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Friedreich Ataxia

Neurology
19
Pipeline Programs
22
Companies
37
Clinical Trials
6 recruiting
0
Approved Products

Pipeline by Development Stage

Preclinical
Phase 1
Phase 1/2
Phase 2
Phase 2/3
Phase 3
On Market
0
6
5
7
0
0
1
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Peptide
375%
Small Molecule
125%
+ 44 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

20 companies ranked by most advanced pipeline stage

Colorado Therapeutics
Colorado TherapeuticsCO - Louisville
1 program
1
bupropion & CitalopramPhase 41 trial
Active Trials
NCT01716221Completed1Est. Mar 2013
Alliance Pharmaceuticals
14 programs
2
2
3
Epoetin alfaPhase 21 trial
Interferon Gamma-1bPhase 21 trial
Omaveloxolone Capsules, 2.5 mgPhase 2
ElamipretidePhase 1/2Peptide1 trial
ResveratrolPhase 1/21 trial
+9 more programs
Active Trials
NCT03090789Active Not Recruiting2,000Est. Jan 2030
NCT06016946Recruiting3,000Est. Jan 2048
NCT06560346Withdrawn0Est. Dec 2028
+10 more trials
Metro Biotech
1 program
1
MIB-626Phase 21 trial
Active Trials
NCT04817111Completed7Est. May 2022
Minoryx Therapeutics
Minoryx TherapeuticsSpain - Barcelona
1 program
1
MIN-102Phase 21 trial
Active Trials
NCT03917225Completed39Est. Sep 2020
AbbVie
AbbVieNORTH CHICAGO, IL
1 program
1
Omaveloxolone Capsules, 2.5 mgPhase 2
Neurocrine Biosciences
1 program
1
TAK-831Phase 2
Design Pharmaceuticals
4 programs
3
1
DT-216P2Phase 1/2
DT-216Phase 1
DT-216Phase 1
DT-216P2Phase 1
Imagine Pharma
Imagine PharmaPA - Pittsburgh
1 program
1
Artesunate Oral ProductPhase 1/21 trial
Active Trials
NCT04921930Completed20Est. Apr 2024
BioTherapeutics Inc
BioTherapeutics IncVA - Blacksburg
1 program
1
ElamipretidePhase 1/2Peptide
Astellas
AstellasChina - Shenyang
1 program
1
ASP2016Phase 11 trial
Active Trials
NCT06483802Withdrawn0Est. Oct 2025
Larimar Therapeutics
Larimar TherapeuticsPA - Bala Cynwyd
6 programs
Buccal Swabs and Blood DrawsN/A1 trial
CTI-1601PHASE_11 trial
CTI-1601PHASE_11 trial
NomlabofuspPHASE_11 trial
CTI-1601PHASE_21 trial
+1 more programs
Active Trials
NCT04255680Completed20Est. Jun 2020
NCT04176991Completed28Est. Oct 2020
NCT04519567Completed27Est. Mar 2021
+3 more trials
Design Therapeutics
4 programs
DT-216PHASE_11 trial
DT-216PHASE_11 trial
DT-216P2PHASE_11 trial
DT-216P2PHASE_1_21 trial
Active Trials
NCT05285540Completed39Est. Dec 2022
NCT05573698Completed32Est. Aug 2023
NCT06772870Not Yet Recruiting36Est. Dec 2025
+1 more trials
PTC Therapeutics
3 programs
VatiquinonePHASE_21 trial
VatiquinonePHASE_2_31 trial
VatiquinonePHASE_31 trial
Active Trials
NCT05485987Completed5Est. Aug 2024
NCT04577352Completed146Est. Oct 2023
NCT05515536Active Not Recruiting130Est. Dec 2027
Lexeo Therapeutics
Lexeo TherapeuticsNY - New York
2 programs
Clinical Course Of Disease In Participants With FA-CMN/A1 trial
Low dose LX2006PHASE_1_21 trial
Active Trials
NCT06865482Recruiting65Est. Sep 2027
NCT05445323Active Not Recruiting8Est. Sep 2029
Biogen
BiogenCAMBRIDGE, MA
2 programs
OmaveloxoloneN/A1 trial
OmaveloxoloneN/A1 trial
Active Trials
NCT06623890Recruiting300Est. Oct 2029
NCT06628687Recruiting20Est. Apr 2035
Angeles Therapeutics
Angeles TherapeuticsCA - Los Angeles
1 program
Neurology Measures in FA ChildrenN/A
Stealth BioTherapeutics
1 program
ElamipretidePHASE_1_2Peptide
Ipsen
IpsenChina - Tianjin
1 program
EGb 761 120 mgPHASE_21 trial
Active Trials
NCT00824512Completed22Est. Oct 2011
Aisa Pharma
Aisa PharmaMA - Boston
1 program
Epoetin alfaPHASE_2
Takeda
TakedaTOKYO, Japan
1 program
TAK-831PHASE_21 trial
Active Trials
NCT03214588Completed67Est. Dec 2018

