Clinical Trial Data for Suzetrigine
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Trial Description
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Study Design |
Methods |
Outcomes |
Results |
Vertex. Vertex Announces Results From Phase 2 Study of Suzetrigine for the Treatment of Painful Lumbosacral Radiculopathy. Press Release Vertex. Published December 19, 2024. Accessed July 21, 2025.
Objective: To determine the effectiveness and safety of suzetrigine following painful lumbosacral radiculopathy (LSR)
Comparator agent: Placebo
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Phase 2, randomized, double blind, placebo-controlled study
Study Population (N= 218)
Suzetrigine (n = 102) Placebo (n= 100) |
Inclusion criteria:
Adults 18-79 years old with painful lumbosacral radiculopathy (LSR) lasting >3 months; moderate-to-severe pain (Numeric Pain Rating Scale [NPRS] 4-10)
Exclusion criteria:
Patients with painful neuropathy other than LSR, history of prior lumbar spine surgery
Intervention:
Patients completed a 7-day run-in period, were randomized to receive suzetrigine 69 mg daily or placebo (1:1) and treated for 12 weeks and finally were followed-up for 14 days. Pain medications, except stable over-the-counter doses of ibuprofen (up to 1600 mg/24-hour) or naproxen (up to 440 mg/24-hour), were stopped at least 14 days prior to first dose. Acetaminophen (up to 500 mg every 4 to 6 hours, as needed) was allowed during the run-in period and throughout the study |
Primary outcome:
Within-group change from baseline in the weekly average of daily leg pain intensity on NPRS at week 12
Secondary/safety outcomes:
Within-group change from baseline in the weekly average of the daily sleep interference scale (DSIS) at week 12; safety and tolerability
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Primary outcome:
Mean NPRS
- Suzetrigine: 6.33 ± 1.22
- Placebo: 6.05 ± 1.07
Least squares mean change in NPRS at week 12
- Suzetrigine -2.02 (95% CI -2.40 to -1.64; p< 0.0001) vs. placebo: -1.98 (95% CI -2.36 to -1.60; p< 0.0001)
Secondary outcomes:
Approximately 40% of clinical trial sites had a lower placebo response. Analyses of the primary and other endpoints at these sites showed suzetrigine arm within-group reduction in pain was consistent with the overall study and had greater separation from the placebo arm.
Safety outcomes:
Any AEs:
- 9% suzetrigine vs. 32.4% placebo
Serious AEs:
- 9% suzetrigine vs 1.9% placebo
AEs leading to treatment discontinuation:
0 suzetrigine vs 0.9% placebo |
Jones J, Correll DJ, Lechner SM, et al. Selective Inhibition of NaV1.8 with VX-548 for Acute Pain. N Engl J Med. 2023;389(5):393-405. doi:10.1056/NEJMoa2209870
Objective: To evaluate the efficacy and safety of VX-548, an oral and highly selective NaV1.8 inhibitor, for the treatment of acute pain
Comparator agent: Hydrocodone-acetaminophen and placebo
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Two phase 2, randomized, double-blind, placebo-controlled trials (NCT05558410 and NCT05553366)
Study Population (N= 577)
Abdominoplasty trial group (n= 303)
Bunionectomy trial group (n= 274) |
Inclusion criteria:
Participants scheduled to undergo a primary unilateral bunionectomy with distal first metatarsal osteotomy (i.e., Austin procedure) and internal fixation under regional anesthesia OR abdominoplasty without collateral procedures.
Exclusion criteria:
Patients with a history of cardiac dysrhythmia.
