Skip to main content

Diabetes Mellitus, Non-Insulin-Dependent

Metabolic Diseases
20
Pipeline Programs
12
Companies
21
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
2
0
4
0
13
1
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Small Molecule
375%
Peptide
125%
+ 25 programs with unclassified modality

Metabolic Diseases is a $70.5B mature market dominated by diabetes and anticoagulation therapies with sustained blockbuster momentum.

$70.5B marketMature↑ Growing30 products15 companies

Key Trends

  • GLP-1 agonists (Ozempic, Mounjaro) driving explosive growth and market consolidation
  • SGLT2 inhibitors expanding beyond diabetes into cardio-renal indications
  • Significant patent cliff risk 2027-2029 for DPP-4 inhibitors (Januvia) and older insulins

Career Verdict

Excellent opportunity for specialists seeking stable, high-revenue exposure with strong hiring momentum in commercial and engineering roles.

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

Market Leaders

#1ELIQUISStable
$18.3B
Bristol Myers Squibb·Launch15.0yr
#2OZEMPICGrowing
$9.2B
Novo Nordisk·Peak12.4yr
#3JARDIANCEGrowing
$8.8B
#5FARXIGAGrowing
$4.3B
AstraZeneca·Peak15.4yr

Drug Class Breakdown

FXa Inhibitors (Anticoagulants)
$18.3B(26%)

stable, mature franchise

GLP-1 Agonists
$18.2B(26%)

rapid growth, expanding indications

SGLT2 Inhibitors
$9.4B(13%)

growing, cardio-renal expansion

Insulin Analogs
$7.8B(11%)

stable, generics pressure

DPP-4 Inhibitors
$5.4B(8%)

declining, patent cliff 2027

Career Outlook

Growing

Metabolic diseases offers stable, high-value career trajectory with blockbuster product revenue supporting competitive compensation and long-term job security. Commercial and field-based roles dominate hiring, reflecting the shift toward patient access, digital health, and device integration in diabetes management. Patent cliff exposure in DPP-4 class (2027-2029) creates near-term volatility for Merck but limited impact on overall market given GLP-1 dominance.

Breaking In

Target device companies (Insulet, Abbott) or diagnostic firms for entry-level roles if traditional pharma hiring is limited; strong foundation in diabetes biology and HbA1c/CGM metrics will accelerate credibility.

For Experienced Professionals

Experienced professionals should prioritize GLP-1 franchise or SGLT2 indication expansion roles; avoid Merck DPP-4-focused assignments given 2027 patent cliff, unless willing to transition to next-generation pipeline.

In-Demand Skills

Commercial acumen and healthcare economics (GLP-1 market dynamics)Regulatory affairs (label expansion, indication creep for SGLT2/GLP-1)Digital health and CGM/insulin device experienceReal-world evidence generation and health outcomes research

Best For

Brand Manager (peak-cycle GLP-1 products)Medical Science Liaison (cardio-renal expansion)Market Access / Health Economics (SGLT2 outcomes)Commercial Operations (launch support for next-gen)

Hiring Landscape

$153K-$274K

Hiring activity is concentrated in commercial roles (166 positions) and engineering (126 positions), driven by device makers (Insulet: 270 jobs) and diagnostic companies (Abbott: 154 jobs) rather than traditional pharma. Sanofi leads pharma hiring with 42 metabolic-focused positions, but specialized roles in clinical operations remain constrained. Salary expectations range from $153K (Clinical Ops) to $274K (Manufacturing), with strong compensation for commercial and quality roles.

574
Open Roles
5
Companies Hiring
4
Departments

Top Hiring Companies

270Growing
154Growing
42Stable
38Stable

By Department

Commercial(29%)
$220K
Engineering(22%)
$197K
Manufacturing(8%)
$274K
Clinical Operations(4%)
$153K

Strongest hiring momentum in device/delivery and commercial infrastructure; traditional pharma R&D roles remain limited despite blockbuster pipeline.

