Skip to main content

Respiratory Syncytial Viruses

Respiratory
5
Pipeline Programs
7
Companies
6
Clinical Trials
0
Approved Products

Pipeline by Development Stage

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

Drug Modality Breakdown

Vaccine
350%
Monoclonal Antibody
233%
Small Molecule
117%
+ 2 programs with unclassified modality

Respiratory is a $39.4B mature market dominated by established inhalers and combination therapies with significant patent cliff risk.

$39.4B marketMature→ Stable30 products15 companies

Key Trends

  • Consolidation around GSK's triple-therapy franchises (Trelegy, Breo, Anoro)
  • Major patent expirations 2026-2031 creating $7.8B revenue cliff
  • High clinical trial activity (4,862 trials) suggesting pipeline innovation despite market maturity

Career Verdict

Respiratory offers stable commercial careers but limited growth upside; best for professionals seeking established markets with strong commercial infrastructure rather than innovation-driven advancement.

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

Market Leaders

#1ELIQUISGrowing
$18.3B
Bristol Myers Squibb·Launch15.0yr
#3TRELEGY ELLIPTADeclining
$4.5B
GSK·Peak4.9yr
#4CREONDeclining
$1.5B
AbbVie·Approaching LOE
#5BREO ELLIPTADeclining
$1.4B
GSK·Peak4.9yr

Drug Class Breakdown

FXa Inhibitors
$18.3B(46%)

dominant market driver

Unknown/Undisclosed Mechanism
$9.7B(25%)

fragmented portfolio

GLP-1 Receptor Agonists
$7.4B(19%)

rapidly expanding

Pancreatic Enzymes
$1.5B(4%)

legacy product

Corticosteroid/LABA Combinations
$796M(2%)

patent cliff approaching

Long-Acting Muscarinic Antagonists
$456M(1%)

mature maintenance therapy

Career Outlook

Stable

Respiratory is a stable, mature market suitable for commercial and medical affairs professionals seeking established career paths, but offers limited growth or innovation-focused opportunities. The impending patent cliff ($7.8B+ revenue at risk 2026-2031) will drive near-term restructuring and consolidation, potentially reducing headcount in 2027-2028. Professionals should expect strong compensation in Medical Affairs and field roles but limited advancement into strategic or R&D positions.

Breaking In

New graduates should prioritize commercial, field-based, or Medical Affairs roles over R&D; respiratory offers structured training and stable compensation but limited innovation exposure, so pair this experience with cross-therapeutic skill-building for long-term mobility.

For Experienced Professionals

Experienced professionals should evaluate whether to maximize earnings in this mature, stable market or transition to higher-growth areas (oncology, cell therapy); respiratory consolidation 2027-2030 will reduce senior-level opportunities, so consider strategic moves before patent cliff impacts headcount.

In-Demand Skills

Commercial execution and territory managementMedical Affairs/Key Opinion Leader engagementRegulatory affairs and lifecycle managementInhalation device expertise and product trainingManaged care and payer negotiations

Best For

Brand ManagerMedical Science LiaisonRegional Sales ManagerField Medical RepresentativePayer Relations ManagerRegulatory Specialist

Hiring Landscape

$84K-$314K

The respiratory sector shows modest hiring momentum (510 jobs across tracked positions) concentrated in commercial and engineering roles, with AstraZeneca and GSK leading. Medical Affairs positions command premium salaries ($314K avg) but represent only 3% of openings, reflecting the mature market's focus on sales execution over innovation. Hiring velocity is moderate and reflects market consolidation rather than expansion, suggesting limited career progression opportunities for early-to-mid career professionals.

510
Open Roles
5
Companies Hiring
5
Departments

Top Hiring Companies

43Stable
70Growing
45Stable
15Stable

By Department

Commercial(23%)
$122K
Engineering(11%)
$111K
Medical Affairs(3%)
$314K
IT(4%)
$84K
Manufacturing(3%)

Respiratory hiring favors commercial and field-based roles over R&D; Medical Affairs roles offer premium compensation but are scarce, making this area competitive for specialized talent.

Competitive Landscape

7 companies ranked by most advanced pipeline stage

ViiV Healthcare
ViiV HealthcareNC - Durham
1 program
1
RSVPreF3 OA investigational vaccinePhase 3Vaccine
Sharp Therapeutics
Sharp TherapeuticsPA - Pittsburgh
1 program
1
ClesrovimabPhase 2Monoclonal Antibody1 trial
Active Trials
NCT04086472Completed80Est. Aug 2020
MSD
MSDIreland - Ballydine
1 program
1
ClesrovimabPhase 2Monoclonal Antibody
Novavax
NovavaxMD - Gaithersburg
1 program
1
RSV F Vaccine with Aluminum Phosphate AdjuvantPhase 2Vaccine1 trial
Active Trials
NCT03026348Completed300Est. May 2018
Pfizer
PfizerNEW YORK, NY
2 programs
1
sisunatovirPhase 1Small Molecule1 trial
ABRYSVO VaccinationN/A1 trial
Active Trials
NCT06813872Active Not Recruiting1Est. Jul 2027
NCT05712460Completed12Est. Apr 2023
Abbott
AbbottABBOTT PARK, IL
1 program
Samples collection for viral diagnosisN/A1 trial
Active Trials
NCT00585481Completed310Est. Dec 2010
GSK
GSKLONDON, United Kingdom
1 program
RSVPreF3 OA investigational vaccinePHASE_3Vaccine1 trial
Active Trials
NCT05966090Completed530Est. Jul 2024

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
GSKRSVPreF3 OA investigational vaccine
Sharp TherapeuticsClesrovimab
NovavaxRSV F Vaccine with Aluminum Phosphate Adjuvant
Pfizersisunatovir
PfizerABRYSVO Vaccination
AbbottSamples collection for viral diagnosis

Clinical Trials (6)

Total enrollment: 1,233 patients across 6 trials

NCT05966090GSKRSVPreF3 OA investigational vaccine

A Study on Safety and Immune Response of Investigational RSV OA Vaccine in Combination With Herpes Zoster Vaccine in Healthy Adults

Start: Jul 2023Est. completion: Jul 2024530 patients
Phase 3Completed

Phase 2a Respiratory Syncytial Virus (RSV) Human Challenge Study of Clesrovimab (MK-1654) in Healthy Participants (MK-1654-005)

Start: Oct 2019Est. completion: Aug 202080 patients
Phase 2Completed
NCT03026348NovavaxRSV F Vaccine with Aluminum Phosphate Adjuvant

Safety and Immunogenicity Study to Evaluate Single- or Two-Dose Regimens Of RSV F Vaccine With and Without Aluminum Phosphate or Matrix-M1™ Adjuvants In Clinically-Stable Older Adults

Start: Jan 2017Est. completion: May 2018300 patients
Phase 2Completed

A Study to Assess the Safety, Effects and Palatability of Sisunatovir in Healthy Adult Participants

Start: Feb 2023Est. completion: Apr 202312 patients
Phase 1Completed
NCT06813872PfizerABRYSVO Vaccination

Effectiveness of ABRYSVO® Maternal Respiratory Syncytial Virus (RSV) Vaccine Against RSV in Infants in Western Pennsylvania

Start: Feb 2025Est. completion: Jul 20271 patients
N/AActive Not Recruiting
NCT00585481AbbottSamples collection for viral diagnosis

Incidence of Severe Respiratory Syncytial Virus Infections in Preterm Brazilian Children

Start: Jan 2008Est. completion: Dec 2010310 patients
N/ACompleted

Related Jobs in Respiratory

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
Vaccine is the dominant modality (50% of programs)
7 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.