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Colorado Therapeuticsbupropion & Citalopram
PTC TherapeuticsVatiquinone
PTC TherapeuticsVatiquinone
Larimar TherapeuticsCTI-1601
PTC TherapeuticsVatiquinone
Larimar TherapeuticsCTI-1601
Metro BiotechMIB-626
Minoryx TherapeuticsMIN-102
TakedaTAK-831
Alliance PharmaceuticalsInterferon Gamma-1b
Alliance PharmaceuticalsEpoetin alfa
IpsenEGb 761 120 mg
Design TherapeuticsDT-216P2
Lexeo TherapeuticsLow dose LX2006
Imagine PharmaArtesunate Oral Product

Showing 15 of 37 trials with date data

Clinical Trials (37)

Total enrollment: 6,726 patients across 37 trials

NCT01716221Colorado Therapeuticsbupropion & Citalopram

An Objective Double-blind Evaluation of Bupropion and Citalopram in an Individual With Friedreich Ataxia

Start: Oct 2012Est. completion: Mar 20131 patients
Phase 4Completed

A Study to Assess the Safety and Efficacy of Vatiquinone in Participants With Friedreich Ataxia

Start: Dec 2022Est. completion: Dec 2027130 patients
Phase 3Active Not Recruiting

A Study to Assess the Efficacy and Safety of Vatiquinone for the Treatment of Participants With Friedreich Ataxia

Start: Dec 2020Est. completion: Oct 2023146 patients
Phase 2/3Completed

An Open-Label Study of CTI-1601 in Subjects With Friedreich's Ataxia

Start: Jan 2024Est. completion: Jan 202785 patients
Phase 2Recruiting

A Study of Vatiquinone for the Treatment of Participants With Friedreich Ataxia

Start: Oct 2022Est. completion: Aug 20245 patients
Phase 2Completed

A Double-Blind, Placebo-Controlled, Dose Exploration Study of CTI-1601 in Adult Subjects With Friedreich's Ataxia

Start: Sep 2022Est. completion: Dec 202328 patients
Phase 2Completed

NAD+ Precursor Supplementation in Friedreich's Ataxia

Start: May 2021Est. completion: May 20227 patients
Phase 2Completed

A Clinical Study to Evaluate the Effect of MIN-102 on the Progression of Friedreich's Ataxia in Male and Female Patients

Start: Mar 2019Est. completion: Sep 202039 patients
Phase 2Completed

Efficacy, Tolerability, and Pharmacokinetics of Multiple Doses of Oral TAK-831 in Adults With Friedreich Ataxia

Start: Nov 2017Est. completion: Dec 201867 patients
Phase 2Completed

Interferon Gamma-1b in Friedreich Ataxia (FRDA)

Start: Aug 2013Est. completion: Oct 201412 patients
Phase 2Completed

Efficacy Study of Epoetin Alfa in Friedreich Ataxia

Start: Jan 2013Est. completion: Jun 201556 patients
Phase 2Completed
NCT00824512IpsenEGb 761 120 mg

Efficacy of EGb761 in Patients Suffering From Friedreich Ataxia

Start: Jun 2008Est. completion: Oct 201122 patients
Phase 2Completed

A Multiple Ascending Dose Study of DT-216P2 in Patients With Friedreich's Ataxia

Start: Jun 2025Est. completion: Mar 202720 patients
Phase 1/2Recruiting

Gene Therapy for Cardiomyopathy Associated With Friedreich's Ataxia

Start: Aug 2022Est. completion: Sep 20298 patients
Phase 1/2Active Not Recruiting
NCT04921930Imagine PharmaArtesunate Oral Product

Evaluation of the Effect of Artesunate in Friedreich Ataxia (FA)

Start: May 2022Est. completion: Apr 202420 patients
Phase 1/2Completed

FRDA Investigator Initiated Study (IIS) With Elamipretide

Start: Mar 2022Est. completion: Jul 202420 patients
Phase 1/2Completed

A Study of Resveratrol as Treatment for Friedreich Ataxia

Start: Apr 2011Est. completion: Dec 201227 patients
Phase 1/2Completed

A Single Ascending Dose Study of DT-216P2 in Normal Healthy Participants

Start: Feb 2025Est. completion: Dec 202536 patients
Phase 1Not Yet Recruiting

A Study to Assess Nomlabofusp in Adolescents and Children With Friedreich's Ataxia

