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Halneuron

Phase 3

Chemotherapy Induced Neuropathic Pain | Small molecule | Neurology |Dogwood Therapeutics, Inc.|Trials Updated: Sep 16, 2026

Halneuron development status

Highest phase Phase 3 (NCT00726011)
Phase scored for DWTXPhase 2
Registered trials 7 across 2 sponsors since Jul 2008

Halneuron target and mechanism

ModalitySmall molecule

Also known as Tetrodotoxin

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials4
Total Enrollment543

FDA Designations

FAST_TRACK

Halneuron clinical trials

Halneuron · 4 trials · 6 indications

Phase 3 2Phase 2 1Phase 1 1
NCT00726011Tetrodotoxin Open-label Efficacy and Safety Continuation StudyPain
COMPLETED113 Analytics
NCT00725114Safety & Efficacy Study of Subcutaneous Tetrodotoxin for Moderate to Severe Inadequately Controlled Cancer-related PainPain
COMPLETED165 Analytics
PHASE3COMPLETED
Tetrodotoxin Open-label Efficacy and Safety Continuation Study
PainUnlock trial analytics
PHASE3COMPLETED
Safety & Efficacy Study of Subcutaneous Tetrodotoxin for Moderate to Severe Inadequately Controlled Cancer-related Pain
PainUnlock trial analytics

Study Endpoints

Primary Endpoints

Efficacy: long-term efficacy of tetrodotoxin (TTX) in reducing pain and improving quality of life. Safety: long-term safety and tolerability of s.c. TTX
Repeat treatment for patients with meaningful analgesic response
Efficacy: Composite-endpoint will be an evaluation that combines pain outcome and quality of life. Pain intensity will be used a co-primary endpoint. Safety as assessed by the analysis of AEs, 12-lead ECG, and abnormal lab values.
Dec2010
NRS Pain
From enrollment to end of study at 4 weeks

Change from Baseline in the weekly average of daily 24-hour pain intensity scores analyzed by percentage of responders among patients treated with Halneuron compared to Placebo

Safety Assessments
From enrollment to end of study at 4 weeks

Incidence of serious adverse events (SAEs), adverse events (AEs) and Adverse Events of Special Interests (AESIs)

Cardiodynamic
24 hours

The primary cardiodynamic endpoint was the effect of TTX plasma concentrations on the QTc interval using linear mixed-effect exposure-response modeling, including the predicted ddQTc at Cmax values corresponding to exposure levels of interest.

Secondary Endpoints

For each Treatment Cycle: the total number of days a subject meets the definition of pain response.
Repeat treatment for subjects with meaningful analgesic response
The period of onset of pain response as reported by responders.
Dec2010
The number of days a subject meets the definition of pain response.
Dec2010
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TetrodotoxinEXPERIMENTALThere is only one arm; active treatment with TTX
Sugar injectionPLACEBO_COMPARATOR -
PlaceboPLACEBO_COMPARATORPlacebo
HalneuronEXPERIMENTALHalneuron
Open Label ExtensionACTIVE_COMPARATORSubjects may choose to continue in an Open Label Extension (OLE) phase if they complete the randomized phase. All subjects regardless of treatment assignment in the randomized phase will receive Halneuron, during the OLE phase of the study, if offered by the clinical site.
Treatment ArmEXPERIMENTAL(Period 1) A single TTX dose of 15 μg (0.5 mL of TTX 30 μg/mL injection solution) administered as 1 SC injection with a single oral moxifloxacin matching placebo (1 x placebo tablet) (Period 2) A single TTX dose of 30 μg (1 mL of TTX 30 μg/mL injection solution) administered as 1 SC injection with a single oral moxifloxacin matching placebo (1 x placebo tablet) (Period 3) A single TTX dose of 45 μg (1.5 mL of TTX 30 μg/mL injection solution) administered as 2 SC injections with a single oral moxifloxacin matching placebo (1 x placebo tablet)
ControlPLACEBO_COMPARATORTreatment D: (Period 1)A single matching-TTX placebo administered with a single oral moxifloxacin matching placebo Treatment E: (Period 2)A single matching-TTX placebo with a single oral 400 mg moxifloxacin Treatment F: (Period 3)A single matching-TTX placebo with a single oral moxifloxacin matching placebo Treatment G: (Period 1)A single matching-TTX placebo with a single oral 400 mg moxifloxacin Treatment H: (Period 2)A single matching-TTX placebo with a single oral moxifloxacin matching placebo Treatment I: (Period 3)A single matching-TTX placebo with a single oral 400 mg moxifloxacin

Interventions

NameTypeDescription
TetrodotoxinBIOLOGICAL30 µg twice daily for 4 days; repeated every two weeks as long as there is a meaningful analgesic response
PlaceboBIOLOGICAL2 mL subcutaneous injection twice daily for 4 days
HalneuronDRUGHalneuron for Subcutaneous Injection
Halneuron (Open Label Extension)DRUGHalneuron for Subcutaneous Injection
PlacebosDRUGmatching placebo comparator
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: All patients who participated in the TEC-006 study (tetrodotoxin and placebo-treated) will be eligible for inclusion in this study provided they wish to continue to receive treatment and meet the inclusion and exclusion criteria. NOTE: The blinded treatment assignment of patien...

Countries:CanadaUnited States
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Recent Changes (Last 90 Days)

MEDIUMSep 16, 2026NCT06848348Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMSep 16, 2026NCT06848348Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about Halneuron

What is Halneuron used for?

Halneuron is being developed for the treatment of chemotherapy-induced neuropathic pain, a form of nerve pain that can occur after cancer treatment. It is an investigational small molecule and has not been approved for any indication. Dogwood Therapeutics is studying it in patients with this condition.

Who makes Halneuron?

Halneuron is being developed by Dogwood Therapeutics, Inc., a biopharmaceutical company that trades under the ticker symbol DWTX. Dogwood Therapeutics is the sponsor of the clinical program evaluating Halneuron for chemotherapy-induced neuropathic pain.

What phase is Halneuron in?

Halneuron is in Phase 2 clinical development. The ongoing trial is a Phase 2 study evaluating its efficacy and safety in chemotherapy-induced neuropathic pain. It is an investigational drug and has not received FDA approval for any indication.

What clinical trials is Halneuron in?

Halneuron is being evaluated in a single active clinical trial, NCT06848348, titled 'Efficacy and Safety Study of Halneuron in the Treatment of Chemotherapy-Induced Neuropathic Pain.' The Phase 2 trial is randomized, double-blind, and placebo-controlled, with an estimated enrollment of 240 participants. It is currently active but not recruiting, and is being conducted in the United States.

Does Halneuron have any FDA designations?

Halneuron has received Fast Track designation from the FDA for chemotherapy-induced neuropathic pain. Fast Track is intended to expedite the development and review of drugs that treat serious conditions and fill an unmet medical need. The drug remains investigational and has not been approved.