Last Updated: August 9, 2026

CLINICAL TRIALS PROFILE FOR MUCINEX D


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505(b)(2) Clinical Trials for MUCINEX D

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 NCT00902707 ↗ Evaluating the Effect of Mucinex® 1200 mg on Mucociliary and Cough Clearance From the Human Lung Completed Reckitt Benckiser Inc. Phase 1 2009-05-01 The purpose of this research study is to test the ability of Mucinex, an oral, over-the-counter, FDA approved expectorant) to stimulate the clearance of inhaled particles from the subject's lungs (called "mucociliary clearance"). The study will also monitor the metabolism of the drug by the subject's body.
OTC NCT00902707 ↗ Evaluating the Effect of Mucinex® 1200 mg on Mucociliary and Cough Clearance From the Human Lung Completed Reckitt Benckiser LLC Phase 1 2009-05-01 The purpose of this research study is to test the ability of Mucinex, an oral, over-the-counter, FDA approved expectorant) to stimulate the clearance of inhaled particles from the subject's lungs (called "mucociliary clearance"). The study will also monitor the metabolism of the drug by the subject's body.
OTC NCT00902707 ↗ Evaluating the Effect of Mucinex® 1200 mg on Mucociliary and Cough Clearance From the Human Lung Completed University of North Carolina, Chapel Hill Phase 1 2009-05-01 The purpose of this research study is to test the ability of Mucinex, an oral, over-the-counter, FDA approved expectorant) to stimulate the clearance of inhaled particles from the subject's lungs (called "mucociliary clearance"). The study will also monitor the metabolism of the drug by the subject's body.
OTC NCT01114581 ↗ Evaluating the Effect of Mucinex 1200mg on Mucociliary and Cough Clearance During an Acute Respiratory Infection Completed Reckitt Benckiser LLC Phase 2 2010-04-01 The purpose of this research study is to explore the mechanism of action of Mucinex, an oral, over-the-counter, FDA approved expectorant in patients with acute respiratory tract infections.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for MUCINEX D

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00441246 ↗ Phase 4 Study - Mucinex D as Adjunct Therapy Completed Adams Respiratory Therapeutics Phase 4 2007-02-01 The objective of the study is to evaluate the safety and efficacy of Mucinex D tablets in providing symptom relief when administered as an adjunct to antibiotic therapy in patients with acute respiratory infection.
NCT00902707 ↗ Evaluating the Effect of Mucinex® 1200 mg on Mucociliary and Cough Clearance From the Human Lung Completed Reckitt Benckiser Inc. Phase 1 2009-05-01 The purpose of this research study is to test the ability of Mucinex, an oral, over-the-counter, FDA approved expectorant) to stimulate the clearance of inhaled particles from the subject's lungs (called "mucociliary clearance"). The study will also monitor the metabolism of the drug by the subject's body.
NCT00902707 ↗ Evaluating the Effect of Mucinex® 1200 mg on Mucociliary and Cough Clearance From the Human Lung Completed Reckitt Benckiser LLC Phase 1 2009-05-01 The purpose of this research study is to test the ability of Mucinex, an oral, over-the-counter, FDA approved expectorant) to stimulate the clearance of inhaled particles from the subject's lungs (called "mucociliary clearance"). The study will also monitor the metabolism of the drug by the subject's body.
NCT00902707 ↗ Evaluating the Effect of Mucinex® 1200 mg on Mucociliary and Cough Clearance From the Human Lung Completed University of North Carolina, Chapel Hill Phase 1 2009-05-01 The purpose of this research study is to test the ability of Mucinex, an oral, over-the-counter, FDA approved expectorant) to stimulate the clearance of inhaled particles from the subject's lungs (called "mucociliary clearance"). The study will also monitor the metabolism of the drug by the subject's body.
NCT01046136 ↗ Mucinex Exploratory Cold Study Completed Reckitt Benckiser Inc. Phase 2 2009-12-01 This is an exploratory, multicenter, randomized, blinded, placebo-controlled study of Mucinex in patients with colds. Patients will receive 7 days of treatment with either Mucinex or placebo. The study will assess the effects of Mucinex on sputum and cold symptoms.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for MUCINEX D

