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Muscular Dystrophy, Duchenne

Rare Diseases
10
Pipeline Programs
8
Companies
12
Clinical Trials
1 recruiting
1
Approved Products

Pipeline by Development Stage

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

Drug Modality Breakdown

Gene Therapy
360%
RNA Therapeutic
240%
+ 9 programs with unclassified modality

Rare Diseases is a $21.9B market dominated by a single blockbuster (ELIQUIS), with moderate growth and high consolidation among top-tier pharma players.

$21.9B marketMature→ Stable30 products15 companies

Key Trends

  • Market concentration: One product (ELIQUIS) represents 83% of market spending
  • Complement inhibitors and enzyme replacement therapies gaining momentum
  • Active pipeline with 1,790 trials, predominantly Phase 2-3 stage

Career Verdict

Yes, if you seek stability and commercial opportunity with major pharma; proceed cautiously if you want pipeline upside or innovation-driven roles.

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

Market Leaders

#1ELIQUISStable
$18.3B
Bristol Myers Squibb·LAUNCH15.0yr
#2XIFAXANDeclining
$1.1B
Bausch Health·LOE_APPROACHING
#3BRILINTAStable
$692M
AstraZeneca·PEAK10.2yr
#4TYVASO DPIStable
$437M
#5STRENSIQStable
$259M

Drug Class Breakdown

FXa Inhibitors (Anticoagulants)
$18.3B(83%)

Mature, patent-protected until 2041

Unknown Mechanism
$1.4B(6%)

Mixed—includes LOE-approaching products

P2Y12 Receptor Antagonists
$692M(3%)

Peak sales, LOE 2036

Prostaglandins/Vasodilators
$437M(2%)

Stable, long patent protection

Complement Inhibitors
$408M(2%)

Emerging class, no LOE data available

Enzyme Replacement Therapies
$40M(0%)

Niche market, specialized patient populations

Career Outlook

Stable

The rare disease market is stable but mature, with job growth concentrated in commercial and medical affairs rather than R&D innovation. Consolidation among top pharma (AstraZeneca, BMS, Amgen) limits opportunities for mid-tier companies, but specialist biotech firms show hiring momentum. Patent cliff risk for ELIQUIS (2041) will create restructuring opportunities and potential job flux in downstream years.

Breaking In

Target commercial or quality assurance roles at AstraZeneca, Capricor, or Amgen to build market knowledge; rare disease expertise is portable and valued across therapeutic areas.

For Experienced Professionals

Seek regulatory or medical affairs leadership roles where salary ceiling is highest ($243K-$257K); consider biotech firms like Insmed or Krystal for upside if pipeline approvals accelerate.

In-Demand Skills

Market access and HCP engagement (medical affairs)Regulatory and compliance expertisePatient stratification and genetic testing knowledgeCommercial analytics and lifecycle management

Best For

Medical Science Liaison (high salary, growing demand)Commercial Manager/Product Manager (39% of jobs)Regulatory Affairs Specialist (premium salary $257K)Health Economics & Outcomes Research (unmet need in data)

Hiring Landscape

$114K-$257K

Rare disease hiring is concentrated in commercial roles (75 jobs at $215K avg) and medical affairs (16 jobs at $243K avg), reflecting a mature market's focus on market access and HCP engagement. Top hiring companies include AstraZeneca (38 jobs) and emerging biotech players like Capricor Therapeutics (30 jobs). Department salaries range from $114K-$257K, with regulatory affairs commanding premium compensation.

195
Open Roles
5
Companies Hiring
5
Departments

Top Hiring Companies

38Growing
18Stable
17Growing
14Stable

By Department

Commercial(39%)
$215K
Medical Affairs(8%)
$243K
Research & Development(10%)
Regulatory Affairs(4%)
$257K
Quality Assurance(4%)
$168K

Commercial and regulatory roles offer strong salaries and growth; R&D hiring is minimal (10%), reflecting a consolidation and maturity phase in the market.

On Market (1)

Approved therapies currently available

Sarepta Therapeutics
EXONDYS 51Approved
eteplirsen
Sarepta Therapeutics
Antisense Oligonucleotide [EPC]intravenous2016

