The HIV market continues to grow slowly but steadily in the US and EU thanks to increased testing, which has been facilitated by recent legislation (#msg-31419107), and new treatment guidelines that recommend an earlier start (#msg-33124429).
GILD’s Atripla/Truvada franchise continues to take market share from GSK’s ‡Epzicom/Kivexa, which is a now a very distant second among nucleoside backbones.
Here are data** on penetration and market share as provided by GILD on its 2Q09 CC:
US patients: All lines 188K on Atripla (33% share) 203K on Truvada (34% share) †20K on Viread (4% share) ==== 411K on tenofovir in some form (72% share) 158K on non-tenofovir regimens (28% share) ==== 569K total patients, +7% year-over-year, +1% quarter-over-quarter
US patients: First-line only Atripla or Truvada: 86% share (Atripla per se 54% share) ‡Epzicom: 4% share (down from 12% in early 2008)
*EU patients: All lines 277K total patients, +7% year-over-year, +1% quarter-over-quarter
*EU patients: First-line only Atripla or Truvada: 75% share in 2Q09 (up from 73% in 1Q09) ‡Kivexa: 10% share in 2Q09 (down from 16% in 2Q08)
*Top-5 EU countries: Germany, France, UK, Italy, Spain. **As of the end of 1Q09 unless otherwise specified. †Estimate by Dew. ‡Epzicom (US) and Kivexa (EU) are the same product: a combination of GSK’s Epivir and Ziagen.
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