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Acute Leukemia

Oncology
8
Pipeline Programs
21
Companies
17
Clinical Trials
1 recruiting
0
Approved Products

Pipeline by Development Stage

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

Drug Modality Breakdown

Small Molecule
150%
Cell Therapy
150%
+ 18 programs with unclassified modality

Oncology is a $53.9B market in consolidation, dominated by a handful of megacap players with blockbuster franchises approaching patent expiration.

$53.9B marketConsolidating→ Stable30 products15 companies

Key Trends

  • Heavy patent cliff exposure (REVLIMID $3.9B LOE 2028, JAKAFI $1.9B LOE 2028)
  • Kinase inhibitors and immunomodulatory agents dominate spend; limited diversification in top 10
  • Clinical trial volume remains exceptionally high (29,145 trials) but concentration in Phase 1-2 signals early-stage pipeline challenges

Career Verdict

Strong near-term opportunity for R&D and medical affairs roles, but competitive landscape and patent cliff urgency favor specialists over generalists.

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

Market Leaders

#1ELIQUISStable
$18.3B
Bristol Myers Squibb·Launch15.0yr
#2FARXIGAStable
$4.3B
AstraZeneca·Peak15.4yr
#3REVLIMIDDeclining
$3.9B
Bristol Myers Squibb·LOE Approaching1.8yr
#4XTANDIStable
$2.6B
Astellas·Peak10.7yr
#5IMBRUVICAStable
$2.4B
AbbVie·Peak8.9yr

Drug Class Breakdown

FXa Inhibitors
$18.3B(34%)

concentrated in single product

SGLT2 Inhibitors
$4.3B(8%)

single dominant product

Kinase Inhibitors
$4.0B(7%)

multi-product class, competitive

Immunomodulatory Agents (Cereblon)
$3.9B(7%)

facing near-term patent cliff

Androgen Receptor Antagonists
$2.6B(5%)

prostate cancer specialty

Protein Kinase Inhibitors
$2.4B(4%)

niche hematologic oncology

JAK Inhibitors
$1.9B(4%)

near-term LOE exposure

Career Outlook

Stable

Oncology remains a premium therapeutic area but faces structural headwinds: top 10 products account for >80% of spend, patent cliffs loom (REVLIMID 2028), and late-stage pipeline thinness suggests slower near-term growth. However, high trial volume and consolidation create demand for specialized expertise in regulatory, clinical operations, and lifecycle management. Pharma professionals with kinase inhibitor, immunomodulatory, or ADC experience are in highest demand.

Breaking In

Entry-level candidates should target CROs (Thermo Fisher, IQVIA), emerging biotech (BeiGene, BeOne), or contract manufacturing; oncology specialization requires demonstrated domain knowledge.

For Experienced Professionals

Experienced professionals should focus on lifecycle/patent strategy roles (high salary, low headcount) or pivot to emerging modalities (ADCs, bispecifics) to avoid commoditization in crowded kinase inhibitor space.

In-Demand Skills

Regulatory strategy & PDUFA navigationKinase inhibitor development (small molecule)Clinical trial operations & site managementLifecycle management & patent strategyMedical affairs (oncology-specific science)Manufacturing scale-up (small molecule & biotech)

Best For

Regulatory Affairs ManagerClinical Operations ManagerMedical Science Liaison (MSL) — OncologyLifecycle ManagerR&D Scientist (medicinal chemistry, ADME)Manufacturing Engineer

Hiring Landscape

$102K–$266K

Oncology hiring is actively concentrated at Thermo Fisher Scientific (CRO/CDMO services, 559 jobs), AstraZeneca (208 jobs), and emerging biotech players like BeiGene (185 jobs). Commercial roles dominate (412 jobs, $136K avg) but R&D positions offer the highest salary premium ($199K avg, 347 roles). Patent cliff urgency is creating acute demand for regulatory, CMC, and lifecycle management expertise.

1,946
Open Roles
5
Companies Hiring
5
Departments

Top Hiring Companies

208Stable
185Growing
167Growing
147Growing

By Department

Commercial(21%)
$136K
Research & Development(18%)
$199K
Clinical Operations(5%)
$181K
Medical Affairs(4%)
$266K
Manufacturing(5%)
$102K

Strong near-term hiring momentum, especially in CRO/CDMO and emerging biotech; Medical Affairs offers highest compensation but limited headcount.

