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Table 3 Number, volume (in billion SUs), and market share of antibiotic FDC formulations marketed in India by approval and ban status, 2008–2020

From: Regulatory enforcement of the marketing of fixed-dose combinations in India: a case study of systemic antibiotics

 

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

2018

2019

2020

FDCs

No.

114

115

119

122

124

121

123

119

119

118

116

116

112

Vol

3.7

4.0

4.2

4.5

4.8

5.3

5.5

5.9

5.6

5.3

5.0

4.9

4.5

FDC formulations

No.

574

598

634

646

611

599

578

531

526

508

486

421

395

Formal CDSCO Approval

No.

86

93

100

107

108

113

111

109

106

106

103

96

94

  

15.0%

15.6%

15.8%

16.6%

17.7%

18.9%

19.2%

20.5%

20.2%

20.9%

21.2%

22.8%

23.8%

Vol

1.2

1.4

1.7

2.0

2.3

2.4

2.5

2.6

2.7

2.7

2.7

2.7

2.5

 

32.0%

35.2%

40.9%

45.1%

47.5%

45.1%

46.1%

44.7%

48.8%

52.2%

53.3%

54.1%

55.3%

Effective Approval (NOC)

No.

16

20

22

20

20

23

  

3.0%

3.8%

4.3%

4.1%

4.8%

5.8%

Vol

0.5

0.6

0.5

0.5

0.5

0.5

 

8.0%

10.1%

9.8%

9.4%

9.5%

10.6%

Approved TOTAL

No.

86

93

100

107

108

113

111

125

126

128

123

116

117

 

15.0%

15.6%

15.8%

16.6%

17.7%

18.9%

19.2%

23.5%

24.0%

25.2%

25.3%

27.6%

29.6%

Vol

1.2

1.4

1.7

2.0

2.3

2.4

2.5

3.1

3.3

3.3

3.1

3.1

3.0

 

32.0%

35.2%

40.9%

45.1%

47.5%

45.1%

46.1%

52.7%

58.9%

61.9%

62.7%

63.7%

65.9%

Banned

No.

0

0

0

0

0

60

3

47

45

39

 

 < 0.1%

 < 0.1%

 < 0.1%

 < 0.1%

 < 0.1%

11.4%

0.6%

9.7%

10.7%

9.9%

Vol

 < 0.1

 < 0.1

 < 0.1

 < 0.1

 < 0.1

0.3

 < 0.1

0.2

 < 0.1

 < 0.1

 

 < 0.1%

 < 0.1%

 < 0.1%

 < 0.1%

 < 0.1%

4.9%

0.1%

3.9%

0.7%

0.2%

Unapproved

No.

488

505

534

539

503

486

467

406

340

377

316

260

239

 

85.0%

84.4%

84.2%

83.4%

82.3%

81.1%

80.8%

76.5%

64.6%

74.2%

65.0%

61.8%

60.5%

Vol

2.3

2.4

2.4

2.3

2.4

2.3

2.3

1.8

1.3

1.3

1.0

0.8

0.7

 

63.3%

61.6%

56.0%

51.5%

49.8%

43.9%

41.3%

31.4%

22.7%

25.5%

19.5%

16.6%

15.7%

Banned and unapproved TOTAL

No.

489

506

535

540

504

487

467

406

400

380

363

305

278

 

85.2%

84.6%

84.4%

83.6%

82.5%

81.3%

80.8%

76.5%

76.0%

74.8%

74.7%

72.4%

70.4%

Vol

2.3

2.4

2.4

2.3

2.4

2.3

2.3

1.8

1.5

1.3

1.2

0.9

0.7

 

63.3%

61.7%

56.1%

51.5%

49.9%

43.9%

41.3%

31.4%

27.6%

25.6%

23.4%

17.4%

15.9%

Undetermined

Vol

0.2

0.1

0.1

0.2

0.1

0.6

0.7

0.9

0.8

0.7

0.7

0.9

0.8

 

4.7%

3.2%

3.1%

3.4%

2.6%

11.0%

12.6%

15.9%

13.6%

12.5%

13.9%

19.0%

18.2%

  1. ‘Undetermined’ include sales of FDCs for which the PharmaTrac dataset did not provide information on strength, or grouped products according to an antibiotic class or therapeutic group. Due to this data limitation, CDSCO approval and NOC could not be determined for 3–19% of market sales by volume in the study period