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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02993822
Other study ID # VOLCANO-2
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date May 22, 2017
Est. completion date January 24, 2019

Study information

Verified date March 2022
Source Nerre Therapeutics Ltd.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine the effectiveness of three doses of orvepitant, taken once a day, in the treatment of chronic refractory cough.


Description:

A multi-center, double-blind, randomized, parallel group, placebo-controlled dose range study in subjects with chronic refractory cough (CRC). Doses of orvepitant (10 mg/day, 20 mg/day and 30 mg/day) and placebo will be investigated in four parallel groups. Each group will compromise of approximately 73 subjects, randomized 1:1:1:1 (approximately 292 subjects in total). All subjects will enter a three-week screening period to determine eligibility. Eligible subjects will be randomized at the Baseline/Day 1 visit and enter a 12-week double-blind dosing period. During this period there will be four visits at Weeks 2, 4, 8 and 12. There will be a final safety follow-up visit at Week 14.


Recruitment information / eligibility

Status Completed
Enrollment 315
Est. completion date January 24, 2019
Est. primary completion date January 14, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Key Inclusion Criteria: - Male and female subjects =18 years of age. - Diagnosis of CRC or unexplained cough for at least 1 year (see ACCP/BTS guidelines attached). - An awake average cough frequency of =10 coughs/ hour, as assessed using an ACM during the screening period. Key Exclusion Criteria: - Subjects with respiratory tract infection (<4 weeks prior to study start) - Current smokers or ex-smokers with <6 months' abstinence or cumulative history of >10 pack years - Treatment with Angiotensin Converting Enzyme (ACE) inhibitors within 3 months of screening - FEV1 <80% predicted, measured at screening using spirometry - History of cystic fibrosis, idiopathic pulmonary fibrosis, clinically significant bronchiectasis, moderate to severe asthma, chronic obstructive pulmonary disease (COPD) - Any clinically significant abnormal laboratory test result(s) - Inability to comply with the use of prohibited and allowed medications as described in the protocol.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Orvepitant Maleate
Tablet, once daily, oral
Placebo
Tablet, once daily, oral

Locations

Country Name City State
Canada Study Site 66 Niagara Falls Ontario
Canada Study Site 65 Québec Quebec
Canada Study Site 64 Trois-Rivières Quebec
United Kingdom Study Site 96 Barnsley South Yorkshire
United Kingdom Study Site 40 Belfast Northern Ireland
United Kingdom Study Site 94 Blackpool Lancashire
United Kingdom Study Site 97 Cannock Staffordshire
United Kingdom Study Site 45 Hull
United Kingdom Study Site 92 Leeds
United Kingdom Study Site 30 Leicester
United Kingdom Study Site 46 London
United Kingdom Study Site 18 Manchester
United Kingdom Study Site 91 Manchester
United Kingdom Study Site 47 Newcastle Upon Tyne
United Kingdom Study Site 31 North Shields
United Kingdom Study Site 17 Northwood Middlesex
United Kingdom Study Site44 Oxford
United Kingdom Study Site 93 Prescot Merseyside
United Kingdom Study Site 29 Romford Essex
United Kingdom Study Site 95 Stockton-on-Tees Teesside
United States Study Site 34 Baltimore Maryland
United States Study Site 14 Bellingham Washington
United States Study Site 25 Centennial Colorado
United States Study Site 15 Chandler Arizona
United States Study Site 21 Charleston South Carolina
United States Study Site 72 Charleston South Carolina
United States Study Site 24 Charlotte North Carolina
United States Study Site 53 Charlotte North Carolina
United States Study Site 55 Charlotte North Carolina
United States Study Site 19 Charlottesville Virginia
United States Study Site 56 Cincinnati Ohio
United States Study Site 68 Clearwater Florida
United States Study Site 36 Colorado Springs Colorado
United States Study Site 22 Dallas Texas
United States Study Site 35 Dallas Texas
United States Study Site 38 East Providence Rhode Island
United States Study Site 42 Edina Minnesota
United States Study Site 50 Gastonia North Carolina
United States Study Site 13 Greenfield Wisconsin
United States Study Site 54 Greensboro North Carolina
United States Study Site 10 Houston Texas
United States Study Site 59 Jacksonville Florida
United States Study Site 12 Largo Florida
United States Study Site 16 Las Vegas Nevada
United States Study Site 43 Los Angeles California
United States Study Site 60 Meridian Idaho
United States Study Site 57 Miami Florida
United States Study Site 62 Miami Florida
United States Study Site 41 Minneapolis Minnesota
United States Study Site 52 Mission Viejo California
United States Study Site 27 Missoula Montana
United States Study Site 73 Mooresville North Carolina
United States Study Site 39 Normal Illinois
United States Study Site 74 Oklahoma City Oklahoma
United States Study Site 71 Raleigh North Carolina
United States Study Site 32 Rochester New York
United States Study Site 37 Rochester Minnesota
United States Study Site 58 Salt Lake City Utah
United States Study Site 49 San Antonio Texas
United States Study Site 20 San Diego California
United States Study Site 28 San Jose California
United States Study Site 33 Tampa Florida
United States Study Site 26 Tulsa Oklahoma
United States Study Site 23 Waco Texas
United States Study Site 48 Waterbury Connecticut
United States Study Site 11 Winter Park Florida

