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<h1> Early Phase Pain Investigation Clinical Network (EPPIC-Net) </h1>
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<p><strong>Research Spotlights</strong></p>
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<a href="/news/stories/eppic-net-effective-pain-treatments" aria-label="The Search for New, More Targeted Pain Treatments">
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The Search for New, More Targeted Pain Treatments
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<h2>Overview</h2>
<h3>The Research Need</h3>
<p>The Early Phase Pain Investigation Clinical Network (EPPIC-Net) seeks to enhance the treatment of acute and chronic pain and reduce reliance on opioids by accelerating early-phase clinical trials of non-addictive treatments for pain.</p>
<h3>About the Program</h3>
<p>EPPIC-Net has the capacity to quickly and efficiently conduct many simultaneous multisite studies. The network will conduct studies on a variety of treatments, including drugs and devices, as well as studies to better understand pain.</p>
<p>EPPIC-Net will:</p>
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<li>Test new pain treatments (e.g., small molecules, biologics, devices) with go/no-go criteria in early-stage trials to move toward efficacy trials for regulatory approval.</li>
<li>Provide proof-of-concept clinical testing of potential biomarkers and new treatments to help identify specific pathways or mechanisms that hold promise for future therapeutic development.</li>
<li>Validate biomarkers for utility in assessing target engagement or pain outcomes that could be used to accelerate development of new, non-addictive pain therapies.</li>
<li>Develop and test innovative clinical trial paradigms to evaluate pain therapies.</li>
<li>Establish well-characterized patient cohorts with specific pain conditions and clearly defined outcome measures for early-stage trials.</li>
<li>Continuously learn from experience to engineer adaptive, ever-improving early-phase testing of new pain therapies.</li>
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<p>EPPIC-Net supports clinical trials focused on:</p>
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<li>Investigational drugs and biologics, investigational devices, natural products, and surgical procedures for the treatment of pain.</li>
<li>Deeply phenotyped patients with pain conditions of high unmet need.</li>
<li>Drugs or devices with strong potential to move to industry-funded Phase 3 efficacy trials, should the early-phase study achieve the prespecified endpoints.</li>
</ul>
<p>EPPIC-Net interfaces with the National Institute of Arthritis and Musculoskeletal and Skin Diseases <a href="https://www.niams.nih.gov/grants-funding/funded-research/nih-back-pain-consortium-bacpac-research-program">Back Pain Consortium (BACPAC)</a> Research Program to study how people with different types of back pain respond to specific interventions.</p>
<p><a href="https://heal.nih.gov/research/clinical-research/back-pain">Learn more about how the Helping to End Addiction Long-term<sup>®</sup> Initiative, or NIH HEAL Initiative<sup>®</sup> is involved in BACPAC</a>.</p>
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<h2>Open Funding Opportunities </h2>
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<p>&nbsp;</p><h2>Research Examples</h2><p>The awards support a network to advance new treatments for pain by conducting early-phase clinical trials with adults and children. Currently funded trials include:</p><ul><li>In EPPIC-Nets first Phase 2 clinical trial, researchers will test the novel oral drug CNTX-6970 in patients who experience moderate to&nbsp;<a href="https://reporter.nih.gov/project-details/10352674">severe knee osteoarthritis pain</a>. Preclinical studies of CNTX-6970 have demonstrated potent analgesia in multiple pain models.</li><li>Currently one&nbsp;EPPIC-Net clinical trial is underway to address diabetic neuropathy. Many patients with diabetic peripheral neuropathy find the sensory loss itself uncomfortable; however, some patients report pain due to their diabetic peripheral neuropathy, referred to as painful diabetic peripheral neuropathy. Despite the availability of off-label treatment options, many patients with diabetic peripheral neuropathy still experience significant pain, and thus more effective, non-addictive options are needed.<ul><li>One EPPIC-Net trial will further development of NRD135S.E1, an oral analgesic therapeutic candidate which has been well tolerated and shown clinically relevant benefit in early clinical studies.</li></ul></li></ul>
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<h3>Specialized Clinical Centers</h3>
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<li><strong>Duke University</strong> North Carolina</li>
<li><strong>Icahn School of Medicine at Mount Sinai</strong> New York</li>
<li><strong>Massachusetts General Hospital</strong> Massachusetts</li>
<li><strong>Medical College of Wisconsin </strong> Wisconsin</li>
<li><strong>Medical University of South Carolina</strong> South Carolina</li>
<li><strong>New York University School of Medicine</strong> New York</li>
<li><strong>University of California, San Diego</strong> California</li>
<li><strong>University of Florida</strong> Florida</li>
<li><strong>University of Pennsylvania</strong> Pennsylvania</li>
<li><strong>University of Pittsburgh at Pittsburgh</strong> Pennsylvania</li>
<li><strong>University of Rochester</strong> New York</li>
<li><strong>University of Washington </strong> Washington</li>
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<h3>Clinical Coordinating Center</h3>
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<li><strong>Massachusetts General Hospital</strong> Massachusetts</li>
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<h3>Data Coordinating Center</h3>
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<li><strong>New York University School of Medicine</strong> New York</li>
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2025
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University of Pittsburgh Hub and Spoke Pain Clinical Trial Network
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2025
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The Icahn School of Medicine at Mount Sinai (ISMMS) EPPIC-Net Specialized Clinical Center
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2025
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California Clinical and Translational Pain Research Consortium
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2025
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EPPIC-NET DCC - Supplement
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2025
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EPPIC-Net Hub at University of Washington
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Feb 25, 2025
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<ul><li><a href="http://www.nci.nih.gov/">National Cancer Institute (NCI)</a></li><li><a href="http://www.nccam.nih.gov/">National Center for Complementary and Integrative Health (NCCIH)</a></li><li><a href="http://www.niams.nih.gov/">National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)</a></li><li><a href="http://www.niddk.nih.gov/">National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)</a></li><li><a href="https://www.ninds.nih.gov/">National Institute of Neurological Disorders and Stroke (NINDS)</a></li></ul>
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Contact
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<p><a href="https://www.ninds.nih.gov/about-ninds/who-we-are/staff-directory/rebecca-hommer">Rebecca Hommer</a><br>NINDS</p>
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<p><div class="card gradient"><p><em>EPPIC-Net is <strong>NOT </strong>currently accepting new applications. Announcements regarding updates to the EPPIC-Net application process and any other relevant HEAL funding opportunities will be posted here as they become available.</em></p></div></p>
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