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Last Updated: January 1, 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
Jordan 1
Nepal 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

Last updated: November 1, 2025

Introduction

Motrin IB, a widely used over-the-counter (OTC) analgesic and antipyretic containing ibuprofen, remains a dominant player within the non-steroidal anti-inflammatory drug (NSAID) segment. With increasing consumer awareness and evolving regulatory pathways, understanding its current clinical trial landscape, market dynamics, and future projections is vital for pharmaceutical investors, healthcare providers, and industry stakeholders.


Clinical Trials Landscape for Motrin IB

Current Clinical Trial Status

Motrin IB is primarily marketed as an OTC product; however, its active ingredient, ibuprofen, continues to be under extensive clinical investigation for various indications beyond pain relief. Although no new high-profile clinical trials are publicly registered specifically for OTC Motrin IB, numerous studies focus on ibuprofen's broader applications:

  • Chronic Pain Management: Several ongoing phase 4 post-marketing studies examine long-term safety profiles in diverse patient populations (ClinicalTrials.gov, NCT04567890).
  • Inflammatory Conditions and Autoimmune Disorders: Trials are evaluating high-dose ibuprofen's efficacy in rheumatoid arthritis and juvenile idiopathic arthritis, where formulations similar to OTC Motrin may serve as adjuncts.
  • COVID-19 and Viral Infections: Research into NSAIDs like ibuprofen's impact on viral pathophysiology persists, although regulatory agencies initially expressed caution (WHO, 2020).

Regulatory and Safety Investigations

Recent updates highlight intensified safety surveillance:

  • Gastrointestinal Risks: Post-market studies continue assessing NSAID-related gastrointestinal bleeding risks, reinforcing the significance of consumer education on proper usage.
  • Cardiovascular Risks: The FDA issued warnings regarding increased cardiovascular risk with prolonged NSAID use, influencing both clinical guidelines and OTC recommendations (FDA, 2021).

Implications of Clinical Data

The clinical trial landscape underscores a focus shift towards long-term safety and application in specific populations. While no novel formulations of OTC Motrin IB are in late-stage trials, ongoing research influences regulatory status and consumer confidence.


Market Analysis of Motrin IB

Global Market Overview

The NSAID market, including ibuprofen formulations, attained a valuation of approximately $11.4 billion in 2022 (Grand View Research), driven by increasing prevalence of musculoskeletal disorders, dental pain, and COVID-19-related symptoms.

Major Players:

  • Johnson & Johnson (Motrin)
  • Pfizer (Advil)
  • Bayer
  • GlaxoSmithKline

Regional Dynamics:

  • North America: Dominates the market due to high OTC consumption, advanced healthcare infrastructure, and strong brand recognition.
  • Europe: Significant growth driven by expanding OTC drug use and aging populations.
  • Asia-Pacific: Fastest growth rate, owing to increased healthcare awareness, urbanization, and expanding pharmaceutical distribution channels.

Market Drivers

  • Rising Incidence of Chronic Pain and Inflammation: Aging populations and sedentary lifestyles contribute to increased demand.
  • Over-the-Counter Accessibility: Regulatory easing in emerging markets promotes OTC availability.
  • Consumer Trend Toward Self-Medication: Growing preference for self-managed health solutions bolsters sales.

Market Challenges

  • Safety Concerns: Regulatory warnings on cardiovascular and gastrointestinal risks potentially hinder growth.
  • Competition: Numerous generic ibuprofen products dilute market share for branded Motrin IB.
  • Regulatory Scrutiny: Stricter regulations and labeling requirements may impact OTC sales and formulations.

Economic Impact

The OTC segment, including Motrin IB, displayed resilience during the COVID-19 pandemic, with a compound annual growth rate (CAGR) of approximately 4.1% from 2018 to 2022. However, recent safety advisories may temper future growth trajectories.


Market Projection for Motrin IB

Short-term Outlook (2023–2025)

The OTC NSAID market is expected to sustain its growth, with a projected CAGR of 3.8%, reaching an estimated $15 billion by 2025 (Research and Markets). Despite ongoing safety concerns, widespread consumer reliance and diagnostic shifts favor continued OTC sales.

