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Venous Thrombosis

Cardiovascular
11
Pipeline Programs
15
Companies
15
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
2
1
2
0
3
3
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Small Molecule
1100%
+ 21 programs with unclassified modality

Cardiovascular is a $69.4B mature market dominated by anticoagulants and metabolic therapies with stable blockbuster portfolios.

$69.4B marketMature→ Stable30 products15 companies

Key Trends

  • FXa inhibitors (ELIQUIS, XARELTO) command 62% of market spending, creating limited room for new entrants
  • SGLT2 inhibitors gaining traction in heart failure indication, signaling expansion beyond traditional anticoagulation
  • Multiple patent cliffs (JANUVIA 2027, OPSUMIT 2029) create near-term revenue vulnerability but reinvestment pressure

Career Verdict

Strong choice for commercial, clinical operations, and device integration roles; limited opportunity for innovative pipeline development given market maturity.

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

Market Leaders

#1ELIQUISStable
$18.3B
#2JARDIANCEGrowing
$8.8B
#3XARELTOStable
$6.3B
#4FARXIGAGrowing
$4.3B
AstraZeneca·Peak15.4yr
#5JANUVIADeclining
$4.1B
Merck & Co.·LOE_Approaching1.1yr

Drug Class Breakdown

FXa Inhibitors (Apixaban/Rivaroxaban)
$42.8B(62%)

Mature, stable revenue base

SGLT2 Inhibitors
$13.1B(19%)

Growing in heart failure and renal indications

DPP4 Inhibitors
$4.1B(6%)

Declining as LOE approaches 2027

ARBs and Combination Therapies
$3.4B(5%)

Stable in heart failure management

Endothelin Receptor Antagonists and Prostacyclin Agonists
$1.8B(3%)

Niche pulmonary hypertension market

Career Outlook

Stable

Cardiovascular careers are stable but not expanding; the market is mature, dominated by blockbuster franchises with predictable commercial cycles and patent cliffs. Professionals entering this space should expect strong compensation (Commercial $210K avg, Medical Affairs $201K avg) but limited opportunity to drive breakthrough innovation. Device company roles offer better growth trajectories than pharma, particularly in remote monitoring, diagnostics, and patient engagement technologies.

Breaking In

Target device companies (Abbott, Medtronic) for growth potential; if joining pharma, focus on Commercial or Clinical Operations roles where hiring is active and compensation is competitive.

For Experienced Professionals

Leverage cardiovascular expertise to move into medical device strategy, digital health partnerships, or adjacent therapeutic areas; R&D opportunity is limited and may require lateral moves to access innovation-focused roles.

In-Demand Skills

Healthcare economics and payer management (anticoagulation safety monitoring, cost-effectiveness)Real-world evidence generation (postmarket surveillance for FXa inhibitors)Digital health and remote patient monitoring integrationClinical trial execution in large, established patient populationsRegulatory expertise in label expansions (SGLT2 inhibitor indications)

Best For

Commercial/Sales roles (mature market execution)Medical Science Liaisons (managing healthcare provider relationships on established therapies)Clinical Operations/Project Managers (managing large Phase 3/4 programs)Regulatory Affairs (label expansion strategy, patent cliff preparation)Health Economics and Outcomes Research (demonstrating value in competitive anticoagulation market)

Hiring Landscape

$130K-$210K

Cardiovascular hiring is concentrated in device companies (Abbott 337, Medtronic 317) rather than pharma, reflecting the therapeutic area's reliance on hardware solutions and patient management infrastructure. Pharma hiring (Johnson & Johnson 261, Bristol Myers Squibb 52) is heavily weighted toward Commercial (468 roles) and Clinical Operations (296 roles), with minimal R&D investment (14 roles). Medical device integration and remote patient monitoring expertise are increasingly valued as the market consolidates.

