Skip to main content

Duchenne Muscular Dystrophy (DMD)

Rare Diseases
10
Pipeline Programs
11
Companies
15
Clinical Trials
2 recruiting
1
Approved Products

Pipeline by Development Stage

Preclinical
Phase 1
Phase 1/2
Phase 2
Phase 2/3
Phase 3
On Market
0
3
0
4
0
2
1
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

RNA Therapeutic
2100%
+ 14 programs with unclassified modality

Rare Diseases is a $21.9B market dominated by a single blockbuster (ELIQUIS), with moderate growth and high consolidation among top-tier pharma players.

$21.9B marketMature→ Stable30 products15 companies

Key Trends

  • Market concentration: One product (ELIQUIS) represents 83% of market spending
  • Complement inhibitors and enzyme replacement therapies gaining momentum
  • Active pipeline with 1,790 trials, predominantly Phase 2-3 stage

Career Verdict

Yes, if you seek stability and commercial opportunity with major pharma; proceed cautiously if you want pipeline upside or innovation-driven roles.

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

Market Leaders

#1ELIQUISStable
$18.3B
Bristol Myers Squibb·LAUNCH15.0yr
#2XIFAXANDeclining
$1.1B
Bausch Health·LOE_APPROACHING
#3BRILINTAStable
$692M
AstraZeneca·PEAK10.2yr
#4TYVASO DPIStable
$437M
#5STRENSIQStable
$259M

Drug Class Breakdown

FXa Inhibitors (Anticoagulants)
$18.3B(83%)

Mature, patent-protected until 2041

Unknown Mechanism
$1.4B(6%)

Mixed—includes LOE-approaching products

P2Y12 Receptor Antagonists
$692M(3%)

Peak sales, LOE 2036

Prostaglandins/Vasodilators
$437M(2%)

Stable, long patent protection

Complement Inhibitors
$408M(2%)

Emerging class, no LOE data available

Enzyme Replacement Therapies
$40M(0%)

Niche market, specialized patient populations

Career Outlook

Stable

The rare disease market is stable but mature, with job growth concentrated in commercial and medical affairs rather than R&D innovation. Consolidation among top pharma (AstraZeneca, BMS, Amgen) limits opportunities for mid-tier companies, but specialist biotech firms show hiring momentum. Patent cliff risk for ELIQUIS (2041) will create restructuring opportunities and potential job flux in downstream years.

Breaking In

Target commercial or quality assurance roles at AstraZeneca, Capricor, or Amgen to build market knowledge; rare disease expertise is portable and valued across therapeutic areas.

For Experienced Professionals

Seek regulatory or medical affairs leadership roles where salary ceiling is highest ($243K-$257K); consider biotech firms like Insmed or Krystal for upside if pipeline approvals accelerate.

In-Demand Skills

Market access and HCP engagement (medical affairs)Regulatory and compliance expertisePatient stratification and genetic testing knowledgeCommercial analytics and lifecycle management

Best For

Medical Science Liaison (high salary, growing demand)Commercial Manager/Product Manager (39% of jobs)Regulatory Affairs Specialist (premium salary $257K)Health Economics & Outcomes Research (unmet need in data)

Hiring Landscape

$114K-$257K

Rare disease hiring is concentrated in commercial roles (75 jobs at $215K avg) and medical affairs (16 jobs at $243K avg), reflecting a mature market's focus on market access and HCP engagement. Top hiring companies include AstraZeneca (38 jobs) and emerging biotech players like Capricor Therapeutics (30 jobs). Department salaries range from $114K-$257K, with regulatory affairs commanding premium compensation.

195
Open Roles
5
Companies Hiring
5
Departments

Top Hiring Companies

38Growing
18Stable
17Growing
14Stable

By Department

Commercial(39%)
$215K
Medical Affairs(8%)
$243K
Research & Development(10%)
Regulatory Affairs(4%)
$257K
Quality Assurance(4%)
$168K

Commercial and regulatory roles offer strong salaries and growth; R&D hiring is minimal (10%), reflecting a consolidation and maturity phase in the market.

On Market (1)

Approved therapies currently available

Sarepta Therapeutics
EXONDYS 51Approved
eteplirsen
Sarepta Therapeutics
Antisense Oligonucleotide [EPC]intravenous2016

Competitive Landscape

10 companies ranked by most advanced pipeline stage

Sarepta Therapeutics
3 programs
2
1
1
eteplirsenPhase 3RNA Therapeutic1 trial
AVI-4658Phase 21 trial
eteplirsenPhase 2RNA Therapeutic1 trial
Active Trials
NCT01540409Completed12Est. Aug 2017
NCT02420379Completed33Est. Dec 2018
NCT02255552Completed109Est. Jun 2019
Santhera Pharmaceuticals
Santhera PharmaceuticalsSwitzerland - Pratteln
2 programs
1
1
Idebenone 150 mg film-coated tabletsPhase 31 trial
idebenonePhase 21 trial
Active Trials
NCT00654784Completed21Est. Aug 2007
NCT02814019Terminated255Est. Dec 2020
Nippon Shinyaku
Nippon ShinyakuJapan - Kyoto
1 program
1
NS-089/NCNP-02Phase 21 trial
Active Trials
NCT05135663Active Not Recruiting6Est. Apr 2027
UNION therapeutics
UNION therapeuticsDenmark - Hellerup
3 programs
2
GEN6050X intravenous injectionPhase 11 trial
RAG-18Phase 1
Rituxan treatmentN/A1 trial
Active Trials
NCT07475754Not Yet Recruiting5Est. Apr 2027
NCT06392724Active Not Recruiting3Est. Dec 2027
Astellas
AstellasChina - Shenyang
1 program
1
BocidelparPhase 11 trial
Active Trials
NCT04184882Terminated8Est. Sep 2022
Entrada Therapeutics
2 programs
ENTR-601-44PHASE_1_21 trial
ENTR-601-45PHASE_1_21 trial
Active Trials
NCT07037862Recruiting24Est. Mar 2029
NCT07038824Recruiting24Est. Mar 2029
Pfizer
PfizerNEW YORK, NY
1 program
Activity MonitorN/A1 trial
Active Trials
NCT04254172Terminated2Est. Aug 2020
Ractigen Therapeutics
Ractigen TherapeuticsChina - Nantong
1 program
RAG-18PHASE_11 trial
Active Trials
NCT07282652Active Not Recruiting12Est. Nov 2026
Dyne Therapeutics
1 program
DYNE-251PHASE_1_21 trial
Active Trials
NCT05524883Active Not Recruiting86Est. Nov 2029
Satellos Bioscience
Satellos BioscienceTORONTO, Ontario, Canada
1 program
SAT-3247PHASE_21 trial
Active Trials
NCT06867107Enrolling By Invitation10Est. Aug 2026

