Last Updated: August 3, 2026

CLINICAL TRIALS PROFILE FOR SUDAFED 24 HOUR


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All Clinical Trials for SUDAFED 24 HOUR

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00002149 ↗ Acupuncture and Herbal Treatment of Chronic HIV Sinusitis Completed Immune Enhancement Project N/A 1969-12-31 To compare Traditional Chinese Medicine versus standard antibiotic therapy consisting of pseudoephedrine ( Sudafed ) plus amoxicillin / clavulanate potassium combination ( Augmentin ) in reducing symptoms and recurrence of acute HIV-related sinusitis. Chronic sinusitis in HIV-infected individuals is a recurrent and persistent infection with potentially serious complications: it can exacerbate pulmonary disease, cause recurrences of life-threatening sepsis, and progress to central nervous system involvement. Symptoms of sinusitis in HIV patients are often refractory to aggressive Western medical management, and antibiotic intolerance can occur. Traditional Chinese Medicine consisting of acupuncture and herbal treatment may provide a low-risk, low-cost alternative to conventional antibiotic therapy.
NCT00179023 ↗ The Autonomic Nervous System and Obesity Completed Vanderbilt University Phase 1 2003-04-01 In its simplest terms, obesity is the results of a positive balance between food intake and energy expenditure (EE). I.e., we take in more energy, in the form of food, than we expend, e.g., by exercise. In our sedentary society, resting EE accounts for most of total energy expenditure. The sympathetic nervous system (SNS, the one that produces adrenaline) is thought to contribute to resting EE. This conclusion is based on experiments where resting EE is decreased by beta-blockers, high blood pressure medicines that block only one aspect of the sympathetic nervous system. The investigators propose to use a different approach, by using a medication called trimethaphan that produces transient withdrawal of the autonomic nervous system. The investigators will then compare the measured resting EE before and after SNS withdraw and quantify the degree of contribution to the resting EE by the SNS and delineate differences between healthy normal, healthy obese, and patients with autonomic dysfunctions.
NCT00179023 ↗ The Autonomic Nervous System and Obesity Completed Vanderbilt University Medical Center Phase 1 2003-04-01 In its simplest terms, obesity is the results of a positive balance between food intake and energy expenditure (EE). I.e., we take in more energy, in the form of food, than we expend, e.g., by exercise. In our sedentary society, resting EE accounts for most of total energy expenditure. The sympathetic nervous system (SNS, the one that produces adrenaline) is thought to contribute to resting EE. This conclusion is based on experiments where resting EE is decreased by beta-blockers, high blood pressure medicines that block only one aspect of the sympathetic nervous system. The investigators propose to use a different approach, by using a medication called trimethaphan that produces transient withdrawal of the autonomic nervous system. The investigators will then compare the measured resting EE before and after SNS withdraw and quantify the degree of contribution to the resting EE by the SNS and delineate differences between healthy normal, healthy obese, and patients with autonomic dysfunctions.
NCT00223691 ↗ Treatment of Orthostatic Hypotension in Autonomic Failure Completed Vanderbilt University Phase 1 2002-03-01 The autonomic nervous system serves multiple regulatory functions in the body, including the regulation of blood pressure and heart rate, gut motility, sweating and sexual function. There are several diseases characterized by abnormal function of the autonomic nervous system. Medications can also alter autonomic function. Impairment of the autonomic nervous system by diseases or drugs may lead to several symptoms, including blood pressure problems (e.g., high blood pressure lying down and low blood pressure on standing), sweating abnormalities, constipation or diarrhea and sexual dysfunction. Because treatment options for these patients are limited. We propose to study patients autonomic failure and low blood pressure upon standing and determine the cause of their disease by history and examination and their response to autonomic testing which have already been standardized in our laboratory. Based on their possible cause, we will tests different medications that may alleviate their symptoms.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for SUDAFED 24 HOUR

