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  1. Home
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  3. Adolore Wins Fda Orphan Drug Designation For Gene Therapy Targeting Erythromelalgia
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  • 19 Jan 2026
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  • News Article

Adolore Wins FDA Orphan Drug Designation for Gene Therapy Targeting Erythromelalgia

Adolore BioTherapeutics has received Orphan Drug Designation (ODD) from the FDA for its Kv7-activating rdHSV-CA8 gene therapy.

The designation covers treatment of primary and secondary erythromelalgia (EM), a rare and debilitating neuropathic pain disorder.

Why This FDA Designation Matters?

The FDA’s Office of Orphan Products Development grants ODD to therapies addressing serious rare diseases.

For Adolore, this could unlock:

  • Up to seven years of U.S. market exclusivity
  • Regulatory development incentives
  • Potential access to expedited review pathways

According to CEO Roelof Rongen, the designation validates both the disease focus and Adolore’s scientific approach.

Erythromelalgia: A High-Unmet-Need Pain Disorder

Erythromelalgia is a rare, lifelong neuropathic pain condition.

Patients experience:

  • Severe burning pain
  • Redness and heat in extremities
  • Debilitating flare-ups lasting minutes to hours

Triggers include:

  • Heat or warm environments
  • Exercise or walking
  • Tight footwear or warm socks
  • Alcohol consumption

There is no FDA-approved therapy for EM today.

Targeting the Root Cause of EM

Primary EM is often caused by gain-of-function mutations in the SCN9A gene.

This gene encodes the Nav1.7 sodium channel, critical in pain signaling neurons.

These mutations cause:

  • Hyperactive sodium channels
  • Excessive neuronal firing
  • Severe chronic pain

Adolore’s approach addresses this upstream dysfunction.

How rdHSV-CA8 Gene Therapy Works?

Adolore’s therapy uses a replication-defective HSV vector for localized delivery.

Its mechanism:

  • CA8 peptides indirectly activate Kv7 potassium channels
  • Kv7 activation counterbalances Nav1.7 hyperexcitability
  • Neuronal firing normalizes at the source

This targets pain without systemic drug exposure.

Why Kv7 Activation Is Different?

Small-molecule Kv7 activators have failed before. Despite strong efficacy, they caused:

  • Severe off-target effects
  • Systemic toxicity
  • Market withdrawal

Adolore avoids these issues through local gene delivery, not oral drugs.

Preclinical Evidence: Opioid-Level Analgesia, Without Opioids

According to founder Dr. Roy Clifford Levitt, rdHSV-CA8 has shown:

  • Strong safety and biodistribution data
  • Robust preclinical efficacy
  • Long-lasting analgesia after a single dose

Critically, pain relief was equipotent to opioids, without opioid-related side effects.

Broader Pipeline and Strategic Impact

Adolore is advancing two key programs:

1. Knee Osteoarthritis Pain

  • Funded by NIH/NINDS/HEAL (UG3/UH3 grant)
  • Covers full GLP, GMP, and GCP development
  • First-in-human study expected in 2027

2. Erythromelalgia (Orphan Indication)

  • Rare, genetically defined neuropathic pain
  • Enables smaller, faster clinical studies
  • Supports potential expedited FDA pathways

The EM program adds strategic optionality and accelerates clinical validation.

Market Context: The Non-Opioid Pain Gap

Safe, effective non-opioid chronic pain treatments remain scarce.

This gap is acute amid:

  • Rising chronic pain prevalence
  • Persistent opioid-related risks
  • Limited disease-modifying options

Adolore positions rdHSV-CA8 as a Disease Modifying Anti-Pain Therapy (DMAP).

Bottom Line

FDA Orphan Drug Designation strengthens Adolore’s path toward:

  • Faster clinical development
  • Differentiated non-opioid pain therapy
  • Commercial validation of localized gene-based analgesia

For EM patients with no approved options, this is a meaningful step forward.

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