Precision Pain Management
Selective, Durable Relief from Intractable Pain
Precision Pain Management
Selective, Durable Relief from Intractable Pain
Selective, Durable Relief from Intractable Pain
Selective, Durable Relief from Intractable Pain
We started NK-One Therapeutics because most intractable pain is non productive pain. In the case of cancer it is not only devastating, it is a key contributor to early cessation of cancer treatments and it has been shown to shorten survival. We are developing a first-in-class new platform for treating intractable pain - starting with cancer.
Our team is made up of seasoned biotechnology professionals with deep experience in pharmaceutical development and unique expertise in pain therapeutics. We are committed to addressing underdeveloped therapeutic areas and bringing new treatments that work to patients in need.
We harness the power of targeted toxins with known receptor & cellular biology to address pain at the molecular level. This approach ensures we target only the pain signaling sensory neurons that drive intractable pain. Precision means ablating the pain without disrupting motor and protective nociceptive function. The power of targeted toxins is that they can provide durable pain relief .

We are dedicated to eliminating chronic pain starting with debilitating cancer pain in order to enhance quality of life of patients suffering with intractable pain.

NK-OneTherapeutics is developing a proprietary platform of targeted toxins to selectively disable pain signaling receptors that are the gateway from peripheral pain to central sensitization. This molecular disruption can provide lasting relief from non productive pain.

Our 'molecular scalpel' approach features direct injection of a receptor specific, mechanistically aligned toxin. By targeting the primary pain expressing neurons the 'sensory' effects related to pain are silenced while motor function is preserved. This selective targeting means a broad range of 'non productive' pain can be silenced, while protective acute pain signaling pathways are maintained.

Our platform has been demonstrated to be effective in robust preclinical trials involving multiple species including large canine clinical trials. This means our precision therapy can be used in both humans and by veterinarians to address painful conditions causing suffering in people and animals.

One third to half of all patients with a cancer diagnosis will experience moderate to severe pain. But for those whose cancer advances or progresses to metastatic disease up to 66% can experience severe pain (1).
Even with significant advances in the treatment of pain, up to 20% of those with advanced cancer will experience pain that is resistant to current standards of care (2).
Chronic pain is associated with all cause mortality in the cancer population.(3) However, poorly controlled cancer pain has been shown to shorten survival by 20 months in older adults (9 months vs 29 months).(4)
Our highly selective toxins are currently being assessed in active human clinical trials.
1) van den Beuken-van Everdingen MHJ, et al. "Prevalence of pain in patients with cancer: a systematic review of the past 40 years." Annals of Oncology, 2007; 18(9): 1437–1449.
2) Aaron Lawson McLean, Julian Kahr, Jean Régis, Marcel A. Kamp, Christian Senft; Epidemiology of Resistant Cancer Pain: Prevalence, Clinical Burden, and Treatment Gaps. Stereotact Funct Neurosurg 2025
3) Zhang Y, Guo Y. Chronic pain is a risk factor for all-cause and cancer-specific mortality in cancer survivors: a population-based cohort study. BMC Public Health. 2025 Jan 25;25(1):325
4) Gabbard J, Isom S, Statler T, Asselin J, Callahan KE, Pajewski NM, Wagner LI, Parala-Metz A, Tooze JA, Klepin HD. Patient-reported pain severity is associated with shorter survival in older adults with newly diagnosed cancer. Support Care Cancer. 2025 Jul 26;33(8):722.

Mike is an experienced CEO and longtime biotechnology executive and entrepreneur. Prior to NK-One Therapeutics he was interim CEO of OrthoCellix a cell therapy subsidiary of a public company. Previously Mike co founded and was CEO of NovaPharm Therapeutics which developed a breakthrough treatment for rare pain conditions leading to a successful partnership.

With a career in neurology that spans 36 years, Dr. Pappagallo has held multiple Chief Medical Officer and Sr. Medical Advisory roles in the pharmaceutical industry in the field of pain management. He was a co founder of NovaPharm Therapeutics, has authored more than 150 papers in pain and neurobiology, and holds numerous patents.

A seasoned drug development expert, Paul has 44 years of experience in pre-clinical and clinical development of numerous drugs on the market today. He was a cofounder of NovaPharm and a Global Program Development Team Leader at Wyeth in Neurosciences. Paul has authored 120 papers and holds 5 patents.

An industry veteran of more than 40 years, Greg has a distinguished career in regulatory affairs. He has submitted more than 200 Investigational New Drug applications (INDs) and has seen more than 50 of those result in New Drug Applications (NDAs) or Biologics License Application (BLAs).
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