List of investigational analgesics
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This is a list of investigational analgesics, or analgesics that are currently under development for clinical use but are not yet approved. Chemical/generic names are listed first, with developmental code names, synonyms, and brand names in parentheses.
Opioid receptor modulators
- Axelopran/oxycodone – combination of a centrally active μ-opioid receptor agonist and a peripherally selective μ-, κ-, and δ-opioid receptor antagonist[1]
- Cebranopadol (GRT-6005) – non-selective μ-opioid receptor, nociceptin receptor, and δ-opioid receptor full agonist and κ-opioid receptor partial agonist[2]
- Desmetramadol (O-desmethyltramadol; Omnitram) – μ-opioid receptor agonist, norepinephrine reuptake inhibitor (NRI), and 5-HT2C receptor antagonist[3]
- Lexanopadol (GRT-6006, GRT13106G) – non-selective opioid receptor agonist[4]
- Oxycodone/naltrexone – combination of a μ-opioid receptor agonist and a μ- and κ-opioid receptor antagonist [1]
Sodium channel blockers
- BIIB-095 – state-dependent and use-dependent Nav blocker, including Nav1.7[2]
- CC-8464 (ASP-1807) – selective Nav1.7 blocker[3]
- Cenobamate (YKP-3089) – atypical voltage-gated sodium channel blocker [4][5][6]
- DSP-2230 – selective Nav1.7 and Nav1.8 blocker [5]
- Funapide (TV-45070, XEN402) – selective Nav1.7 and Nav1.8 blocker [6]
- GDC-0276 (RG-7893) – selective Nav1.7 blocker [7]
- GDC-0310 (RG-6029) – selective Nav1.7 blocker [8]
- NKTR-171 – voltage-gated sodium channel blocker [9]
- PF-05089771 – selective Nav1.7 and Nav1.8 blocker [10]
- Ralfinamide (NW-1029) – non-selective voltage-gated sodium channel blocker, as well as other actions [11]
- Tetrodotoxin (9401-TTX; Tectin, Tetrodin, Tocudin) – non-selective voltage-gated sodium channel blocker [12]
- Vixotrigine (formerly raxatrigine; CNV1014802, GSK-1014802, BIIB 074) – non-selective voltage-gated sodium channel blocker [13][citation needed]
- VX-150 – selective Nav1.8 blocker [14]
- VX-548 – selective Nav1.8 blocker[7][8]
Calcium channel blockers
TRP channel modulators
- Capsaicin (Adlea, ALGRX-4975, CNTX-4975, VLNX-4975) – TRPV1 agonist [16]
- Capsaicin/diclofenac – combination of a TRPV1 agonist and a COX-2 inhibitor for topical application [17]
- CMX-020 – TRPV1 modulator as well as CB1 and CB2 receptor modulator [18]
- DWP-05195 (TR-1) – TRPV1 antagonist [19]
- GRC-6211 – TRPV1 agonist [20]
- JNJ-38893777 – TRPV1 antagonist [21]
- Mavatrep (JNJ‐39439335) – TRPV1 antagonist [9][10]
- NEO-6860 – TRPV1 antagonist [22]
- Parentide (DD-04107) – TRPV1 antagonist [23]
- Resiniferatoxin (RTX; MCP-101) – TRPV1 agonist [24]
- SAR-115740 – TRPV1 antagonist [25]
- Tivanisiran (SYL-1001) – TRPV1 antagonist [26]
Cannabinoid receptor modulators
- ABX-1431 – selective monoacylglycerol lipase inhibitor[27]
- Cannabidiol (CBD) – cannabinoid receptor modulator [28][29]
- Cannabidivarin (CBDV; GWP-42006) – cannabinoid receptor modulator [30]
- CMX-020 – TRPV1 modulator as well as CB1 and CB2 receptor modulator [31]
- Dronabinol (Δ9-THC; ECP022A, Namisol) – CB1 and CB2 receptor agonist [32][33]
- Nabilone – CB1 and CB2 receptor agonist [34]
- NEO-1940 – CB1 and CB2 receptor agonist [35]
- Olorinab (APD-371) – CB2 receptor agonist [36]
