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A new pharmacologic approach to safer opioid pain management

A new pharmacologic approach to safer opioid pain managementA new pharmacologic approach to safer opioid pain managementA new pharmacologic approach to safer opioid pain management

 Lower doses. Reduced reward. Reduced tolerance. Pain relief maintained. 

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Novel Combinations

Novel Combinations

Novel Combinations

Low dose opioid combinations with dopamine-modulating adjuvants

$2.8M

Novel Combinations

Novel Combinations

NIH/NIDA non-dilutive funding

505(b)2

Novel Combinations

AMGT-0220

 FDA regulatory strategy with repurposing of existing dopamine modulating drugs

AMGT-0220

4 Issued Patents

AMGT-0220

Lead program for the treatment of severe pain. 

4 Issued Patents

4 Issued Patents

4 Issued Patents

 U.S. & Canadian patents; European application pending 

Data-Driven

4 Issued Patents

4 Issued Patents

Supported by seven peer reviewed publications

The mission-critical need

Effective pain relief should not require unnecessary risk

Acute pain is common after surgery, trauma, and injury. Opioids remain an essential option when effective analgesia is required, including for service members, veterans, and civilian patients.


Conventional opioids can cause sedation, cognitive impairment, tolerance, and reward-driven misuse risks that may complicate recovery, rehabilitation, and return to function.


Amalgent is developing a fixed-dose combination designed to preserve analgesia while enabling lower opioid exposure and addressing the neurobiology of opioid reward.

How amalgent works

Fixed-Dose Combination

Fixed-Dose Combination

Fixed-Dose Combination

A single therapy pairing an opioid with a low dose of a dopamine-modulating adjuvant 

Lower Opioid Exposure

Fixed-Dose Combination

Fixed-Dose Combination

 Designed to support effective pain control with less opioid exposure. 

Dopamine Modulation

Fixed-Dose Combination

Reduced Reward Signaling

 Targets reward-related dopamine signaling associated with opioid reinforcement. 

Reduced Reward Signaling

Reduced Reward Signaling

Reduced Reward Signaling

 Designed to reduce opioid reward while preserving analgesic effect. 

Tolerance Mitigation

Reduced Reward Signaling

Tolerance Mitigation

 Designed to address tolerance development that can drive dose escalation. 

Functional Recovery

Reduced Reward Signaling

Tolerance Mitigation

 Aims to support recovery, rehabilitation, and return to function. 

addressing the three drivers of opioid risk

Lower Opioid Exposure

Reduced Reward Liability

Reduced Reward Liability

 Clinical evidence: Effective Analgesia at Reduced Doses
Published pilot clinical data support effective analgesia at lower opioid doses. 

Reduced Reward Liability

Reduced Reward Liability

Reduced Reward Liability

 Preclinical evidence: Opioid reward reduced to near baseline
Across three preclinical behavioral models, Amalgent technology reduced opioid reward-related behavior.

Tolerance Mitigation

Reduced Reward Liability

Tolerance Mitigation

 Preclinical evidence: Tolerance Development Inhibited
Preclinical studies showed inhibition of tolerance development during chronic opioid exposure. 

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300 E. First Street, Greenville, NC 27858-1101

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