Condition Name

Condition Name for MUCINEX D
Intervention Trials
Healthy Subjects 7
Acute Respiratory Infection 2
Filamentary Keratitis 1
Healthy 1
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Condition MeSH

Condition MeSH for MUCINEX D
Intervention Trials
Respiratory Tract Infections 4
Infections 4
Infection 3
Bronchitis 2
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Clinical Trial Locations for MUCINEX D

Trials by Country

Trials by Country for MUCINEX D
Location Trials
United States 63
India 1
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Trials by US State

Trials by US State for MUCINEX D
Location Trials
North Carolina 6
Illinois 3
California 3
South Carolina 3
Texas 3
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Clinical Trial Progress for MUCINEX D

Clinical Trial Phase

Clinical Trial Phase for MUCINEX D
Clinical Trial Phase Trials
Phase 4 4
Phase 2/Phase 3 1
Phase 2 2
[disabled in preview] 9
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Clinical Trial Status

Clinical Trial Status for MUCINEX D
Clinical Trial Phase Trials
Completed 15
Not yet recruiting 1
[disabled in preview] 0
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Clinical Trial Sponsors for MUCINEX D

Sponsor Name

Sponsor Name for MUCINEX D
Sponsor Trials
Reckitt Benckiser LLC 9
Reckitt Benckiser Inc. 6
Adams Respiratory Therapeutics 1
[disabled in preview] 2
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Sponsor Type

Sponsor Type for MUCINEX D
Sponsor Trials
Industry 18
Other 3
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Mucinex D Clinical Trials, Market Analysis, Patent Status and 2025-2030 Outlook

Last updated: July 31, 2026

Mucinex D is an over-the-counter combination of guaifenesin and pseudoephedrine hydrochloride used for temporary relief of nasal congestion and chest congestion associated with colds, allergies and upper-respiratory conditions. Its commercial outlook is driven by OTC cold-and-cough demand, pseudoephedrine purchasing restrictions, retailer distribution and competition from store-brand equivalents rather than by a conventional prescription-drug pipeline.

No late-stage clinical development program is associated with Mucinex D. The product is marketed under the FDA’s OTC framework, and future growth depends primarily on brand positioning, formulation execution and retail availability. Generic and private-label competition creates sustained price pressure.

What is Mucinex D and how does it work?

Mucinex D combines two active ingredients:

Active ingredient Function Typical Mucinex D role
Guaifenesin Expectorant Loosens and thins mucus
Pseudoephedrine hydrochloride Nasal decongestant Reduces nasal congestion through vasoconstriction

Mucinex D is sold in extended-release tablet strengths, including 600 mg guaifenesin/60 mg pseudoephedrine and 1,200 mg guaifenesin/120 mg pseudoephedrine formulations. The exact strength and package configuration depend on the product version and market.

The extended-release design allows dosing at approximately 12-hour intervals. Consumers must swallow the tablets whole rather than crush or chew them, because alteration can affect release of the active ingredients. Product labeling warns against use by individuals with certain cardiovascular conditions, uncontrolled hypertension, hyperthyroidism, glaucoma, diabetes or urinary-retention risks without medical advice. [1]

What is the FDA regulatory status of Mucinex D?

Mucinex D is an OTC drug rather than a prescription product requiring an active conventional NDA-based commercial strategy. Guaifenesin is regulated under the FDA OTC monograph framework for expectorants, while oral nasal decongestant products containing pseudoephedrine are subject to applicable FDA regulations and labeling requirements. [2]

The product is not a biologic and has no biosimilar pathway. Its regulatory risks are concentrated in:

  • Active-ingredient compliance
  • Labeling and dosing requirements
  • Extended-release performance
  • Manufacturing quality
  • Drug-facts presentation
  • Pseudoephedrine sales controls
  • State and federal restrictions on retail transactions

Pseudoephedrine products are commonly placed behind the pharmacy counter. Federal law requires retailers to record sales and imposes daily and monthly purchase limits. These controls increase purchasing friction and can affect conversion during seasonal demand spikes. [3]

Are there clinical trials for Mucinex D?

