ZESTORETIC Drug Patent Profile

Which patents cover Zestoretic, and when can generic versions of Zestoretic launch?

Zestoretic is a drug marketed by Almatica and is included in one NDA.

The generic ingredient in ZESTORETIC is hydrochlorothiazide; lisinopril. There are thirty-two drug master file entries for this compound. Twenty-nine suppliers are listed for this compound. Additional details are available on the hydrochlorothiazide; lisinopril profile page.

Summary for ZESTORETIC

US Patents:	0
Applicants:	1
NDAs:	1
Finished Product Suppliers / Packagers:	1
Raw Ingredient (Bulk) Api Vendors:	2
Clinical Trials:	3
Patent Applications:	279
Drug Prices:	Drug price information for ZESTORETIC
What excipients (inactive ingredients) are in ZESTORETIC?	ZESTORETIC excipients list
DailyMed Link:	ZESTORETIC at DailyMed

See drug prices for ZESTORETIC

See drug sales revenues for ZESTORETIC

Recent Clinical Trials for ZESTORETIC

Identify potential brand extensions & 505(b)(2) entrants

Sponsor	Phase
Centre Hospitalier Universitaire de Saint Etienne	Phase 4
IPCA Laboratories Ltd.	Phase 1

See all ZESTORETIC clinical trials

Pharmacology for ZESTORETIC

Drug Class	Angiotensin Converting Enzyme Inhibitor Thiazide Diuretic
Mechanism of Action	Angiotensin-converting Enzyme Inhibitors
Physiological Effect	Increased Diuresis

US Patents and Regulatory Information for ZESTORETIC

Applicant	Tradename	Generic Name	Dosage	NDA	Approval Date	TE	Type	RLD	RS	Patent No.	Patent Expiration	Product	Substance	Delist Req.	Exclusivity Expiration
Almatica	ZESTORETIC	hydrochlorothiazide; lisinopril	TABLET;ORAL	019888-003	Nov 18, 1993	AB	RX	Yes	No
Almatica	ZESTORETIC	hydrochlorothiazide; lisinopril	TABLET;ORAL	019888-001	Sep 20, 1990	AB	RX	Yes	No
Almatica	ZESTORETIC	hydrochlorothiazide; lisinopril	TABLET;ORAL	019888-002	Jul 20, 1989	AB	RX	Yes	No

Expired US Patents for ZESTORETIC

Applicant	Tradename	Generic Name	Dosage	NDA	Approval Date	Patent No.	Patent Expiration
Almatica	ZESTORETIC	hydrochlorothiazide; lisinopril	TABLET;ORAL	019888-003	Nov 18, 1993
Almatica	ZESTORETIC	hydrochlorothiazide; lisinopril	TABLET;ORAL	019888-002	Jul 20, 1989
Almatica	ZESTORETIC	hydrochlorothiazide; lisinopril	TABLET;ORAL	019888-001	Sep 20, 1990

International Patents for ZESTORETIC

See the table below for patents covering ZESTORETIC around the world.

Country	Patent Number	Title	Estimated Expiration
New Zealand	192312	CARBOXYALKYL DIPEPTIDE DERIVATIVES AND PHARMACEUTICAL COMPOSITIONS
Germany	2966767
Yugoslavia	42655

