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Ocular Hypertension

Cardiovascular
24
Pipeline Programs
19
Companies
29
Clinical Trials
1
Approved Products

Pipeline by Development Stage

Preclinical
Phase 1
Phase 1/2
Phase 2
Phase 2/3
Phase 3
On Market
0
5
2
6
0
4
7
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Small Molecule
1100%
+ 36 programs with unclassified modality

Cardiovascular is a $69.4B mature market dominated by anticoagulants and metabolic therapies with stable blockbuster portfolios.

$69.4B marketMature→ Stable30 products15 companies

Key Trends

  • FXa inhibitors (ELIQUIS, XARELTO) command 62% of market spending, creating limited room for new entrants
  • SGLT2 inhibitors gaining traction in heart failure indication, signaling expansion beyond traditional anticoagulation
  • Multiple patent cliffs (JANUVIA 2027, OPSUMIT 2029) create near-term revenue vulnerability but reinvestment pressure

Career Verdict

Strong choice for commercial, clinical operations, and device integration roles; limited opportunity for innovative pipeline development given market maturity.

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

Market Leaders

#1ELIQUISStable
$18.3B
#2JARDIANCEGrowing
$8.8B
#3XARELTOStable
$6.3B
#4FARXIGAGrowing
$4.3B
AstraZeneca·Peak15.4yr
#5JANUVIADeclining
$4.1B
Merck & Co.·LOE_Approaching1.1yr

Drug Class Breakdown

FXa Inhibitors (Apixaban/Rivaroxaban)
$42.8B(62%)

Mature, stable revenue base

SGLT2 Inhibitors
$13.1B(19%)

Growing in heart failure and renal indications

DPP4 Inhibitors
$4.1B(6%)

Declining as LOE approaches 2027

ARBs and Combination Therapies
$3.4B(5%)

Stable in heart failure management

Endothelin Receptor Antagonists and Prostacyclin Agonists
$1.8B(3%)

Niche pulmonary hypertension market

Career Outlook

Stable

Cardiovascular careers are stable but not expanding; the market is mature, dominated by blockbuster franchises with predictable commercial cycles and patent cliffs. Professionals entering this space should expect strong compensation (Commercial $210K avg, Medical Affairs $201K avg) but limited opportunity to drive breakthrough innovation. Device company roles offer better growth trajectories than pharma, particularly in remote monitoring, diagnostics, and patient engagement technologies.

Breaking In

Target device companies (Abbott, Medtronic) for growth potential; if joining pharma, focus on Commercial or Clinical Operations roles where hiring is active and compensation is competitive.

For Experienced Professionals

Leverage cardiovascular expertise to move into medical device strategy, digital health partnerships, or adjacent therapeutic areas; R&D opportunity is limited and may require lateral moves to access innovation-focused roles.

In-Demand Skills

Healthcare economics and payer management (anticoagulation safety monitoring, cost-effectiveness)Real-world evidence generation (postmarket surveillance for FXa inhibitors)Digital health and remote patient monitoring integrationClinical trial execution in large, established patient populationsRegulatory expertise in label expansions (SGLT2 inhibitor indications)

Best For

Commercial/Sales roles (mature market execution)Medical Science Liaisons (managing healthcare provider relationships on established therapies)Clinical Operations/Project Managers (managing large Phase 3/4 programs)Regulatory Affairs (label expansion strategy, patent cliff preparation)Health Economics and Outcomes Research (demonstrating value in competitive anticoagulation market)

Hiring Landscape

$130K-$210K

Cardiovascular hiring is concentrated in device companies (Abbott 337, Medtronic 317) rather than pharma, reflecting the therapeutic area's reliance on hardware solutions and patient management infrastructure. Pharma hiring (Johnson & Johnson 261, Bristol Myers Squibb 52) is heavily weighted toward Commercial (468 roles) and Clinical Operations (296 roles), with minimal R&D investment (14 roles). Medical device integration and remote patient monitoring expertise are increasingly valued as the market consolidates.

1,386
Open Roles
5
Companies Hiring
5
Departments

Top Hiring Companies

337Growing
317Growing

By Department

Commercial(34%)
$210K
Clinical Operations(21%)
$180K
Engineering(13%)
$145K
Medical Affairs(1%)
$201K
Research & Development(1%)
$194K

Device companies offer more growth opportunities; pharma roles are high-paying but oriented toward mature market execution rather than innovation.