What is the current clinical-trial status?

Mucinex D does not have a conventional clinical-trial pipeline comparable to a prescription drug. Publicly registered studies have historically focused on guaifenesin, pseudoephedrine, congestion, mucus clearance or upper-respiratory symptoms rather than on a proprietary Mucinex D development program.

The evidence base supporting the product is primarily:

  1. Established use of guaifenesin as an expectorant.
  2. Established use of pseudoephedrine as an oral decongestant.
  3. Bioavailability and extended-release formulation data.
  4. OTC monograph and FDA labeling requirements.
  5. Post-market safety monitoring.

Clinical research involving individual ingredients does not necessarily establish new intellectual-property or exclusivity rights for the Mucinex D brand. No FDA-recognized data-exclusivity period is expected to protect the product in the manner associated with a newly approved prescription drug.

What clinical risks are being monitored?

The principal safety concerns relate to pseudoephedrine:

  • Increased blood pressure or heart rate
  • Insomnia, nervousness or tremor
  • Cardiovascular events in susceptible patients
  • Drug interactions involving monoamine oxidase inhibitors
  • Urinary-retention complications
  • Misuse or diversion

Guaifenesin generally has a broader safety margin at labeled doses, but gastrointestinal effects and hypersensitivity reactions remain relevant. Label compliance is important because consumers may combine Mucinex D with other cold products containing overlapping decongestants or expectorants. [1]

What patents protect Mucinex D?

Does Mucinex D have active patent exclusivity?

Mucinex D is not primarily protected by a current prescription-style patent estate. The active ingredients are long-established, and broad composition-of-matter patents for guaifenesin and pseudoephedrine are not the principal commercial barrier.

Potential protection may arise from:

  • Extended-release tablet design
  • Drug-release profiles
  • Manufacturing processes
  • Tablet composition
  • Packaging and tamper-resistant systems
  • Brand trademarks
  • Trade dress
  • Regulatory compliance know-how

These rights should be distinguished from Orange Book-listed patents. Mucinex D is not generally analyzed as an Orange Book patent-expiration product in the same way as a prescription drug approved under an NDA. Where a product is marketed under an OTC monograph, there may be no Orange Book patent listing that controls generic entry.

Protection category Relevance to Mucinex D
Active-ingredient patent Limited; ingredients are mature
Formulation patent Possible, but product-specific and time-limited
Method-of-use patent Generally weak for common cold and congestion indications
Orange Book listing Not the primary exclusivity mechanism
Trademark Commercially important
Trade dress Useful against confusingly similar branding
Manufacturing know-how Potentially valuable but non-public
OTC monograph compliance Regulatory requirement, not exclusivity

A competitor can generally enter with an equivalent guaifenesin/pseudoephedrine product if it satisfies applicable FDA requirements and avoids enforceable formulation, trademark or trade-dress rights.

When does Mucinex D lose exclusivity?

Mucinex D does not have a single patent-expiration date that determines market entry. Its practical exclusivity has already been eroded by multiple generic and store-brand products containing guaifenesin and pseudoephedrine.

The brand retains commercial differentiation through:

  • National recognition of the Mucinex name
  • Retail placement
  • Consumer familiarity with 12-hour dosing
  • Packaging and merchandising
  • Advertising
  • Perceived reliability
  • Availability in specific strengths and pack sizes

This is brand-based exclusivity rather than statutory market exclusivity. The key entry event for competitors is product availability, not expiration of a single controlling patent.

What is the Orange Book status of Mucinex D?

Mucinex D is not principally dependent on Orange Book listing strategy. The Orange Book identifies approved prescription drug products and certain associated patents and exclusivity periods. OTC monograph products generally do not receive the same patent-certification treatment associated with ANDA approvals.

