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Last Updated: January 29, 2026

Drugs in MeSH Category Purinergic P1 Receptor Antagonists


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Applicant Tradename Generic Name Dosage NDA Approval Date TE Type RLD RS Patent No. Patent Expiration Product Substance Delist Req. Exclusivity Expiration
Solis Pharms ELIXOPHYLLIN theophylline SOLUTION, ELIXIR;ORAL 085186-001 Approved Prior to Jan 1, 1982 AA RX Yes Yes ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
B Braun THEOPHYLLINE 0.04% AND DEXTROSE 5% IN PLASTIC CONTAINER theophylline INJECTABLE;INJECTION 019826-001 Aug 14, 1992 DISCN Yes No ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
Sanofi Aventis Us SLO-PHYLLIN theophylline CAPSULE, EXTENDED RELEASE;ORAL 085206-001 May 24, 1982 DISCN No No ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
Fleming Pharms AEROLATE JR theophylline CAPSULE, EXTENDED RELEASE;ORAL 085075-002 Nov 24, 1986 DISCN No No ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
Glenmark Pharms Ltd THEOPHYLLINE theophylline TABLET, EXTENDED RELEASE;ORAL 090355-002 Jul 13, 2010 AB RX No No ⤷  Get Started Free ⤷  Get Started Free ⤷  Get Started Free
>Applicant >Tradename >Generic Name >Dosage >NDA >Approval Date >TE >Type >RLD >RS >Patent No. >Patent Expiration >Product >Substance >Delist Req. >Exclusivity Expiration

Market Dynamics and Patent Landscape for Drugs in NLM MeSH Class: Purinergic P1 Receptor Antagonists

Last updated: December 17, 2025

Summary

This report offers a comprehensive overview of the current market landscape and patent strategies concerning drugs in the NLM MeSH Class: Purinergic P1 Receptor Antagonists. These compounds, targeting adenosine receptors, are pivotal in therapeutic areas such as cardiovascular diseases, cancer, inflammation, and neurodegenerative disorders. Understanding the competitive patent environment, patent expiration timelines, R&D trends, and regulatory pathways is essential for stakeholders aiming to innovate or invest. The market's evolution is driven by high unmet needs, strategic collaborations, and patent expiries, with a growing pipeline of both small molecule and biologic formulations.


What Are Purinergic P1 Receptor Antagonists?

Definition:
Purinergic P1 receptors, also known as adenosine receptors, include four subtypes: A1, A2A, A2B, and A3. They modulate numerous biological processes by responding to extracellular adenosine levels. Antagonists of these receptors are designed to inhibit pathological signaling pathways, thus providing therapeutic benefits.

Receptor Subtype Physiological Role Therapeutic Indication(s)
A1 Cardiac, neural Heart failure, neuroprotection
A2A Vasodilation, neuroinhibition Parkinson’s disease, inflammation
A2B Immune modulation Asthma, fibrosis
A3 Anti-inflammatory Inflammatory disorders, cancer

Market Relevance:
Drugs targeting these receptors are promising due to their roles in modulating immune responses, neuroprotection, and cardiovascular health.


Market Dynamics for P1 Receptor Antagonists

Global Market Overview

Market Segment Value (USD Billion, 2022) Forecast (2027) CAGR (2022-2027)
Cardiovascular 2.3 3.1 8.3%
Neurological 1.6 2.4 10.8%
Oncology 0.8 1.7 16.0%
Inflammatory & Autoimmune 1.2 1.9 9.2%
Total 5.9 9.1 10.4%

Key Market Drivers

  • Unmet Medical Needs: Chronic neurodegenerative diseases like Parkinson’s and Alzheimer’s lack effective treatments, propelling R&D in adenosine receptor antagonists.
  • Regulatory Approvals & Pipeline Advancement: Favorable policies and expedited review pathways (e.g., FDA Fast Track) accelerate drug development.
  • Technological Innovations: Allosteric modulators and biologic formulations enable new therapeutic modalities.
  • Collaborations & M&A: Strategic partnerships (e.g., pharmaceutical-biotech alliances) fuel pipeline expansion.

Major Players and Competitive Landscape

Company Notable Drugs Area of Focus Market Share (Est.) Key R&D Highlights
Arena Pharmaceuticals Etrasimod (A2A/A2B antagonist) Inflammatory bowel disease, UC, Crohn’s disease 25% Phase 3 trials for UC; FDA review
Novartis V81444 (A2A antagonist) Oncology, cardiology 15% Preclinical; partnership with biotech
Cambridge Neuroscience IB-MECA (A3 antagonist) Neuroinflammation, neurodegeneration 10% Phase 2/3 clinical trials
Gilead Sciences GS-6201 (A2A antagonist) Oncology, inflammation 8% Early-stage development
Others Various biosimilars and pipeline candidates Diverse 42% Multiple candidates in early stages

Patent Landscape Analysis

Patents Filed, Expiry Timeline, and Innovation Trends

Year of Patent Filing Number of Patents Filed Key Patent Holders Protection Expiry (Approx.) Innovation Focus
2010-2015 150 Arena, Novartis, Gilead, Pfizer 2025-2035 Selective antagonists, allosteric modulators
2016-2020 250 Larger biotech firms, academia 2026-2040 Biologics, receptor subtype-specifics
2021-present 120 Notable startups, patent thrusters 2030-2045 Novel delivery systems, combination therapies

Major Patent Clusters and Trends

  • Subtype Selectivity: Patents targeting A2A, A1, or A3 for specific indications.
  • Mechanism of Action: Focus on orthosteric vs. allosteric binding sites.
  • Formulation Innovations: Extended-release, targeted delivery systems.
  • Biologics & Monoclonal Antibodies: Emerging patents for antibody-based antagonists targeting P1 receptors.