Intervention:
In the abdominoplasty trial, participants were assigned for 48 hours to receive in a 1:1:1:1 ratio:
- High-dose suzetrigine (loading dose [LD] 100 mg, then 50 mg q12h)
- Middle-dose suzetrigine (LD 60 mg, then 30 mg q12h)
- Hydrocodone-acetaminophen (5/325 mg q6h)
- Placebo
Those in the bunionectomy trial participants were randomly assigned in a 2:2:1:2:2 ratio to receive:
- High-dose suzetrigine
- Middle-dose suzetrigine
- Low-dose suzetrigine (loading 20 mg, then 10 mg q12h)
- Hydrocodone-acetaminophen
- Placebo
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Primary outcome:
Least-squares mean difference (LSMD) in time-weighted sum of the pain-intensity difference (SPID48)
Secondary/safety outcomes:
Time-weighted SPID over 24 hours (SPID24); responder rates at 48 hours
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Primary outcome:
High-dose suzetrigine significantly reduced pain compared to placebo, with least-squares mean differences in SPID48 of:
- 8 (95% confidence interval [CI] 9.2 to 66.4) for abdominoplasty
- 8 (95% CI 4.6 to 69.0) for bunionectomy.
- Lower doses of suzetrigine produced outcomes similar to placebo.
Secondary outcomes:
The high-dose suzetrigine arm also yielded higher percentages of participants achieving ≥30%, ≥50%, and ≥70% reductions in NPRS scores at 48 hours compared to placebo.
Safety outcomes:
- AEs were mild to moderate and occurred more frequently with high-dose suzetrigine than placebo (headache, 14% vs. 6%; constipation 9% vs. 5%).
No serious safety concerns (incision-site cellulitis, sepsis, laryngeal stenosis, pulmonary embolism) were attributed to the intervention and all events were resolved. |
ClinicalTrials.gov. Evaluation of Efficacy and Safety of VX-548 for Painful Diabetic Peripheral Neuropathy (DPN). Updated July 1, 2025. Accessed July 21, 2025. NCT05660538
Objective: To evaluate the efficacy and safety of VX-548 doses in treating painful DPN
Comparator agent: Pregabalin and placebo
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Phase 2, randomized, double-blind, active-controlled, dose-ranging, parallel-design Study
Study Population (N= 173)
Pregabalin (n= 49)
Suzetrigine low-dose (n= 24)
Suzetrigine mid-dose (n= 50)
Suzetrigine high-dose: (n= 50) |
Inclusion criteria:
Type 1 or 2 diabetes mellitus diagnosis; bilateral pain in lower extremities due to DPN for ≥1 year; HbA1c ≤9%
Exclusion criteria:
Painful neuropathy other than DPN; cardiac dysrhythmia requiring anti-arrhythmia treatment; clinical atherosclerotic event within the past 12 months.
Intervention:
Patients were randomized to receive pregabalin 100 mg TID for 12 weeks, suzetrigine 23 mg QD for 12 weeks (low-dose), suzetrigine 46 mg QD for 12 weeks (mid-dose), or suzetrigine 69 mg QD for 12 weeks (high-dose).
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Primary outcome:
Change in weekly average daily pain intensity on a numeric rating scale
Secondary/safety outcomes:
Change in weekly average sleep, weekly average daily pain intensity that was ≥30-70%, patient global impression of change (PGIC) assessment, and safety and tolerability |
Primary outcome:
Least squares mean (LSM) change in weekly average daily pain intensity from baseline (95% confidence interval [CI])
- Pregabalin: -2.09 (-2.65 to -1.52
- Suzetrigine (low-dose): -2.18 (-2.94 to -1.41)
- Suzetrigine (mid-dose): -2.11 (-2.67 to -1.55)
- Suzetrigine (high-dose): -2.26 (-2.82 to -1.70)
Secondary outcomes:
LSM change from baseline in weekly average daily sleep interference scale (DSIS) score (95% CI):
- Pregabalin: -2.42 (-3.02 to -1.83)
- Suzetrigine (low-dose): -2.20 (-3.00 to -1.41)
- Suzetrigine (mid-dose): -2.44 (-3.01 to -1.87)
- Suzetrigine (high-dose): -2.15 (-2.74 to -1.55)
Percentage with ≥30%, ≥50%, and ≥70% reduction from baseline in weekly average daily pain intensity:
- Pregabalin: 44.9%, 22.4%, 10.2%
