Influenza has 128 drug candidates in active clinical development, of which 21 are in Phase III, 30 in Phase II and 77 in Phase I, according to Douglas Insights' count of 635 interventional trials registered on ClinicalTrials.gov (data as of 3 Oct 2026).
The influenza drug pipeline is the set of medicines that sponsors are still testing in people for this condition: each candidate is counted once, at the highest phase it has reached in a running or recently completed trial. Medicines already on the market and studied only in Phase IV trials are kept out of the count.
How many influenza drugs are in each phase of development?
Douglas Insights counts 21 influenza candidates in Phase III, 16% of the 128 assets in development; Phase II holds 30 and Phase I holds 77.
| Phase (highest reached) | Assets | Share of pipeline |
|---|---|---|
| Phase III | 21 | 16% |
| Phase II | 30 | 23% |
| Phase I | 77 | 60% |
| Total | 128 | 100% |
Phase I/II candidates sit in the Phase I row and Phase II/III candidates in the Phase II row, so each influenza asset appears in exactly one row. The 140 trials still recruiting or running carry 22% of the 635 registered trials in scope.
Which approved influenza medicines are still in trials?
7 medicines already on the market are still being tested in influenza Phase IV trials; Baloxavir Marboxil has the most, with 14 registered trials.
| Medicine | Lead sponsor | Registered trials |
|---|---|---|
| Baloxavir Marboxil | Hoffmann-La Roche | 14 |
| Fluad | ModernaTX, Inc. | 14 |
| Fluzone Quadrivalent | Sanofi Pasteur, a Sanofi Company | 14 |
| Flublok Quadrivalent | Sanofi Pasteur, a Sanofi Company | 12 |
| FluBlok | Sanofi | 8 |
| Fluarix | Several sponsors | 8 |
| Anflu® | Sinovac Biotech Co., Ltd | 1 |
Post-approval influenza trials test new doses, new patient groups and head-to-head comparisons. They set the standard of care that every candidate in development will be measured against, so the paid review profiles each one.
How many influenza trials are recruiting patients now?
70 influenza trials are recruiting patients and 30 more have not started recruiting yet, out of 635 interventional trials in scope; together they make up 16% of the trial base.
| Registry status | Trials | Share |
|---|---|---|
| Completed | 412 | 65% |
| Recruiting | 70 | 11% |
| Status not verified | 41 | 6.5% |
| Active, not recruiting | 38 | 6.0% |
| Not yet recruiting | 30 | 4.7% |
| Terminated | 28 | 4.4% |
| Withdrawn | 12 | 1.9% |
| Suspended | 2 | 0.3% |
| Enrolling by invitation | 2 | 0.3% |
Terminated, suspended and withdrawn influenza trials stay in the trial base so that a stalled programme is visible, but a candidate whose only trials stopped is no longer counted as in development.
Which companies lead the influenza pipeline?
GlaxoSmithKline leads the influenza pipeline with 22 candidates; the top 5 sponsors hold 52% of the 128 assets, and 39 sponsors run at least one.
| Sponsor | Assets in development | Share |
|---|---|---|
| GlaxoSmithKline | 22 | 17% |
| Sanofi Pasteur, a Sanofi Company | 16 | 13% |
| Sanofi | 14 | 11% |
| ModernaTX, Inc. | 8 | 6.3% |
| Seqirus | 7 | 5.5% |
Industry sponsors lead 332 of the 635 influenza trials (52%); universities, hospitals and public funders lead the rest. A sponsor is credited with an asset when it is the lead sponsor on most of that asset's industry trials.
Which drug types and mechanisms dominate the influenza pipeline?
Mechanism and drug-type classification for the 128 influenza candidates is done by the research desk asset by asset, each with a cited source, and is published in the paid review together with the white-space map.
What influenza trial readouts are coming next?
