TheraRadar
Data updated: May 26, 2026

QUTENZA (capsaicin)

Trial Activity: Declining 1 active trials
Pain Approved 2009-11-16

QUTENZA is indicated for the treatment of Neuropathic Pain; Postherpetic Neuralgia; Diabetic Peripheral Neuropathy.

Source: FDA Label • AVERITAS

How QUTENZA Works

Capsaicin acts as an agonist for the transient receptor potential vanilloid 1 (TRPV1) receptor, an ion channel-receptor complex located on pain-sensing nerve fibers in the skin. Topical administration initially stimulates these cutaneous nociceptors, which may be associated with painful sensations. This process is followed by pain relief mediated by a reduction in TRPV1-expressing nerve endings, which lasts until the nerve fibers eventually reinnervate the treated area.

Development Insights

Universitaire Ziekenhuizen KU Leuven conducting 3 trials (10%)
36 indications explored (Broad Platform)
healthy (3 trials)
pain (3 trials)
chemotherapy-induced peripheral neuropathy (1 trials)
2
Indications
--
Phase 3 Trials
16
Years on Market

Details

Status
Prescription
First Approved
2009-11-16
Patent Cliff
2030

Pro Metrics

Patent cliff and revenue data

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Routes
TOPICAL
Dosage Forms
PATCH

Companies

Active Ingredient: CAPSAICIN

QUTENZA Approval History

2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
10 FDA actions from 2009 to 2024 · 1 indication expansions
Jul 2024 SUPPL
Label · Labeling
Feb 2023 SUPPL
Label · Labeling
Aug 2022 SUPPL
Label · Labeling

What QUTENZA Treats

3 indications

QUTENZA is approved for 3 conditions since its original approval in 2009. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Neuropathic Pain
  • Postherpetic Neuralgia
  • Diabetic Peripheral Neuropathy
Source: FDA Label

QUTENZA Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

Indication competitors

4

Same indication, different mechanism — what else might this patient receive?

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to QUTENZA

3 of 8

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

LYRICA
PREGABALIN
3 shared
CP PHARMS
Shared indications:
Neuropathic PainDiabetic Peripheral NeuropathyPostherpetic Neuralgia
LYRICA CR
PREGABALIN
3 shared
UPJOHN
Shared indications:
Neuropathic PainDiabetic Peripheral NeuropathyPostherpetic Neuralgia
DRIZALMA SPRINKLE
DULOXETINE HYDROCHLORIDE
1 shared
Sun Pharma
Shared indications:
Diabetic Peripheral Neuropathy
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Clinical Trial Registry

