September 28-29
, 2026
San Francisco Bay Area, CA USA

2026 Conference Agenda

Pain Therapeutics Summit 2026 — Agenda

Monday, September 28, 2026

7:15AM

Registration & Breakfast

8:00AM

Chairperson's Opening Remarks

Chairperson
President, NorthStar Consulting
8:10AM

Challenges, Opportunities, and Innovation in Pain Medicine

This presentation will explore key challenges in pain research, including gaps in mechanistic understanding—particularly in the transition to chronic pain—and the limited translation of preclinical findings to humans. It will also address the complexity and heterogeneity of pain driven by genetic, psychological, and environmental factors.

The discussion will highlight emerging technologies enabling multi-level insights into pain biology, from molecular and cellular models to circuit-level analysis and real-world behavioral data. A focus will be placed on biomarker development for risk identification, prediction of therapeutic response, and personalized treatment, along with the growing role of artificial intelligence in objective pain assessment and target discovery.

Finally, the presentation will examine advances in therapeutics, including mechanism-based drugs and device-based interventions such as closed-loop neuromodulation and wearable biosensors, and how these innovations are contributing to the shift toward precision pain medicine.

Professor of Anesthesiology; Medical Director of the Cleveland Clinic Consortium for Pain, Cleveland Clinic
8:30AM

Beyond Analgesic Effects: Using PKPD Modeling to Unlock the Full Potential of Experimental Pain Studies

At CHDR, the PainCart is used in early phase clinical research to characterize the pharmacodynamic effects of novel analgesic compounds. Experimental pain models can provide early evidence of analgesic activity, but their full potential is not always captured by conventional statistical analyses. This talk will explore how pharmacokinetic-pharmacodynamic (PKPD) modelling can be used to better characterize exposure–response relationships and extract more information from experimental pain data. Using examples from a Nav1.8 inhibitor and an S1P1 receptor modulator, we will illustrate how PKPD modelling can quantify the magnitude and time course of analgesic effects, account for variability and delays in drug effect, and support dose selection and predictions for further clinical development.

Research Director Pain, Centre for Human Drug Research (CHDR); Head of Pain Clinic, Leiden University Medical Center
8:50AM

The Orphan Receptors GPR63 and GPR153 Promote Pathological Pain Relief by Suppressing Microglial Inflammatory Activation

Orphan receptors represent a rich and untapped source of therapeutic potential in pain and other diseases. Through our work, we've discovered that the novel orphan receptors GPR63 and GPR153 act as a previously-unknown feedback loop in microglia that restrains microglial pro-inflammatory activation. In this presentation we demonstrate their role in promoting pain relief in pathological pain states like post-surgical pain and chemotherapy-induced neuropathy, and evidence that these receptors modulate microglial activation state and the secretion of pro-inflammatory cytokines. We further demonstrate our screening efforts to discover the first known ligands for these receptors. Our studies thus promise to uncover a new receptor regulator of microglia and pathological pain which could provide new therapeutic targets for future exploitation.

Professor, Pharmacology, College of Medicine, University of Arizona
9:10AM

VER-01: A First-In-Class Therapy for Chronic Low Back Pain – Presenting Data from Two Pivotal Phase III Trials

Chronic low back pain is the most prevalent chronic pain condition worldwide, yet effective long-term treatment remains elusive. For many people living with chronic pain, opioids remain the only pharmacological treatment option, however, they often fail to provide adequate relief and carry significant risks. Patients with a neuropathic pain component are among the hardest to treat and most underserved. VERTANICAL has developed VER-01, an innovative, first-in-class therapy for chronic pain. In two pivotal Phase 3 trials, VER-01 delivered highly significant pain reduction in chronic low back pain and demonstrated superior efficacy and safety compared to opioids, with no evidence of dependence or abuse. This presentation will review the clinical evidence for VER-01, with a focus on patients with a neuropathic pain component.

