Angiotensin Converting Enzymes (ACE) Inhibitors Market
By Drugs;
Benazepril, Perindopril, Trandolapril, Captopril, Enalaopril, Lisinopril, Ramipril, and OthersBy Dosage Form;
Oral Tablets and Oral SolutionBy Application;
Hypertension, Coronary Artery Disease, Heart Failure, Scleroderma, Migraine, and Chronic Kidney DiseaseBy Distribution Channel;
Hospital Pharmacies, Retail Pharmacies, and Online PharmaciesBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa, and Latin America - Report Timeline (2021 - 2031)Angiotensin Converting Enzymes (ACE) Inhibitors Market Overview
Angiotensin Converting Enzymes (ACE) Inhibitors Market (USD Million)
Angiotensin Converting Enzymes (ACE) Inhibitors Market was valued at USD 8,590.86 million in the year 2024. The size of this market is expected to increase to USD 11,304.99 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 4%.
Angiotensin Converting Enzymes (ACE) Inhibitors Market
*Market size in USD million
CAGR 4 %
Study Period | 2025 - 2031 |
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Base Year | 2024 |
CAGR (%) | 4 % |
Market Size (2024) | USD 8,590.86 Million |
Market Size (2031) | USD 11,304.99 Million |
Market Concentration | High |
Report Pages | 349 |
Major Players
- Novartis AG
- Pfizer Inc
- Merck & Co
- AstraZeneca
- Sanofi
- Boehringer Ingelheim
- GlaxoSmithKline
- Lupin Limited
- Torrent Pharmaceuticals Ltd
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Angiotensin Converting Enzymes (ACE) Inhibitors Market
Fragmented - Highly competitive market without dominant players
The Angiotensin Converting Enzymes (ACE) Inhibitors Market is witnessing significant growth due to the rising incidence of cardiovascular and renal disorders. These drugs are crucial in managing hypertension, heart failure, and diabetic nephropathy, making them a widely prescribed therapeutic option. Over 40% of antihypertensive therapies now include ACE inhibitors, reflecting their strong penetration in the treatment landscape.
Growing Demand from Chronic Disease Management
The increasing burden of chronic conditions has intensified the demand for effective therapeutic classes like ACE inhibitors. With nearly 35% of adults diagnosed with high blood pressure, these inhibitors are preferred for their dual action in managing blood pressure and kidney function. This trend is reinforced by a shift toward combination therapy, integrating ACE inhibitors with other agents for optimal outcomes.
Technological Advancements and Drug Development
Continuous advancements in pharmaceutical research are enhancing the safety profiles and therapeutic potential of ACE inhibitors. Recent innovations have improved the bioavailability and reduced side effects in new formulations. Around 25% of pipeline cardiovascular drugs under evaluation include ACE inhibitor-based mechanisms, indicating a healthy innovation cycle.
Regulatory Support and Clinical Guidelines
Strong regulatory backing and endorsement by clinical guidelines have fortified the position of ACE inhibitors in primary care. Clinical trials support their efficacy in reducing mortality and hospitalization rates, especially in patients with heart failure or comorbid diabetes. Over 50% of current hypertension guidelines recommend ACE inhibitors as a first-line therapy, solidifying their clinical relevance.
Angiotensin Converting Enzymes (ACE) Inhibitors Market Recent Developments
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In September 5, 2023, Pharmascience Canada, a pharmaceutical company based in Quebec, introduced pms-PERINDOPRIL-INDAPAMIDE (perindopril erbumine or indapamide), a generic medication intended for the initial treatment of mild to moderate essential hypertension in adults.
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In July 2022, Solco Healthcare, a wholly owned subsidiary of Prinston Pharmaceutical, Inc., along with Zhejiang Huahai Pharmaceutical, a global enterprise focused on high-quality medical products, announced that Enalapril Maleate tablets.