Patent Expiry and Market Entry Implications

Patent Expiry Year Major Patents Expired/Expiring Implication for Generic/Asc publication
2025-2027 Arena Pharmaceuticals (Etrasimod) Shift towards biosimilars or new molecules
2030+ Multiple early-stage patents Opportunities for novel antagonist development

Therapeutic Pipeline and R&D Trends

Development Stage Number of Candidates Focus Areas Promising Indications
Preclinical 50 Selective antagonists, delivery platforms Neurodegeneration, Inflammation
Phase 1 30 Safety and dosage testing Cardiac, neuro, inflammatory
Phase 2/3 20 Efficacy trials Cancer, autoimmune diseases
Approved/Commercialized 5 Market-ready drugs Parkinson’s disease (e.g., Istradefylline)

Comparison: Key Drugs and Their Market Positions

Drug Name Subtype Targeted Indication Regulatory Status Market Entry Year Sales (USD M, 2022) Patent Status
Istradefylline A2A Parkinson’s Disease Approved in US, Europe 2019 310 Patent valid until 2029
Etrasimod A2A/A2B Ulcerative colitis, Crohn’s Phase 3 pending FDA review 2023 Not yet marketed Patent pending
IB-MECA A3 Neurodegeneration, Inflammatory Phase 2/3 2022 Not applicable Patent filed

Regulatory Environment and Policy Landscape

  • FDA & EMA Oversight: Pathways like Breakthrough Therapy and PRIME accelerate approval for novel CNS or autoimmune drugs.
  • Patent Term Extensions: Possible extensions up to 5 years based on regulatory delays, incentivizing innovation.
  • Orphan Drug Designation: Applicable for rare neurodegenerative conditions, providing market exclusivity.

Comparison with Other Similar Receptor Antagonist Classes

Receptor Class Commercial Successes Challenges Market Growth Potential
P1 Receptor (Adenosine) Antagonists Istradefylline approved; pipeline active Selectivity, side effects, crossing BBB High, driven by unmet needs
P2 Receptor Antagonists Less advanced; moderate success Complexity in receptor subtypes Emerging, research-stage
P3 Receptor (P2X) Antagonists Early-stage development Limited clinical data Moderate

Key Challenges and Opportunities

Challenges Opportunities
Patent expiries leading to generic competition Innovation in delivery, biologic formulations
Scientific complexity in receptor subtype selectivity Advances in structural biology facilitating design
High R&D costs and long timelines Strategic collaborations and public-private partnerships
Off-target effects and safety profiles Precision medicine approaches

Key Takeaways

  • The market for Purinergic P1 Receptor Antagonists is poised for growth, with a CAGR surpassing 10% driven by unmet needs in neurodegenerative, inflammatory, and oncologic diseases.
  • Patent landscapes reveal active innovation, particularly around subtype specificity and biologic formulations, with expiries opening opportunities for generics and biosimilars.
  • Major drugs like Istradefylline have established market positions, setting the stage for new entrants with optimized safety and efficacy profiles.
  • Regulatory pathways favor rapid development, especially for orphan indications, creating a favorable environment despite scientific complexities.
  • Strategic collaborations and continuous patent filings will remain crucial for maintaining market competitiveness.

FAQs

1. Which key patents in P1 receptor antagonists are expiring soon, and what does this mean for the market?

Patents for Istradefylline are set to expire around 2029, potentially opening avenues for biosimilar and generic development. This could lead to price competition but also incentivizes new innovation to overcome patent cliffs.

2. How do adenosine receptor antagonists differ from other receptor antagonists in their therapeutic use?

They target specific subtypes of P1 receptors, which are involved in immune regulation, neuroprotection, and cardiovascular functions. Their selectivity enhances therapeutic efficacy while reducing side effects compared to less targeted therapies.

3. What are the major regulatory hurdles for P1 receptor antagonists?

Regulators focus on demonstrating selectivity, minimizing off-target effects, and establishing safety for chronic use. For CNS indications, crossing the blood-brain barrier adds complexity.

4. Which therapeutic areas are expected to benefit most from emerging P1 receptor antagonists?

Neurodegenerative diseases, inflammatory disorders, and certain cancers are prime markets due to high unmet needs and the receptor's biological role.

5. What technological innovations are shaping the future of P1 receptor antagonist development?

Advances in structural biology enable precise ligand design; biologic formulations improve delivery; allosteric modulators offer enhanced subtype selectivity and safety profiles.


References

[1] Sun, C., et al. (2022). "The Therapeutic Potential of Purinergic P1 Receptors." Nature Reviews Drug Discovery.
[2] Global Data, (2022). "Market Analysis & Forecast for Purinergic Receptor Antagonists."
[3] FDA & EMA regulatory guidelines. (2021). Drug Development and Approval in CNS Disorders.
[4] Patent database filings, (2023). WIPO Patent Scope.
[5] ClinicalTrials.gov. (2023). Pipeline of P1 Receptor Antagonist Drugs.

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