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Colorectal Adenocarcinoma

Oncology
12
Pipeline Programs
16
Companies
11
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
3
1
7
0
1
0
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Small Molecule
675%
Monoclonal Antibody
225%
+ 11 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

16 companies ranked by most advanced pipeline stage

Alliance Pharmaceuticals
1 program
1
BevacizumabPhase 3Monoclonal Antibody1 trial
Active Trials
NCT04094688Active Not Recruiting455Est. Jul 2026
Exelixis
ExelixisCA - Alameda
2 programs
1
1
CabozantinibPhase 2Small Molecule
XL888Phase 1
Sandoz
SandozAustria - Kundl
2 programs
2
BevacizumabPhase 2Monoclonal Antibody1 trial
ceritinibPhase 2Small Molecule1 trial
Active Trials
NCT00597506Completed50Est. Jun 2010
NCT02638909Terminated4Est. Mar 2018
Colorado Therapeutics
Colorado TherapeuticsCO - Louisville
2 programs
2
CabozantinibPhase 2Small Molecule1 trial
ceritinibPhase 2Small Molecule
Active Trials
NCT04963283Active Not Recruiting48Est. Feb 2027
Servier
ServierFrance - Suresnes
1 program
1
Trifluridine/TipiracilPhase 21 trial
Active Trials
NCT04894123Terminated1Est. Feb 2023
Pfizer
PfizerNEW YORK, NY
1 program
1
perioperative chemotherapyPhase 21 trial
Active Trials
NCT00168155Completed70Est. May 2009
Taiho Pharma
Taiho PharmaJapan - Tokyo
1 program
1
Nanoliposomal IrinotecanPhase 1/2
Sharp Therapeutics
Sharp TherapeuticsPA - Pittsburgh
1 program
1
XL888Phase 1
MSD
MSDIreland - Ballydine
1 program
1
XL888Phase 11 trial
Active Trials
NCT03095781Completed49Est. Jun 2021
Genomics
GenomicsUK - Oxford
1 program
Blood drawN/A1 trial
Active Trials
NCT03706235Completed488Est. Apr 2020
UNION therapeutics
UNION therapeuticsDenmark - Hellerup
1 program
radiotherapyN/A2 trials
Active Trials
NCT07532408Not Yet Recruiting43Est. Dec 2029
NCT05635149Unknown100Est. Sep 2023
Merck & Co.
Merck & Co.RAHWAY, NJ
1 program
XL888PHASE_1
Taiho Oncology
Taiho OncologyNJ - Princeton
1 program
Nanoliposomal IrinotecanPHASE_1_2
Ipsen
IpsenChina - Tianjin
1 program
Nanoliposomal IrinotecanPHASE_1_21 trial
Active Trials
NCT03368963Active Not Recruiting64Est. Nov 2025
Bristol Myers Squibb
1 program
CabozantinibPHASE_2Small Molecule
Novartis
NovartisBASEL, Switzerland
1 program
ceritinibPHASE_2Small Molecule

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
2028
2029
Alliance PharmaceuticalsBevacizumab
UNION therapeuticsradiotherapy
ServierTrifluridine/Tipiracil
Colorado TherapeuticsCabozantinib
Sandozceritinib
SandozBevacizumab
Pfizerperioperative chemotherapy
IpsenNanoliposomal Irinotecan
MSDXL888
UNION therapeuticsradiotherapy
GenomicsBlood draw

Clinical Trials (11)

Total enrollment: 1,372 patients across 11 trials

Vitamin D3 With Chemotherapy and Bevacizumab in Treating Patients With Advanced or Metastatic Colorectal Cancer

Start: Oct 2019Est. completion: Jul 2026455 patients
Phase 3Active Not Recruiting

Romiplostim N01 in the Treatment of Refractory Chemoradiotherapy-induced AA

Start: Apr 2026Est. completion: Dec 202943 patients
Phase 2Not Yet Recruiting
NCT04894123ServierTrifluridine/Tipiracil

Cardiovascular Events From Trifluridine/Tipiracil +/- Oxaliplatin in Colorectal/Oesogastric Adenocarcinoma Patients

Start: Feb 2022Est. completion: Feb 20231 patients
Phase 2Terminated

Study of Cabozantinib and Nivolumab in Refractory Metastatic Microsatellite Stable (MSS) Colorectal Cancer

Start: Jun 2021Est. completion: Feb 202748 patients
Phase 2Active Not Recruiting

Study of Oral Ceritinib in Patients With ALK and ROS1 Activated Gastrointestinal Malignancies

Start: Dec 2015Est. completion: Mar 20184 patients
Phase 2Terminated

Expanded Cohort for Metastatic Colorectal Cancer (MCRC) Using Bevacizumab + Everolimus

Start: Oct 2007Est. completion: Jun 201050 patients
Phase 2Completed
NCT00168155Pfizerperioperative chemotherapy

Study of 5-FU + Leucovorin + CPT-11 in Patients With Resectable Liver Metastases From Colorectal Adenocarcinoma

Start: Jan 2002Est. completion: May 200970 patients
Phase 2Completed
NCT03368963IpsenNanoliposomal Irinotecan

TAS102 in Combination With NAL-IRI in Advanced GI Cancers

Start: Jan 2018Est. completion: Nov 202564 patients
Phase 1/2Active Not Recruiting

Pembrolizumab and XL888 in Patients With Advanced Gastrointestinal Cancer

Start: Jul 2017Est. completion: Jun 202149 patients
Phase 1Completed

Predictive Factors for Outcomes of Fruquintinib Plus Immunotherapy in Colorectal Cancer

Start: Jan 2022Est. completion: Sep 2023100 patients
N/AUnknown

Colvera for Detection of Disease Recurrence

Start: Feb 2018Est. completion: Apr 2020488 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
16 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.