phenylephrine
Trade name: Prefrin
Approved
Jan 21, 1952
Phenylephrine, sold under the brand names Neosynephrine and Sudafed PE among others, is a medication used as a decongestant for uncomplicated nasal congestion in the form of a nasal spray or oral tablet, to dilate the pupil, to increase blood pressure given intravenously in cases of low blood pressure, and to relieve hemorrhoids as a suppository. It can also be applied to the skin. — Wikipedia
Clinical trial activity
231 trials · 189 clinical orgs · 55 marketing orgs
Earliest trial started Dec 1, 1996 (NCT00748059)
Timeline
1950s
- Jan 21, 1952
Allergan (1948) — IND Organization
- Jan 21, 1952
Earliest FDA Approval
- Jan 21, 1952
Allergan (1948) — IND Organization
- Jan 21, 1952
Ani Pharmaceuticals — Marketing Organization
- Jan 21, 1952
Ani Pharmaceuticals — NDA Secondary Org
1980s
- Oct 31, 1984
Actavis — Marketing Organization
- Oct 31, 1984
Nostrum Laboratories — Marketing Organization
- Nov 8, 1984
G & W Laboratories Inc. — Marketing Organization
- Jan 4, 1985
Wockhardt — Marketing Organization
- Jan 4, 1985
Xttrium Laboratories — Marketing Organization
- Nov 22, 1985
Fondazione Golgi Cenci — Marketing Organization
- Mar 2, 1987
Halsey — Marketing Organization
1990s
- Jan 1, 1996
Earliest Phase 1 Sponsor(trial)
2000s
- Jan 1, 2001
Earliest Phase 2 Sponsor(trial)
- Jan 1, 2004
Earliest Phase 3 Sponsor(trial)
- Dec 7, 2006
Vintage — Marketing Organization
- Dec 7, 2006
Pharmaceutical Associates — Marketing Organization
- Aug 25, 2009
Amneal Pharmaceuticals — Marketing Organization
2010s
- May 27, 2010
Pfizer — Marketing Organization
- May 27, 2010
GlaxoSmithKline — NDA Secondary Org
- Dec 20, 2012
Hikma — Marketing Organization
- Dec 20, 2012
West-Ward Pharmaceutical — NDA Secondary Org
- Dec 20, 2012
Hikma — NDA Secondary Org
- Mar 21, 2013
Paragon Biomedical — NDA Secondary Org
- Mar 21, 2013
Clinipace LTD — NDA Secondary Org
- May 30, 2014
Omeros Corporation — Marketing Organization
- May 30, 2014
RAYNER SURGICAL — NDA Secondary Org
- Jun 27, 2014
Avadel Pharmaceuticals — NDA Secondary Org
- Jun 27, 2014
Exela Pharma Sciences, LLC. — Marketing Organization
- Jun 27, 2014
Exela Pharma Sciences, LLC. — NDA Secondary Org
- Jul 3, 2014
Perrigo — Marketing Organization
- Dec 23, 2014
Hi Tech Pharmaceuticals — Marketing Organization
- Jan 15, 2015
Akorn, Inc. — NDA Secondary Org
- Jan 15, 2015
Akorn, Inc. — Marketing Organization
- Apr 27, 2018
Cipla — Marketing Organization
- Apr 27, 2018
Meitheal — Marketing Organization
- Dec 21, 2018
Par Pharmaceuticals — Marketing Organization
- Dec 21, 2018
Bristol-Myers Squibb — Marketing Organization
- Jan 29, 2019
Fresenius — Marketing Organization
- Jan 31, 2019
Sandoz — Marketing Organization
- Jan 31, 2019
Novartis — Marketing Organization
- Jul 1, 2019
Lupin — Marketing Organization
- Oct 21, 2019
Sintetica SA — Marketing Organization
- Oct 21, 2019
Eton Pharmaceuticals, Inc. — Marketing Organization
