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Papulopustular Rosacea

Dermatology
26
Pipeline Programs
9
Companies
22
Clinical Trials
2
Approved Products

Pipeline by Development Stage

Preclinical
Phase 1
Phase 1/2
Phase 2
Phase 2/3
Phase 3
On Market
0
3
1
5
0
10
7
Early DiscoveryClinical DevelopmentMarket

Dermatology is a $292M market that is mature and consolidating, dominated by a single blockbuster approaching loss of exclusivity.

$0.292B marketMature→ Stable30 products15 companies

Key Trends

  • HUMIRA (adalimumab) dominates 88% of market spending but faces LOE in near-term, creating vulnerability
  • Novel mechanisms like aryl hydrocarbon receptor agonists gaining traction with emerging products in peak lifecycle
  • Substantial clinical trial activity (812 trials) suggests ongoing innovation pipeline despite mature market

Career Verdict

Dermatology offers stable near-term opportunities but requires strategic positioning given patent cliff risk and limited market size compared to other therapeutic areas.

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

Market Leaders

#1HUMIRADeclining
$258M
AbbVie·LOE_APPROACHING
#2VTAMAGrowing
$19M
Merck & Co.·PEAK13.5yr
#3ORACEADeclining
$4M
Galderma·LOE_APPROACHING1.6yr

Drug Class Breakdown

Unknown Mechanism (predominantly HUMIRA)
$258M(88%)

Patent cliff looming

Aryl Hydrocarbon Receptor Agonists
$19M(6%)

Emerging innovation

Retinoids and Derivatives
$3M(1%)

Mature segment

Other Mechanisms
$12M(4%)

Niche applications

Career Outlook

Stable

Dermatology represents a stable but narrow career path with limited growth compared to larger therapeutic areas; compensation is competitive in Commercial and Medical Affairs but R&D opportunities are scarce. HUMIRA's patent cliff creates near-term uncertainty for AbbVie but may drive restructuring and new product launches elsewhere. Market consolidation around a few large players (AbbVie, Regeneron, Merck) limits startup/biotech opportunities.

Breaking In

Enter via Commercial or Medical Affairs roles where hiring is highest; dermatology has lower scientific barrier to entry than oncology but requires strong relationship-building and market access acumen.

For Experienced Professionals

Leverage HUMIRA transition expertise or develop specialty in emerging mechanisms (retinoids, AhR agonists); consider moving to larger franchises (immunology, oncology) if seeking higher growth trajectory.

In-Demand Skills

Health Economics & Outcomes Research (HEOR)Dermatology Clinical KnowledgeSales Strategy & Account ManagementDigital Health / Telemedicine IntegrationMedical Writing for Topicals & Systemics

Best For

Regional Sales ManagerMedical Science Liaison (MSL)Product Manager (Post-Launch)Health Economics ManagerRegulatory Affairs Specialist

Hiring Landscape

$85K-$386K

Dermatology shows concentrated hiring at AbbVie (52 positions) and Regeneron (46 positions), with Commercial roles dominating (89 jobs, $188K avg salary) and Medical Affairs roles commanding premium compensation ($386K avg). Limited R&D hiring (8 positions) suggests mature drug development phase with emphasis on commercialization and market access.

173
Open Roles
3
Companies Hiring
3
Departments

Top Hiring Companies

53Growing
46Growing
14Stable

By Department

Commercial(51%)
$188K
Medical Affairs(24%)
$386K
Research & Development(5%)

Commercial and Medical Affairs roles offer strong compensation and growth, but overall job market is small; best for professionals seeking revenue-generating functions rather than discovery roles.

