capsaicin
Trade name: qutenza
Approved
Nov 16, 2009
Capsaicin (8-methyl-N-vanillyl-6-nonenamide) is an active component of chili peppers, which are plants belonging to the genus Capsicum. It is a potent irritant for mammals, including humans, for which it produces a sensation of burning in any tissue with which it comes into contact. Capsaicin and several related amides (capsaicinoids) are produced as secondary metabolites by chili peppers, likely as deterrents against eating by mammals and against the growth of fungi. Pure capsaicin is a hydrophobic, colorless, highly pungent crystalline solid. — Wikipedia
Clinical trial activity
181 trials · 137 clinical orgs · 2 marketing orgs
Earliest trial started Jun 1, 1995 (NCT00004316)
Timeline
2000s
- Jan 1, 2001
Earliest Phase 2 Sponsor(trial)
- May 22, 2009
Orphan Drug Designation
- Nov 16, 2009
NeurogesX — Earliest FDA Approval
- Nov 16, 2009
Averitas Pharma — NDA Secondary Org
- Nov 16, 2009
NeurogesX — NDA Organization
Indications
Approved for
Studied for
- Acute Pain · Phase 3
- Aging · Early Phase 1
- Allergy and Immunology · Phase 4
- Alopecia Areata · Phase 4
- Amyotrophic Lateral Sclerosis · Early Phase 1
- Anemia, Sickle Cell · Phase 1
- Angina, Stable · Phase 3
- Arthroplasty · Phase 3
- Arthroplasty, Replacement, Knee · Phase 2
- Autonomic Nervous System Diseases · Phase 1
- Brain Injuries · Early Phase 1
- Brain Injuries, Traumatic · Early Phase 1
- Breast Neoplasms · Phase 3
- Cancer Pain · Phase 3
- Cannabidiol · Early Phase 1
- Cannabinoids · Phase 4
- Capsaicin · Phase 1
- Capsicum · Phase 3
- Cerebrovascular Disorders · Phase 2
- Chronic Pain · Phase 3
- Cluster Headache · Phase 1
- Coccyx · Phase 3
- Cough · Phase 2
- Cystitis, Interstitial · Phase 1/Phase 2
- Deglutition Disorders · Phase 2
- Diabetes Mellitus · Phase 4
- Diabetic Neuropathies · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Dyslipidemias · Phase 2/Phase 3
- Exercise · Phase 4
- Facial Pain · Phase 2
- Headache · Phase 1
- Head and Neck Neoplasms · Phase 3
- Healthy Volunteers · Phase 4
- Heating · Phase 4
- Herpes Zoster · Phase 3
- HIV Infections · Phase 3
- Hyperemesis Gravidarum · Phase 2
- Hypertension, Pulmonary · Phase 2
- Intractable Pain · Phase 3
- Kidney Failure, Chronic · Phase 4
- Knee Injuries · Phase 2
- Labor, Induced · Phase 4
- Labor Pain · Phase 4
- Metabolism · Phase 1
- Migraine Disorders · Phase 1
- Morton Neuroma · Phase 2
- Motor Disorders · Phase 4
- Muscular Dystrophy, Oculopharyngeal · Early Phase 1
- Myofascial Pain Syndromes · Phase 2
- Nausea · Phase 2
- Nerve Fibers · Phase 4
- Neuralgia, Postherpetic · Phase 4
- Neuroma · Phase 2
- Obesity · Phase 2/Phase 3
- Osteoarthritis, Knee · Phase 4
- Pain Management · Early Phase 1
- Palliative Care · Phase 1/Phase 2
- Parkinson Disease · Phase 1/Phase 2
- Paroxysmal Hemicrania · Phase 1
- Peripheral Nerve Injuries · Phase 1/Phase 2
- Peripheral Nervous System Diseases · Phase 3
- Polyneuropathies · Phase 2
- Postoperative Pain · Phase 2
- Pregnancy Complications · Phase 4
- Prostatic Neoplasms · Phase 2
- Pruritus · Phase 1/Phase 2
- Psoriasis · Phase 4
- Pulmonary Arterial Hypertension · Phase 2
- Pulmonary Disease, Chronic Obstructive · Phase 1
- Respiratory Aspiration · Phase 2
- Rhinitis · Phase 4
- Rhinitis, Allergic · Phase 4
- Shoulder Injuries · Phase 2
- Stroke · Phase 2
- Syncope, Vasovagal · Phase 2
- Tennis Elbow · Phase 2
- Tooth Extraction · Phase 2
- Volunteers · Phase 4
- Vomiting · Phase 2
- Vulvar Diseases · Phase 1/Phase 2
- Vulvodynia · Phase 2/Phase 3
Mechanism of action
Approval history
- approvedNov 16, 2009
Chemistry & pharmacology
SMILES
COc1cc(CNC(=O)CCCC/C=C/C(C)C)ccc1O- Mol. weight
- 305.42 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
No
Sources
- WikipediaCapsaicin ↗
- NCATS00UK7646FG ↗
- ChEMBLCHEMBL294199 ↗
- ChEMBLCHEMBL2108236 ↗
- NCATSS07O44R1ZM ↗
Also known as
- 6,7-deepoxy-6,7-didehydro-5-deoxy-21-dephenyl-21-(phenylmethyl)daphnetoxin 20-(3-hydroxy-5-methoxybenzeneacetate)
