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Rowbotham MC et al. – ABT–594 is a neuronal nicotinic acetylcholine receptor (NNR) agonist that exhibits potent analgesic activity in preclinical models of acute, chronic, and neuropathic pain...The proportion of patients achieving at least a 50% improvement in the average diary–based PRS was greater in all three ABT–594 treatment groups. However, adverse event (AE) dropout rates were significantly higher in all three ABT–594 treatment groups (28% for 150 microg BID, 46% for 225 microgg BID, and 66% for 300 microgg BID) than for the placebo group (9%). Consistent with the expected side–effect profile of NNR agonists, the most frequently reported AEs were nausea, dizziness, vomiting, abnormal dreams, and asthenia. This study establishes proof of concept for NNR agonists as a new class of compounds for treating neuropathic pain.

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