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Inflammatory Bowel Disease

Immunology
14
Pipeline Programs
25
Companies
26
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
6
0
1
0
5
2
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Vaccine
563%
Small Molecule
338%
+ 25 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

22 companies ranked by most advanced pipeline stage

MSD
MSDIreland - Ballydine
2 programs
1
Human Papillomavirus VaccinePhase 4Vaccine1 trial
Gardasil vaccineN/AVaccine1 trial
Active Trials
NCT00727636Completed53Est. Apr 2011
NCT01034358Completed15Est. Jun 2011
Sharp Therapeutics
Sharp TherapeuticsPA - Pittsburgh
2 programs
1
Human Papillomavirus VaccinePhase 4Vaccine
Gardasil vaccineN/AVaccine
Human BioSciences
Human BioSciencesWV - Martinsburg
4 programs
1
Perioperative surgical carePhase 31 trial
Genetic Studies of Inflammatory Bowel DiseaseN/A1 trial
SLCBTN/A1 trial
hypobaric pressure chamberN/A1 trial
Active Trials
NCT00340444Completed10,000Est. Sep 2007
NCT00679003Completed190Est. Mar 2014
NCT02849821Unknown30Est. Dec 2016
+1 more trials
Pharmacosmos
PharmacosmosDenmark - Holbaek
4 programs
1
3
Iron Isomaltoside 1000Phase 31 trial
MonoferPhase 31 trial
MonoferPhase 31 trial
MonoferPhase 11 trial
Active Trials
NCT01213680Completed16Est. Nov 2012
NCT01599702Completed21Est. Dec 2014
NCT01410435Completed39Est. Sep 2013
+1 more trials
Bausch Health
Bausch HealthQUEBEC, Quebec, Canada
1 program
1
Balsalazide DisodiumPhase 32 trials
Active Trials
NCT00486031Completed443Est. Dec 2008
NCT00408174Completed400Est. Nov 2007
Kite Pharma
Kite PharmaCA - El Segundo
1 program
1
FilgotinibPhase 2Small Molecule
Pfizer
PfizerNEW YORK, NY
2 programs
2
450mgPhase 11 trial
PF 06687234Phase 11 trial
Active Trials
NCT05107492Completed12Est. Apr 2022
NCT03414788Withdrawn0Est. Feb 2022
UNION therapeutics
UNION therapeuticsDenmark - Hellerup
1 program
1
68Ga-FAPIPhase 11 trial
Active Trials
NCT04507932Unknown100Est. Dec 2022
Lmito Therapeutics
Lmito TherapeuticsKorea - Gyeonggi
1 program
1
LMT503Phase 11 trial
Active Trials
NCT05659953Not Yet Recruiting72Est. Mar 2026
Theravance Biopharma
1 program
1
TD-1473Phase 11 trial
Active Trials
NCT03555617Completed36Est. Jul 2018
Allergy Therapeutics
Allergy TherapeuticsUK - West Sussex
3 programs
Gene Expression in Inflammatory Bowel DiseaseN/A1 trial
Immune Regulation in Ulcerative Colitis or Crohn s DiseaseN/A1 trial
Bone Marrow Stromal CellPHASE_11 trial
Active Trials
NCT01171872Enrolling By Invitation1,100Est. Dec 2032
NCT00001184Recruiting1,000
NCT01851343Terminated8Est. Jul 2017
Imagine Pharma
Imagine PharmaPA - Pittsburgh
1 program
Biological samplingN/A1 trial
Active Trials
NCT02614911Recruiting1,445Est. Jun 2054
Genome & Company
Genome & CompanyKorea - Suwon
1 program
Genetic Studies of Inflammatory Bowel DiseaseN/A
Sandoz
SandozAustria - Kundl
1 program
HyrimozN/A
Abbott
AbbottABBOTT PARK, IL
1 program
OPERA Database - Crohn's ProtocolN/A1 trial
Active Trials
NCT01720368Completed50Est. Jun 2015
EXACT Therapeutics
EXACT TherapeuticsNorway - Oslo
1 program
Stool Collection KitN/A1 trial
Active Trials
NCT02503696Completed697Est. Jun 2016
Exact Sciences
Exact SciencesMADISON, WI
1 program
Stool Collection KitN/A
Eisai
EisaiChina - Liaoning
1 program
E6007PHASE_11 trial
Active Trials
NCT01221818Completed48
Gilead Sciences
Gilead SciencesFOSTER CITY, CA
1 program
FilgotinibPHASE_2Small Molecule
Galapagos
Galapagos2800 MECHELEN, Belgium
1 program
FilgotinibPHASE_2Small Molecule1 trial
Active Trials
NCT03201445Terminated139Est. Oct 2023
Parexel
ParexelMA - Boston
1 program
Ferric carboxymaltosePHASE_31 trial
Active Trials
NCT00810030Completed484Est. Apr 2010
Merck & Co.
Merck & Co.RAHWAY, NJ
1 program
Human Papillomavirus VaccinePHASE_4Vaccine