Angiotensin Converting Enzymes Inhibitors Market Segment Analysis
In this report, the Angiotensin Converting Enzymes (ACE) Inhibitors Market has been segmented by Drugs, Dosage Form, Application, Distribution Channel, and Geography.
Angiotensin Converting Enzymes Inhibitors Market, Segmentation by Drugs
The Angiotensin Converting Enzymes (ACE) Inhibitors Market has been segmented by Drugs into Benazepril, Perindopril, Trandolapril, Captopril, Enalaopril, Lisinopril, Ramipril, and Others.
Benazepril
Benazepril is widely prescribed for managing hypertension and heart failure. It works by relaxing blood vessels, allowing smoother blood flow. Approximately 11% of ACE inhibitor prescriptions globally are attributed to Benazepril, thanks to its dual action in reducing blood pressure and preventing cardiac remodeling.
Perindopril
Perindopril is a long-acting ACE inhibitor often used for cardiovascular protection in high-risk patients. It accounts for nearly 9% of global market share due to its extended half-life and ability to improve endothelial function, making it a preferred choice in chronic therapy.
Trandolapril
Trandolapril offers high bioavailability and a prolonged duration of action, making it suitable for once-daily dosing. It comprises about 6% of the ACE inhibitors market, often recommended for post-myocardial infarction treatment and hypertension control in diabetics.
Captopril
As the first ACE inhibitor approved for clinical use, Captopril holds historical significance. Despite newer alternatives, it maintains a 7% market presence, primarily due to its rapid onset of action and proven efficacy in hypertensive crises and heart failure management.
Enalapril
Enalapril is a widely used prodrug that converts into its active form, enalaprilat, to inhibit ACE effectively. It holds around 14% of the market share and is frequently used in both adult and pediatric hypertension cases due to its safety and efficacy profile.
Lisinopril
Lisinopril is a cornerstone therapy for hypertension and chronic heart failure. It commands the largest segment with approximately 18% market share, valued for its once-daily dosing, renal protective benefits, and widespread availability in generic forms.
Ramipril
Ramipril is favored for its cardioprotective properties and evidence-backed performance in reducing cardiovascular events. With a market share of nearly 13%, it remains a key ACE inhibitor used in patients with high cardiovascular risk.
Others
This category includes lesser-used or regional ACE inhibitors such as Moexipril and Quinapril. Together, these account for about 22% of the market, primarily driven by regional preferences, specific patient needs, and localized manufacturing capabilities.
Angiotensin Converting Enzymes Inhibitors Market, Segmentation by Dosage Form
The Angiotensin Converting Enzymes (ACE) Inhibitors Market has been segmented by Dosage Form into Oral Tablets, and Oral Solution
Oral Tablets
Oral tablets represent the most commonly used dosage form in the ACE inhibitors market, accounting for nearly 85% of global consumption. They offer ease of administration, accurate dosing, and patient compliance, making them the preferred choice in chronic hypertension and heart failure therapies. The widespread availability of generics further boosts their market dominance.
Oral Solution
Oral solutions are primarily used in pediatric and geriatric populations who face difficulty swallowing tablets. This segment comprises around 15% of the market and is favored for its flexibility in dosing and faster absorption rates. The demand is growing steadily due to the increasing focus on personalized medicine and age-specific treatments.
Angiotensin Converting Enzymes Inhibitors Market, Segmentation by Application
The Angiotensin Converting Enzymes (ACE) Inhibitors Market has been segmented by Application into Hypertension, Coronary Artery Disease, Heart Failure, Scleroderma, Migraine, and Chronic Kidney Disease.
Hypertension
Hypertension is the leading application segment, contributing to approximately 45% of the ACE inhibitors market. These drugs are highly effective in lowering blood pressure by relaxing blood vessels, thereby reducing cardiovascular risks. Their affordability and proven efficacy drive their widespread use.
Coronary Artery Disease
ACE inhibitors are widely prescribed for patients with coronary artery disease to prevent cardiac events and improve survival. This segment holds around 15% market share, benefiting from strong clinical evidence supporting their role in enhancing endothelial function and reducing myocardial workload.
