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Date Submitted: 08/14/2015 03:32 AM
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DS5565 Industry 2015,Share and Size,Trends and
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Summary
Neuropathic pain (NP) is defined as a disorder of the sensorimotor system and is distinctly different
from nociceptive pain, which is a consequence of trauma, injury, or inflammation. The main difference
between neuropathic and nociceptive pain is the absence of a continuous nociceptive input in
neuropathic pain. Although the term neuropathic pain is used to describe a wide range of pain
syndromes with varying etiologies, this report focuses on 3 distinct forms of NP: Painful diabetic
neuropathy, Postherpetic neuralgia and trigeminal neuralgia. The main classes of drugs used to treat
these three neuropathic pain indications include anticonvulsants, antidepressants, opioids and topical
treatments. However, despite the availability of multiple pain medications only 50% of patients respond
to any given drug and there are numerous the side effects associated particularly with systemically
administered drugs, that reduce their tolerability. New treatments will target some key unmet needs in
terms of efficacy and tolerability, but opportunities will remain for drugs that can more reliably
eradicated NP in targeted patient populations, as well as offering an improved safety profile.
DS-5565 is an oral, small-molecule analgesic being developed by Daiichi Sankyo for the treatment of
PDN. It is a voltage-dependent calcium channel alpha-2-delta ligand, meaning that it has a mechanism of
action similar to Lyrica and gabapentin, and reduces pain through the inhibition of calcium channelassociated currents. These compounds bind to the a-2-d subunits (a-2-d-1 and a-2-d-2) of voltagedependent calcium channels, where the a-2-d-1 subunit is the main target for the analgesic effect of a-2-
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d ligands, while the a-2-d-2 subunit is thought to...