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DelveInsight's " Non-postoperative Acute Pain - Market Insights, Epidemiology, and Market Forecast - 2032" report delivers an in-depth understanding of the Non-postoperative acute pain, historical and forecasted epidemiology as well as the non-postoperative acute pain market trends in the United States.
The non-postoperative acute pain market report provides current treatment practices, emerging drugs, Non-postoperative acute pain market share of the individual therapies, and current and forecasted Non-postoperative acute pain market size from 2019 to 2032, segmented by seven major markets. The report also covers current Non-postoperative acute pain treatment practices/algorithms and unmet medical needs to curate the best of the opportunities and assess the underlying potential of the market.
Study Period: 2019-2032.
Non-postoperative pain refers to acute pain that arises from various causes unrelated to surgical procedures. It can result from conditions such as any injury, illness, trauma, burns, cuts, infection, or tissue damage. The pain may manifest in different regions of the body, requiring a systematic diagnostic approach involving patient history, physical examination, and, if necessary, imaging or laboratory tests. The goal is to identify the source and nature of the pain to tailor an appropriate treatment plan. Non-postoperative acute pain management may involve analgesic medications, physical therapy, and addressing the underlying condition. A multidisciplinary approach is often necessary to ensure comprehensive care and effective pain relief for individuals experiencing non-postoperative acute pain.
Diagnosing non-postoperative acute pain involves a comprehensive approach. A detailed medical history is obtained, including the onset, duration, and characteristics of the pain, along with relevant patient information. A thorough physical examination is conducted to identify visible signs of injury or inflammation, assess tenderness and swelling, and evaluate range of motion. Diagnostic tests, such as X-rays or MRI scans, may be employed to visualize internal structures. Specialized consultations with relevant specialists may be sought, and nerve blocks or injections could be used for diagnostic purposes. Lifestyle factors, psychosocial elements, and any exacerbating or alleviating factors are considered. The goal is to systematically gather information to pinpoint the source of pain and formulate an effective treatment plan.
Non-postoperative Acute Pain Treatment
Acute pain is caused by injury, surgery, illness, trauma, or painful medical procedures. It serves as a warning of disease or a threat to the body. It generally lasts briefly and disappears when the underlying cause has been treated or healed. Multimodal treatment is crucial for optimizing pain relief. Because different modalities may be additive or synergistic, this approach can also reduce the potential for side effects. The cornerstones of multimodal treatment include nerve blocks or epidurals, opioids or other analgesics, adjunctive medications, physical modalities (RICE), and rehabilitation; psychosocial interventions, including distraction, meditation, and deep breathing, are also central components. The treatment pattern currently consists of different approaches classified into pharmacologic and nonpharmacological therapies.The current market offers treatment with opioids, NSAIDs, and other anesthetics. The effectiveness of pain relief is of the utmost importance to anyone treating patients undergoing surgery. Consequently, the pain market is looking forward to new therapies that contribute substantially to ease the pain.
The Non-postoperative acute pain epidemiology chapter in the report provides historical as well as forecasted epidemiology segmented by Total Diagnosed Incident Cases of Non-postoperative acute Pain, Type-specific Cases of Non-postoperative acute Pain, Severity-specific Cases of Non-postoperative acute Pain, and Total Treated Cases of Non-postoperative acute Pain in the United States.
The drug chapter segment of the Non-postoperative acute pain report encloses a detailed analysis of the marketed and late-stage (Phase III) pipeline drug. The marketed drugs segment encloses drugs such as ELYXYB (Scilex Holding), ZAVZPRET (Pfizer), NURTEC ODT (Pfizer/Biohaven Pharmaceutical), and others. Furthermore, the current key players for emerging drugs and their respective drug candidates include STS101 (Satsuma Pharmaceuticals), AXS-07 (Axsome Therapeutics), and others. The drug chapter also helps understand the Non-postoperative acute pain clinical trial details, expressive pharmacological action, agreements and collaborations, approval and patent details, and the latest news and press releases.
ELYXYB is a nonsteroidal anti-inflammatory drug (NSAID) and the first and only ready-to-use oral solution designed to deliver fast and long-lasting migraine relief with the proven safety of COX-2 selectivity that is FDA-approved for acute treatment of migraine, with or without aura, in adults. ELYXYB oral solution is made using a self-micro emulsifying drug delivery system that enables celecoxib to be absorbed better and work faster. The product works within 1 h to provide relief from a migraine attack. It is thought to work by inhibiting an enzyme called cyclooxygenase-2 (COX-2), which inhibits the production of a group of lipids called prostaglandins. Prostaglandins can cause inflammation and pain. In February 2023, Scilex Holding announced the commercial launch of ELYXYB in the US.
