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Acute Gastroenteritis

Gastroenterology
1
Pipeline Programs
4
Companies
5
Clinical Trials
0
Approved Products

Pipeline by Development Stage

Preclinical
Phase 1
Phase 1/2
Phase 2
Phase 2/3
Phase 3
On Market
0
0
0
0
0
0
1
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Vaccine
150%
RNA Therapeutic
150%
+ 2 programs with unclassified modality

Gastroenterology is a $7.3B market characterized by mature, blockbuster-driven portfolios with near-term patent cliff risks.

$7.3B marketMature→ Stable30 products15 companies

Key Trends

  • AbbVie dominance with 43% of top-10 product spending (LINZESS, CREON, RINVOQ)
  • Guanylate cyclase activators and JAK inhibitors driving innovation in constipation and IBD
  • Multiple patent expirations 2026–2030 creating biosimilar and generic erosion headwinds

Career Verdict

Gastroenterology offers stable, well-compensated roles but limited growth upside; best for risk-averse professionals seeking established markets over innovation-driven career trajectories.

AI-generated market analysis based on FDA, CMS, ClinicalTrials.gov, and hiring data

Market Leaders

#1LINZESSStable
$1.8B
AbbVie·Peak7.7yr
#2CREONDeclining
$1.5B
AbbVie·LOE Approaching
#3XIFAXANDeclining
$1.1B
Bausch Health·LOE Approaching
#4RINVOQGrowing
$976M
AbbVie·Peak11.8yr
#5XELJANZ XRStable
$586M
Pfizer·Peak8.3yr

Drug Class Breakdown

Unknown Mechanism
$2.5B(34%)

mature portfolio anchor

Guanylate Cyclase Activators
$1.9B(27%)

well-established class

Pancreatic Enzymes
$1.5B(20%)

facing biosimilar competition

Janus Kinase Inhibitors
$976M(13%)

growing IBD adoption

Proton Pump Inhibitors
$107M(1%)

commoditized

Career Outlook

Stable

Gastroenterology is a stable, mature market anchored by blockbusters with long patent runways (LINZESS to 2034, RINVOQ to 2038) but faces near-term erosion (XELJANZ 2026). Employment growth is modest and concentrated in device/diagnostic firms rather than pure-pharma. Best for professionals seeking predictable revenue streams over high-risk innovation bets.

Breaking In

Target roles at Roche, J&J, or diagnostic-adjacent firms to maximize hiring volume; pure pharma gastro entry points at AbbVie/Pfizer are limited and highly competitive.

For Experienced Professionals

Leverage gastro expertise in broader GI/immunology roles (Takeda, Novartis) or transition to medical devices/diagnostics where hiring is 3x higher than pharma.

In-Demand Skills

IBD and IBS indication expertiseJAK inhibitor pharmacologyMedical device integration (diagnostics, endoscopy)Generic/biosimilar launch readinessReal-world evidence generation

Best For

Medical Science Liaison (IBD/IBS focus)Commercial Manager (Generic Launch)Clinical Operations SpecialistMarket Access/Reimbursement StrategistRegulatory Affairs (small molecule focus)

Hiring Landscape

$70K-$213K

Total hiring across the gastro ecosystem is 1,818 jobs, dominated by engineering (434) and commercial roles (269). Roche leads absolute hiring at 377 roles, followed by Johnson & Johnson (323) and GE HealthCare (293), reflecting broad medical device and diagnostic involvement alongside pharma. AbbVie's gastro-specific hiring (78 jobs) is modest relative to its portfolio dominance.

1,818
Open Roles
4
Companies Hiring
3
Departments

Top Hiring Companies

377Growing
293Stable
78Stable

By Department

Engineering(24%)
$169K
Commercial(15%)
$176K
Manufacturing(10%)
$213K

Manufacturing and commercial roles command premium salaries ($213K and $176K respectively), but total gastro-pharma hiring is concentrated in Roche and J&J, not pure-play GI companies.

Competitive Landscape

4 companies ranked by most advanced pipeline stage

Biocodex
BiocodexFrance - Gentilly
1 program
1
Probiotic : Saccharomyces boulardiiPhase 41 trial
Active Trials
NCT03539913Completed317Est. Jun 2018
Takeda
TakedaTOKYO, Japan
1 program
Norwalk VLP vaccinePHASE_1_2Vaccine2 trials
Active Trials
NCT00973284Completed98Est. Aug 2010
NCT00806962Completed61Est. Oct 2009
Moderna
ModernaCAMBRIDGE, MA
1 program
mRNA-1403PHASE_3RNA Therapeutic1 trial
Active Trials
NCT06592794Active Not Recruiting37,864Est. Feb 2027
Sanofi
SanofiPARIS, France
1 program
Bacillus clausiiPHASE_41 trial
Active Trials
NCT02169817Completed629Est. Jan 2016

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
BiocodexProbiotic : Saccharomyces boulardii
SanofiBacillus clausii
ModernamRNA-1403
TakedaNorwalk VLP vaccine
TakedaNorwalk VLP vaccine

Clinical Trials (5)

Total enrollment: 38,969 patients across 5 trials

NCT03539913BiocodexProbiotic : Saccharomyces boulardii

Efficacy and Safety of Probiotics in the Treatment of Acute Gastroenteritis in Children

Start: Jun 2017Est. completion: Jun 2018317 patients
Phase 4Completed
NCT02169817SanofiBacillus clausii

Evaluation Of Bacillus Clausii In Treatment Of Acute Diarrhea In Latin American Children

Start: Jul 2014Est. completion: Jan 2016629 patients
Phase 4Completed

A Study to Investigate the Safety and Efficacy of mRNA-1403 in Participants ≥18 Years of Age for the Prevention of Acute Gastroenteritis

Start: Sep 2024Est. completion: Feb 202737,864 patients
Phase 3Active Not Recruiting
NCT00973284TakedaNorwalk VLP vaccine

Norwalk Vaccine Study

Start: Aug 2009Est. completion: Aug 201098 patients
Phase 1/2Completed
NCT00806962TakedaNorwalk VLP vaccine

Phase 1 Norwalk Vaccine Study

Start: Nov 2008Est. completion: Oct 200961 patients
Phase 1Completed

Related Jobs in Gastroenterology

Phase Legend

PreclinicalLab & animal studies
Phase 1Safety & dosing
Phase 2Efficacy testing
Phase 3Large-scale trials
On MarketApproved & available

Key Insights

4 companies competing in this space

The information on this page is for informational purposes only and should not be used as a substitute for professional medical advice. Drug information is sourced from FDA, DailyMed, and other government databases. Adverse event data from FAERS does not establish causation. Always consult a healthcare professional for medical decisions.