Amended Statement of Changes of Beneficial Ownership


FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

MARTELL RON
2. Issuer Name and Ticker or Trading Symbol

NeurogesX Inc [ NGSX ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__ X __ Director                      _____ 10% Owner
__ X __ Officer (give title below)      _____ Other (specify below)
President and CEO
(Last)          (First)          (Middle)

C/O NEUROGESX, INC., 2215 BRIDGEPOINTE PARKWAY, SUITE 200
3. Date of Earliest Transaction (MM/DD/YYYY)

2/22/2012
(Street)

SAN MATEO, CA 94404
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

2/1/2012 
6. Individual or Joint/Group Filing (Check Applicable Line)

_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Nonstatutory stock option (right to buy)   $1.07   1/30/2012     A      500000       1/1/2013   (1) (5) 1/30/2022   Common Stock   500000   $ 0   500000   D    
Restricted Stock Units   $ 0   1/30/2012     A      100000       1/1/2013   (2) (5)   (3) Common Stock   100000   (4) $ 0   100000   D    

Explanation of Responses:
( 1)  The option grant shares are granted under the 2011 Inducement Stock Plan and shall vest as follows: twenty-five percent (25%) of the total number of shares subject to option grant shall become exercisable on January 1, 2013 and 1/48th of the total number of shares subject to such option grant shall become exercisable monthly thereafter, subject to the grantee's continued service relationship with the Company.
( 2)  The restricted stock units are granted under the 2011 Inducement Stock Plan and shall vest as follows: twenty-five percent (25%) of the total number of shares subject to such grant shall vest on January 1, 2013 and twenty-five percent (25%) of the total number of shares subject to such grant shall vest annually thereafter, subject to the grantee's continued service relationship with the Company.
( 3)  Restricted Stock Units do not expire.
( 4)  Each restricted stock unit represents a contingent right to receive one share of NeurogesX, Inc. common stock.
( 5)  This Form 4 is being amended to update the vesting date for both grants. Each grant began vesting as of January 1, 2012 and therefore the first portion of shares subject to grant shall become exercisable on January 1, 2013.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
MARTELL RON
C/O NEUROGESX, INC.
2215 BRIDGEPOINTE PARKWAY, SUITE 200
SAN MATEO, CA 94404
X
President and CEO

Signatures
/s/ Ronald A. Martell 2/22/2012
** Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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