Sponsors (1)

Lead Sponsor Collaborator
Nerre Therapeutics Ltd.

Countries where clinical trial is conducted

United States,  Canada,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change From Baseline to Week 12 in Awake Objective Cough Frequency Objective cough frequency measured by ambulatory cough monitoring device Baseline to Week 12
Secondary Change in Awake Objective Cough Frequency at Week 2 Compared to Baseline Objective cough frequency measured by ambulatory cough monitoring device Baseline to Week 2
Secondary Change in Awake Objective Cough Frequency at Week 4 Compared to Baseline Objective cough frequency measured by ambulatory cough monitoring device Week 4
Secondary Change in the Leicester Cough Questionnaire (LCQ) at Week 2 Compared to Baseline The Leicester Cough Questionnaire (LCQ) is a 19 item questionnaire that assessed cough related quality of life. It has three domains (physical, psychological and social) and subjects were asked to complete it based on their experience in a recall period of 2 weeks. The total score range is 3 to 21 and domain scores each range from 1 to 7; a higher score indicated a better quality of life. Subjects completed the LCQ whilst in the clinic at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 2
Secondary Change in the Leicester Cough Questionnaire (LCQ) at Week 4 Compared to Baseline The Leicester Cough Questionnaire (LCQ) is a 19 item questionnaire that assessed cough related quality of life. It has three domains (physical, psychological and social) and subjects were asked to complete it based on their experience in a recall period of 4 weeks. The total score range is 3 to 21 and domain scores each range from 1 to 7; a higher score indicated a better quality of life. Subjects completed the LCQ whilst in the clinic at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 4
Secondary Change in the Leicester Cough Questionnaire (LCQ) at Week 8 Compared to Baseline The Leicester Cough Questionnaire (LCQ) is a 19 item questionnaire that assessed cough related quality of life. It has three domains (physical, psychological and social) and subjects were asked to complete it based on their experience in a recall period of 8 weeks. The total score range is 3 to 21 and domain scores each range from 1 to 7; a higher score indicated a better quality of life. Subjects completed the LCQ whilst in the clinic at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 8
Secondary Change in the Leicester Cough Questionnaire (LCQ) at Week 12 Compared to Baseline The Leicester Cough Questionnaire (LCQ) is a 19 item questionnaire that assessed cough related quality of life. It has three domains (physical, psychological and social) and subjects were asked to complete it based on their experience in a recall period of 12 weeks. The total score range is 3 to 21 and domain scores each range from 1 to 7; a higher score indicated a better quality of life. Subjects completed the LCQ whilst in the clinic at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 12
Secondary Change in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Day-time The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from "no cough" (0 mm) on the left to "worst cough" (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 2
Secondary Change in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Day-time The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from "no cough" (0 mm) on the left to "worst cough" (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 4
Secondary Change in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Day-time The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from "no cough" (0 mm) on the left to "worst cough" (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 8
Secondary Change in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Day-time The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from "no cough" (0 mm) on the left to "worst cough" (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 12
Secondary Change in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Night-time The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from "no cough" (0 mm) on the left to "worst cough" (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 2
Secondary Change in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Night-time The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from "no cough" (0 mm) on the left to "worst cough" (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 4
Secondary Change in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Night-time The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from "no cough" (0 mm) on the left to "worst cough" (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 8
