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Last Updated: January 21, 2025

CLINICAL TRIALS PROFILE FOR ANTITUSSIVE


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505(b)(2) Clinical Trials for Antitussive

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
OTC NCT00055549 ↗ Dextromethorphan to Treat Patients With Voice Spasms Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 1 2003-03-04 This study will examine how dextromethorphan, a drug that alters reflexes of the larynx (voice box), might change voice symptoms in people with voice disorders due to uncontrolled laryngeal muscle spasms. These include abductor spasmodic dysphonia (breathy voice breaks), adductor spasmodic dysphonia (vowel breaks), muscular tension dysphonia (tight strained voice), and vocal tremor (tremulous voice). Dextromethorphan-one of a group of drugs called NMDA antagonists-has been used for years in over-the-counter cough suppressant medicines. In animal studies, the drug has blocked one of the reflexes in the larynx that may be associated with spasms in the laryngeal muscles. This study will compare the effects of dextromethorphan, lorazepam (a valium-type drug), and a placebo (inactive substance) in patients with the four types of voice disorders described above. Patients with spasmodic dysphonia, muscular tension dysphonia and vocal tremor may be eligible for this study. Individuals who smoke or use tobacco, who have vocal nodules or polyps, or who have a history of airway obstruction may not participate. Candidates will be screened with a medical history and physical examination, a questionnaire, voice recording (repeating sentences into a microphone), and nasolaryngoscopy (examination of the larynx with a tube advanced through the nose). For the nasolaryngoscopy, the inside of the nose is sprayed with a decongestant (to open the nasal passages) and possibly a local anesthetic. A small, flexible tube called a nasolaryngoscope is passed through the nose to look at the larynx during speech and other tasks, such as singing, whistling and prolonged vowels. Participants will be admitted to the NIH Clinical Center for each of three visits, which will last from the afternoon of one day to late afternoon of the following day. At each visit, patients will complete a questionnaire, baseline speech recording, and a test for sedation level. They will take three pills-either dextromethorphan, lorazepam, or placebo-one every 6 hours. Vital signs will be checked every 6 hours and the level of sedation during waking hours will be monitored. One to three hours after taking the third pill, speech recording, questionnaire and test of sedation will be repeated to check for possible voice changes. Patients will be given a different pill at each visit. ...
OTC NCT03950050 ↗ Ambroxol Therapy for Patients With Type 1 Gaucher Disease and Suboptimal Response to Enzyme Replacement Therapy Unknown status Shaare Zedek Medical Center Phase 2 2019-03-01 Ambroxol hydrochloride, an over-the-counter antitussive available in many markets , was identified as an interesting pharmacological chaperone. In addition to a mucolytic action, ambroxol has antioxidant and anti-inflammatory properties. Importantly, ambroxol therapy was found safe when given to pregnant women for prevention of neonatal respiratory distress syndrome . Thus, ambroxol, an oral available drug on the market, may be a safe option for GD patients with potential disease-specific efficacy and should be expanded into a clinical trial using higher doses and placebo-controlled design. The investigators propose to start with a phase II study for patients with type 1 GD and suboptimal response to ERT. In addition the investigators plan to open an international registry of patients with GD currently receiving ambroxol (off study).
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Antitussive

