Asset profile

Duloxetine · Cymbalta

Small molecule

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Approvedregulatory verdict

Evidence outlook

Approved: Diabetic Peripheral Neuropathic Pain

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

track record: Reliable signal

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Competitive landscape

16 competitors in this universe: 0 direct rivals (same mechanism and indication), 1 same-class, 15 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Duloxetine (Cymbalta): this drugApprovedSmall moleculeSerotonin/norepinephrine transporter, Serotonin and norepinephrine transporters (SERT/NET)
AmmoxetinePhase 3Small moleculeSerotonin/norepinephrine transporter
Capsaicin (Qutenza)ApprovedSmall moleculeTRPV1 (transient receptor potential vanilloid 1) channel
PregabalinApprovedSmall moleculeα2δ subunit of voltage-gated calcium channels
SuzetrigineApprovedSmall moleculeVoltage-gated sodium channel NaV1.8
TapentadolApprovedSmall moleculeMu-opioid receptor and norepinephrine transporter (NET)
CrisugabalinPhase 3Small moleculeα2δ-1 subunit of voltage-gated calcium channels
MirogabalinPhase 3Small moleculeα2δ-1 subunit of voltage-gated calcium channels
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

…and 1 more. Research shows the complete landscape.

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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

(24 total)

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

2026 (6)
December 2026 (6)
Phase 2Refractory Chronic CoughRecruiting
Est. primary completion 2026-12 · NCT05110144 · CT.gov ↗
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Phase 4THARecruiting
Est. primary completion 2026-12-01 · NCT06807866 · CT.gov ↗
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Early phase / not applicableFibromyalgia, Aromatherapy, CostEnrolling by invitation
Est. primary completion 2026-12-30 · NCT07326163 · CT.gov ↗
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Phase 1/2Depression, SequestraRecruiting
Est. primary completion 2026-12-31 · NCT05814640 · CT.gov ↗
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Phase 2Chemotherapy-Induced Peripheral Neuropathy, Hematopoietic and Lymphoid Cell Neoplasm, Malignant Solid NeoplasmActive not recruiting
Est. primary completion 2026-12-31 · NCT04560673 · CT.gov ↗
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Early phase / not applicableCardiovascular Diseases (CVD), Depression Anxiety DisorderRecruiting
Est. primary completion 2026-12-31 · NCT07025590 · CT.gov ↗
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2027 (11)
January 2027 (1)
Early phase / not applicableAmantadine, Duloxetine, Pregabalin, Mastectomy, Pain SyndromeRecruiting
Est. primary completion 2027-01-01 · NCT07421427 · CT.gov ↗
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March 2027 (3)
Phase 2Inflammatory Bowel DiseasesRecruiting
Est. primary completion 2027-03-01 · NCT07431606 · CT.gov ↗
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Phase 1Post Endodontic Pain, Mechanical Detection Threshold, Mechanical Pain Threshold, Mechanical Pain SensitivityRecruiting
Est. primary completion 2027-03-30 · NCT07400471 · CT.gov ↗
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Phase 2CIPN - Chemotherapy-Induced Peripheral Neuropathy, PainRecruiting
Est. primary completion 2027-03-30 · NCT06914557 · CT.gov ↗
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May 2027 (2)
Phase 4DepressionRecruiting
Est. primary completion 2027-05 · NCT05976347 · CT.gov ↗
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Phase 4Back Pain, LowRecruiting
Est. primary completion 2027-05 · NCT05851976 · CT.gov ↗
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June 2027 (2)
Early phase / not applicableDiabetic Peripheral Neuropathic PainNot yet recruiting
Est. primary completion 2027-06 · NCT07785544 · CT.gov ↗
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Phase 3Biliary DiseaseRecruiting
Est. primary completion 2027-06-20 · NCT06860984 · CT.gov ↗
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July 2027 (2)
Phase 2Chemotherapy-induced Peripheral Neuropathy, Pain, Solid TumorRecruiting
Est. primary completion 2027-07-01 · NCT04970121 · CT.gov ↗
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Phase 4Knee OsteoarthritisRecruiting
Est. primary completion 2027-07-01 · NCT06423716 · CT.gov ↗
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November 2027 (1)
Phase 4Functional DisorderRecruiting
Est. primary completion 2027-11-01 · NCT06232473 · CT.gov ↗
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2028 (5)
March 2028 (1)
Phase 4Knee OsteoarthritisRecruiting
Est. primary completion 2028-03-15 · NCT06245109 · CT.gov ↗
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April 2028 (1)
Phase 3ER+ Breast Cancer, HER2-negative Breast Cancer, Breast Cancer Stage I, Breast Cancer Stage II, Breast Cancer Stage III …Not yet recruiting
Est. primary completion 2028-04-18 · NCT06407401 · CT.gov ↗
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June 2028 (1)
Phase 2Diabetic Peripheral Neuropathic PainRecruiting
Est. primary completion 2028-06-01 · NCT06614322 · CT.gov ↗
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August 2028 (1)
Phase 4Knee Osteoarthritis (Knee OA), Chronic Pain, Chronic Knee PainNot yet recruiting
Est. primary completion 2028-08 · NCT07759336 · CT.gov ↗
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December 2028 (1)
Phase 4Depression in Old Age, Fragility FractureRecruiting
Est. primary completion 2028-12 · NCT05851898 · CT.gov ↗
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2030 (1)
February 2030 (1)
Early phase / not applicableChronic Low-back PainRecruiting
Est. primary completion 2030-02 · NCT07731750 · CT.gov ↗
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2031 (1)
September 2031 (1)
Phase 2Knee Osteoarthritis, Pain, DepressionNot yet recruiting
Est. primary completion 2031-09-01 · NCT07649291 · CT.gov ↗
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See the full readout calendar ↗

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 (95)
Phase 2/3 (7)
Phase 2 (34)
Phase 1/2 (3)
Phase 1 (23)
Phase 4 (110)
Early phase / not applicable (59)
Used as active comparator (32)
Appears in other studies (2)