Heart Failure
ACE inhibitors are a cornerstone in the treatment of heart failure, especially with reduced ejection fraction. Representing about 20% of the market, they help improve cardiac output, reduce hospitalization, and enhance patient survival, making them indispensable in long-term cardiac care.
Scleroderma
In scleroderma, ACE inhibitors are used to manage renal complications such as scleroderma renal crisis. Although niche, this application accounts for nearly 4% of the market and is crucial for improving outcomes in this rare but serious autoimmune disorder.
Migraine
A small segment of ACE inhibitors is used off-label for migraine prevention due to their vascular modulation effects. This accounts for about 3% of the market and is growing as more studies support their potential in reducing migraine frequency and intensity.
Chronic Kidney Disease
Chronic kidney disease management with ACE inhibitors focuses on reducing proteinuria and preserving renal function. This segment constitutes around 13% of the market, particularly in diabetic and hypertensive nephropathy, where ACE inhibitors have shown renal protective effects.
Angiotensin Converting Enzymes Inhibitors Market, Segmentation by Distribution Channel
The Angiotensin Converting Enzymes (ACE) Inhibitors Market has been segmented by Distribution Channel into Hospital Pharmacies, Retail Pharmacies, and Online Pharmacies.
Hospital Pharmacies
Hospital pharmacies dominate the ACE inhibitors distribution landscape, accounting for approximately 48% of the market. These pharmacies ensure reliable access to prescription medications for inpatients and post-operative care, making them critical for acute and chronic cardiovascular management.
Retail Pharmacies
Retail pharmacies contribute to nearly 37% of global ACE inhibitor sales. Their widespread presence, patient convenience, and growing preference for walk-in purchases support their substantial market share. Retail pharmacists also play a key role in patient education and adherence to antihypertensive therapy.
Online Pharmacies
Online pharmacies are experiencing rapid growth, capturing about 15% of the market. The segment is driven by digital health adoption, home delivery services, and competitive pricing. It especially appeals to chronic patients seeking regular, hassle-free refills without visiting brick-and-mortar stores.
Angiotensin Converting Enzymes Inhibitors Market, Segmentation by Geography
In this report, the Angiotensin Converting Enzymes (ACE) Inhibitors Market has been segmented by Geography into five regions; North America, Europe, Asia Pacific, Middle East, and Africa, and Latin America.
Regions and Countries Analyzed in this Report
Legend
Angiotensin Converting Enzymes Inhibitors Market Share (%), by Geographical Region
North America
North America leads the ACE inhibitors market with an estimated 35% share, driven by high cardiovascular disease prevalence and advanced healthcare infrastructure. Favorable reimbursement policies and high awareness levels further boost the adoption of ACE inhibitors across the region.
Europe
Europe accounts for around 28% of the global market, supported by a growing geriatric population and increasing hypertension cases. The region benefits from strong pharmaceutical regulations and broad availability of generic ACE inhibitors, contributing to consistent market demand.
Asia Pacific
Asia Pacific holds approximately 20% of the ACE inhibitors market, with rising incidences of lifestyle-related diseases and expanding healthcare access. Countries like China and India are seeing a surge in demand due to rapid urbanization, growing patient awareness, and government health initiatives.
Middle East and Africa
The Middle East and Africa collectively contribute about 9% to the global market. Market growth is supported by increasing healthcare investments and a rising burden of cardiovascular diseases, though access to medications remains uneven across different countries.
Latin America
Latin America represents nearly 8% of the ACE inhibitors market, with growth fueled by expanding healthcare coverage and a shift towards chronic disease management. Brazil and Mexico are key contributors due to their large populations and evolving healthcare policies.