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
MSDHuman Papillomavirus Vaccine
Human BioSciencesPerioperative surgical care
PharmacosmosIron Isomaltoside 1000
PharmacosmosMonofer
PharmacosmosMonofer
ParexelFerric carboxymaltose
Bausch HealthBalsalazide Disodium
Bausch HealthBalsalazide Disodium
GalapagosFilgotinib
Lmito TherapeuticsLMT503
Pfizer450mg
PfizerPF 06687234
UNION therapeutics68Ga-FAPI
Theravance BiopharmaTD-1473
Allergy TherapeuticsBone Marrow Stromal Cell

Showing 15 of 26 trials with date data

Clinical Trials (26)

Total enrollment: 17,347 patients across 26 trials

NCT01034358MSDHuman Papillomavirus Vaccine

Immune Response to the Human Papillomavirus Vaccine in Young Women With Inflammatory Bowel Disease

Start: Feb 2010Est. completion: Jun 201115 patients
Phase 4Completed
NCT04060303Human BioSciencesPerioperative surgical care

ENhanced Recovery in CHildren Undergoing Surgery

Start: Jul 2020Est. completion: Jun 2024599 patients
Phase 3Completed
NCT01599702PharmacosmosIron Isomaltoside 1000

Iron Isomaltoside 1000 (Monofer®) Administered by a High Dosing Regimen in Subjects With Inflammatory Bowel Disease

Start: May 2012Est. completion: Dec 201421 patients
Phase 3Completed

Safety and Efficacy Extension Study of Iron Isomaltoside 1000 (Monofer®) in Subjects With Inflammatory Bowel Disease

Start: Jun 2011Est. completion: Sep 201339 patients
Phase 3Completed

Iron Oligosaccharide in Inflammatory Bowel Disease Subjects With Iron Deficiency Anaemia

Start: Oct 2009Est. completion: Aug 2012350 patients
Phase 3Completed
NCT00810030ParexelFerric carboxymaltose

FERINJECT for Correction of Anaemia in IBD Patients, FER-IBD-COR

Start: Oct 2008Est. completion: Apr 2010484 patients
Phase 3Completed
NCT00486031Bausch HealthBalsalazide Disodium

Open-Label, Long-term Balsalziade Disodium Tablet Ulcerative Colitis Study

Start: Oct 2006Est. completion: Dec 2008443 patients
Phase 3Completed
NCT00408174Bausch HealthBalsalazide Disodium

Balsalazide Disodium vs. Mesalamine in Mildly to Moderately Active Ulcerative Colitis

Start: May 2006Est. completion: Nov 2007400 patients
Phase 3Completed

Study to Evaluate the Testicular Safety of Filgotinib in Adult Males With Moderately to Severely Active Inflammatory Bowel Disease