Key factors influencing near-term projections:

  • Product Differentiation: Innovations in packaging or delivery (e.g., liquid gels, combination products) could bolster sales.
  • Regulatory Environment: Enhanced safety labeling may serve as a deterrent but also strengthen consumer trust.
  • Market Penetration in Emerging Economies: Expanding accessibility sustains growth opportunities.

Long-term Outlook (2026–2030)

The long-term outlook must account for potential regulatory changes and emerging alternatives. Forecasts suggest a moderated CAGR of 2.8%, culminating in a market size approaching $17.5 billion by 2030. Factors shaping this include:

  • Emergence of Prescription Alternatives: New formulations with improved safety profiles could alter OTC sales.
  • Consumer Shift Toward Natural Remedies: Growing preference for herbal or non-NSAID analgesics may limit market expansion.
  • Innovative Drug Delivery: Sustained interest in developing safer NSAID formulations or topical variants may create new opportunities.

Impact of Regulatory and Clinical Changes

Regulatory agencies' increased vigilance on NSAID safety could tighten marketing claims, leading to label modifications and usage guidelines that influence consumer behavior, potentially impacting sales volumes.


Strategic Implications for Industry Stakeholders

  • Investors: Should monitor evolving safety data and regulatory landscapes to assess risks and growth potential.
  • Pharmaceutical Companies: Opportunities exist for developing proprietary formulations or combination products with improved safety profiles.
  • Healthcare Providers: Need to stay informed about safety advisories to guide patient use effectively.
  • Regulators: Must balance OTC accessibility with safety mandates, potentially impacting product labeling and consumer education.

Key Takeaways

  • Stable Clinical Trial Environment: While no new clinical trials exclusively target OTC Motrin IB, ongoing research into ibuprofen's broader applications and safety continues to influence regulatory and market perceptions.
  • Resilient Market Position: Motrin IB remains a leading OTC analgesic, with global market growth driven by aging populations, chronic pain prevalence, and increasing self-medication.
  • Safety and Regulation as Critical Drivers: Evolving safety concerns and regulatory scrutiny are shaping product development, marketing, and consumer education strategies.
  • Growth Projections Moderated: The OTC ibuprofen market is expected to grow at a moderate pace, with a CAGR of approximately 3.8% through 2025, tapering slightly thereafter.
  • Innovation Opportunities: Development of safer formulations, packaging innovations, and targeted indications can sustain growth and competitive advantage.

FAQs

1. Are there any ongoing clinical trials specifically for Motrin IB?
Most clinical trials involving ibuprofen focus on specific medical conditions rather than the OTC product itself. No late-stage trials are explicitly dedicated to OTC Motrin IB's formulation or branding.

2. How might safety concerns impact the future market for Motrin IB?
Regulatory advisories and safety concerns related to cardiovascular and gastrointestinal risks could lead to increased labeling requirements, usage restrictions, or consumer shift to alternative remedies, potentially tempering market growth.

3. What competitive strategies are pharmaceutical companies employing in the NSAID segment?
Companies are investing in formulation innovation, such as topical NSAID gels, combination products, and improved safety profiles, to differentiate offerings and maintain market share.

4. How does the global market for OTC NSAIDs like Motrin IB compare across regions?
North America and Europe lead in OTC NSAID consumption, driven by healthcare infrastructure and consumer awareness. Emerging markets such as Asia-Pacific show rapid growth due to expanding healthcare access and regulatory liberalization.

5. What are the key factors influencing the long-term outlook for Motrin IB?
Safety profile management, regulatory environment, consumer preferences shifted towards natural remedies, and technological innovations in drug delivery will significantly influence its long-term success.


Sources:

  1. Grand View Research. "NSAID Market Size, Share & Trends Analysis Report." 2022.
  2. U.S. Food and Drug Administration (FDA). "NSAID Safety Updates." 2021.
  3. World Health Organization (WHO). "NSAIDs and COVID-19." 2020.
  4. Research and Markets. "OTC Pain Relief Market Forecast." 2023.
  5. ClinicalTrials.gov. "Ibuprofen Clinical Trials." Accessed 2023.

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