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Generalized Pustular Psoriasis

Immunology
1
Pipeline Programs
5
Companies
14
Clinical Trials
1 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
0
0
0
1
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Monoclonal Antibody
10100%
+ 5 programs with unclassified modality

Immunology is a $15.0B market in mature growth, driven by blockbuster JAK inhibitors and biologics across multiple therapeutic domains.

$15.0B marketMature↑ Growing30 products15 companies

Key Trends

  • JAK inhibitors and corticosteroid combinations dominate spending (39% combined)
  • Multiple patent cliffs emerging 2026-2028, creating generic competition risk
  • Robust pipeline with 4,996 trials signals continued innovation and market expansion

Career Verdict

Strong career opportunity for those targeting Medical Affairs, Commercial, or R&D roles, with solid hiring momentum and premium salaries in specialized functions.

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

Market Leaders

#1MOUNJAROGrowing
$2.4B
#2SYMBICORTStable
$2.0B
AstraZeneca·LOE_APPROACHING
#3JAKAFIDeclining
$1.9B
Incyte·LOE_APPROACHING2.6yr
#4RESTASISStable
$1.5B
AbbVie·PEAK8.0yr
#5RINVOQGrowing
$976M
AbbVie·PEAK11.8yr

Drug Class Breakdown

Janus Kinase Inhibitors
$3.0B(20%)

dominant class with patent cliff risk

Corticosteroid Hormone Receptor Agonists
$2.8B(19%)

established, mature market segment

G-Protein-linked Receptor Interactions
$2.4B(16%)

driven by single blockbuster

Calcineurin Inhibitors
$1.6B(11%)

established immunosuppression class

Tumor Necrosis Factor Receptor Blocking Activity
$1.2B(8%)

legacy biologic class with competition

Career Outlook

Growing

Immunology offers a maturing but actively growing market with strong corporate investment, deep pipelines, and premium compensation across commercial and clinical functions. The therapeutic area is characterized by complex mechanism-of-action portfolios, frequent label expansion opportunities, and multi-indication blockbusters that require sophisticated Medical Affairs and Commercial expertise. Patent cliff risk on JAK inhibitors creates both disruption and opportunity for those skilled in competitive positioning and pipeline strategy.

Breaking In

Enter through Medical Affairs, Clinical Operations, or Commercial Training programs at large companies (J&J, AbbVie, Bristol Myers Squibb); a foundation in immunology mechanisms is valuable but trainable.

For Experienced Professionals

Leverage patent cliff risk to position yourself in competitive differentiation, pipeline strategy, or M&A integration roles, where demand for immunology expertise is highest.

In-Demand Skills

Medical Affairs and MSL expertise in immunosuppression and inflammatory diseasesJAK inhibitor mechanism expertise and competitive positioningClinical trial design and phase transition managementCommercial acumen for premium-priced biologics and small moleculesRegulatory strategy for label expansions and lifecycle management

Best For

Medical Science LiaisonBrand ManagerSenior Medical Affairs ManagerClinical Development ManagerCommercial Strategy Lead

Hiring Landscape

$212K-$387K

Immunology hiring totals 340 open positions with strong demand across Medical Affairs (110 roles, $257K avg), Commercial (83 roles, $270K avg), and R&D (31 roles, $387K avg). Johnson & Johnson, Bristol Myers Squibb, and AbbVie are the top recruiters, reflecting their portfolio depth and market dominance. Compensation is competitive, particularly in R&D and Clinical Operations.

340
Open Roles
5
Companies Hiring
5
Departments

Top Hiring Companies

45Growing
31Growing
29Stable

By Department

Medical Affairs(32%)
$257K
Commercial(24%)
$270K
Research & Development(9%)
$387K
Clinical Operations(4%)
$345K
Manufacturing(2%)
$212K

Strong hiring demand with premium compensation in Medical Affairs and Commercial roles; R&D positions command highest salaries but are less abundant.

Competitive Landscape

5 companies ranked by most advanced pipeline stage

Prevail Therapeutics
1 program
1
IxekizumabPhase 4Monoclonal Antibody
Boehringer Ingelheim
Boehringer IngelheimINGELHEIM, Germany
8 programs
SpesolimabN/AMonoclonal Antibody1 trial
Spevigo®N/A1 trial
SpesolimabPHASE_2Monoclonal Antibody1 trial
SpesolimabPHASE_2Monoclonal Antibody1 trial
SpesolimabPHASE_2Monoclonal Antibody1 trial
+3 more programs
Active Trials
NCT05670821Completed52Est. Oct 2025
NCT06886009Withdrawn0Est. Jun 2029
NCT03782792Completed53Est. Jan 2021
+5 more trials
Vanda Pharmaceuticals
Vanda PharmaceuticalsWASHINGTON, DC
3 programs
ImsidolimabPHASE_2Monoclonal Antibody1 trial
ImsidolimabPHASE_3Monoclonal Antibody1 trial
Imsidolimab high dosePHASE_31 trial
Active Trials
NCT03619902Completed8Est. Jan 2021
NCT05366855Terminated42Est. Jul 2024
NCT05352893Completed45Est. Aug 2023
Chia Tai TianQing Pharmaceutical Group
2 programs
TQH2929 InjectionPHASE_11 trial
TQH2929 InjectionsPHASE_21 trial
Active Trials
NCT06433531Active Not Recruiting9Est. Dec 2025
NCT07314060Recruiting36Est. Jul 2027
Takeda
TakedaTOKYO, Japan
1 program
TAK-279PHASE_31 trial
Active Trials
NCT06323356Active Not Recruiting18Est. Jul 2026