ZAVZPRET is a third-generation, high affinity, selective, and structurally unique, small molecule CGRP receptor antagonist and the only CGRP receptor antagonist in clinical development with both intranasal and oral formulations. CGRP receptor antagonists work to treat migraine by reversibly blocking CGRP receptors, thereby inhibiting the biologic activity of the CGRP neuropeptide, which is thought to play a causal role in migraine. ZAVZPRET is a nasal spray administered as a single spray in one nostril, as needed. It may provide an important alternative for patients who need a quick onset of action or those who cannot take oral treatments due to nausea and vomiting at the time of migraine onset. In March 2023, the US FDA approved ZAVZPRET for the acute treatment of migraine with or without aura in adults.
STS101 is designed to provide significant benefits vs existing acute treatments for migraine, including the combination of quick and convenient self-administration and other clinical advantages that current DHE liquid nasal spray products and injectable dosage forms lack. The dry powder DHE formulation has demonstrated fast absorption, rapid achievement of high DHE plasma concentrations. STS101 combines the Satsuma powder technology with an easy-to-use nasal delivery device to create a reliable and convenient DHE product potentially able to provide the unique clinical advantages of DHE while overcoming the shortcomings of existing DHE products. The company has completed three Phase III trials, i.e. ASCEND (NCT04406649), SUMMIT (NCT04940390), and EMRGE (NCT03901482) supporting the safety and efficacy of STS101 in the acute treatment of migraine. In May 2023, Satsuma Pharmaceuticals announced that its 505(b)(2) New Drug Application (NDA) for STS101 for the acute treatment of migraine, has been accepted for review by the FDA.
AXS-07 is a novel, oral, rapidly absorbed, multi-mechanistic, investigational medicine for the acute treatment of migraine. The drug consists of MoSEIC (Molecular Solubility Enhanced Inclusion Complex) meloxicam and rizatriptan. AXS-07 is thought to act by inhibiting calcitonin gene-related peptide (CGRP) release, reversing CGRP-mediated vasodilation, and inhibiting neuroinflammation, pain signal transmission, and central sensitization. Meloxicam is a new molecular entity for migraine enabled by MoSEIC technology, which results in rapid absorption of meloxicam while maintaining a long plasma half-life. AXS-07 is covered by more than 80 issued the US and international patents which provide protection out to 2036. Manufacturing activities related to the planned resubmission of the NDA for AXS-07 for the acute treatment of migraine continue to progress. The Company continues to anticipate resubmission of the NDA in the first half of 2024.
The ongoing and future avenues include efforts to de-escalate therapy in Non-postoperative acute pain, improve the sequencing of available CGRP inhibitor, and introduce new biomarker-guided therapies into the armamentarium for Non-postoperative acute pain. There has also been considerable interest in improving the benefit conferred by Cyclo-oxygenase 2 (COX-2) inhibitor, particularly ELYXYB, after the agent's establishment as a standard of care in Non-postoperative acute pain.
CGRP is involved in several of the pathophysiologic processes underpinning migraine attacks. Therapies that target CGRP or its receptor have shown efficacy as preventive or acute treatments for migraine. CGRP plays a role in gastrointestinal nociception, inflammation, gastric acid secretion, and motility. Small-molecule CGRP receptor antagonists (rimegepant and ubrogepant) are approved for the acute treatment of migraine. In March 2023, the US FDA also approved ZAVZPRE (zavegepant), the first and only calcitonin gene-related peptide (CGRP) receptor antagonist nasal spray for the acute treatment of migraine with or without aura in adults.
Cyclo-oxygenase 2 (COX-2) inhibitor
COX-2 inhibitors are a type of nonsteroidal anti-inflammatory drug (NSAIDs). NSAIDs relieve pain and fever and reduce inflammation. ELYXYB (celecoxib) is a NSAID and the first and only ready-to-use oral solution designed to deliver fast and long-lasting migraine relief with the proven safety of COX-2 selectivity that is FDA-approved for acute treatment of migraine, with or without aura, in adults. ELYXYB oral solution is made using a self-micro emulsifying drug delivery system that enables celecoxib to be absorbed better and work faster.
Treatment of acute pain is generally tailored to the individual patient's assessment and requirements. Acute pain usually lasts for less than 7 days but often extends up to 30 days for some conditions; acute pain episodes may recur periodically. In some patients, acute pain persists to become chronic. Pain is the most common reason for emergency department visits and is commonly encountered in primary care, other outpatient, and inpatient settings.
