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Diabetic Peripheral Neuropathy

Neurology
9
Pipeline Programs
16
Companies
15
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
5
0
3
1
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Monoclonal Antibody
1100%
+ 18 programs with unclassified modality

Neurology is a $26.9B market dominated by a single blockbuster anticoagulant (ELIQUIS), representing a mature but consolidating therapeutic area.

$26.9B marketMature→ Stable30 products15 companies

Key Trends

  • Extreme market concentration: 68% of spending driven by one FXa inhibitor product
  • Psychiatric and migraine therapies emerging as secondary growth drivers
  • High clinical trial activity (8,279 trials) signals continued pipeline development

Career Verdict

Neurology offers solid career stability with good hiring demand, but limited upside growth—best suited for professionals seeking established market positions rather than emerging-area innovation.

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

Market Leaders

#1ELIQUISStable
$18.3B
Bristol Myers Squibb·Launch15.0yr
$1.8B
#3BRILINTAStable
$692M
AstraZeneca·Peak10.2yr
#4NUPLAZIDStable
$596M
$530M
Johnson & Johnson·Peak15.6yr

Drug Class Breakdown

FXa Inhibitors (anticoagulant)
$18.3B(68%)

market-defining single product

Dopamine/Serotonin Antagonists (psychiatric)
$2.4B(9%)

stable mature class

P2Y12 Receptor Antagonists (antiplatelet)
$692M(3%)

niche but stable

5-HT2A Inverse Agonists (psychiatric)
$596M(2%)

specialty indication focus

CGRP Receptor Antagonists (migraine)
$931M(3%)

emerging growth segment

Immunomodulators (MS)
$747M(3%)

stable with LOE risk

Other mechanisms
$2.6B(10%)

diverse small products

Career Outlook

Stable

Neurology represents a mature, cash-generative market with limited growth tailwinds but strong hiring stability. The dominance of ELIQUIS creates a bifurcated career landscape: high-opportunity positions in emerging segments (CGRP antagonists, psychiatric therapeutics) and commoditized roles in anticoagulant franchises. Job availability is solid but growth expectations should be tempered relative to oncology or immunology.

Breaking In

Entry-level professionals should target clinical operations or commercial support roles at J&J, AstraZeneca, or Sanofi to build domain expertise in neurology disease states and competitive dynamics.

For Experienced Professionals

Experienced professionals should prioritize emerging mechanism roles (CGRP, tau-targeting programs) or pivot to medtech/neurotech (Stryker, Medtronic) to capture higher growth and salary potential than traditional pharma incumbents.

In-Demand Skills

Medical Science Liaisons (MSL) for specialist engagementClinical trial operations expertisePsychiatric/neurodegenerative disease educationRegulatory affairs (given patent cliff activity)Commercial strategy around branded/generic transitions

Best For

Medical Science LiaisonCommercial Brand Manager (anticoagulant/psychiatric franchises)Clinical Operations ManagerRegulatory Affairs SpecialistClinical Development Manager (CGRP/immunomodulator pipelines)

Hiring Landscape

$100K-$199K

Neurology shows moderate but distributed hiring across pharma and medtech employers, with 4,186 total jobs listed. Commercial functions lead (947 roles, $169K avg), followed by clinical operations (467 roles, $132K avg), indicating bias toward commercialization over R&D. Takeda leads external hiring (762 jobs) with strong representation in contract research and CRO spaces.

4,186
Open Roles
5
Companies Hiring
5
Departments

Top Hiring Companies

762Growing
434Stable
302Stable

By Department

Commercial(23%)
$169K
Clinical Operations(11%)
$132K
Engineering(8%)
$199K
IT(4%)
$100K
Manufacturing(3%)
$170K

Commercial and clinical operations roles dominate, offering stable mid-career positions; engineering roles command premium salaries ($199K), suggesting strong device/neurotech hiring pockets.

Competitive Landscape

15 companies ranked by most advanced pipeline stage

Pfizer
PfizerNEW YORK, NY
3 programs
1
1
1
PregabalinPhase 41 trial
PregabalinPhase 31 trial
TanezumabPhase 2Monoclonal Antibody1 trial
Active Trials
NCT01087203Terminated73Est. Jul 2011
NCT01474772Completed217Est. Jul 2013
NCT00159731Completed160Est. May 2006
Astellas
AstellasChina - Shenyang
1 program
1
Capsaicin 8%Phase 31 trial
Active Trials
NCT01533428Completed369Est. Feb 2014
Helixmith
HelixmithKorea - Seoul
1 program
1
EngensisPhase 31 trial
Active Trials
NCT04873232Completed106Est. Jul 2024
XTL Biopharmaceuticals
1 program
1
BicifadinePhase 21 trial
Active Trials
NCT00553592Unknown336Est. Dec 2008
Lexicon Pharmaceuticals
Lexicon PharmaceuticalsNJ - Bridgewater
1 program
1
LX9211Phase 21 trial
Active Trials
NCT04455633Completed319Est. Jun 2022
Prevail Therapeutics
1 program
1
LY3556050Phase 2
Syneos Health
Syneos HealthNC - Morrisville
1 program
1
NYX-2925Phase 21 trial
Active Trials
NCT03219320Completed301Est. Nov 2018
Cognition Therapeutics
Cognition TherapeuticsPA - Pittsburgh
2 programs
Clinical EvaluationN/A
Clinical EvaluationN/A
Human BioSciences
Human BioSciencesWV - Martinsburg
2 programs
Clinical EvaluationN/A1 trial
Clinical EvaluationN/A1 trial
Active Trials
NCT06591780Recruiting25Est. Jun 2027
NCT05965336Recruiting50Est. Mar 2027
Regenesis
RegenesisAZ - Scottsdale
1 program
Active Provant Therapy SystemN/A
Regenesis Biomedical
Regenesis BiomedicalAZ - Scottsdale
1 program
Active Provant Therapy SystemN/A1 trial
Active Trials
NCT03077893Completed44Est. Dec 2017
Colorado Therapeutics
Colorado TherapeuticsCO - Louisville
1 program
Arm A - Non-Diabetic, Gait and BalanceN/A1 trial
Active Trials
NCT01735903Unknown40Est. Jul 2025
Daiichi Sankyo
Daiichi SankyoChina - Shanghai
1 program
DS-5565 tabletPHASE_21 trial
Active Trials
NCT01496365Completed452Est. Sep 2012
Vertex Pharmaceuticals
1 program
SuzetriginePHASE_21 trial
Active Trials
NCT05660538Completed194Est. Oct 2023
Johnson & Johnson
Johnson & JohnsonNEW BRUNSWICK, NJ
1 program
Tapentadol extended releasePHASE_31 trial
Active Trials
NCT01041859Completed460Est. Mar 2011