Condition Name

Condition Name for SUDAFED 24 HOUR
Intervention Trials
Healthy 2
Shy-Drager Syndrome 2
Autonomic Failure 1
Orthostatic Hypotension 1
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Condition MeSH

Condition MeSH for SUDAFED 24 HOUR
Intervention Trials
Pure Autonomic Failure 3
Multiple System Atrophy 2
Sinusitis 2
Shy-Drager Syndrome 2
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Clinical Trial Locations for SUDAFED 24 HOUR

Trials by Country

Trials by Country for SUDAFED 24 HOUR
Location Trials
United States 7
Canada 1
India 1
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Trials by US State

Trials by US State for SUDAFED 24 HOUR
Location Trials
Tennessee 3
New York 1
Pennsylvania 1
Missouri 1
California 1
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Clinical Trial Progress for SUDAFED 24 HOUR

Clinical Trial Phase

Clinical Trial Phase for SUDAFED 24 HOUR
Clinical Trial Phase Trials
Phase 4 1
Phase 2 1
Phase 1 3
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Clinical Trial Status

Clinical Trial Status for SUDAFED 24 HOUR
Clinical Trial Phase Trials
Completed 9
Not yet recruiting 1
Terminated 1
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Clinical Trial Sponsors for SUDAFED 24 HOUR

Sponsor Name

Sponsor Name for SUDAFED 24 HOUR
Sponsor Trials
Vanderbilt University 3
Ranbaxy Laboratories Limited 2
Vanderbilt University Medical Center 2
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Sponsor Type

Sponsor Type for SUDAFED 24 HOUR
Sponsor Trials
Other 11
NIH 4
Industry 3
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Sudafed 24 Hour (Pseudoephedrine HCl) Clinical Trials Update, Market Analysis, and Exclusivity/Generic Outlook

Last updated: May 26, 2026

Sudafed 24 Hour is an OTC extended-release product line (active ingredient: pseudoephedrine hydrochloride) used for symptomatic relief of nasal congestion. Publicly disclosed “clinical trials updates” are not tracked as a single, drug-specific corporate program because pseudoephedrine’s core efficacy and safety package is mature, and Sudafed branded products typically rely on established pharmacology plus formulation/PK bioequivalence rather than new pivotal Phase 3 studies. From a market and projection standpoint, demand is driven by seasonal upper-respiratory infection (URI) incidence and channel traffic, while supply and pricing are constrained by pseudoephedrine procurement and regulatory/compliance rules in the U.S. and by store-brand substitution.

What is Sudafed 24 Hour and how does it work clinically?

Featured snippet answer: Sudafed 24 Hour is an OTC extended-release pseudoephedrine hydrochloride product that reduces nasal congestion via systemic sympathomimetic activity (α-adrenergic effects) on nasal mucosa.

Active ingredient, dosage form, and product concept

  • API: pseudoephedrine hydrochloride (oral, extended-release)
  • Indication (OTC labeling): symptomatic relief of nasal congestion due to colds, hay fever, and other upper respiratory symptoms (label dependent by U.S. product)
  • Clinical mechanism: vasoconstriction in nasal tissue reduces congestion

What “clinical trials” usually apply to Sudafed 24 Hour?

For mature OTC molecules like pseudoephedrine, the clinical evidence base is typically:

  • Original efficacy/safety trials supporting pseudoephedrine as a decongestant
  • Later PK/bioequivalence trials for extended-release formulations and brand generics
  • Occasional new studies focused on special populations, safety surveillance, or formulation performance rather than new efficacy endpoints

Because Sudafed 24 Hour is a branded extended-release pseudoephedrine product, the highest practical “trial update” signal is whether any new, brand-distinct extended-release formulations have generated measurable regulatory or publication activity. That track is not available here as an identifiable, consolidated, ongoing clinical program tied to “Sudafed 24 Hour” as a single, sponsor-led pipeline.

When is the next clinical-trial readout for Sudafed 24 Hour?

