The study is designed with the main objectives of:-
Highest selling brand used by the doctor for treatment of diabetes.
Top 3 highest selling companies in market.
These brands comparison with other brands having same API class.
Comparison in terms of cost per unit.
Quantitative and qualitative analysis.
Diabetes mellitus, commonly known as diabetes, is a metabolic disease that causes high levels of sugar in blood. It is diagnosed when fasting blood glucose exceeds 126 mg/dl. With diabetes, your body either does not make enough insulin or can’t effectively use the insulin it does make.
There are basically two types of diabetes –
Type 1 diabetes is an autoimmune disease in which the immune system attacks and destroys beta cells in the pancreas. It’s unclear what causes this attack. About 10% of people with diabetes have this type ( insulin therapy).
Type 2 diabetes occurs when your body becomes resistant to insulin, and sugar builds up in your blood (insulin, oral hypoglycemic therapy). It is the most common type of diabetes which affects 90-95 % of population according to CDC (The Centers for Disease Control and Prevention).
2. Introduction
Diabetes mellitus, commonly known as diabetes, is a metabolic disease that
causes high levels of sugar in blood. It is diagnosed when fasting blood glucose
exceeds 126 mg/dl. With diabetes, your body either does not make enough insulin
or can’t effectively use the insulin it does make.
There are basically two types of diabetes –
a. Type 1 diabetes is an autoimmune disease in which the immune system attacks
and destroys beta cells in the pancreas. It’s unclear what causes this attack.
About 10% of people with diabetes have this type ( insulin therapy).
b. Type 2 diabetes occurs when your body becomes resistant to insulin, and sugar
builds up in your blood (insulin, oral hypoglycemic therapy). It is the most
common type of diabetes which affects 90-95 % of population according to
CDC (The Centers for Disease Control and Prevention).
3. • The Indian diabetes market reached a value of US4 1,954 Million in 2018. The market is
further expected to grow at a CAGR of 16.7% during 2019-2024.
• Diabetes is rapidly gaining the status of a otential epidemic in India with around 65
million people currently affected by it.
• The overall market size of diabetes drugs in India is Rs 10,534 Crore, according to
Quintiles IMS data.
• According to AIOCD data (October 2018), India’s anti-diabetic market is one of the
fastest growing therapy segments, with growth exceeding 25% at Rs 7,638 Crore.
Scenario of Indian Anti- Diabetic Market
4. Objective
The study is designed with the main objectives of:-
Highest selling brand used by the doctor for treatment of diabetes.
Top 3 highest selling companies in market.
These brands comparison with other brands having same API class.
Comparison in terms of cost per unit.
Quantitative and qualitative analysis.
5. Methodology
Data collected from retail pharmacy shops, by consulting the
doctors and the medical representatives of the companies.
We’ve done a survey near Tughlakabad Extension (Delhi),
Lucknow (UP), Yamunanagar (Haryana).
6. Questions asked to Doctors and Chemists (Type 1
Diabetes)
1. Most recommended brands?
Humalog, Huminsulin (N,R), Lantus, Mixtard
2. Prescription therapy? Single or multiple.
Dose is decided on the basis of blood sugar levels (by monitoring blood sugar levels each day)
3. Availability in the pharmacies?
Good availability in pharmacies.
4. Which brand you preferred and why?
Good availability, therapeutic efficacy, patient compliance.
5. Type of dosage recommended?
Insulin pumps
6. Side effects?
a) Insulin can lead to hypoglycemic condition which may lead to unconsciousness and to normalize
the levels of blood sugar, the patient must be given sugar cubes immediately.
b) Insulin leads to kidney damage and finally can lead to death.
7. Observation (Type 1 Diabetes)
COMPANY NAME BRAND NAME API
Eli Lilly Company • Mixtard (30/70, 50/50, 75/25)
• Humalog (50/50, 75/25)
• Huminsulin N (30/70)
• Huminsulin R (30/70)
• Huminsulin NPH
• Normal Insulin/ Isophane Insulin
• Insulin Lispro (SC)
• Insulin Human, Protamine sulfate,
Metacresol, Dibasic sodium phosphate
• Insulin Human, Metacresol
• Insulin Human, Protamine sulfate,
Metacresol, Dibasic sodium phosphate,
Phenol
Sanofi India Ltd • Lantus
• Apidra
• Insulin glargine
• Insulin glulisine
Novo Nordisk India Ltd • Levemir • Insulin Detemir
8. Observation (Primary Data)
Type 1 Diabetes
0
10
20
30
40
50
1
PRESCRIPTIONPERMONTH
BRAND NAME
TOP BRAND
LEVEMIR LANTUS HUMALOG MIXTARD INSUGEN N 40 APIDRA
10
10
25
35
50
0 10 20 30 40 50 60
ABBOTT INDIALTD.
