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Chronic Hand Eczema

Immunology
13
Pipeline Programs
5
Companies
11
Clinical Trials
1
Approved Products

Pipeline by Development Stage

Preclinical
Phase 1
Phase 1/2
Phase 2
Phase 2/3
Phase 3
On Market
0
1
2
2
0
6
2
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Small Molecule
5100%
+ 8 programs with unclassified modality

Immunology is a $15.0B market in mature growth, driven by blockbuster JAK inhibitors and biologics across multiple therapeutic domains.

$15.0B marketMature↑ Growing30 products15 companies

Key Trends

  • JAK inhibitors and corticosteroid combinations dominate spending (39% combined)
  • Multiple patent cliffs emerging 2026-2028, creating generic competition risk
  • Robust pipeline with 4,996 trials signals continued innovation and market expansion

Career Verdict

Strong career opportunity for those targeting Medical Affairs, Commercial, or R&D roles, with solid hiring momentum and premium salaries in specialized functions.

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

Market Leaders

#1MOUNJAROGrowing
$2.4B
#2SYMBICORTStable
$2.0B
AstraZeneca·LOE_APPROACHING
#3JAKAFIDeclining
$1.9B
Incyte·LOE_APPROACHING2.6yr
#4RESTASISStable
$1.5B
AbbVie·PEAK8.0yr
#5RINVOQGrowing
$976M
AbbVie·PEAK11.8yr

Drug Class Breakdown

Janus Kinase Inhibitors
$3.0B(20%)

dominant class with patent cliff risk

Corticosteroid Hormone Receptor Agonists
$2.8B(19%)

established, mature market segment

G-Protein-linked Receptor Interactions
$2.4B(16%)

driven by single blockbuster

Calcineurin Inhibitors
$1.6B(11%)

established immunosuppression class

Tumor Necrosis Factor Receptor Blocking Activity
$1.2B(8%)

legacy biologic class with competition

Career Outlook

Growing

Immunology offers a maturing but actively growing market with strong corporate investment, deep pipelines, and premium compensation across commercial and clinical functions. The therapeutic area is characterized by complex mechanism-of-action portfolios, frequent label expansion opportunities, and multi-indication blockbusters that require sophisticated Medical Affairs and Commercial expertise. Patent cliff risk on JAK inhibitors creates both disruption and opportunity for those skilled in competitive positioning and pipeline strategy.

Breaking In

Enter through Medical Affairs, Clinical Operations, or Commercial Training programs at large companies (J&J, AbbVie, Bristol Myers Squibb); a foundation in immunology mechanisms is valuable but trainable.

For Experienced Professionals

Leverage patent cliff risk to position yourself in competitive differentiation, pipeline strategy, or M&A integration roles, where demand for immunology expertise is highest.

In-Demand Skills

Medical Affairs and MSL expertise in immunosuppression and inflammatory diseasesJAK inhibitor mechanism expertise and competitive positioningClinical trial design and phase transition managementCommercial acumen for premium-priced biologics and small moleculesRegulatory strategy for label expansions and lifecycle management

Best For

Medical Science LiaisonBrand ManagerSenior Medical Affairs ManagerClinical Development ManagerCommercial Strategy Lead

Hiring Landscape

$212K-$387K

Immunology hiring totals 340 open positions with strong demand across Medical Affairs (110 roles, $257K avg), Commercial (83 roles, $270K avg), and R&D (31 roles, $387K avg). Johnson & Johnson, Bristol Myers Squibb, and AbbVie are the top recruiters, reflecting their portfolio depth and market dominance. Compensation is competitive, particularly in R&D and Clinical Operations.

340
Open Roles
5
Companies Hiring
5
Departments

Top Hiring Companies

45Growing
31Growing
29Stable

By Department

Medical Affairs(32%)
$257K
Commercial(24%)
$270K
Research & Development(9%)
$387K
Clinical Operations(4%)
$345K
Manufacturing(2%)
$212K

Strong hiring demand with premium compensation in Medical Affairs and Commercial roles; R&D positions command highest salaries but are less abundant.

