 원인 중 하나이며, 그 배경에는 고혈압, 당뇨병, 흡연, 이상지질혈증 등의 주요 위험 요인이 있습니다.
급성 심근경색(AMI)의 진단
심근경색의 진단은 임상 증상, 심전도(ECG) 소견, 그리고 심근 손상의 민감도와 특이도가 가장 높은 지표인 트로포닌을 비롯한 심장 바이오마커의 상승을 종합적으로 판단하여 이루어집니다. 심전도는 STEMI와 NSTEMI를 감별하고 응급 치료 방침을 결정하는 데 있어 매우 중요한 역할을 합니다. 심장초음파 검사 등의 추가 검사는 심벽 운동 이상을 파악하는 데 도움이 되며, 한편 관상동맥 조영술은 확정 진단을 내릴 수 있게 해줄 뿐만 아니라 혈관 재건술도 가능하게 합니다. 조기 및 정확한 진단은 적시에 재관류 요법을 시행하고 합병증을 줄이는 데 필수적입니다.
급성 심근경색(AMI)의 치료
AMI 치료는 신속한 증상 완화, 조기 심전도 진단, 그리고 신속한 재관류를 핵심으로 합니다. 초기 치료에는 니트로글리세린, 모르핀, 즉각적인 항혈소판 요법(아스피린 ± P2Y12 억제제) 및 항응고 요법이 포함됩니다. STEMI의 경우, 1차 PCI(60-90분 이내)가 권장되지만, PCI를 시행할 수 없는 경우에는 테네크테플라제 등의 약물을 이용한 섬유소용해요법이 시행됩니다.
장기 관리에서는 이중 항혈소판 요법(DAPT), β-차단제, ACE 억제제/ARB, 스타틴을 사용하여 사망률과 재발률을 낮추는 데 중점을 둡니다. 이러한 표준 치료법 외에도, 콜히친과 같은 특정 승인 약물은 항염증 작용을 통해 심혈관 사건 발생을 줄이는 데 효과적인 것으로 나타났으며, 또한 에볼로쿠맙은 고위험군 환자의 LDL-C 수치를 집중적으로 낮추어 2차 예방을 더욱 지원합니다. 질산염은 허혈 완화에 도움이 되며, β-차단제가 금기인 경우에는 칼슘 채널 차단제가 대체제로 사용됩니다.
급성 심근경색(AMI)의 역학 분석 및 예측에 관한 주요 조사 결과
AMI 시장은 수십 년 동안 재관류 전략과 기존의 항혈전 요법에 의존해 온 끝에, 점차 변화를 겪고 있습니다. PCI나 혈전용해제를 통한 신속한 중재는 여전히 급성기 관리의 기반이지만, 테네크테플라제, 콜히친, 에볼로쿠맙, 알릴로쿠맙, 보라파사르 등의 보조 요법 및 예방 요법의 활용 확대는 종합적인 심혈관 위험 감소로 전환되고 있음을 반영하고 있습니다. 이러한 치료법은 잔존하는 혈전성, 염증성 및 지질 관련 위험 요인에 대한 대처가 점점 더 중요시되고 있음을 보여주며, 급성 심근경색(AMI)에서 기전에 기반한 장기적인 질환 관리로의 전환을 뒷받침하고 있습니다.
세라토그렐, 듀토글립틴, 다파글리플로진, FDY-5301, 질티베키맙, 밀베크산, 올파실란과 같은 표적 지향형 및 신규 치료법의 발전에 따라, 급성 심근경색(AMI)의 치료 현황은 다른 심혈관질환이나 대사성 질환과 마찬가지로 진화하고 있으며, 표적 기전에서의 조기 혁신이 보다 광범위한 치료법의 확대를 촉진할 것으로 기대되고 있습니다. 이러한 신약들은 급성 혈전증 관리, 염증 조절, 그리고 장기적인 위험 감소와 관련된 미충족 의료 수요를 충족시키는 것을 목표로 하며, 이를 통해 기존의 접근 방식을 뛰어넘는 치료의 범위를 확대하고 있습니다.
미국은 EU4, 영국, 일본에 비해 높은 질병 부담, 선진적인 의료 인프라, PCI에 대한 광범위한 접근성, 그리고 새로운 치료법의 신속한 도입에 힘입어 계속해서 최대의 급성 심근경색(AMI) 시장을 차지하고 있습니다. 전반적으로, ‘퍼스트-인-클래스’ 및 작용 기전에 기반한 치료법의 도입과 더불어, 조기 진단 개선 및 2차 예방에 대한 인식 제고로 인해, 2022년부터 2036년까지 주요 7개국의 AMI 시장은 꾸준한 성장을 이룰 것으로 예상되며, 이는 시판 중인 제품과 개발 중인 파이프라인 모두에 큰 상업적 영향을 미칠 것으로 전망됩니다.
