Pain

130
Pipeline Programs
30
Companies
50
Clinical Trials
27
Approved Products

Pipeline by Development Stage

Preclinical
Phase 1
Phase 1/2
Phase 2
Phase 2/3
Phase 3
On Market
0
40
0
13
0
36
41
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Small Molecule
7100%
+ 115 programs with unclassified modality

On Market (27)

Approved therapies currently available

U
ACEPHENApproved
acetaminophen
Unknown Company
rectal1992
U
ACETAMINOPHENApproved
acetaminophen
Unknown Company
rectal1987
Pfizer
ACHES-N-PAINApproved
ibuprofen
Pfizer
oral1987
U
ALPHACAINEApproved
lidocaine
Unknown Company
topical1977
U
BONDLIDOApproved
lidocaine
Unknown Company
Amide Local Anesthetic [EPC]topical2025
U
CHILDREN'S MOTRINApproved
ibuprofen
Unknown Company
oral1996
U
ELYXYBApproved
celecoxib
Unknown Company
Nonsteroidal Anti-inflammatory Drug [EPC]oral2020
U
IBU-TABApproved
ibuprofen
Unknown Company
oral1988
U
IBU-TAB 200Approved
ibuprofen
Unknown Company
oral1988
U
IBUPRINApproved
ibuprofen
Unknown Company
oral1987
U
IBUPROHMApproved
ibuprofen
Unknown Company
oral1985
U
INFANTS' FEVERALLApproved
acetaminophen
Unknown Company
rectal1980
J&
INJECTAPAPApproved
acetaminophen
Johnson & Johnson
injection
VP
JOURNAVXApproved
suzetrigine
Vertex Pharmaceuticals
Sodium Channel Blocker [EPC]oral2025
U
JUNIOR STRENGTH IBUPROFENApproved
ibuprofen
Unknown Company
oral1999
U
JUNIOR STRENGTH MOTRINApproved
ibuprofen
Unknown Company
oral1996
J&
MEDIPRENApproved
ibuprofen
Johnson & Johnson
oral1986
U
MIDOL LIQUID GELSApproved
ibuprofen
Unknown Company
oral2002
J&
MOTRINApproved
ibuprofen
Johnson & Johnson
oral1994
U
MOTRIN IBApproved
ibuprofen
Unknown Company
oral1984
U
MOTRIN MIGRAINE PAINApproved
ibuprofen
Unknown Company
oral1984
U
NUPRINApproved
ibuprofen
Unknown Company
oral1984
U
OFIRMEVApproved
acetaminophen
Unknown Company
intravenous2010
U
RUFENApproved
ibuprofen
Unknown Company
oral1981
U
TYLENOLApproved
acetaminophen
Unknown Company
oral1994
J&
ULTRAMApproved
tramadol hydrochloride
Johnson & Johnson
oral1995
U
ZTLIDOApproved
lidocaine
Unknown Company
Amide Local Anesthetic [EPC]topical2018

