Rare Genetic & MetabolicConcentrated betData as of 2026-09-04
Prader-Willi Syndrome is a concentrated bet: only 4 US-listed developers are in the clinic, and the median one is worth $3.6B 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 4 are in Phase 3 or filed, and 3 dated catalysts fall in the next 12 months, so this ranking is likely to move.
$10.7B of allocated capital sits in Prader-Willi Syndrome, 10th of 299 indications, and 2 of the 4 companies are pure plays that trade on this indication alone.
| Ticker | Company | Lead asset | Phase | Trials | Market cap | Pure play | Indications | Next catalyst |
|---|---|---|---|---|---|---|---|---|
| ACAD | ACADIA Pharmaceuticals | Carbetocin | Phase 3 | 1 | $4.8B | No | 3 | 31 Oct 2026 |
| HRMY | Harmony Biosciences Holdings | Pitolisant | Phase 3 | 2 | $2.4B | No | 2 | 31 Dec 2026 |
| RYTM | Rhythm Pharmaceuticals | Setmelanotide | Phase 2 | 1 | $7.2B | Yes | 1 | 8 Sep 2026 |
| DRUG | Bright Minds Biosciences | BMB-101 | Phase 2 | 1 | $662M | Yes | 1 | No dated event |
Sorted by phase, then by market capitalisation. Ticker links open the company profile. RYTM holds 48% of the $15.1B competing in this indication.
Few competitors, each one large. The market pays a scarcity premium to compete here.
Rare Genetic & Metabolic holds $103B of the map's capital, 15.3% of the total, spread across 32 indications and 48 companies. 10 of those indications have more than one company competing.
See every Rare Genetic & Metabolic indication on the mapACADIA Pharmaceuticals (ACAD, Carbetocin, Phase 3); Harmony Biosciences Holdings (HRMY, Pitolisant, Phase 3); Rhythm Pharmaceuticals (RYTM, Setmelanotide, Phase 2); Bright Minds Biosciences (DRUG, BMB-101, Phase 2). Those are the 4 US-listed developers in the $100M to $20B market cap band with a clinical-stage programme in Prader-Willi Syndrome.
Of the 4 clinical-stage programmes in Prader-Willi Syndrome, 2 are in Phase 3 or filed, 2 are in mid-stage development and 0 are in early-stage development.
The median company developing a drug for Prader-Willi Syndrome is worth $3.6B, against a median of $1.20B across the whole universe. $10.7B of allocated capital sits in the indication, ranking it 10th of 299.
The next dated catalyst in Prader-Willi Syndrome is RYTM on 8 Sep 2026. 3 dated events 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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