BIOCON LTD.
NOVO NORDISK PHARMA INDIA LTD.
SANOFI INDIA LTD
ELI-LILLY AND COMPANY INDIA
AMOUNT OF PRESCRIPTION
COMPANYNAME
TOP COMPANIES
9. Result
Quantitative
a) According to no. of presecription generated
in the market, we found:
1. Type 1 Diabetes- In type 1 Diabetes patients,
insulin is directly administered via different
routes to cater the need of insulin in body.
According to no. of prescription generated,
Humalog is the most prescribed brand by
physicians.
Humalog (by Eli Lilly &
Company India with 50
prescriptions, having MRP
as 544 Rs)
Lantus (by Sanofi with 35
prescriptions, having MRP
as 656 Rs)
Levemir (by Novo Nordisk India
with 25 prescriptions,
having MRP as 1090 Rs)
10. Result (Secondary Data Type-1 Diabetes)
Quantitative aspect
TOP COMPANIES BRAND NAME MRP
Eli Lilly Company & India • Humalog 554 Rs
Sanofi India Ltd • Lantus 656 Rs
Novo Nordisk Pharma India
Ltd
• Levemir 1090 Rs
12. Result
Quantitative aspect
Type 2 Diabetes- Oral hypoglycemic agentsare given. According to no. of
prescriptions generated,
Top 3 Brands with their top selling production
according to number of prescriptions generated
are-
• Istamet 50/100
• Istavel 100
• Oxra
• Oxramet/XR• PPG MET
• Zomelis
MET
• Euglucon
• Diabetrol
• Gluconorm G3
Forte
• Gibtulio
• Onderomet
14. Qualitative
b) According to cost of unit dose per day, top 3 highest cost brands are:
1) Invokamet (by Janssen Pharmaceuticals)
2) Oxramet/XR and Oxra by Sun
Pharma, Forxiga by Astrazeneca
3) Januvia by MSD Pharmaceuticals
15. Quantitative
b) According to
average monthly
cost, top 3 highest
cost brands:
• Invokamet XR by
Janssen
Pharmaceuticals
• Glyxambi by
Boehringer Ingelheim
• Oxramet/XR & Oxra
by Sun Pharma,
Fraxiga by
Astrazeneca
16. Brand comparison of top 3 companies with same
class of API drugs
PARAMETERS SUN
PHARMACEUTICALS
LTD. (Istamet 500/1000)
ABBOTT INDIA LTD.
(Zomelis MET)
LUPIN LTD. (Ondero
MET)
API Metformin/Sitagliptin Metformin/ Vildagliptin Metformin/ Linagliptin
Dose recommended Once a day Once a day Once a day
Per unit dose cost (Rs) 39.1 24.7 22.213
Average monthly cost 1173 741 666.39
Side effects Hypoglycemia, lactic
acidosis, anxiety.
Swelling of face, lips,
eyelids, tongue, hands
and feet and weight
gain.
Anxiety, weakness, sore
throat.
17. Conclusion
Field assignment provided us with real-world experience, increased
the quality of education, and improved the social relations outside
of the four walls of a classroom. It gave us experiential learning,
conceptual knowledge which helped us in developing a deeper
understanding towards assignment. Field assignment was
embedded with educational content as well as team-building
activities, such as working together to complete assignments and
projects. Good field assignment can provide an integral part of the
learning experience if they are planned well. The aim of this project
is to consider how effective field assignments are in providing
conceptual knowledge.
Our findings are still on going in areas like accurate market share
of top three companies dealing with diabetes segment.
19. Source of Reference (Primary Data)
CONSULTING DOCTORS
Dr. Sunil Kohli
Dr. S Jain
Dr. Sunindar S. Arora
Dr. kamal Jeet Singh
Dr. Arun Dhiwan
Dr. Prem Kapoor
• Dr. H.S. Gupta (Retired CMO Allahabad, UP)
• Dr. K.B. Srivastava
• Dr. Alok Saxena
• Dr. D.K. Singh
• Dr. Sudhir Kumar Yadav
• Dr. S.N. Shukla
• Dr. Seema Shukla
• Dr. Ghanshyam Aggarwal (Endocrinologist)
• Dr. Rajnesh Mittal
Name of pharmacy shops
Mansuri medicos
Parvati medicos
New Priya medicos
Bhatia medical
Bansal medical store
Vicky medicos
Balaji medicos
Goyal chemist
Apollo pharmacy
Mr. Vijay Rawat(Pharmacy Manager HIMSAR)
Majeedia hospital pharmacy
Batra hospital pharmacy
H Plus Pharmacy
HD Medico
Bareja sons chemist shop
