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Last Updated: December 12, 2025

CLINICAL TRIALS PROFILE FOR CAPSAICIN


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505(b)(2) Clinical Trials for CAPSAICIN

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
OTC NCT02346903 ↗ Chest Pain Perception and Capsaicin Sensitivity Completed Bassett Healthcare N/A 2013-04-01 The purpose of this study is to determine whether there is a positive correlation between the ability to sense chest pain in the context of myocardial ischemia and the ability to sense discomfort associated with the topical application of the TRPV1 agonist capsaicin (the active ingredient on hot chili peppers). Patients undergoing clinical elective balloon angioplasty of a coronary stenosis will be asked to quantify the subjective intensity of any chest pain they feel during a standardized episode of myocardial ischemia produced by a one-minute coronary balloon occlusion, using a previously-validated numeric rating scale. The same patients will subsequently be asked to grade the subjective intensity of cutaneous discomfort resulting from application of a capsaicin-containing patch (Capzasin-HP Cream, an over-the-counter product approved for topical application to treat muscle and joint aches) to the forearm. The goal will be to determine whether an association can be demonstrated between the subjective perception of ischemic chest pain during coronary balloon occlusion and cutaneous capsaicin sensitivity. Such an association could have considerable clinical value, as it might allow physicians to prospectively assess an individual's ability to perceive myocardial ischemia/infarction by assessing his/her subjective response to the topical application of capsaicin.
OTC NCT03124407 ↗ Osteoarthritis Knee Pain Relief Study of 0.25% 920-CGS-200 Completed Palm Beach CRO Phase 4 2016-07-01 This is a study of an over-the-counter, capsaicin-based (0.25%) topical analgesic for management of osteoarthritis knee pain meeting the US Food and Drug Administration's (FDAs) Tentative Final Monograph (TFM) guidance for "External Analgesic Drug Products For Over-the-Counter Human Use," published in the Federal Register on February 8, 1983 (final proposed 21 CFR 348). Subjects meeting the inclusion criteria and not meeting the exclusion criteria were randomized into one of four groups: once daily treatment with active product, once daily treatment with product vehicle (no capsaicin), twice daily treatment with active product, and twice daily treatment with product vehicle (no capsaicin), all for 7 consecutive days of treatment. The twice daily treatments were spaced approximately 12 hours apart. Osteoarthritis knee pain was assessed by the 100 mm visual analog scale. Osteoarthritis knee pain assessments were done each day for 28 days. Tolerability data were also collected.
OTC NCT03124407 ↗ Osteoarthritis Knee Pain Relief Study of 0.25% 920-CGS-200 Completed Palm Beach Research, Inc Phase 4 2016-07-01 This is a study of an over-the-counter, capsaicin-based (0.25%) topical analgesic for management of osteoarthritis knee pain meeting the US Food and Drug Administration's (FDAs) Tentative Final Monograph (TFM) guidance for "External Analgesic Drug Products For Over-the-Counter Human Use," published in the Federal Register on February 8, 1983 (final proposed 21 CFR 348). Subjects meeting the inclusion criteria and not meeting the exclusion criteria were randomized into one of four groups: once daily treatment with active product, once daily treatment with product vehicle (no capsaicin), twice daily treatment with active product, and twice daily treatment with product vehicle (no capsaicin), all for 7 consecutive days of treatment. The twice daily treatments were spaced approximately 12 hours apart. Osteoarthritis knee pain was assessed by the 100 mm visual analog scale. Osteoarthritis knee pain assessments were done each day for 28 days. Tolerability data were also collected.
OTC NCT03124407 ↗ Osteoarthritis Knee Pain Relief Study of 0.25% 920-CGS-200 Completed Propella Therapeutics Phase 4 2016-07-01 This is a study of an over-the-counter, capsaicin-based (0.25%) topical analgesic for management of osteoarthritis knee pain meeting the US Food and Drug Administration's (FDAs) Tentative Final Monograph (TFM) guidance for "External Analgesic Drug Products For Over-the-Counter Human Use," published in the Federal Register on February 8, 1983 (final proposed 21 CFR 348). Subjects meeting the inclusion criteria and not meeting the exclusion criteria were randomized into one of four groups: once daily treatment with active product, once daily treatment with product vehicle (no capsaicin), twice daily treatment with active product, and twice daily treatment with product vehicle (no capsaicin), all for 7 consecutive days of treatment. The twice daily treatments were spaced approximately 12 hours apart. Osteoarthritis knee pain was assessed by the 100 mm visual analog scale. Osteoarthritis knee pain assessments were done each day for 28 days. Tolerability data were also collected.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for CAPSAICIN

