Opioids work in the brain, but that's the problem. This new compound works at an entirely different level, but will it be the blockbuster we seek?
I know this seems a bit random, but abdominoplasty is quite painful and a good model for soft-tissue pain. Bunionectomy is also quite a painful procedure and a useful model of bone pain. After the surgeries, patients were randomized to several different doses of VX-548,At 19 time points over that 48-hour period, participants were asked to rate their pain on a scale from 0 to 10. The primary outcome was the cumulative pain experienced over the 48 hours.
This graph, which I put together from data in the paper, shows pain control across the four randomization categories, with higher numbers indicating more control. While all the active agents do a bit better than placebo, VX-548 at the higher dose appears to do the best. But I should note that 5 mg of hydrocodone may not be an adequate dose for most people.
Although not a pain-destroying machine, VX-548 has some other things to recommend it. The receptor is really not found in the brain at all, which suggests that the drug should not carry much risk for dependency, though that has not been formally studied.was the most common — and less prevalent than what you see even in the placebo arm.
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