Emerging therapies in clinical development and new contributions for neuropathic pain

Rev Esp Anestesiol Reanim (Engl Ed). 2019 Jun-Jul;66(6):324-334. doi: 10.1016/j.redar.2019.02.003. Epub 2019 Apr 19.
[Article in English, Spanish]

Abstract

Neuropathic pain is very challenging to manage because of the heterogeneity of aetiologies, symptoms, and underlying mechanisms. Conventional oral therapies have been limited by negative factors such as systemic side effects, drug-drug interactions, slow onset of action, the need for titration, multiple daily dosing, as well as the potential risk of addiction, dependence, withdrawal symptoms and abuse. Therefore, new therapeutic perspectives are justified. New drugs that act on different therapeutic targets are currently in preclinical development or in their first phases of clinical development. In this review, focus will be directed specifically on new pharmacological treatments for neuropathic pain for which clinical data are already available, including older and known drugs with new data on their anti-neuropathic activity.

Keywords: BIIB074; Botulinum toxin type A; Dolor neuropático; EMA401; Fulranumab; Mirogabalin; Mirogabalina; Neuropathic pain; Toxina botulínica tipo A.

Publication types

  • Review

MeSH terms

  • Botulinum Toxins, Type A / therapeutic use
  • Bridged Bicyclo Compounds / therapeutic use
  • Drug Development
  • Humans
  • Nerve Growth Factor / antagonists & inhibitors
  • Neuralgia / drug therapy*
  • Voltage-Gated Sodium Channel Blockers / therapeutic use

Substances

  • Bridged Bicyclo Compounds
  • Voltage-Gated Sodium Channel Blockers
  • Nerve Growth Factor
  • Botulinum Toxins, Type A
  • mirogabalin