Asset profile

Pilavapadin

Small molecule

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Evidence outlook · lead readout

PROGRESS (NCT06203002) · Diabetic Peripheral Neuropathic Pain

The completed lead evidence is positive, with design limits that temper confidence; the rationale below says which.

PROGRESS (NCT06203002): The study randomized 496 participants to blinded pilavapadin regimens or matching placebo, with participants, care providers, investigators, and outcome assessors masked. Its primary clinical endpoint was change in average daily pain score at Week 8. Registry results were not posted at the time of grading; the key result shown was recovered from the cited external source.

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Competitive landscape

15 competitors in this universe: 0 direct rivals (same mechanism and indication), 0 same-class, 15 same-indication; 9 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Pilavapadin: this drugPhase 2Small moleculeAP2-associated kinase 1 (AAK1)
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)
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—
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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Upcoming events

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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 2 (3)