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Advanced Gastric Cancer

Oncology
10
Pipeline Programs
10
Companies
12
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
2
0
7
0
1
0
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Small Molecule
3100%
+ 10 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

10 companies ranked by most advanced pipeline stage

Sandoz
SandozAustria - Kundl
4 programs
3
1
EverolimusPhase 31 trial
AUY922Phase 21 trial
AUY922Phase 21 trial
EverolimusPhase 21 trial
Active Trials
NCT01084330Completed68Est. May 2012
NCT01402401Terminated21Est. Jun 2013
NCT00519324Completed54
+1 more trials
MSD
MSDIreland - Ballydine
1 program
1
LenvatinibPhase 2Small Molecule
Sharp Therapeutics
Sharp TherapeuticsPA - Pittsburgh
1 program
1
LenvatinibPhase 2Small Molecule1 trial
Active Trials
NCT03609359Completed29Est. Apr 2021
UNION therapeutics
UNION therapeuticsDenmark - Hellerup
1 program
1
PD-1 inhibitorPhase 22 trials
Active Trials
NCT07541755Active Not Recruiting40Est. Jan 2029
NCT04890392Unknown20Est. Feb 2022
Pfizer
PfizerNEW YORK, NY
1 program
1
PF00299804Phase 21 trial
Active Trials
NCT01152853Completed28Est. Sep 2012
HRYZ Biotech
HRYZ BiotechChina - Guangzhou
1 program
1
MASCT-IPhase 11 trial
Active Trials
NCT03393416Unknown28Est. Jul 2020
NeoCura
NeoCuraChina - Beijing
1 program
1
XH001 InjectionPhase 11 trial
Active Trials
NCT07298200Recruiting18Est. Nov 2029
Golden Biotechnology
Golden BiotechnologyTaiwan - Taipei
1 program
Cell infusion for Dose-findingN/A1 trial
Active Trials
NCT04385641Unknown18Est. Oct 2022
Eisai
EisaiChina - Liaoning
1 program
LenvatinibPHASE_2Small Molecule
Hutchmed
HutchmedChina - Hong Kong
1 program
fruquintinib +paclitaxelPHASE_31 trial
Active Trials
NCT03223376Completed703Est. Sep 2022

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
2028
2029
UNION therapeuticsPD-1 inhibitor
Hutchmedfruquintinib +paclitaxel
SandozEverolimus
UNION therapeuticsPD-1 inhibitor
Sharp TherapeuticsLenvatinib
SandozAUY922
PfizerPF00299804
SandozAUY922
SandozEverolimus
NeoCuraXH001 Injection
HRYZ BiotechMASCT-I
Golden BiotechnologyCell infusion for Dose-finding

Clinical Trials (12)

Total enrollment: 1,683 patients across 12 trials

PD-1 Inhibitors +Venetoclax+CAG Regimens in R/R T-ALL

Start: May 2025Est. completion: Jan 202940 patients
Phase 3Active Not Recruiting
NCT03223376Hutchmedfruquintinib +paclitaxel

A Phase III Study of Fruquintinib in Combination With Paclitaxel in Second Line Gastric Cancer(FRUTIGA)

Start: Oct 2017Est. completion: Sep 2022703 patients
Phase 3Completed

Safety and Efficacy of RAD001 (Everolimus) Monotherapy Plus Best Supportive Care in Patients With Advanced Gastric Cancer (AGC)

Start: Jul 2009Est. completion: Jan 2014656 patients
Phase 3Completed

Tislelizumab Combined With S-1 Plus Oxaliplatin as a Neoadjuvant Treatment in Patients With GC/GEJC

Start: Jan 2021Est. completion: Feb 202220 patients
Phase 2Unknown

Lenvatinib and Pembrolizumab Simultaneous Combination Study

Start: Oct 2018Est. completion: Apr 202129 patients
Phase 2Completed

Phase II of AUY922 in Second-line Gastric Cancer in Combination With Trastuzumab in HER2 Positive Patients

Start: Nov 2011Est. completion: Jun 201321 patients
Phase 2Terminated

PF-00299804 Monotherapy in Patients With HER-2 Positive Advance Gastric Cancer

Start: Jul 2010Est. completion: Sep 201228 patients
Phase 2Completed

Phase II Trial of AUY922 vs. Comparators in Advanced Gastric Cancer

Start: Apr 2010Est. completion: May 201268 patients
Phase 2Completed

Efficacy and Safety of Everolimus (RAD001) in Patients With Advanced Gastric Cancer

Start: Aug 200754 patients
Phase 2Completed
NCT07298200NeoCuraXH001 Injection

Clinical Trial on the Safety, Tolerance and Preliminary Efficacy of XH001 Injection Combined With Neoantigen Vaccine-induced Tumor-specific T-cell Injection in Advanced Gastric Cancer

Start: Dec 2025Est. completion: Nov 202918 patients
Phase 1Recruiting

A Phase I Clinical Study for Evaluating the Safety of MASCT-I in Advanced Soild Tumor

Start: Apr 2018Est. completion: Jul 202028 patients
Phase 1Unknown
NCT04385641Golden BiotechnologyCell infusion for Dose-finding

Study on the Safety and Effectiveness of UCB-NK Cell Infusion in the Treatment of Advanced Gastric Cancer and Gastroesophageal Cancer

Start: Oct 2019Est. completion: Oct 202218 patients
N/AUnknown

Related Jobs in Oncology

Phase Legend

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

Key Insights

1 late-stage (Phase 3) programs, potential near-term approvals
1 actively recruiting trials targeting 1,683 patients
10 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.