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VX-993

Phase 2

Acute Pain | Small molecule | Pain |Vertex Pharmaceuticals Incorporated|Last Updated: May 28, 2026

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 Trials1
Total Enrollment367
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06619847A Study Evaluating Efficacy and Safety of VX-993 for Acute Pain After a BunionectomyPHASE2 COMPLETED 367Oct 29, 2024May 27, 2025May 28, 202614 United States
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Study Endpoints
Primary Endpoints
Time-weighted Sum of Pain Intensity Difference (SPID) as Recorded on the Numeric Pain Rating Scale (NPRS) From 0 to 48 Hours (SPID48)
From 0 to 48 Hours After the First Dose of Study Drug
Secondary Endpoints
Proportion of Participants With Greater Than or Equal To (>=) 30 Percent (%) Reduction in NPRS at 48 Hours
At 48 Hours After the First Dose of Study Drug
Proportion of Participants With >=50% Reduction in NPRS at 48 Hours
At 48 Hours After the First Dose of Study Drug
Proportion of Participants With >=70% Reduction in NPRS at 48 Hours
At 48 Hours After the First Dose of Study Drug
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
VX-993EXPERIMENTALParticipants will be randomized to receive different dose levels of VX-993.
Hydrocodone bitartrate/acetaminophen (HB/APAP)ACTIVE_COMPARATORParticipants will be randomized to receive HB/APAP.
PlaceboPLACEBO_COMPARATORParticipants will be randomized to receive placebo matched to VX-993 and HB/APAP
Interventions
NameTypeDescription
VX-993DRUGTablets for oral administration.
HB/APAPDRUGCapsules for oral administration.
Placebo (matched to VX-993)DRUGPlacebo matched to VX-993 for oral administration.
Placebo (matched to HB/APAP)DRUGPlacebo matched to HB/APAP for oral administration.
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites14

Key Inclusion Criteria: Before Surgery: * Participant scheduled to undergo a primary unilateral bunionectomy with distal first metatarsal osteotomy (i.e., Austin procedure) and internal fixation under regional anesthesia (Mayo block) After Surgery: * Participant is lucid and able to follow comma...

Countries:United States
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