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Suzetrigine for the Treatment of Acute Pain: Reply

Todd Bertoch, Carmen Bozic, S. Weiner

Anesthesiology, 2025

3,000 participants · 1 citation

Abstract

In Reply: We thank Milam et al., Siddiqui et al., and Xiang et al. for their commentary.1–3 The phase 3 randomized controlled trials of suzetrigine for moderate-to-severe acute pain after abdominoplasty and bunionectomy had significant representation of Black/African American (abdominoplasty, 299 of 1,118; bunionectomy, 260 of 1,073) and Hispanic/Latino participants (abdominoplasty, 380 of 1,118; bunionectomy, 364 of 1,073).4 While our studies were not designed to detect differences within subgroups, ad hoc analyses demonstrated that the efficacy of suzetrigine compared to placebo (measured by sum of the pain intensity difference in numeric pain rating scale from 0 to 48 h [SPID48], primary endpoint) was generally consistent across racial and ethnic subgroups. In a study by McCoun et al., involving diverse surgical and nonsurgical pain conditions, participants’ perception of suzetrigine’s effectiveness in managing pain at the end of treatment (assessed by the proportion of participants reporting good, very good, or excellent pain relief) was similar among White (84%, 180 of 214), Black/African American (79%, 27 of 34), and Hispanic/Latino (83%, 90 of 108) participants.5 With regard to sex, our bunionectomy study, which enrolled a sufficient number of males, showed that SPID48 was similar in male and female participants.4 Further, suzetrigine’s effectiveness was similar in male (80%, 66 of 83) and female (85%, 147 of 173) participants in the McCoun et al. study.5 Literature…

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Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 3,000 participants or records.

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