Competitive Landscape

34 companies ranked by most advanced pipeline stage

VP
23 programs
22
1
1
SuzetriginePhase 31 trial
14C-VX-993Phase 11 trial
SUZPhase 11 trial
SuzetriginePhase 11 trial
SuzetriginePhase 11 trial
+18 more programs
Active Trials
NCT06886269Completed8Est. May 2025
NCT06834009Completed10Est. Apr 2025
NCT06336096Completed48Est. Jun 2024
+20 more trials
Pfizer
PfizerNEW YORK, NY
16 programs
8
1
4
2
Ketoprofen 100mgPhase 41 trial
morphine sulfate extended release capsulesPhase 41 trial
ALO-01Phase 31 trial
CelecoxibPhase 3Small Molecule1 trial
Ibuprofen 600 mg Immediate Release/Extended Release CapletPhase 31 trial
+11 more programs
Active Trials
NCT00992316Completed80Est. Dec 2009
NCT01771822Completed50Est. Feb 2013
NCT01511497Completed31Est. Jan 2013
+17 more trials
J&
3
1
5
3
IbuprofenPhase 4Small Molecule1 trial
Tramadol hydrochloridePhase 43 trials
acetaminophen extended release capletsPhase 41 trial
AcetaminophenPhase 35 trials
Acetaminophen/Naproxen Sodium Fixed CombinationPhase 31 trial
+8 more programs
Active Trials
NCT04091347Completed34Est. Nov 2023
NCT02830178Completed144,337Est. Sep 2016
NCT01932554Withdrawn0Est. Mar 2015
+23 more trials
Boehringer Ingelheim
Boehringer IngelheimINGELHEIM, Germany
7 programs
1
2
1
2
Magnesium metamizolPhase 41 trial
MetamizolePhase 4Small Molecule1 trial
Loxoprofen sodiumPhase 31 trial
Eschscholtzia Californica - low dosePhase 21 trial
Meloxicam 7.5 mgPhase 21 trial
+2 more programs
Active Trials
NCT02215798Completed269
NCT01145014Terminated72
NCT02187588Completed200
+4 more trials
Bausch + Lomb
Bausch + LombNJ - Bridgewater
5 programs
4
1
VitrasePhase 41 trial
Bromfenac Ophthalmic SolutionPhase 31 trial
Bromfenac Ophthalmic SolutionPhase 31 trial
VitrasePhase 31 trial
bromfenac ophthalmic solutionPhase 31 trial
Active Trials
NCT00853970Completed299Est. Dec 2009
NCT01367249Completed440Est. Dec 2011
NCT00198484Completed108Est. Feb 2005
+2 more trials
Bayer
BayerLEVERKUSEN, Germany
3 programs
1
1
1
Paracervical Nerve BlockPhase 41 trial
Naproxen sodium 440 mg/DPH 50 mgPhase 31 trial
NaproxenPhase 12 trials
Active Trials
NCT06511973Completed42Est. Aug 2024
NCT06415019Completed236Est. Aug 2024
NCT01365052Completed326Est. Jul 2011
+1 more trials
AM-Pharma
AM-PharmaNetherlands - Utrecht
2 programs
1
MethoxyfluranePhase 41 trial
AVWF deviceN/A1 trial
Active Trials
NCT03776019CompletedEst. Dec 2019
NCT04029012CompletedEst. Feb 2020
M&
Merck & Co.RAHWAY, NJ
2 programs
1
MK0966; rofecoxibPhase 4Small Molecule1 trial
Cognitive Testing for the Pain Quality Assessment Scale (PQAS)N/A1 trial
Active Trials
NCT00715598Completed213Est. Aug 2010
NCT00140920Terminated11Est. Sep 2004
Astellas
AstellasChina - Shenyang
2 programs
1
Topical High dose CapsaicinPhase 41 trial
Topical Local Anaesthesia and Cooling During Capsaicin 8% Patch ApplicationN/A1 trial
Active Trials
NCT01523951Completed12Est. Mar 2012
NCT02570841Completed20Est. Sep 2015
Novartis
NovartisBASEL, Switzerland
1 program
1
LumiracoxibPhase 4Small Molecule1 trial
Active Trials
NCT00333567Completed110
Orexo
1 program
1
SL fentanylPhase 41 trial
Active Trials
NCT01315886TerminatedEst. Dec 2011
Jazz Pharmaceuticals
Jazz PharmaceuticalsCA - Palo Alto
12 programs
12
GW-1000-02Phase 31 trial
GW-1000-02Phase 31 trial
GW-1000-02Phase 31 trial
NabiximolsPhase 31 trial
NabiximolsPhase 31 trial
