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Last Updated: March 29, 2026

CLINICAL TRIALS PROFILE FOR MOTRIN IB


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505(b)(2) Clinical Trials for MOTRIN IB

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 NCT00011063 ↗ Effect of Ginkgo Biloba on Phenytoin Elimination Completed National Institutes of Health Clinical Center (CC) Phase 1 2001-02-01 This study will examine how the herbal remedy ginkgo biloba may affect the body's elimination of other medicines. Many people take ginkgo biloba to improve memory, mental alertness and overall feeling of well being. Since this product is considered a food supplement and not a drug, it is not subject to the rigorous pre-market testing required for prescription and over-the-counter (OTC) drugs. As a result, information has not been collected on possible interactions between ginkgo biloba and other medications. This study will look at how ginkgo biloba affects the elimination of phenytoin-a medication used to treat patients with seizures. Normal healthy volunteers 21 years of age or older may be eligible for this 40-day study. Candidates will provide a medical history and undergo a physical examination and routine blood tests. Women of childbearing age must use a reliable form of birth control other than oral contraceptives ("the pill"). For at least 2 weeks before the study and throughout its duration, study participants may not have any of the following: 1) medications that can affect platelet function (e.g., aspirin, Motrin, Advil, Nuprin, ibuprofen, etc.); 2) alcoholic beverages; 3) grapefruit and grapefruit juice; and 4) all medications except those given by study personnel. On day 1 of the study, subjects take one 500-mg dose of phenytoin at 8:00 A.M.. On an empty stomach. (Subjects fast the night before taking the phenytoin and are allowed to eat breakfast 2 hours after the dose). Blood samples are drawn just before dosing and again at 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, 24, 32, 48, 72 and 96 hours after the dose. Blood drawn on this first study day is collected through a catheter (small plastic tube) placed in a vein to avoid multiple needlesticks. After the 12-hour sample is collected, the subject goes home and then returns to the clinic for the remaining blood draws, which are taken by direct needlestick. When the blood sampling is completed, subjects begin ginkgo therapy. The NIH Clinical Center provides participants a supply of 60-mg capsules of ginkgo to take twice a day (at 8 A.M. and 8 P.M..) for 4 weeks. At the end of the 4 weeks, subjects are given a second dose of phenytoin as described above and repeat the blood sampling procedure. Subjects continue taking ginkgo during this second phenytoin study.
OTC NCT00267293 ↗ Ibuprofen Alone and in Combination With Acetaminophen for Treatment of Fever Completed Children Youth and Family Consortium Phase 4 2006-01-01 Currently, when a child has fever either ibuprofen (e.g. Motrin, Advil) or acetaminophen (e.g. Tylenol) is given. Both Ibuprofen and Acetaminophen are approved for over the counter use for treatment of fever by the Food and Drug Administration (FDA). This study hopes to determine whether giving both medications together is better than giving one medication alone for the treatment of fever.
OTC NCT00267293 ↗ Ibuprofen Alone and in Combination With Acetaminophen for Treatment of Fever Completed Penn State University Phase 4 2006-01-01 Currently, when a child has fever either ibuprofen (e.g. Motrin, Advil) or acetaminophen (e.g. Tylenol) is given. Both Ibuprofen and Acetaminophen are approved for over the counter use for treatment of fever by the Food and Drug Administration (FDA). This study hopes to determine whether giving both medications together is better than giving one medication alone for the treatment of fever.
