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Gestational Diabetes Mellitus

Metabolic Diseases
2
Pipeline Programs
14
Companies
17
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
1
0
0
0
1
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Peptide
1100%
+ 18 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

11 companies ranked by most advanced pipeline stage

Prevail Therapeutics
2 programs
1
Insulin LISPROPhase 41 trial
Gestational Diabetes Mellitus and Cardiometabolic Syndrome in OffspringN/A1 trial
Active Trials
NCT01490372Completed41Est. May 2013
NCT01613807Completed40Est. Oct 2010
Human BioSciences
Human BioSciencesWV - Martinsburg
2 programs
1
GlyburidePhase 1/21 trial
ChildbirthN/A1 trial
Active Trials
NCT05515744Terminated304Est. Dec 2024
NCT01329016Unknown360Est. Jun 2015
Colorado Therapeutics
Colorado TherapeuticsCO - Louisville
4 programs
BABI-2 Lifestyle InterventionN/A1 trial
Low Carbohydrate/ConventionalN/A1 trial
STOPPING-GDMN/A1 trial
User Testing and Feedback for a Mobile Health Program for Postpartum Women: A Pilot StudyN/A1 trial
Active Trials
NCT02744300Completed180Est. Jul 2019
NCT02244814Completed105Est. Nov 2020
NCT02723266Completed398Est. Sep 2019
+1 more trials
Novo Nordisk
Novo NordiskBAGSVAERD DENMARK, Denmark
3 programs
Metformin XR plus placeboPHASE_31 trial
LiraglutidePHASE_4Peptide1 trial
MetforminPHASE_41 trial
Active Trials
NCT01234649Completed153Est. Jun 2019
NCT01795248Completed105Est. Sep 2020
NCT02394158Unknown112Est. Sep 2019
UNION therapeutics
UNION therapeuticsDenmark - Hellerup
2 programs
OGTT testN/A1 trial
lifestyle intervention or insulin treatmentN/A1 trial
Active Trials
NCT05733195Unknown100Est. May 2024
NCT03246295Unknown140Est. Oct 2017
Dexcom
DexcomCA - San Diego
1 program
CGM device - Metformin groupN/A1 trial
Active Trials
NCT06490874Withdrawn0Est. Dec 2030
iNova Pharmaceuticals
iNova PharmaceuticalsAustralia - Chatswood
1 program
ChildbirthN/A
Dianthus Therapeutics
1 program
Clips InterventionN/A1 trial
Active Trials
NCT05800509Recruiting600Est. Dec 2026
Eli Lilly and Company
Eli Lilly and CompanyINDIANAPOLIS, IN
1 program
Gestational Diabetes Mellitus and Cardiometabolic Syndrome in OffspringN/A
Nordic Pharma
Nordic PharmaFrance - Paris
1 program
Meal testN/A1 trial
Active Trials
NCT01274052Completed19Est. Jul 2008
Angeles Therapeutics
Angeles TherapeuticsCA - Los Angeles
1 program
Shared decision-making for diabetes preventionN/A1 trial
Active Trials
NCT04897945Active Not Recruiting310Est. Oct 2026

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Novo NordiskMetformin
Novo NordiskLiraglutide
Prevail TherapeuticsInsulin LISPRO
Novo NordiskMetformin XR plus placebo
Human BioSciencesGlyburide
DexcomCGM device - Metformin group
Dianthus TherapeuticsClips Intervention
Human BioSciencesChildbirth
UNION therapeuticsOGTT test
Angeles TherapeuticsShared decision-making for diabetes prevention
Colorado TherapeuticsSTOPPING-GDM
Colorado TherapeuticsBABI-2 Lifestyle Intervention
UNION therapeuticslifestyle intervention or insulin treatment
Colorado TherapeuticsUser Testing and Feedback for a Mobile Health Program for Postpartum Women: A Pilot Study
Colorado TherapeuticsLow Carbohydrate/Conventional