Competitive Landscape

17 companies ranked by most advanced pipeline stage

Genentech
GenentechCA - Oceanside
1 program
1
Bone marrow transplantationPhase 31 trial
Active Trials
NCT01020175Completed350Est. Dec 2002
Amgen
AmgenTHOUSAND OAKS, CA
1 program
1
Bone marrow transplantationPhase 3
Astellas
AstellasChina - Shenyang
1 program
1
MicafunginPhase 21 trial
Active Trials
NCT02440178Completed66Est. Jun 2017
Ono Pharmaceutical
Ono PharmaceuticalJapan - Osaka
1 program
1
ONO-7475 3mg once dailyPhase 1/21 trial
Active Trials
NCT03176277Terminated42Est. Jan 2023
Prescient Therapeutics
Prescient TherapeuticsAustralia - South Melbourne
1 program
1
PTX-200Phase 1/21 trial
Active Trials
NCT02930109Completed33Est. Mar 2024
Prevail Therapeutics
1 program
1
LY2523355Phase 11 trial
Active Trials
NCT01214655Terminated33Est. Feb 2011
Syndax Pharmaceuticals
1 program
1
RevumenibPhase 1Small Molecule1 trial
Active Trials
NCT05406817Completed9Est. Nov 2024
Legend Biotech
Legend BiotechNJ - Piscataway
1 program
1
anti-CD123 CAR-T treatmentPhase 1Cell Therapy1 trial
Active Trials
NCT03672851Terminated2Est. Jul 2019
Ossium Health
Ossium HealthIN - Indianapolis
3 programs
CyclophosphamidePHASE_11 trial
Interferon gammaPHASE_11 trial
Ossium HPC Marrow, Bone Marrow TransplantPHASE_1_21 trial
Active Trials
NCT05170828Withdrawn0Est. Nov 2024
NCT04328714Terminated4Est. Jul 2022
NCT05589896Recruiting12Est. Mar 2027
Alliance Pharmaceuticals
2 programs
biologic sample preservation procedureN/A1 trial
cytogenetic analysisN/A1 trial
Active Trials
NCT00899223Active Not Recruiting1,500
NCT00048958Active Not Recruiting9,000
Becton Dickinson
Becton DickinsonFRANKLIN LAKES, NJ
1 program
BD OneFlow Acute Leukemia PanelN/A1 trial
Active Trials
NCT05035615Completed332Est. Jul 2024
UNION therapeutics
UNION therapeuticsDenmark - Hellerup
1 program
HSCT from MSDN/A1 trial
Active Trials
NCT02487069Completed876Est. Feb 2020
Vertex Pharmaceuticals
1 program
AVN-944 capsules for oral administrationPHASE_11 trial
Active Trials
NCT00273936Completed72
Eli Lilly and Company
Eli Lilly and CompanyINDIANAPOLIS, IN
1 program
LY2523355PHASE_1
MEDIPOST
MEDIPOSTKorea - Gyeonggi
1 program
Human umbilical cord blood-derived mesenchymal stem cellsPHASE_1_21 trial
Active Trials
NCT00823316Completed10Est. Feb 2010
Sanofi
SanofiPARIS, France
1 program
CyclophosphamidePHASE_21 trial
Active Trials
NCT04202835Active Not Recruiting80Est. Feb 2026
Roche
RocheSTAVANGER NORWAY, Norway
1 program
Bone marrow transplantationPHASE_3

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
GenentechBone marrow transplantation
SanofiCyclophosphamide
AstellasMicafungin
Ossium HealthOssium HPC Marrow, Bone Marrow Transplant
Ono PharmaceuticalONO-7475 3mg once daily
Prescient TherapeuticsPTX-200
MEDIPOSTHuman umbilical cord blood-derived mesenchymal stem cells
Ossium HealthCyclophosphamide
Syndax PharmaceuticalsRevumenib
Ossium HealthInterferon gamma
Legend Biotechanti-CD123 CAR-T treatment
Prevail TherapeuticsLY2523355
Vertex PharmaceuticalsAVN-944 capsules for oral administration
Becton DickinsonBD OneFlow Acute Leukemia Panel
UNION therapeuticsHSCT from MSD

