Head-to-head evidence

Crisugabalin vs Mirogabalin

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Diabetic Peripheral Neuropathic Pain

Shared mechanism: α2δ-1 subunit of voltage-gated calcium channels · full Diabetic Peripheral Neuropathic Pain pipeline

Crisugabalin

Developed by Haisco Pharmaceutical Group

Phase 2/3 in Diabetic Peripheral Neuropathic Painsmall molecule
Reliable signal

NCT04647773 · Phase 2/3 · status unknown

Multicenter, double-blind, placebo-controlled Phase 3 study (n=450) demonstrating statistically significant pain reduction in DPNP (PMID 39158916).

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Mirogabalin

Developed by Daiichi Sankyo

Phase 3 in Diabetic Peripheral Neuropathic Painsmall molecule
Partial signal

NCT02318706 · Phase 3 · completed

Participants were randomized to three mirogabalin doses or placebo and treatment was double-blinded, with 834 randomized participants. The primary clinical pain endpoint had mixed results: the 30-mg dose was significantly better than placebo, while the 15-mg and 20-mg comparisons were not statistically significant, so the findings provide meaningful but mixed evidence.

Next expected readout: March 2027 · NCT07451431 (registry estimate)

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: Crisugabalin's landscape · Mirogabalin's landscape