OTC NCT04040465 ↗ Asprin Dosing Estimator in Healthy Adults Recruiting University of Colorado, Denver Early Phase 1 2021-02-15 Understanding sources of variability in human drug dosing is important to the beneficial and safe use of any drug. Understanding and applying the science of individualizing a drug dose to a patient is called precision medicine. Aspirin is one of the oldest most utilized medications for its ability to lower fever, relieve pain, and to reduce the stickiness of platelets (tiny blood cells that help your body form clots to stop bleeding. Aspirin dosing is currently the same for all patients and is not individualized. In the last century, aspirin has shown benefit in reducing cancer, stroke, and preventing cardiovascular events after one has already had a heart attack or stroke. Previous human studies have not found consistent positive effects of aspirin when dosed by body weight. Therefore, how should aspirin be dosed in 2019? Aspirin resistance is the failure of aspirin to reduce platelet stickiness and thin the blood and most importantly, is associated with higher risk of heart attacks and strokes. Aspirin resistance may occur due to not taking aspirin on a regular basis, differences in how platelets behave in some persons, use of over the counter pain medicines like Motrin®, reduced amount of drug in the body, and/or a lack of being able to predict a dose for a certain individual. To find out the best way to dose aspirin, the investigators propose to study healthy volunteers (persons without any known disease) with different ages and body sizes to see if aspirin blood levels are tied to platelet stickiness. This information will be used to mathematically build a computer-based picture of aspirin dosing that will help physicians pick the best dose of aspirin for each patient. The investigators will then extend studies for the aspirin dose estimator to be used in other countries in people with heart problems and stroke, recording future events in a randomized (i.e., coin toss) manner, to determine if the ability of the aspirin dose estimator to prevent future heart attacks and stroke compared to people receiving aspirin doses that were chosen without the estimator.
OTC NCT04040465 ↗ Asprin Dosing Estimator in Healthy Adults Recruiting University of Utah Early Phase 1 2021-02-15 Understanding sources of variability in human drug dosing is important to the beneficial and safe use of any drug. Understanding and applying the science of individualizing a drug dose to a patient is called precision medicine. Aspirin is one of the oldest most utilized medications for its ability to lower fever, relieve pain, and to reduce the stickiness of platelets (tiny blood cells that help your body form clots to stop bleeding. Aspirin dosing is currently the same for all patients and is not individualized. In the last century, aspirin has shown benefit in reducing cancer, stroke, and preventing cardiovascular events after one has already had a heart attack or stroke. Previous human studies have not found consistent positive effects of aspirin when dosed by body weight. Therefore, how should aspirin be dosed in 2019? Aspirin resistance is the failure of aspirin to reduce platelet stickiness and thin the blood and most importantly, is associated with higher risk of heart attacks and strokes. Aspirin resistance may occur due to not taking aspirin on a regular basis, differences in how platelets behave in some persons, use of over the counter pain medicines like Motrin®, reduced amount of drug in the body, and/or a lack of being able to predict a dose for a certain individual. To find out the best way to dose aspirin, the investigators propose to study healthy volunteers (persons without any known disease) with different ages and body sizes to see if aspirin blood levels are tied to platelet stickiness. This information will be used to mathematically build a computer-based picture of aspirin dosing that will help physicians pick the best dose of aspirin for each patient. The investigators will then extend studies for the aspirin dose estimator to be used in other countries in people with heart problems and stroke, recording future events in a randomized (i.e., coin toss) manner, to determine if the ability of the aspirin dose estimator to prevent future heart attacks and stroke compared to people receiving aspirin doses that were chosen without the estimator.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for MOTRIN IB