The treatment pattern currently consists of different approaches classified into pharmacologic and nonpharmacological therapies. The pharmacological therapies include analgesics that are further segregated into opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, corticosteroids, anesthetics, etc. Acute pain is also managed by the use of benzodiazepines, muscle relaxants, antidepressants, alpha-2 agonists, gamma-aminobutyric agonists, and cannabinoids. Further, nonpharmacological therapies include acupuncture, psychological approaches (cognitive behavioral therapy, mindfulness-based stress reduction), chiropractic manipulation, physical therapy, transcutaneous electrical stimulation, massage therapy, exercise, and other complementary and alternative medicine therapies (CAM). All these involve the concept known as multimodal analgesia.
In recent years, extensive changes have been observed in the acute pain management market. Opioid replacement with other more beneficiary approaches has been in talks; opioid was a gold standard but is being replaced by multimodal analgesia (MMA) models.
Among the approved drugs, UBRELVY is indicated for the acute treatment of migraine with or without aura in adults by the US FDA. REYVOW, which has a unique mechanism of action, is the first and only FDA-approved medicine in a new class of acute treatment for migraine. The US FDA has also approved EMGALITY solution for treating episodic cluster headaches in adults.
Many companies are working toward this therapeutic area, including Vertex, Charleston Laboratories, Allodynic Therapeutics, Satsuma Pharmaceuticals, Axsome Therapeutics, ALGOMEDIX, PULMATRIX, Relevium Medical, Neumentum Pharmaceuticals, Medical Developments International (MVP), H. Lundbeck, and others.
This section focuses on the uptake rate of potential drugs expected to be launched in the market during 2023-2032. The landscape of Non-postoperative acute pain treatment has experienced a profound transformation with the uptake of novel drugs. These innovative therapies are redefining standards of care. Furthermore, the increased uptake of these transformative drugs is a testament to the unwavering dedication of physicians, neurologyic professionals, and the entire healthcare community in their tireless pursuit of acute pain care. This momentous shift in treatment paradigms is a testament to the power of research, collaboration, and human resilience.
The report provides insights into therapeutic candidates in Phase III and Phase II. It also analyzes key players involved in developing targeted therapeutics. Companies like Vertex Pharmaceuticals, Satsuma Pharmaceuticals, Axsome Therapeutics, and Allodynic Therapeutics actively engage in mid and late-stage research and development efforts for Non-postoperative acute pain. The pipeline of Non-postoperative acute pain possesses few potential drugs. However, there is a positive outlook for the therapeutics market, with expectations of growth during the forecast period (2023-2032).
The report covers information on collaborations, acquisitions and mergers, licensing, and patent details for Non-postoperative acute pain emerging therapy.
To keep up with current market trends, we take KOLs and SMEs' opinions working in the domain through primary research to fill the data gaps and validate our secondary research. Industry Experts contacted for insights on the Non-postoperative acute pain evolving treatment landscape, patient reliance on conventional therapies, patient therapy switching acceptability, and drug uptake, along with challenges related to accessibility, including neurologists, physician, and others.
DelveInsight's analysts connected with 30+ KOLs to gather insights; however, interviews were conducted with 15+ KOLs in the United States. Centers such as the Headache and Neurologic Institute, NJ Society of Physical Medicine & Rehabilitation (PM&R), David Geffen School of Medicine, Center for Autonomic and Peripheral Nerve Disorders, etc., were contacted. Their opinion helps understand and validate current and emerging therapy treatment patterns or Non-postoperative acute pain market trends. This will support the clients in potential upcoming novel treatments by identifying the overall scenario of the market and the unmet needs.
We perform Qualitative and market Intelligence analysis using various approaches, such as SWOT analysis and Analyst views. In the SWOT analysis, strengths, weaknesses, opportunities, and threats in terms of disease diagnosis, patient awareness, patient burden, competitive landscape, cost-effectiveness, and geographical accessibility of therapies are provided. These pointers are based on the analyst's discretion and assessment of the patient burden, cost analysis, and existing and evolving treatment landscape.
LICART is the only once-a-day topical nonsteroidal anti-inflammatory therapy available to treat acute pain due to minor strains, sprains, and contusions. Its patented next-generation patch technology works fast for powerful pain relief that starts within 1-3 h of the first application and can last all day with once-daily dosing. If patients have commercial insurance, can use the LICART Copay Savings Card at any retail pharmacy to get instant savings on their LICART prescription, paying as little as USD 15 for a one-month supply.
In UBRELVY (ubrogepant) savings program, eligible commercially insured patients may pay as little as USD 0 per monthly prescription fill. The patient's out-of-pocket expense will vary; check with the pharmacist for the copay discount. Restrictions, including monthly, quarterly, and/or annual maximums, may apply.
Detailed market access and reimbursement assessment will be provided in the final report.