Market Trends
This report provides an in depth analysis of various factors that impact the dynamics of Global Angiotensin Converting Enzymes (ACE) Inhibitors Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Drivers, Restraints and Opportunity Analysis
Drivers
- Aging Population
- Rising Hypertension Prevalence
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Cardiovascular Disease Burden - One of the primary drivers stemming from the cardiovascular disease burden is the escalating prevalence of hypertension, a major risk factor for CVDs such as coronary artery disease, stroke, and heart failure. Hypertension affects a significant proportion of the global population, contributing to adverse cardiovascular outcomes and increasing the demand for effective antihypertensive medications like ACE inhibitors. These medications play a pivotal role in blood pressure management, offering potent antihypertensive effects and cardiovascular risk reduction benefits.
The rising incidence of heart failure, another consequence of untreated or poorly controlled hypertension and other cardiovascular risk factors, drives the demand for ACE inhibitors as cornerstone agents in heart failure management. ACE inhibitors demonstrate significant benefits in reducing mortality, hospitalizations, and symptoms in patients with heart failure, contributing to improved outcomes and quality of life.
The burden of coronary artery disease, characterized by atherosclerotic plaque formation and narrowing of coronary arteries, underscores the importance of ACE inhibitors in secondary prevention and treatment. These medications help stabilize plaque, improve endothelial function, and reduce the risk of adverse cardiovascular events such as myocardial infarction and ischemic stroke, thereby addressing the complex pathophysiology of coronary artery disease and its associated morbidity and mortality.
Restraints
- Patent Expiry
- Side Effects
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Regulatory Hurdles - One of the primary regulatory hurdles faced by manufacturers and developers of ACE inhibitors is the stringent regulatory approval process mandated by regulatory agencies such as the U.S. Food and Drug Administration (FDA), the European Medicines Agency (EMA), and other national regulatory authorities. The approval process for new ACE inhibitors or modifications to existing formulations involves rigorous preclinical and clinical trials to demonstrate safety, efficacy, and quality standards, which can be time-consuming, resource-intensive, and costly.
Regulatory agencies may impose strict requirements for post-marketing surveillance, pharmacovigilance, and risk management plans to monitor the safety profile of ACE inhibitors and detect adverse events or safety signals promptly. Compliance with these regulatory obligations necessitates robust pharmacovigilance systems, comprehensive risk management strategies, and ongoing data collection and analysis, which can pose operational challenges for manufacturers and healthcare providers.
Variations in regulatory requirements across different regions and countries may result in regulatory complexities and inconsistencies, hindering market access and product registration efforts for ACE inhibitors in international markets. Manufacturers must navigate diverse regulatory frameworks, cultural nuances, and language barriers when seeking regulatory approvals and market authorization, which can delay market entry and increase compliance costs.
Opportunities
- Emerging Markets Expansion
- Combination Therapies Development
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Renal Disease Management - ACE inhibitors play a pivotal role in the management of renal diseases, offering renoprotective effects and slowing the progression of renal dysfunction in various patient populations. One key opportunity lies in the utilization of ACE inhibitors as first-line agents in the treatment of hypertension and CKD, particularly in patients with proteinuria and diabetic nephropathy. These medications exert beneficial effects on renal hemodynamics, reducing intraglomerular pressure, and mitigating glomerular injury and proteinuria, thereby preserving renal function and delaying the need for renal replacement therapy.
ACE inhibitors demonstrate renoprotective effects beyond their antihypertensive properties, making them valuable therapeutic agents in the management of proteinuric renal diseases and diabetic nephropathy. These medications help mitigate glomerular injury, tubulointerstitial fibrosis, and inflammation, thereby preserving renal function and reducing the risk of end-stage renal disease (ESRD) and cardiovascular events in high-risk patient populations.
ACE inhibitors are integral components of comprehensive treatment regimens for patients with CKD, offering synergistic effects when combined with other renoprotective agents such as angiotensin receptor blockers (ARBs), sodium-glucose cotransporter-2 (SGLT2) inhibitors, and mineralocorticoid receptor antagonists. Combination therapy with ACE inhibitors and ARBs, known as dual renin-angiotensin-aldosterone system (RAAS) blockade, has been shown to provide additional renoprotective benefits in patients with CKD and proteinuria, further highlighting the potential for innovative treatment strategies in renal disease management.
