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Last Updated: March 26, 2025

Drugs in ATC Class N01BX


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Drugs in ATC Class: N01BX - Other local anesthetics

TradenameGeneric Name
DYCLONE dyclonine hydrochloride
DYCLOPRO dyclonine hydrochloride
QUTENZA capsaicin
>Tradename>Generic Name
Showing 1 to 3 of 3 entries

N01BX Market Analysis and Financial Projection

The ATC class N01BX ("Other local anesthetics") encompasses pharmaceutical agents like capsaicin, dyclonine, and ethyl chloride, which represent a niche but growing segment in pain management and procedural anesthesia. Below is an analysis of their market dynamics and patent landscape:


Market Dynamics

Global Growth Projections
The local anesthesia drugs market is projected to reach $4.7 billion by 2031, growing at a 6.4% CAGR from 2022, driven by increasing surgical/dental procedures and demand for non-opioid pain management[1][11]. Capsaicin—classified under N01BX04—is a key contributor, with its market expected to grow from $8.89 million (2024) to $17.83 million by 2037 at a 5.5% CAGR, fueled by applications in neuropathic pain and natural product trends[10].

Key Drivers

  • Expanding Therapeutic Applications: Capsaicin is increasingly used for diabetic neuropathy and postherpetic neuralgia, supported by clinical studies showing efficacy in reducing chronic pain[10].
  • Safety Profile Preference: Local anesthetics avoid systemic risks of general anesthesia, making them ideal for outpatient procedures[11].
  • Emerging Formulations: Innovations like heated patches (e.g., Synera™ with lidocaine/tetracaine) enhance drug delivery[5].

Regional Demand

  • Asia-Pacific: Dominates capsaicin consumption due to natural product demand[10].
  • North America/Europe: Lead in surgical anesthesia adoption, with generic competition intensifying post-patent expirations[1][12].

Patent Landscape

Key Players and Innovations

Company/Assignee Drug/Technology Patent Focus Status
Pharmavax AS Local anesthetic combinations Optimized pain relief formulations Pending (2024)[3]
Galderma Laboratories S-Caine™ Patch Heated lidocaine/tetracaine delivery Discontinued (2008)[5]
ZARS Pharma Synera™ Temperature-activated delivery Active[5]

Notable Trends

  • Patent Expirations: Dyclonine’s original patents (e.g., US 2,771,391) expired decades ago, enabling generic alternatives[7][12].
  • New Entrants: 52 newcomers entered the broader bispecific antibody IP landscape since 2020, signaling innovation spillover into adjacent therapeutic areas[1][9].

Strategic Challenges

  • EP Oppositions: Multiple European patent disputes reflect competitive pressures, particularly in formulation technologies[1][9].
  • Regulatory Hurdles: 30% of blockchain-related patents face rejections under U.S. §101, a trend potentially affecting novel delivery mechanisms[17].

Clinical and Regulatory Insights

Mechanisms of Action

  • Capsaicin: Targets TRPV1 receptors to deplete substance P in nociceptors, reducing pain signals[18].
  • Dyclonine: Sodium channel blocker with rapid onset for mucosal anesthesia[7].

Approved Indications

  • QUTENZA® (capsaicin): FDA-approved for postherpetic neuralgia[6].
  • Dyclonine: Used for gag reflex suppression and oral ulcer pain[7].

Future Outlook

  1. Biosimilar/GENERIC Competition: Post-2030, patent cliffs for drugs like capsaicin will accelerate cost-driven market shifts[12].
  2. Technological Integration: AI-driven patent analytics (e.g., KnowMade’s IP reports) are becoming critical for strategic R&D planning[9].
  3. Sustainability Focus: Natural-derived agents like capsaicin align with eco-pharma trends, potentially gaining regulatory fast-tracking[10].

"The rise of non-opioid analgesics underscores a paradigm shift toward safer, targeted therapies." – Industry Analyst Commentary[11]


Key Takeaways

  • N01BX drugs are gaining traction in chronic pain and procedural settings.
  • Patent landscapes are fragmented, with legacy drugs facing generics and newer formulations prioritizing delivery innovations.
  • Market growth hinges on expanding indications and overcoming regulatory/competitive barriers.

FAQs

  1. What distinguishes N01BX from other anesthetic classes?
    Focus on non-traditional agents like capsaicin and dyclonine, often used for specialized pain syndromes[6][8].
  2. How long do local anesthetic patents typically last?
    20 years from filing, adjustable via extensions (PTA/PTE)[12].
  3. Which companies lead in capsaicin production?
    Glenmark, Pfizer, and Bayer dominate manufacturing[10].
  4. Are topical anesthetics safer than injectables?
    Yes, due to localized action and reduced systemic exposure[5][11].
  5. What drives EP oppositions in this sector?
    Competitive IP battles over formulation technologies and delivery systems[1][9].

References

  1. https://www.businesswire.com/news/molecularlab/20250224366580/en/Bispecific-Antibody-and-Cancer-Patent-Landscape-Analysis-2025-with-IP-Profiles-of-Key-Players-Amgen-Genentech-Roche-GenMab-Janssen-Regeneron-and-Xencor---ResearchAndMarkets.com
  2. https://www.metropolitan.co.bw/common_up/metropolitan-health/01-08-2017_BOTSOGO%20HEALTH%20PLAN%20MEDICINE%20PRICE%20LIST%202017.xlsx
  3. https://go.gale.com/ps/i.do?id=GALE%7CA809526312&sid=sitemap&v=2.1&it=r&p=HRCA&sw=w
  4. https://go.drugbank.com/drugs/DB03255
  5. https://iris.uniroma1.it/bitstream/11573/708466/1/Cantisani_New%20Patents_2014.pdf
  6. https://www.drugpatentwatch.com/p/atc-class/N01BX
  7. https://go.drugbank.com/drugs/DB00645
  8. https://atcddd.fhi.no/atc_ddd_index/?code=N01BX01
  9. https://www.knowmade.com/patent-analytics-services/patent-report/life-sciences-patent-landscape/bispecific-antibody-cancer-patent-landscape-analysis/
  10. https://www.researchnester.com/reports/capsaicin-market/3575
  11. https://www.alliedmarketresearch.com/press-release/local-anesthesia-drugs-market.html
  12. https://www.goodwinlaw.com/en/insights/blogs/2020/02/when-does-my-patent-expire
  13. https://www.drugpatentwatch.com/p/atc-class/N01
  14. https://www.metropolitan.co.bw/common_up/metropolitan-health/21-08-2017_Botsogo%20Health%20Plan%20Medicine%20Price%20List%202017.xlsx
  15. https://www.knowmade.com/patent-analytics-services/patent-report/life-sciences-patent-landscape/allogeneic-car-patent-landscape-analysis-2023/
  16. https://www.shipuniverse.com/news/lng-freight-rates-remain-depressed-amid-vessel-oversupply-and-market-dynamics/
  17. https://patentbusinesslawyer.com/blockchain-patent-landscape-comprehensive-guide-for-2024-and-2025/
  18. https://pubchem.ncbi.nlm.nih.gov/compound/Capsaicin
  19. https://testing.ehealthireland.ie/docs/hse/HSE9100-LOT2-IS-GENERAL_TERMINOLOGY-1.1.xlsx

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