Showing 15 of 17 trials with date data

Clinical Trials (17)

Total enrollment: 12,421 patients across 17 trials

NCT01020175GenentechBone marrow transplantation

Peripheral Blood (PB) Versus Bone Marrow (BM) in Allogeneic Stem Cell Transplantation

Start: Jan 1995Est. completion: Dec 2002350 patients
Phase 3Completed
NCT04202835SanofiCyclophosphamide

ATG Plus PTCy vs ATG for CGVHD Prophylaxis

Start: Oct 2020Est. completion: Feb 202680 patients
Phase 2Active Not Recruiting

Micafungin Prophylaxis During 1st Induction Chemotherapy for De Novo Acute Leukemia

Start: Sep 2015Est. completion: Jun 201766 patients
Phase 2Completed
NCT05589896Ossium HealthOssium HPC Marrow, Bone Marrow Transplant

A First-in-Human Study of HLA-Partially to Fully Matched Allogenic Cryopreserved Deceased Donor Bone Marrow Transplantation for Patients With Hematologic Malignancies

Start: Aug 2024Est. completion: Mar 202712 patients
Phase 1/2Recruiting
NCT03176277Ono PharmaceuticalONO-7475 3mg once daily

A Study of ONO-7475 in Patients With Acute Leukemias

Start: Jun 2017Est. completion: Jan 202342 patients
Phase 1/2Terminated

A Study of PTX-200 (Triciribine) Plus Cytarabine in Refractory or Relapsed Acute Leukemia

Start: Dec 2016Est. completion: Mar 202433 patients
Phase 1/2Completed
NCT00823316MEDIPOSTHuman umbilical cord blood-derived mesenchymal stem cells

Safety and Efficacy Study of Umbilical Cord Blood-Drived Mesenchymal Stem Cells to Promote Engraftment of Unrelated Hematopoietic Stem Cell Transplantation

Start: Aug 2008Est. completion: Feb 201010 patients
Phase 1/2Completed
NCT05170828Ossium HealthCyclophosphamide

Cryopreserved MMUD BM With PTCy for Hematologic Malignancies

Start: Sep 2022Est. completion: Nov 20240
Phase 1Withdrawn

Study of Radiolabeled Revumenib in Adults With Acute Leukemia

Start: Aug 2022Est. completion: Nov 20249 patients
Phase 1Completed
NCT04328714Ossium HealthInterferon gamma

Interferon γ-Primed Mesenchymal Stromal Cells as Prophylaxis for Acute Graft v Host Disease

Start: Dec 2021Est. completion: Jul 20224 patients
Phase 1Terminated
NCT03672851Legend Biotechanti-CD123 CAR-T treatment

Study Evaluating Safety and Efficacy of CAR-T Cells Targeting CD123 in Patients With Acute Leukemia

Start: Apr 2019Est. completion: Jul 20192 patients
Phase 1Terminated

A Study for Patients With Acute Leukemia

Start: Jun 2008Est. completion: Feb 201133 patients
Phase 1Terminated
NCT00273936Vertex PharmaceuticalsAVN-944 capsules for oral administration

Trial of AVN-944 in Patients With Advanced Hematologic Malignancies

Start: Jan 200672 patients
Phase 1Completed
NCT05035615Becton DickinsonBD OneFlow Acute Leukemia Panel

Evaluation of the BD OneFlow Acute Leukemia Panel on the BD FACSLyric Flow Cytometer

Start: Nov 2021Est. completion: Jul 2024332 patients
N/ACompleted

Allo-HSCT With Alternative Donor in Treatment of Hematologic Malignancy

Start: Jun 2015Est. completion: Feb 2020876 patients
N/ACompleted
NCT00899223Alliance Pharmaceuticalsbiologic sample preservation procedure

Collecting and Storing Blood, Bone Marrow, and Other Samples From Patients With Acute Leukemia, Chronic Leukemia, or Myelodysplastic Syndromes

Start: May 19961,500 patients
N/AActive Not Recruiting

Cytogenetic Studies in Acute Leukemia and Multiple Myeloma

Start: Jun 19849,000 patients
N/AActive Not Recruiting

Related Jobs in Oncology

Phase Legend

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

Key Insights

2 late-stage (Phase 3) programs, potential near-term approvals
1 actively recruiting trials targeting 12,421 patients
21 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.