Biologic drugs for analgesia: redefining the opportunity
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Updated: Jun 3, 2026

Development of Recombinant Proteins to Treat Chronic Pain
Published on: April 11, 2018
Jane Hughes1, Jonathan P Hatcher, Iain P Chessell
1MedImmune Ltd, Granta Park, Cambridge CB21 6GH, UK.
Abstract:
Chronic pain conditions present a huge burden on modern society. Both inflammatory and neuropathic pain are poorly treated in man; the majority of patients do not benefit from adequate pain relief, and side effects of currently used treatments are common. Discovery and development of novel therapies remains an imperative, but the ability to genuinely test the efficacy of novel therapies is often limited by effects at targets other than intended, particularly with novel small molecule approaches. Approaches which limit these off-target activities, and thus avoid the commonest cause of terminating development of new therapeutics may provide a greater ability to genuinely test targets of choice clinically, and here, biologic therapeutics provide such an opportunity; in the major class of biologic therapies, monoclonal antibodies, inherent exquisite selectivity is intrinsic to their nature. Antibody therapeutics have been developed successfully in the immunology and cancer fields, and recent progress in analgesia suggests that these therapeutics may transform treatment paradigms in a similar manner to that observed within, for example, the rheumatoid arthritis space. In addition, opportunities with other biologic approaches, such as peptides, further broadens the potential to bring forward genuinely novel approaches to pain. In this review, the current status of biologic therapies, as well as future opportunities are reviewed.
Insights
Biologic therapies, like monoclonal antibodies, offer highly selective treatment options for chronic pain. These advanced therapies promise improved pain relief and fewer side effects than traditional treatments.
Area of Science:
- Pain research and therapeutics
- Immunology
- Pharmacology
Background:
- Chronic pain, including inflammatory and neuropathic pain, significantly burdens society and is inadequately managed by current treatments.
- Existing therapies often cause side effects and fail to provide sufficient pain relief for many patients.
- Developing novel pain therapies is crucial, but challenges like off-target effects in small molecule approaches hinder clinical testing.
Purpose of the Study:
- To review the current status and future potential of biologic therapies for chronic pain management.
- To highlight the advantages of biologic agents, such as monoclonal antibodies, in providing targeted pain relief.
- To explore the broader landscape of biologic approaches, including peptides, for novel pain interventions.
Main Methods:
- Review of current scientific literature on biologic therapies for pain.
- Analysis of the selectivity and efficacy of monoclonal antibodies in preclinical and clinical studies.
- Exploration of emerging biologic strategies, including peptide-based therapeutics.
Main Results:
- Biologic therapies, particularly monoclonal antibodies, demonstrate exquisite selectivity, minimizing off-target effects common in small molecule drug development.
- Successful application of antibody therapeutics in immunology and cancer suggests similar transformative potential for pain management.
- Recent advancements indicate that biologics could revolutionize pain treatment paradigms, akin to their impact in conditions like rheumatoid arthritis.
Conclusions:
- Biologic therapies represent a promising frontier for treating chronic pain, offering enhanced selectivity and potentially greater efficacy.
- Monoclonal antibodies and other biologic approaches, such as peptides, are poised to overcome limitations of current pain treatments.
- Further development and clinical application of biologic therapies are essential to address the unmet needs in chronic pain management.
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