+7 more programs
Active Trials
NCT01606202Completed116Est. Jan 2005
NCT01606189Completed48Est. Sep 2002
NCT01606176Completed70Est. Aug 2002
+9 more trials
Teva
TevaIsrael - Petach Tikva
5 programs
1
4
Fentanyl Buccal TabletsPhase 31 trial
OraVescent FentanylPhase 33 trials
OraVescent fentanylPhase 31 trial
TV-46763Phase 31 trial
ACTIQPhase 22 trials
Active Trials
NCT00236093Completed
NCT00236145Completed
NCT00387010Terminated218Est. Oct 2007
+5 more trials
Abbott
AbbottABBOTT PARK, IL
2 programs
1
1
Hydrocodone/Acetaminophen Extended-ReleasePhase 31 trial
Hydrocodone/Acetaminophen Extended ReleasePhase 21 trial
Active Trials
NCT00404391Completed210Est. Mar 2004
NCT00402792Completed150Est. Apr 2007
Sanofi
SanofiPARIS, France
1 program
1
IBUPROFEN + CAFFEINEPhase 31 trial
Active Trials
NCT01426971Withdrawn0Est. Jun 2013
Newron Pharmaceuticals
1 program
1
RalfinamidePhase 31 trial
Active Trials
NCT01019824CompletedEst. Aug 2011
Alliance Pharmaceuticals
1 program
1
lidocainePhase 31 trial
Active Trials
NCT00058357Completed30Est. Jul 2007
AstraZeneca
AstraZenecaCAMBRIDGE, United Kingdom
4 programs
1
2
AZD1386Phase 21 trial
AZD1940Phase 22 trials
AZD1704Phase 11 trial
repetitive Transcranial Magnetic StimulationN/A1 trial
Active Trials
NCT00726791Withdrawn10Est. Jun 2009
NCT00692042Completed80Est. Jun 2008
NCT00878501Terminated241Est. Jul 2009
+2 more trials
Knight Therapeutics
Knight TherapeuticsQC - Montréal
3 programs
1
docetaxelPhase 21 trial
No Massage ProtocolN/A1 trial
glutamineN/A1 trial
Active Trials
NCT04625335Completed14Est. Mar 2016
NCT00217724Terminated18Est. Mar 2009
NCT00003781Completed25Est. Jun 2003
Trevena
TrevenaPA - Chesterbrook
2 programs
2
TRV130Phase 21 trial
TRV130Phase 21 trial
Active Trials
NCT02520297Terminated1Est. Oct 2015
NCT02335294Completed200Est. Aug 2015
IBSA Institut Biochimique
IBSA Institut BiochimiqueSwitzerland - Lugano-Pazzallo
1 program
1
Diclofenac sodiumPhase 21 trial
Active Trials
NCT01706588CompletedEst. May 2013
Bausch Health
Bausch HealthQUEBEC, Quebec, Canada
1 program
1
NabilonePhase 21 trial
Active Trials
Sandoz
2 programs
2
Cilostazol 50 mg TabletsPhase 11 trial
oxymorphonePhase 11 trial
Active Trials
NCT00881231CompletedEst. Feb 2004
NCT00857428CompletedEst. Dec 2007
AlzeCure Pharma
AlzeCure PharmaSweden - Huddinge
1 program
1
ACD440Phase 11 trial
Active Trials
NCT04704232CompletedEst. Mar 2021
Nanoform
NanoformFinland - Helsinki
1 program
1
Nanoformed Piroxicam IR TabletPhase 11 trial
Active Trials
NCT05104931CompletedEst. Feb 2021
Alder Therapeutics
Alder TherapeuticsSweden - Solna
2 programs
Live MusicN/A1 trial
Play therapyN/A1 trial
Active Trials
NCT03956667Completed109Est. Sep 2019
NCT02832050Withdrawn0Est. Sep 2019
Neuronetics
NeuroneticsMALVERN, PA
1 program
Active Transcranial Magnetic StimulationN/A1 trial
Active Trials
NCT02521480Withdrawn0Est. Dec 2016
Bristol Myers Squibb
1 program
Diclofenac 25mg/Paracetamol 500 mg and Diclofenac 50 mg/Paracetamol 500 mg for Patients With PainN/A1 trial
Active Trials
NCT02651363Completed374Est. Sep 2016
Heidelberg Pharma
ECAN/A3 trials
Active Trials
NCT05598489Unknown3,300Est. Jul 2024
NCT01693159Unknown50Est. Nov 2018
NCT00286520Completed80Est. Aug 2005
Francis Medical
Francis MedicalMN - Maple Grove
1 program
EvokeN/A1 trial
Active Trials
NCT06246526Active Not RecruitingEst. Dec 2026