13 influenza candidates in Phase II or later have a registered primary completion date in the next 12 months; the next three are below, each linked to its registry record.
| Candidate | Sponsor | Phase | Primary completion | Registry |
|---|---|---|---|---|
| TRX-100 | Traws Pharma, Inc. | Phase II | Nov 2026 (estimated) | NCT07503405 |
| Favipiravir | RAAS Nutritionals, LLC | Phase II | Jan 2027 (estimated) | NCT05648448 |
| Zanamivir | GlaxoSmithKline | Phase II | Jan 2027 (estimated) | NCT05648448 |
Primary completion is the date a sponsor expects the last patient to finish the main measurement, so data usually follow within months. Dates marked estimated are the sponsor's own forecast on the registry and often move.
How many influenza readouts fall in each quarter?
17 influenza candidates in Phase II or later reach registered primary completion over the next eight quarters, with the most, 5, due in Q1 2027.
| Quarter | Phase III readouts | Phase II readouts | Total |
|---|---|---|---|
| Q4 2026 | 0 | 1 | 1 |
| Q1 2027 | 2 | 3 | 5 |
| Q2 2027 | 1 | 4 | 5 |
| Q3 2027 | 1 | 1 | 2 |
| Q4 2027 | 2 | 2 | 4 |
| Q1 2028 | 0 | 0 | 0 |
| Q2 2028 | 0 | 0 | 0 |
| Q3 2028 | 0 | 0 | 0 |
Each candidate is counted once, at its next readout. The paid catalyst calendar names every readout with its trial, sponsor and design, adds filings and regulatory decisions, and runs 24 months ahead.
Which countries host the most influenza trials?
United States hosts the most influenza trials, with sites in 277 of the 635 studies (44%); trials in scope run in 73 countries in all.
| Country | Trials with a site | Share of trials |
|---|---|---|
| United States | 277 | 44% |
| China | 95 | 15% |
| Canada | 40 | 6.3% |
| Russia | 39 | 6.1% |
| United Kingdom | 37 | 5.8% |
| Australia | 36 | 5.7% |
| France | 31 | 4.9% |
| Belgium | 31 | 4.9% |
A multinational influenza trial is counted once in every country where it has a site, so the shares add up to more than 100%. Country spread shows where sponsors are building the evidence that regulators in each market will ask for.
Where are influenza drugs being tested?
277 of the 635 influenza trials (44%) have a site in the United States, 130 (20%) in Europe and 95 (15%) in China; 68 of the 128 candidates in development are tested in the US.
| Region | Trials with a site | Share of trials | Candidates tested | Regulator |
|---|---|---|---|---|
| United States | 277 | 44% | 68 | FDA |
| Europe (EU/EEA, UK, Switzerland) | 130 | 20% | 16 | EMA, MHRA, Swissmedic |
| China | 95 | 15% | 18 | NMPA |
| Japan | 10 | 1.6% | 3 | PMDA |
| Rest of world | 187 | 29% | 57 | national regulators |
Each region's trials are the evidence its regulator will review: the FDA in the United States, the EMA (with the MHRA and Swissmedic) in Europe, the NMPA in China and the PMDA in Japan. A multinational influenza trial counts once in every region where it has a site, so the shares add up to more than 100%. A candidate tested only outside the US and Europe is often a licensing opportunity for sponsors in those markets.
What has changed in the influenza pipeline since the last update?
Since 3 Oct 2026, the influenza pipeline count moved by +3 assets to 128, Phase III moved by 0 and the trial base by 0.
How does Douglas Insights count the influenza pipeline?
Douglas Insights read 635 interventional trials registered on ClinicalTrials.gov for the conditions "influenza, human", "influenza" and updated since 3 Oct 2021, then grouped every drug or biologic named in them into 128 unique candidates.
- Code names, generic names and brand names of the same molecule are merged into one candidate, and every merge is reviewed by the research desk.
- A candidate counts when it has a trial that is recruiting, running, or completed in the last 24 months, and at least one industry-sponsored trial.
- Its phase is the highest phase among those trials; placebo, standard-of-care and comparator arms are not candidates.
- Each figure on this page is drawn from one frozen dataset that passes ten checks before release, and the owner approves every edition.
Read the full approach on the research methodology page, or browse other Pharmaceuticals research.