Chief Executive Officer, VERTANICAL
9:30AM

BupiZenge, a Bupivacaine Lozenge for Oral Mucositis Pain in Head and Neck Cancer: A Phase III Trial in Progress

Most patients receiving curative-intent radiotherapy for head and neck cancer develop oral mucositis, and approximately half experience severe (WHO Grade 3–4) disease. The resulting oral pain impairs swallowing and oral intake and can force interruptions in potentially curative treatment, yet current topical management with viscous lidocaine offers only short-lived relief, leaving many patients dependent on opioids. OncoZenge has developed BupiZenge, a locally acting bupivacaine lozenge designed to deliver extended analgesia directly at the site of injury. Across four completed Phase I and II studies with 122 exposed subjects, BupiZenge demonstrated a favorable safety profile with systemic exposure well below toxic thresholds, and in a randomized Phase II study it outperformed viscous lidocaine in pain reduction. This presentation will review the rationale for the program and the design of an ongoing randomized, open-label Phase III trial comparing BupiZenge with viscous lidocaine, including an update on patient enrollment.

Chief Medical Officer, OncoZenge AB
9:50AM

Refreshment Break — Exhibit Viewing & Poster Session

10:20AM
Panel

The NIH Pain Therapeutics Development Program (PTDP)

The NIH HEAL Initiative® is a trans-NIH effort to combat the opioid crisis through research on misuse, addiction, and pain management. Within it, the Pain Therapeutics Development Program (PTDP) accelerates the discovery of safe, effective, non-addictive pain treatments by de-risking innovative non-opioid therapies and advancing them toward the clinic. This introduction is followed by PTDP-supported presenters sharing updates on their projects.

Program Director, HEAL Pain Therapeutics Development Program, Division of Translational Research, NINDS, National Institutes of Health

Anesthetic Eluting Bandage Contact Lens for Corneal Pain

Corneal epithelial wounds cause severe ocular pain often treated with oral opioids. Anesthetic eye drops relieve pain but last only about 20 minutes and risk overuse and delayed healing, so they aren't prescribed for self-administration. We developed tetracaine-eluting contact lenses as a longer-acting alternative, and will describe their design, safety, and efficacy.

Professor of Ophthalmology, Harvard Medical School

Development of MMP-9 Inhibitory Monoclonal Antibodies to Relieve Neuropathic Pain

Diabetic peripheral neuropathy (DPN) has no effective disease-modifying treatment. Because matrix metalloproteinase-9 (MMP-9) drives the neuroinflammation behind neuropathy, we developed selective, potent, stable monoclonal antibodies that inhibit it. In type I and type II diabetes mouse models, these antibodies reduced mechanical and cold pain, restored wound healing, and limited nerve fiber degeneration — offering strong translational evidence for a disease-modifying DPN therapy.

Professor of Molecular Medicine, University of Texas Health Science Center, Houston

Development of Angiotensin AT2 Inhibitors for Neuropathic Pain Relief

Targeting pain in peripheral nerves enables effective analgesia while avoiding CNS-mediated side effects and addiction. AT2 receptor antagonists are thought to relieve pain by dampening immune activity near nerve injury. Using a structure-based discovery platform, we identified and optimized a novel series of potent, peripherally-targeted AT2R antagonists. We will describe our lead compound's safety and efficacy in rodent neuropathic pain models, along with PK/PD and toxicity studies, as it advances toward IND-enabling work.

Assistant Professor, The University of Texas MD Anderson Cancer Center & The University of Southern California
11:40AM

Beyond the Pain Score: Understanding Rescue Use in Analgesic Trials

Chief Medical Officer for Pain, Cenexel
12:00PM

From Preclinical Translation to Clinical Strategy: Advancing a First-in-Class Non-Opioid Analgesic Across Multiple Indications

EicOsis is developing EC5026, a first-in-class oral inhibitor of soluble epoxide hydrolase (sEH), to stabilize endogenous epoxy fatty acids (EpFAs) that regulate inflammation, nociceptive signaling, and tissue homeostasis. We are initiating parallel clinical development programs in inflammatory and neuropathic pain that are informed by preclinical efficacy data, translatable PK/PD relationships, and lipidomic biomarkers of target engagement that guide dose selection and endpoint strategy.

Early clinical data with EC5026 demonstrate a favorable safety profile, pharmacokinetics supportive of once-daily oral dosing, and biomarker evidence of pathway modulation aligned with preclinical findings. This presentation will highlight our translational approach to clinical development, with a focus on a multi-indication strategy designed to enable cross-indication learning and support a more efficient path to regulatory approval.

