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Last Updated: November 11, 2025

Drugs in ATC Class C10AB


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Market Dynamics and Patent Landscape for ATC Class C10AB - Fibrates

Last updated: July 28, 2025

Introduction

Fibrates, classified under ATC code C10AB, are a class of lipid-regulating agents primarily used to manage hypertriglyceridemia and mixed dyslipidemia. Their mechanism involves activating peroxisome proliferator-activated receptors (PPARs), leading to increased lipolysis and elimination of triglyceride-rich particles. Over the past decade, fibrates have experienced shifting market dynamics influenced by evolving clinical evidence, the introduction of novel therapies, and a complex patent landscape. This article assesses current market trends and the patent file for C10AB fibrates, providing actionable insights for industry stakeholders.


Market Overview and Trends

Global Market Size and Growth

The global fibrate market was valued at approximately USD 1.2 billion in 2022, with projections estimating a compounded annual growth rate (CAGR) of around 4-5% through 2028 ([1]). Growth drivers include increasing prevalence of cardiovascular diseases (CVD), dyslipidemia, and metabolic syndrome—conditions linked to abnormal lipid profiles. Developed markets such as North America and Europe dominate demand, while emerging economies exhibit rapid growth potential, driven by rising healthcare infrastructure and awareness.

Key Market Players

Major pharmaceutical companies involved in fibrate production include AbbVie (Tricor), Takeda (Lipidil), and Mylan (Fenoglide), alongside generics producers. The market landscape is characterized by both branded formulations and a proliferation of generic versions post-patent expiry. The entry of generics has intensified price competition, impacting profit margins for original innovator firms.

Therapeutic Positioning and Clinical Trends

While fibrates are effective in reducing triglycerides and increasing HDL cholesterol, their role as monotherapy has somewhat declined in favor of newer agents, such as PCSK9 inhibitors and omega-3 fatty acid derivatives. Nonetheless, fibrates remain essential in combination therapies, especially for patients with mixed dyslipidemia.

Ongoing clinical trials, such as the PROMINENT trial evaluating pemafibrate—a selective PPARα modulator—aim to optimize fibrate pharmacology and expand indications. These developments could reshape market share dynamics in the coming years.


Regulatory and Reimbursement Landscape

Regulatory Approvals

Most fibrates have long-standing approval statuses in major markets, though some have experienced regulatory reassessment due to safety concerns, notably regarding their association with increased adverse cardiovascular events when combined with statins ([2]). Pemafibrate (selective PPARα modulator), developed by Kowa, received regulatory approval in Japan in 2018, with potential expansion to other regions pending trial outcomes.

Reimbursement Challenges

Reimbursement policies are influenced by clinical efficacy, safety profile, and cost-effectiveness. Discrepancies in reimbursement rates across regions affect market penetration, especially for newer agents like pemafibrate. Governments are increasingly emphasizing evidence-based prescribing, heightening the importance of demonstrating added therapeutic value.


Patent Landscape for C10AB Fibrates

Patent Life Cycle and Expirations

Innovator patents for key fibrates such as fenofibrate and ciprofibrate have largely eroded in major markets, opening opportunities for generic formulations. For instance, the basic patents protecting fenofibrate in the US and Europe expired around 2013-2015 ([3]). This patent expiration catalyzed a surge of generic entrants, driving down prices and expanding access.

Patent Extensions and Formulation Patents

Innovators have pursued secondary patents related to formulations, controlled-release mechanisms, and specific manufacturing processes. These patents can extend commercial exclusivity—for example, the patent on Fenoglide's controlled-release formulation was granted until 2022 in the US ([4]). Such patents, however, are increasingly scrutinized for patent thickets that may stifle generic entry.

Patent Litigation and Freedom-to-Operate (FTO) Considerations

Legal disputes over patent validity and infringement claims are prevalent in this space. For example, generic companies have challenged various formulation patents, aiming to accelerate market entry post-expiration of basic patents. FTO analyses are critical for new entrants seeking to develop biosimilar equivalents or novel derivatives, as the patent landscape is highly fragmented with overlapping rights.

Emerging Patent Opportunities

The development pipeline indicates ongoing innovation focusing on selective PPARα modulators, combination therapies, and novel delivery systems. Pemafibrate's patent protection extends into the late 2020s globally, covering its chemical composition, manufacturing, and therapeutic use. Such patents signal sustained commercial interest and potential for market renewal.


Competitive Dynamics and Future Outlook

The fibrate segment is witnessing heightened competition from novel therapies targeting lipid modulation. The entrance of pemafibrate and other selective PPARα modulators signals a shift towards more targeted, safer, and efficacious options. While patent protections for existing fibrates are receding, innovation in formulation and mechanism continues to command patent filings and strategic patenting activities.

Market growth will thus hinge on multiple factors: regulatory approvals for new molecules, reimbursement policies, safety profiles, and the ability of patent holders to defend their intellectual property. Synthesizing clinical validation with strategic patent management will be key for maintaining market competitiveness.


Conclusion

The ATC class C10AB fibrates remains a critical component of lipid management, especially in patients with hypertriglyceridemia and mixed dyslipidemia. Despite patent expirations facilitating generic proliferation, ongoing innovation—particularly through selective PPARα modulators like pemafibrate—sustains retained market interest. The patent landscape is characterized by a mix of primary patents, secondary formulation patents, and ongoing legal challenges, which collectively influence market exclusivity and competition.

Strategic considerations for industry stakeholders include vigilant monitoring of patent expiry timelines, opportunities for incremental innovation, and aligning clinical development with evolving regulatory and reimbursement environments.


Key Takeaways

  • The fibrate market is growing at a moderate pace, driven by rising cardiovascular risk factors globally; generics have exerted downward price pressure post-patent expiry.

  • Innovation continues in the form of selective PPARα modulators (e.g., pemafibrate), which offer potential for differentiated therapeutic profiles and patent protection.

  • Patent landscapes are dynamic, with expirations enabling generics but also with secondary patents extending exclusivity.

  • Regulatory and reimbursement challenges hinge on demonstrating safety and efficacy, especially given prior safety concerns.

  • A strategic focus on patent management, clinical validation, and positioning within combination therapies will be pivotal for future market success.


FAQs

1. How have patent expirations impacted the fibrate market?
Patents for fenofibrate and similar drugs expired circa 2013-2015, leading to an influx of generic competitors and reduced drug prices, which increased access but pressured profit margins for branded firms.

2. What is the significance of pemafibrate in the current landscape?
Pemafibrate, a selective PPARα modulator approved in Japan, represents a potential blockbustertype innovation, with patent protection extending into the late 2020s and promising improved efficacy and safety profiles.

3. Are there ongoing legal disputes concerning fibrate patents?
Yes. Generic manufacturers often challenge formulation patents and secondary patents, while patent holders defend their rights through litigation, influencing market entry timing.

4. How do regulatory agencies influence fibrate patent strategy?
Regulatory agencies may revoke or restrict approval for drugs with safety concerns, prompting patent holders to innovate or reformulate to extend patent life or differentiate their products.

5. What future innovations could reshape the fibrate patent landscape?
Next-generation selective PPAR modulators, combination compounds, and advanced delivery systems are areas ripe for patent applications, potentially redefining market dynamics.


References

[1] Market Data Forecast, “Global Fibrate Market Size & Trends,” 2022.
[2] FDA Drug Safety Communications, 2014.
[3] European Patent Office, Patent Status Reports on Fenofibrate, 2015.
[4] US Patent and Trademark Office, Patent for Fenoglide Controlled-Release Formulation, 2021.

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