- Suzetrigine (low-dose): 70.8%, 41.7%, 8.3%
- Suzetrigine (mid-dose): 46.0%, 32.0%, 22.0%
- Suzetrigine (high-dose): 48.0%, 34.0%, 22.0%
Percentage categorized as “much improved” or “very much improved” on PGIC assessment:
- Pregabalin: 46.9%
- Suzetrigine (low-dose): 50.0%
- Suzetrigine (mid-dose): 52.0%
- Suzetrigine (high-dose): 50.0%
Safety outcomes: Treatment-emergent adverse events (TEAEs):
- Pregabalin: 20
- Suzetrigine (low-dose): 14
- Suzetrigine (mid-dose): 21
- Suzetrigine (high-dose): 31
Serious adverse events (SAEs):
- Pregabalin: 1
- Suzetrigine (low-dose): 0
- Suzetrigine (mid-dose): 2
Suzetrigine (high-dose): 1
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ClinicalTrials.gov. Evaluation of Efficacy and Safety of Suzetrigine for Pain Associated With Diabetic Peripheral Neuropathy. Updated June 26, 2025. Accessed July 21, 2025. NCT06628908
Objective: To evaluate the efficacy, safety, and tolerability of Suzetrigine (SUZ) in participants with pain associated with DPN
Comparator agent: Pregabalin and placebo
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Phase 3, randomized, double-blind, placebo- and active-controlled Study
Study Population (N= 1100)
VX-548
Pregabalin
Placebo |
Inclusion criteria:
Body weight ≥45 kg; body mass index (BMI) ≥18.0 to <40.0 kg/m^2; diagnosis of DM type 1 or type 2 by HbA1c ≤9% and the presence of bilateral pain in lower extremities due to DPN; weekly average of daily Numeric Pain Rating Scale (NPRS) score ≥4 and ≤9 with limited variation in the 7-day baseline period
Exclusion criteria:
>3 missing daily NPRS scores during the 7-day baseline period; participation in a previous study in which the participant received VX-548; any sensory abnormality (excluding DPN) as pre-specified in the protocol
Intervention:
Participants were randomized to VX-548, a matched placebo for VX-548, pregabalin, or a matched placebo for pregabalin. All interventions were administered in tablet or capsule form according to their respective treatment groups. |
Primary outcome:
Change from baseline in the weekly average of daily pain intensity on the numeric pain rating scale (NPRS) at week 12 compared to placebo
Secondary outcome:
Change from baseline in the weekly average of daily pain intensity on the NPRS at week 12 compared to pregabalin; change from baseline in 36-item short-form health status (SF-36v2) physical component summary (PCS) score at week 12 compared to placebo |
Outcomes:
Results have not been posted or published. The estimated study completion date is May 31, 2027. |
ClinicalTrials.gov. A Single-arm Study to Evaluate Safety and Effectiveness of VX-548 for Acute Pain. Updated July 1, 2025. Accessed July 21, 2025. NCT05661734
Objective: To evaluate the safety and effectiveness of suzetrigine (VX-548) for acute pain
Comparator agent: No comparator agent
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Phase 3, single-arm study
Study Population (N= 258)
VX-548 (n= 258)
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Inclusion criteria:
Patients aged 18 to 80 years with BMI ≥18 and <40 kg/m2; non-surgical patients with new moderate-to-severe pain and surgical patients reporting pain at the surgical site that is moderate or severe.
Exclusion criteria:
History of previous surgery due to same condition; prior surgical procedure resulting in perioperative complications.
Intervention:
Patients received suzetrigine tablets PO Q12H up to 14 days. |
Primary outcome:
Safety and tolerability as assessed by number of participants with AEs and serious adverse events (SAEs)
Secondary/safety outcomes:
Proportion of Participants Reporting Good, Very Good, or Excellent on a Patient Global Assessment (PGA)
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Outcomes:
TEAEs: 94
SAEs: 2
Proportion of participants Reporting Good, Very Good, or Excellent on PGA: 83.2%
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