+4 more companies

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
Johnson & JohnsonIbuprofen
Johnson & JohnsonAcetaminophen
Johnson & JohnsonAcetaminophen
Johnson & JohnsonAcetaminophen
Johnson & JohnsonAcetaminophen
AM-PharmaMethoxyflurane
AstellasTopical High dose Capsaicin
BayerParacervical Nerve Block
OrexoSL fentanyl
Johnson & JohnsonTramadol hydrochloride
Johnson & JohnsonAcetaminophen
Johnson & JohnsonHydromorphone HCl
Pfizermorphine sulfate extended release capsules
Johnson & JohnsonTramadol hydrochloride
PfizerKetoprofen 100mg

Showing 15 of 50 trials with date data

Clinical Trials (50)

Total enrollment: 26,152 patients across 50 trials

An Effectiveness and Safety Study of Acetaminophen 1000 mg and Ibuprofen 400 mg in Postoperative Dental Pain.

Est. completion: Feb 2004222 patients
Phase 4Completed

An Effectiveness and Safety Study of Acetaminophen 1000 mg and Ibuprofen 400 mg in Postoperative Dental Pain

Est. completion: Feb 2004224 patients
Phase 4Completed

An Effectiveness and Safety Study of Acetaminophen Extended Release Caplets in Treating Muscle Aches and Soreness That Occur After a Marathon Race

Est. completion: Feb 2004665 patients
Phase 4Completed

ULTRACET (Tramadol Hydrochloride and Acetaminophen) for the Treatment of Rheumatoid Arthritis Pain.

Est. completion: Jun 2005277 patients
Phase 4Completed

APAP-CYS Protein Adduct Concentrations in Patients With Liver-Directed Therapy Intended to Treat Hepatic Tumors

Start: Aug 2021Est. completion: Aug 20210
Phase 4Withdrawn
NCT04029012AM-PharmaMethoxyflurane

Penthrox in Rezūm BPH

Start: Sep 2019Est. completion: Feb 2020
Phase 4Completed
NCT02570841AstellasTopical High dose Capsaicin

Pain Thresholds Under High-dose Topical Capsaicin

Start: Feb 2015Est. completion: Sep 201520 patients
Phase 4Completed
NCT02352714BayerParacervical Nerve Block

Study of Pain Control With Hormonal IUS Insertion

Start: Jan 2015Est. completion: Jul 201698 patients
Phase 4Completed
NCT01315886OrexoSL fentanyl

Conversion From Fast Acting Oral Opioids to Abstral®

Start: Feb 2011Est. completion: Dec 2011
Phase 4Terminated
NCT00766675Johnson & JohnsonTramadol hydrochloride

An Efficacy Study of Combination of Tramadol and Acetaminophen Tablets in the Treatment of Participants With Fibromyalgia Pain

Start: Oct 2008Est. completion: Apr 200980 patients
Phase 4Completed

An Efficacy and Safety Study of Tramadol/Acetaminophen Versus Diclofenac in the Treatment of Pain in Participants With Ankylosing Spondylitis Receiving Stable Treatment of Disease Modifying Anti-rheumatic Drugs (DMARDs)

Start: Oct 2008Est. completion: Mar 20098 patients
Phase 4Terminated

An Efficacy and Safety Study of Hydromorphone Hydrochloride (HCl) Oral Osmotic System (OROS) in the Reduction of Breakthrough Pain Medication Frequency in Participants With Cancer

Start: Oct 2008Est. completion: Aug 2009141 patients
Phase 4Completed
NCT00640042Pfizermorphine sulfate extended release capsules

Evaluation of Risk Minimization, Assessment and Outcomes in Patients With Chronic Pain Taking Avinza

Start: Mar 2008Est. completion: Dec 20081,570 patients
Phase 4Completed
NCT01843660Johnson & JohnsonTramadol hydrochloride

An Efficacy and Safety Study of Tramadol Hydrochloride-Paracetamol in Treatment of Moderate to Severe Acute Neck-Shoulder Pain and Low Back Pain

Start: Sep 2007Est. completion: May 20081,059 patients
Phase 4Completed
NCT00553605PfizerKetoprofen 100mg

Efficacy And Safety Of Parecoxib 40mg vs. Ketoprofen 100mg In The Management Of Acute Renal Colic

Start: Jun 2007Est. completion: Jun 2009340 patients
Phase 4Completed

A Comparative Study of Tramadol Hydrochloride Plus Acetaminophen Tablets Maintenance Versus Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Maintenance in Participants With Knee Osteoarthritis