전반적으로, 항혈전제 및 심장 보호제가 현재의 표준 치료를 구성하고 있지만, 새로운 표적 치료법과 심대사 치료법이 급성 심근경색(AMI) 치료 분야의 미래 혁신을 주도할 것으로 기대됩니다.
Acute Myocardial Infarction (AMI) Market Size and Forecast in the 7MM
DelveInsight's 'Acute Myocardial Infarction (AMI) - Market Insights, Epidemiology and Market Forecast - 2036' report delivers an in-depth understanding of the AMI, historical and forecasted epidemiology, as well as the AMI market trends in the United States, EU4 (Germany, Spain, Italy, and France) and the United Kingdom, and Japan.
The Acute Myocardial Infarction (AMI) market report delivers a comprehensive analysis of the current treatment landscape, including standards of care, clinical practices, and evolving therapeutic algorithms. It evaluates AMI patient burden trends, revenue & market share dynamics, peak patient share & therapy uptake analysis, and provides an in-depth market size assessment, and growth rate projections (Historical & Forecast 2022-2036) across global regions. The report highlights key unmet medical needs in AMI and maps the competitive and clinical landscape to uncover high-value opportunities, providing a clear outlook on future market growth potential.
Key Factors Driving the Acute Myocardial Infarction (AMI) Market
Expanding Therapeutic Landscape and Innovation
The AMI market is witnessing rapid innovation, with emerging therapies targeting residual cardiovascular risk, inflammation, and plaque stabilization. Key pipeline assets from companies such as Amgen, Novo Nordisk, and Bristol Myers Squibb are expected to transform treatment paradigms during the forecast period.
Growing Focus on Preventive and Long-term Management
There is an increasing emphasis on secondary prevention strategies, including lipid-lowering therapies, antiplatelets, and anti-inflammatory agents, to reduce recurrent cardiovascular events, thereby expanding the long-term treatment market.
Rising Healthcare Expenditure and Awareness
Increasing healthcare spending, improved access to advanced treatments, and growing awareness of cardiovascular diseases across the 7MM are supporting market expansion, particularly in developed regions.
Acute Myocardial Infarction (AMI) Overview and Diagnosis
AMI is the ischemic necrosis of myocardial tissue, most commonly caused by coronary artery disease and acute plaque rupture with thrombosis. It typically presents as part of acute coronary syndrome (ACS) with symptoms such as chest pain, dyspnea, nausea, and diaphoresis. Myocardial Infarction is broadly classified into STEMI (ST-Elevation Myocardial Infarction) and NSTEMI (Non-ST-Elevation Myocardial Infarction), as well as Type 1 MI (atherothrombotic) and Type 2 MI (oxygen supply-demand mismatch). Despite advances in care, AMI remains a leading cause of mortality globally, driven by key risk factors including hypertension, diabetes, smoking, and dyslipidemia.
Acute Myocardial Infarction (AMI) Diagnosis
Diagnosis of MI is based on a combination of clinical presentation, electrocardiography (ECG) findings, and elevation of cardiac biomarkers, particularly troponins, which are the most sensitive and specific indicators of myocardial injury. ECG plays a critical role in differentiating STEMI vs. NSTEMI and guiding urgent treatment decisions. Additional tools, such as echocardiography, help identify wall motion abnormalities, while coronary angiography provides a definitive diagnosis and enables revascularization. Early and accurate diagnosis is essential for timely reperfusion therapy and reducing complications.
Acute Myocardial Infarction (AMI) Treatment
The treatment of AMI centers on rapid symptom relief, early ECG diagnosis, and prompt reperfusion. Initial therapy includes nitroglycerin, morphine, immediate antiplatelet therapy (aspirin +- P2Y12 inhibitors), and anticoagulation. In STEMI, primary PCI (within 60-90 min) is preferred, while fibrinolysis with agents such as tenecteplase is used if PCI is not available.
Long-term management focuses on reducing mortality and recurrence with dual antiplatelet therapy (DAPT), B-blockers, ACE inhibitors/ARBs, and statins. In addition to these standard therapies, select approved agents such as colchicine have demonstrated benefit in reducing cardiovascular events through anti-inflammatory mechanisms, while evolocumab provides intensive LDL-C lowering for high-risk patients, further supporting secondary prevention. Nitrates help relieve ischemia, and calcium channel blockers are alternatives when B-blockers are contraindicated.