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
PfizerPregabalin
HelixmithEngensis
AstellasCapsaicin 8%
PfizerPregabalin
Johnson & JohnsonTapentadol extended release
Vertex PharmaceuticalsSuzetrigine
Lexicon PharmaceuticalsLX9211
Syneos HealthNYX-2925
Daiichi SankyoDS-5565 tablet
PfizerTanezumab
XTL BiopharmaceuticalsBicifadine
Human BioSciencesClinical Evaluation
Human BioSciencesClinical Evaluation
Regenesis BiomedicalActive Provant Therapy System
Colorado TherapeuticsArm A - Non-Diabetic, Gait and Balance

Clinical Trials (15)

Total enrollment: 3,146 patients across 15 trials

Safety of Pregabalin in the Treatment of Pain Due to Diabetic Peripheral Neuropathy

Start: Jan 2005Est. completion: May 2006160 patients
Phase 4Completed

A 6-Month Extension Study of VMDN-003-2 to Assess Engensis in Participants With Painful Diabetic Peripheral Neuropathy

Start: May 2021Est. completion: Jul 2024106 patients
Phase 3Completed

A Study to Evaluate Efficacy and Safety of a Single Application of Capsaicin 8%Transdermal Delivery System Compared to Placebo in Reducing Pain Intensity in Subjects With Painful Diabetic Peripheral Neuropathy (PDPN)

Start: Feb 2012Est. completion: Feb 2014369 patients
Phase 3Completed

Efficacy and Safety Study of Pregabalin in the Treatment of Pain on Walking in Patients With Diabetic Peripheral Neuropathy (DPN)

Start: Oct 2011Est. completion: Jul 2013217 patients
Phase 3Completed
NCT01041859Johnson & JohnsonTapentadol extended release

A Study to Evaluate the Efficacy, Safety, and Tolerability of Tapentadol ER Compared With Placebo in Patients With Chronic, Painful Diabetic Peripheral Neuropathy

Start: Dec 2009Est. completion: Mar 2011460 patients
Phase 3Completed

Evaluation of Efficacy and Safety of VX-548 for Painful Diabetic Peripheral Neuropathy (DPN)

Start: Dec 2022Est. completion: Oct 2023194 patients
Phase 2Completed

Efficacy, Safety, and PK of LX9211 in Participants With Diabetic Peripheral Neuropathic Pain

Start: Sep 2020Est. completion: Jun 2022319 patients
Phase 2Completed

Efficacy and Safety of NYX-2925 in Subjects With Neuropathic Pain Associated With Diabetic Peripheral Neuropathy

Start: Jun 2017Est. completion: Nov 2018301 patients
Phase 2Completed

Treatment of Neuropathic Pain Associated With Diabetic Peripheral Neuropathy

Start: Nov 2011Est. completion: Sep 2012452 patients
Phase 2Completed

A Study Of The Analgesic (Pain-Relief) Effects Of Tanezumab In Adult Patients With Diabetic Peripheral Neuropathy

Start: Mar 2010Est. completion: Jul 201173 patients
Phase 2Terminated

Double Blind RCT of Bicifadine SR in Outpatients With Chronic Neuropathic Pain Associated With Diabetes

Start: Sep 2007Est. completion: Dec 2008336 patients
Phase 2Unknown
NCT06591780Human BioSciencesClinical Evaluation

Innovative Multi-Variable Biofeedback for Improving Gait Performance in Individuals With Diabetic Peripheral Neuropathy

Start: Oct 2025Est. completion: Jun 202725 patients
N/ARecruiting
NCT05965336Human BioSciencesClinical Evaluation

Walking Function in Diabetic Peripheral Neuropathy

Start: Dec 2024Est. completion: Mar 202750 patients
N/ARecruiting
NCT03077893Regenesis BiomedicalActive Provant Therapy System

Study of PEMF to Evaluate VPT and Thermal Sensory in Subjects With Diabetic Peripheral Neuropathy

Start: Mar 2017Est. completion: Dec 201744 patients
N/ACompleted
NCT01735903Colorado TherapeuticsArm A - Non-Diabetic, Gait and Balance

Objective Measures of Nerve Integrity, Posture, Gait and Blood Flow, After Nerve Decompression

Start: Nov 2012Est. completion: Jul 202540 patients
N/AUnknown

Related Jobs in Neurology

Phase Legend

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

Key Insights

3 late-stage (Phase 3) programs, potential near-term approvals
2 actively recruiting trials targeting 3,146 patients
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.