30 trials
Trial Sponsor ID Phase Status Title
NCT03794388 CAPTRANE results posted ICO-A-2018-10 Ph 3 completed Evaluation in the Treatment of Neuropathic Pain Post Breast Surgery
NCT05840562 CAPNEUCHIM ICO-2022-02 Ph 3 recruiting Capsaicin 179 mg Patch Versus Oral Duloxetine in Patients With Chemotherapy-induced Peripheral Neuropathy
NCT06809569 0000-420 MK-0000-420 Ph 1 completed A Study to Evaluate Laser Speckle Contrast Imaging to Assess Changes in Chemical Agent-Induced Skin Blood Flow in Healthy Participants (MK-0000-420)
NCT04283292 21957 Ph 4 completed Capsaicin for the Treatment of Cannabinoid Hyperemesis Syndrome
NCT05298202 results posted 0192-22-FB Ph 4 completed The Influence of Capsaicin Gel During Exercise Within the Heat
NCT01393795 CRO1824 Ph 2 completed Qutenza®-Remodulin® in Pulmonary Arterial Hypertension Patients
NCT05543837 CCPA 2022-E-20 Ph 2 completed Capsaicin for Cerebral Perfusion Augmentation
NCT04918069 CapCIN 11995 Ph 2 completed Capsaicin to Prevent Delayed Chemotherapy Induced Nausea and Vomiting (CapCIN)
NCT03317613 CAPSONCO 2017-0304 2017-002476-11 Ph 2 completed Clinical Trial Assessing the Efficacy of Capsaicin Patch (Qutenza®) in Cancer Patients With Neuropathic Pain
NCT05029297 ITHUEC-CAP/10-5 Ph 3 completed Study With Two Capsaicin Topic Treatments in Diabetic Neuropathy.
NCT00771511 AAAD5899 Ph 4 withdrawn Cervical Capsaicin for Labor Induction and Pain Relief
NCT02288156 results posted TBM Ph 4 completed Elaboration of Patient-friendly Treatment Strategy With Capsaicin Nasal Spray in Patients With Idiopathic Rhinitis
NCT03122145 results posted IRB201700132 - A Ph 1, Ph 2 completed Normal Breathing and Swallowing in Healthy Volunteers
NCT04545892 Cap1 Ph 1 completed Capsaicin for Cerebral Perfusion Augmentation.
NCT02493257 results posted HSC-MS-14-0173 Ph 2 completed Intranasal Capsaicin Treatment for Non-Allergic Irritant Rhinitis
NCT02700815 results posted 1358.1 2015-000404-25 Ph 3 completed Capsaicin + Diclofenac Gel in Acute Back Pain or Neck Pain
NCT03472677 CNTX-4975i-OA-101 Ph 1 completed The Effect of Injection Site Cooling on Pain Experienced After the Administration of CNTX-4975-05 Into the Knee
NCT03576508 CNTX-4975i-OA-102 Ph 1 completed A Study to Compare Levels of Capsaicin After Intra-Articular Injection and Topical Application in Patients With Painful Knee Osteoarthritis
NCT00655811 results posted 00003739 Ph 4 completed Ethnic Differences in Response to Topical Capsaicin: A Psychophysical Study on Healthy Subjects
NCT01713426 ELEVATE QTZ-EC-0004 2011-005872-41 Ph 4 completed A Study to Compare QUTENZA With Pregabalin for the Treatment of Peripheral Neuropathic Pain (PNP) After 8 Weeks of Treatment
NCT01416116 LIFT QTZ-EC-0002 2010-023258-34 Ph 4 completed Method of Pre-treatment for Application of QUTENZA Capsaicin 8% Patch
NCT01252160 STRIDE E05-CL-3001 2009-016457-18 Ph 4 completed Safety and Effectiveness of Repeated Administration of QUTENZA Patches for Treatment of Pain Caused by Nerve Damage
NCT02183519 results posted IRB201400477 Ph 1, Ph 2 completed Respiratory Kinematics of Cough in Healthy Older Adults and Parkinson's Disease
NCT00795106 08-1014.01 Ph 2 withdrawn Trial to Evaluate the Efficacy of Topical Capsaicin to Reduce Pain and Improve Health-related Quality of Life in Adults With Chronic Myofascial Neck Pain
NCT02695745 VND1004 2011-002399-18 Ph 1 completed Experimental Biomarker Study for Pain Thresholds
NCT01478607 PACE E05-CL-3002 2009-016458-42 Ph 3 completed A Study to Evaluate the Long-term Safety of Repeated QUTENZA Administration for Treatment of Pain Caused by Nerve Damage in Diabetic Patients
NCT01231750 TOPCAP results posted UC 060559 Ph 3 terminated Efficacy of Topical Capsaicin Cream for Stable Angina
NCT01862523 mucosal potentials in the nose Ph 4 completed Mechanisms of Capsaicin Treatment in Idiopathic Rhinitis Patients and Controls
NCT00993070 MTU-I-1-45/52 Ph 2, Ph 3 completed Efficacy and Safety Study of Topical Capsaicin in Painful Diabetic Neuropathy
NCT01223820 Nasal Capsaicin treatment Ph 4 completed Neuro-immunological Analysis of Idiopathic Rhinitis Patients and Controls Treated With Capsaicin.
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

QUTENZA FDA Label Details

Indications & Usage

FDA Label (PDF)

QUTENZA is indicated for the treatment of Neuropathic Pain; Postherpetic Neuralgia; Diabetic Peripheral Neuropathy.

View full patent landscape →
2 OB patents · 2 families · 90 international docs across 29 countries

QUTENZA Patents & Exclusivity

Latest Patent: Mar 2030

Patents (2 active)

US8821920 Expires Mar 26, 2030
US9226903 Expires Dec 15, 2028
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for QUTENZA

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2030
  • 2 active patents

Trial Analysis

  • 31 total trials
  • Stage: Declining

Competitive Landscape

  • 8 similar drugs
  • Same target/indication analysis
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Full approval history • All patents • Revenue trends • Competitor analysis

Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment