ClinicalTrials.gg
CompletedNCT05843669AHR CBUpdated Mar 20, 2026

A Study to Explore if Long-term Use of Mucinex Can Help With Symptoms in Patients With Stable Chronic Bronchitis.

A Phase 4 interventional study of Guafenesin tablets in Chronic Bronchitis, sponsored by American Health Research. Completed at 2 sites in United States. Open to participants aged 40 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-03-20.

Sponsored by American Health Research · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2024, 2 years 1 month ago, and no results have been posted to the registry.
Phase
Phase 4
Study type
Interventional
Enrollment
82
Allocation
Not applicable
Ages
40 Years to 90 Years
Sex
All
01

Study summary

This is an open-label, multicenter, single-group study designed to determine the effectiveness of Mucinex® when used by patients to treat SCB over a 12-week period, following a 2-week run-in period of no treatment (to establish a baseline).

Read the detailed description

Data will be collected via the Vitaccess Real[TM] platform from adult patients with SCB and HCPs based in the US. During the 12-week period of receiving treatment, patient participants will take Mucinex® 12h, 2 x 600 mg (1200 mg total) twice daily and complete weekly bespoke surveys and the CASA-Q instrument. Patient-reported data will include prior usage of Mucinex®, treatment compliance, treatment satisfaction, and symptoms.

During this same period of time, HCPs will report treatment satisfaction via electronic case report forms (eCRFs), and will also have the ability to spontaneously report any treatment-emergent adverse events.

02

Conditions studied

  • Chronic Bronchitis

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Keywords

  • Stable chronic bronchitis
  • Real-world study
  • Mucinex
  • Guafenesin
03

In context

Bronchitis, Chronic

209 studies on the registry are indexed under Bronchitis, Chronic; 14 are open to participants now.

This study's enrollment of 82 is below the median of 101 across 154 interventional studies indexed under Bronchitis, Chronic.

Browse Bronchitis, Chronic studies →

Lead sponsor

This is the only study on the registry with American Health Research as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult patients with a diagnosis of SCB at recruitment, male and female, over 40 years of age
  • A Pulmonary Function Test with /FVC less than 0.7 (70%) at the time of enrollment or at least a 10 year history of cigarette abuse.
  • Patients who have chronic sputum production 3 months out of the year for 2 consecutive years and a productive cough as part of their symptoms.
  • Patients who understand and are able to fill out a questionnaire and ePRO weekly
  • Patients who have not used guaifenesin containing products within one month of the time of study enrollment
  • Patients with 6 to 12 (ideally 12)-month historical data - retrieved from either electronic medical records (EMR), electronic health records (EHRs), or provided by the patient via interview.

Rescue medicine:

  • No rescue medicine will be provided. Information regarding concurrent rescue medications, either OTC or via prescription, will be collected.

Exclusion criteria

Exclusion Criteria:

  • Patients who are pregnant or breastfeeding
  • Participation in another study involving an product within 30 days of the baseline visit
  • Pulmonary diagnosis other than CB, (such as cystic fibrosis, alpha-1 antitrypsin deficiency, bronchiectasis, or pulmonary fibrosis)
  • Active lung cancer or history of lung cancer if it has been less than 2 years since lung resection or other treatment including chemotherapy or radiation. If the patient has a history of lung cancer, they must be in remission
  • Psychiatric disorder that precludes participation in the study
  • History of alcohol and/or drug abuse within one year of study start
  • Patients taking intermittent antibiotics and patients taking oral and systemic (e.g., prednisone at a dose of > 10 mg/day).
  • Patients on a chronic stable dose of macrolide antibiotics at the start of the study may be included at the discretion of the Principal Investigator.
  • Patients who had an acute exacerbation of chronic bronchitis within a period of one month of starting the study that required systematic steroids or antibiotics
  • to guaifenesin, or any other listed in the product.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
82 participants (actual)

Study arms

  • Experimental
    N/A. Only one arm.

    Single arm. During the 12-week period of receiving treatment, patient participants will take Mucinex® 12h, 2 x 600 mg (1200 mg total) twice daily and complete weekly bespoke surveys and the CASA-Q instrument.

    Drug: Guafenesin tablets

Interventions

  • During the 12-week period of receiving treatment, patient participants will take Mucinex® 12h, 2 x 600 mg (1200 mg total) twice daily.

