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시장보고서
상품코드
2082873
급성 관상동맥 증후군 : 시장 인사이트, 역학 및 시장 예측(2036년)Acute Coronary Syndrome - Market Insight, Epidemiology, and Market Forecast - 2036 |
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DelveInsight
G7 국가들의 급성 관상동맥 증후군(ACS) 시장 규모 및 전망
급성 관상동맥 증후군(ACS) 시장 보고서는 표준 치료, 임상 실무, 진화하는 치료 알고리즘을 포함하여 현재 시장 상황에 대한 종합적인 분석을 제공합니다. 본 보고서에서는 ACS 환자의 부담 동향, 수익 및 시장 점유율 동향, 피크 시기의 환자 점유율 및 치료 도입 현황에 대한 분석을 평가함과 동시에, 전 세계 각 지역의 상세한 시장 규모 평가 및 성장률 예측(과거 데이터 및 2022-2036년 예측)을 제공합니다. 본 보고서에서는 급성 관상동맥 증후군(ACS) 분야의 주요 미충족 요구 사항에 초점을 맞추어, 경쟁 구도와 임상 상황을 분석함으로써 고부가가치의 성장 기회를 도출하고, 향후 시장 성장 가능성에 대한 명확한 전망을 제시하고 있습니다.
ACS 발병률의 증가
고령화 및 생활 습관과 관련된 위험 요인의 증가에 힘입어 급성 관상동맥 증후군(ACS) 환자 수가 증가하고 있는 것이 시장 성장을 뒷받침하는 주요 요인으로 작용하고 있습니다. 미국에서는 2025년에 약 130만 건의 ACS 신규 사례가 보고될 것으로 예상되며, 2036년까지 그 수가 더욱 증가할 것으로 전망됩니다.
표적형 생물학적 제제 및 JAK 억제제 분야의 기회 확대
ACS의 새로운 치료법은 염증을 표적으로 하는 접근법과 최적화된 항혈전 전략으로 전환되고 있으며, 출혈 위험을 관리하면서 치료 성과를 향상시키고 있습니다. 콜히친이나 치카그레롤과 같은 첨단 P2Y12 억제제 같은 약물은 혁신의 진전을 여실히 보여주고 있습니다. 이에 따라 제약 기업들은 ACS 관리에 있어 염증 경로, 혈소판 억제, 그리고 보다 안전한 항응고 요법에 주력할 기회가 생기고 있습니다.
급성 관상동맥 증후군(ACS)의 개요와 진단
급성 관상동맥 증후군(ACS)은 심장으로 가는 혈류가 갑자기 감소하거나 차단됨으로써 발생하는 일련의 질환군입니다. 여기에는 불안정 협심증, 비-ST 상승형 심근경색(NSTEMI), 그리고 ST 상승형 심근경색(STEMI)이 포함되며, 중증도는 다양합니다. ACS에서는 일반적으로 흉통이나 불편감이 나타나지만, 증상은 환자마다 다를 수 있습니다. 가슴 통증이나 불편감은 ACS와 같은 심장 문제를 나타내는 바로 직전의 징후입니다. ACS로 인한 흉통은 심장마비 때처럼 갑자기 나타날 수 있습니다. 또한, 통증이 예측할 수 없거나, 안정을 취해도 악화되는 경우도 있는데, 이 모든 것이 불안정 협심증의 전형적인 증상입니다. 동맥 내에 장기간에 걸쳐 콜레스테롤이 축적되어 심장으로 가는 혈류가 감소한 결과, 만성적인 흉통을 겪고 있는 사람이라도, 플라크가 쌓인 부위에 혈전이 형성되면 급성 관상동맥 증후군(ACS)이 발생할 가능성이 있습니다. ACS는 주로 관상동맥 내 플라크의 파열과 혈전 형성에 의해 유발됩니다. 위험 요인으로는 고혈압, 당뇨병, 흡연, 비만, 운동 부족 등이 있습니다. 이 질환은 고령자나 남성에게서 흔히 나타나지만, 여성의 발병률도 증가하는 추세입니다.
급성 관상동맥 증후군(ACS)의 진단
ACS 진단은 임상 평가, 심전도(ECG) 및 심장 바이오마커를 종합하여 이루어집니다. 환자의 흉통, 호흡곤란, 방사통 등의 증상에 대한 평가가 이루어집니다. ST 부문의 상승이나 하강 등의 변화를 확인하기 위해 즉시 심전도 검사가 실시됩니다. 심근 손상을 확인하기 위해 심장 바이오마커, 특히 트로포닌을 측정합니다. 진단을 확정하기 위해서는 지속적인 검사가 필요한 경우가 많습니다. 심장 기능을 평가하고 폐색 부위를 파악하기 위해 심장초음파 검사나 관상동맥 조영술 등의 추가 검사가 시행되기도 합니다. 조기 및 정확한 진단은 적시 치료를 이끌어내고 예후를 개선하는 데 매우 중요합니다.
