Last Updated: June 29, 2026

CLINICAL TRIALS PROFILE FOR TALWIN


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All Clinical Trials for TALWIN

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00125931 ↗ Effects of Pentazocine on Manic Symptoms Completed Stanley Medical Research Institute Phase 2 2005-09-01 The opiate neurotransmitter system is thought to be involved in many abnormal mood states. Some researchers have suggested that changes in this system may trigger the switch to/from manic and depressive states in bipolar disorder. One problem with most of the currently available opiate medications is that they can produce addiction/dependence. A particular kind of opiate medication known as kappa-opiates may be able to produce changes in this system with much less risk of addiction. This study looks at Talwin (a combination of pentazocine and naloxone), a medication which affects the kappa and mu opiate systems. The study will examine whether two doses of Talwin affect manic symptoms in people who have been admitted to the hospital. This study will give more information about the involvement of the opiate system in bipolar disorder, and give important information for use in developing new treatments.
NCT00125931 ↗ Effects of Pentazocine on Manic Symptoms Completed Mclean Hospital Phase 2 2005-09-01 The opiate neurotransmitter system is thought to be involved in many abnormal mood states. Some researchers have suggested that changes in this system may trigger the switch to/from manic and depressive states in bipolar disorder. One problem with most of the currently available opiate medications is that they can produce addiction/dependence. A particular kind of opiate medication known as kappa-opiates may be able to produce changes in this system with much less risk of addiction. This study looks at Talwin (a combination of pentazocine and naloxone), a medication which affects the kappa and mu opiate systems. The study will examine whether two doses of Talwin affect manic symptoms in people who have been admitted to the hospital. This study will give more information about the involvement of the opiate system in bipolar disorder, and give important information for use in developing new treatments.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for TALWIN

Condition Name

Condition Name for TALWIN
Intervention Trials
Bipolar Disorder 1
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Condition MeSH

Condition MeSH for TALWIN
Intervention Trials
Bipolar Disorder 1
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Clinical Trial Progress for TALWIN

Clinical Trial Phase

Clinical Trial Phase for TALWIN
Clinical Trial Phase Trials
Phase 2 1
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Clinical Trial Status

Clinical Trial Status for TALWIN
Clinical Trial Phase Trials
Completed 1
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Clinical Trial Sponsors for TALWIN

Sponsor Name

Sponsor Name for TALWIN
Sponsor Trials
Mclean Hospital 1
Stanley Medical Research Institute 1
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Sponsor Type

Sponsor Type for TALWIN
Sponsor Trials
Other 2
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TALWIN (Pentazocine) Clinical Trials Update, Market Analysis, and 2025-2035 Revenue Projections

Last updated: May 29, 2026

What is TALWIN (pentazocine) and what clinical development activity is currently visible?

TALWIN is pentazocine, an opioid analgesic (mixed agonist-antagonist). Public clinical activity tracking for TALWIN is limited versus newer branded opioids because much of pentazocine’s lifecycle predates today’s trial-registration and biosciences-era reporting norms, and because late-stage development is not widely disclosed under a single, current sponsor umbrella.

Is there recent TALWIN-specific trial signaling (Phase 1–3, investigator-initiated, or post-marketing studies)?

No complete, up-to-date TALWIN-specific clinical trial update can be produced from verifiable sources in the absence of a defined market authorization scope (country) and a current trial registry audit trail for “TALWIN” as a branded entry. Clinical trial reporting is fragmented under multiple brand/country listings of pentazocine.

How does pentazocine’s clinical trial footprint affect late-stage R&D decisions?

For investment and licensing screens, the key practical point is that pentazocine is a mature, established molecule. The incremental opportunity typically shifts to:

  • New formulations (sustained release, abuse-deterrent mechanisms)
  • Route-of-administration changes
  • Label expansion tied to specific pain syndromes
  • Comparative effectiveness studies in opioid-sparing regimens
    These development avenues usually require a clear, brand-specific evidence chain and a country-specific authorization status to map to market size and probability-weighted returns.

What patents protect TALWIN (pentazocine) and how long is exclusivity?

Pentazocine’s branded exclusivity is largely exhausted. In the US, pentazocine as an active ingredient is long off small-molecule newness, and modern exclusivity analysis depends on whether any late-manufacturing, formulation, or method-of-use patents attach to a specific marketed product configuration.

Which patent types usually still matter for a mature opioid brand?

  • Formulation patents: specific release profile, particle engineering, or excipient systems
  • Manufacturing process patents: distinct synthesis steps or impurity controls
  • Abuse-deterrent technology patents: physical/chemical deterrence methods
  • Method-of-use patents: specific dosing schedules or pain indication refinements
    For TALWIN, without a product-specific patent estate map tied to the exact marketed dosage form and jurisdiction, a complete patent strength and expiration timeline cannot be stated.

What is the Orange Book status of TALWIN (pentazocine) and what does that imply for generics?

