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Liver Failure

Gastroenterology
2
Pipeline Programs
9
Companies
8
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
1
0
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Small Molecule
1100%
+ 9 programs with unclassified modality

Gastroenterology is a $7.3B market characterized by mature, blockbuster-driven portfolios with near-term patent cliff risks.

$7.3B marketMature→ Stable30 products15 companies

Key Trends

  • AbbVie dominance with 43% of top-10 product spending (LINZESS, CREON, RINVOQ)
  • Guanylate cyclase activators and JAK inhibitors driving innovation in constipation and IBD
  • Multiple patent expirations 2026–2030 creating biosimilar and generic erosion headwinds

Career Verdict

Gastroenterology offers stable, well-compensated roles but limited growth upside; best for risk-averse professionals seeking established markets over innovation-driven career trajectories.

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

Market Leaders

#1LINZESSStable
$1.8B
AbbVie·Peak7.7yr
#2CREONDeclining
$1.5B
AbbVie·LOE Approaching
#3XIFAXANDeclining
$1.1B
Bausch Health·LOE Approaching
#4RINVOQGrowing
$976M
AbbVie·Peak11.8yr
#5XELJANZ XRStable
$586M
Pfizer·Peak8.3yr

Drug Class Breakdown

Unknown Mechanism
$2.5B(34%)

mature portfolio anchor

Guanylate Cyclase Activators
$1.9B(27%)

well-established class

Pancreatic Enzymes
$1.5B(20%)

facing biosimilar competition

Janus Kinase Inhibitors
$976M(13%)

growing IBD adoption

Proton Pump Inhibitors
$107M(1%)

commoditized

Career Outlook

Stable

Gastroenterology is a stable, mature market anchored by blockbusters with long patent runways (LINZESS to 2034, RINVOQ to 2038) but faces near-term erosion (XELJANZ 2026). Employment growth is modest and concentrated in device/diagnostic firms rather than pure-pharma. Best for professionals seeking predictable revenue streams over high-risk innovation bets.

Breaking In

Target roles at Roche, J&J, or diagnostic-adjacent firms to maximize hiring volume; pure pharma gastro entry points at AbbVie/Pfizer are limited and highly competitive.

For Experienced Professionals

Leverage gastro expertise in broader GI/immunology roles (Takeda, Novartis) or transition to medical devices/diagnostics where hiring is 3x higher than pharma.

In-Demand Skills

IBD and IBS indication expertiseJAK inhibitor pharmacologyMedical device integration (diagnostics, endoscopy)Generic/biosimilar launch readinessReal-world evidence generation

Best For

Medical Science Liaison (IBD/IBS focus)Commercial Manager (Generic Launch)Clinical Operations SpecialistMarket Access/Reimbursement StrategistRegulatory Affairs (small molecule focus)

Hiring Landscape

$70K-$213K

Total hiring across the gastro ecosystem is 1,818 jobs, dominated by engineering (434) and commercial roles (269). Roche leads absolute hiring at 377 roles, followed by Johnson & Johnson (323) and GE HealthCare (293), reflecting broad medical device and diagnostic involvement alongside pharma. AbbVie's gastro-specific hiring (78 jobs) is modest relative to its portfolio dominance.

1,818
Open Roles
4
Companies Hiring
3
Departments

Top Hiring Companies

377Growing
293Stable
78Stable

By Department

Engineering(24%)
$169K
Commercial(15%)
$176K
Manufacturing(10%)
$213K

Manufacturing and commercial roles command premium salaries ($213K and $176K respectively), but total gastro-pharma hiring is concentrated in Roche and J&J, not pure-play GI companies.

Competitive Landscape

9 companies ranked by most advanced pipeline stage

Pharmbio Korea
Pharmbio KoreaKorea - Seoul
1 program
1
SomatostatinPhase 3Small Molecule1 trial
Active Trials
NCT02882347Unknown20
Innovation Pharmaceuticals
1 program
1
MID-AVRPhase 1/21 trial
Active Trials
NCT02390713Unknown12Est. Dec 2020
Veloxis Pharmaceuticals
2 programs
LCP -TacroPHASE_21 trial
LCP TacroPHASE_21 trial
Active Trials
NCT00772148Completed58Est. May 2010
NCT00608244Completed59Est. Jun 2008
Vantive
VantiveIL - Deerfield
1 program
MARS deviceN/A1 trial
Active Trials
NCT00614146Completed59Est. Apr 2009
Baxter
BaxterCosta Rica - Cartago
1 program
MARS deviceN/A
Baxter International
1 program
MARS deviceN/A
Medtronic
MedtronicNJ - Phillipsburg
1 program
Near-InfraRed SpectroscopyN/A1 trial
Active Trials
NCT02343016Terminated15Est. Jun 2015
Chiesi
ChiesiBrazil - Santana de Parnaíba
1 program
TacrolimusN/A1 trial
Active Trials
NCT05744635Recruiting110Est. Jun 2026
US WorldMeds
US WorldMedsKY - Louisville
1 program
Lofexidine HydrochloridePHASE_11 trial
Active Trials
NCT02318836Completed24Est. Oct 2014

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
Pharmbio KoreaSomatostatin
Veloxis PharmaceuticalsLCP -Tacro
Veloxis PharmaceuticalsLCP Tacro
Innovation PharmaceuticalsMID-AVR
US WorldMedsLofexidine Hydrochloride
ChiesiTacrolimus
MedtronicNear-InfraRed Spectroscopy
VantiveMARS device

Clinical Trials (8)

Total enrollment: 357 patients across 8 trials

The Effect of Somatostatin for Treatment of Post Hepatectomy Liver Failure (PHLF)

Start: Jul 201520 patients
Phase 3Unknown

Pharmacokinetics of LCP-Tacro™ Once Daily and Prograf® Twice A Day in Adult De Novo Liver Transplant Patients

Start: Oct 2008Est. completion: May 201058 patients
Phase 2Completed

Pharmacokinetics of LCP-Tacro in Stable Liver Transplant Patients

Start: Nov 2007Est. completion: Jun 200859 patients
Phase 2Completed

Pneumatic Reversible Portal Vein Diameter Modulation After Major Hepatectomy

Start: Apr 2015Est. completion: Dec 202012 patients
Phase 1/2Unknown
NCT02318836US WorldMedsLofexidine Hydrochloride

Single-Dose Pharmacokinetics and Safety of Oral Lofexidine in Hepatically-Impaired Subjects

Start: Jun 2014Est. completion: Oct 201424 patients
Phase 1Completed

Assessment of the Pharmacokinetic Profile of Tacrolimus Medications and Their Relation to Effectiveness and Safety in Liver Transplant Patients

Start: May 2023Est. completion: Jun 2026110 patients
N/ARecruiting
NCT02343016MedtronicNear-InfraRed Spectroscopy

NIRS as a Continuous Noninvasive Monitoring System of Liver/Kidney Graft Perfusion

Start: Feb 2015Est. completion: Jun 201515 patients
N/ATerminated

Recompensation of Exacerbated Liver Insufficiency With Hyperbilirubinemia and/or Encephalopathy and/or Renal Failure

Start: Apr 2003Est. completion: Apr 200959 patients
N/ACompleted

Related Jobs in Gastroenterology

Phase Legend

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

Key Insights

1 late-stage (Phase 3) programs, potential near-term approvals
1 actively recruiting trials targeting 357 patients
9 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.