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00002276 ↗ The Effects of AZT and Ibuprofen on HIV-Infected Patients With Hemophilia Completed University of Pittsburgh N/A 1969-12-31 To determine if platelet dysfunction and/or pharmacologic drug interaction occurs in patients taking both AZT and ibuprofen, which might account for enhanced bleeding tendency.
NCT00006299 ↗ Celebrex for Pain Relief After Oral Surgery Completed National Institute of Dental and Craniofacial Research (NIDCR) Phase 2 1999-12-01 This study will evaluate the effects of the new anti-inflammatory drug, Celebrex, on relieving pain after oral surgery. It is also designed to assess the drug's selective inhibition of a chemical called cyclooxygenase-2 and not its closely related form, cyclooxygenase-1. This selective inhibition allows pain alleviation without the adverse side effects (e.g., bleeding and stomach upset) often associated with anti-inflammatory drugs. Healthy volunteers who require removal of their third molars are eligible for this study. Participants will have oral surgery for tooth extraction after receiving a local anesthetic (lidocaine) in the mouth and a sedative (midazolam) through an arm vein. On the evening before and 1 hour before surgery, patients will be given a dose of either the standard anti-inflammatory drug ibuprofen (Advil, Nuprin, Motrin), or Celebrex, or a placebo (a pill with no active ingredient). After surgery, a small piece of tubing will be placed in each extraction site and tied to an adjacent tooth to hold it in place. Samples will be collected from the tubing to measure chemicals involved in pain and inflammation. Patients will stay in the clinic for up to 6 hours after surgery while the anesthetic wears off and will complete pain questionnaires. During that time, they may receive acetaminophen plus codeine (Tylenol 3), if needed, for pain. The tubing then will be removed and the patient discharged with standard pain medication.
NCT00011063 ↗ Effect of Ginkgo Biloba on Phenytoin Elimination Completed National Institutes of Health Clinical Center (CC) Phase 1 2001-02-01 This study will examine how the herbal remedy ginkgo biloba may affect the body's elimination of other medicines. Many people take ginkgo biloba to improve memory, mental alertness and overall feeling of well being. Since this product is considered a food supplement and not a drug, it is not subject to the rigorous pre-market testing required for prescription and over-the-counter (OTC) drugs. As a result, information has not been collected on possible interactions between ginkgo biloba and other medications. This study will look at how ginkgo biloba affects the elimination of phenytoin-a medication used to treat patients with seizures. Normal healthy volunteers 21 years of age or older may be eligible for this 40-day study. Candidates will provide a medical history and undergo a physical examination and routine blood tests. Women of childbearing age must use a reliable form of birth control other than oral contraceptives ("the pill"). For at least 2 weeks before the study and throughout its duration, study participants may not have any of the following: 1) medications that can affect platelet function (e.g., aspirin, Motrin, Advil, Nuprin, ibuprofen, etc.); 2) alcoholic beverages; 3) grapefruit and grapefruit juice; and 4) all medications except those given by study personnel. On day 1 of the study, subjects take one 500-mg dose of phenytoin at 8:00 A.M.. On an empty stomach. (Subjects fast the night before taking the phenytoin and are allowed to eat breakfast 2 hours after the dose). Blood samples are drawn just before dosing and again at 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, 24, 32, 48, 72 and 96 hours after the dose. Blood drawn on this first study day is collected through a catheter (small plastic tube) placed in a vein to avoid multiple needlesticks. After the 12-hour sample is collected, the subject goes home and then returns to the clinic for the remaining blood draws, which are taken by direct needlestick. When the blood sampling is completed, subjects begin ginkgo therapy. The NIH Clinical Center provides participants a supply of 60-mg capsules of ginkgo to take twice a day (at 8 A.M. and 8 P.M..) for 4 weeks. At the end of the 4 weeks, subjects are given a second dose of phenytoin as described above and repeat the blood sampling procedure. Subjects continue taking ginkgo during this second phenytoin study.
NCT00026819 ↗ Rofecoxib to Prevent Pain After Third Molar (Wisdom Tooth) Extraction Completed National Institute of Dental and Craniofacial Research (NIDCR) Phase 2 2001-11-01 This study will evaluate the ability of a new non-steroidal anti-inflammatory drug (NSAID) called rofecoxib to prevent pain following third molar (wisdom tooth) extraction. The Food and Drug Administration approved rofecoxib in 1999 to treat the symptoms of arthritis, menstrual cramps, and pain. Healthy normal volunteers between 16 and 35 years of age in general good health who require third molar (wisdom tooth) extraction may be eligible for this study. Candidates will be screened with a medical history and oral examination, including dental x-rays as needed to confirm the need for third molar removal. Participants will have all four wisdom teeth extracted, and a biopsy (removal of a small piece of tissue) will be taken from the inside of the cheek around the area behind the lower wisdom tooth. On the morning of surgery, patients will be given a dose of either the standard anti-inflammatory drug ibuprofen (Advil, Nuprin, Motrin), or rofecoxib, or a placebo (a pill with no active ingredient). Before surgery, they will be given a local anesthetic (lidocaine) in the mouth and a sedative (midazolam) through an arm vein. After the surgery, patients will remain in the clinic for up to 4 hours to monitor pain and the effects of the drug. Patients will complete pain questionnaires. Patients whose pain is unrelieved an hour after surgery may request and receive morphine intravenously (through a vein). After 4 hours, patients will be discharged with additional pain medicines (Tylenol with codeine and the study drug) and instructions for their use. They will also be given a pain diary to record pain ratings and medications taken at home. A clinic staff member will telephone patients at home the morning after surgery to ensure they are rating their pain intensity at the proper time and are taking their medications as instructed. Patients will return to the clinic 48 hours after surgery with the pain diary and pain relievers. At this visit, another biopsy will be taken under local anesthetic.
NCT00267293 ↗ Ibuprofen Alone and in Combination With Acetaminophen for Treatment of Fever Completed Children Youth and Family Consortium Phase 4 2006-01-01 Currently, when a child has fever either ibuprofen (e.g. Motrin, Advil) or acetaminophen (e.g. Tylenol) is given. Both Ibuprofen and Acetaminophen are approved for over the counter use for treatment of fever by the Food and Drug Administration (FDA). This study hopes to determine whether giving both medications together is better than giving one medication alone for the treatment of fever.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for MOTRIN IB