As a result:

  • A Paragraph IV challenge is generally not the central entry mechanism.
  • There is no standard 30-month stay framework comparable to a prescription NDA/ANDA dispute.
  • Competition usually occurs through OTC compliance, private-label sourcing and retail substitution.
  • Litigation risk is more likely to involve trademarks, advertising, labeling or formulation claims than a classic Orange Book patent case.

Which companies compete with Mucinex D?

Mucinex D competes across three groups.

Branded competitors

The principal branded competitors include products marketed under names such as Sudafed and other national cold-and-congestion brands. Competition varies by strength, dosage interval and whether the product contains an expectorant, decongestant or both.

Store-brand products

Retailers and pharmacy chains sell private-label equivalents containing guaifenesin and pseudoephedrine. These products usually compete on price and may use similar extended-release strengths.

Substitute therapies

Consumers may substitute:

  • Guaifenesin-only products
  • Pseudoephedrine-only products
  • Phenylephrine-containing products
  • Nasal sprays
  • Saline products
  • Antihistamine/decongestant combinations
  • Prescription therapies for more severe symptoms

The FDA’s 2023 determination that oral phenylephrine is not effective as a nasal decongestant increased attention on alternative decongestant products, including pseudoephedrine-based products. The regulatory process did not automatically remove phenylephrine products from the market, but it may influence consumer and retailer mix over time. [4]

How large is the Mucinex D market?

Public financial reporting generally does not disclose Mucinex D revenue separately. The brand is usually included within a broader consumer-health portfolio. A precise product-level revenue estimate therefore requires proprietary retail-audit or company data.

The commercial market can be assessed through five measurable drivers:

Driver Expected effect on Mucinex D
Cold and allergy incidence Increases seasonal demand
Retail distribution Determines product availability
Pseudoephedrine restrictions Reduces convenience and impulse purchasing
Private-label pricing Compresses realized revenue and volume share
Brand advertising Supports premium pricing and repeat purchase

Demand is seasonal, with stronger sales typically occurring during winter respiratory illness periods and regional allergy seasons. Severe respiratory seasons can increase unit demand, but stockouts, retailer inventory decisions and household budget pressure can limit realized sales.

What is the Mucinex D market projection for 2025-2030?

A defensible projection should separate category growth from brand growth. The broader OTC respiratory market may expand through population growth, inflation and recurring seasonal illness, while Mucinex D can lose share to lower-priced equivalents.

Base-case outlook

The base case is low-single-digit nominal revenue growth through 2030, with unit growth ranging from flat to low single digits. Price increases, pack-size changes and inflation may produce revenue growth even when branded unit volume is stable.

Scenario 2025-2030 branded outlook Main assumptions
Bear case Declining revenue Private-label substitution, weaker brand support and continued pseudoephedrine friction
Base case Low-single-digit annual revenue growth Stable category demand, modest pricing and sustained distribution
Bull case Mid-single-digit annual revenue growth Strong respiratory seasons, improved retail availability and brand share gains

The base case does not assume a new indication, major clinical breakthrough or regulatory exclusivity. Mucinex D is a mature OTC product, so material upside would require stronger distribution, premium packaging, improved consumer conversion or portfolio expansion.

What generic entry risks exist for Mucinex D?

Generic entry risk is high because the active ingredients are established and equivalent products are commercially available. The relevant threats are not limited to formal generic-drug manufacturers. Retailers can source private-label versions from contract manufacturers and compete directly on shelf price.

The main risks are:

  • Retailer substitution
  • Lower-priced store brands
  • Multi-ingredient product switching
  • Consumer movement to guaifenesin-only products
  • Reduced pseudoephedrine purchasing convenience
  • Advertising limits or compliance actions
  • Product recalls affecting availability
  • Supply disruptions involving active ingredients or packaging

Mucinex D can defend share through consistent supply, recognizable packaging, product quality and strong retailer relationships. Patent litigation is unlikely to be the primary defense against ordinary store-brand competition.