1,386
Open Roles
5
Companies Hiring
5
Departments

Top Hiring Companies

337Growing
317Growing

By Department

Commercial(34%)
$210K
Clinical Operations(21%)
$180K
Engineering(13%)
$145K
Medical Affairs(1%)
$201K
Research & Development(1%)
$194K

Device companies offer more growth opportunities; pharma roles are high-paying but oriented toward mature market execution rather than innovation.

On Market (2)

Approved therapies currently available

Bristol Myers Squibb
ELIQUISApproved
apixaban
Bristol Myers Squibb
oral2025
18.3B Part D
Bristol Myers Squibb
ELIQUIS SPRINKLEApproved
apixaban
Bristol Myers Squibb
oral2025

Competitive Landscape

15 companies ranked by most advanced pipeline stage

Bristol Myers Squibb
1 program
1
ApixabanPHASE_2_31 trial
Active Trials
NCT00097357Completed1,238Est. Dec 2005
Bayer
BayerLEVERKUSEN, Germany
1 program
1
Long DOACPhase 41 trial
Active Trials
NCT04724460Completed179Est. Dec 2024
Pfizer
PfizerNEW YORK, NY
4 programs
1
2
ApixabanPhase 3
EnoxaparinPhase 3
PD 0348292Phase 21 trial
90ug levonorgestrel / 20 ug ethinyl estradiolN/A1 trial
Active Trials
NCT01297348Completed598,682Est. Apr 2012
NCT00306254Completed1,225Est. Jul 2007
ViiV Healthcare
ViiV HealthcareNC - Durham
3 programs
1
1
ArixtraPhase 3
Fondaparinux SodiumPhase 2
ArixtraN/A
Temple Therapeutics
Temple TherapeuticsNetherlands - Geleen
1 program
1
99mTc-rBitistatinPhase 1/2Small Molecule1 trial
Active Trials
NCT00808626Withdrawn0Est. Mar 2017
Sharp Therapeutics
Sharp TherapeuticsPA - Pittsburgh
1 program
1
MK-2060Phase 1
MSD
MSDIreland - Ballydine
1 program
1
MK-2060Phase 11 trial
Active Trials
NCT06582602Completed23Est. Apr 2025
GSK
GSKLONDON, United Kingdom
3 programs
ArixtraN/A1 trial
Fondaparinux SodiumPHASE_21 trial
ArixtraPHASE_31 trial
Active Trials
NCT00521885Terminated1Est. Sep 2009
NCT00436787Completed21Est. Dec 2007
NCT00539942Terminated7Est. Jun 2010
Medium Biosciences
Medium BiosciencesCA - San Francisco
1 program
DVT-3000N/A1 trial
Active Trials
NCT01779648Completed54Est. Jan 2013
Abbott
AbbottABBOTT PARK, IL
1 program
JETi lower extremity venous thrombosisN/A1 trial
Active Trials
NCT07027878Completed121Est. Jul 2025
Astellas
AstellasChina - Shenyang
1 program
The Risk of Venous Clotting in Patients After Renal TransplantN/A1 trial
Active Trials
NCT01413464Unknown120Est. Sep 2013
Leo Pharma
Leo PharmaDenmark - Ballerup
1 program
TinzaparinN/A1 trial
Active Trials
NCT00186745Terminated148Est. Feb 2016
Sanofi
SanofiPARIS, France
1 program
Venous Thromboembolism Taskforce Audit ProgramN/A1 trial
Active Trials
NCT00535171Completed8,764
Colorado Therapeutics
Colorado TherapeuticsCO - Louisville
1 program
low dose intravenous heparinN/A1 trial
Active Trials
NCT01608906Completed152Est. May 2014
Johnson & Johnson
Johnson & JohnsonNEW BRUNSWICK, NJ
1 program
RivaroxabanPHASE_3