급성 관상동맥 증후군(ACS)의 치료
ACS 치료는 혈류 회복, 증상 완화 및 합병증 예방에 중점을 둡니다. 초기 치료에는 항혈소판제, 항응고제, 질산염, 베타 차단제, 스타틴 등이 포함됩니다. 특히 중증 환자의 경우, 재관류 요법이 매우 중요하며, 폐색된 동맥을 재개통시키기 위해 경피적 관상동맥 중재술(PCI)이나 혈전용해 요법이 시행되는 경우가 있습니다. 필요에 따라 산소 투여나 진통 처치도 이루어집니다. 장기적인 관리에는 재발 위험을 줄이고 생존율을 높이는 것을 목적으로 하는 생활 습관 개선, 심장 재활, 그리고 지속적인 약물 요법이 포함됩니다.
급성 관상동맥 증후군(ACS)의 역학적 분석 및 예측에 관한 주요 조사 결과
ACS 치료는 신속한 진단과 개입을 통해 증상 완화, 혈전 형성 방지, 심근 관류 회복, 심근경색 범위 억제 및 합병증 예방에 중점을 둔 응급 의료입니다. 치료에는 일반적으로 혈관 재건술(PCI, CABG 또는 섬유소 용해 요법)과 약물 요법을 병행합니다. 주요 약물군에는 항혈소판제, 항응고제, 베타 차단제, 질산염계 약물, 스타틴, ACE 억제제/ARB, 칼슘 채널 차단제가 포함되며, 이들이 복합적으로 작용하여 사망률, 재발성 허혈성 사건 및 심장에 가해지는 부하를 감소시킵니다. TIMI 점수나 GRACE 점수 등의 위험도 분류 도구는 항혈전 요법이나 고용량 스타틴을 포함한 치료 시작의 지침이 됩니다. 또한, 심부전이나 고혈압을 동반한 심근경색(MI) 후 환자에게는 에프레레논(INSPRA) 등의 약물이 보조적으로 사용됩니다. 특히, 사노피와 브리스톨-마이어스 스퀴브가 개발한 프라빅스는 2017년 미국 식품의약국(FDA)으로부터 ST 상승형 심근경색(STEMI) 환자의 사망률 및 심혈관 사건 재발을 감소시키는 적응증 확대 승인을 받아, 급성 관상동맥 증후군(ACS) 관리에서 그 핵심적인 역할이 한층 더 강화되었습니다.
새로운 관점에서 볼 때, ACS 관리는 기존의 항혈전제를 넘어, 표적을 좁힌 예방 전략으로 전환되고 있습니다. 치카그레롤이나 프라빅스와 같은 표준 치료제가 여전히 중심적인 위치를 차지하고 있지만, LODOCO와 같은 새로운 접근 방식은 잔존 심혈관 위험 감소에 있어 염증 조절의 역할을 부각시키고 있습니다. 맞춤형 치료와 새로운 신호 전달 경로(예 : 제11인자나 혈소판 신호 전달)에 대한 관심이 높아짐에 따라, 더 안전하고 효과적인 급성 관상동맥 증후군(ACS) 치료의 기회가 생겨나고 있습니다.
전반적으로, 동종 최초의 치료법 등장, 진단 기법의 발전, 그리고 질환에 대한 인식 제고에 힘입어 2022년부터 2036년까지 주요 7개국 규모의 ACS 시장은 꾸준한 성장을 이룰 것으로 예상되며, 이는 이미 출시된 제품과 개발 중인 파이프라인 모두에 큰 상업적 영향을 미칠 것으로 전망됩니다.
Acute Coronary Syndrome (ACS) Market Size and Forecast in the 7MM
DelveInsight's 'Acute Coronary Syndrome (ACS) - Market Insights, Epidemiology and Market Forecast - 2036' report delivers an in-depth understanding of the ACS, historical and forecasted epidemiology, as well as the ACS market trends in the United States, EU4 (Germany, Spain, Italy, and France) and the United Kingdom, and Japan.
