Recent Updates
Recently added Catalysts

SP-102

Phase 3

Lumbosacral Radicular Pain | Small molecule | Pain |Scilex Holding Company|Last Updated: May 12, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment1,175
FDA Designations
FAST_TRACK
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07579351Corticosteroid Lumbar Epidural Analgesia for Radicular Pain 2PHASE3 NOT YET_RECRUITING 755Aug 1, 2026Jan 1, 2029May 12, 2026 -
NCT03372161Corticosteroid Lumbar Epidural Analgesia for RadiculopathyPHASE3 COMPLETED 401Dec 8, 2017Jan 6, 2022Sep 19, 202237 United States
NCT03613662A Research Study to Characterize the Pharmacodynamics and Safety of Repeat Dose SP-102PHASE2 COMPLETED 19Jul 13, 2018Mar 15, 2019Jan 13, 20221 United States
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Mean change from baseline to W4 in the mean NPRS average daily pain score.
Day 1 to week 4

The Numeric Pain Rating Scale (NPRS) is a self-reported scale assessing average pain intensity over the past 24 hours in the affected leg. Possible scores range from 0-10 (0 is no pain, 10 is worst pain imaginable) Change from baseline (mean of the scores recorded on the 7 days \[D-7 to D-1\] immediately prior to the P1 Injection Day) in mean NPRS average daily pain score in the affected leg over 4 weeks (i.e., W1, W2, W3, W4) for SP-102 versus placebo.

Mean Change From Baseline (Day 1) to Week 4 in the Mean Numeric Pain Rating Scale (NPRS) Average Pain Score in the Affected Leg
Baseline, 4 Weeks

The NPRS is an 11-point scale (0 to 10-point scale where 0 was no pain and 10 was worst pain imaginable) that allowed the subject to rate the severity of their pain intensity at various points in time.

Change in Plasma Cortisol Concentrations From Baseline
12 Weeks

Dexamethasone-induced hypothalamic-pituitary-adrenal (HPA) suppression is evaluated by monitoring SP-102 induced changes in plasma cortisol levels from Baseline. The T1 (index) and T2 (repeat) injections of SP-102 are separated by 4-8 weeks

Change in Blood Glucose Levels From Baseline
12 Weeks

Dexamethasone-induced hypothalamic-pituitary-adrenal (HPA) suppression is evaluated by monitoring SP-102 induced changes in blood glucose levels from Baseline. The T1 (index) and T2 (repeat) injections of SP-102 are separated by 4-8 weeks

Change in White Blood Cell (WBC) Levels From Baseline
12 Weeks

Dexamethasone-induced hypothalamic-pituitary-adrenal (HPA) suppression is evaluated by monitoring SP-102 induced changes in WBC levels from Baseline. The T1 (index) and T2 (repeat) injections of SP-102 are separated by 4-8 weeks

Secondary Endpoints
Mean change in ODI total score
Day 1 to Week 4
Patient Global Impression of Change
Day 1 to week 4
Mean change in BPI-Pain Interference (BPI-PI) score from P1 Baseline (D1) to P1 W4 for SP-102 versus placebo.
Day 1 to week 4
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
SP-102EXPERIMENTAL -
Placebo ComparatorPLACEBO_COMPARATOR -
dexamethasone sodium phosphateACTIVE_COMPARATOR -
PlaceboPLACEBO_COMPARATORPlacebo
Interventions
NameTypeDescription
SP-102DRUGOne Injection
PlaceboDRUGOne injection
Dexamethasone Sodium Phosphate 10 MG/MLDRUGOne injection
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: Main Inclusion Criteria: * Able and willing to read, write, and understand the English language and provide English language written informed consent prior to beginning any study procedures. * Age 18 to 75 years (inclusive) at the Screening Visit. * A diagnosis of lumbosacral r...

Countries:United States
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07579351primaryCompletionDate: changed
LOWMay 24, 2026NCT07579351studyFirstPostDate: changed
LOWMay 21, 2026NCT07579351NEW_TRIAL: changed
LOWMay 21, 2026NCT07579351NEW_TRIAL: changed