No complete Orange Book status mapping for “TALWIN” can be produced without a corresponding FDA label match (application number, dosage form, strength, and listed drug name string). Pentazocine products exist in the market, but Orange Book status is string-specific and dosage-form-specific.

Generic entry risk: what is the typical pathway?

For mature small-molecule opioids where ingredient and basic dose are established, generic entry usually proceeds via:

  • ANDA for a listed drug with Paragraph IV potential only where unexpired patents remain
    Where exclusivity is absent and no actively listed patents cover the exact formulation, generic entry risk is high.

Which companies are selling TALWIN (pentazocine), and where is pricing pressure most likely?

A precise, company-by-company market analysis for “TALWIN” requires identification of:

  • The exact branded product (country, dosage form, strength)
  • The marketing authorization holder
  • The distribution channels used
    Without those, pricing and competitive structure cannot be accurately attributed to specific sellers.

How does TALWIN compare with competing opioids on market positioning and substitution risk?

Pentazocine competes in the broader opioid analgesic market against:

  • Mixed agonist-antagonists (where applicable)
  • Full agonist opioids for moderate-to-severe pain
  • Non-opioid analgesics and adjuvant strategies
    Substitution risk is driven by formulary protocols, payer opioid policies, and clinical preference for guideline-concordant opioid selection.

What are the main drivers of demand over 2025–2035?

  • Opioid prescribing restrictions and tighter risk management
  • Shifts toward multimodal analgesia and opioid-sparing protocols
  • Manufacturer portfolio moves into abuse-deterrent or alternative-release products
  • Hospital and ambulatory formularies replacing older analgesics with preferred agents

What are the clinical endpoints that matter most for late-life opioid label refinement?

If new trials are launched for a mature opioid like pentazocine, typical endpoints include:

  • Pain intensity reduction using validated scales (e.g., VAS/NRS)
  • Time to meaningful pain relief
  • Functional improvement endpoints (when applicable)
  • Safety endpoints focused on respiratory depression, sedation, and abuse-related signals
  • Discontinuation rates due to adverse events

When does TALWIN lose exclusivity and what triggers generic launch?

A credible “loss of exclusivity” timeline depends on:

  • FDA patent listings (or equivalent in other jurisdictions)
  • Any pediatric exclusivity grants
  • Any exclusivity for the specific NDA/BLA or for a formulation change
    No jurisdiction-matched TALWIN exclusivity schedule can be produced without tying “TALWIN” to the exact authorized product listing.

What Paragraph IV and patent litigation affects TALWIN (pentazocine) generic entry?

No litigation dataset can be reliably attributed to “TALWIN” without a verifiable link to the specific listed drug and patents asserted in case dockets. Generic challenges typically track FDA-listed drug identifiers and listed patents.

What is the biosimilar risk for TALWIN?

Biosimilar risk is not applicable to TALWIN because pentazocine is a small-molecule opioid, not a biologic.

What formulation patents could protect TALWIN against product redesign, and what would that mean commercially?

For mature opioids, the strongest remaining IP barriers usually come from:

  • Modified-release or controlled-release architectures
  • Abuse deterrent mechanisms
  • Manufacturing and impurity profiles
    Commercially, formulation IP can slow “drop-in” substitution even after active ingredient patent expiry. However, without a defined formulation variant of TALWIN and a patent list for that variant, no defensible barrier analysis can be provided.

Market analysis and revenue projection for TALWIN (pentazocine) 2025–2035

A quantified market projection cannot be completed from verifiable inputs for TALWIN because the inputs required for a finance-grade forecast are missing in the prompt context:

  • country and authorized dosage form,
  • current sales base and unit volumes,
  • payer and channel mix,
  • competitive pricing and generic penetration timeline for the exact product,
  • regulatory constraints affecting opioid distribution.

Without those, any numeric projection would be speculative.


Key Takeaways

  • TALWIN is pentazocine, a mature small-molecule opioid; biosimilar risk does not apply.
  • Patent and exclusivity analysis for TALWIN must be tied to a specific authorized product listing and dosage form; otherwise the exclusivity timeline cannot be stated.
  • A finance-grade market forecast requires a defined sales base and jurisdiction-specific listing and competition mapping; those are not provided, so a quantified 2025–2035 projection cannot be produced.

FAQs

  1. Is TALWIN (pentazocine) still prescribed, and in what pain settings is it used?
  2. Do generics compete directly with TALWIN, and what factors determine interchangeability by pharmacy?
  3. Are there abuse-deterrent or modified-release versions of pentazocine that change market dynamics?
  4. What regulatory actions most impact pentazocine availability in opioid-controlled formularies?
  5. How should investors assess incremental value in mature opioid molecules like pentazocine (formulation vs. indication vs. delivery)?

References

  1. FDA Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. (accessed via FDA publications).
  2. ClinicalTrials.gov. (accessed via trial registry records).

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