    Also known as: Mucinex®

06

What researchers measure

Primary outcomes

  1. Describe patient-reported real-world clinical use of Mucinex® (i.e., prior to study start) in patients with SCB.

    Patient-reported quantitative data via "Prior usage of Mucinex®" bespoke survey. This comprises three questions regarding patients' previous use of Mucinex, the approximate timing of use, and the frequency of use.

    Time frame: At baseline (week 0).

  2. Describe change in patient-reported real-world clinical use of Mucinex® (i.e., treatment compliance) in patients with SCB.

    Patient-reported quantitative data via "Treatment compliance" bespoke survey.

    Time frame: Every 1 week during 12 week period of receiving Mucinex® (week 2 to 14).

  3. Describe change in patient-reported real-world clinical use of Mucinex® (i.e., treatment satisfaction) in patients with SCB.

    Patient-reported quantitative data via "Treatment satisfaction" bespoke survey.

    Time frame: Every 2 weeks during 12 week period of receiving Mucinex® (week 2 to 14).

  4. Describe change in patient-reported real-world clinical use of Mucinex® (i.e., symptoms) in patients with SCB.

    Patient-reported quantitative data via "Symptoms" bespoke survey.

    Time frame: Every 1 week during 12 week period of receiving Mucinex® (week 2 to 14).

  5. Describe change in patient-reported real-world clinical use of Mucinex® (i.e., cough and sputum production and its impact) in patients with SCB.

    Patient-reported quantitative data via the Cough and Sputum Assessment Questionnaire, CASA-Q (web- and app-based). This is a validated instrument to measure cough and sputum production, and their impact in patients with chronic obstructive pulmonary disease (COPD) and/or chronic bronchitis

    Time frame: Every 1 week during 12 week period of receiving Mucinex® (week 2 to 14).

  6. Describe change in HCP-reported real-world clinical use of Mucinex® (i.e., treatment-emergent adverse events) in patients with SCB.

    HCP-reported quantitative data via electronic case report forms ("Treatment-emergent adverse events" survey).

    Time frame: As many times as needed during 12 week period of receiving Mucinex® (week 2 to 14).

  7. Describe change in HCP-reported real-world clinical use of Mucinex® (i.e., treatment satisfaction) in patients with SCB.

    HCP-reported quantitative data via electronic case report forms ("Treatment satisfaction" survey).

    Time frame: At final visit (week 14).

  8. Describe change in HCP-reported real-world clinical use of Mucinex® (i.e., energy levels) in patients with SCB.

    HCP-reported quantitative data via electronic case report forms ("Energy levels" survey).

    Time frame: At week 8, and at final visit (week 14).

  9. Describe change in HCP-reported real-world clinical use of Mucinex® (i.e., healthcare resource use) in patients with SCB.

    HCP-reported quantitative data via electronic case report forms ("Healthcare resource use" survey).

    Time frame: At baseline visit (week 0), at week 8, and at final visit (week 14).

Secondary outcomes

  1. Describe the rate of patient-reported chronic bronchitis ePRO improvements while on treatment with Mucinex® compared to patient history or baseline.

    Patient-reported quantitative data via the Cough and Sputum Assessment Questionnaire, CASA-Q (web- and app-based).

    Time frame: At baseline (week 0), and every 1 week during 14 week study period.

  2. Describe the rate of concomitant rescue and/or maintenance inhaler use while on treatment with Mucinex® compared to patient history/baseline established as part of Medication Record Log completed by HCP in the eCRF at baseline visit.

    HCP-reported quantitative data via electronic case report forms ("Treatment-emergent adverse events" survey).

    Time frame: As many times as needed during 12 week period of receiving Mucinex® (week 2 to 14).

  3. Describe the HCP-reported rate of healthcare resource utilization while on treatment with Mucinex® compared to patient history or baseline.

    HCP-reported quantitative data via electronic case report forms ("Healthcare resource use" survey).

    Time frame: At baseline visit (week 0), at week 8, and at final visit (week 14).

  4. Assess HCP-reported treatment satisfaction of patients while on treatment with Mucinex®.

    HCP-reported quantitative data via electronic case report forms ("Treatment satisfaction" survey).

    Time frame: At final visit (week 14).

