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Colo-rectal Cancer

Oncology
1
Pipeline Programs
9
Companies
7
Clinical Trials
2 recruiting
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
1
0
Early DiscoveryClinical DevelopmentMarket

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

7 companies ranked by most advanced pipeline stage

Isofol Medical
Isofol MedicalSweden - Gothenburg
1 program
1
ArfolitixorinPhase 31 trial
Active Trials
NCT03750786Completed490Est. Nov 2022
Guardant Health
Guardant HealthPALO ALTO, CA
2 programs
Guardant ShieldN/A1 trial
Shield Blood Test for colo-rectal cancer ScreeningN/A1 trial
Active Trials
NCT06444542Completed297Est. Dec 2025
NCT06880055Recruiting3,375Est. Dec 2030
Natera
NateraAUSTIN, TX
1 program
Evaluation of the Natera Colorectal Cancer Screening Test in an Average Risk Population (FIND-CRC)N/A1 trial
Active Trials
NCT07046585Recruiting25,000Est. Sep 2033
PENTAX Medical
PENTAX MedicalJapan - Tokyo
1 program
Screening colonoscopy according to resect-and-discard strategyN/A1 trial
Active Trials
NCT03515343Completed411Est. Mar 2019
UNION therapeutics
UNION therapeuticsDenmark - Hellerup
1 program
adjuvant therapy based on 3D drug sensitivity test results of micro tumorN/A1 trial
Active Trials
NCT05978349Unknown150Est. Sep 2025
QIAGEN
QIAGENGermany - Hilden
1 program
therascreen® KRAS RGQ PCR KitN/A
Amgen
AmgenTHOUSAND OAKS, CA
1 program
therascreen® KRAS RGQ PCR KitN/A1 trial
Active Trials
NCT05347745Completed219Est. Apr 2023

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Isofol MedicalArfolitixorin
Guardant HealthShield Blood Test for colo-rectal cancer Screening
NateraEvaluation of the Natera Colorectal Cancer Screening Test in an Average Risk Population (FIND-CRC)
Guardant HealthGuardant Shield
UNION therapeuticsadjuvant therapy based on 3D drug sensitivity test results of micro tumor
Amgentherascreen® KRAS RGQ PCR Kit
PENTAX MedicalScreening colonoscopy according to resect-and-discard strategy

Clinical Trials (7)

Total enrollment: 29,942 patients across 7 trials

A Study to Compare the Efficacy of Arfolitixorin Versus Leucovorin in Combination With 5 Fluorouracil, Oxaliplatin, and Bevacizumab in Patients With Advanced Colorectal Cancer

Start: Dec 2018Est. completion: Nov 2022490 patients
Phase 3Completed
NCT06880055Guardant HealthShield Blood Test for colo-rectal cancer Screening

Shield Post-Approval Study Protocol

Start: Jul 2025Est. completion: Dec 20303,375 patients
N/ARecruiting
NCT07046585NateraEvaluation of the Natera Colorectal Cancer Screening Test in an Average Risk Population (FIND-CRC)

Evaluation of the Natera Colorectal Cancer Screening Test in an Average Risk Population (FIND-CRC)

Start: May 2025Est. completion: Sep 203325,000 patients
N/ARecruiting

Understanding Patient Preference on Colorectal Cancer Screening Options-PSU

Start: Sep 2024Est. completion: Dec 2025297 patients
N/ACompleted
NCT05978349UNION therapeuticsadjuvant therapy based on 3D drug sensitivity test results of micro tumor

PTC Drug Sensitivity Detection to Guide Postoperative Adjuvant of Colorectal Cancer

Start: Feb 2022Est. completion: Sep 2025150 patients
N/AUnknown
NCT05347745Amgentherascreen® KRAS RGQ PCR Kit

Therascreen® KRAS RGQ PCR Kit

Start: Jan 2022Est. completion: Apr 2023219 patients
N/ACompleted
NCT03515343PENTAX MedicalScreening colonoscopy according to resect-and-discard strategy

Optivista : I-SCAN OE for Optical Diagnosis of Small Colon Polyps

Start: Mar 2018Est. completion: Mar 2019411 patients
N/ACompleted

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
2 actively recruiting trials targeting 29,942 patients
9 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.