On Market (1)

Approved therapies currently available

Bausch + Lomb
VYZULTAApproved
latanoprostene bunod
Bausch + Lomb
ophthalmic2017
117M Part D

Competitive Landscape

19 companies ranked by most advanced pipeline stage

Alcon
AlconFORT WORTH, TX
6 programs
1
1
2
Brinzolamide 1%/brimonidine 0.2% ophthalmic suspensionPhase 41 trial
Brinzolamide 1%/brimonidine 0.2% ophthalmic suspensionPhase 41 trial
Travoprost ophthalmic solutionPhase 21 trial
MGV354 ophthalmic suspensionPhase 1/2
Travoprost 0.004%/timolol 0.05% fixed combination eye dropsN/A1 trial
+1 more programs
Active Trials
NCT00676637Completed55Est. Feb 2010
NCT00680329Completed55Est. Jul 2009
NCT00670033Completed158Est. Sep 2008
+2 more trials
Sharp Therapeutics
Sharp TherapeuticsPA - Pittsburgh
2 programs
1
1
dorzolamide hydrochloridePhase 4
INS115644 Ophthalmic SolutionPhase 1
MSD
MSDIreland - Ballydine
2 programs
1
1
dorzolamide hydrochloridePhase 41 trial
INS115644 Ophthalmic SolutionPhase 11 trial
Active Trials
NCT00443924Completed56Est. Apr 2009
NCT00545064Completed176Est. Sep 2008
Bausch Health
Bausch HealthQUEBEC, Quebec, Canada
2 programs
1
1
Latanoprostene BunodPhase 41 trial
BOL-303259-XPhase 21 trial
Active Trials
NCT01707381Completed25Est. Feb 2014
NCT04140279Withdrawn0Est. Aug 2023
Bausch + Lomb
Bausch + LombNJ - Bridgewater
2 programs
1
1
VYZULTA(latanoprostene bunod)Phase 4
BOL-303259-XPhase 2
AbbVie
AbbVieNORTH CHICAGO, IL
4 programs
1
2
brimonidine/timolol fixed combinationPhase 31 trial
brimonidine/timolol fixed combinationPhase 31 trial
brimonidine/timolol fixed combinationPhase 21 trial
Loteprednol etabonate ophthalmic suspension 0.5%N/A1 trial
Active Trials
NCT00834171Completed50Est. Dec 2009
NCT00332345Completed73Est. Aug 1999
NCT00332436Completed586Est. Nov 2001
+1 more trials
EMS
EMSBrazil - Hortolândia
1 program
1
BREMEN eye dropsPhase 31 trial
Active Trials
NCT03235232Completed406Est. Oct 2023
Pfizer
PfizerNEW YORK, NY
1 program
1
timololPhase 3Small Molecule1 trial
Active Trials
NCT00751049Completed294Est. Dec 1993
Can-Fite BioPharma
Can-Fite BioPharmaIsrael - Petach Tikva
1 program
1
CF101Phase 21 trial
Active Trials
NCT01033422Completed89Est. Apr 2017
Ono Pharmaceutical
Ono PharmaceuticalJapan - Osaka
1 program
1
ONO-9054Phase 21 trial
Active Trials
NCT02083289Completed123
Sandoz
SandozAustria - Kundl
2 programs
1
1
MGV354 ophthalmic suspensionPhase 1/2
SAD448Phase 1
Noveome Biotherapeutics
1 program
1
ST266 via Intranasal DeliveryPhase 11 trial
Active Trials
NCT03901781Completed9Est. May 2022
BioTherapeutics Inc
BioTherapeutics IncVA - Blacksburg
1 program
1
ST266 via Intranasal DeliveryPhase 1
Santen
SantenCA - Emeryville
4 programs
Timolol and TafluprostPHASE_31 trial
Timolol/ FDC/ Placebo/ TafluprostPHASE_31 trial
tafluprostPHASE_31 trial
tafluprostPHASE_31 trial
Active Trials
NCT01306461Completed401Est. May 2012
NCT01292460Completed600Est. Sep 2012
NCT01087671Completed185Est. Oct 2010
+1 more trials
Temple Therapeutics
Temple TherapeuticsNetherlands - Geleen
2 programs
Alternate Nostril BreathingN/A1 trial
MassageN/A1 trial
Active Trials
NCT02993445Completed11Est. Feb 2016
NCT04695314Completed27Est. Nov 2020
Sylentis
SylentisSpain - Madrid
2 programs
SYL040012PHASE_11 trial
SYL040012PHASE_21 trial
Active Trials
NCT00990743Completed30Est. Jun 2010
NCT01739244Completed80Est. May 2013
Sensimed
SensimedSwitzerland - Etagnières
1 program
Sensimed Triggersfish®N/A1 trial
Active Trials
NCT02030886Terminated20Est. Jun 2015
Novartis
NovartisBASEL, Switzerland
1 program
SAD448PHASE_11 trial
Active Trials
NCT00503360Completed80
Thea Pharma
Thea PharmaMA - Waltham
1 program
BimatoprostPHASE_31 trial
Active Trials
NCT03825380CompletedEst. Feb 2021

