Congenital Adrenal Hyperplasia - 21-Hydroxylase Deficiency.Cardiovascular & MetabolicConcentrated betData as of 2026-09-04
Congenital Adrenal Hyperplasia is a concentrated bet: only 3 US-listed developers are in the clinic, and the median one is worth $14.7B against a $1.20B universe median.
Scarcity is doing the work in that number. A thin field means an approval is shared with fewer rivals, and the market pays a premium for that position.
2 of the 3 are in Phase 3 or filed, and 1 dated catalyst falls in the next 12 months, so this ranking is likely to move.
$14.6B of allocated capital sits in Congenital Adrenal Hyperplasia, ranking it 5th of 299 indications by the money committed to it.
| Ticker | Company | Lead asset | Phase | Trials | Market cap | Pure play | Indications | Next catalyst |
|---|---|---|---|---|---|---|---|---|
| NBIX | Neurocrine Biosciences | Crinecerfont | Phase 3 | 4 | $16.1B | No | 6 | 31 Dec 2027 |
| CRNX | Crinetics Pharmaceuticals | atumelnant | Phase 3 | 3 | $9.0B | No | 2 | No dated event |
| BBIO | BridgeBio Pharma | AAV BBP-631 | Phase 1 | 1 | $14.7B | No | 2 | 27 Nov 2026 |
Sorted by phase, then by market capitalisation. Ticker links open the company profile. NBIX holds 40% of the $39.8B competing in this indication.
Few competitors, each one large. The market pays a scarcity premium to compete here.
Cardiovascular & Metabolic holds $89.7B of the map's capital, 13.4% of the total, spread across 29 indications and 44 companies. 9 of those indications have more than one company competing.
See every Cardiovascular & Metabolic indication on the mapNeurocrine Biosciences (NBIX, Crinecerfont, Phase 3); Crinetics Pharmaceuticals (CRNX, atumelnant, Phase 3); BridgeBio Pharma (BBIO, AAV BBP-631, Phase 1). Those are the 3 US-listed developers in the $100M to $20B market cap band with a clinical-stage programme in Congenital Adrenal Hyperplasia.
Of the 3 clinical-stage programmes in Congenital Adrenal Hyperplasia, 2 are in Phase 3 or filed, 0 are in mid-stage development and 1 is in early-stage development.
The median company developing a drug for Congenital Adrenal Hyperplasia is worth $14.7B, against a median of $1.20B across the whole universe. $14.6B of allocated capital sits in the indication, ranking it 5th of 299.
The next dated catalyst in Congenital Adrenal Hyperplasia is BBIO on 27 Nov 2026. 1 dated event across the field fall in the next 12 months.
Allocated capital divides each company’s market capitalisation evenly across the indications it is running clinical programmes in, so every dollar of the universe is counted exactly once. Total market capitalisation competing counts a company in each of its indications and therefore sums to more than the universe.
Third-party market size estimates are not used anywhere on this page. Approved incumbents are excluded from competitor counts, and companies above $20B are outside the universe by construction.
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