On Market (1)

Approved therapies currently available

Leo Pharma
ANZUPGOApproved
delgocitinib
Leo Pharma
Janus Kinase Inhibitor [EPC]topical2025

Competitive Landscape

5 companies ranked by most advanced pipeline stage

Leo Pharma
Leo PharmaDenmark - Ballerup
8 programs
1
1
6
1
DelgocitinibPhase 3Small Molecule1 trial
DelgocitinibPhase 3Small Molecule1 trial
DelgocitinibPhase 3Small Molecule1 trial
DelgocitinibPhase 3Small Molecule1 trial
Delgocitinib creamPhase 31 trial
+3 more programs
Active Trials
NCT05486117Completed15Est. Nov 2022
NCT03683719Completed258Est. Apr 2020
NCT06004050Completed362Est. Sep 2025
+5 more trials
Nordic Pharma
Nordic PharmaFrance - Paris
1 program
1
Roflumilast 500 Mcg Oral TabletPhase 41 trial
Active Trials
NCT05682859Unknown40Est. Apr 2026
Arcutis Biotherapeutics
Arcutis BiotherapeuticsWESTLAKE VILLAGE, CA
2 programs
1
1
PDE4 inhibitorPhase 2
ARQ-252 cream 0.3%Phase 1/2
BioTherapeutics Inc
BioTherapeutics IncVA - Blacksburg
1 program
1
ARQ-252 cream 0.3%Phase 1/21 trial
Active Trials
NCT04378569Completed230Est. Feb 2021
Pierre Fabre
Pierre FabreFrance - Aignan
1 program
Dexyane MedN/A1 trial
Active Trials
NCT05545215Withdrawn0Est. Dec 2022

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
Nordic PharmaRoflumilast 500 Mcg Oral Tablet
Leo PharmaDelgocitinib
Leo PharmaDelgocitinib
Leo PharmaDelgocitinib
Leo PharmaDelgocitinib
Leo PharmaDelgocitinib cream
Leo PharmaDelgocitinib cream
Leo PharmaDelgocitinib cream
BioTherapeutics IncARQ-252 cream 0.3%
Leo PharmaDelgocitinib
Pierre FabreDexyane Med

Clinical Trials (11)

Total enrollment: 3,277 patients across 11 trials

NCT05682859Nordic PharmaRoflumilast 500 Mcg Oral Tablet

Treatment of Chronic Hand Eczema With Oral Roflumilast (HERO)

Start: Sep 2023Est. completion: Apr 202640 patients
Phase 4Unknown

A Trial to Evaluate Efficacy, Safety, and Pharmacokinetics of Delgocitinib Cream in Chinese Adults and Adolescents With Moderate to Severe Chronic Hand Eczema

Start: Sep 2023Est. completion: Sep 2025362 patients
Phase 3Completed

Efficacy and Safety of Delgocitinib Cream in Adolescents 12-17 Years of Age With Moderate to Severe Chronic Hand Eczema

Start: Jul 2022Est. completion: Dec 202498 patients
Phase 3Completed

A 24 Week Trial to Compare the Efficacy and Safety of Delgocitinib Cream 20 mg/g Twice-daily With Alitretinoin Capsules Once-daily in Adult Participants With Severe Chronic Hand Eczema

Start: Jun 2022Est. completion: Dec 2023513 patients
Phase 3Completed

Open-label Multi-site Extension Trial in Subjects Who Completed the DELTA 1 or DELTA 2 Trials

Start: Aug 2021Est. completion: Sep 2023801 patients
Phase 3Completed
NCT04872101Leo PharmaDelgocitinib cream

Efficacy and Safety of Delgocitinib Cream in Adults With Moderate to Severe Chronic Hand Eczema (DELTA 2)

Start: May 2021Est. completion: Jan 2023473 patients
Phase 3Completed
NCT04871711Leo PharmaDelgocitinib cream

Efficacy and Safety of Delgocitinib Cream in Adults With Moderate to Severe Chronic Hand Eczema

Start: May 2021Est. completion: Oct 2022487 patients
Phase 3Completed
NCT03683719Leo PharmaDelgocitinib cream

Phase 2b Dose-ranging Trial to Evaluate Delgocitinib Cream 1, 3, 8, and 20 mg/g Compared to Delgocitinib Cream Vehicle Over a 16-week Treatment Period in Adult Subjects With Chronic Hand Eczema

Start: Nov 2018Est. completion: Apr 2020258 patients
Phase 2Completed

Safety and Efficacy of ARQ-252 Cream in Subjects With Chronic Hand Eczema

Start: Apr 2020Est. completion: Feb 2021230 patients
Phase 1/2Completed

Pharmacokinetics of Delgocitinib 20 mg/g Cream in Subjects With Chronic Hand Eczema

Start: Sep 2022Est. completion: Nov 202215 patients
Phase 1Completed

Prospective Real-World Clinical Investigation on Dexyane Med® in Adults With Chronic Hand Eczema

Start: Sep 2022Est. completion: Dec 20220
N/AWithdrawn

Related Jobs in Immunology

Phase Legend

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

Key Insights

6 late-stage (Phase 3) programs, potential near-term approvals
5 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.