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Type1diabetes

Metabolic Diseases
5
Pipeline Programs
13
Companies
18
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
3
1
1
0
0
0
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Small Molecule
1100%
+ 17 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

12 companies ranked by most advanced pipeline stage

Colorado Therapeutics
Colorado TherapeuticsCO - Louisville
4 programs
1
Starbucks® Cold brew - 325ml bottlePhase 21 trial
Definity Suspension for InjectionN/A1 trial
Fear of HypoglycemiaN/A1 trial
observationN/A1 trial
Active Trials
NCT05482321Recruiting50Est. Sep 2025
NCT03039933Completed43Est. Aug 2020
NCT03832790Completed23Est. Jun 2023
+1 more trials
BioKier
BioKierNC - Raleigh
1 program
1
BKR-017Phase 1/21 trial
Active Trials
NCT03999853Completed6Est. Dec 2025
Oregon Therapeutics
Oregon TherapeuticsFrance - Paris
2 programs
1
Artificial Pancreas Controller in Dual Hormone ModePhase 11 trial
Insulin pumpN/A1 trial
Active Trials
NCT06347783Unknown80Est. Dec 2024
NCT03424044Completed23Est. May 2019
AstraZeneca
AstraZenecaCAMBRIDGE, United Kingdom
1 program
1
DapagliflozinPhase 1Small Molecule1 trial
Active Trials
NCT02987738Completed30Est. Dec 2017
Sana Biotechnology
Sana BiotechnologyWA - Seattle
1 program
1
UP421Phase 11 trial
Active Trials
NCT06239636Recruiting2Est. Jun 2025
Medtronic
MedtronicNJ - Phillipsburg
3 programs
7 day infusion setN/A1 trial
AHCLN/A1 trial
Advanced hybrid closed loop systemN/A1 trial
Active Trials
NCT04208282Completed40Est. Mar 2020
NCT04073576Unknown60Est. Oct 2019
NCT04479826Completed15Est. Jul 2021
Nordic Pharma
Nordic PharmaFrance - Paris
1 program
Autologous T regulatory cellsN/A1 trial
Active Trials
NCT04820270Unknown8Est. Jul 2021
Diabeloop
DiabeloopFrance - Grenoble
1 program
DBLG1 SystemN/A1 trial
Active Trials
NCT04749693Recruiting348Est. Jan 2026
Dexcom
DexcomCA - San Diego
1 program
Happy BobN/A1 trial
Active Trials
NCT05663606Unknown40Est. Sep 2024
Novo Nordisk
Novo NordiskBAGSVAERD DENMARK, Denmark
1 program
Infusion of GIP[1-42], GIP[1-30] or placeboN/A1 trial
Active Trials
NCT06137586Completed10Est. May 2024
Tandem Diabetes
Tandem DiabetesCA - San Diego
1 program
SteadiSet Extended Wear Infusion SetN/A1 trial
Active Trials
NCT06273124Completed260Est. Dec 2024
T-Therapeutics
T-TherapeuticsUK - Cambridge
1 program
Stem cells from human exfoliated teethPHASE_11 trial
Active Trials
NCT03912480UnknownEst. Mar 2021

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
Colorado TherapeuticsStarbucks® Cold brew - 325ml bottle
BioKierBKR-017
Sana BiotechnologyUP421
T-TherapeuticsStem cells from human exfoliated teeth
Oregon TherapeuticsArtificial Pancreas Controller in Dual Hormone Mode
AstraZenecaDapagliflozin
Oregon TherapeuticsInsulin pump
Tandem DiabetesSteadiSet Extended Wear Infusion Set
DexcomHappy Bob
Colorado TherapeuticsDefinity Suspension for Injection
Novo NordiskInfusion of GIP[1-42], GIP[1-30] or placebo
DiabeloopDBLG1 System
MedtronicAdvanced hybrid closed loop system
Colorado Therapeuticsobservation
MedtronicAHCL

Showing 15 of 18 trials with date data

Clinical Trials (18)