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00001307 ↗ Positron Emission Tomography to Measure Pain and Pain Control Completed National Institute of Dental and Craniofacial Research (NIDCR) 1992-08-01 This study will examine how the brain processes pain signals and how the different parts of the brain work with each other in response to painful stimuli. A better understanding of how people experience pain may be helpful in developing more effective treatments. Healthy normal volunteers, patients requiring third molar (wisdom tooth) extraction, and patients with persistent pain due to disease, injury or other reason may be eligible for this study. Participants will receive one or more of the following sensory stimuli, which may cause brief discomfort or pain: - Heat/Cold - applied by an electronically controlled device that touches the skin, or by temperature-controlled water baths, or by a thermally controlled brass cylinder the subject grasps - Capsaicin (active ingredient in hot chili peppers) - injected in a small volume of fluid under the skin or into a muscle - Mechanical stimulation - brushings or vibrations that do not normally cause pain - Ischemic stimulation - inflation of a blood pressure cuff on the arm or leg for up to 30 minutes These stimuli will be applied both before and during positron emission tomography (PET) scanning. This test shows which parts of the brain are active and which are not and is important for studying how different parts of the brain work together to feel and react to specific sensations. For this procedure, the subject lies on a table in the PET scanner while a series of scans are taken during different sensory conditions. At the beginning of each scan, radioactive water is injected into an arm vein through a catheter (a thin plastic tube). A special camera records the arrival and disappearance of the radiation in various brain areas, creating a picture of the brain's activity in various regions. Oral surgery patients may have PET scans both before and after their wisdom tooth extraction. Alfentanil, a commonly used narcotic pain reliever, will also be given during the PET procedure to determine how the brain responds to sensory stimuli while under the effects of a pain killer. Participants will also have a magnetic resonance imaging (MRI) scan of the brain to help interpret the PET results. MRI uses a magnetic field and radio waves to show structural and chemical changes in tissues. During the scan, the subject lies on a table in a cylindrical machine (the scanner). He or she can speak with a staff member via an intercom system. Some sensory studies may require placing an arterial and/or intravenous line. Following injection of a local anesthetic, a catheter is placed in an artery in the arm. At regular intervals during various sensory stimuli, small blood samples are drawn from the artery to measure blood gases and other substances. Samples may also be drawn from a catheter placed in a vein. Subjects may also have ultrasound monitoring to evaluate blood flow in the arteries, veins and brain. A gel is spread over the skin above the blood vessel and a hand-foot-and-mouth device is placed on the gel. The device emits high-frequency sound waves to produce a picture of the speed of blood flow in the artery and the diameter of the vessel.
NCT00004316 ↗ Phase I/II Randomized, Placebo-Controlled Study of Capsaicin for Interstitial Cystitis and Vulvar Vestibulitis Completed University of Pittsburgh Phase 1/Phase 2 1995-06-01 OBJECTIVES: I. Estimate the optimal safe dose of intravesical capsaicin in patients with interstitial cystitis. II. Evaluate the efficacy of 0.025% topical capsaicin in relieving chronic burning pain in patients with vulvar vestibulitis. III. Evaluate the effect of capsaicin on type C nerve fibers in bladder mucosa and vulvar skin. IV. Evaluate the effect of C fiber depletion on urinary levels of histamine and prostaglandin.
NCT00004316 ↗ Phase I/II Randomized, Placebo-Controlled Study of Capsaicin for Interstitial Cystitis and Vulvar Vestibulitis Completed National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Phase 1/Phase 2 1995-06-01 OBJECTIVES: I. Estimate the optimal safe dose of intravesical capsaicin in patients with interstitial cystitis. II. Evaluate the efficacy of 0.025% topical capsaicin in relieving chronic burning pain in patients with vulvar vestibulitis. III. Evaluate the effect of capsaicin on type C nerve fibers in bladder mucosa and vulvar skin. IV. Evaluate the effect of C fiber depletion on urinary levels of histamine and prostaglandin.
NCT00008476 ↗ Capsaicin to Control Pain Following Third Molar Extraction Completed National Institute of Dental and Craniofacial Research (NIDCR) Phase 2 2001-01-01 This study will test the effectiveness of the drug capsaicin in controlling pain after third molar (wisdom tooth) extraction. Capsaicin, the ingredient in chili peppers that makes them "hot," belongs to a class of drugs called vanilloids, which have been found to temporarily inactivate pain-sensing nerves. Healthy normal volunteers between 16 and 40 years of age who require third molar (wisdom tooth) extraction may be eligible for this study. Participants will undergo the following procedures in three visits: Visit 1: Patients will have touch (sensory) testing by the following three methods: 1) a warm sensor applied to the gums and the patient will rate when they first feel heat and when the heat feels painful; 2) the bristles of a small paint brush will be gently stroked across the gums, and the patient will say whether it feels painful; 3) a light touch will be applied to the gums with a small needle, and the patient will rate the pain intensity following the touch. After testing, patients will be numbed with a local anesthetic (bupivacaine) and then capsaicin or placebo (an inactive solution) will be injected next to the tooth. The tooth then will be extracted one day later. Visit 2: Patients will return to the clinic after 24 hours to repeat the same type of sensory testing. After testing, patients will be sedated and numbed with a local anesthetic (lidocaine) and given an intravenous injection of either saline or ketorolac (30 mg). After the extraction, pain ratings will be recorded every 20 minutes, for up to 6 hours. During this time, patients will be monitored for numbness, pain, side effects and vital signs (heart rate, blood pressure, respiration, etc.). Those who request pain medicine will receive acetaminophen and codeine. Patients will be required to stay for up to 3 more hours after this and then they will then be discharged with pain medicine. Visit 3: Patients will return to the clinic after another 48 hours to repeat the same sensory testing. Remaining wisdom teeth will be removed "off-study" at least three weeks following the first visit.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for CAPSAICIN