- Oct 21, 2019
Dr. Reddy's Laboratories — Marketing Organization
- Oct 21, 2019
Dr. Reddy's Laboratories — NDA Secondary Org
2020s
- Jan 16, 2020
RiconPharma — Marketing Organization
- Jan 16, 2020
Sagent Pharmaceuticals, Inc. — Marketing Organization
- Jan 16, 2020
Nichi-Iko Pharmaceutical Co., Ltd. — Marketing Organization
- Jun 5, 2020
Gland Pharma Ltd — Marketing Organization
- Jun 5, 2020
Fosun — Marketing Organization
- Jun 11, 2020
Caplin Point Laboratories — Marketing Organization
- Jul 1, 2020
Accord Research — Marketing Organization
- Jul 17, 2020
Provepharm Sas — Marketing Organization
- Jul 17, 2020
Apollo Hospitals, Chennai, India — Marketing Organization
- Nov 13, 2020
Aurobindo Pharma — Marketing Organization
- Nov 13, 2020
Eugia Pharma — Marketing Organization
- Aug 30, 2022
Mankind Pharma — Marketing Organization
- Feb 28, 2023
Avet Lifesciences — Marketing Organization
- May 5, 2023
Eyenovia Inc. — NDA Secondary Org
- Jun 26, 2023
BE Pharmaceuticals — Marketing Organization
Indications
Approved for
Studied for
- Acute Kidney Injury · Phase 4
- Acute Lung Injury · Phase 2
- Acute Pain · Phase 1/Phase 2
- Aged · Phase 4
- Allergy and Immunology · Phase 3
- Anesthesia · Phase 4
- Anesthesia, Epidural · Phase 4
- Anesthesia, General · Phase 4
- Anesthesia, Intravenous · Phase 4
- Anesthesia, Obstetrical · Phase 2
- Anesthesia, Spinal · Phase 4
- Arrhythmias, Cardiac · Phase 4
- Autonomic Nervous System Diseases · Phase 1
- Blepharoptosis · Phase 4
- Blood Loss, Surgical · Phase 1
- Blood Pressure · Phase 4
- Brain Neoplasms · Phase 4
- Bronchiolitis · Phase 2
- Cardiac Output · Phase 4
- Cardiac Output, High · Phase 4
- Cardiac Output, Low · Phase 4
- Cardiovascular Diseases · Phase 1
- Cataract · Phase 4
- Cesarean Section · Phase 4
- Cognition Disorders · Phase 2/Phase 3
- Cold Temperature · Phase 3
- Common Cold · Phase 4
- Corneal Endothelial Cell Loss · Phase 3
- Corneal Transplantation · Phase 4
- Cough · Phase 4
- Diabetes Mellitus · Phase 4
- Dopamine beta-Hydroxylase · Phase 1
- Drug-Related Side Effects and Adverse Reactions · Phase 4
- Echocardiography · Phase 4
- Endotoxemia · Phase 4
- Essential Hypertension · Phase 1
- Extracorporeal Membrane Oxygenation · Phase 4
- Eye Diseases · Phase 3
- Fecal Incontinence · Phase 3
- Fluid Therapy · Phase 3
- General Surgery · Phase 4
- Hair · Phase 3
- Healthy Volunteers · Phase 4
- Heart Disease Risk Factors · Phase 1
- Heart Rate · Phase 1/Phase 2
- Hemodynamics · Phase 4
- Hemorrhoids · Phase 2/Phase 3
- HIV Infections · Phase 4
- Horner Syndrome · Phase 4
- Human Experimentation · Phase 3
- Hypertension · Phase 1
- Hypotension · Phase 4
- Hypotension, Orthostatic · Phase 1
- Hypoxia · Phase 1
- Infant, Premature · Phase 4
- Inflammation · Phase 3
- Influenza A virus · Phase 3
- Influenza, Human · Phase 4
- Intraocular Pressure · Phase 4
- Ischemic Stroke · Phase 3
- Kidney Diseases · Phase 4