Start: May 2007Est. completion: Apr 2009143 patients
Phase 4Completed

A Study to Compare Safety and Efficacy of Tramadol Hydrochloride/Acetaminophen With Gabapentin in Participants With Diabetic Neuropathy

Start: Dec 2006Est. completion: Oct 2008162 patients
Phase 4Completed

GI-Reasons- A Trial Of GI Safety Of Celecoxib Compared With Non-Selective Nonsteroidal Antiinflammatory Drugs (NSAIDS)

Start: Oct 2006Est. completion: Nov 20108,067 patients
Phase 4Completed

Efficacy and Safety of Lumiracoxib 400 mg in Arthroscopic Knee Surgery

Start: Aug 2006110 patients
Phase 4Completed

An Open Label Study to Evaluate Safety, Tolerability and Clinical Utility of ULTRACET® (37.5mg Tramadol Hydrochloride/325mg Acetaminophen) for the Treatment of Breakthrough Pain in Cancer Patients

Start: Dec 2005Est. completion: Feb 200760 patients
Phase 4Completed

Study Of Celecoxib Or Diclofenac And Omeprazole For Gastrointestinal (GI) Safety In High GI Risk Patients With Arthritis

Start: Oct 2005Est. completion: May 20094,484 patients
Phase 4Completed

A Study of the Tolerability of Titrated Dose Tramadol/Acetaminophen Combination Tablet in Korean Patients With Osteoarthritis

Start: Aug 2005Est. completion: May 2006250 patients
Phase 4Completed

Study Of "Continuous Use" Of Celecoxib Vs. "Usual or Intermittent Use"

Start: Jul 2005Est. completion: Feb 2008875 patients
Phase 4Completed

A Study of the Effectiveness and Safety of Tramadol HCl/Acetaminophen Compared to Placebo in Treating Acute Low Back Pain

Start: Mar 2005Est. completion: Apr 200522 patients
Phase 4Terminated

Evaluation of Vitrase as an Adjuvant to Increase Absorption and Dispersion of Other Injected Anesthetics

Start: Sep 2004Est. completion: Mar 200540 patients
Phase 4Completed

Celebrex Low Dose ASA Study Examining the Incidence of Gastroduodenal Ulcers in a Healthy Population

Start: Sep 2004Est. completion: Jul 2005605 patients
Phase 4Completed

A Study of Safety and Effectiveness of Ultracet in Patients With Chronic Cancer Pain

Start: Jul 2004Est. completion: Apr 200735 patients
Phase 4Completed
NCT00140920Merck & Co.MK0966; rofecoxib

A Study of Rofecoxib in the Treatment of Post-Operative Pain After Total Knee Joint Replacement (0966-259)

Start: May 2004Est. completion: Sep 200411 patients
Phase 4Terminated

Treatment of Fecal Incontinence and Constipation in Patients With Spinal Cord Injury

Start: Dec 2003Est. completion: Aug 200580 patients
Phase 4Completed

Safety And Efficacy Of Celecoxib Versus Sodium Diclofenac In The Treatment Of Acute Low Back Pain

Start: Oct 2003Est. completion: Oct 2004244 patients
Phase 4Completed

Celecoxib Versus Diclofenac In The Treatment Of Osteoarthritis Of The Hip

Start: Aug 2003Est. completion: Feb 2005250 patients
Phase 4Completed
NCT00240838Johnson & Johnsonacetaminophen extended release caplets

An Effectiveness and Safety Study Comparing Acetaminophen (3900 mg/Day) to Ibuprofen (1200 mg/Day) in the Treatment of Post-Race Muscle Soreness.