Nerve growth factor inhibitors
- Fasinumab (REGN-475, SAR-164877) – monoclonal antibody against nerve growth factor[37]
- Frunevetmab (NV-02) – monoclonal antibody against nerve growth factor for cats [38]
- Fulranumab (AMG-403, JNJ-42160443) – monoclonal antibody against nerve growth factor [39]
- GBR-900 – monoclonal antibody against TrkA[40]
- GZ-389988 – TrkA, TrkB, and TrkC kinase inhibitor[41]
- LEVI-04 (p75NTR-Fc) – LNGF receptor (p75NTR) fusion protein and decoy receptor for nerve growth factor [42]
- NRD135S-E1 – tyrosine kinase modulator[43][44]
- ONO-4474 – peripherally selective TrkA, TrkB, and TrkC kinase inhibitor[45]
- Ranevetmab (NV-01) – monoclonal antibody against nerve growth factor for dogs [46]
- Tanezumab (PF-4383119, RI-624, RN-624) – monoclonal antibody against nerve growth factor [47]
- VM-902A – selective, peripherally selective allosteric inhibitor of TrkA [48]
Others
- ALLOD-2 – undefined mechanism of action [49]
- CR-4056 – imidazoline I2 receptor agonist [50]
- E-52862 (MR-309; S1A; S1RA) – sigma-1 receptor antagonist [51]
- HSP-3150 – undefined mechanism of action [52]
- KCP-506 – nicotinic acetylcholine receptor antagonist [53]
- LATER – CRISPR-dCas9 gene-editing [54]
- PAX-01 – undefined mechanism of action [55]
See also
References
- ^ "Drug profile | Axelopran/oxycodone". AdisInsight. Theravance Biopharma. 1 October 2021. Retrieved 29 October 2022.
- ^ "Drug profile | Cebranopadol". AdisInsight. Tris Pharma. 14 August 2022. Retrieved 29 October 2022.
- ^ "Drug profile | Desmetramadol". AdisInsight. Syntrix Biosystems. 5 October 2021. Retrieved 2 November 2022.
- ^ "Drug profile | Lexanopadol". AdisInsight. 20 August 2018. Archived from the original on 25 December 2018. Retrieved 2 November 2022.
- ^ Zaccara G, Schmidt D (2017). "Antiepileptic Drugs in Clinical Development: Differentiate or Die?". Curr. Pharm. Des. 23 (37): 5593–5605. doi:10.2174/1381612823666170809100524. PMID 28799516.
- ^ Nakamura, M., Shin, H., & Jang, I. S. (2018). Mechanism of Action of Cenobamate: Preferential Inhibition of the Persistent Sodium Current (P5. 278). http://n.neurology.org/content/90/15_Supplement/P5.278
- ^ Vertex Initiates Phase 2 Clinical Trial Program for VX-548 for the Treatment of Acute Pain
- ^ Vertex’s non-opioid painkiller shows promise in people recovering from surgery
- ^ Manitpisitkul, Prasarn; Shalayda, Kevin; Russell, Lucille; Sanga, Panna; Solanki, Bhavna; Caruso, Joseph; Iwaki, Yuki; Moyer, John A. (2018). "Pharmacokinetics and Safety of Mavatrep (JNJ-39439335), a TRPV1 Antagonist in Healthy Japanese and Caucasian Men: A Double-Blind, Randomized, Placebo-Controlled, Sequential-Group Phase 1 Study". Clinical Pharmacology in Drug Development. 7 (7): 712–726. doi:10.1002/cpdd.413. ISSN 2160-7648. PMID 29125703. S2CID 11755963.
- ^ Manitpisitkul, Prasarn; Shalayda, Kevin; Russell, Lucille; Sanga, Panna; Williams, Yinka; Solanki, Bhavna; Caruso, Joseph; Moyer, John A. (2018). "Bioavailability and Pharmacokinetics of TRPV1 Antagonist Mavatrep (JNJ-39439335) Tablet and Capsule Formulations in Healthy Men: Two Open-Label, Crossover, Single-Dose Phase 1 Studies". Clinical Pharmacology in Drug Development. 7 (7): 699–711. doi:10.1002/cpdd.412. ISSN 2160-7648. PMID 29125700. S2CID 32666782.