- Lens Diseases · Phase 3
- Lung · Phase 4
- Macular Edema · Phase 3
- Mitral Valve Insufficiency · Phase 1/Phase 2
- Mouth Mucosa · Phase 1/Phase 2
- Mucositis · Phase 1
- Mydriasis · Phase 4
- Nasal Obstruction · Phase 3
- Neoplasms · Phase 1/Phase 2
- Obesity · Early Phase 1
- Ocular Physiological Phenomena · Phase 2
- Organ Transplantation · Phase 1/Phase 2
- Orthostatic Intolerance · Phase 1
- Ovarian Cysts · Phase 1/Phase 2
- Pain · Phase 4
- Perfusion · Phase 4
- Phenylephrine · Phase 4
- Postural Orthostatic Tachycardia Syndrome · Early Phase 1
- Pre-Eclampsia · Phase 4
- Pregnancy · Phase 4
- Premature Birth · Phase 3
- Pulmonary Arterial Hypertension · Phase 4
- Refractive Errors · Phase 4
- Regional Blood Flow · Phase 2
- Respiratory Tract Infections · Phase 3
- Retinal Diseases · Phase 3
- Retinopathy of Prematurity · Phase 4
- Rhinitis · Phase 3
- Rhinitis, Allergic · Phase 3
- Rhinitis, Allergic, Seasonal · Phase 3
- Rhinitis, Vasomotor · Phase 3
- Rhinorrhea · Phase 3
- Sepsis · Phase 4
- Shock · Phase 4
- Shock, Septic · Phase 4
- Sneezing · Phase 3
- Spinal Diseases · Phase 4
- Stomatitis · Phase 1
- Stress Disorders, Post-Traumatic · Phase 2
- Stroke · Phase 3
- Syncope, Vasovagal · Phase 2
- Tachycardia · Phase 4
- Therapeutic Equivalency · Phase 1
- Thoracic Surgery · Phase 4
- Tuberculosis · Phase 4
- Urinary Incontinence · Phase 1/Phase 2
- Vascular Diseases · Early Phase 1
- Vasoconstriction · Phase 1
- Vasodilation · Early Phase 1
- Vasopressins · Phase 4
Mechanism of action
- Adrenergic receptor alpha-1AGONIST
Adrenergic receptor alpha-1 agonist
Combination products
advil allergy and congestion relief
with dexchlorpheniramine maleate, ibuprofen
Also known as advil multi-symptom cold & flu
advil congestion relief
with ibuprofen
cyclomydril
with cyclopentolate
duo-medihaler
with isoprenaline
mydcombi
with tropicamide
Also known as eye injection (mydrane)
omidria
with ketorolac
phenergan vc
with promethazine hydrochloride
Also known as pherazine vc, promethazine vc plain, prometh vc plain
phenergan vc w/ codeine
with promethazine hydrochloride, codeine
Also known as pherazine vc w/ codeine, promethazine vc w/ codeine, prometh hydrochloride,phenylephrine hydrochloride w/codeine phosphate, prometh vc w/ codeine
prefrin-a
with mepyramine
Approval history
- approvedJan 21, 1952
Chemistry & pharmacology
SMILES
O[C@H]([C@@H](O)C(O)=O)C(O)=O.CNC[C@H](O)C1=CC=CC(O)=C1- Mol. weight
- 317.2919 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- Yes
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral, Topical
- Availability
- Over the Counter
Oral
Yes
Parenteral
Yes
Topical
Yes
Sources
- WikipediaPhenylephrine ↗
- NCATS27O3Q5ML57 ↗
- ChEMBLCHEMBL2062264 ↗
- ChEMBLCHEMBL1215 ↗
- ChEMBLCHEMBL1200339 ↗
- NCATS04JA59TNSJ ↗
Also known as
- afrin 4 hour nasal spray
- afrin 4 hour nasal spray
- benzenemethanol, 3-hydroxy-.alpha.-[(methylamino)methyl]-, (r)-