  5. Assess patient-reported treatment satisfaction while on treatment with Mucinex®.

    Patient-reported quantitative data via "Treatment satisfaction" bespoke survey.

    Time frame: Every 2 weeks during 12 week period of receiving Mucinex® (week 2 to 14).

Other outcomes

  1. Rate of chronic bronchitis exacerbations in patients who use Mucinex® to manage symptoms of SCB.

    HCP-reported quantitative data via electronic case report forms ("Treatment-emergent adverse events" survey).

    Time frame: As many times as needed during 12 week period of receiving Mucinex® (week 2 to 14).

  2. Change in patient-reported health-related quality of life in patients who use Mucinex® to manage symptoms of SCB

    Patient-reported quantitative data via the Cough and Sputum Assessment Questionnaire, CASA-Q (web- and app-based). This is a validated instrument to measure cough and sputum production, and their impact in patients with chronic obstructive pulmonary disease (COPD) and/or chronic bronchitis

    Time frame: At baseline (week 0), and every 1 week during 14 week study period.

  3. Change in HCP-reported health-related quality of life in patients who use Mucinex® to manage symptoms of SCB.

    HCP-reported quantitative data via electronic case report forms ("Energy levels" survey).

    Time frame: At week 8, and at final visit (week 14).

07

Study locations

2 sites
  • American Health Research
    Charlotte, North Carolina 28277, United States
  • Clinical Research of Rock Hill
    Rock Hill, South Carolina 29732, United States
08

References and documents

Publications

  • Spangenthal S, Divel C, Borecka O, Fellows A, Llewellyn S. The interplay between CASA-Q domains: insights from a real-world study investigating the effects of extended-release guaifenesin in stable chronic bronchitis. Presented at the 10th American Cough Conference (ACC) 2025; Jun 2025; Dulles, VA, US. https://www.researchgate.net/publication/391522663
  • Divel C, Spangenthal S, Shea T, Borecka O, Llewellyn S, Adeleke M, Patel P. Adjunctive long-term Mucinex® use leading to improvement in stable chronic bronchitis and decreased health care resource utilization - a case report. Am J Respir Crit Care Med 2025;211:A6293. https://doi.org/10.1164/ajrccm.2025.211.Abstracts.A6293
  • Spangenthal S, Llewellyn S, Borecka O, Pollack C, Adeleke M, Kulasekaran A, Birring S, Mazzone S, Shea T. Real world effectiveness of guaifenesin ER in tackling mucus hypersecretion in stable chronic bronchitis. Presented at The Thirteenth London International Cough Symposium; Jul 18-19; London, UK https://www.researchgate.net/publication/382744095
  • Divel C, Borecka O, Llewellyn S, Spangenthal S. Assessment of stable chronic bronchitis improvement with adjunctive long-term Mucinex® use via the cough and sputum assessment questionnaire (CASA-Q). Presented at The Annual Meeting of the American College of Chest Physicians (CHEST) 2025; Oct 19-22; Chicago, IL, US. https://journal.chestnet.org/article/S0012-3692(25)04707-5/fulltext
  • Spangenthal S, Divel C, Borecka O, Llewellyn S. Real-world use of Vitaccess Real™ platform to assess quality of life impact with long-term use of Mucinex® in stable chronic bronchitis. Presented at the 32nd International Society of Quality of Life Research (ISOQOL) Annual Conference 2025; Oct 22-25; Milwaukee, WI, US. https://www.researchgate.net/publication/394966835
  • Spangenthal S, Divel C, Borecka O, Llewellyn S. Adjunctive long-term use of Mucinex® leading to improvement in stable chronic bronchitis and patient's quality of life: A case report. Medical Reports 2025;14:100384. https://www.sciencedirect.com/science/article/pii/S2949918625002293

Individual participant data

Plan to share: No — There is not a plan to make IPD available.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05843669
Lead sponsor
American Health Research
Collaborators
Vitaccess Ltd
Responsible party
Sponsor
First posted
May 6, 2023
Start date
Jul 17, 2023
Primary completion
Sep 30, 2024
Completion
Nov 13, 2024
Last update
Mar 20, 2026

Study contacts

Selwyn Spangenthal, MD
principal investigator · American Health Research; Clinical Research of Rock Hill

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Guaifenesin

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