What licensing deals and litigation affect Mucinex D?

No major publicly disclosed licensing transaction or high-profile patent settlement is generally associated with Mucinex D’s current commercial position. The product’s market status is better explained by brand ownership, OTC regulatory compliance and distribution than by a license-protected technology platform.

Potential disputes may involve:

  • Trademark infringement
  • False or misleading advertising
  • Comparative claims
  • Labeling compliance
  • Product liability
  • Retailer or distributor contracts
  • Manufacturing quality
  • Consumer class actions

A Paragraph IV settlement is not expected to be a central feature of the Mucinex D competitive landscape because the product is not dependent on a conventional Orange Book-listed patent blocking ANDA entry.

How strong is the Mucinex D patent estate?

The patent estate is likely weaker than the brand franchise.

Estate component Assessment
Core molecule protection Low
Combination concept Low to moderate
Extended-release formulation Moderate if claim scope remains enforceable
Manufacturing process Moderate but difficult to assess publicly
Trademark and trade dress Moderate to strong commercially
Regulatory exclusivity Low
Biosimilar protection Not applicable
Litigation leverage Limited relative to prescription brands

The most durable commercial assets are the Mucinex trademark, consumer recognition and distribution footprint. Formulation patents, if any remain enforceable, are narrower and less likely to prevent all competing guaifenesin/pseudoephedrine products.

Key Takeaways

  • Mucinex D is an OTC guaifenesin/pseudoephedrine product with no conventional late-stage clinical development program.
  • Its regulatory status is based primarily on OTC requirements, labeling and product-quality compliance.
  • The product has no single patent-expiration date that controls generic entry.
  • Paragraph IV litigation and Orange Book disputes are not the principal competitive risks.
  • Generic and private-label competition is already established.
  • Pseudoephedrine sales restrictions reduce convenience and can limit demand conversion.
  • Public company disclosures generally do not isolate Mucinex D revenue.
  • The base-case 2025-2030 outlook is low-single-digit nominal revenue growth, with brand unit volume vulnerable to substitution.
  • Brand equity, retail placement and supply reliability are more important than broad molecule patents.
  • Biosimilar risk is irrelevant because Mucinex D is a small-molecule OTC product, not a biologic.

FAQs

Is Mucinex D prescription-only?

No. Mucinex D is sold without a prescription, but pseudoephedrine-containing products are commonly kept behind the pharmacy counter and subject to purchase limits and recordkeeping.

Can a generic company launch a Mucinex D equivalent?

Yes. A company can market a compliant guaifenesin/pseudoephedrine product if it satisfies applicable FDA requirements and avoids enforceable formulation, trademark and trade-dress rights.

Does Mucinex D have an FDA exclusivity period?

Mucinex D does not rely on a new-drug exclusivity period comparable to a recently approved prescription medicine. Its market position depends mainly on OTC compliance and branding.

Is Mucinex D affected by the FDA phenylephrine decision?

Indirectly. FDA action concerning oral phenylephrine may shift consumer and retailer attention toward other decongestants, including pseudoephedrine, but it does not itself grant Mucinex D new exclusivity.

Is Mucinex D protected by biosimilar or biologic patents?

No. Mucinex D contains small-molecule active ingredients and is outside the biologic and biosimilar regulatory framework.

References

  1. DailyMed. (n.d.). Mucinex D extended-release tablets: Guaifenesin and pseudoephedrine hydrochloride labeling. U.S. National Library of Medicine.
  2. U.S. Food and Drug Administration. (n.d.). Over-the-counter drug monograph system. https://www.fda.gov/drugs/over-counter-otc-nonprescription-medicines
  3. U.S. Drug Enforcement Administration. (n.d.). Combat methamphetamine epidemic act: Retail sales of pseudoephedrine. https://www.deadiversion.usdoj.gov
  4. U.S. Food and Drug Administration. (2023). FDA proposes to remove oral phenylephrine from OTC monograph. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providersphenylephrine-cold-medicine

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