The Acute Coronary Syndrome (ACS) market report delivers a comprehensive analysis of the current treatment landscape, including standards of care, clinical practices, and evolving therapeutic algorithms. It evaluates ACS 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 Acute Coronary Syndrome (ACS) 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 Coronary Syndrome (ACS) Market
Rising ACS incidence
The increasing incidence of ACS, driven by aging populations and rising lifestyle-related risk factors, is a key factor supporting market growth. In the US, there were ~1.3 million incident cases of ACS in 2025, which are expected to increase further by 2036.
Rising Opportunities in Targeted Biologics and JAK Inhibitors
Emerging therapies in ACS are shifting toward inflammation targeting and optimized antithrombotic strategies, offering improved outcomes with controlled bleeding risk. Agents like Colchicine and advanced P2Y12 inhibitors such as Ticagrelor highlight growing innovation. This creates opportunities for drug developers to focus on inflammatory pathways, platelet inhibition, and safer anticoagulation approaches in ACS management.
Emerging ACS Competitive Landscape
Some of the ACS drugs in clinical trials include Selatogrel, FDY-5301, Ziltivekimab, and others.
Acute Coronary Syndrome (ACS) Overview and Diagnosis
Acute Coronary Syndrome (ACS) is a group of conditions caused by a sudden reduction or blockage of blood flow to the heart. It includes unstable angina, NSTEMI, and STEMI, representing varying degrees of severity. ACS commonly presents with chest pain or discomfort, though symptoms can differ across patients. Chest pain or discomfort is the immediate signal for heart problems like ACS. Chest pain caused by ACS can come on suddenly, as is the case with a heart attack. Other times, the pain can be unpredictable or get worse even with rest-both hallmark symptoms of unstable angina. People who experience chronic chest pain resulting from decreased blood flow to the heart due to years of cholesterol buildup in their arteries can develop ACS if a blood clot forms on top of the plaque buildup. It is primarily triggered by plaque rupture and clot formation in the coronary arteries. Risk factors include hypertension, diabetes, smoking, obesity, and a sedentary lifestyle. The condition is more common in older adults and men, though the incidence in women is rising.
Acute Coronary Syndrome (ACS) Diagnosis
Diagnosis of ACS is based on a combination of clinical evaluation, electrocardiogram (ECG), and cardiac biomarkers. Patients are assessed for symptoms such as chest pain, shortness of breath, and radiating discomfort. ECG is performed immediately to identify changes such as ST-segment elevation or depression. Cardiac biomarkers, particularly troponins, are measured to detect heart muscle damage. Serial testing is often required to confirm a diagnosis. Additional tools such as echocardiography or coronary angiography may be used to assess heart function and identify the site of blockage. Early and accurate diagnosis is critical to guide timely treatment and improve outcomes.
Acute Coronary Syndrome (ACS) Treatment
Treatment of ACS focuses on restoring blood flow, relieving symptoms, and preventing complications. Initial management includes antiplatelet agents, anticoagulants, nitrates, beta-blockers, and statins. Reperfusion therapy is critical, especially in severe cases, and may involve percutaneous coronary intervention (PCI) or thrombolytic therapy to reopen blocked arteries. Oxygen and pain relief may also be provided as needed. Long-term management includes lifestyle modification, cardiac rehabilitation, and continued pharmacotherapy to reduce the risk of recurrence and improve survival.
Acute Coronary Syndrome (ACS) Unmet Needs
The section "unmet needs of Acute Coronary Syndrome (ACS)" 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.
Comprehensive unmet needs insights in Acute Coronary Syndrome (ACS) and their strategic implications are provided in the full report.
Key Findings from Acute Coronary Syndrome (ACS) Epidemiological Analysis and Forecast
Acute Coronary Syndrome (ACS) Drug Chapters & Competitive Analysis
The ACS 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 ACS treatment landscape, supporting market assessment, competitive analysis, and growth forecasting for the ACS therapeutics market.
Approved Therapies for Acute Coronary Syndrome (ACS)
Colchicine (LODOCO): AGEPHA Pharma
Colchicine has emerged as a key therapy in cardiovascular inflammation, transitioning from its traditional use in gout to reducing recurrent pericarditis and major adverse cardiovascular events (MACE). Its action involves inhibition of B-tubulin polymerization, thereby suppressing neutrophil activation and inflammasome signaling, leading to reduced inflammation markers such as hs-CRP. In June 2023, the US Food and Drug Administration approved LODOCO as the first targeted anti-inflammatory therapy for atherosclerotic cardiovascular disease. Developed by AGEPHA Pharma, it demonstrated a ~31% reduction in cardiovascular events versus placebo and became available for prescription in the second half of 2023.
Acute Coronary Syndrome (ACS) 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 AMI in 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.