Condition Name

Condition Name for CAPSAICIN
Intervention Trials
Pain 34
Healthy 17
Neuropathic Pain 14
Cough 11
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Condition MeSH

Condition MeSH for CAPSAICIN
Intervention Trials
Neuralgia 31
Cough 17
Osteoarthritis 13
Peripheral Nervous System Diseases 12
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Clinical Trial Locations for CAPSAICIN

Trials by Country

Trials by Country for CAPSAICIN
Location Trials
United States 172
United Kingdom 24
Denmark 17
Belgium 15
France 12
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Trials by US State

Trials by US State for CAPSAICIN
Location Trials
Florida 22
New York 13
Texas 12
California 12
North Carolina 11
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Clinical Trial Progress for CAPSAICIN

Clinical Trial Phase

Clinical Trial Phase for CAPSAICIN
Clinical Trial Phase Trials
PHASE4 2
PHASE3 1
PHASE2 2
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Clinical Trial Status

Clinical Trial Status for CAPSAICIN
Clinical Trial Phase Trials
Completed 128
Recruiting 26
Unknown status 20
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Clinical Trial Sponsors for CAPSAICIN

Sponsor Name

Sponsor Name for CAPSAICIN
Sponsor Trials
NeurogesX 12
University of Florida 10
Aalborg University 7
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Sponsor Type

Sponsor Type for CAPSAICIN
Sponsor Trials
Other 191
Industry 88
NIH 17
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Clinical Trials Update, Market Analysis, and Projection for CAPSAICIN

Last updated: October 27, 2025


Introduction

Capsaicin, the active component responsible for the fiery sensation of chili peppers, has garnered increasing interest in both pharmaceutical and consumer health sectors owing to its diverse therapeutic potentials. Initially used in topical analgesics, capsaicin’s applications have expanded into areas such as pain management, metabolic regulation, cancer therapy, and cardiovascular health. This article provides a comprehensive update on ongoing clinical trials, analyzes the current market landscape, and projects future growth trajectories for capsaicin-based therapies.


Clinical Trials Landscape

Current Clinical Trial Status

As of 2023, over 30 clinical trials concerning capsaicin are registered globally, with most recent studies focusing on chronic pain, obesity, and potential anti-cancer effects. These trials are registered on platforms such as ClinicalTrials.gov, reflecting active research interest.

  • Pain Management: Trials evaluating capsaicin patches (e.g., Qutenza) continue to demonstrate efficacy in peripheral neuropathic pain, especially post-herpetic neuralgia. Notably, Phase III trials have confirmed the drug’s safety and long-term benefits [1].
  • Metabolic Diseases: Several Phase II trials investigate capsaicin’s role in weight loss and insulin sensitivity. For instance, a trial published in 2022 demonstrated that capsaicin supplementation improved energy expenditure in obese subjects [2].
  • Oncology: Emerging early-phase studies examine capsaicin’s potential to inhibit tumor growth via TRPV1 receptor activation. While still preliminary, some results suggest promising anti-neoplastic properties warrant further exploration [3].
  • Cardiovascular: Trials assessing capsaicin’s role in lowering blood pressure and improving endothelial function are ongoing, with initial data indicating favorable effects.

Innovative Delivery Technologies

Research is also advancing on novel formulations to enhance bioavailability, such as liposomal delivery, transdermal patches, and nanocarrier systems, aiming to optimize therapeutic index and reduce adverse effects.

Regulatory Developments

The US FDA approved capsaicin-based topical therapies for neuropathic pain, reaffirming the compound’s safety profile. The ongoing development of pharmaceutical-grade capsaicin derivatives seeks to expand regulatory approval for systemic indications.


