New Market Intelligence Report Reveals $15B Opportunity in Chronic Cough Therapeutics, With Zero FDA-Approved Competitors

Pipeline report documents 100M patient addressable market, first-mover economics, and digital therapeutic revenue impact of at least 44% lifetime value increase

  • A new report on Refractory Chronic Cough (RCC) that maps the clinical, regulatory, and commercial landscape for therapeutics expected to reach market between 2026 and 2035.
  • RCC is a large, underserved indication with approximately 100 million patients worldwide and no FDA-approved treatment options today.
  • The comprehensive analysis quantifies realistic U.S. commercial updates and predicts how real-world care pathways are shaping RCC therapies.

Wilmington, Del., Jan 20, 2025 –  Hyfe, Inc., the global leader in AI-powered cough care, released a new market intelligence report documenting a substantial commercial opportunity in Refractory Chronic Cough (RCC) therapeutics, where approximately 100 million patients worldwide and 10 million in the U.S. have no access to FDA-approved treatment options. The report, Refractory Chronic Cough Therapeutics: Pipeline Analysis & Competitive Landscape 2026-2035, provides the most detailed competitive assessment of the RCC treatment landscape available.

Currently, the standard of care for RCC patients relies entirely on off-label neuromodulators with 31-40% adverse event rates. This analysis projects the global cough therapeutic market will reach $14-15 billion by 2035 from approximately $9 billion in 2024, representing a 6% compound annual growth rate across the U.S., EU, U.K., and Japan. With major industry signals and regulatory outcomes, such as GSK’s acquisition of Bellus Health and Merck’s Complete Response Letters for Gefapixant, there is clear market validation and regulatory requirements driving the adoption of RCC therapeutics.

The 52-page analysis quantifies market dynamics across regulatory, clinical, and commercial dimensions, evaluating three primary therapeutic approaches including P2X3 Antagonists like Camlipixant, Kappa/Mu Opioid Modulators such as Trevi Therapeutics’ Nalbuphine ER, and Digital Therapeutics like the Kyorin Pharmaceuticals × Hyfe collaboration. It details:

  • FDA evidentiary requirements as well as guidance on statistical detection challenges across all mechanisms and placebo-adjusted efficacy.
  • Of the 450-600 million chronic cough patients globally, 100 million classified as refractory. From these, 2-4 million patients are attainable in the U.S. market based on specialist access and payer coverage.
  • The efficacy of digital interventions as standalone treatments and as supplemental, leading to approximately $23 million incremental revenue per 10,000 treated patients – a 7.7:1 return on investment for digital platform integration.

The report concludes the U.S. market will support one, possibly two, meaningfully differentiated therapies based on: temporal separation between approvals, specialist referral bottlenecks limiting rapid market expansion, digital ecosystem lock-in effects once patients engage with monitoring platforms, and payer preference for a single preferred agent absent clear clinical differentiation. Durability of evidence, data integration, and health economics validation will determine market share allocation.

“RCC is a widely underserved market, and what stands out in this report is how clearly defined the opportunity has become,” said Dr. Peter Small, MD, Chief Medical Officer at Hyfe. “We built this analysis to help development and commercial teams understand where differentiation is possible and how real-world care pathways are shaping which therapies can realistically succeed.” 

The complete analysis, including competitive landscape matrices, payer reimbursement frameworks by jurisdiction, and detailed financial models, is available for free at coughreport.com. This research was conducted with financial support from Hyfe Inc. The views and conclusions expressed are those of the authors and do not necessarily reflect the views of Hyfe Inc.

About Hyfe, Inc.

Hyfe, Inc. is the global leader in AI-powered cough-monitoring technology. The company’s patented machine-learning software enables passive, long-term monitoring of cough frequency, revealing novel health insights. Hyfe delivers cough-monitoring solutions that empower pharma and academic researchers to advance clinical trials, enable healthcare providers to optimize patient care, and power digital therapeutics to transform the management of respiratory illness, including chronic cough. Hyfe’s technology has been used in 50+ research studies, and its long-term partners include global pharma companies and leading academic institutions. More information is available at hyfe.com

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Media contact: press@hyfe.com

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