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
BayerLong DOAC
GSKArixtra
Bristol Myers SquibbApixaban
GSKFondaparinux Sodium
PfizerPD 0348292
Temple Therapeutics99mTc-rBitistatin
MSDMK-2060
AbbottJETi lower extremity venous thrombosis
Medium BiosciencesDVT-3000
AstellasThe Risk of Venous Clotting in Patients After Renal Transplant
GSKArixtra
Pfizer90ug levonorgestrel / 20 ug ethinyl estradiol
SanofiVenous Thromboembolism Taskforce Audit Program
Colorado Therapeuticslow dose intravenous heparin
Leo PharmaTinzaparin

Clinical Trials (15)

Total enrollment: 610,735 patients across 15 trials

Optimal Duration of Anticoagulation Therapy for Low-risk Pulmonary Embolism Patients With Cancer

Start: Feb 2021Est. completion: Dec 2024179 patients
Phase 4Completed

Study of Arixtra (Fondaparinux Sodium) to Prevent Blood Clots in Women Undergoing Abdominopelvic Surgery for Likely Gynecologic Malignancy

Start: Apr 2007Est. completion: Jun 20107 patients
Phase 3Terminated

BMS-562247 in Subjects Undergoing Elective Total Knee Replacement Surgery

Start: Oct 2004Est. completion: Dec 20051,238 patients
Phase 2/3Completed
NCT00436787GSKFondaparinux Sodium

Investigation Into the Therapeutic Dosage of Fondaparinux Sodium, a Medication Used to Prevent Blood Clots in Morbidly Obese Volunteers

Start: Feb 2007Est. completion: Dec 200721 patients
Phase 2Completed

Evaluation of PD 0348292 for Preventing Blood Clots in the Lungs or Deep Leg Veins of Patients After Knee Surgery

Start: Mar 2006Est. completion: Jul 20071,225 patients
Phase 2Completed

Phase II Investigation of 99mTc-rBitistatin for Imaging Venous Thrombosis

Start: Dec 2008Est. completion: Mar 20170
Phase 1/2Withdrawn

A Study of MK-2060 in Healthy Participants (MK-2060-016)

Start: Oct 2024Est. completion: Apr 202523 patients
Phase 1Completed
NCT07027878AbbottJETi lower extremity venous thrombosis

JETi Lower Extremity Venous Thrombosis

Start: Aug 2020Est. completion: Jul 2025121 patients
N/ACompleted

Comparison of Different Intermittent Pneumatic Compression Devices for Deep Vein Thrombosis

Start: Mar 2012Est. completion: Jan 201354 patients
N/ACompleted
NCT01413464AstellasThe Risk of Venous Clotting in Patients After Renal Transplant

The Risk of Venous Clotting in Patients After Renal Transplant

Start: Mar 2011Est. completion: Sep 2013120 patients
N/AUnknown

Comparison of Arixtra vs. Lovenox to Prevent Blood Clots in Medically Ill Patients

Start: Sep 2007Est. completion: Sep 20091 patients
N/ATerminated
NCT01297348Pfizer90ug levonorgestrel / 20 ug ethinyl estradiol

Study Of Lybrel In Relation To Venous Thromboembolism

Start: Jul 2007Est. completion: Apr 2012598,682 patients
N/ACompleted
NCT00535171SanofiVenous Thromboembolism Taskforce Audit Program

Venous Thromboembolism Taskforce Audit Program

Start: Jun 20078,764 patients
N/ACompleted
NCT01608906Colorado Therapeuticslow dose intravenous heparin

Using Intravenous Heparin Versus Standard of Care Subcutaneous Heparin to Prevent Clots After Surgery

Start: May 2007Est. completion: May 2014152 patients
N/ACompleted

Use of Low Molecular Weight Heparin (Tinzaparin) to Treat Blood Clots in Patients With Kidney Failure

Start: Mar 2005Est. completion: Feb 2016148 patients
N/ATerminated

Related Jobs in Cardiovascular

Phase Legend

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

Key Insights

3 late-stage (Phase 3) programs, potential near-term approvals
15 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.