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TrackerPatent cliff

Patents protect pharma profits. Track when the biggest ones expire.

Seven of the ten best-selling medicines in the world will lose U.S. exclusivity before 2031.

By Meera RaghunathanPublished · 1 min read

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An assortment of tablets and capsules.
An assortment of tablets and capsules.Photograph: Unsplash

A drug's commercial life is set less by medicine than by law. When the main patents expire, generic or biosimilar competitors arrive and sales typically fall by 80% or more within two years for pills, more slowly for biologic drugs.

The industry is approaching the largest concentration of expirations it has faced.

Therapeutic area Annual sales at risk First U.S. expiry
Cancer immunotherapy $31B 2028
Anticoagulation $19B 2027
Autoimmune disease $17B 2029
Diabetes $14B 2030
HIV $9B 2029

Companies have several ways to soften the decline: new formulations, combination products and settlements that delay competitors' entry. All three are drawing more attention from regulators and lawmakers than they did a decade ago.

We refresh this list each year.

Meera Raghunathan

Senior Reporter, Regulation

Meera covers the FDA and drug policy. She spent six years reporting on health regulation for trade publications before joining Vitality Journal, and holds a master's degree in public health.