Cebranopadol for the Treatment of Chronic Pain

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature..

PURPOSE OF REVIEW: Regardless of the etiology, if pain persists chronically, it can detrimentally impact multiple aspects of a patient's well-being. Both physical and psychological effects are significant in many chronic pain patients. In this regard, psychological consequences can alter a patient's quality of life, functionality, and social functioning. Opioids have been the long-established gold standard for acute pain treatment in settings such as the postoperative period. An alternative to opioids in pain management has been highly sought after. Through a non-selective mechanism, cebranopadol is a first-in-class oral drug which combines agonism of the mu and nociceptin opioid peptide (NOP) receptors to provide improved analgesia, while reducing the occurrence of many typically opioid side effects. This manuscript is a narrative review of the possible use of cebranopadol in pain management.

RECENT FINDINGS: In pre-clinical studies, cebranopadol was similar to morphine in its pain control efficacy. In a phase IIa trial, cebranopadol was superior to placebo in reducing pain. In a randomized clinical trial, cebranopadol was superior to morphine. Another study concluded that cebranopadol had a lower misuse potential when compared to hydromorphone. In summary, cebranopadol offers new opportunities in treating chronic moderate to severe pain, while also countering risks of addiction. Additional studies are warranted to further evaluate the safety and efficacy of cebranopadol. In this regard, cebranopadol could prove to be a promising alternative to current pain treatment options.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

Current pain and headache reports - 27(2023), 10 vom: 08. Okt., Seite 615-622

Sprache:

Englisch

Beteiligte Personen:

Edinoff, Amber N [VerfasserIn]
Flanagan, Chelsi J [VerfasserIn]
Roberts, Logan T [VerfasserIn]
Dies, Ross M [VerfasserIn]
Kataria, Saurabh [VerfasserIn]
Jackson, Eric D [VerfasserIn]
DeWitt, Audrey J [VerfasserIn]
Wenger, Danielle M [VerfasserIn]
Cornett, Elyse M [VerfasserIn]
Kaye, Adam M [VerfasserIn]
Kaye, Alan D [VerfasserIn]

Links:

Volltext

Themen:

6'-fluoro-4',9'-dihydro-N,N-dimethyl-4-phenylspiro(cyclohexane-1,1'(3'H)-pyrano(3,4-b)indol)-4-amine
76I7G6D29C
Analgesics, Opioid
Cebranopadol
Chronic pain
Indoles
Journal Article
Morphine
Nociceptin Receptor
Opioid misuse
Opioids
Pain
Review

Anmerkungen:

Date Completed 09.10.2023

Date Revised 17.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11916-023-01148-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360556582