| 24 Août 2016
The company’s latest report states that while opioids remain the most effective modes of treatment,  their potential for abuse has yet to be addressed, and thus their  effectiveness is limited in chronic pain conditions, as they cannot be  used for prolonged durations. Dominic Trewartha, Managing Analyst for GBI Research, states that:  “Moderate-to-severe pain has been and continues to be dominated by  opioids, which are increasingly being reformulated to offer abuse  resistance, whereas mild pain is effectively being treated with  non-steroidal anti-inflammatory drugs (NSAID). “However, significant unmet needs remain, as chronic pain subtypes –  and particularly neuropathic pain – often do not respond well to  existing therapies, which do not align well with the underlying  molecular pathophysiological causes of pain.” While the pain therapeutics pipeline is extremely large and diverse,  it is characterized by a high overall historic clinical attrition rate  for novel analgesics, and a low level of first-in-class innovation. The active pain pipeline  is populated by 810 products across all stages of development, which  exhibit a highly diverse range of molecular targets. GBI Research’s  analyses identified 129 first-in-class programs in active development,  constituting 20% of the pipeline for which there is a disclosed  molecular target, and acting on 80 first-in-class molecular targets. Trewartha explains:  “Although this level of innovation is lower than the overall averages  for central nervous system disorders and the industry as a whole, this  segment of the pipeline nevertheless comprises a diverse range of  promising products, which offer significant potential to yield clinical  improvement. “While many companies are  following a strategy of developing products with similar mechanisms of  action to existing products, there are also many innovative products in  the pain pipeline. These first-in-class products reflect a deepening  scientific understanding of the underlying pathophysiology of pain, and a  growing list of molecules that have been implicated in the initiation  of acute pain and progression to a chronic pain state.”
London – 22 August 2016 - Although opioids continue  to dominate the chronic pain market, adverse events associated with the  drug such as the potential for abuse mean the treatment space is rife  with unmet needs, which is encouraging pharmaceutical companies to  explore innovative alternatives to opioids, according to business  intelligence provider GBI Research.