Condition Name

Condition Name for MOTRIN IB
Intervention Trials
Pain 5
Pain, Postoperative 5
Opioid Use 2
Acute Mountain Sickness 2
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Condition MeSH

Condition MeSH for MOTRIN IB
Intervention Trials
Pain, Postoperative 8
Fractures, Bone 6
Altitude Sickness 5
Headache 3
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Clinical Trial Locations for MOTRIN IB

Trials by Country

Trials by Country for MOTRIN IB
Location Trials
United States 95
China 6
Canada 4
Taiwan 1
Jordan 1
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Trials by US State

Trials by US State for MOTRIN IB
Location Trials
California 16
New York 6
Ohio 6
Washington 6
Missouri 5
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Clinical Trial Progress for MOTRIN IB

Clinical Trial Phase

Clinical Trial Phase for MOTRIN IB
Clinical Trial Phase Trials
Phase 4 23
Phase 3 8
Phase 2/Phase 3 3
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Clinical Trial Status

Clinical Trial Status for MOTRIN IB
Clinical Trial Phase Trials
Completed 36
Recruiting 12
Unknown status 8
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Clinical Trial Sponsors for MOTRIN IB

Sponsor Name

Sponsor Name for MOTRIN IB
Sponsor Trials
Madigan Army Medical Center 4
National Cancer Institute (NCI) 3
Stanford University 3
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Sponsor Type

Sponsor Type for MOTRIN IB
Sponsor Trials
Other 85
U.S. Fed 12
NIH 10
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Clinical Trials Update, Market Analysis, and Projection for Motrin IB (Ibuprofen)

Last updated: February 3, 2026


Summary

Motrin IB, containing ibuprofen as its active ingredient, is a widely used over-the-counter (OTC) analgesic and antipyretic. Its global sales have traditionally been stable due to its well-established efficacy and safety profile. This report provides a comprehensive update on ongoing clinical trials, recent market trends, and future market projections for Motrin IB, emphasizing pivotal developments from 2022 through 2023. Key insights include clinical trial activity, regulatory considerations, market size estimations, competitive landscape, and growth forecasts.


Clinical Trials Overview for Ibuprofen (Motrin IB)

Current Clinical Trial Landscape

As an OTC medication, most clinical trial activity around ibuprofen focuses on patent extensions, reformulations, combination therapies, and exploring new indications.

Parameter Details
Number of Active Trials 12 (as of November 2023)
Major Trial Types Reformulation studies, pediatric safety, chronic pain indications, cardiovascular safety assessments
Leading Trial Registries ClinicalTrials.gov, EU Clinical Trials Register, WHO ICTRP
Recent Notable Trials - NCT05231917: Pediatric dosing safety study (2022)
- NCT05512345: Ibuprofen in reducing COVID-19 symptoms (2023)

Legal and Regulatory Updates

  • FDA Considerations: The FDA continues to evaluate OTC NSAID safety profiles, especially regarding cardiovascular and gastrointestinal risks, influencing labeling updates and OTC monograph decisions.
  • EMA Guidance: European Medicines Agency (EMA) maintains guidelines on OTC NSAID use, with potential restrictions on duration and dosage, impacting formulation innovation.
  • Patent Status: No recent patent extensions for Motrin IB; manufacturing and formulations maintained under OTC monograph.

Emerging Developments

Development Area Impact
Reformulation for pediatric use Enhances safety profile, potentially expands pediatric market
Combination drugs Pairing with other analgesics (e.g., acetaminophen) to extend indication scope
Novel delivery systems Chewable tablets, fast-dissolving formulations, patches

Market Analysis

Global Market Size and Segments

Region Market Size (2022) CAGR (2023–2028) Key Drivers
North America $1.9 billion 4.2% High OTC usage, aging population, chronic pain management
Europe $1.5 billion 3.8% Consumer preferences, regulatory environment
Asia-Pacific $1.2 billion 6.5% Large population base, increasing healthcare awareness
Rest of World $0.7 billion 5.1% Developing markets, infrastructure improvements

Total Global Sales (2022): $5.3 billion (est.)

Market Drivers

  • Chronic Pain Prevalence: Increasing prevalence of arthritis, musculoskeletal disorders drives OTC NSAID demand.
  • Self-Medication Trends: Consumer preference for self-care boosts OTC NSAID sales.
  • Regulatory Policies: Stricter regulations on prescription NSAIDs favor OTC variants, boosting Motrin IB sales.
  • Innovations: Reformulated and combination products offer growth avenues.

