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Obesity and Overweight

Metabolic Diseases
7
Pipeline Programs
8
Companies
7
Clinical Trials
3 recruiting
0
Approved Products

Pipeline by Development Stage

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

Drug Modality Breakdown

Peptide
3100%
+ 7 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

8 companies ranked by most advanced pipeline stage

Metsera
MetseraNY - New York
2 programs
1
1
MET097Phase 31 trial
MET233Phase 1/2
Active Trials
NCT07311850Recruiting3,500Est. May 2028
Pfizer
PfizerNEW YORK, NY
1 program
1
MET097Phase 3
Biomed
BiomedAustralia - Sydney
1 program
1
NA-931Phase 21 trial
Active Trials
NCT06732245Not Yet Recruiting224Est. Dec 2027
Prevail Therapeutics
1 program
1
TirzepatidePhase 2Peptide1 trial
Active Trials
NCT06847399Recruiting105Est. Dec 2027
Helicore Biopharma
Helicore BiopharmaCA - San Mateo
1 program
1
HCR-188Phase 11 trial
Active Trials
NCT06845943Suspended48Est. Dec 2027
WaVe Life Sciences
WaVe Life SciencesJapan - Kagoshima
1 program
1
WVE-007Phase 11 trial
Active Trials
NCT06842186Recruiting136Est. Oct 2026
Novo Nordisk
Novo NordiskBAGSVAERD DENMARK, Denmark
2 programs
semaglutideN/APeptide1 trial
NNC0165-1875PHASE_11 trial
Active Trials
NCT07018544Enrolling By Invitation840Est. Feb 2027
NCT03707990Completed88Est. Aug 2019
Eli Lilly and Company
Eli Lilly and CompanyINDIANAPOLIS, IN
1 program
TirzepatidePHASE_2Peptide

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
2028
MetseraMET097
BiomedNA-931
Prevail TherapeuticsTirzepatide
Helicore BiopharmaHCR-188
WaVe Life SciencesWVE-007
Novo NordiskNNC0165-1875
Novo Nordisksemaglutide

Clinical Trials (7)

Total enrollment: 4,941 patients across 7 trials

Efficacy and Safety of MET097 Once-Weekly in People With Overweight or Obesity

Start: Dec 2025Est. completion: May 20283,500 patients
Phase 3Recruiting

Safety and Efficacy of NA-931 and Tirzepatide in Adults Who Are Overweight or Obese

Start: Aug 2026Est. completion: Dec 2027224 patients
Phase 2Not Yet Recruiting

Efficacy and Safety of Tirzepatide Versus Placebo or Lisdexamfetamine Dimesylate for Binge-Eating Disorder

Start: Sep 2025Est. completion: Dec 2027105 patients
Phase 2Recruiting

A First-in-human Study of HCR-188 in Overweight or Obese Otherwise Healthy Volunteers Without Type 2 Diabetes

Start: Mar 2025Est. completion: Dec 202748 patients
Phase 1Suspended

A Phase 1 Study of WVE-007 in Adults Living With Overweight or Obesity

Start: Jan 2025Est. completion: Oct 2026136 patients
Phase 1Recruiting

A Research Study of NNC0165-1875 Alone or Together With Semaglutide in People Who Are Overweight or Obese

Start: Oct 2018Est. completion: Aug 201988 patients
Phase 1Completed

A Multicentre, Prospective, Single-arm, Non-interventional Regulatory Post-marketing Surveillance (rPMS) Study to Investigate the Safety and Effectiveness of Wegovy® (Semaglutide) in Patients With Obesity and Patients With Overweight in Routine Clinical Practice in Korea

Start: Nov 2024Est. completion: Feb 2027840 patients
N/AEnrolling By Invitation

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

2 late-stage (Phase 3) programs, potential near-term approvals
3 actively recruiting trials targeting 4,941 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.