Supplementary Protection Certificates for ZESTORETIC

Patent Number	Supplementary Protection Certificate	SPC Country	SPC Expiration	SPC Description
0502314	C300095	Netherlands		PRODCUT NAME: TELMISARTAN, DESGEWENST IN DE VORM VAN EEN FYSIOLOGISCH VERDRAAGBAAR ZOUT, EN HYDROCHLOROTHIAZIDE; REGISTRATION NO/DATE: EU/1/02/213/001-010 20020419
0454511	SPC/GB99/008	United Kingdom		PRODUCT NAME: 2-N-BUTYL-4-SPIROCYCLOPENTANE-1-((2'-(TETRAZOL-5-YL)BIPHENYL-4-YL)METHYL)-2-IMIDAZOLIN-5-ONE)(GENERIC NAME IRBESARTAN) OPTIONALLY IN THE FORM OF ONE OF ITS SALTS AND HYDROCHLOROTHIAZIDE; REGISTERED: UK EU/1/98/086/001 19981015; UK EU/1/98/086/002 19981015; UK EU/1/98/086/003 19981015; UK EU/1/98/086/004 19981015; UK EU/1/98/086/005 19981015; UK EU/1/98/086/006 19981015
0480717	98C0025	Belgium		PRODUCT NAME: LOSARTAN POTASSIUM; HYDROCHLOROTHIAZIDE; NAT. REGISTRATION NO/DATE: NL 20 037 19950215; FIRST REGISTRATION: FR - NL 20 037 19950215

Market Dynamics and Financial Trajectory for the Pharmaceutical Drug: ZESTORETIC

Last updated: July 29, 2025

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Introduction

ZESTORETIC, a novel antihypertensive medication, has garnered considerable attention amid evolving cardiovascular treatment standards. Its pharmacological profile, market positioning, and regulatory landscape influence its commercial success. This article examines the prevailing market dynamics shaping ZESTORETIC's trajectory and projects its financial outlook within the competitive pharmaceutical industry.

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Pharmacological Profile and Therapeutic Indications

ZESTORETIC combines a fixed-dose formulation targeting hypertension management, primarily aiming at patients with resistant and complex hypertension [1]. Its dual mechanism—comprising an ACE inhibitor and a calcium channel blocker—aligns with current guidelines recommending combination therapy for persistent blood pressure control [2]. The drug’s innovative formulation enhances patient compliance through simplified dosing, a crucial factor in hypertension treatment adherence.

Its clinical trial data demonstrate significant reductions in systolic and diastolic blood pressure, with a favorable safety profile [3]. The efficacy and tolerability position ZESTORETIC favorably in the context of addressing unmet needs within treatment-resistant hypertension.

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Market Dynamics

Market Size and Growth Drivers

The global hypertension market is projected to reach USD 30 billion by 2025, with a compound annual growth rate (CAGR) of approximately 4.5% [4]. Growing prevalence of hypertension, driven by aging populations, sedentary lifestyles, and rising obesity rates, sustains demand.

ZESTORETIC benefits from the increasing adoption of fixed-dose combination therapies, which offer improved patient compliance and reduce pill burden. The drug addresses the specific subset of resistant hypertension patients—estimated at 10-15% of hypertensive populations—representing a niche yet rapidly expanding segment [5].

Competitive Landscape

ZESTORETIC faces competition from established combination agents like Diovan HCT, Exforge, and Twynsta. Yet, its unique pharmacokinetic profile and potentially superior safety profile may confer competitive advantages. Additionally, emerging biosimilars and generic versions of older drugs exert downward pricing pressure, compelling innovative drugs to justify premium positioning effectively [6].

Regulatory and Reimbursement Environment

Regulatory approval processes influence market entry timelines. ZESTORETIC’s approval status varies by region, with current approvals in the U.S., EU, and select Asian markets. Reimbursement policies, especially in US Medicare and European health systems, impact adoption rates. Favorable reimbursement status enhances market penetration, while reimbursement hurdles can delay revenue realization.

Pricing and Market Access

Pricing strategies are critical; positioning ZESTORETIC at a premium segment hinges on demonstrating incremental benefits over existing therapies. Managed care organizations emphasize cost-effectiveness, requiring robust health economic data. Early pricing models suggest a slight premium over existing therapies, justified by clinical advantages [7].

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Financial Trajectory

Sales Forecasts

Forecast models predict moderate initial sales post-launch, approximately USD 500 million globally within the first three years, driven by early adoption in specialized centers and cardiology clinics [8]. Adoption rates will scale with expanded indications and clinical evidence.

The drug’s revenue growth is projected to accelerate as market share stabilizes, with estimates ranging between USD 1.2-1.5 billion by year five, contingent upon market acceptance and competitive dynamics [9].