- capsaicin
- capsaicin
- capsaicin
- capsaicin
- capsaicin
- capsaicin
- capsaicin
- capsaicin
- capsaicin
- capsaicin
- capsaicin
- capsaicin
- capsaicine
- capsaicum
- capsicum
- capsicum
- capsicum
- capsicum
- caspaicin
- cntx-4975
- (e)-8-methyl-n-vanillyl-6-nonenamide
- (e)-8-methyl-n-vanillyl-6-nonenamide
- fiery jack
- isodecenoic acid vanillylamide
- isodecenoic acid vanillylamide
- ngx 4010
- ngx-4010
- qutenza
- qutenza
- qutenza
- qutenza
- reciniferatoxin
- reciniferatoxin
- resiniferatoxin
- resiniferatoxin
- resiniferatoxin
- rtx diterpene
- trans-8-methyl-n-vanillyl-6-nonenamide
- trans-8-methyl-n-vanillyl-6-nonenamide
- zacin
- zacin
- zostrix
- zostrix
- zostrix hp
- zostrix hp
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07260656 | Early Phase 1 (Phase 1) | Dec 31, 2025 | Virginia Polytechnic Institute and State University |
| NCT07122973 | N/A | Sep 17, 2025 | Aalborg University |
| NCT06960759 | Phase 2 | Aug 1, 2025 | Emory University, University of Colorado, Denver, University of Melbourne, University of Montana |
| NCT07060976 | N/A | Jul 21, 2025 | Novamed Laboratories Pvt. Ltd., NovoBliss Research Pvt Ltd |
| NCT06744816 | Early Phase 1 (Phase 1) | Jun 5, 2025 | Averitas Pharma, University of Texas at Houston |
| NCT06807164 | Phase 2 | Feb 1, 2025 | Ligue contre le cancer, France, University of Lille |
| NCT06444919 | Phase 4 | Sep 1, 2024 | Grunenthal, University Clermont Auvergne |
| NCT06444594 | Early Phase 1 (Phase 1) | Jun 15, 2024 | Pennsylvania State University |
| NCT05695339 | Phase 1 | Jan 3, 2024 | National Institutes of Health (NIH) |
| NCT05997979 | Phase 2 | Dec 1, 2023 | University of Western Brittany |
| NCT06197529 | N/A | Nov 21, 2023 | Aalborg University |
| NCT06023706 | Phase 3 | Nov 15, 2023 | University of Nantes |
| NCT05840562 | Phase 3 | Sep 30, 2023 | Grunenthal, Institut de Cancerologie de l'Ouest Paul Papin |
| NCT06809569 | Phase 1 | Sep 25, 2023 | Merck |
| NCT05835258 | N/A | May 30, 2023 | Eurecat |
| NCT05649228 | Early Phase 1 (Phase 1) | Dec 31, 2022 | Virginia Polytechnic Institute and State University |
| NCT05560516 | N/A | Oct 1, 2022 | Leiden University, University of Amsterdam |
| NCT05543837 | Phase 2 | Sep 20, 2022 | Centenario Hospital Miguel Hidalgo, Instituto Mexicano del Seguro Social, Torre Medica CMQ |
| NCT05298202 | Phase 4 | Apr 1, 2022 | University of Nebraska |
| NCT05067257 | Phase 2 | Dec 31, 2021 | Sorrento Therapeutics, Inc. |
Organizations
Research & Development (137)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| NeurogesX | For profit | 17 | 17 | 3 | 2002 |
| Centrexion Therapeutics | For profit | 10 | 10 | 3 | 2007 |
| Aalborg University | Academic/Hospital | 9 | 9 | 2 | 2016 |
| University of Florida | Academic/Hospital | 9 | 9 | 3 | 2013 |
| Sorrento Therapeutics, Inc. | For profit | 8 | 7 | 3 | 2008 |
| Astellas | For profit | 6 | 5 | 2 | 2010 |
| AlgoRx Pharmaceuticals | For profit | 5 | 5 | 1 | 2004 |
| Hospital de Mataró | Academic/Hospital | 5 | 5 | 2 | 2012 |
| University of Copenhagen | Academic/Hospital | 5 | 4 | 3 | 2004 |
| Anesiva, Inc. | For profit | 4 | 3 | 2 | 2007 |
| Katholieke Universiteit Leuven | Academic/Hospital | 4 | 3 | 2 | 2011 |
| University of Texas at Houston | Academic/Hospital | 4 | 4 | 3 | 2014 |
| Grunenthal | For profit | 3 | 0 | 2 | 2019 |
| National Institute of Dental and Craniofacial Research (NIDCR) | Government | 3 | 3 | 2 | 2001 |
| University of Toronto | Academic/Hospital | 3 | 3 | 3 | 2014 |
| Wake Forest University | Academic/Hospital | 3 | 3 | 2 | 2006 |
| American Academy of Otolaryngic Allergy | Academic/Hospital | 2 | 0 | 2 | 2014 |
| Averitas Pharma | For profit | 2 | 1 | 2 | 2021 |
| Bassett Healthcare | Academic/Hospital | 2 | 2 | 1 | 2013 |
| Boehringer Ingelheim | For profit | 2 | 2 | 2 | 2016 |
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Averitas Pharma | For profit | NDA2 | Nov 16, 2009 |
| NeurogesX | For profit | NDA | Nov 16, 2009 |