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
2028
2029
Boehringer IngelheimSpesolimab
TakedaTAK-279
Vanda PharmaceuticalsImsidolimab
Vanda PharmaceuticalsImsidolimab high dose
Boehringer Ingelheimspesolimab
Boehringer Ingelheimspesolimab
Chia Tai TianQing Pharmaceutical GroupTQH2929 Injections
Boehringer IngelheimSpesolimab
Boehringer IngelheimSpesolimab
Boehringer IngelheimSpesolimab
Vanda PharmaceuticalsImsidolimab
Chia Tai TianQing Pharmaceutical GroupTQH2929 Injection
Boehringer IngelheimSpevigo®
Boehringer IngelheimSpesolimab

Clinical Trials (14)

Total enrollment: 609 patients across 14 trials

A Study to Test Whether Spesolimab Helps People With Generalized Pustular Psoriasis (GPP) Who Need Treatment for Repeated Flares

Start: Oct 2023Est. completion: Aug 202642 patients
Phase 4Active Not Recruiting

A Study of TAK-279 in Adult Participants With Generalized Pustular Psoriasis or Erythrodermic Psoriasis

Start: Mar 2024Est. completion: Jul 202618 patients
Phase 3Active Not Recruiting

Study to Evaluate the Long-Term Safety and Efficacy of Imsidolimab (ANB019) in the Treatment of Subjects With GPP

Start: Apr 2022Est. completion: Jul 202442 patients
Phase 3Terminated

Study to Evaluate the Efficacy and Safety of Imsidolimab (ANB019) in the Treatment of Subjects With GPP

Start: Apr 2022Est. completion: Aug 202345 patients
Phase 3Completed

An Expanded Access Program in China to Provide Spesolimab to People With a Flare-up in Generalized Pustular Psoriasis Who Have no Other Treatment Options

Start: Mar 2022Est. completion: Jul 202339 patients
Phase 3Completed

An Expanded Access Trial in Japan to Provide Spesolimab to People With a Flare-up in Generalized Pustular Psoriasis Who Have no Other Treatment Options

Start: Feb 2022Est. completion: Mar 202311 patients
Phase 3Completed

A Clinical Trial of TQH2929 Injection in Patients With Acute Flare-up of Generalized Pustular Psoriasis

Start: Mar 2026Est. completion: Jul 202736 patients
Phase 2Recruiting

A Study to Test Whether BI 655130 (Spesolimab) Prevents Flare-ups in Patients With Generalized Pustular Psoriasis

Start: Jun 2020Est. completion: Nov 2022123 patients
Phase 2Completed

Effisayil™ ON: A Study to Test Long-term Treatment With Spesolimab in People With Generalized Pustular Psoriasis Who Took Part in a Previous Study

Start: May 2019Est. completion: Apr 2028131 patients
Phase 2Active Not Recruiting

Effisayil™ 1: A Study to Test Spesolimab (BI 655130) in Patients With a Flare-up of a Skin Disease Called Generalized Pustular Psoriasis

Start: Jan 2019Est. completion: Jan 202153 patients
Phase 2Completed

A Study to Evaluate the Efficacy and Safety of Imsidolimab (ANB019) in Adults With Generalized Pustular Psoriasis

Start: Jan 2019Est. completion: Jan 20218 patients
Phase 2Completed

A Clinical Study of TQH2929 Injection in Treatment With Generalized Pustular Psoriasis (GPP)

Start: Jun 2024Est. completion: Dec 20259 patients
Phase 1Active Not Recruiting

Spesolimab Post-marketing Surveillance in Korean Patients With Flares With Generalized Pustular Psoriasis

Start: Mar 2026Est. completion: Jun 20290
N/AWithdrawn

PMS of Spesolimab I.V. in GPP Patients With Acute Symptoms

Start: Apr 2023Est. completion: Oct 202552 patients
N/ACompleted

Related Jobs in Immunology

Phase Legend

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

Key Insights

1 actively recruiting trials targeting 609 patients
Monoclonal Antibody is the dominant modality (100% of programs)
5 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.