Start: Jul 2017Est. completion: Oct 2023139 patients
Phase 2Terminated

LMT503 First-in-human SAD, MAD, and FE Study

Start: Apr 2025Est. completion: Mar 202672 patients
Phase 1Not Yet Recruiting

Evaluation of the Pharmacokinetics, Safety and Tolerability of Single Dose of PF-06480605 in Chinese Healthy Participants

Start: Nov 2021Est. completion: Apr 202212 patients
Phase 1Completed

Distribution of a Single IV Dose Of [124I]-Pf 06687234 and Pf 06687234 Assessed With PET-CT Imaging In Moderate To Severe Ulcerative Colitis and Crohn's Disease

Start: Dec 2020Est. completion: Feb 20220
Phase 1Withdrawn

Characterizing Inflammatory Bowel Disease With 68Ga-FAPI PET/CT

Start: Aug 2020Est. completion: Dec 2022100 patients
Phase 1Unknown

Food-effect, Drug-Drug Interaction (DDI), and Formulation Bridging Study

Start: Jun 2018Est. completion: Jul 201836 patients
Phase 1Completed
NCT01851343Allergy TherapeuticsBone Marrow Stromal Cell

Bone Marrow Stromal Cells for Inflammatory Bowel Diseases

Start: Jan 2013Est. completion: Jul 20178 patients
Phase 1Terminated

Open-label PK Study of Iron Isomaltoside 1000 (Monofer) Administered by 500 mg IV Injection or 1000 mg IV Infusion to Patients With Inflammatory Bowel Disease

Start: Feb 2012Est. completion: Nov 201216 patients
Phase 1Completed

A Randomized, Double-Blind, Placebo-Controlled, Ascending Single Dose Study of E6007 in Healthy Subjects

Start: Sep 201048 patients
Phase 1Completed
NCT02503696EXACT TherapeuticsStool Collection Kit

Sample Collection Study to Evaluate DNA Markers in Subjects With Inflammatory Bowel Disease (IBD)

Start: Sep 2014Est. completion: Jun 2016697 patients
N/ACompleted
NCT02614911Imagine PharmaBiological sampling

Characterization of Phenotype and Genotype of Early Onset Enteropathies

Start: Jun 2014Est. completion: Jun 20541,445 patients
N/ARecruiting
NCT02849821Human BioScienceshypobaric pressure chamber

The Altitude Inflammatory Bowel Disease Study

Start: May 2014Est. completion: Dec 201630 patients
N/AUnknown
NCT01720368AbbottOPERA Database - Crohn's Protocol

OPERA Database - Crohn's Protocol

Start: Oct 2012Est. completion: Jun 201550 patients
N/ACompleted
NCT00727636MSDGardasil vaccine

Immunogenicity to Human Papillomavirus Vaccine (Gardasil) Among IBD Patients on Immunosuppressive Therapy

Start: Jul 2008Est. completion: Apr 201153 patients
N/ACompleted

Managing Inflammatory Bowel Disease

Start: Sep 2007Est. completion: Mar 2014190 patients
N/ACompleted
NCT00340444Human BioSciencesGenetic Studies of Inflammatory Bowel Disease

Genetic Studies of Inflammatory Bowel Disease

Start: Nov 2003Est. completion: Sep 200710,000 patients
N/ACompleted
NCT01171872Allergy TherapeuticsGene Expression in Inflammatory Bowel Disease

Gene Expression in Inflammatory Bowel Disease

Start: Nov 1999Est. completion: Dec 20321,100 patients
N/AEnrolling By Invitation
NCT00001184Allergy TherapeuticsImmune Regulation in Ulcerative Colitis or Crohn s Disease

Immune Regulation in Ulcerative Colitis or Crohn s Disease

Start: Aug 19981,000 patients
N/ARecruiting

Related Jobs in Immunology

Phase Legend

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

Key Insights

5 late-stage (Phase 3) programs, potential near-term approvals
2 actively recruiting trials targeting 17,347 patients
25 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.