Start: Dec 2024Est. completion: Apr 202518 patients
Phase 1Terminated

A Study of ASP2016 in Adults Who Have Heart Disease Associated With Friedreich Ataxia

Start: Nov 2024Est. completion: Oct 20250
Phase 1Withdrawn

Study to Evaluate Multiple Ascending Dose and Multi-Dose of DT-216 in Adult Patients With Friedreich Ataxia

Start: Sep 2022Est. completion: Aug 202332 patients
Phase 1Completed

Study to Evaluate DT-216 in Adult Patients With Friedreich Ataxia

Start: Mar 2022Est. completion: Dec 202239 patients
Phase 1Completed

Multiple Ascending Dose Study of CTI-1601 Versus Placebo in Subjects With Friedreich's Ataxia

Start: Jul 2020Est. completion: Mar 202127 patients
Phase 1Completed

Single Ascending Dose Study of CTI-1601 Versus Placebo in Subjects With Friedreich's Ataxia

Start: Dec 2019Est. completion: Oct 202028 patients
Phase 1Completed

Rosuvastatin (Crestor) in Friedreich Ataxia

Start: May 2016Est. completion: Aug 201712 patients
Phase 1Completed

Methylprednisolone Treatment of Friedreich Ataxia

Start: Jun 2015Est. completion: Apr 201811 patients
Phase 1Completed
NCT06628687BiogenOmaveloxolone

A Study to Learn How BIIB141 (Omaveloxolone) Affects the Health of Participants With Friedrich's Ataxia Who Took it During Pregnancy and/or During Breastfeeding and About the Health of Their Babies

Start: Oct 2026Est. completion: Apr 203520 patients
N/ARecruiting
NCT06865482Lexeo TherapeuticsClinical Course Of Disease In Participants With FA-CM

Clinical Course Of Disease In Participants With FA-CM

Start: Sep 2025Est. completion: Sep 202765 patients
N/ARecruiting
NCT06560346Alliance PharmaceuticalsGeneticlly confirmed disease causing FXN mutatuion

Understanding the Natural History Early in the Course or Presentation of Friedreich Ataxia

Start: May 2025Est. completion: Dec 20280
N/AWithdrawn
NCT06623890BiogenOmaveloxolone

A Study to Learn More About the Long-Term Safety of BIIB141 (Omaveloxolone) in Participants With Friedreich's Ataxia Who Are Prescribed it by Their Own Doctors

Start: Dec 2024Est. completion: Oct 2029300 patients
N/ARecruiting
NCT06496451Alliance PharmaceuticalsSpinal tap for CSF collection

Measurement of Frataxin mRNA in Biofluids

Start: Aug 2024Est. completion: Jan 202610 patients
N/ACompleted
NCT06016946Alliance PharmaceuticalsFriedreich Ataxia Global Clinical Consortium UNIFIED Natural History Study

Friedreich Ataxia Global Clinical Consortium UNIFIED Natural History Study

Start: Jun 2023Est. completion: Jan 20483,000 patients
N/ARecruiting

Coronary Artery Disease in Patients With Friedreich's Ataxia

Start: Feb 2021Est. completion: Sep 20237 patients
N/ACompleted

A Natural History Study to TRACK Brain and Spinal Cord Changes in Individuals with Friedreich Ataxia (TRACK-FA)

Start: Feb 2021Est. completion: Oct 2025300 patients
N/AActive Not Recruiting
NCT04255680Larimar TherapeuticsBuccal Swabs and Blood Draws

A Study to Assess Variation in Potential Biomarkers in Friedreich Ataxia

Start: Jan 2020Est. completion: Jun 202020 patients
N/ACompleted
NCT03418740Alliance PharmaceuticalsNeurology Measures in FA Children

Neurology Measures in FA Children

Start: Nov 2017Est. completion: Feb 2023108 patients
N/ACompleted
NCT03090789Alliance PharmaceuticalsFA Clinical Outcome Measures

FA Clinical Outcome Measures

Start: Jan 2001Est. completion: Jan 20302,000 patients
N/AActive Not Recruiting

Related Jobs in Neurology

Phase Legend

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

Key Insights

6 actively recruiting trials targeting 6,726 patients
22 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.