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
2028
2029
Santhera PharmaceuticalsIdebenone 150 mg film-coated tablets
Sarepta Therapeuticseteplirsen
Satellos BioscienceSAT-3247
Nippon ShinyakuNS-089/NCNP-02
Sarepta Therapeuticseteplirsen
Sarepta TherapeuticsAVI-4658
Santhera Pharmaceuticalsidebenone
Entrada TherapeuticsENTR-601-45
Entrada TherapeuticsENTR-601-44
Dyne TherapeuticsDYNE-251
Ractigen TherapeuticsRAG-18
UNION therapeuticsGEN6050X intravenous injection
AstellasBocidelpar
UNION therapeuticsRituxan treatment
PfizerActivity Monitor

Clinical Trials (15)

Total enrollment: 610 patients across 15 trials

NCT02814019Santhera PharmaceuticalsIdebenone 150 mg film-coated tablets

A Phase III Double-blind Study With Idebenone in Patients With Duchenne Muscular Dystrophy (DMD) Taking Glucocorticoid Steroids

Start: Sep 2016Est. completion: Dec 2020255 patients
Phase 3Terminated

Study of Eteplirsen in DMD Patients

Start: Nov 2014Est. completion: Jun 2019109 patients
Phase 3Completed

An Open-label Long-term Follow-up Study of SAT-3247 for Participants With Duchenne Muscular Dystrophy Including Those Who Participated in SAT-3247-CL-101

Start: Aug 2025Est. completion: Aug 202610 patients
Phase 2Enrolling By Invitation

Extension Study of NS-089/NCNP-02 in DMD

Start: Jun 2021Est. completion: Apr 20276 patients
Phase 2Active Not Recruiting

Safety Study of Eteplirsen to Treat Early Stage Duchenne Muscular Dystrophy

Start: Jun 2015Est. completion: Dec 201833 patients
Phase 2Completed

Efficacy, Safety, and Tolerability Rollover Study of Eteplirsen in Subjects With Duchenne Muscular Dystrophy

Start: Feb 2012Est. completion: Aug 201712 patients
Phase 2Completed

Efficacy and Tolerability of Idebenone in Boys With Cardiac Dysfunction Associated With Duchenne Muscular Dystrophy

Start: Oct 2005Est. completion: Aug 200721 patients
Phase 2Completed

A Study in Participants With Duchenne Muscular Dystrophy Amenable to Exon 45 Skipping to Evaluate the Safety and Efficacy of ENTR-601-45

Start: Aug 2025Est. completion: Mar 202924 patients
Phase 1/2Recruiting

A Study in Participants With Duchenne Muscular Dystrophy Amenable to Exon 44 Skipping to Evaluate the Safety and Efficacy of ENTR-601-44

Start: Jun 2025Est. completion: Mar 202924 patients
Phase 1/2Recruiting

Safety, Tolerability, Pharmacodynamic, Efficacy, and Pharmacokinetic Study of DYNE-251 in Participants With Duchenne Muscular Dystrophy Amenable to Exon 51 Skipping

Start: Aug 2022Est. completion: Nov 202986 patients
Phase 1/2Active Not Recruiting

A Study to Evaluate the Safety and Tolerability of RAG-18 in Pediatric Patients With Duchenne Muscular Dystrophy

Start: Dec 2025Est. completion: Nov 202612 patients
Phase 1Active Not Recruiting
NCT06392724UNION therapeuticsGEN6050X intravenous injection

A Study to Evaluate the Safety and Tolerability of GEN6050X in Duchenne Muscular Dystrophy.

Start: Jul 2024Est. completion: Dec 20273 patients
Phase 1Active Not Recruiting

A Study to Assess the Safety, Tolerability and Preliminary Efficacy of ASP0367 (MA-0211) in Pediatric Male Participants With Duchenne Muscular Dystrophy (DMD)

Start: Feb 2021Est. completion: Sep 20228 patients
Phase 1Terminated

A Study to Evaluate the Safety and Tolerability of Rituxan in Duchenne Muscular Dystrophy

Start: Mar 2026Est. completion: Apr 20275 patients
N/ANot Yet Recruiting
NCT04254172PfizerActivity Monitor

A Low Interventional Study to Monitor Activity Using Wearable Sensors in Duchenne Muscular Dystrophy

Start: Feb 2020Est. completion: Aug 20202 patients
N/ATerminated

Related Jobs in Rare Diseases

Phase Legend

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

Key Insights

2 late-stage (Phase 3) programs, potential near-term approvals
2 actively recruiting trials targeting 610 patients
11 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.