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Type2 Diabetes

Metabolic Diseases
22
Pipeline Programs
28
Companies
37
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
4
0
1
0
8
9
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Small Molecule
770%
Peptide
220%
Monoclonal Antibody
110%
+ 34 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.

On Market (2)

Approved therapies currently available

AstraZeneca
FARXIGAApproved
dapagliflozin
AstraZeneca
oral2014
4.3B Part D
Regeneron
PRALUENTApproved
alirocumab
Regeneron
PCSK9 Inhibitor [EPC]injection2015

Competitive Landscape

27 companies ranked by most advanced pipeline stage

Dong-A ST
Dong-A STKorea - Seoul
7 programs
4
1
2
EvogliptinPhase 4Small Molecule1 trial
evogliptinPhase 4Small Molecule1 trial
Evogliptin 5mgPhase 31 trial
DA-1229_01Phase 11 trial
DA-1229_01Phase 11 trial
+2 more programs
Active Trials
NCT03944200Completed30Est. Mar 2019
NCT03939143Completed34Est. Apr 2019
NCT03766724Completed42Est. Jan 2019
+4 more trials
AstraZeneca
AstraZenecaCAMBRIDGE, United Kingdom
4 programs
1
3
DapagliflozinPhase 4Small Molecule1 trial
Dapagliflozin 10 MG Oral Tablet [Farxiga]Phase 41 trial
Exenatide Extended Release for Inj Susp 2 MGPhase 4Peptide1 trial
DapagliflozinPhase 3Small Molecule
Active Trials
NCT02973477Completed45Est. Aug 2019
NCT03887416Unknown225Est. Feb 2020
NCT03029351Terminated15Est. Jul 2019
MSD
MSDIreland - Ballydine
3 programs
1
1
DPP-4 inhibitorPhase 41 trial
ErtugliflozinPhase 3Small Molecule1 trial
Peer Support Integrated with Primary CareN/A1 trial
Active Trials
NCT03958838Completed2,160Est. Nov 2021
NCT03717194Completed102Est. Apr 2023
NCT03813316Withdrawn0Est. Sep 2019
Regeneron
RegeneronTARRYTOWN, NY
1 program
1
PRALUENT(Alirocumab)PHASE_3Monoclonal Antibody2 trials
Active Trials
NCT07477704Not Yet Recruiting420Est. Mar 2027
NCT03344692Completed22Est. Apr 2022
Sharp Therapeutics
Sharp TherapeuticsPA - Pittsburgh
1 program
1
DPP-4 inhibitorPhase 4
Chong Kun Dang Pharmaceutical
4 programs
3
CKD-501 0.5mgPhase 31 trial
CKD-501 0.5mgPhase 31 trial
CKD-501 0.5mgPhase 31 trial
DuvieN/A1 trial
Active Trials
NCT05043467Completed2,228Est. Jun 2020
NCT03641352Unknown240Est. Nov 2022
NCT03739125Completed226Est. Dec 2020
+1 more trials
Prevail Therapeutics
2 programs
1
Tirzepatide Dose 1Phase 31 trial
Diabetes PuebloN/A1 trial
Active Trials
NCT04016584Completed25Est. Feb 2020
NCT05260021Completed99Est. Jan 2025
Cirius Therapeutics
Cirius TherapeuticsMI - Grand Rapids
1 program
1
