5 8 
Mechanism of action of suzetrigine. Suzetrigine selectively  
inhibits the Nav1.8 peripheral sodium channel.
inhibitor for the treatment of adults with moderate-to-
severe acute pain. 
The recent study pointed out that Phase 3 trials have 
demonstrated that suzetrigine provides a statistically 
significant and clinically meaningful reduction in acute 
postoperative pain compared to placebo, with efficacy 
similar to hydrocodone/acetaminophen and a favor-
able safety profile. Mechanistic studies confirm selec-
tive peripheral NaV1.8 inhibition, minimizing central 
nervous system effects and abuse potential. Ongoing 
research is evaluating suzetrigine for chronic pain con-
ditions including diabetic peripheral neuropathy and 
lumbosacral radiculopathy, though long-term efficacy 
and safety remain to be established.
“Suzetrigine represents a promising nonopioid 
alternative for acute pain and has the potential to fill 
a significant gap in pain management,” according to 
study authors. “While initial results are encouraging, 
future studies are needed to define its role in chronic 
pain and multimodal analgesia, and to establish long-
term safety.”
Another review, published in the International 
Journal of Molecular Sciences last year, suggested, “The 
ongoing opioid epidemic in the United States high-
lights the need for novel analgesics with reduced risk of 
misuse, dependence and adverse central nervous system 
effects. Suzetrigine (trade name Journavx), a first-in-
class selective Nav1.8 (a sodium channel expressed in 
peripheral nociceptors) inhibitor, was approved by the 
FDA in early 2025 and marketed as the first non-opioid 
Source: The HCAHPS Survey, Pain Management, and Opioid Misuse. The CMS Perspective: Clarifying Facts, Myths, and Approaches. Presentation Slides. 2016. 
Available online: https://www.qualityreportingcenter.com/en/inpatient-quality-reporting-programs/hospital-value-based-purchasing-vbp-program/vbp-archived-
events/vbp-event32/ (accessed on 18 August 2025).

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