On Market (2)

Approved therapies currently available

Leo Pharma
AZELAIC ACIDApproved
azelaic acid
Leo Pharma
topical
3M Part D
Leo Pharma
FINACEAApproved
azelaic acid
Leo Pharma
topical2015
2M Part D

Competitive Landscape

9 companies ranked by most advanced pipeline stage

Leo Pharma
Leo PharmaDenmark - Ballerup
6 programs
1
2
1
2
Azelaic acidPhase 41 trial
azelaic acid 15% gelPhase 41 trial
Azelaic acid foam, 15%Phase 31 trial
Azelaic acidPhase 21 trial
Azelaic acid foam 15%Phase 21 trial
+1 more programs
Active Trials
NCT01257919Completed21Est. Mar 2011
NCT00617903Completed83Est. Jun 2008
NCT01025635Completed401Est. Aug 2010
+3 more trials
Bayer
BayerLEVERKUSEN, Germany
6 programs
1
2
1
2
Azelaic acidPhase 4
azelaic acid 15% gelPhase 4
Azelaic acid foam, 15%Phase 3
Azelaic acidPhase 2
Azelaic acid foam 15%Phase 2
+1 more programs
Galderma
GaldermaTX - Dallas
3 programs
2
1
OraceaPhase 41 trial
CD5024Phase 31 trial
Ivermectin 1% creamPhase 31 trial
Active Trials
NCT01494467Completed688Est. Aug 2013
NCT01493947Completed962Est. Dec 2013
NCT01872715Completed24Est. Jun 2013
Journey Medical
Journey MedicalAZ - Scottsdale
2 programs
2
DFD-29Phase 3
DFD-29Phase 3
Dr. Reddy's Laboratories
2 programs
2
DFD-29Phase 31 trial
DFD-29Phase 31 trial
Active Trials
NCT05343455Completed330Est. Jun 2023
NCT05296629Completed323Est. Jun 2023
Vyne Therapeutics
Vyne TherapeuticsIsrael - Ness Ziona
1 program
1
FMX103 1.5%Phase 31 trial
Active Trials
NCT03276936Completed504Est. Jan 2019
Alfasigma
AlfasigmaItaly - Bologna
1 program
1
rifaximinPhase 35 trials
Active Trials
NCT05150587Completed216Est. Oct 2022
NCT03469050Terminated193Est. Dec 2020
NCT03864978Unknown236Est. Oct 2020
+2 more trials
Maruho
MaruhoJapan - Osaka
2 programs
1
1
omigananPhase 21 trial
CLS001Phase 11 trial
Active Trials
NCT02028286Completed25
NCT01784133Completed240
Azitra
AzitraBRANFORD, CT
1 program
1
ATR-04Phase 1/21 trial
Active Trials
NCT04731259Withdrawn0Est. Jan 2026

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
GaldermaOracea
Leo PharmaAzelaic acid
Leo Pharmaazelaic acid 15% gel
Dr. Reddy's LaboratoriesDFD-29
Dr. Reddy's LaboratoriesDFD-29
Alfasigmarifaximin
Vyne TherapeuticsFMX103 1.5%
Leo PharmaAzelaic acid foam, 15%
GaldermaIvermectin 1% cream
GaldermaCD5024
Alfasigmarifaximin
Alfasigmarifaximin
Alfasigmarifaximin
Alfasigmarifaximin
Alfasigmarifaximin

Showing 15 of 22 trials with date data

Clinical Trials (22)

Total enrollment: 6,517 patients across 22 trials

Patient Centered Outcomes in Rosacea: An Exploratory Multi-media Analysis of the Patient Experience on Oracea

Start: Mar 2013Est. completion: Jun 201324 patients
Phase 4Completed

Efficacy of Topical Azelaic Acid 15% Gel Plus Anti-inflammatory Dose Doxycycline or Metronidazole Gel 1% Plus Anti-inflammatory Dose Doxycycline in Moderate Papulopustular Rosacea

Start: Feb 2009Est. completion: Jul 2009207 patients
Phase 4Completed
NCT00417937Leo Pharmaazelaic acid 15% gel

A Multicenter Trial of a Topical Medication for Papulopustular Rosacea Applied Twice Daily Versus Once Daily

Start: Jan 2007Est. completion: Jun 200798 patients
Phase 4Completed

A Study to Assess the Safety, Efficacy and Tolerability of Oral DFD-29 Capsules for the Treatment of Rosacea (MVOR-2)

Start: Mar 2022Est. completion: Jun 2023330 patients
Phase 3Completed

A Randomized, Double-Blind Study to Assess the Safety, Efficacy and Tolerability of Oral DFD-29 Capsules for the Treatment of Rosacea.

