Jones Meaghan, Demery Aryanna, Al-Horani Rami A
Division of Basic Pharmaceutical Sciences, College of Pharmacy, Xavier University of Louisiana, New Orleans, LA 70125, USA.
Drugs Drug Candidates. 2025 Sep;4(3). doi: 10.3390/ddc4030032. Epub 2025 Jul 4.
Suzetrigine represents a groundbreaking advancement in acute pain management as the first FDA-approved selective Na1.8 inhibitor. This comprehensive review synthesizes data from clinical trials, pharmacological studies, and prescribing information to evaluate its mechanism, efficacy, safety, and clinical implications. With demonstrated superiority over placebo in pivotal trials (SPID48: 29.3-48.4; < 0.0001) and a favorable safety profile devoid of opioid-like addiction risks, suzetrigine offers a much-needed alternative in the opioid crisis era. However, its modest effect size compared to full-dose opioids, CYP3A-mediated drug interactions, and limited long-term data warrant judicious use. This article provides a balanced perspective on suzetrigine's role in modern pain management protocols.
舒泽曲明作为首个获得美国食品药品监督管理局(FDA)批准的选择性Na1.8抑制剂,代表了急性疼痛管理领域的一项突破性进展。本综述综合了临床试验、药理学研究和处方信息的数据,以评估其作用机制、疗效、安全性及临床意义。在关键试验中,舒泽曲明显示出优于安慰剂的效果(疼痛强度差异总和在48小时内:29.3 - 48.4;P < 0.0001),且具有良好的安全性,没有类阿片成瘾风险,在阿片类药物危机时代提供了急需的替代方案。然而,与全剂量阿片类药物相比,其效应量较小、存在CYP3A介导的药物相互作用以及长期数据有限,因此使用时需谨慎。本文对舒泽曲明在现代疼痛管理方案中的作用提供了一个平衡的观点。