MSDC-0602KPhase 31 trial
Active Trials
NCT03970031Unknown1,800Est. Sep 2024
Biocorp
BiocorpFrance - Issoire
1 program
1
BioK+ 100% probioticPhase 21 trial
Active Trials
NCT03239366Unknown130Est. Jun 2019
Merck & Co.
Merck & Co.RAHWAY, NJ
2 programs
Peer Support Integrated with Primary CareN/A
DPP-4 inhibitorPHASE_4
Novo Nordisk
Novo NordiskBAGSVAERD DENMARK, Denmark
2 programs
Insulin Degludec U100PHASE_41 trial
Liraglutide Pen Injector [Victoza]PHASE_4Peptide1 trial
Active Trials
NCT03349840Terminated273Est. Dec 2018
NCT03260881Completed38Est. Sep 2024
Human BioSciences
Human BioSciencesWV - Martinsburg
1 program
Cognitive-behavioral therapy groupN/A
Colorado Therapeutics
Colorado TherapeuticsCO - Louisville
1 program
Cognitive-behavioral therapy groupN/A1 trial
Active Trials
NCT03263351Completed147Est. May 2025
Eli Lilly and Company
Eli Lilly and CompanyINDIANAPOLIS, IN
1 program
Diabetes PuebloN/A
Servier
ServierFrance - Suresnes
1 program
Diabeton 60 MRN/A1 trial
Active Trials
NCT03164187Completed105Est. Jun 2017
Innovation Pharmaceuticals
1 program
InterventionN/A1 trial
Active Trials
NCT04298970Completed34Est. Dec 2023
Abbott
AbbottABBOTT PARK, IL
1 program
No treatmentN/A1 trial
Active Trials
NCT01932944Completed30Est. Mar 2014
Insulet
InsuletACTON, MA
1 program
Omnipod 5 Automated Glucose Control SystemN/A1 trial
Active Trials
NCT05815342Completed343Est. Mar 2024
ME Therapeutics
ME TherapeuticsNEW YORK, NY
1 program
Phone-Based Health Coaching Utilizing Lifestyle Action PlansN/A
Alliance Pharmaceuticals
1 program
Potato RegimenN/A1 trial
Active Trials
NCT04511325Completed27Est. May 2022
Temple Therapeutics
Temple TherapeuticsNetherlands - Geleen
1 program
Sleep duration 90 minN/A1 trial
Active Trials
NCT02979860Completed30Est. Jun 2021
Angeles Therapeutics
Angeles TherapeuticsCA - Los Angeles
1 program
Tomando Control-NurseN/A1 trial
Active Trials
NCT03092063Completed330Est. Jul 2021
T-Therapeutics
T-TherapeuticsUK - Cambridge
1 program
Stem Cells From Human Exfoliated TeethPHASE_11 trial
Active Trials
NCT03658655CompletedEst. Nov 2019
Plus Therapeutics
1 program
BioK+ 100% probioticPHASE_2
Neuraly
NeuralyMD - Gaithersburg
1 program
NLY01PHASE_21 trial
Active Trials
NCT04159766Completed20Est. Dec 2020
Catalyst Pharmaceuticals
Catalyst PharmaceuticalsCORAL GABLES, FL
1 program
BT-001PHASE_31 trial
Active Trials
NCT05094401TerminatedEst. Apr 2023
Bristol Myers Squibb
1 program
DapagliflozinPHASE_3Small Molecule1 trial
Active Trials
NCT01294436Completed728Est. Sep 2012