Featured snippet answer: No new, Sudafed 24 Hour-specific Phase 2/Phase 3 readouts are identifiable from public disclosures that would allow a reliable “next catalyst” timeline for this branded OTC line.

What would count as an actionable next readout for this class?

  • FDA regulatory actions tied to a formulation change (generally not framed as “trials” for OTC)
  • Published bioequivalence or formulation performance studies for specific extended-release products
  • Major safety-label changes driven by postmarketing surveillance

Absent an identifiable, sponsor-specific ongoing study, the most investable “trial update” indicator for Sudafed 24 Hour is not a trial timeline but changes in OTC availability, supply constraints, and labeling policy, which drive retail performance.

How many patents protect Sudafed 24 Hour and what is the expiration status?

Featured snippet answer: The active ingredient pseudoephedrine is long off-patent in the U.S. Competitive OTC products generally rely on formulation and method-of-use remnants rather than new core-molecule exclusivity. Branded product differentiation typically does not map to a dominant, long-lived patent estate for “Sudafed 24 Hour” as a single product.

Patent estate reality check for OTC pseudoephedrine brands

  • Molecule-level protection: historically limited and largely expired due to age of the pseudoephedrine chemotype
  • Product-level differentiation: extended-release technology, excipients, and manufacturing methods can have patents, but the commercial surface area is usually crowded by authorized generics and store brands
  • Regulatory exclusivity: for OTC, “exclusivity timelines” are commonly irrelevant to the way prescription Hatch-Waxman exclusivity is structured, though patents still matter for specific formulations and processes

What does this mean for exclusivity?

For a branded OTC pseudoephedrine product line, the exclusivity question typically resolves to:

  • whether any still-active formulation/manufacturing patents exist for that exact extended-release technology, and
  • whether competitors can legally launch a substantially similar extended-release pseudoephedrine product.

That information is not provided here in a way that supports a complete, accurate, product-specific patent chart.

What is the Orange Book status of Sudafed 24 Hour?

Featured snippet answer: Sudafed 24 Hour is an OTC product. It is not expected to be listed in the FDA Orange Book as a prescription drug with ANDA patent listings, and any Orange Book-style patent mapping is not a reliable basis for an exclusivity analysis for this specific OTC branded line.

Why Orange Book is often the wrong lens for OTC pseudoephedrine

  • Orange Book is oriented toward approved prescription drugs and associated patent certifications for ANDAs
  • OTC monographs and OTC drug labeling frameworks do not map cleanly onto Orange Book paragraph IV challenges for pseudoephedrine OTC products

How does Sudafed 24 Hour market size and demand typically trend?

Featured snippet answer: Demand for pseudoephedrine decongestants is seasonal, strongest during peak cold and allergy periods, and highly sensitive to retail traffic, promo intensity, and substitution by store brands and alternative active ingredients.

Demand drivers

  • Seasonality: late fall through winter for URIs; spring/summer for allergic rhinitis in some geographies
  • Substitution risk: phenylephrine, oxymetazoline (topical), saline/antihistamines, and combination cold products can shift purchase behavior
  • Channel sensitivity: OTC pharmacy and mass-market mix affects visibility and pricing
  • Regulatory/compliance: pseudoephedrine availability and purchase restrictions can affect throughput and supply reliability

Key market behaviors observable in OTC decongestants

  • Brands maintain shelf presence through planogram dominance and seasonal marketing
  • Authorized generics and store brands often undercut pricing
  • Inventory cycles can cause short-term shortages, which temporarily lift sell-through and net price

What are current competitive dynamics for pseudoephedrine extended-release?

Featured snippet answer: Competition is primarily other extended-release pseudoephedrine brands, authorized generics, and store brands, with additional pressure from alternative congestion products (topical decongestants and antihistamine combinations).

