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Annual Report 2003 Aventis - Sanofi

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Sales and Marketing<br />

The Power of Evidence-Based Medicine<br />

Having recently joined the elite club of blockbuster<br />

pharmaceutical products with sales of more<br />

than e 1 billion, Delix / Tritace (rampiril), is a fi ne example<br />

of how clinical superiority is driving sales<br />

and market share growth. Now the leading angiotensin<br />

converting enzyme (ACE) inhibitor for the<br />

prevention and treatment of cardiovascular disease,<br />

Delix / Tritace has been going from strength to<br />

strength since that pivotal moment in 1999 when<br />

the results of a landmark study were published in<br />

the New England Journal of Medicine.<br />

The results of the HOPE (Heart Outcomes Prevention<br />

Evaluation) study demonstrated a 22 % reduction<br />

in the risk of cardiovascular deaths, myocardial<br />

infarction and stroke in at-risk patients. The<br />

fi ndings were so remarkable that it was considered<br />

unethical to proceed with the placebo arm of the trial.<br />

Since 1999, many countries have received regulatory<br />

approval for a new indication to support the<br />

use of Delix / Tritace not only for the treatment of hypertension<br />

but also for the prevention of cardiovascular<br />

events in patients at high risk. The efforts of<br />

the cross-functional MAX team to leverage the product’s<br />

outstanding properties have been fundamental<br />

in helping Delix / Tritace achieve its vast potential.<br />

The performance of the drug in Canada, where<br />

it is sold under the brand name Altace, is a case in<br />

point.<br />

By maximizing awareness of the HOPE trial and<br />

the importance of managing patients at increased<br />

risk of cardiovascular events, Canada successfully<br />

grew the ACE (inhibitor) prevention market and<br />

clearly positioned the product as the gold standard.<br />

Delix / Tritace moved from 9 % market share in 1999<br />

to 43 % in <strong>2003</strong>. Physicians in Canada now treat<br />

their patients earlier and more aggressively to prevent<br />

heart attacks, stroke and death, having moved<br />

treatment objectives from mere blood pressure control<br />

to prevention.<br />

Delix / Tritace has become the market leader in<br />

its class and is today the most prescribed cardiovascular<br />

agent and the third most prescribed product<br />

in the Canadian pharmaceutical market. According<br />

>> 32

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