Start: May 2003Est. completion: Jun 2003483 patients
Phase 4Completed

A Study Comparing the Effectiveness and Safety of ULTRACET® (Tramadol HCl/Acetaminophen) Versus Placebo for the Treatment of Acute Pain From a Migraine Headache

Start: Apr 2003Est. completion: Aug 2003375 patients
Phase 4Completed

A Comparison of the Effectiveness and Safety of ULTRACET® (Tramadol Hydrochloride/Acetaminophen) Versus ULTRAM® (Tramadol Hydrochloride) Versus Placebo in Patients With Pain After Oral Surgery

Start: Nov 2002Est. completion: Feb 2003456 patients
Phase 4Completed

A Study Of Celecoxib Versus Diclofenac In Patients With Ankylosing Spondylitis

Start: Sep 2002Est. completion: Nov 2004330 patients
Phase 4Completed

Efficacy and Tolerability of Nolotil i.v. vs. Placebo i.v. in the Prevention of Postoperative Pain in Children Undergoing Minor Surgery

Start: Mar 2002122 patients
Phase 4Completed

Metamizol for the Treatment of Neoplastic Chronic Pain

Start: Mar 20006 patients
Phase 4Terminated

An Effectiveness and Safety Study of Acetaminophen Extended Release Caplets in the Treatment of Osteoarthritis of the Hip or Knee.

Est. completion: Oct 2004542 patients
Phase 3Completed

A Safety and Effectiveness Study of Acetaminophen (4000 mg/Day) and Naproxen (750 mg/Day) in the Treatment of Osteoarthritis of the Hip or Knee

Est. completion: Jun 2003581 patients
Phase 3Completed

A Multiple-Dose Safety Study of Fixed Combination of Acetaminophen/Naproxen Sodium in Adolescents With Orthodontic Pain

Start: Jan 2024Est. completion: Jul 20240
Phase 3Withdrawn
NCT05868122Johnson & JohnsonAcetaminophen/Naproxen Sodium Fixed Combination

A Study to Evaluate a Fixed Combination of Acetaminophen/Naproxen Sodium in Acute Postoperative Pain Following Bunionectomy

Start: Sep 2023Est. completion: May 2024122 patients
Phase 3Completed
NCT05761574Johnson & JohnsonAcetaminophen/Naproxen Sodium Fixed Combination

A Study of an Acetaminophen/Naproxen Sodium Fixed Combination, Acetaminophen and Naproxen Sodium in Postoperative Dental Pain

Start: May 2023Est. completion: May 2024447 patients
Phase 3Completed

A Single-arm Study to Evaluate Safety and Effectiveness of VX-548 for Acute Pain

Start: Jan 2023Est. completion: Dec 2023258 patients
Phase 3Completed
NCT03722238PfizerIbuprofen 600 mg Immediate Release/Extended Release Caplet

Actual Use and Compliance Study Of Ibuprofen 600 Mg Immediate Release/Extended Release Tablets In At-Risk OTC Consumers

Start: Dec 2018Est. completion: Oct 2019613 patients
Phase 3Terminated

Japanese IP-TN Trial

Start: Jul 2016Est. completion: Oct 201680 patients
Phase 3Completed

Study of Acetaminophen (ACM) in Post-operative Dental Pain

Start: Apr 2016Est. completion: Oct 2016420 patients
Phase 3Completed

Study to Evaluate the Analgesic Efficacy and Safety of Hydrocodone Bitartrate/Acetaminophen Immediate-Release Tablets in Participants With Moderate to Severe Pain Following Bunionectomy

Start: Aug 2015Est. completion: Mar 2016569 patients
Phase 3Completed
NCT01426971SanofiIBUPROFEN + CAFFEINE

Ibuprofen Versus Ibuprofen Plus Caffeine in the Treatment of Migraine.

Start: Dec 2012Est. completion: Jun 20130
Phase 3Withdrawn

A Two-Part Study of Sativex® Oromucosal Spray for Relieving Uncontrolled Persistent Pain in Patients With Advanced Cancer

Start: Jun 2012Est. completion: Dec 2015406 patients
Phase 3Completed
NCT01450163PfizerPregabalin, Oxaliplatin

Evaluate The Efficacy and Safety Of Pregabalin In Prevention, Reduction of Oxaliplatin-Induced Painful Neuropathy

Start: Aug 2011Est. completion: Dec 2014200 patients
Phase 3Completed

Phase Legend

PreclinicalLab & animal studies
Phase 1Safety & dosing
Phase 2Efficacy testing
Phase 3Large-scale trials
On MarketApproved & available

Key Insights

36 late-stage (Phase 3) programs — potential near-term approvals
30 companies competing in this space