- benzenemethanol, 3-hydroxy-.alpha.-[(methylamino)methyl]-, (r)-
- benzenemethanol, 3-hydroxy-alpha-((methylamino)methyl)-, (r)-
- benzenemethanol, 3-hydroxy-alpha-((methylamino)methyl)-, (r)-
- benzyl alcohol, m-hydroxy-alpha-((methylamino)methyl)-, (-)-
- benzyl alcohol, m-hydroxy-alpha-((methylamino)methyl)-, (-)-
- biomydrin
- biomydrin
- cyclomydril
- cyclomydril
- duo-medihaler
- duo-medihaler
- eyn-1601
- fenilefrina
- fenilefrina
- fenilefrine
- fenilfar
- fenilfar
- fenox
- fenox
- idril n
- ketorolac / phenylephrine
- l-(3-hydroxyphenyl)-n-methylethanolamine
- l-(3-hydroxyphenyl)-n-methylethanolamine
- l-phenylephedrine
- l-phenylephrine
- mesatone
- metaoxedrin
- metaoxedrine
- metaoxedrine chloride
- metaoxedrine chloride
- metasympatol
- metasynephrine
- mezaton
- (-)-m-hydroxy-alpha-(methylaminomethyl)benzyl alcohol
- (-)-m-hydroxy-alpha-(methylaminomethyl)benzyl alcohol
- (-)-m-hydroxy-alpha-(methylaminomethyl)benzyl alcohol
- (-)-m-hydroxy-α-(methylaminomethyl)benzyl alcohol
- (-)-m-hydroxy-α-(methylaminomethyl)benzyl alcohol
- (-)-m-oxedrine
- (-)-m-synephrine
- mydfrin
- mydfrin
- nazex
- neosynephrine
- neosynephrine
- neosynephrine
- neo-synephrine
- neo-synephrine
- nostril
- nostril
- nurofen sinus pain relief
- phenyephrine
- phenylephrine
- phenylephrine
- phenylephrine
- phenylephrine
- phenylephrine
- phenylephrine
- phenylephrine
- phenylephrine
- phenylephrine
- (-)-phenylephrine
- (-)-phenylephrine
- (-)-phenylephrine
- (-)-phenylephrine
- (-)-phenylephrine
- (-)-phenylephrine
- phenylephrine bitartrate
- phenylephrine bitartrate
- phenylephrine bitartrate
- phenylephrine hcl
- phenylephrine hcl
- phenylephrine hcl
- phenylephrine hydrochloride
- phenylephrine hydrochloride
- phenylephrine hydrochloride
- phenylephrine hydrochloride
- phenylephrine hydrochloride
- phenylephrine tannate
- phenylephrinum
- phenylephrinum
- phenyleprhine
- prefrin
- prefrin
- prefrin
- (r)-phenylephrine
- r(-)-phenylephrine
- r(-)-phenylephrine
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07075224 | Phase 1/Phase 2 (Phase 2) | Jul 15, 2025 | Unither Pharmaceuticals |
| NCT06158035 | N/A | Jul 1, 2025 | Ningxia Medical University |
| NCT06158009 | N/A | Apr 1, 2025 | Ningxia Medical University |
| NCT06802224 | Phase 4 | Mar 1, 2025 | Duke University, Henry Ford Health System, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), The University of Texas, Dallas, University of California, San Francisco, University of Maryland, University of Michigan, University of Virginia, University of Washington, Wake Forest University |
| NCT06508359 | N/A | Mar 1, 2025 | Ningxia Medical University |
| NCT06770426 | Phase 3 | Feb 28, 2025 | Yonsei University |
| NCT07153601 | N/A | Feb 7, 2025 | Universitas Sumatera Utara |
| NCT06648850 | Phase 3 | Jan 15, 2025 | Applied Biology, Inc., Daniel Alain, Inc., Follea International Limited, University of Roma La Sapienza |
| NCT06158022 | N/A | Jan 1, 2025 | Ningxia Medical University |