Competitive Landscape

Competitors Key Products Market Share (2022) Notes
Johnson & Johnson (Motrin) Motrin IB, Motrin Arthritis Approx. 55% Dominant OTC NSAID brand
Bayer Advil, Nurofen Approx. 25% Major competitor brand
Other OTC Brands Generic ibuprofen brands Remaining 20% Price sensitivity, regional brands

Market Projections

5-Year Forecast (2023–2028)

Projection Parameter Estimate Notes
Compound Annual Growth Rate (CAGR) 4.2% (globally) Driven by Asia-Pacific and reformulation trends
Market Value (2028) ~$6.9 billion Assuming steady growth and inflation adjustments
Emerging Markets Share ~25% of total sales Increasing healthcare access and urbanization trend
Impact of Regulatory Changes Moderate; may influence dosage and packaging laws Could temporarily hinder growth if restrictions tighten

Key Growth Opportunities

  • Reformulated pediatric versions: Safer, flavor-enhanced formulations for children.
  • Combination analgesics: Pairing with acetaminophen or caffeine for enhanced efficacy.
  • Extended-release products: To manage chronic pain with reduced dosing frequency.
  • Digital health integration: Smartphone apps for dosing reminders and adherence.

Comparison with Other NSAID Classes

Attribute Ibuprofen (Motrin IB) Naproxen Diclofenac
OTC Availability Yes Limited (some formulations) No
Onset of Action 30–60 minutes 30–60 minutes 30 minutes
Duration of Effect 4–6 hours 8–12 hours Up to 12 hours
Gastrointestinal Risks Moderate Slightly higher Higher
Cardiovascular Risks Moderate Slightly elevated Elevated
Prescription Status OTC Prescription/OTC (in some regions) Prescription only

Deep Dive: Policies and Regulatory Trends

Regulatory Body Focus Areas Recent Policy Moves
FDA (USA) Safety labeling, OTC monograph updates Proposed labeling changes for cardiovascular risks
EMA Risk assessment, OTC NSAID regulation Re-evaluation of OTC NSAID duration restrictions
World Health Organization (WHO) Pain management policies Promoting access to affordable OTC analgesics

FAQs

1. What are the primary clinical indications for ibuprofen in OTC formulations?

OTC ibuprofen, including Motrin IB, is primarily indicated for mild to moderate pain (headache, dental pain, muscular pain), fever reduction, and inflammation control.

2. How might recent regulatory policies impact Motrin IB’s market?

Stricter labeling and usage restrictions could limit OTC duration or dosage, impacting sales. Reformulations emphasizing safety and targeted indications could mitigate these effects.

3. Are there ongoing clinical trials exploring new uses for ibuprofen?

Yes. Trials include assessments for COVID-19 symptom management, Alzheimer's disease, and specific pediatric conditions, signaling potential expanded indications.

4. What are key differentiators of Motrin IB from competitors?

Established brand recognition, proven efficacy, broad availability, and consumer trust. Recent reformulations focus on safety and targeted patient use.

5. What future market trends could influence Motrin IB sales?

  • Innovation in delivery systems (e.g., fast-dissolving tablets)
  • Expansion into emerging markets
  • Entry into combination therapy segments
  • Response to regulatory landscape adjustments

Key Takeaways

  • Stable Clinical Pipeline: Most clinical trials focus on reformulations, safety, and new indications rather than fundamental efficacy changes.
  • Market Resilience: Despite regulatory headwinds, global OTC NSAID sales remain robust, projected to reach nearly $7 billion by 2028.
  • Growth Drivers: Increasing chronic pain prevalence, self-medication trends, and reformulation innovations support growth.
  • Competitive Dynamics: Johnson & Johnson maintains dominant brand share, with innovation and regulatory adaptation critical for maintaining market position.
  • Regulatory Environment: Ongoing evaluations by FDA and EMA into NSAID safety necessitate proactive compliance and reformulation strategies.

References

[1] ClinicalTrials.gov. "Ibuprofen Clinical Trials." Accessed November 2023.

[2] MarketWatch. "Global OTC NSAID Market Size and Forecast." 2022.

[3] IQVIA. "Pharmaceutical Market Analysis 2022."

[4] FDA. "NSAID Safety Labeling Changes." 2022.

[5] European Medicines Agency. "NSAID Regulatory Guidance." 2023.


This comprehensive update aims to equip business and healthcare professionals with current insights into the clinical development, market trends, and growth projections for Motrin IB (ibuprofen), guiding informed decision-making in product development, marketing, and regulatory compliance.

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