Consumer Health

Clinically Proven, Commercially Trusted: Rethinking Validation for OTC Brands

Malcolm Fogarty
Strategic Advisor

Malcom is a purpose-driven, commercially focused leader with 20+ years of international experience in consumer health. He previously held senior roles at GSK Consumer Health and Haleon, and is now Strategic Advisor at Lindus Health.

Consumer health is a $6.3 trillion mainstream market with consumers prioritizing solutions that help them feel and look better and live longer.

Yet in this crowded, fast-moving space, one principle stands above all others: trust is the foundation of strong consumer health brands. Consumers are bombarded with choice. They are better informed, more skeptical, and more likely to demand proof before they buy. For OTC sponsors, that means validation, which is transparent, credible, and scalable, is no longer optional, it is the cornerstone of long-term brand equity. That is why clinical studies for OTC products should adopt a claims-first design, aligning protocols with marketing and regulatory goals from day one.

Why Evidence Is the New Differentiator in Consumer Health

Not long ago, OTC brands could compete on “natural” positioning, clean labels, or strategic marketing. But in today’s crowded market, these methods are no longer enough. In the current consumer health economy, they have become baseline expectations, not differentiators.

What sets leaders apart now is proof. Consumers who once trusted brand promises or influencer endorsements are increasingly demanding to see the scientific evidence behind the claims. A recent example, the “GLP-1 effect” shows how adoption accelerates when efficacy is clear and measurable. That lens is now applied to adjacent categories, from protein to recovery, where the question is simple: does it work?

This demand for measurable outcomes also requires transparency. Just as patients seek accessible, reliable data when choosing a provider, OTC consumers want visible proof that products deliver on their promises. Clinical validation is the transparency mechanism transforming claims from marketing claims into credible evidence that drives both trust and long-term brand equity.

The Transparency Imperative

A survey by McKinsey revealed that more than 60% of consumers want better data when making healthcare decisions, and when they receive it, their choices change dramatically. Many will switch providers, opt for alternatives, or trade convenience for proof of quality and outcomes.

The parallel for OTC is unmistakable. In a marketplace flooded with bold claims, social media trends, and influencer recommendations, the need for transparent information has become the deciding factor. Consumers are less likely to accept marketing at face value; they want to understand the evidence behind a promise. This sentiment is also reflected by a Lindus Health study, where 46% of consumers indicated they either have decided against a purchase or stopped using a product due to a lack of clear information or evidence.  

Clinical validation delivers that clarity: it provides the objective, transparent proof that a supplement improves sleep, that an oral care product whitens without damaging enamel, or that a women’s health solution delivers measurable outcomes. In OTC products, clinical validation is the mechanism that turns data into confidence for consumers, retailers, regulators, and investors.

From Clinical Validation to Credible Claims

For OTC sponsors, validation is about designing an evidence-generation strategy that can be translated into credible, marketable claims. That work begins well before the first participant is recruited.

This means translating desired commercial outcomes into measurable clinical endpoints. For example, a sleep aid brand that wants to say “clinically proven to improve sleep quality” must tie that claim to objective measures like total sleep time, sleep efficiency, or validated questionnaires. If endpoints are vague or misaligned, the resulting data may be scientifically interesting but commercially unusable.

A practical example using the same product illustrates the point:

  • Brand goal: Market a botanical sleep supplement with the claim  “Clinically shown to improve sleep quality.”
  • Endpoint alignment: Protocol includes both objective endpoints (actigraphy-measured sleep duration, time to fall asleep) and subjective endpoints (validated PSQI scores).
  • Trial design: Randomized, placebo-controlled, hybrid model to speed recruitment, with participants tracked using wearables and app-based sleep diaries.
  • Outcome: Statistically significant improvements across primary endpoints enable the brand to substantiate its claim, while secondary data supports marketing language and retail negotiations.

The results show measurable improvements across endpoints, giving the brand exactly what it needs: defensible evidence that can be translated into regulatory-compliant, consumer-facing claims. By engineering studies around claims from the outset, sponsors ensure that their investment in validation produces not just data, but lasting brand equity.

Regulators are clear: the UK’s ASA has acted against unsupported immunity claims, the FDA continues to scrutinize CBD and dietary supplements, and EFSA maintains a high bar for health claims. The implication is practical. Trials need to be leaner, faster, and designed for multi-country use if claims are to hold up. The challenge is structural too, since many partners default to pharmaceutical processes that do not fit OTC timelines and budgets.

Clinical Trials for OTC: Engineered for Claims, Speed, and Scalability

In practice, building better OTC evidence means claims-first design, efficient hybrid execution, and a globally harmonized evidence strategy, so a study yields differentiated, defensible claims across markets. This includes:

Study design that aligns with claims
Design the protocol around the claims you intend to make. Start with a simple claims map (on-pack, retailer product pages, healthcare-professional materials) and link each promise to endpoints that regulators accept and marketers can translate. Pre-specify clinically meaningful thresholds, and register the statistical analysis plan in advance so positive results are defensible across markets.

Lean trial execution
Use hybrid or remote operations to reduce site burden and shorten timelines. Combine objective measures (e.g., wearables for sleep or activity) with validated questionnaires captured via app-based diaries. Consumer-health contract CRO partners can provide the playbooks and monitoring tools that make this practical.

Transparent, right-sized costing
Give commercial teams clear trade-offs upfront. Scenario budgets tied to the claims map show what each endpoint or follow-up period adds in both signal and spend.

Digital-first, inclusive recruitment
Build a digital funnel for pre-screening and consent, and partner with relevant communities to accelerate enrollment. Set and track diversity targets so the dataset reflects the consumers you plan to serve. CROs with digital recruitment pipelines can accelerate enrollment while maintaining representativeness.

Global harmonization by design
Assume multi-country from the start. Run a master protocol with a core set of endpoints reused everywhere, adding small regional modules only where needed. Keep a single analysis plan and shared data standards so results pool cleanly, and centralize claims wording for consistency across markets.

What this delivers

  • Differentiated, defensible science-backed claims that travel across markets
  • Faster launches and consistent global messaging
  • Stronger pricing power versus generics and greater retailer confidence

Looking Ahead: Evidence as OTC Brand Equity

The future of OTC brands lies in treating clinical validation as an asset. Just as intellectual property protects innovation, robust evidence protects reputation and market share.

Sponsors that adopt lean, digital-first, globally harmonized approaches to OTC clinical trials will be positioned to scale faster and more credibly. They will meet the rising expectations of regulators and retailers while giving consumers the confidence they demand.

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