| NCT06158048 | N/A | Jan 1, 2025 | Ningxia Medical University |
| NCT06836986 | N/A | Dec 31, 2024 | Dow University of Health Sciences |
| NCT06677970 | Phase 3 | Dec 1, 2024 | Yonsei University |
| NCT06711432 | N/A | Sep 18, 2024 | Chinese Academy of Medical Sciences |
| NCT06681688 | Phase 1/Phase 2 (Phase 2) | Jul 10, 2024 | The Eye Associates, The Eye Centers of Racine and Kenosha |
| NCT06285396 | N/A | Mar 18, 2024 | Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, Canada |
| NCT06248593 | Phase 4 | Feb 15, 2024 | Hassan II University |
| NCT05890027 | Phase 4 | Feb 15, 2024 | University of Miami |
| NCT06083948 | Phase 2/Phase 3 (Phase 3) | Dec 20, 2023 | Aarhus University |
| NCT06053398 | N/A | Oct 31, 2023 | The University of Texas, Dallas |
| NCT05941494 | Phase 4 | Oct 3, 2023 | University of Western Ontario |
Organizations
Research & Development (189)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Ningxia Medical University | Academic/Hospital | 11 | 11 | 1 | 2020 |
| Cairo University | Academic/Hospital | 8 | 8 | 4 | 2017 |
| Bayer | For profit | 6 | 6 | 3 | 2008 |
| Vanderbilt University | Academic/Hospital | 6 | 6 | 3 | 1996 |
| Dalhousie University | Academic/Hospital | 5 | 4 | 2 | 2008 |
| Icahn School of Medicine at Mount Sinai | Academic/Hospital | 5 | 5 | 2 | 2006 |
| Seoul National University | Academic/Hospital | 5 | 4 | 3 | 2010 |
| Wake Forest University | Academic/Hospital | 5 | 4 | 3 | 2015 |
| Assiut University | Academic/Hospital | 4 | 4 | 3 | 2016 |
| Duke University | Academic/Hospital | 4 | 2 | 2 | 2008 |
| Eyenovia Inc. | For profit | 4 | 4 | 3 | 2016 |
| University of California, San Francisco | Academic/Hospital | 4 | 3 | 2 | 2015 |
| University of Vienna | Academic/Hospital | 4 | 4 | 2 | 2001 |
| Aarhus University | Academic/Hospital | 3 | 3 | 2 | 2015 |
| Ache Laboratorios Farmaceuticos S.A. | For profit | 3 | 3 | 1 | 2009 |
| Capital Medical University | Academic/Hospital | 3 | 3 | 2 | 2019 |
| Ghent University | Academic/Hospital | 3 | 3 | 2 | 2017 |
| GlaxoSmithKline | For profit | 3 | 3 | 3 | 2011 |
| Johnson and Johnson | For profit | 3 | 3 | 2 | 2008 |
| KhonKaen University | Academic/Hospital | 3 | 3 | 2 | 2004 |
Marketing (65)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| 3M | For profit | NDA2 | Aug 20, 1973 |
| Accord Research | For profit | MKTG | Jul 1, 2020 |
| Actavis | For profit | MKTG | Oct 31, 1984 |
| Akorn, Inc. | For profit | NDA2 | Jan 15, 2015 |
| Akorn, Inc. | For profit | MKTG | Jan 15, 2015 |
| Alcon | For profit | MKTG | Sep 12, 1975 |
| Alcon | For profit | SYN | Jan 15, 2015 |
| Allergan | For profit | NDA2 | — |
| Allergan (1948) | For profit | IND | Jan 21, 1952 |
| Amneal Pharmaceuticals | For profit | MKTG | Aug 25, 2009 |
| Amneal Pharmaceuticals | For profit | SYN | Jul 5, 2018 |
| Amneal Pharmaceuticals | For profit | SYN | Jul 5, 2018 |
| Ani Pharmaceuticals | For profit | MKTG | Jan 21, 1952 |