Acute Myocardial Infarction (AMI) Unmet Needs
The section "unmet needs of Acute Myocardial Infarction (AMI)" outlines the critical gaps between the current state of patient care, diagnosis, and the ideal & effective management of the disease. It highlights the obstacles experienced by patients, clinicians, and researchers and identifies potential solutions for future progress.
Key Findings from Acute Myocardial Infarction (AMI) Epidemiological Analysis and Forecast
Acute Myocardial Infarction Drug Analysis & Competitive Landscape
The AMI drug chapter provides a detailed, market-focused review of approved therapies and the emerging pipeline across Phase I-III clinical trials. It covers the mechanism of action, clinical trial data, regulatory approvals, patents, collaborations, and strategic partnerships for each therapy, along with their advantages, limitations, and recent developments. This section offers critical insights into the AMI treatment landscape, supporting market assessment, competitive analysis, and growth forecasting for the AMI therapeutics market.
Approved Therapies for Acute Myocardial Infarction (AMI)
Colchicine (LODOCO): AGEPHA Pharma
LODOCO, developed by AGEPHA Pharma, is an anti-inflammatory therapy approved to reduce the risk of recurrent cardiovascular events. In AMI, it is positioned as an adjunctive treatment in the post-myocardial Infarction setting, targeting residual inflammation to help lower the risk of subsequent events.
Tenecteplase (TNKase): Genentech
Tenecteplase is a fibrinolytic therapy indicated for AMI, used to achieve rapid reperfusion by dissolving coronary thrombi. Its longer half-life and single-bolus administration enable faster and more convenient treatment compared to alteplase, making it a key option when primary Percutaneous Coronary Intervention is not readily available.
Acute Myocardial Infarction (AMI) Pipeline Analysis
Selatogrel (ACT-246475): Idorsia Pharmaceuticals and Viatris
Selatogrel is a potent, fast-acting, reversible, and highly selective P2Y12 inhibitor being developed for the treatment of patients with a history of AMI. It is intended to be self-administered subcutaneously via a drug delivery system (autoinjector). This novel, self-administered emergency agent has the potential to protect the heart muscle in the very early phase of an AMI in the crucial time between symptom onset and first medical attention, to treat the ongoing AMI, and prevent early death.
Dutogliptin (REC-01): Recardio
Dutogliptin, developed by Recardio, is a potent and selective DPP4 inhibitor. Dutogliptin is administered via SC injection; the protein belongs to the class of enzyme inhibitors called gliptins or DPP-IV inhibitors. The combination of G-CSF with dutogliptin significantly enhanced survival and reduced infarct size in the preclinical model. Once the diagnosis of AMI is confirmed and percutaneous intervention and stent implantation are completed, the patient receives or can self-administer daily SC injection of dutogliptin for 2 weeks in co-administration with G-CSF for 5 days.
Acute Myocardial Infarction (AMI) Key Players, Market Leaders, and Emerging Companies
Acute Myocardial Infarction (AMI) Drug Updates
Drug Class Insights
The AMI market is undergoing a gradual transformation following decades of reliance on reperfusion strategies and conventional antithrombotic therapies. While rapid intervention through PCI and thrombolytics remains the cornerstone of acute management, the expanding use of adjunctive and preventive therapies such as tenecteplase, colchicine, evolocumab, alirocumab, and vorapaxar reflects a shift toward comprehensive cardiovascular risk reduction. These therapies highlight the growing focus on addressing residual thrombotic, inflammatory, and lipid-driven risk, supporting a transition toward more mechanism-driven and long-term disease management in AMI.
With the advancement of targeted and novel therapies such as Selatogrel, Dutogliptin, Dapagliflozin, FDY-5301, Ziltivekimab, Milvexian, and Olpasiran, the AMI treatment landscape is evolving like other cardiovascular and metabolic diseases, where early innovation in targeted mechanisms is expected to catalyze broader therapeutic expansion. These emerging agents aim to address unmet needs in acute thrombosis management, inflammation control, and long-term risk reduction, thereby expanding the therapeutic scope beyond traditional approaches.
The United States continues to represent the largest AMI market, driven by high disease burden, advanced healthcare infrastructure, widespread access to PCI, and rapid adoption of novel therapies, compared with EU4, the United Kingdom, and Japan. Overall, the introduction of first-in-class and mechanism-driven therapies, along with improvements in early diagnosis and increasing awareness of secondary prevention, is expected to drive steady growth in the 7MM AMI market from 2022 to 2036, with strong commercial implications for both marketed products and emerging pipelines.