Total enrollment: 1,048 patients across 18 trials

NCT03878277Colorado TherapeuticsStarbucks® Cold brew - 325ml bottle

Evaluation of Coffee Therapy for Improvement of Renal Oxygenation

Start: Jul 2019Est. completion: Sep 202110 patients
Phase 2Completed

Butyrate Adjuvant Therapy for Type 1 Diabetes

Start: Jul 2022Est. completion: Dec 20256 patients
Phase 1/2Completed

First-in-human Safety Study of Hypoimmune Pancreatic Islet Transplantation in Adult Subjects With Type 1 Diabetes

Start: Mar 2024Est. completion: Jun 20252 patients
Phase 1Recruiting
NCT03912480T-TherapeuticsStem cells from human exfoliated teeth

Stem Cells From Human Exfoliated Teeth in Treatment of Diabetic Patients With Significantly Reduced Islet Function

Start: Jan 2019Est. completion: Mar 2021
Phase 1Unknown
NCT03424044Oregon TherapeuticsArtificial Pancreas Controller in Dual Hormone Mode

Three Way Crossover Closed Loop Study With Xeris Glucagon

Start: Mar 2018Est. completion: May 201923 patients
Phase 1Completed

Pilot Study to Explore the Efficacy of DAPAglifozin as add-on to Closed-loop Control in Patients With Type 1 Diabetes

Start: Feb 2017Est. completion: Dec 201730 patients
Phase 1Completed

Automated Insulin Delivery vs. Injections: Sleep Impact in Pediatric Type 1 Diabetes

Start: May 2024Est. completion: Dec 202480 patients
N/AUnknown
NCT06273124Tandem DiabetesSteadiSet Extended Wear Infusion Set

Investigational Extended Wear Insulin Infusion Set in People With Type 1 Diabetes

Start: Mar 2024Est. completion: Dec 2024260 patients
N/ACompleted

Happy Bob App in 9-13 Year-old Children

Start: Jun 2023Est. completion: Sep 202440 patients
N/AUnknown
NCT05482321Colorado TherapeuticsDefinity Suspension for Injection

Pancreas Ultrasound Imaging in type1 Diabetes

Start: Feb 2023Est. completion: Sep 202550 patients
N/ARecruiting
NCT06137586Novo NordiskInfusion of GIP[1-42], GIP[1-30] or placebo

The Effect of Glucose-dependent Insulinotropic Polypeptide on the Alpha Cell Response to Hypoglycaemia in Patients with Type 1 Diabetes

Start: Aug 2022Est. completion: May 202410 patients
N/ACompleted

Observational Study of the Use of DBLG1 System in Real Life

Start: May 2021Est. completion: Jan 2026348 patients
N/ARecruiting
NCT04479826MedtronicAdvanced hybrid closed loop system

Unannounced Meal Handling of Advanced Closed Loop Insulin Delivery in Monitored Condition

Start: Jul 2020Est. completion: Jul 202115 patients
N/ACompleted

Sleep, Glycemic Control, and Insulin Resistance in Adolescents With Type 1 Diabetes

Start: Dec 2019Est. completion: Jun 202323 patients
N/ACompleted

Assessment of Two Insulin Pump Insulin Delivery Systems in Type 1 Diabetes.

Start: May 2019Est. completion: Oct 201960 patients
N/AUnknown
NCT04820270Nordic PharmaAutologous T regulatory cells

Infusion of Autologous T Regulatory Cells (T Reg) at the Time of Transplantation of Allogenic Islets of Langerhans

Start: Aug 2018Est. completion: Jul 20218 patients
N/AUnknown
NCT04208282Medtronic7 day infusion set

Safety and Efficacy of 7-day Wear Infusion Set vs. Control Infusion Set.

Start: Jul 2017Est. completion: Mar 202040 patients
N/ACompleted

Intervention to Reduce Fear of Hypoglycemia and Optimize Type 1 Diabetes Outcomes

Start: Aug 2016Est. completion: Aug 202043 patients
N/ACompleted

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

3 actively recruiting trials targeting 1,048 patients
13 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.