Co-founder & Chief Executive Officer, EicOsis
12:20PM

Lunch

1:20PM

Innovating Trial Design in a Double-Masked, Randomized Trial of Psilocybin for Chronic Low Back Pain

In this presentation, we will give an overview of the trial design and preliminary findings from a 30-participant trial of psilocybin for the treatment of chronic low back pain. To improve upon previous attempts at masking the study arm allocation, we implemented participant-authorized incomplete disclosure of the trial design. Participants were informed of the potential dose-range for psilocybin (1-30mg) and that up to 2 other medications, zolpidem (10mg) and modafinil (200mg), would be co-administered with their dose of psilocybin. We will present preliminary outcomes including reductions in pain interference, as well as detailed masking assessments.

Associate Professor of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine
Associate Professor, Psychiatry, The University of California San Francisco
1:45PM

The State of Pain Therapeutics Investing: What's Changed and Where Capital is Flowing in 2026

Managing General Partner, Mission BioCapital
2:05PM

Recent Challenges and Considerations in Assessing Abuse Potential of Novel Analgesics

New analgesics with novel mechanisms of action require a comprehensive abuse potential assessment to assist with scheduling and labeling decisions. Methods and approaches to more fully and accurately characterize the abuse potential of novel drugs have evolved since the 2017 FDA Guidance Assessment of the Abuse Potential of Drugs was issued. This talk will cover lessons learned since the guidance was published, including those identified by FDA's Controlled Substance Staff at scientific conferences and routine meetings with FDA. Specifically, the talk will detail areas such as dedicated animal studies, abuse-related adverse event collection in clinical studies, respiratory depression models, and assessing physical dependence. In addition, recommendations for emphasizing the public health benefits of a new drug in the Eight Factor Analysis (8FA) will be provided, and assessing the abuse potential of biologic analgesics will also be briefly covered.

Associate, Pinney Associates
2:25PM
Panel

Placebo Responses in Pain Research: Evolving Perspectives and Clinical Implications

This panel session will explore the evolving understanding of placebo responses in pain research and clinical development. Panelists will discuss how perceptions of the “placebo problem” have changed over time, the biological and psychological mechanisms underlying placebo effects, and the growing recognition of placebo responses as an important component of patient outcomes rather than simply a barrier to drug development. The discussion will also examine the implications for clinical trial design, endpoint selection, patient engagement, and the interpretation of efficacy data in pain therapeutics research.

Neuroscience Clinical Consultant
Chief Medical Officer for Pain, Cenexel
Professor of Neurology, Albany Medical College
3:05PM

Development of Novel Injectable Steroid Formulation with Extended Local Effect for Treatment of Lumbosacral Radicular Pain

This presentation will discuss the development of a novel injectable steroid formulation designed to provide an extended local therapeutic effect for the treatment of lumbosacral radicular pain. Topics will include the formulation’s pharmacokinetic and pharmacodynamic profile, clinical trial design challenges in subacute pain, experience from a Phase 3 registrational trial, key safety and efficacy findings, and an update on the ongoing second Phase 3 study with investigative sites in India and the United States.

Chief Medical Officer, Scilex Holding Company
3:25PM

Refreshment Break — Exhibit Viewing & Poster Session

3:55PM

Engineering Intranasal Kappa Opioid Receptor Antagonist Nanotherapeutics to Prevent Pain-Induced Negative Affect

Although opioid analgesics remain effective for pain management, their long-term use is associated with significant adverse effects, including tolerance, hyperalgesia, opioid misuse, and opioid use disorder, limiting their utility in chronic pain treatment. Endogenous opioid peptide systems regulate not only pain signaling but also reward, motivation, and affect, making them promising targets for safer analgesic development. Dr. Jose Morón-Concepción will present preclinical research identifying the dynorphin/kappa opioid receptor (KOR) system as a key driver of pain-induced negative affect and increased opioid vulnerability. The presentation will highlight innovative brain-targeted therapeutic approaches, including intranasal and nanoliposome-based delivery systems carrying KOR antagonists, designed to selectively modulate KOR signaling while minimizing systemic exposure and adverse effects. Together, these findings provide a translational framework for developing next-generation, non-addictive therapies that address chronic pain, negative affect, and opioid misuse risk.