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00001344 ↗ Dextromethorphan Versus Placebo for Neuropathic Pain Completed National Institute of Dental and Craniofacial Research (NIDCR) Phase 2 1993-03-01 In our current clinical trial, we are comparing the effects of two NMDA receptor antagonists to placebo in patients with painful distal symmetrical diabetic neuropathy or post-herpetic neuralgia. The treatments in this three-period crossover study are dextromethorphan, up to 920 mg/day (about 8 times the antitussive dose), memantine, 30-50 mg/day, and placebo. Memantine is an NMDA antagonist used in Europe to treat Parkinson's disease and Alzheimer's disease. The underlying hypothesis, based on studies of painful neuropathies in animal models, is that neuropathic pain is caused largely by sensitization of central nervous system neurons caused by excitatory amino acid neurotransmitters, acting largely through NMDA receptors. A previous small trial of dextromethorphan suggested efficacy in diabetic neuropathy pain. The study requires one visit to the NIH outpatient Pain Research Clinic, and consists of three 9-week treatment periods. Patients who respond to one of the medications will be invited to participate in further controlled studies of the medication followed by up to several years of open-label treatment under continued observation.
NCT00055549 ↗ Dextromethorphan to Treat Patients With Voice Spasms Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 1 2003-03-04 This study will examine how dextromethorphan, a drug that alters reflexes of the larynx (voice box), might change voice symptoms in people with voice disorders due to uncontrolled laryngeal muscle spasms. These include abductor spasmodic dysphonia (breathy voice breaks), adductor spasmodic dysphonia (vowel breaks), muscular tension dysphonia (tight strained voice), and vocal tremor (tremulous voice). Dextromethorphan-one of a group of drugs called NMDA antagonists-has been used for years in over-the-counter cough suppressant medicines. In animal studies, the drug has blocked one of the reflexes in the larynx that may be associated with spasms in the laryngeal muscles. This study will compare the effects of dextromethorphan, lorazepam (a valium-type drug), and a placebo (inactive substance) in patients with the four types of voice disorders described above. Patients with spasmodic dysphonia, muscular tension dysphonia and vocal tremor may be eligible for this study. Individuals who smoke or use tobacco, who have vocal nodules or polyps, or who have a history of airway obstruction may not participate. Candidates will be screened with a medical history and physical examination, a questionnaire, voice recording (repeating sentences into a microphone), and nasolaryngoscopy (examination of the larynx with a tube advanced through the nose). For the nasolaryngoscopy, the inside of the nose is sprayed with a decongestant (to open the nasal passages) and possibly a local anesthetic. A small, flexible tube called a nasolaryngoscope is passed through the nose to look at the larynx during speech and other tasks, such as singing, whistling and prolonged vowels. Participants will be admitted to the NIH Clinical Center for each of three visits, which will last from the afternoon of one day to late afternoon of the following day. At each visit, patients will complete a questionnaire, baseline speech recording, and a test for sedation level. They will take three pills-either dextromethorphan, lorazepam, or placebo-one every 6 hours. Vital signs will be checked every 6 hours and the level of sedation during waking hours will be monitored. One to three hours after taking the third pill, speech recording, questionnaire and test of sedation will be repeated to check for possible voice changes. Patients will be given a different pill at each visit. ...
NCT00377403 ↗ Treatment of Acute Sinusitis Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 4 2006-10-01 This study will compare the symptom relief provided by 5 cold medicines versus the symptom relief provided by the same 5 cold medicines plus the antibiotic, amoxicillin, in people who have sinus infections. Treatment with amoxicillin may be more effective than treatment with cold medicines alone. Two hundred adult volunteers, aged 18 to 70 years old, with sinus infections will participate in this study for 28 days. Volunteers will receive a 10-day course of either amoxicillin or placebo (substance containing no medication). In addition, all volunteers will receive pain medication, a chest decongestant, nasal decongestants, and cough medicine as needed. Volunteers will be interviewed by telephone on days 0, 3, 7, 10, and 28 following the start of treatment. The study will look at quality of life factors such as change in functional status (ability to perform daily activities) and symptoms, recurrence of the infection, satisfaction with care, and the direct costs of treatment.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Antitussive

Condition Name

Condition Name for Antitussive
Intervention Trials
Cough 6
Coughing 3
Acute Cough 2
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Condition MeSH

Condition MeSH for Antitussive
Intervention Trials
Cough 13
Bronchitis 3
Pulmonary Fibrosis 2
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Clinical Trial Locations for Antitussive

Trials by Country

Trials by Country for Antitussive
Location Trials
United States 12
Korea, Republic of 6
China 5
Taiwan 3
Israel 2
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Trials by US State

Trials by US State for Antitussive
Location Trials
California 2
Maryland 2
New York 1
Washington 1
Oklahoma 1
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Clinical Trial Progress for Antitussive

Clinical Trial Phase

Clinical Trial Phase for Antitussive
Clinical Trial Phase Trials
Phase 4 13
Phase 3 3
Phase 2 9
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Clinical Trial Status

Clinical Trial Status for Antitussive
Clinical Trial Phase Trials
Completed 22
Unknown status 8
Recruiting 3
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Clinical Trial Sponsors for Antitussive

Sponsor Name

Sponsor Name for Antitussive
Sponsor Trials
Yonsei University 4
Beijing Chao Yang Hospital 3
Cerecor Inc 2
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Sponsor Type

Sponsor Type for Antitussive
Sponsor Trials
Other 30
Industry 12
NIH 3
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Antitussive Drugs: Clinical Trials Update, Market Analysis, and Projections

Introduction to Antitussive Drugs

Antitussive drugs, also known as cough suppressants, are medications designed to relieve coughing. These drugs are crucial in managing various respiratory conditions, including asthma, chronic obstructive pulmonary disease (COPD), and other respiratory infections.

Current Clinical Trials

Seyltx's Ifenprodil for Refractory Chronic Cough

One of the promising clinical trials in the antitussive drug sector is Seyltx's SILINDA Phase 2b trial. This trial is evaluating the efficacy, safety, and tolerability of ifenprodil, a selective oral small-molecule inhibitor of GLUN2B, in approximately 240 adults with refractory chronic cough (RCC)[4].

  • Trial Design: The SILINDA program includes three dose arms (40 mg TID, 80 mg TID, 120 mg TID) and a placebo arm. The primary endpoint is the 24-hour cough frequency measured at 12 weeks using the VitaloJAK® cough monitoring system.
  • Expected Outcomes: Preliminary data indicate near-complete suppression of refractory chronic cough within the therapeutic index. The trial is expected to enroll its first patient in early 2025.

Other Ongoing Research

Other pharmaceutical companies are also actively involved in developing new antitussive drugs. For instance, research into novel mechanisms of action, such as targeting specific receptors or pathways involved in cough reflexes, is ongoing. These efforts aim to provide more effective and safer treatment options for patients suffering from chronic coughs.