Competitive Landscape Analysis
Key players in Global Angiotensin Converting Enzymes (ACE) Inhibitors Market include:
- Novartis AG
- Pfizer Inc
- Merck & Co
- AstraZeneca
- Sanofi
- Boehringer Ingelheim
- GlaxoSmithKline
- Lupin Limited
- Torrent Pharmaceuticals Ltd
In this report, the profile of each market player provides following information:
- Company Overview and Product Portfolio
- Key Developments
- Financial Overview
- Strategies
- Company SWOT Analysis
- Introduction
- Research Objectives and Assumptions
- Research Methodology
- Abbreviations
- Market Definition & Study Scope
- Executive Summary
- Market Snapshot, By Drugs
- Market Snapshot, By Dosage Form
- Market Snapshot, By Application
- Market Snapshot, By Distribution Channel
- Market Snapshot, By Region
- Angiotensin Converting Enzymes (ACE) Inhibitors Market Dynamics
- Drivers, Restraints and Opportunities
- Drivers
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Aging Population
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Rising Hypertension Prevalence
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Cardiovascular Disease Burden
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- Restraints
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Patent Expiry
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Side Effects
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Regulatory Hurdles
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- Opportunities
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Emerging Markets Expansion
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Combination Therapies Development
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Renal Disease Management
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- Drivers
- PEST Analysis
- Political Analysis
- Economic Analysis
- Social Analysis
- Technological Analysis
- Porter's Analysis
- Bargaining Power of Suppliers
- Bargaining Power of Buyers
- Threat of Substitutes
- Threat of New Entrants
- Competitive Rivalry
- Drivers, Restraints and Opportunities
- Market Segmentation
- Angiotensin Converting Enzymes (ACE) Inhibitors Market, By Drugs, 2021 - 2031 (USD Million)
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Benazepril
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Perindopril
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Trandolapril
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Captopril
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Enalaopril
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Lisinopril
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Ramipril
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Others
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Angiotensin Converting Enzymes (ACE) Inhibitors Market, By Dosage Form, 2021 - 2031 (USD Million)
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Oral Tablets
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Oral Solution
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- Angiotensin Converting Enzymes (ACE) Inhibitors Market, By Application, 2021 - 2031 (USD Million)
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Hypertension
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Coronary Artery Disease
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Heart Failure
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Scleroderma
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Migraine
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Chronic Kidney Disease
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- Angiotensin Converting Enzymes (ACE) Inhibitors Market, By Distribution Channel, 2021 - 2031 (USD Million)
- Hospital Pharmacies
- Retail Pharmacies
- Online Pharmacies
- Angiotensin Converting Enzymes (ACE) Inhibitors Market, By Geography, 2021 - 2031 (USD Million)
- North America
- United States
- Canada
- Europe
- Germany
- United Kingdom
- France
- Italy
- Spain
- Nordic
- Benelux
- Rest of Europe
- Asia Pacific
- Japan
- China
- India
- Australia & New Zealand
- South Korea
- ASEAN (Association of South East Asian Countries)
- Rest of Asia Pacific
- Middle East & Africa
- GCC
- Israel
- South Africa
- Rest of Middle East & Africa
- Latin America
- Brazil
- Mexico
- Argentina
- Rest of Latin America
- North America
- Angiotensin Converting Enzymes (ACE) Inhibitors Market, By Drugs, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Novartis AG
- Pfizer Inc
- Merck & Co
- AstraZeneca
- Sanofi
- Boehringer Ingelheim
- GlaxoSmithKline
- Lupin Limited
- Torrent Pharmaceuticals Ltd
- Company Profiles
- Analyst Views
- Future Outlook of the Market