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舒泽曲明(VX-548):告别阿片类药物:最新的急性疼痛口服非阿片类镇痛药。

Suzetrigine (VX-548): Bidding goodbye to opioids: The latest oral non-opioid analgesic for acute pain.

作者信息

Chittoria Konica, Sharma Ankur, Kothari Nikhil, Kumari Kamlesh

机构信息

Department of Anesthesiology and Critical Care, AIIMS, Jodhpur, Rajasthan, India.

Department of Trauma and Emergency (Anesthesiology and Critical Care), AIIMS, Jodhpur, Rajasthan, India.

出版信息

Saudi J Anaesth. 2025 Jul-Sep;19(3):384-386. doi: 10.4103/sja.sja_366_25. Epub 2025 Jun 16.

DOI:10.4103/sja.sja_366_25
PMID:40642648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12240521/
Abstract

Suzetrigine is the first and only FDA-approved non-opioid oral medication designed to be used for the treatment of moderate-to-severe acute pain. It represents a significant step forward in pain treatment by providing excellent relief without the hazards associated with opiate usage. Its approval transforms postoperative pain care, meeting a key public health need while lowering addiction concerns. While the adverse effect profile requires additional investigation, its distinctive mechanism and safety feature represent a game-changing potential in the area of analgesia.

摘要

舒泽曲辛是首个也是唯一获美国食品药品监督管理局批准的非阿片类口服药物,用于治疗中重度急性疼痛。它在疼痛治疗方面迈出了重要一步,能提供出色的疼痛缓解效果,且没有与使用阿片类药物相关的风险。它的获批改变了术后疼痛护理,满足了一项关键的公共卫生需求,同时降低了成瘾方面的担忧。虽然其不良反应情况还需要进一步研究,但它独特的作用机制和安全特性在镇痛领域具有改变游戏规则的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa2/12240521/477ef1adc4bf/SJA-19-384-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa2/12240521/477ef1adc4bf/SJA-19-384-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faa2/12240521/477ef1adc4bf/SJA-19-384-g001.jpg

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Suzetrigine (VX-548): Bidding goodbye to opioids: The latest oral non-opioid analgesic for acute pain.舒泽曲明(VX-548):告别阿片类药物:最新的急性疼痛口服非阿片类镇痛药。
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引用本文的文献

1
Suzetrigine as a Novel Non-opioid Analgesic Drug in Pain Management: A Review of Clinical Evidence and Therapeutic Perspectives.舒泽曲明作为疼痛管理中的新型非阿片类镇痛药:临床证据与治疗前景综述
Cureus. 2025 Aug 22;17(8):e90755. doi: 10.7759/cureus.90755. eCollection 2025 Aug.

本文引用的文献

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Suzetrigine: The first Nav1.8 inhibitor approved for the treatment of moderate to severe acute pain.舒泽曲明:首个获批用于治疗中度至重度急性疼痛的Nav1.8抑制剂。
Drug Discov Ther. 2025 Mar 6;19(1):80-82. doi: 10.5582/ddt.2025.01010. Epub 2025 Feb 27.
2
Pharmacology and Mechanism of Action of Suzetrigine, a Potent and Selective Na1.8 Pain Signal Inhibitor for the Treatment of Moderate to Severe Pain.舒泽曲明的药理学及作用机制,一种用于治疗中重度疼痛的强效选择性Na1.8疼痛信号抑制剂
Pain Ther. 2025 Apr;14(2):655-674. doi: 10.1007/s40122-024-00697-0. Epub 2025 Jan 8.
3
Drugs in Development to Manage Acute Pain.
用于管理急性疼痛的在研药物。
Drugs. 2025 Jan;85(1):11-19. doi: 10.1007/s40265-024-02118-0. Epub 2024 Nov 19.
4
A simple and sensitive ultra-high performance liquid chromatography tandem mass spectrometry method for the quantitative analysis of VX-548 in monkey plasma: Method validation and application to pharmacokinetic study.一种简单灵敏的超高效液相色谱-串联质谱法定量分析猴血浆中 VX-548 的方法:方法验证及药代动力学研究中的应用。
Biomed Chromatogr. 2024 Jul;38(7):e5907. doi: 10.1002/bmc.5907. Epub 2024 May 23.
5
Gender difference in the pharmacokinetics and metabolism of VX-548 in rats.VX-548 在大鼠体内的药代动力学和代谢的性别差异。
Biopharm Drug Dispos. 2024 Apr;45(2):107-114. doi: 10.1002/bdd.2387. Epub 2024 Apr 4.
6
Selective Inhibition of Na1.8 with VX-548 for Acute Pain.选择性抑制钠通道 Na1.8 治疗急性疼痛的研究进展:VX-548 为代表的新型钠离子通道阻滞剂。
N Engl J Med. 2023 Aug 3;389(5):393-405. doi: 10.1056/NEJMoa2209870.