Competitive Density Analysis
Trial activity, Phase 3 concentration, and competitive dynamics by indication
Current Metrics: Based on ClinicalTrials.gov data (active trials, phases, sponsors).
Future Enhancement: True "white space" analysis (trials vs approved drugs) requires mapping FDA-approved drugs to our indication taxonomy. FDA labels use specific terms like "HER2+ metastatic breast carcinoma" while our taxonomy uses broader categories like "Breast Cancer". This mapping is in progress.
Highest Trial Activity
Most active indications by total trial count
| Indication | TA | Active Trials | Phase 3 | Phase 2 | Sponsors |
|---|---|---|---|---|---|
| Rheumatoid Arthritis | Immunology | 3942 | 884 | 2013 | 15 |
| Ankylosing Spondylitis | Immunology | 3547 | 810 | 1822 | 15 |
| Solid Tumor (Advanced) | Oncology | 3347 | 330 | 1748 | 15 |
| Myocardial Infarction | Cardiovascular | 1653 | 389 | 754 | 15 |
| Non-Hodgkin Lymphoma | Oncology | 1465 | 163 | 944 | 15 |
| Breast Cancer | Oncology | 1434 | 296 | 858 | 15 |
| NSCLC | Oncology | 1404 | 268 | 875 | 15 |
| Colorectal Cancer | Oncology | 1095 | 177 | 714 | 15 |
| ALL | Oncology | 1031 | 152 | 620 | 15 |
| Erectile Dysfunction | Urology | 869 | 205 | 385 | 15 |
| Prostate Cancer | Oncology | 863 | 152 | 538 | 15 |
| Multiple Myeloma | Oncology | 662 | 104 | 397 | 15 |
| AML | Oncology | 655 | 75 | 352 | 15 |
| Pancreatic Cancer | Oncology | 643 | 71 | 413 | 15 |
| Hepatocellular Carcinoma | Oncology | 608 | 92 | 379 | 15 |
Late-Stage Concentration
Highest Phase 3 activity (near-term competitive pressure)
| Indication | TA | Phase 3 | % of Trials | Active | Sponsors |
|---|---|---|---|---|---|
| Rheumatoid Arthritis | Immunology | 884 | 22% | 3942 | 15 |
| Ankylosing Spondylitis | Immunology | 810 | 23% | 3547 | 15 |
| Myocardial Infarction | Cardiovascular | 389 | 24% | 1653 | 15 |
| Solid Tumor (Advanced) | Oncology | 330 | 10% | 3347 | 15 |
| Breast Cancer | Oncology | 296 | 21% | 1434 | 15 |
| NSCLC | Oncology | 268 | 19% | 1404 | 15 |
| Erectile Dysfunction | Urology | 205 | 24% | 869 | 15 |
| Colorectal Cancer | Oncology | 177 | 16% | 1095 | 15 |
| Non-Hodgkin Lymphoma | Oncology | 163 | 11% | 1465 | 15 |
| ALL | Oncology | 152 | 15% | 1031 | 15 |
| Prostate Cancer | Oncology | 152 | 18% | 863 | 15 |
| Stroke | Cardiovascular | 152 | 42% | 361 | 15 |
Concentrated Markets
Few sponsors running many trials (potential dominance or acquisition targets)
| Indication | TA | Trials/Sponsor | Active | Sponsors |
|---|---|---|---|---|
| Rheumatoid Arthritis | Immunology | 262.8 | 3942 | 15 |
| Ankylosing Spondylitis | Immunology | 236.5 | 3547 | 15 |
| Solid Tumor (Advanced) | Oncology | 223.1 | 3347 | 15 |
| Myocardial Infarction | Cardiovascular | 110.2 | 1653 | 15 |
| Non-Hodgkin Lymphoma | Oncology | 97.7 | 1465 | 15 |
| Breast Cancer | Oncology | 95.6 | 1434 | 15 |
| NSCLC | Oncology | 93.6 | 1404 | 15 |
| Colorectal Cancer | Oncology | 73 | 1095 | 15 |
| ALL | Oncology | 68.7 | 1031 | 15 |
| Erectile Dysfunction | Urology | 57.9 | 869 | 15 |
Fragmented Markets
Many sponsors competing (crowded, potentially commoditized)
| Indication | TA | Sponsors | Active | Phase 3 |
|---|---|---|---|---|
| Rheumatoid Arthritis | Immunology | 15 | 3942 | 884 |
| Ankylosing Spondylitis | Immunology | 15 | 3547 | 810 |
| Solid Tumor (Advanced) | Oncology | 15 | 3347 | 330 |
| Myocardial Infarction | Cardiovascular | 15 | 1653 | 389 |
| Breast Cancer | Oncology | 15 | 1434 | 296 |
| Non-Hodgkin Lymphoma | Oncology | 15 | 1465 | 163 |
| NSCLC | Oncology | 15 | 1404 | 268 |
| COVID-19 | Infectious Disease | 15 | 185 | 59 |
| Erectile Dysfunction | Urology | 15 | 869 | 205 |
| ALL | Oncology | 15 | 1031 | 152 |
Showing top indications in each category
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See Pro FeaturesMethodology
Data Source: ClinicalTrials.gov (Phase 2-4 interventional drug trials, 2015+)
Active Trials: Status = Recruiting, Active, or Enrolling by Invitation
Trials/Sponsor: Average trials per company in that indication. Higher = concentrated market.
Phase 3 %: Proportion of active trials in Phase 3. Higher = more near-term competitive pressure.