Market Dynamics and Competitive Landscape

Current Market Size

The global capsaicin market was valued at approximately USD 300 million in 2022, driven primarily by the pharmaceutical segment and consumer health products. The topical analgesics segment accounts for about 70%, with additional contributions from dietary supplements and functional foods.

Key Market Segments

  • Pharmaceuticals: Established products like Qutenza dominate the market for neuropathic pain. The pipeline extends into systemic formulations for metabolic and oncological indications.
  • Consumer Health and Nutraceuticals: Capsaicin-based weight loss and thermogenic supplements constitute a significant share, with consumer demand rising due to increasing awareness of natural health solutions.
  • Food Industry: The spicy seasoning market also fuels the demand for capsaicin as a flavoring and functional ingredient.

Geographical Insights

North America leads market revenue, propelled by strong healthcare infrastructure, high R&D investment, and regulatory approvals. Europe follows, with increasing adoption of capsaicin-based therapies and natural health products. Asia-Pacific exhibits rapid growth potential owing to the traditional use of chili-based remedies and expanding pharmaceutical markets.

Competitive Landscape

Major players include Pfizer (Qutenza), Heron Therapeutics, and privately held biotech firms developing novel capsaicin formulations. Several startups focus on bio-based extraction and proprietary delivery systems, aiming to capture niche markets. Patent expirations for existing formulations open opportunities for generics and biosimilars.


Market Projection and Future Outlook

Growth Forecast

Analysts project the capsaicin market will grow at a compound annual growth rate (CAGR) of 7-9% through 2030, reaching USD 600-700 million by the end of the decade. The expansion is driven by continuous clinical validation, expanding therapeutic indications, and increasing consumer preference for natural products.

Drivers of Growth

  • Enhanced Clinical Evidence: Positive trial outcomes bolster confidence, encouraging regulatory approvals for new systemic uses.
  • Product Innovation: Advanced delivery mechanisms will improve efficacy and tolerability, broadening market applications.
  • Regulatory Support: Increasing acceptance of natural and plant-based therapies will facilitate approvals.
  • Rising Disease Prevalence: Chronic pain, obesity, and cancer incidences drive demand for alternative and adjunct treatments.

Potential Challenges

  • Adverse Effects: Capsaicin’s pungency and associated discomfort could limit widespread acceptance; formulations need to optimize tolerability.
  • Regulatory Hurdles: Demonstrating safety and efficacy for systemic indications remains complex.
  • Market Penetration: Patent expirations and generic competition will pressure pricing strategies.

Strategic Opportunities

Companies investing in capsaicin should focus on:

  • Developing systemic formulations with improved delivery systems.
  • Conducting large-scale, multi-center clinical trials to establish broad therapeutic efficacy.
  • Exploring combination therapies that leverage capsaicin’s multi-modal mechanisms.
  • Engaging with regulatory bodies to streamline approval pathways for novel indications.

Key Takeaways

  • Clinical research on capsaicin continues to confirm its efficacy in pain management, with expanding interest in metabolic and anti-cancer applications.
  • The market is poised for sustained growth, with an estimated CAGR of 7-9% over the next decade.
  • Innovation in delivery technology and expanding therapeutic indications will be critical to capturing competitive advantage.
  • Regulatory support and rising consumer preference for natural remedies underpin future market expansion.
  • Market entrants should prioritize safety profiles, effective formulations, and robust clinical evidence to succeed.

FAQs

1. Is capsaicin currently approved for systemic medical use?
No, currently, regulatory approvals primarily exist for topical formulations treating neuropathic pain. Systemic use remains investigational, pending further clinical trial data.

2. What are the main therapeutic applications of capsaicin?
The primary applications include chronic pain management, weight loss, metabolic health, and emerging research into anti-cancer and cardiovascular benefits.

3. What challenges does the market face for broader clinical adoption?
The main challenges comprise tolerability issues due to pungency, insufficient large-scale efficacy data for systemic indications, and regulatory hurdles.

4. Which regions hold the most growth potential for capsaicin-based therapies?
North America remains dominant, but Asia-Pacific offers significant growth opportunities driven by traditional use and expanding healthcare markets.

5. How can innovation improve capsaicin’s market potential?
Advances in delivery technologies that enhance bioavailability and reduce discomfort can expand use cases and patient compliance, opening new revenue streams.


Sources

  1. National Center for Biotechnology Information. ClinicalTrials.gov database.
  2. Journal of Nutritional Science. (2022). Capsaicin and energy expenditure in obese subjects.
  3. Oncology reports. (2021). Anti-tumor effects of capsaicin: A review.

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