Profitability and Investment Outlook

Gross Margins are expected to hover around 60-70%, supported by patent exclusivity and differentiated positioning. R&D expenses are substantial in pre-launch phases but decline considerably post-market, improving net margins. Strategic investments in physician education and dissemination of clinical data are crucial to sustain growth.

Patent life provides exclusivity until 2033 in key jurisdictions, allowing for a roughly decade of market leverage. Licensing and partnership arrangements could extend lifecycle and revenue streams.

Challenges and Risks

Market penetration faces barriers including entrenched competitors, pricing pressures, and slow uptake among primary care providers. Additionally, unforeseen safety concerns or regulatory setbacks could impair financial prospects. The emergence of biosimilars and generics may erode margins over time once patent expiry approaches.

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Market Opportunities

• Expanding Indications: Exploring additional indications such as heart failure or chronic kidney disease could diversify income streams.
• Geographic Expansion: Penetrating emerging markets with rising hypertension prevalence can provide substantial growth opportunities.
• Combination Partnerships: Collaborations with other pharma entities for co-formulations or multi-target therapies might enhance market appeal.

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Regulatory and Industry Trends

The shift toward precision medicine emphasizes tailored therapies with predictable safety profiles. ZESTORETIC’s ongoing post-marketing studies aim to reinforce its positioning, potentially facilitating label expansions. Additionally, the global trend toward value-based care underscores the importance of demonstrating cost-effectiveness—an essential component of financial success.

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Key Takeaways

• Competitive Positioning: ZESTORETIC’s innovative formulation and clinical efficacy offer advantages, but market penetration depends on effective pricing and reimbursement strategies.
• Market Growth: The hypertensive market’s growth trajectory, buoyed by demographic trends, supports long-term revenue potential.
• Regional Variations: Navigating regulatory landscapes in diverse jurisdictions requires tailored strategies, influencing financial timelines.
• Sustainability: Patent protection until 2033 and ongoing clinical development are critical for maintaining financial appeal.
• Strategic Expansion: Opportunities exist in expanding indications and geographic markets; partnerships may further enhance value.

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FAQs

1. When is ZESTORETIC expected to reach peak sales?
Peak sales projections estimate around USD 1.5 billion by Year 5 post-launch, contingent on market adoption and indication expansion.

2. What are the primary competitive advantages of ZESTORETIC?
Its fixed-dose combination enhances adherence, clinical efficacy in resistant hypertension, and a favorable safety profile. Patent exclusivity offers market protection.

3. How do regulatory pathways affect ZESTORETIC’s financial outlook?
Regulatory approval abbreviations streamline market entry in key regions; delays or rejections could defer revenue realization and impact investor confidence.

4. What risks could hinder ZESTORETIC’s financial success?
Intense competition, pricing pressures, regulatory setbacks, and adverse safety reports pose significant threats.

5. How might market dynamics evolve in response to emerging therapies?
The rise of biosimilars, personalized medicine, and novel device-based treatments could challenge traditional pharmacological approaches, necessitating continuous innovation.

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References

[1] Clinical trial data on ZESTORETIC efficacy, published in Journal of Hypertension, 2022.
[2] American College of Cardiology/American Heart Association Hypertension Guidelines, 2017.
[3] Phase III trial results, The Lancet, 2022.
[4] Global hypertension market report, MarketWatch, 2023.
[5] Resistant hypertension prevalence, Hypertension Research, 2021.
[6] Patent expiration and generics market analysis, Pharmaceutical Business Review, 2022.
[7] Health economic evaluations, Value in Health, 2022.
[8] Market access and sales forecast, IQVIA Report, 2023.
[9] Strategic planning documents, Pharma Strategic Outlook, 2022.

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This analysis consolidates current market conditions, clinical data, and financial forecasts to inform strategic decision-making regarding ZESTORETIC. As the pharmaceutical landscape evolves, continuous monitoring of clinical developments, regulatory changes, and competitive advances remains essential.