Start: Mar 2022Est. completion: Jun 2023323 patients
Phase 3Completed

Two Strategies of Primary Prophylaxis of Spontaneous Bacterial Peritonitis in Severe Cirrhotic Patients With Ascites

Start: Jun 2018Est. completion: Mar 2023160 patients
Phase 3Completed

A Study to Evaluate the Long-Term Safety of Topical Administration of FMX103 in the Treatment of Moderate to Severe Papulopustular Rosacea

Start: Sep 2017Est. completion: Jan 2019504 patients
Phase 3Completed
NCT01555463Leo PharmaAzelaic acid foam, 15%

Safety and Efficacy of Azelaic Acid Foam, 15 % in Papulopustular Rosacea

Start: Sep 2012Est. completion: Jan 2014961 patients
Phase 3Completed
NCT01493947GaldermaIvermectin 1% cream

CD5024 1% [Ivermectin 1%] Cream Versus Metronidazole 0.75% Cream in Papulopustular Rosacea (PPR) Study

Start: Apr 2012Est. completion: Dec 2013962 patients
Phase 3Completed

Phase 3 Papulopustular Rosacea Study

Start: Dec 2011Est. completion: Aug 2013688 patients
Phase 3Completed

Rifaximin Delayed Release for the Prevention of Recurrent Acute Diverticulitis and Diverticular Complications.

Start: Jul 2018Est. completion: Dec 2020193 patients
Phase 2/3Terminated

Safety, Efficacy and Pharmacokinetics of Rifaximin in Patients With Moderate-to-severe Papulopustular Rosacea

Start: Oct 2021Est. completion: Oct 2022216 patients
Phase 2Completed

Safety and Efficacy of Rifaximin in Patients With Papulopustular Rosacea and Positive Lactulose Breath Test

Start: Jun 2018Est. completion: Oct 2020236 patients
Phase 2Unknown

A Multicentre Study on Rifaximin in Post-operative Endoscopic Crohn's Disease Recurrence Prevention

Start: Nov 2017Est. completion: Jul 202043 patients
Phase 2Terminated

Efficacy and Safety Study of Rifaximin Vaginal Tablets in Bacterial Vaginosis

Start: Apr 2015Est. completion: Feb 2016392 patients
Phase 2Terminated

A Twelve Week Safety and Efficacy Study in Rosacea

Start: Mar 2013240 patients
Phase 2Completed
NCT01025635Leo PharmaAzelaic acid foam 15%

Safety and Efficacy of Azelaic Acid Foam, 15% in Papulopustular Rosacea

Start: Dec 2009Est. completion: Aug 2010401 patients
Phase 2Completed

Exploration of Safety and Efficacy of AzA 15% Foam Twice a Day in Rosacea

Start: Jan 2008Est. completion: Jun 200883 patients
Phase 2Completed

Placebo Controlled Study of 3 Doses of Rifaximin-EIR Tablet to Treat Moderate, Active Crohn's Disease

Start: Sep 2007Est. completion: Oct 2009410 patients
Phase 2Completed

Study to Evaluate the Safety of ATR-04

Start: Jan 2024Est. completion: Jan 20260
Phase 1/2Withdrawn

A 21 Day Pharmacokinetics Study in Papulopustular Rosacea

Start: Jan 201425 patients
Phase 1Completed
NCT01257919Leo PharmaAzelaic Acid Foam

Safety and Pharmacokinetics of Azelaic Acid Foam, 15% in Papulopustular Rosacea

Start: Jan 2011Est. completion: Mar 201121 patients
Phase 1Completed

Related Jobs in Dermatology

Phase Legend

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

Key Insights

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