Competitive Landscape

6 companies ranked by most advanced pipeline stage

Sarepta Therapeutics
6 programs
2
2
1
1
1
EteplirsenPhase 3RNA Therapeutic1 trial
EteplirsenPhase 2RNA Therapeutic1 trial
SRP-5051Phase 1/21 trial
delandistrogene moxeparvovecPhase 1/2Gene Therapy1 trial
SRP-5051Phase 11 trial
+1 more programs
Active Trials
NCT03375255Completed15Est. Aug 2019
NCT03675126Terminated15Est. Aug 2021
NCT03769116Completed41Est. Aug 2023
+2 more trials
Prevail Therapeutics
1 program
1
TadalafilPhase 31 trial
Active Trials
NCT01865084Terminated331Est. Mar 2016
Pfizer
PfizerNEW YORK, NY
1 program
1
PF-06939926Phase 21 trial
Active Trials
NCT05429372Terminated10Est. Oct 2025
Genentech
GenentechCA - Oceanside
1 program
1
delandistrogene moxeparvovecPhase 1Gene Therapy1 trial
Active Trials
NCT04626674Recruiting83Est. Feb 2028
PTC Therapeutics
4 programs
Registry of Translarna (Ataluren) in Nonsense Mutation Duchenne Muscular Dystrophy (nmDMD)N/A1 trial
AtalurenPHASE_31 trial
AtalurenPHASE_31 trial
AtalurenPHASE_31 trial
Active Trials
NCT02369731Completed316Est. Mar 2025
NCT03179631Completed360Est. Jul 2023
NCT01826487Completed230Est. Aug 2015
+1 more trials
NMD Pharma
NMD PharmaDenmark - Aarhus
1 program
Registry of Translarna (Ataluren) in Nonsense Mutation Duchenne Muscular Dystrophy (nmDMD)N/A

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
2028
Sarepta TherapeuticsEteplirsen
PTC TherapeuticsAtaluren
PTC TherapeuticsAtaluren
Prevail TherapeuticsTadalafil
PTC TherapeuticsAtaluren
PfizerPF-06939926
Sarepta TherapeuticsEteplirsen
Sarepta TherapeuticsSRP-5051
Sarepta Therapeuticsdelandistrogene moxeparvovec
Genentechdelandistrogene moxeparvovec
Sarepta TherapeuticsSRP-5051
PTC TherapeuticsRegistry of Translarna (Ataluren) in Nonsense Mutation Duchenne Muscular Dystrophy (nmDMD)

Clinical Trials (12)

Total enrollment: 1,804 patients across 12 trials

A Study to Compare Safety and Efficacy of High Doses of Eteplirsen in Participants With Duchenne Muscular Dystrophy (DMD) (MIS51ON)

Start: Jul 2020Est. completion: Oct 2026160 patients
Phase 3Active Not Recruiting

Long-Term Outcomes of Ataluren in Duchenne Muscular Dystrophy

Start: Jul 2017Est. completion: Jul 2023360 patients
Phase 3Completed

An Extension Study of Ataluren (PTC124) in Participants With Nonsense Mutation Dystrophinopathy

Start: Mar 2014Est. completion: Jun 2018219 patients
Phase 3Terminated

A Study of Tadalafil for Duchenne Muscular Dystrophy

Start: Sep 2013Est. completion: Mar 2016331 patients
Phase 3Terminated

Phase 3 Study of Ataluren in Participants With Nonsense Mutation Duchenne Muscular Dystrophy (nmDMD)

Start: Mar 2013Est. completion: Aug 2015230 patients
Phase 3Completed

Study of Fordadistrogene Movaparvovec in Early Stage Duchenne Muscular Dystrophy

Start: Aug 2022Est. completion: Oct 202510 patients
Phase 2Terminated

Safety Study of Eteplirsen to Treat Advanced Stage Duchenne Muscular Dystrophy

Start: Nov 2014Est. completion: Mar 201824 patients
Phase 2Completed

An Open-Label Extension Study for Patients With Duchenne Muscular Dystrophy Who Participated in Studies of SRP-5051 (Vesleteplirsen)

Start: Dec 2018Est. completion: Aug 202115 patients
Phase 1/2Terminated
NCT03769116Sarepta Therapeuticsdelandistrogene moxeparvovec

A Randomized, Double-blind, Placebo-controlled Study of Delandistrogene Moxeparvovec (SRP-9001) for Duchenne Muscular Dystrophy (DMD)

Start: Dec 2018Est. completion: Aug 202341 patients
Phase 1/2Completed
NCT04626674Genentechdelandistrogene moxeparvovec

A Gene Transfer Therapy Study to Evaluate the Safety of and Expression From Delandistrogene Moxeparvovec (SRP-9001) in Participants With Duchenne Muscular Dystrophy (DMD)

Start: Nov 2020Est. completion: Feb 202883 patients
Phase 1Recruiting

A Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of a Single Dose of SRP-5051 (Vesleteplirsen) in Patients With Duchenne Muscular Dystrophy (DMD)

Start: Feb 2018Est. completion: Aug 201915 patients
Phase 1Completed
NCT02369731PTC TherapeuticsRegistry of Translarna (Ataluren) in Nonsense Mutation Duchenne Muscular Dystrophy (nmDMD)

Registry of Translarna (Ataluren) in Nonsense Mutation Duchenne Muscular Dystrophy (nmDMD)

Start: Apr 2015Est. completion: Mar 2025316 patients
N/ACompleted

Related Jobs in Rare Diseases

Phase Legend

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

Key Insights

2 late-stage (Phase 3) programs, potential near-term approvals
1 actively recruiting trials targeting 1,804 patients
8 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.