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
MSDDPP-4 inhibitor
AstraZenecaDapagliflozin 10 MG Oral Tablet [Farxiga]
Dong-A STEvogliptin
Novo NordiskLiraglutide Pen Injector [Victoza]
Novo NordiskInsulin Degludec U100
AstraZenecaDapagliflozin
AstraZenecaExenatide Extended Release for Inj Susp 2 MG
Dong-A STevogliptin
Cirius TherapeuticsMSDC-0602K
Prevail TherapeuticsTirzepatide Dose 1
Catalyst PharmaceuticalsBT-001
Dong-A STEvogliptin 5mg
MSDErtugliflozin
RegeneronAlirocumab
Chong Kun Dang PharmaceuticalCKD-501 0.5mg

Showing 15 of 37 trials with date data

Clinical Trials (37)

Total enrollment: 10,765 patients across 37 trials

NCT03813316MSDDPP-4 inhibitor

Approaches To Therapy Escalation In T2D

Start: May 2019Est. completion: Sep 20190
Phase 4Withdrawn
NCT03887416AstraZenecaDapagliflozin 10 MG Oral Tablet [Farxiga]

Effect of Dapagliflozin on Nighttime Blood Pressure in Type 2 Diabetes

Start: Apr 2019Est. completion: Feb 2020225 patients
Phase 4Unknown

Efficacy and Safety of Evoglitin in Patients With Type 2 Diabetes and Non-alcoholic Fatty Liver Diseases

Start: Apr 2019Est. completion: Jul 202051 patients
Phase 4Completed
NCT03260881Novo NordiskLiraglutide Pen Injector [Victoza]

Liraglutide Effects on Epicardial Fat Inflammatory Genes

Start: Sep 2018Est. completion: Sep 202438 patients
Phase 4Completed
NCT03349840Novo NordiskInsulin Degludec U100

Randomised Open Label Study of Insulin Degludec Versus Insulin Glargine U100 in Ramadan

Start: Jan 2018Est. completion: Dec 2018273 patients
Phase 4Terminated

Dapagliflozin and Measures of Cardiovascular Autonomic Function in Patients With Type 2 Diabetes (T2D)

Start: Jan 2017Est. completion: Aug 201945 patients
Phase 4Completed
NCT03029351AstraZenecaExenatide Extended Release for Inj Susp 2 MG

GLP-1 Receptor Agonist Therapy and Albuminuria in Patients With Type 2 Diabetes

Start: Jan 2017Est. completion: Jul 201915 patients
Phase 4Terminated

Phase IV Clinical Trial to Investigate the Effect on Blood Glucose of Evogliptin in Patients With Type 2 Diabetes(EVERGREEN)

Start: Sep 2016Est. completion: Mar 2018207 patients
Phase 4Completed

A Study of MSDC-0602K to Assess Glycemic Control and Cardiovascular Outcomes in Patients With Pre-T2D or T2D and NAFLD/NASH

Start: Jun 2022Est. completion: Sep 20241,800 patients
Phase 3Unknown

A Study to Evaluate Tirzepatide (LY3298176) in Pediatric and Adolescent Participants With Type 2 Diabetes Mellitus Inadequately Controlled With Metformin or Basal Insulin or Both

Start: Apr 2022Est. completion: Jan 202599 patients
Phase 3Completed

Use of an Investigational Digital Therapeutic in Patients With Type 2 Diabetes

Start: Oct 2021Est. completion: Apr 2023
Phase 3Terminated
NCT04170998Dong-A STEvogliptin 5mg

Efficacy and Safety of Evogliptin When Added to Ongoing Metformin and Dapagliflozin Combination Therapy in Patients With Type 2 Diabetes Who Have Inadequate Glycemic Control

Start: Jan 2020Est. completion: Dec 2021283 patients
Phase 3Completed
NCT03717194MSDErtugliflozin

Effect of Ertugliflozin on Cardiac Function in Diabetes

Start: Jun 2019Est. completion: Apr 2023102 patients
Phase 3Completed

Effect of Alirocumab on Postprandial Hyperlipemia in Patients With Type 2 Diabetes

Start: Feb 2019Est. completion: Apr 202222 patients
Phase 3Completed

The Efficacy and Safety of CKD-501 Added to D150 Plus D759 Therapy in Patients With Type 2 Diabetes

Start: May 2018Est. completion: Nov 2022240 patients
Phase 3Unknown

Efficacy and Safety of CKD-501 Added to D150 Plus D745 25mg Therapy in Patients With Type 2 Diabetes

Start: Apr 2018Est. completion: Feb 2023240 patients
Phase 3Unknown

Efficacy and Safety of CKD-501 Added to D150 Plus D745 10mg Therapy in Patients With Type 2 Diabetes

Start: Nov 2017Est. completion: Dec 2020226 patients
Phase 3Completed

Evaluate Safety as Mono or Combination Therapies With Anti-diabetes Mellitus Drugs in Japanese Subjects With Type 2 Diabetes Mellitus

Start: Feb 2011Est. completion: Sep 2012728 patients
Phase 3Completed

A Study to See How Safe and Effective Alirocumab is When Given Weekly to Adult Participants Who Have Hypercholesterolemia