Market Analysis

Global Market Size and Growth

The global antitussive drugs market has been growing steadily due to the increasing prevalence of respiratory diseases.

  • Current Market Size: The market was valued at around USD 1307.5 million in 2022[2][3].
  • Projected Growth: It is expected to grow to approximately USD 1876.9 million by 2030, with a compound annual growth rate (CAGR) of about 4.62% between 2023 and 2030[2][3].

Regional Market Performance

  • North America: This region is expected to be the leading revenue generator due to the robust pharmaceutical sector in the US. Increased spending on research and development, along with strategic collaborations, drives market growth in this region[2][3].

Key Drivers and Restraints

Drivers

  • Increasing Respiratory Diseases: The rise in respiratory conditions such as asthma and COPD, exacerbated by factors like pollution and poor air quality, drives the demand for antitussive drugs[2][3].
  • Advancements in Drug Formulation: New scientific findings and innovations in cough syrup formulation contribute to market growth.

Restraints

  • Safety Concerns: Side effects or safety concerns related to antitussive drugs can restrict market expansion. For example, some antitussive drugs have been associated with adverse effects, which can limit their use[2].

Market Segmentation

Indication Segmentation

  • Cough: This segment showed the maximum market share in 2022, highlighting the primary use of antitussive drugs in managing cough-related symptoms[3].

Drug Segmentation

  • Dextromethorphan: This was the leading drug in 2022, indicating its widespread use and acceptance as an effective antitussive agent[3].

Future Growth Opportunities and Challenges

Growth Opportunities

  • Emerging Markets: Regions like Asia-Pacific and Latin America offer significant growth opportunities due to their large populations and increasing healthcare spending.
  • Innovative Therapies: The development of new, more effective antitussive drugs with fewer side effects can capture a larger market share.

Challenges

  • Regulatory Hurdles: Ensuring compliance with regulatory requirements and addressing safety concerns are critical challenges for pharmaceutical companies.
  • Competition: The antitussive drugs market is competitive, with many established players. New entrants must differentiate their products to gain market share.

Expert Insights and Quotes

"We believe that the preclinical and clinical data to date are compelling and look forward to working with the broader clinical community on our Phase 2b trial," commented Jacky Smith, MB, ChB, FRCP, PhD, professor of respiratory medicine at the University of Manchester and a member of the Seyltx Scientific Advisory Board[4].

Illustrative Statistics

  • Global Prevalence of Asthma: Over 262 million people were affected by asthma in 2019, according to the World Health Organization (WHO)[2].
  • Market Growth: The global antitussive drugs market is projected to grow from USD 1307.5 million in 2022 to USD 1876.9 million by 2030[2][3].

Regional Outlook

North America

  • This region is expected to continue as the leading revenue generator due to its robust pharmaceutical sector and high spending on research and development[2][3].

Europe, Asia-Pacific, and Other Regions

  • These regions also present significant growth opportunities, driven by increasing healthcare needs and improving economic conditions[5].

Conclusion

The antitussive drugs market is poised for significant growth driven by the increasing prevalence of respiratory diseases and advancements in drug formulation. Ongoing clinical trials, such as Seyltx's SILINDA Phase 2b trial, offer promising new treatment options for patients suffering from refractory chronic cough.

Key Takeaways

  • The global antitussive drugs market is expected to grow from USD 1307.5 million in 2022 to USD 1876.9 million by 2030.
  • North America is the leading region in terms of revenue due to its robust pharmaceutical sector.
  • Ongoing clinical trials, such as Seyltx's SILINDA Phase 2b trial, are evaluating new and more effective antitussive drugs.
  • Safety concerns and regulatory hurdles are key challenges facing the market.

FAQs

What is the current size of the global antitussive drugs market?

The global antitussive drugs market was valued at around USD 1307.5 million in 2022[2][3].

What is the projected growth rate of the antitussive drugs market?

The market is expected to grow at a CAGR of approximately 4.62% between 2023 and 2030[2][3].

Which region is expected to lead the antitussive drugs market?

North America is expected to be the leading revenue generator due to its robust pharmaceutical sector[2][3].

What are some of the key drivers of the antitussive drugs market?

Key drivers include the increasing prevalence of respiratory diseases, advancements in drug formulation, and high spending on research and development[2][3].

What are some of the challenges facing the antitussive drugs market?

Safety concerns, regulatory hurdles, and competition from established players are significant challenges[2].

Sources

  1. Citeline: Key Potential Drug Launches in 2025.
  2. Zion Market Research: Antitussive Drugs Market Size, Share, Growth, Analysis, Trends, 2023.
  3. GlobeNewswire: Global Antitussive Drugs Market Size Is Set to Hit USD 1876.9 Million Mark by 2030, With a CAGR of 4.62%.
  4. BioSpace: Seyltx Announces Positive Pre-Clinical Dose-Ranging Data with Its Selective Oral Small-Molecule Inhibitor of GLUN2B.
  5. Value Market Research: Global Antitussive Drugs Market Research Report.

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