Drug Class/Insights into Leading Emerging and Marketed Therapies in Acute Myocardial Infarction (AMI) (2022-2036 Forecast)
The AMI treatment landscape comprises antithrombotic agents, cardioprotective drugs, and emerging targeted therapies, each addressing different aspects of thrombosis, ischemia, and post-MI remodeling.
Overall, antithrombotic and cardioprotective drugs define the current standard of care, while novel targeted and cardiometabolic therapies are expected to drive future innovation in the AMI treatment landscape.
Acute Myocardial Infarction (AMI) Drug Uptake
This section focuses on the uptake rate of potential drugs expected to be launched in the market during the forecast period (2026-2036). The analysis covers the AMI drug's uptake, performance at peak, factors affecting performance during prime years of growth, patient uptake by therapy, and anticipated sales generated by each drug.
The uptake of therapies in AMI is expected to vary across acute reperfusion agents, antithrombotics, lipid-lowering therapies, and emerging targeted agents. Established therapies such as tenecteplase are anticipated to maintain strong and immediate uptake due to their critical role in rapid reperfusion, particularly in settings where timely PCI is not feasible. In contrast, recently approved or expanding therapies such as colchicine, evolocumab, and alirocumab are expected to demonstrate moderate but progressive uptake, supported by their targeted mechanisms, growing clinical evidence, and increasing physician focus on residual cardiovascular risk reduction in post-MI patients. Their adoption is likely to be driven by the limitations of standard therapies in preventing recurrent events and the need for improved long-term outcomes.
In comparison, next-generation targeted therapies such as Selatogrel, Milvexian, Ziltivekimab, and Olpasiran are anticipated to show gradual but steady uptake as clinical evidence expands and these agents are progressively incorporated into treatment algorithms addressing thrombosis, inflammation, and lipid-mediated risk. Their future adoption will depend on demonstrated clinical benefit, safety profiles, and positioning within both acute and secondary prevention settings.
Detailed insights into emerging therapies' drug uptake are included in the report.
Acute Myocardial Infarction (AMI) Therapies Price Scenario & Trends
Pricing and analogue assessment of AMI therapies highlight evolving price dynamics structures. This section summarizes the cost of approved treatments, the closest and most appropriate analogue selection for emerging therapies, and the understanding of how pricing influences market access, adherence, and long-term uptake.
Evolocumab is administered at a dose of 140 mg every two weeks or 420 mg once monthly for patients at high cardiovascular risk, including those with a history of acute myocardial infarction. The list price was initially reported at approximately USD 14,100 annually, later reduced to around USD 5,850 per year, translating to an estimated annual therapy cost of USD 5,850.
Further details are provided in the final report....
Industry Experts and Physician Views for Acute Myocardial Infarction (AMI)
To keep up with AMI market trends, we take Key Opinion Leaders (KOLs) and Subject Matter Experts (SMEs) opinions working in the domain through primary research to fill the data gaps and validate our secondary research. Industry experts were contacted for insights on the AMI emerging therapies, evolving treatment landscape, patient adherence to conventional therapies, therapy switching trends, drug adoption and uptake, accessibility challenges, and epidemiology and real-world prescription patterns in AMI, including MD, PhD, Instructor, Postdoctoral Researcher, Professor, Researcher, and others.
DelveInsight's analysts connected with 15+ KOLs to gather insights at the country level. Centers such as the Baylor Scott and White Research Institute in Dallas, Women's Hospital and Harvard Medical School, and Uppsala University, etc. were contacted. Their opinion helps understand and validate current and emerging AMI therapies, highlight unmet medical needs, provide epidemiological context, and support strategic decisions for market access, therapy adoption, and pipeline prioritization in AMI.
Qualitative Analysis: SWOT and Conjoint Analysis
We perform qualitative and market Intelligence analysis using various approaches, such as SWOT analysis and conjoint analysis.
In the SWOT analysis of AMI, strengths, weaknesses, opportunities, and threats in terms of disease diagnosis, patient awareness, patient burden, competitive landscape, cost-effectiveness, and geographical accessibility of therapies are provided.
Conjoint analysis analyzes emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. Scoring is given based on these parameters to analyze the effectiveness of therapy.
The team of analysts analyzes promising emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. In efficacy, the trial's primary and secondary outcome measures are evaluated, whereas the therapies' safety is evaluated, wherein the acceptability, tolerability, and adverse events are mainly observed. In addition, the scoring is also based on the route of administration, order of entry, probability of success, and the addressable patient pool for each therapy. According to these parameters, the final weightage score and the ranking of the emerging therapies are decided.
Market Insights
Continued emerging therapies will be provided in the final report.