Secondary Change in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Night-time The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from "no cough" (0 mm) on the left to "worst cough" (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 12
Secondary Change in the Urge-to-cough Visual Analogue Scale (VAS) at Week 2 Compared to Baseline The urge-to-cough VAS was a 100 mm scale on which subjects indicated their urge to cough over the previous 24 hours (day/awake time and night time combined). The VAS ranged from "no urge to cough" (0 mm) on the left to "severe urge to cough" (100 mm) on the right. Subjects completed the urge to cough VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 2
Secondary Change in the Urge-to-cough Visual Analogue Scale (VAS) at Week 4 Compared to Baseline The urge-to-cough VAS was a 100 mm scale on which subjects indicated their urge to cough over the previous 24 hours (day/awake time and night time combined). The VAS ranged from "no urge to cough" (0 mm) on the left to "severe urge to cough" (100 mm) on the right. Subjects completed the urge to cough VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 4
Secondary Change in the Urge-to-cough Visual Analogue Scale (VAS) at Week 8 Compared to Baseline The urge-to-cough VAS was a 100 mm scale on which subjects indicated their urge to cough over the previous 24 hours (day/awake time and night time combined). The VAS ranged from "no urge to cough" (0 mm) on the left to "severe urge to cough" (100 mm) on the right. Subjects completed the urge to cough VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 8
Secondary Change in the Urge-to-cough Visual Analogue Scale (VAS) at Week 12 Compared to Baseline The urge-to-cough VAS was a 100 mm scale on which subjects indicated their urge to cough over the previous 24 hours (day/awake time and night time combined). The VAS ranged from "no urge to cough" (0 mm) on the left to "severe urge to cough" (100 mm) on the right. Subjects completed the urge to cough VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12. Baseline to Week 12
Secondary Global Rating of Change in Cough Frequency at Week 2 In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with "worse", "about the same" or "better". If subjects indicated a change (either "worse" or "better") they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12. Baseline to Week 2
Secondary Global Rating of Change in Cough Frequency at Week 4 In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with "worse", "about the same" or "better". If subjects indicated a change (either "worse" or "better") they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12. Baseline to Week 4
Secondary Global Rating of Change in Cough Frequency at Week 8 In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with "worse", "about the same" or "better". If subjects indicated a change (either "worse" or "better") they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12. Baseline to Week 8
Secondary Global Rating of Change in Cough Frequency at Week 12 In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with "worse", "about the same" or "better". If subjects indicated a change (either "worse" or "better") they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12. Baseline to Week 12
Secondary Global Rating of Change in Cough Severity at Week 2 In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with "worse", "about the same" or "better". If subjects indicated a change (either "worse" or "better") they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12. Baseline to Week 2
Secondary Global Rating of Change in Cough Severity at Week 4 In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with "worse", "about the same" or "better". If subjects indicated a change (either "worse" or "better") they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12. Baseline to Week 4
Secondary Global Rating of Change in Cough Severity at Week 8 In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with "worse", "about the same" or "better". If subjects indicated a change (either "worse" or "better") they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12. Baseline to Week 8
Secondary Global Rating of Change in Cough Severity at Week 12 In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with "worse", "about the same" or "better". If subjects indicated a change (either "worse" or "better") they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12. Baseline to Week 12
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