| Ani Pharmaceuticals | For profit | NDA2 | Jan 21, 1952 |
| Apollo Hospitals, Chennai, India | Academic/Hospital | MKTG | Jul 17, 2020 |
| Aurobindo Pharma | For profit | MKTG | Nov 13, 2020 |
| Avadel Pharmaceuticals | For profit | NDA2 | Jun 27, 2014 |
| Avet Lifesciences | For profit | MKTG | Feb 28, 2023 |
| BE Pharmaceuticals | For profit | MKTG | Jun 26, 2023 |
| Bristol-Myers Squibb | For profit | MKTG | Dec 21, 2018 |
| Caplin Point Laboratories | For profit | MKTG | Jun 11, 2020 |
| Cipla | For profit | MKTG | Apr 27, 2018 |
| Clinipace LTD | For profit | NDA2 | Mar 21, 2013 |
| Dr. Reddy's Laboratories | For profit | MKTG | Oct 21, 2019 |
| Dr. Reddy's Laboratories | For profit | NDA2 | Oct 21, 2019 |
| Eton Pharmaceuticals, Inc. | For profit | MKTG | Oct 21, 2019 |
| Eugia Pharma | For profit | MKTG | Nov 13, 2020 |
| Exela Pharma Sciences, LLC. | For profit | MKTG | Jun 27, 2014 |
| Exela Pharma Sciences, LLC. | For profit | NDA2 | Jun 27, 2014 |
| Eyenovia Inc. | For profit | NDA2 | May 5, 2023 |
| Fondazione Golgi Cenci | Academic/Hospital | MKTG | Nov 22, 1985 |
| Fosun | For profit | MKTG | Jun 5, 2020 |
| Fresenius | For profit | MKTG | Jan 29, 2019 |
| G & W Laboratories Inc. | For profit | MKTG | Nov 8, 1984 |
| Gland Pharma Ltd | For profit | MKTG | Jun 5, 2020 |
| GlaxoSmithKline | For profit | NDA2 | May 27, 2010 |
| Halsey | For profit | MKTG | Mar 2, 1987 |
| Hi Tech Pharmaceuticals | For profit | MKTG | Dec 23, 2014 |
| Hi Tech Pharmaceuticals | For profit | SYN | Dec 23, 2014 |
| Hikma | For profit | MKTG | Dec 20, 2012 |
| Hikma | For profit | NDA2 | Dec 20, 2012 |
| Lupin | For profit | MKTG | Jul 1, 2019 |
| Mankind Pharma | For profit | MKTG | Aug 30, 2022 |
| Meitheal | For profit | MKTG | Apr 27, 2018 |
| Nichi-Iko Pharmaceutical Co., Ltd. | For profit | MKTG | Jan 16, 2020 |
| Nostrum Laboratories | For profit | MKTG | Oct 31, 1984 |
| Novartis | For profit | MKTG | Jan 31, 2019 |
| Omeros Corporation | For profit | MKTG | May 30, 2014 |
| Par Pharmaceuticals | For profit | MKTG | Dec 21, 2018 |
| Paragon Biomedical | For profit | NDA2 | Mar 21, 2013 |
| Perrigo | For profit | MKTG | Jul 3, 2014 |
| Pfizer | For profit | MKTG | May 27, 2010 |
| Pharmaceutical Associates | For profit | MKTG | Dec 7, 2006 |
| Provepharm Sas | For profit | MKTG | Jul 17, 2020 |
| RAYNER SURGICAL | For profit | NDA2 | May 30, 2014 |
| RiconPharma | For profit | MKTG | Jan 16, 2020 |
| Sagent Pharmaceuticals, Inc. | For profit | MKTG | Jan 16, 2020 |
| Sandoz | For profit | MKTG | Jan 31, 2019 |
| Sandoz | For profit | SYN | Jan 31, 2019 |
| Sintetica SA | For profit | MKTG | Oct 21, 2019 |
| Smith, Kline & French | For profit | NDA | — |
| Vintage | For profit | MKTG | Dec 7, 2006 |
| West-Ward Pharmaceutical | For profit | NDA2 | Dec 20, 2012 |
| Wockhardt | For profit | MKTG | Jan 4, 1985 |
| Xttrium Laboratories | For profit | MKTG | Jan 4, 1985 |