Asset profile

Crisugabalin

Small molecule

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Reliablesignal

Evidence outlook · lead readout

NCT04647773 · Diabetic Peripheral Neuropathic Pain

The completed lead evidence has the design features that historically survive confirmatory trials: randomized, controlled, and adequately powered against a prespecified clinically accepted endpoint.

NCT04647773: Multicenter, double-blind, placebo-controlled Phase 3 study (n=450) demonstrating statistically significant pain reduction in DPNP (PMID 39158916).

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Competitive landscape

15 competitors in this universe: 1 direct rival (same mechanism and indication), 0 same-class, 14 same-indication; 5 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Crisugabalin: this drugPhase 3Small moleculeα2δ-1 subunit of voltage-gated calcium channels
MirogabalinPhase 3Small moleculeα2δ-1 subunit of voltage-gated calcium channels
Capsaicin (Qutenza)ApprovedSmall moleculeTRPV1 (transient receptor potential vanilloid 1) channel
Duloxetine (Cymbalta)ApprovedSmall moleculeSerotonin/norepinephrine transporter, Serotonin and norepinephrine transporters (SERT/NET)
PregabalinApprovedSmall moleculeα2δ subunit of voltage-gated calcium channels
SuzetrigineApprovedSmall moleculeVoltage-gated sodium channel NaV1.8
TapentadolApprovedSmall moleculeMu-opioid receptor and norepinephrine transporter (NET)
HL-1186Phase 2/3Small molecule—
HRS-2129Phase 2/3Small molecule—
JMKX000623Phase 2Small moleculeVoltage-gated sodium channel NaV1.8
LY4065967Phase 2Small moleculeAngiotensin II type 2 receptor (AT2R) (antagonist)
NRD135S.E1Phase 2Small molecule—
PilavapadinPhase 2Small moleculeAP2-associated kinase 1 (AAK1)
Pirenzepine (topical)Phase 2Small moleculeMuscarinic acetylcholine receptor (M3), Muscarinic M1 receptor (antagonist)
VX-993Phase 2Small moleculeVoltage-gated sodium channel NaV1.8
AJH-2947Phase 1Small molecule—
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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(8 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (1)
November 2026 (1)
Phase 2Neuropathic PainRecruiting
Est. primary completion 2026-11-30 · NCT06766916 · CT.gov ↗
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2027 (7)
January 2027 (1)
Phase 2Generalized Anxiety DisorderRecruiting
Est. primary completion 2027-01-31 · NCT07330648 · CT.gov ↗
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June 2027 (2)
Phase 1Restless Leg Syndrome (RLS), Variant Restless Legs SyndromeRecruiting
Est. primary completion 2027-06-30 · NCT07453862 · CT.gov ↗
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Early phase / not applicableFibromyalgia, Pregabalin, PainRecruiting
Est. primary completion 2027-06-30 · NCT07196657 · CT.gov ↗
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July 2027 (1)
Phase 3Central Neuropathic PainNot yet recruiting
Est. primary completion 2027-07-30 · NCT06422117 · CT.gov ↗
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August 2027 (1)
Phase 4Parkinson's Disease With Nociceptive PainActive not recruiting
Est. primary completion 2027-08-15 · NCT07483398 · CT.gov ↗
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September 2027 (1)
Early phase / not applicableHerpes Zoster, PainRecruiting
Est. primary completion 2027-09-30 · NCT07307976 · CT.gov ↗
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October 2027 (1)
Phase 4Neuromyelitis Optica Spectrum Disorders (NMOSD), Neuropathic PainNot yet recruiting
Est. primary completion 2027-10-31 · NCT07699770 · CT.gov ↗
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All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (3)
Phase 2/3 (1)
Phase 2 (5)
Phase 1 (4)
Phase 4 (2)
Early phase / not applicable (4)