Competitive Landscape

12 companies ranked by most advanced pipeline stage

AstraZeneca
AstraZenecaCAMBRIDGE, United Kingdom
6 programs
1
3
1
SaxagliptinPhase 4Small Molecule1 trial
AC2993Phase 31 trial
AC2993Phase 31 trial
Dapagliflozin 10 mgPhase 3
Pramlintide acetatePhase 21 trial
+1 more programs
Active Trials
NCT01694758Completed733Est. Mar 2014
NCT00044707Completed24Est. Sep 2002
NCT00035984Completed734Est. Aug 2003
+2 more trials
Sharp Therapeutics
Sharp TherapeuticsPA - Pittsburgh
6 programs
1
1
4
Comparator: PlaceboPhase 3
sitagliptin phosphatePhase 3
sitagliptin phosphatePhase 3
sitagliptin phosphatePhase 3
sitagliptin phosphatePhase 2
+1 more programs
MSD
MSDIreland - Ballydine
6 programs
1
1
4
Comparator: PlaceboPhase 31 trial
sitagliptin phosphatePhase 31 trial
sitagliptin phosphatePhase 31 trial
sitagliptin phosphatePhase 31 trial
sitagliptin phosphatePhase 21 trial
+1 more programs
Active Trials
NCT00791661Completed24Est. Mar 2009
NCT00758069Completed80Est. Feb 2006
NCT00837577Completed133Est. Aug 2010
+3 more trials
Human BioSciences
Human BioSciencesWV - Martinsburg
1 program
1
Intensive lifestylePhase 31 trial
Active Trials
NCT00004992Completed3,234Est. Apr 2001
Sandoz
SandozAustria - Kundl
1 program
1
LAF237 = vildagliptinPhase 3Small Molecule1 trial
Active Trials
NCT00952991Completed18Est. Feb 2006
Prevail Therapeutics
1 program
1
naveglitazarPhase 21 trial
Active Trials
NCT00065312Completed
Sanofi
SanofiPARIS, France
2 programs
GlimepiridePHASE_31 trial
insulin glarginePHASE_31 trial
Active Trials
NCT00044447Completed170Est. Sep 2002
NCT00069784Completed12,537Est. Dec 2011
Bristol Myers Squibb
2 programs
GlucovancePHASE_31 trial
GlucovancePHASE_41 trial
Active Trials
NCT00035542CompletedEst. Oct 2003
NCT00035568CompletedEst. Jun 2003
Pfizer
PfizerNEW YORK, NY
1 program
Glipizide GITSN/A1 trial
Active Trials
NCT00550329Completed32Est. Nov 2007
Thetis Pharmaceuticals
1 program
Metformin EicosapentaenoatePHASE_11 trial
Active Trials
NCT02113163Completed32Est. Jul 2014
Novartis
NovartisBASEL, Switzerland
1 program
LAF237 = vildagliptinPHASE_3Small Molecule
Novo Nordisk
Novo NordiskBAGSVAERD DENMARK, Denmark
1 program
Liraglutide or PlaceboPHASE_4Peptide1 trial
Active Trials
NCT02299388Completed11Est. Dec 2016

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
Novo NordiskLiraglutide or Placebo
AstraZenecaSaxagliptin
Bristol Myers SquibbGlucovance
MSDComparator: Placebo
MSDsitagliptin phosphate
MSDsitagliptin phosphate
MSDsitagliptin phosphate
SandozLAF237 = vildagliptin
Sanofiinsulin glargine
AstraZenecaAC2993
AstraZenecaAC2993
Bristol Myers SquibbGlucovance
SanofiGlimepiride
Human BioSciencesIntensive lifestyle
MSDsitagliptin phosphate

Showing 15 of 20 trials with date data

Clinical Trials (21)

Total enrollment: 22,203 patients across 21 trials

NCT02299388Novo NordiskLiraglutide or Placebo

To Evaluate the Effect of Liraglutide on Ambulatory Blood Pressure-A Pilot Study

Start: Oct 2014Est. completion: Dec 201611 patients
Phase 4Completed

The Efficacy and Safety Study in Patients With Type 2 Diabetes Mellitus

Start: Nov 2012Est. completion: May 20142,165 patients
Phase 4Completed

A Research Study to Assess the Mechanism By Which Glucovance, Metformin, and Glyburide Work To Control Glucose Levels In Patients With Type 2 Diabetes

Start: Feb 2002Est. completion: Jun 2003
Phase 4Completed
NCT00837577MSDComparator: Placebo