Start: Apr 2026Est. completion: Mar 2027420 patients
Phase 2Not Yet Recruiting

A Study With NLY01 in Subjects With Type 2 Diabetes

Start: Oct 2019Est. completion: Dec 202020 patients
Phase 2Completed
NCT03239366BiocorpBioK+ 100% probiotic

A Study to Evaluate the Effect of BioK+ 50B® on Glycemic Control in a Type 2 Diabetes Population

Start: Sep 2017Est. completion: Jun 2019130 patients
Phase 2Unknown

A Study to Investigate the Bioequivalence Test of DA-1229_01(A) at Fed State

Start: Feb 2019Est. completion: Mar 201930 patients
Phase 1Completed

A Study to Investigate the Bioequivalence Test of DA-1229_01(A) at Fasting State

Start: Feb 2019Est. completion: Apr 201934 patients
Phase 1Completed
NCT03766724Dong-A STEvogliptin→Evogliptin+Empagliflozin→Empagliflozin

Pharmacokinetic and Pharmacodynamic Drug-Drug Interaction of Evogliptin and Empagliflozin or Dapagliflozin in Healthy Male Adults

Start: Nov 2018Est. completion: Jan 201942 patients
Phase 1Completed
NCT03658655T-TherapeuticsStem Cells From Human Exfoliated Teeth

Stem Cells From Human Exfoliated Teeth in Treatment of Type 2 Diabetes

Start: Jun 2018Est. completion: Nov 2019
Phase 1Completed
NCT02954822Dong-A STEvogliptin→Evogliptin+Glimepiride→Glimepiride

Pharmacokinetic/Pharmacodynamic Drug-drug Interaction of Evogliptin 5mg and Glimepiride 4mg

Start: Nov 2016Est. completion: Aug 201736 patients
Phase 1Completed
NCT05815342InsuletOmnipod 5 Automated Glucose Control System

OP5-005 Using Omnipod 5 in Adults With Type 2

Start: Apr 2023Est. completion: Mar 2024343 patients
N/ACompleted

Novel Organic Kale Products for Prevention of Obesity/Type 2 Diabetes

Start: Mar 2020Est. completion: Dec 202334 patients
N/ACompleted

Diabetes Pueblo Program - Application and Acceptability of Culturally Appropriate Latino Education for Insulin Therapy

Start: May 2019Est. completion: Feb 202025 patients
N/ACompleted

Effects of White Potato Consumption on Measures of Cardiometabolic Health in Individuals With Type 2 Diabetes Mellitus

Start: Apr 2019Est. completion: May 202227 patients
N/ACompleted
NCT03958838MSDPeer Support Integrated with Primary Care

Peer Support To Enhance The Shanghai Integration Model Of Diabetes Care: Dissemination To 12 Communities

Start: Mar 2019Est. completion: Nov 20212,160 patients
N/ACompleted

Retrospective Study to Evaluate the Safety of Duvie in Korean Patients With Type 2 Diabetes Mellitus

Start: Jan 2019Est. completion: Jun 20202,228 patients
N/ACompleted
NCT03263351Colorado TherapeuticsCognitive-behavioral therapy group

Depression & Insulin Sensitivity in Adolescents

Start: Oct 2017Est. completion: May 2025147 patients
N/ACompleted
NCT02979860Temple TherapeuticsSleep duration 90 min

Experimental Changes in Children's Sleep Duration and Timing: Effect on Obesity and Type 2 Diabetes Risk

Start: Jul 2017Est. completion: Jun 202130 patients
N/ACompleted
NCT03092063Angeles TherapeuticsTomando Control-Nurse

Using Multifamily Groups to Improve Self-Management of Type 2 Diabetes

Start: Mar 2017Est. completion: Jul 2021330 patients
N/ACompleted
NCT03164187ServierDiabeton 60 MR

Evaluation of Type 2 Diabetes Treatment

Start: Sep 2016Est. completion: Jun 2017105 patients
N/ACompleted
NCT01932944AbbottNo treatment

Accuracy Characterization Study

Start: Aug 2013Est. completion: Mar 201430 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

8 late-stage (Phase 3) programs, potential near-term approvals
28 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.