Acute Coronary Syndrome (ACS) Key Players, Market Leaders, and Emerging Companies
Acute Coronary Syndrome (ACS) Drug Updates
Drug Class Insights
The treatment of ACS is a medical emergency focused on relieving symptoms, interrupting thrombosis, restoring myocardial perfusion, limiting infarct size, and preventing complications through rapid diagnosis and intervention. Management typically involves a combination of revascularization procedures (PCI, CABG, or fibrinolysis) and pharmacologic therapy. Core drug classes include antiplatelets, anticoagulants, beta-blockers, nitrates, statins, ACE inhibitors/ARBs, and calcium channel blockers, which together reduce mortality, recurrent ischemic events, and cardiac workload. Risk stratification tools such as TIMI and GRACE scores guide treatment initiation, including antithrombotic therapy and high-intensity statins. In addition, agents like Eplerenone (INSPRA) are used adjunctively in post-MI patients with heart failure or hypertension. Notably, Plavix, developed by Sanofi and Bristol Myers Squibb, received expanded approval from the US Food and Drug Administration in 2017 for reducing mortality and recurrent cardiovascular events in STEMI patients, reinforcing its central role in ACS management.
From an emerging perspective, ACS management is shifting toward targeted and preventive strategies beyond traditional antithrombotics. While standard agents like Ticagrelor and Plavix remain central, newer approaches such as LODOCO highlight the role of inflammation control in reducing residual cardiovascular risk. Increasing emphasis on personalized therapy and novel pathways (e.g., factor XI and platelet signaling) is creating opportunities for safer and more effective ACS treatment.
Overall, the launch of first-in-class therapies, improved diagnostic approaches, and increasing disease awareness are expected to drive steady growth in the 7MM ACS market from 2022-2036, with strong commercial implications for both marketed products and emerging pipelines.
Drug Class/Insights into Leading Emerging and Marketed Therapies in Acute Coronary Syndrome (ACS) (2022-2036 Forecast)
The ACS market is primarily driven by antithrombotic agents, lipid-lowering therapies, and emerging anti-inflammatory approaches, each targeting key pathways such as platelet activation, thrombin generation, lipid metabolism, and vascular inflammation underlying atherosclerotic events.
Acute Coronary Syndrome (ACS) 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 ACS market's uptake by drugs, patient uptake by therapy, and sales of each drug.
The uptake of therapies in ACS is expected to vary across anti-inflammatory agents, novel antiplatelet agents, metabolic therapies, and emerging regenerative approaches. Recently approved or emerging therapies such as LODOCO (colchicine) are expected to demonstrate moderate uptake, driven by their novel inflammation-targeting mechanism and proven reduction in cardiovascular events, while fast-acting agents like Selatogrel and Zalunfiban are anticipated to show rapid uptake, supported by their potential for early intervention and improved acute management outcomes.
In comparison, combination and regenerative approaches such as Dutogliptin + Filgrastim are expected to exhibit moderate but gradual uptake as clinical evidence evolves, while novel candidates like FDY-5301 may experience faster adoption, contingent on favorable efficacy and safety outcomes. Overall, adoption trends are likely to be driven by the need to address residual cardiovascular risk, improve early intervention, and complement existing standard-of-care therapies in ACS.
Acute Coronary Syndrome (ACS) Therapies Price Scenario & Trends
Pricing and analogue assessment of ACS therapies highlights 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.
Agepha Pharma announced FDA approval of LODOCO (colchicine) as an anti-inflammatory atheroprotective cardiovascular treatment demonstrated to reduce the risk of myocardial infarction, stroke, coronary revascularization, and cardiovascular death in adult patients with established atherosclerotic disease or with multiple risk factors for cardiovascular disease. LODOCO 0.5mg tablet cost per day is USD 495. This results in an annual cost of USD 5,940.
Further details are provided in the final report....
Industry Experts and Physician Views for Acute Coronary Syndrome (ACS)
To keep up with ACS 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 ACS 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 ACS, including MD, PhD, Instructor, Postdoctoral Researcher, Professor, Researcher, and others.
DelveInsight's analysts connected with 10+ KOLs to gather insights; however, interviews were conducted with 6+ KOLs in the 7MM. Centers such as the University School of Medicine in Atlanta, the Berlin Institute of Health at Charite, and the University of Nottingham, etc. were contacted. Their opinion helps understand and validate current and emerging ACS therapies, highlight unmet medical needs, provide epidemiological context, and support strategic decisions for market access, therapy adoption, and pipeline prioritization in ACS.
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 Acute Coronary Syndrome (ACS), 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