Henry E. Mallinckrodt Prof. of Anesthesiology; Chief, Div. of Basic Research in Anesthesiology; Prof. of Psychiatry & Neuroscience, Washington University
4:15PM
Panel

Pain Biomarkers: Advancing Pain Therapeutics Development, Clinical Trials, and Patient Care

The field of pain biomarkers continues to evolve rapidly, offering new opportunities to improve the understanding, assessment, and treatment of pain across a wide range of conditions. This session will provide a picture of emerging research and translational advances related to biomarkers in pain therapeutics development, clinical trial design, patient stratification, treatment response, and real-world patient care. Discussions may include molecular, imaging, digital, physiological, and other biomarker approaches that have the potential to enhance precision medicine strategies, support therapeutic development, and improve outcomes for patients living with acute and chronic pain.

Program Director, National Institute of Neurological Disorders & Stroke, National Institutes of Health

From Signals to Signatures: Mechanistic Science and Digital Monitoring in Pain Care

Professor of Anesthesiology, Perioperative, and Pain Medicine (Pediatric), Stanford University School of Medicine

Digital Measures of Pain and Mobility Impairments in Knee Osteoarthritis

Associate Professor, Department of Physical Therapy, Boston University

Longitudinal Multi-omics Analyses of Chemotherapy-induced Peripheral Neuropathy in Response to Taxanes

Adjunct Professor, Department of Biomedical Engineering, University of Texas MD Anderson Cancer Center & The University of Arizona
5:25PM

Networking Reception

Tuesday, September 29, 2026

8:00AM

Breakfast

8:35AM

Chairperson's Opening Remarks

Chairperson
President, NorthStar Consulting
8:40AM

Without a Report Card, How do We Improve? A Look at Site Metrics

One of the “hot topics” at recent Arrowhead Pain Therapeutic Summit meetings has been the placebo response at individual sites, and more broadly how sites can see their own results in order to improve with their next trial. In this presentation, we will review several different site metrics, covering efficacy, safety, and compliance, and wrapping up in a discussion of ways that sites can improve over time and build on the experience of conducting multiple trials. We will also discuss the Sponsor’s obligation to the sites, and hopefully may start a new necessary step in the cycle of clinical trials.

Chief Medical Officer, Cali Biosciences
9:00AM

Placebo Response, Mitigation and Procedural Integrity

This talk focuses on practical strategies investigators can use to mitigate placebo responses and ensure high procedural integrity in clinical trial execution. It highlights how study conduct, patient interactions, and site workflows can significantly influence placebo effects and trial outcomes. Ensuring procedural integrity is critical when study outcomes depend upon accurate placement of the investigational product. Together, these best practices are designed to improve data quality, strengthen treatment signal detection, and support the generation of reliable, regulatory-grade clinical evidence.

Co-President Acute & Chronic Pain, Evolution Research Group
Co-President Acute & Chronic Pain, Evolution Research Group
9:25AM

Development of BTB-101, a Novel α2B Adrenergic Receptor Antagonist for the Treatment of Pain

BTB-101 is a selective presynaptic α2B adrenergic receptor antagonist that specifically promotes norepinephrine release in the spinal dorsal horn to produce its analgesic effects by stimulating the α2A adrenergic receptor-dependent descending pain inhibitory pathway. The characterization of BTB-101's mechanism of action, it's analgesic effects in a broad range of animal models, and the results of safety assessments both nonclinically and clinically will be discussed in this presentation.

Chief Development Officer, BTB Therapeutics
9:45AM

ENA-001 for Safer and More Effective Postoperative Pain Management

Postoperative patients frequently experience respiratory complications related to opioid-based pain management, with studies suggesting that up to 50% develop episodes of opioid-induced respiratory instability. These events can increase morbidity, prolong hospitalization, and complicate pain management.

ENA-001 is a first-in-class ventilatory modulator that stimulates the carotid bodies and has shown promise in preventing and reversing respiratory depression without reducing analgesic efficacy. This presentation will highlight preclinical research and early clinical data demonstrating ENA-001's safety and effectiveness against opioid- and anesthetic-induced respiratory depression. Emerging data also suggest potential applications in reversing mixed-drug overdose states, supporting its development as a novel respiratory rescue therapy.

