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 |
|---|---|---|---|---|---|
| Solid Tumor (Advanced) | Oncology | 3462 | 375 | 1801 | 759 |
| Non-Hodgkin Lymphoma | Oncology | 1604 | 179 | 1031 | 227 |
| Breast Cancer | Oncology | 1502 | 323 | 896 | 193 |
| NSCLC | Oncology | 1432 | 279 | 888 | 316 |
| Colorectal Cancer | Oncology | 1122 | 185 | 737 | 221 |
| Prostate Cancer | Oncology | 866 | 156 | 542 | 146 |
| AML | Oncology | 686 | 76 | 383 | 111 |
| Multiple Myeloma | Oncology | 666 | 113 | 395 | 88 |
| Pancreatic Cancer | Oncology | 641 | 70 | 410 | 191 |
| Hepatocellular Carcinoma | Oncology | 623 | 93 | 392 | 119 |
| Lung Cancer (General) | Oncology | 559 | 75 | 347 | 105 |
| Hematologic Malignancies | Oncology | 552 | 61 | 332 | 83 |
| Ovarian Cancer | Oncology | 540 | 82 | 300 | 159 |
| Melanoma | Oncology | 519 | 61 | 312 | 141 |
| Head and Neck Cancer | Oncology | 519 | 55 | 332 | 147 |
Late-Stage Concentration
Highest Phase 3 activity (near-term competitive pressure)
| Indication | TA | Phase 3 | % of Trials | Active | Sponsors |
|---|---|---|---|---|---|
| Solid Tumor (Advanced) | Oncology | 375 | 11% | 3462 | 759 |
| Breast Cancer | Oncology | 323 | 22% | 1502 | 193 |
| NSCLC | Oncology | 279 | 19% | 1432 | 316 |
| Colorectal Cancer | Oncology | 185 | 16% | 1122 | 221 |
| Non-Hodgkin Lymphoma | Oncology | 179 | 11% | 1604 | 227 |
| Prostate Cancer | Oncology | 156 | 18% | 866 | 146 |
| Stroke | Cardiovascular | 155 | 43% | 359 | 54 |
| Obesity | Metabolic | 135 | 26% | 510 | 92 |
| Multiple Myeloma | Oncology | 113 | 17% | 666 | 88 |
| Acute Pain | Pain | 97 | 25% | 391 | 40 |
| Hepatocellular Carcinoma | Oncology | 93 | 15% | 623 | 119 |
| Hypertension | Cardiovascular | 88 | 29% | 307 | 82 |
Concentrated Markets
Few sponsors running many trials (potential dominance or acquisition targets)
| Indication | TA | Trials/Sponsor | Active | Sponsors |
|---|---|---|---|---|
| Chronic Pain | Pain | 20 | 60 | 3 |
| HIV | Infectious Disease | 17.8 | 303 | 17 |
| Sepsis | Infectious Disease | 14.5 | 116 | 8 |
| Postoperative Pain | Pain | 13.1 | 170 | 13 |
| Atrial Fibrillation | Cardiovascular | 13 | 117 | 9 |
| Opioid Use Disorder | CNS | 12.9 | 129 | 10 |
| ADHD | CNS | 12.7 | 38 | 3 |
| Alcohol Use Disorder | CNS | 12.4 | 112 | 9 |
| Nausea/Vomiting | Gastrointestinal | 12 | 48 | 4 |
| PTSD | CNS | 11.4 | 80 | 7 |
Fragmented Markets
Many sponsors competing (crowded, potentially commoditized)
| Indication | TA | Sponsors | Active | Phase 3 |
|---|---|---|---|---|
| Solid Tumor (Advanced) | Oncology | 759 | 3462 | 375 |
| NSCLC | Oncology | 316 | 1432 | 279 |
| Non-Hodgkin Lymphoma | Oncology | 227 | 1604 | 179 |
| Colorectal Cancer | Oncology | 221 | 1122 | 185 |
| Breast Cancer | Oncology | 193 | 1502 | 323 |
| Pancreatic Cancer | Oncology | 191 | 641 | 70 |
| Ovarian Cancer | Oncology | 159 | 540 | 82 |
| Head and Neck Cancer | Oncology | 147 | 519 | 55 |
| Prostate Cancer | Oncology | 146 | 866 | 156 |
| Melanoma | Oncology | 141 | 519 | 61 |
Showing top indications in each category
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See Pro FeaturesMethodology
Data Source: ClinicalTrials.gov (Phase 2-4 interventional drug trials, 2008+)
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.