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
Bausch HealthLatanoprostene Bunod
AlconBrinzolamide 1%/brimonidine 0.2% ophthalmic suspension
AlconBrinzolamide 1%/brimonidine 0.2% ophthalmic suspension
MSDdorzolamide hydrochloride
EMSBREMEN eye drops
Thea PharmaBimatoprost
SantenTimolol and Tafluprost
SantenTimolol/ FDC/ Placebo/ Tafluprost
Santentafluprost
Santentafluprost
AbbViebrimonidine/timolol fixed combination
AbbViebrimonidine/timolol fixed combination
Pfizertimolol
Ono PharmaceuticalONO-9054
Bausch HealthBOL-303259-X

Showing 15 of 29 trials with date data

Clinical Trials (29)

Total enrollment: 4,901 patients across 29 trials

NCT04140279Bausch HealthLatanoprostene Bunod

A Study to Evaluate the Effect of Latanoprostene Bunod Ophthalmic Solution 0.024% on Episcleral Venous Pressure and Outflow Facility in Participants With Ocular Hypertension

Start: May 2022Est. completion: Aug 20230
Phase 4Withdrawn
NCT01937312AlconBrinzolamide 1%/brimonidine 0.2% ophthalmic suspension

Effect of SIMBRINZA® Suspension as an Added Therapy to a Prostaglandin Analogue

Start: Oct 2013Est. completion: May 2014282 patients
Phase 4Completed
NCT01937299AlconBrinzolamide 1%/brimonidine 0.2% ophthalmic suspension

Effect of SIMBRINZA® Suspension as an Added Therapy to TRAVATAN Z®

Start: Oct 2013Est. completion: Apr 2014307 patients
Phase 4Completed
NCT00545064MSDdorzolamide hydrochloride

Dry Eye Study With Cosopt® Over 8 Weeks in Patients With Open-Angle Glaucoma or Ocular Hypertension (0507A-152)(COMPLETED)

Start: May 2007Est. completion: Sep 2008176 patients
Phase 4Completed
NCT03235232EMSBREMEN eye drops

BREMEN Eye Drops Versus Combigan for Open-angle Glaucoma or Intraocular Hypertension

Start: Feb 2021Est. completion: Oct 2023406 patients
Phase 3Completed

Efficacy and Safety Assessment of T4032 Versus Lumigan® in Ocular Hypertensive or Glaucomatous Patients

Start: Nov 2018Est. completion: Feb 2021
Phase 3Completed
NCT01306461SantenTimolol and Tafluprost

Tafluprost-Timolol Fixed Dose Combination Non-Inferiority Study Against Concomitant Administrations

Start: Mar 2011Est. completion: May 2012401 patients
Phase 3Completed
NCT01292460SantenTimolol/ FDC/ Placebo/ Tafluprost

Tafluprost-Timolol Preservative-free Fixed Dose Combination (FDC) Superiority Study Against Monotherapies

Start: Feb 2011Est. completion: Sep 2012600 patients
Phase 3Completed

Ocular Signs and Symptoms in Glaucoma Patients Switched From Latanoprost to Preservative Free Tafluprost Eye Drops

Start: Apr 2010Est. completion: Oct 2010185 patients
Phase 3Completed

Ocular Signs and Symptoms in Glaucoma Patients Switched From Latanoprost 0.005% to Preservative Free Tafluprost Eye Drops

Start: Jan 2008Est. completion: Aug 2008150 patients
Phase 3Completed
NCT00332384AbbViebrimonidine/timolol fixed combination

Safety and Efficacy Study of Brimonidine/Timolol Fixed Combination in Patients With Glaucoma or Ocular Hypertension

