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TNX-102 SL

Phase 3

Primary Fibromyalgia | Small molecule | Musculoskeletal |Tonix Pharmaceuticals Holding Corp.|Last Updated: Feb 20, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment738
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02589275A 3-Month Open-Label Safety and Efficacy Study of TNX-102 SL Tablets in Fibromyalgia PatientsPHASE3 COMPLETED 375Aug 4, 2015Sep 28, 2016Feb 20, 202533 United States
NCT0201523412-Month Open-Label Long-term Safety Study of TNX-102 SL Tablets in Fibromyalgia PatientsPHASE3 COMPLETED 158Dec 1, 2013Aug 1, 2015Jul 7, 201713 United States
NCT01903265BEdtime Sublingual TNX-102 SL as Fibromyalgia Intervention Therapy (BESTFIT)PHASE2 COMPLETED 205Sep 1, 2013Sep 1, 2014Dec 23, 201617 United States
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Study Endpoints
Primary Endpoints
Newly Emergent Adverse Events
Up to 3 months from first dose

The number of patients with at least one adverse event which began after the first dose of TNX-102 SL in this open-label extension study.

Newly-emergent Adverse Events (NEAEs) During Treatment With TNX-102 SL Tablets Taken Daily at Bedtime Over 12 Months in Patients With Fibromyalgia.
Up to 12 months

NEAEs and Serious Adverse events (SAEs) were collected and are coded using the latest version of the Medical Dictionary for Regulatory Activities (MedDRA).

Mean Change From Baseline in Weekly Average of Daily Pain Scores at Week 12
Baseline, Week 12

Daily pain scores were assessed using a 24-hour recall response provided by each patient via an interactive voice response system (IVRS) daily telephone diary. Average daily pain was measured using an 11-point (0-10) numerical rating scale (NRS), with higher scores representing worse pain. Jump to control was used to replace missing data in each treatment arm.

Secondary Endpoints
Change From Baseline in Numerical Rating Scale (NRS) Assessments of Average Pain Based on 24 Hour Recall
Months 1, 3, 6, 9 and 12.
Change From Baseline in Numerical Rating Scale (NRS) Assessments of Average Pain Based on a 7 Day Recall
Month 1, 3, 6, 9, 12
Responder Analysis of Patient's Global Impression of Change (PGIC)
Months 1, 3, 6, 9, 12
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TNX-102 SL Tablet 2.8 mgEXPERIMENTAL1x TNX-102 SL 2.8 mg sublingual tablet taken daily at bedtime for 3 months
TNX-102 SLEXPERIMENTAL1x TNX-102 SL 2.8 mg sublingual tablet taken daily at bedtime for 12 months
TNX-102 SL 2.8 mgEXPERIMENTALPatients will take 1 tablet of TNX-102 SL sublingually each day at bedtime for 12 weeks.
PlaceboPLACEBO_COMPARATORPatients will take 1 tablet of placebo sublingually each day at bedtime for 12 weeks.
Interventions
NameTypeDescription
TNX-102 SL Tablet 2.8 mgDRUGTNX-102 SL 2.8 mg tablet taken daily at bedtime
TNX-102 SLDRUGTNX-102 SL 2.8 mg taken daily at bedtime.
TNX-102 SL 2.8mgDRUGPatients will take 1 tablet of randomly assigned study drug sublingually each day at bedtime starting on Day 0 for 12 weeks.
PlaceboDRUGPatients will take 1 tablet of randomly assigned study drug sublingually each day at bedtime starting on Day 0 for 12 weeks.
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites33

Inclusion Criteria: * The patient met all prior inclusion and exclusion requirements for study F301 or F302 originally, and has had no intervening medical conditions, increased suicidal ideation, or requirements for concomitant medications that preclude exposure to TNX-102 SL or enrollment in the e...

Countries:United States
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