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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2025, Vol. 30 ›› Issue (10): 1319-1325.doi: 10.12092/j.issn.1009-2501.2025.10.004

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Suzetrigine: A novel non-opioid analgesic for the treatment of moderate-to-severe acute pain in adults

TIAN Jie1,2, JIANG Sheng2, CHANG Huili2   

  1. 1School of Pharmacy, Guangzhou Medical University, Guangzhou 510000, Guangdong, China;  2Department of Pharmacy, The Affiliated Qingyuan Hospital of Guangzhou Medical University (Qingyuan People's Hospital), Qingyuan 511500, Guangdong, China
  • Received:2025-04-09 Revised:2025-05-09 Online:2025-10-26 Published:2025-10-15

Abstract:

Suzetrigine is the first approved selective NaV1.8 channel inhibitor. On January 30, 2025, the U.S. FDA approved Suzetrigine for the oral treatment of moderate to severe acute pain. In two phase III clinical trials (NAVIGATE-1 and NAVIGATE-2), Suzetrigine demonstrated statistically significant improvements in the primary efficacy endpoint, time-weighted sum of pain intensity differences over 48 hours (SPID48), compared with placebo. The least squares mean differences were 29.3 (95% CI: 14.0-44.6; P=0.000 2) and 48.4 (95% CI: 33.6-63.1; P<0.000 1), respectively, confirming its robust analgesic efficacy. Furthermore, owing to its high selectivity for NaV1.8, Suzetrigine exhibited favorable safety and tolerability profiles, with notably lower incidences of nausea, vomiting, and drug dependence compared to conventional opioid analgesics, underscoring its substantial clinical value.

Key words: Suzetrigine, sodium channel blockers, acute pain, analgesics

CLC Number: