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Musculoskeletal pain, encompassing discomfort in muscles, bones, ligaments, and tendons, significantly affects mobility and quality of life. According to Can Chen et al., 2024, approximately 30% of older adults in nursing homes experience skeletal muscle pain, highlighting its widespread impact. Current therapies focus on analgesics, anti-inflammatory drugs, and novel biologics, with emerging research targeting disease-modifying and regenerative approaches. The growing focus on personalized and minimally invasive treatments is driving innovation in the pipeline. According to the musculoskeletal pain pipeline analysis by Expert Market Research, increasing prevalence, an aging population, and rising healthcare awareness are expected to fuel market growth in the coming years.
Major companies involved in the musculoskeletal pain pipeline analysis include Creative Medical Technology Holdings Inc., Contineum Therapeutics, and others.
Leading drugs currently in the pipeline include CELZ-201-DDT, PIPE-791, GNSC-001, and others.
The pipeline shows robust growth driven by innovative biologics, targeted gene therapies, and novel delivery systems, with increasing clinical trials focusing on chronic pain management and improved patient outcomes.
The Musculoskeletal Pain Pipeline Analysis Report by Expert Market Research gives comprehensive insights into musculoskeletal pain therapeutics currently undergoing clinical trials. It covers various aspects related to the details of each of these drugs under development for musculoskeletal pain. The musculoskeletal pain report assessment includes the analysis of over 100 pipeline drugs and 50+ companies. The musculoskeletal pain pipeline landscape will include an analysis based on efficacy and safety measure outcomes published for the trials, including their adverse effects on patients suffering from the condition, and alignment with musculoskeletal pain treatment guidelines to ensure optimal care practices.
The assessment part will include a detailed analysis of each drug, drug class, clinical studies, phase type, drug type, route of administration, and ongoing product development activities related to musculoskeletal pain.

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Musculoskeletal pain is a condition affecting muscles, bones, ligaments, tendons, and joints, often caused by injury, overuse, inflammation, or underlying medical disorders. It manifests as localized or widespread discomfort, stiffness, and limited mobility, impacting daily activities and quality of life.
Musculoskeletal pain treatments include pharmacological therapies, physical therapy, lifestyle modifications, and surgical interventions. Medications such as analgesics, anti-inflammatories, and muscle relaxants are commonly used to reduce pain, inflammation, and improve functional mobility in affected patients. In August 2025, Tonix Pharmaceuticals’ Tonmya™ (cyclobenzaprine HCl sublingual tablets) for Fibromyalgia, approved by the FDA, is a first-in-class, non-opioid bedtime analgesic demonstrating significant pain reduction in pivotal Phase 3 trials, offering rapid, well-tolerated relief with commercial availability expected in Q4 2025.
Epidemiological data indicate a high incidence of musculoskeletal pain across both elderly and young adult populations. According to Can Chen et al., 2024, skeletal muscle pain affects 30.20% of older adults in nursing homes, with back pain most common in individuals aged 80-90 years. As per Mohammed I. Alhumaidan et al., 2025, cohort studies among students report neck pain incidence of up to 46% annually, while lower back pain reaches 47%, largely associated with prolonged clinical activity and extended typing hours. Overall, the rising incidence underscores sustained demand for targeted drug development.
This section of the report covers the analysis of musculoskeletal pain drug candidates based on several segmentations, including:
By Phase
The pipeline assessment report covers 50+ drug analyses based on phase:
By Drug Class
The musculoskeletal pain pipeline analysis report covers 50+ drug analyses based on drug classes:
By Route of Administration
The pipeline assessment report covers 50+ drug analyses based on the route of administration:
The report covers phase I, phase II, phase III, phase IV, and early-phase drugs. The coverage includes an in-depth analysis of each drug across these phases. According to EMR analysis, phase IV accounts for 29.63%, covering a major share of the total musculoskeletal pain clinical trials, reflecting strong commercialization potential and near-term market expansion. Phase II holds 29%, driven by active efficacy validation. Phase III represents 24%, supporting regulatory readiness, while early-phase and Phase I programs contribute to innovation momentum and strengthen long-term pipeline sustainability in the musculoskeletal pain market.