Showing 15 of 17 trials with date data

Clinical Trials (17)

Total enrollment: 2,993 patients across 17 trials

Preventing Recurrent Gestational Diabetes With Metformin

Start: Jan 2015Est. completion: Sep 2019112 patients
Phase 4Unknown

The Impact of Liraglutide on Glucose Tolerance and the Risk of Type 2 Diabetes in Women With Previous Pregnancy-induced Diabetes

Start: Jul 2012Est. completion: Sep 2020105 patients
Phase 4Completed

Humalog® Mix50/50(tm) as a Treatment for Gestational Diabetes

Start: Oct 2008Est. completion: Oct 201040 patients
Phase 4Completed
NCT01234649Novo NordiskMetformin XR plus placebo

Combined Liraglutide and Metformin Therapy in Women With Previous Gestational Diabetes Mellitus (GDM)

Start: Aug 2011Est. completion: Jun 2019153 patients
Phase 3Completed

Glyburide and Metformin for Gestational Diabetes Mellitus (GDM)

Start: Jul 2011Est. completion: Jun 2015360 patients
Phase 1/2Unknown
NCT06490874DexcomCGM device - Metformin group

Continuous Glucose Monitoring (CGM) Substudy of the DECIDE RCT

Start: Sep 2025Est. completion: Dec 20300
N/AWithdrawn

Gestational Diabetes and Perinatal Depression: an Intervention Program

Start: Oct 2023Est. completion: Dec 2026600 patients
N/ARecruiting

Study of Pregnancy And Neonatal Health (SPAN)

Start: Jan 2023Est. completion: Dec 2024304 patients
N/ATerminated

The Study of Biomarker in Early Diagnosis of GDM by Metabolomics

Start: May 2022Est. completion: May 2024100 patients
N/AUnknown
NCT04897945Angeles TherapeuticsShared decision-making for diabetes prevention

A Shared Decision Making Intervention for Diabetes Prevention in Women With a History of Gestational Diabetes Mellitus

Start: Oct 2021Est. completion: Oct 2026310 patients
N/AActive Not Recruiting

Supporting American Indian/Alaska Native Mothers and Daughters in Reducing Gestational Diabetes Risk

Start: Mar 2018Est. completion: Sep 2019398 patients
N/ACompleted
NCT02744300Colorado TherapeuticsBABI-2 Lifestyle Intervention

Balance After Baby Intervention for Women With Recent Gestational Diabetes

Start: Sep 2016Est. completion: Jul 2019180 patients
N/ACompleted
NCT03246295UNION therapeuticslifestyle intervention or insulin treatment

Identification of Gestational Diabetes Mellitus Related Urinary Biomarkers Along Pregnancy (From Early Pregnancy to Postpartum) by Using Proteomics and Metabolomics Analysis

Start: Oct 2015Est. completion: Oct 2017140 patients
N/AUnknown
NCT02384226Colorado TherapeuticsUser Testing and Feedback for a Mobile Health Program for Postpartum Women: A Pilot Study

User Testing and Feedback for a Mobile Health Program for Postpartum Women: A Pilot Study

Start: Sep 2015Est. completion: Sep 202026 patients
N/ACompleted
NCT02244814Colorado TherapeuticsLow Carbohydrate/Conventional

Trial of Diet in Gestational Diabetes Mellitus: Metabolic Consequences to Mother and Offspring

Start: Jul 2015Est. completion: Nov 2020105 patients
N/ACompleted
NCT01490372Prevail TherapeuticsGestational Diabetes Mellitus and Cardiometabolic Syndrome in Offspring

Gestational Diabetes Mellitus and Cardiometabolic Syndrome in Offspring

Start: Aug 2011Est. completion: May 201341 patients
N/ACompleted

Study of Postprandial Incretin Response in Women With Gestational Diabetes

Start: Mar 2007Est. completion: Jul 200819 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

1 actively recruiting trials targeting 2,993 patients
14 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.