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Spinocerebellar Ataxias

Neurology
4
Pipeline Programs
6
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
2
0
1
0
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Small Molecule
2100%
+ 6 programs with unclassified modality

Neurology is a $26.9B market dominated by a single blockbuster anticoagulant (ELIQUIS), representing a mature but consolidating therapeutic area.

$26.9B marketMature→ Stable30 products15 companies

Key Trends

  • Extreme market concentration: 68% of spending driven by one FXa inhibitor product
  • Psychiatric and migraine therapies emerging as secondary growth drivers
  • High clinical trial activity (8,279 trials) signals continued pipeline development

Career Verdict

Neurology offers solid career stability with good hiring demand, but limited upside growth—best suited for professionals seeking established market positions rather than emerging-area innovation.

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

Market Leaders

#1ELIQUISStable
$18.3B
Bristol Myers Squibb·Launch15.0yr
$1.8B
#3BRILINTAStable
$692M
AstraZeneca·Peak10.2yr
#4NUPLAZIDStable
$596M
$530M
Johnson & Johnson·Peak15.6yr

Drug Class Breakdown

FXa Inhibitors (anticoagulant)
$18.3B(68%)

market-defining single product

Dopamine/Serotonin Antagonists (psychiatric)
$2.4B(9%)

stable mature class

P2Y12 Receptor Antagonists (antiplatelet)
$692M(3%)

niche but stable

5-HT2A Inverse Agonists (psychiatric)
$596M(2%)

specialty indication focus

CGRP Receptor Antagonists (migraine)
$931M(3%)

emerging growth segment

Immunomodulators (MS)
$747M(3%)

stable with LOE risk

Other mechanisms
$2.6B(10%)

diverse small products

Career Outlook

Stable

Neurology represents a mature, cash-generative market with limited growth tailwinds but strong hiring stability. The dominance of ELIQUIS creates a bifurcated career landscape: high-opportunity positions in emerging segments (CGRP antagonists, psychiatric therapeutics) and commoditized roles in anticoagulant franchises. Job availability is solid but growth expectations should be tempered relative to oncology or immunology.

Breaking In

Entry-level professionals should target clinical operations or commercial support roles at J&J, AstraZeneca, or Sanofi to build domain expertise in neurology disease states and competitive dynamics.

For Experienced Professionals

Experienced professionals should prioritize emerging mechanism roles (CGRP, tau-targeting programs) or pivot to medtech/neurotech (Stryker, Medtronic) to capture higher growth and salary potential than traditional pharma incumbents.

In-Demand Skills

Medical Science Liaisons (MSL) for specialist engagementClinical trial operations expertisePsychiatric/neurodegenerative disease educationRegulatory affairs (given patent cliff activity)Commercial strategy around branded/generic transitions

Best For

Medical Science LiaisonCommercial Brand Manager (anticoagulant/psychiatric franchises)Clinical Operations ManagerRegulatory Affairs SpecialistClinical Development Manager (CGRP/immunomodulator pipelines)

Hiring Landscape

$100K-$199K

Neurology shows moderate but distributed hiring across pharma and medtech employers, with 4,186 total jobs listed. Commercial functions lead (947 roles, $169K avg), followed by clinical operations (467 roles, $132K avg), indicating bias toward commercialization over R&D. Takeda leads external hiring (762 jobs) with strong representation in contract research and CRO spaces.

4,186
Open Roles
5
Companies Hiring
5
Departments

Top Hiring Companies

762Growing
434Stable
302Stable

By Department

Commercial(23%)
$169K
Clinical Operations(11%)
$132K
Engineering(8%)
$199K
IT(4%)
$100K
Manufacturing(3%)
$170K

Commercial and clinical operations roles dominate, offering stable mid-career positions; engineering roles command premium salaries ($199K), suggesting strong device/neurotech hiring pockets.

Competitive Landscape

6 companies ranked by most advanced pipeline stage

Angeles Therapeutics
Angeles TherapeuticsCA - Los Angeles
1 program
1
BHV-4157Phase 31 trial
Active Trials
NCT03408080Active Not Recruiting24Est. Dec 2024
Steminent Biotherapeutics
1 program
1
StemchymalPhase 2
BioTherapeutics Inc
BioTherapeutics IncVA - Blacksburg
1 program
1
StemchymalPhase 21 trial
Active Trials
NCT06397274Not Yet Recruiting20Est. Jun 2028
Baxter
BaxterCosta Rica - Cartago
1 program
1
Intravenous Immune GlobulinPhase 1
Biohaven
BiohavenNEW HAVEN, CT
3 programs
BHV-4157N/A1 trial
TroriluzolePHASE_2_3Small Molecule1 trial
troriluzolePHASE_3Small Molecule1 trial
Active Trials
NCT06529146Active Not Recruiting909Est. Jun 2026
NCT02960893Completed141Est. Sep 2024
NCT03701399Active Not Recruiting299Est. Jun 2026
Baxter International
1 program
Intravenous Immune GlobulinPHASE_11 trial
Active Trials
NCT02287064Unknown10

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
2028
Biohaventroriluzole
Angeles TherapeuticsBHV-4157
BiohavenTroriluzole
BioTherapeutics IncStemchymal
Baxter InternationalIntravenous Immune Globulin
BiohavenBHV-4157

Clinical Trials (6)

Total enrollment: 1,403 patients across 6 trials

Troriluzole in Adult Participants With Spinocerebellar Ataxia

Start: Mar 2019Est. completion: Jun 2026299 patients
Phase 3Active Not Recruiting

Open Pilot Trial of BHV-4157

Start: Dec 2017Est. completion: Dec 202424 patients
Phase 3Active Not Recruiting

Trial in Adult Participants With Spinocerebellar Ataxia (SCA)

Start: Dec 2016Est. completion: Sep 2024141 patients
Phase 2/3Completed

Stemchymal® for Polyglutamine Spinocerebellar Ataxia

Start: Jun 2025Est. completion: Jun 202820 patients
Phase 2Not Yet Recruiting
NCT02287064Baxter InternationalIntravenous Immune Globulin

An Open-label Trial of Intravenous Immune Globulin (IVIG)in Treating Spinocerebellar Ataxias

Start: Apr 201510 patients
Phase 1Unknown

Real-World Data Study of Troriluzole-Treated Patients With Spinocerebellar Ataxia (SCA) Compared to a Matched Natural History Control

Start: Mar 2019Est. completion: Jun 2026909 patients
N/AActive Not Recruiting

Related Jobs in Neurology

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
6 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.