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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.
CNV-2197944 is a novel therapy being developed by Convergence Pharmaceuticals for the treatment of
chronic pain. It is currently in Phase II of clinical development for both PHN and PDN. The drug was
acquired from GlaxoSmithKline (GSK) in 2010 as part of an agreement in which GSK acquired an 18%
minority equity stake in Convergence Pharmaceuticals. However, as part of the restructuring of
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Convergence in 2011, CNV-2197944 was transferred to Calchan Ltd., a sister company of Convergence
Pharmaceuticals, which now holds the proprietary rights to CNV-2197944.
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Scope
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3.2 Etiology and Pathophysiology 18
3.2.1 Etiology 19
3.2.2 Pathophysiology 20
4 Disease Management 28
4.1 Diagnosis and Treatment Overview 28
4.1.1 Diagnosis 28
4.1.2 Treatment Overview and Guidelines 35
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