Chief Executive Officer, MediD Consultancy
10:05AM

Refreshment Break — Exhibit Viewing & Poster Session

10:35AM

Advancing Small-molecule ALOX15 Pathway Inhibitors for the Treatment of Chronic Pain

Kinoxis is advancing KNX101, a longer-acting inhibitor selected as its primary clinical candidate for chronic pain. Preclinical studies in established neuropathic pain demonstrate robust efficacy following acute and chronic dosing, with no evidence of tolerance after repeated treatment or abuse liability in testing conducted to date. Dr. Bowen will discuss how the company is integrating lipidomic measures of biochemical pathway engagement with fMRI and EEG markers of circuit engagement to guide dose selection, demonstrate biological activity in early clinical studies, and de-risk KNX101 ahead of clinical proof-of-concept testing.

Co-founder & Chief Scientific Officer, Kinoxis Therapeutics
10:55AM

New Pain Therapeutics Through NewCo Creation

Translating novel pain targets into funded drug development programs remains a significant challenge. This presentation will provide an overview of the approach to NewCo creation at Blackbird Laboratories from target selection through early incubation, company creation, preclinical development, and syndication. Blackbird Laboratories is a nonprofit life sciences incubator dedicated to transforming research breakthroughs into scalable, venture-ready biotech companies based in Baltimore, MD.

Venture Partner, Blackbird Laboratories
11:15AM

Advancing the Science of Analgesic Assessment in Chronic Musculoskeletal Disease

This presentation will examine how osteoarthritis analgesic trial methods have evolved over the past 25 years in response to advances in analgesic mechanisms, clinical endpoints, patient population definition, imaging criteria, and changing regulatory expectations. Using COX-2 inhibitors, anti-NGF therapies, and incretin analogues as recurring examples, the session will explore how study duration, population selection, imaging strategy, endpoint interpretation, placebo response, and assessment of clinical meaningfulness must be aligned with the biology of the intervention. Participants will gain an understanding of the methodological considerations associated with each therapeutic approach, including differences in treatment duration, onset of clinical benefit, and responder characterization. The presentation will also examine the strengths and limitations of clinical endpoints, imaging biomarkers, metabolic measures, and joint replacement outcomes for evaluating analgesic efficacy and assessing the potential for disease-modifying effects in osteoarthritis.

Vice President Lilly Neuroscience, Eli Lilly & Company
11:35AM

Reshaping the Way we Think and Conduct Clinical Trials in Chronic Pain

What will be presented here are a specific set of new hypothesis and critically important questions directed to the chronic pain community at large. Substantial evidence in the form of published research and collected clinical trial experiences over the past 3 decades, involving the Core Domains (Pain, Sleep, Mood, and Function) will be shared; This evidence is being offered up as a starting point for further debate and discussion, seeking a full revision of the manner in which we conduct clinical trials in chronic pain. The impact of this work, ie the irrefutable evidence which will be presented, is expected to lead to a resetting of consensus positions across, academics, industry, regulatory and special interest groups, all on behalf of our studies of chronic pain patients.

Vice President, Neuroscience, Medical Science & Strategy, PPD, part of Thermo Fisher
11:55AM

Lunch

12:55PM

The Cold Pressor Test: Insights, Applications, and Translational Limitations

The Cold Pressor Test (CPT) has become a staple in early-phase analgesic drug development. In this presentation, Dr. Christian Brett will review the physiological basis of the CPT, share practical site-level insights from early-phase clinical trials, and evaluate the translational limitations of the CPT in predicting clinical analgesic efficacy.

Senior Research Physician, New Zealand Clinical Research
1:15PM

Cold Pressor as a Pharmacodynamic Biomarker for NAV 1.8 Development

Chief Medical Officer, Latigo Biotherapeutics
1:35PM
Panel

Advancing Therapeutic Strategies for Trigeminal Neuralgia

Trigeminal neuralgia remains one of the most challenging and debilitating neuropathic pain conditions, with significant unmet need for safe and effective long-term treatments. This panel brings together leading experts to discuss emerging therapeutic approaches, including novel pharmacologic agents and targeted interventions. Panelists will share insights from their latest research, explore mechanisms underlying treatment response, and consider how new developments may shape the future of care for patients living with this condition.

Executive Director, The Facial Pain Research Association
Professor & Chair, Department of Anatomy, University of California San Francisco
Clinical Professor of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine
Associate Professor, Anesthesia, School of Medicine, University of California San Francisco
2:45PM

End of Conference

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