Start: Jan 2000Est. completion: Nov 2001573 patients
Phase 3Completed
NCT00332436AbbViebrimonidine/timolol fixed combination

Safety and Efficacy Study of Brimonidine/Timolol Fixed Combination in Patients With Glaucoma or Ocular Hypertension

Start: Dec 1999Est. completion: Nov 2001586 patients
Phase 3Completed

A Study of Open Angle Glaucoma or Ocular Hypertension in Patients Within the United Kingdom

Start: Dec 1992Est. completion: Dec 1993294 patients
Phase 3Completed

A 28 Day Study of ONO-9054 Ophthalmic Solution in Subjects With Ocular Hypertension (OHT) or Open-angle Glaucoma (OAG)

Start: May 2014123 patients
Phase 2Completed

BOL-303259-X With Timolol 0.5% in Subjects With Open-Angle Glaucoma or Ocular Hypertension

Start: Nov 2012Est. completion: Feb 201425 patients
Phase 2Completed

Dose Finding Clinical Trial With SYL040012 to Evaluate the Tolerability and Effect on Intraocular Pressure in Subjects With Ocular Hypertension or Open Angle Glaucoma

Start: Jul 2012Est. completion: May 201380 patients
Phase 2Completed

Safety and Efficacy of Daily CF101 Administered Orally in Subjects With Elevated Intraocular Pressure

Start: Oct 2010Est. completion: Apr 201789 patients
Phase 2Completed
NCT00670033AlconTravoprost ophthalmic solution

Travoprost New Formulations in Patients With Open-Angle Glaucoma or Ocular Hypertension

Start: Apr 2008Est. completion: Sep 2008158 patients
Phase 2Completed
NCT00332345AbbViebrimonidine/timolol fixed combination

Safety and Efficacy Study of Brimonidine/Timolol Fixed Combination in Patients With Glaucoma or Ocular Hypertension

Start: Jul 1999Est. completion: Aug 199973 patients
Phase 2Completed
NCT03901781Noveome BiotherapeuticsST266 via Intranasal Delivery

Study of ST266 Given by Intranasal Delivery in Glaucoma Suspect Subjects

Start: Oct 2019Est. completion: May 20229 patients
Phase 1Completed

Tolerance and Effect on Intraocular Pressure After Administration of SYL040012

Start: Sep 2009Est. completion: Jun 201030 patients
Phase 1Completed

Tolerability, Safety and Efficacy of SAD448 in Subjects With Ocular Hypertension

Start: Apr 200780 patients
Phase 1Completed
NCT00443924MSDINS115644 Ophthalmic Solution

Study of INS115644 Ophthalmic Solution in Subjects With Ocular Hypertension or Glaucoma

Start: Mar 2007Est. completion: Apr 200956 patients
Phase 1Completed

Foot Reflexology in Ocular Hypertensive and Glaucoma Patients

Start: Nov 2017Est. completion: Nov 202027 patients
N/ACompleted
NCT02993445Temple TherapeuticsAlternate Nostril Breathing

Effect of Alternate Therapies on Intraocular Pressure in Ocular Hypertension

Start: Sep 2014Est. completion: Feb 201611 patients
N/ACompleted
NCT02030886SensimedSensimed Triggersfish®

IOP Patterns in Ocular Hypertensive Patients Newly Converted to Glaucoma vs Stable Ocular Hypertensive Patients

Start: Dec 2013Est. completion: Jun 201520 patients
N/ATerminated
NCT00834171AbbVieLoteprednol etabonate ophthalmic suspension 0.5%

A Retrospective Evaluation of the Intraocular Pressure Spikes With Loteprednol and Loteprednol/Tobramycin

Start: Jan 2009Est. completion: Dec 200950 patients
N/ACompleted
NCT00676637AlconTravoprost 0.004%/timolol 0.05% fixed combination eye drops

Glaucoma Adherence Study

Start: May 2008Est. completion: Feb 201055 patients
N/ACompleted
NCT00680329AlconTravoprost 0.004%/timolol 0.05% fixed combination eye drops

Glaucoma Adherence Study, Spain

Start: May 2008Est. completion: Jul 200955 patients
N/ACompleted

Related Jobs in Cardiovascular

Phase Legend

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

Key Insights

4 late-stage (Phase 3) programs, potential near-term approvals
19 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.