Competitive mapping by product type

  • Extended-release oral pseudoephedrine: closest substitution for Sudafed 24 Hour
  • Immediate-release pseudoephedrine: competes for consumers who prefer shorter dosing intervals
  • Topical nasal decongestants: faster symptom relief perception can pull demand
  • Combination cold products: reduce willingness to buy stand-alone decongestants

Pricing pressure and margin structure

  • Extended-release formats often command a price premium over immediate-release, but promotional intensity compresses margins.
  • Brand differentiation tends to compete against private-label and authorized generics more than against a single named branded rival.

How is Sudafed 24 Hour projected to grow and what are the risks?

Featured snippet answer: Growth projection for Sudafed 24 Hour is bounded by (1) seasonality and (2) substitution, while upside comes from strong cold/flu seasons, effective trade execution, and periods of constrained supply that raise sell-through.

Base-case projection logic (what typically drives outcomes)

  • If cold-season severity rises: expect uplift in units and total revenue through increased weekly demand
  • If retailer promotion intensifies: revenue growth may shift from price to volume, compressing net margin
  • If supply is constrained: revenue may be protected short-term, but volume risk persists

Key downside risks

  • Substitution to alternatives: phenylephrine-containing products (where marketed), topical decongestants, and combination therapies
  • Retail compliance friction: any tightening of pseudoephedrine transaction processes affects conversion and buy rates
  • Inventory and procurement volatility: extended-release SKUs can face channel stock-outs that cap revenue

Key upside opportunities

  • Execution in high-traffic seasons: improved distribution and fewer out-of-stocks
  • Regional performance variance: allergy-heavy markets can shift demand to congestion products
  • Trade strategy: maintaining shelf position and promo cadence relative to authorized generics

What clinical or regulatory changes could alter Sudafed 24 Hour’s outlook?

Featured snippet answer: The highest impact changes are not new efficacy trials but regulatory or labeling changes affecting pseudoephedrine availability, OTC purchase patterns, or safety communications.

Safety and labeling

Pseudoephedrine safety communications typically focus on:

  • cardiovascular and neuropsychiatric adverse events
  • interactions with other sympathomimetics or certain comedications
  • contraindications by population groups

Any meaningful label tightening tends to reduce the addressable market and shift demand to alternative products.

Regulatory availability and access

Constraints on pseudoephedrine procurement and customer transaction processes can move volume between brands and authorized generics and can materially change short-term sales patterns.

Key takeaways

  • Sudafed 24 Hour is an OTC extended-release pseudoephedrine product; “clinical trial updates” are usually formulation/PK and not sponsor-led new pivotal evidence.
  • Market performance is driven by seasonal URI and allergy incidence, retail promo dynamics, and substitution to topical or combination congestion products.
  • Patent and Orange Book frameworks are not reliably applicable to “Sudafed 24 Hour” as a single OTC branded line for exclusivity and paragraph IV style risk.
  • Forward-looking outcomes are primarily a function of retail execution, supply stability, and regulatory access rather than new clinical readouts.

FAQs

1) Does Sudafed 24 Hour have new FDA-approved clinical indications?

No consolidated, Sudafed 24 Hour-specific new FDA indication approvals are identifiable here that would define an investable clinical catalyst.

2) What competitors sell the closest extended-release pseudoephedrine product?

Closest substitutes are other extended-release oral pseudoephedrine brands, authorized generics, and store brands.

3) Is Sudafed 24 Hour protected by new patents that could delay generic entry?

Generic entry for pseudoephedrine OTC products is generally constrained more by formulation/process details than by long-lived molecule exclusivity; a specific product-by-product patent chart is not provided here.

4) How seasonal is pseudoephedrine decongestant demand?

Typically highly seasonal, with peaks during cold and allergy periods.

5) What is the biggest driver of near-term revenue volatility for OTC decongestants?

Availability and compliance-driven transaction friction, plus inventory and promotion intensity at retail.


References (APA)

  1. FDA. (n.d.). Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. U.S. Food and Drug Administration. https://www.accessdata.fda.gov/scripts/cder/daf/ (accessed 2026-05-26)

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