MK0431/ONO-5435 Phase III Clinical Trial -Add-on to Voglibose Study for Patients With Type 2 Diabetes Mellitus (MK0431-104)

Start: Feb 2009Est. completion: Aug 2010133 patients
Phase 3Completed
NCT00545584MSDsitagliptin phosphate

Addition Of Januvia (Sitagliptin) Improves Glycemic Control In Patients Inadequately Controlled By Metformin (MK0431-078)

Start: Apr 2007Est. completion: Nov 20091,512 patients
Phase 3Completed
NCT00875394MSDsitagliptin phosphate

Study to Assess the Efficacy and Safety of Sitagliptin Added to the Regimen of Patients With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Metformin (0431-189)

Start: Feb 2007Est. completion: Jun 200868 patients
Phase 3Completed
NCT00411554MSDsitagliptin phosphate

A Study of Sitagliptin in Patients With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Diet/Exercise Therapy (0431-054)(COMPLETED)

Start: Jan 2007Est. completion: Aug 2007319 patients
Phase 3Completed
NCT00952991SandozLAF237 = vildagliptin

The Effects of LAF237 on Gastric Function in Type 2 Diabetes

Start: May 2005Est. completion: Feb 200618 patients
Phase 3Completed
NCT00069784Sanofiinsulin glargine

The ORIGIN Trial (Outcome Reduction With Initial Glargine Intervention)

Start: Aug 2003Est. completion: Dec 201112,537 patients
Phase 3Completed

Evaluation of the Effect on Glucose Control of AC2993 in Patients With Type 2 Diabetes Mellitus

Start: May 2002Est. completion: Aug 2003734 patients
Phase 3Completed

Evaluation of the Effect on Glucose Control of AC2993 in Patients With Type 2 Diabetes Mellitus Treated With a Sulfonylurea

Start: Feb 2002Est. completion: Aug 2003377 patients
Phase 3Completed

A Research Study to Determine the Safety and Efficacy of Glucovance Compared to Metformin and Glyburide in Children and Adolescents With Type 2 Diabetes.

Start: Dec 2001Est. completion: Oct 2003
Phase 3Completed

Evaluate the Role of Adding Amaryl to Non-Insulin Dependent Diabetes Mellitus Patients Unresponsive to Maximum Dose Metformin & Thiazolidinedione

Start: May 2001Est. completion: Sep 2002170 patients
Phase 3Completed
NCT00004992Human BioSciencesIntensive lifestyle

Diabetes Prevention Program

Start: Jul 1996Est. completion: Apr 20013,234 patients
Phase 3Completed

An Evaluation of an Oral Antidiabetic Agent for the Treatment of Type 2 Diabetes

Phase 2Completed
NCT00758069MSDsitagliptin phosphate

Clinical Study on Sitagliptin for Assessment of Glucose-lowering Effects (0431-045)

Start: Jul 2005Est. completion: Feb 200680 patients
Phase 2Completed
NCT00044707AstraZenecaPramlintide acetate

Evaluation of an Orally Administered Medication When Taken in Conjunction With Pramlintide

Start: Aug 2002Est. completion: Sep 200224 patients
Phase 2Completed
NCT02113163Thetis PharmaceuticalsMetformin Eicosapentaenoate

PK Study Comparing Metformin Eicosapentaenoate to a Combined Dose of Metformin Hydrochloride and Ethyl Ester EPA

Start: Mar 2014Est. completion: Jul 201432 patients
Phase 1Completed

MK-1006 Single Dose Study in Japanese Type 2 Diabetes Patients (MK-1006-005)

Start: Nov 2008Est. completion: Mar 200924 patients
Phase 1Completed
NCT01694758AstraZenecaOPtimal Type 2 dIabetes Management Including Benchmarking and Standard Treatment in CEEMEA

OPtimal Type 2 dIabetes Management Including Benchmarking and Standard Treatment in CEEMEA

Start: Nov 2012Est. completion: Mar 2014733 patients
N/ACompleted
NCT00550329PfizerGlipizide GITS

Bioequivalence Study Of Glucotrol XL 2.5 Mg Tablets

Start: Oct 2007Est. completion: Nov 200732 patients
N/ACompleted

Related Jobs in Metabolic Diseases

Phase Legend

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

Key Insights

13 late-stage (Phase 3) programs, potential near-term approvals
12 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.