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Eliquis

(apixaban)

Eliquis (apixaban) is a direct oral anticoagulant inhibiting Factor Xa. It is the market-leading DOAC for stroke prevention in atrial fibrillation and VTE treatment, preferred for its favorable safety profile.

Cardiology$12.2B RevenueMature blockbuster — Generic entry approaching
DOAC Market Share
~50%
Bleeding Reduction vs Warfarin
31%
Patients Treated
10M+
Guideline Status
1st-line DOAC

Drug Overview

Generic Name
apixaban
Company
Bristol-Myers Squibb / Pfizer
Mechanism
Factor Xa inhibitor
Drug Class
Direct oral anticoagulant (DOAC)
Route
Oral tablet (twice daily)
Approval Year
2012
Peak Sales Estimate
$13-14B (2025-2026)
Patent Expiry
2026-2028 (US, subject to litigation)

How It Works

Eliquis selectively inhibits Factor Xa, preventing prothrombin-to-thrombin conversion and reducing fibrin clot formation. Requires no routine monitoring and has lower major bleeding risk than warfarin.

Revenue History ($B)

Annual revenue trajectory

Competitor Revenue Comparison ($B)

Revenue of competing drugs in the same class

Approved Indications

4 indications

Key Indications

All approved therapeutic uses

Non-valvular AFib (stroke prevention)
DVT
Pulmonary Embolism
Post-surgical VTE prevention

Market Position

Eliquis is the #1 prescribed DOAC with ~50% market share. Superior safety profile (lower bleeding vs warfarin and rivaroxaban) has driven sustained share gains. Preferred in clinical guidelines globally.

Future Outlook

Peak sales of $13-14B expected through 2025-2026 before generic entry. Patent litigation may delay generics to 2028.

Competitive Landscape

DrugCompanyRevenue
Xarelto (rivaroxaban)J&J/Bayer$7.0B
Pradaxa (dabigatran)Boehringer Ingelheim$2.0B
Savaysa (edoxaban)Daiichi Sankyo$0.3B

Approval Timeline

Dec 2012
Non-valvular AFib
FDAStroke prevention
Mar 2014
DVT and PE treatment
FDAExtended treatment
May 2014
Post-orthopedic VTE
FDAHip/knee replacement

Key Clinical Trials

NCT00412084Completed
ARISTOTLE (AFib vs warfarin)
Phase 318,201 patients
Superior safety & efficacy
NCT00633893Completed
AMPLIFY (DVT/PE)
Phase 35,395 patients
Non-inferior, less bleeding
Data Sources

Revenue figures from company annual reports (FY2023). Clinical trial data from ClinicalTrials.gov. Competitive intelligence from Evaluate Pharma World Preview 2024 and IQVIA MIDAS. Market analysis by Medifirm Intelledge Global.