The drug molecule categories covered under the musculoskeletal pain pipeline analysis include small molecules, monoclonal antibodies, gene therapies, peptides, and RNA-based molecules. The musculoskeletal pain report provides a comparative analysis of the drug classes for each drug in various phases of clinical trials for musculoskeletal pain. Non-opioid, targeted intradiscal therapies are gaining traction in the musculoskeletal pain drug pipeline to address underlying disease mechanisms. For instance, PP353, a novel intradiscal antibiotic injection developed by Persica Pharmaceuticals, is under clinical evaluation for chronic low back pain with Modic Type 1 changes. The therapy combines small-molecule antibiotic linezolid with a thermosensitive delivery system, enabling localized infection control and durable pain reduction without opioid dependence.
The EMR report for the musculoskeletal pain pipeline covers the profile of key companies involved in clinical trials and their drugs under development. It provides a detailed musculoskeletal pain therapeutic assessment, analyzing the competitive dynamics of the clinical trial landscape. Below is the list of a few players involved in musculoskeletal pain clinical trials:
This section covers the detailed analysis of each drug under multiple phases, including phase I, phase II, phase III, phase IV, and emerging drugs for musculoskeletal pain. It includes product description, trial ID, study type, drug class, mode of administration, and recruitment status of musculoskeletal pain drug candidates.
CELZ-201-DDT, sponsored by Creative Medical Technology Holdings Inc., is a regenerative stem cell-based therapy currently being evaluated for chronic lower back pain associated with degenerative disc disease (DDD). This Phase 1/2a study is examining the safety, tolerability, and effectiveness of intramuscular paraspinal injections of CELZ-201-DDT. The participants are receiving ultrasound-guided injections in low, medium, or high doses to assess the drug’s potential to repair and remodel disc tissue, improve blood supply, and reduce pain, offering a non-surgical, innovative treatment approach.
PIPE-791, sponsored by Contineum Therapeutics, is a novel, brain-penetrant small molecule acting as a lysophosphatidic acid 1 receptor (LPA1R) antagonist. This Phase 1b study examines its safety, tolerability, and potential pain-reducing effects in adults with chronic osteoarthritis pain (COAP) or chronic low back pain (CLBP). The participants are receiving daily doses of PIPE-791 or placebo in a double-blind, crossover design, while recording pain levels and attending regular clinic visits for safety and laboratory assessments. The study is actively monitoring responses and expects topline data in early 2026.
GNSC-001, developed by Genascence Corporation, is an innovative gene therapy using a recombinant adeno-associated virus (AAV) to deliver an optimized interleukin-1 receptor antagonist (IL-1Ra). This naturally occurring protein inhibits IL-1, a key mediator of inflammation, joint pain, and cartilage degradation in knee osteoarthritis. The ongoing Phase 1b DONATELLO study is evaluating the safety, tolerability, and pharmacodynamics of a single intra-articular injection of GNSC-001 compared to placebo, aiming to provide long-term symptom relief and disease-modifying effects.
*Please note that this is only a partial list; the complete list of drugs will be available in the full report.*
The Musculoskeletal Pain Pipeline Analysis Report provides a strategic overview of the latest and future landscape of treatments for musculoskeletal pain. It provides necessary information for making informed investment decisions along with research, development, and strategic planning efforts. The stakeholders will benefit from the essential insights into musculoskeletal pain collaborations, regulatory environments, and potential growth opportunities.
*While we strive to always give you current and accurate information, the numbers depicted on the website are indicative and may differ from the actual numbers in the main report. At Expert Market Research, we aim to bring you the latest insights and trends in the market. Using our analyses and forecasts, stakeholders can understand the market dynamics, navigate challenges, and capitalize on opportunities to make data-driven strategic decisions.*
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