What does the Influenza Pipeline Review include?
The Influenza Pipeline Review covers all 128 candidates in an Excel tracker and profiles the leading 25 in a 40–50 page report, ending with the research desk's ranked view of the candidates most likely to win.
01Executive summary and our call2–3 pp
The pipeline on one page and the desk's verdict on where influenza treatment is heading.
- Pipeline size and phase mix
- The three calls that matter
- What changed since the last edition
02Disease and unmet need3 pp
Who is treated today, what current therapy leaves unmet, and how regulators judge new medicines.
- Patient population and diagnosis
- Treatment guidelines and gaps
- Regulatory endpoints
03Approved therapies3 pp
The marketed medicines every influenza candidate will be measured against.
- Marketed medicines and their sponsors
- Post-approval trials
- The bar a new entrant must clear
04Pipeline at a glance4 pp
Every candidate counted by phase, drug type, sponsor and country.
- Assets by phase and drug type
- Sponsors by size of pipeline
- Trial footprint: US, Europe, China, Japan
05Mechanism landscape and white space5 pp
Which mechanisms are crowded and which no sponsor has entered.
- Mechanism classes and crowding
- Classes with no candidate yet
- Differentiation by route and dosing
06Key asset profiles12–15 pp
The leading 25 candidates, one profile each, every claim linked to a source document.
- Design and endpoints of the pivotal trials
- Data to date, with sources
- Next readout and the risk to it
07Catalyst calendar3 pp
Readouts, filings and regulatory decisions 24 months ahead.
- Readouts by quarter
- Filings and regulatory decisions
- Date confidence for each event
08Deals and partnering3 pp
Who is licensing, buying and partnering in influenza, and on what terms.
- Licensing and M&A in the area
- Deal terms where disclosed
- Sponsors open to partnering
09Sponsor landscape3 pp
Large pharma against biotech, and how concentrated the pipeline is.
- Pipeline share by sponsor
- Sponsor-by-phase matrix
- New entrants since the last edition
10Our call: winners, risks, opportunities3–4 pp
The candidates most likely to win, ranked, with the reasoning and evidence.
- Ranked candidates
- Risks that could change the order
- Openings for new entrants and investors
11Methodology and source log2 pp
How the count is built and every document behind it.
- How candidates are counted and merged
- Every source document listed
- The ten quality checks
Ways to buy the Influenza review
| Option | What you get | Delivery | Price | |
|---|---|---|---|---|
| Pipeline Snapshot | This therapy area as published: PDF report + Excel tracker | Ready now | USD 3,000 | Enquire |
| Pipeline Review | Your indication, geography and phase cut-off; ranked calls and an analyst call | 2–3 weeks | From USD 4,000 | Enquire |
| Company Assessment | One sponsor's full pipeline against its peers | 2 weeks | From USD 5,000 | Enquire |
Frequently asked questions about the influenza pipeline
How many drugs are in the influenza pipeline?
128 drug candidates are in active clinical development for influenza, with 21 in Phase III, per Douglas Insights (data as of 3 Oct 2026).
Which company has the most influenza drugs in development?
22 candidates make GlaxoSmithKline the largest influenza pipeline sponsor, out of 39 sponsors counted by Douglas Insights.
When is the next influenza trial readout?
Nov 2026 is the registered primary completion of the Phase II trial of TRX-100 (NCT07503405), the next influenza catalyst in Douglas Insights' calendar.
How many influenza trials run in the United States and Europe?
277 influenza trials have a US site and 130 a European site, out of 635 registered trials counted by Douglas Insights (data as of 3 Oct 2026).
How often is the influenza pipeline count updated?
90 days is the refresh cycle; this edition uses registry data as of 3 Oct 2026 and the next is due by 1 Jan 2027.
Research & citation
This review was researched, written and reviewed by the Douglas Insights Research Desk under the Douglas Insights editorial standards. Material errors are logged in the corrections log. No section is sponsored.
Douglas Insights (2026). Influenza Drug Pipeline, data as of 3 Oct 2026. https://www.douglasinsights.com/pipeline/influenza/