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Chronic Refractory CoughPhase 2NCT02993822

A Dose-ranging Study of Orvepitant in Patients With Chronic Refractory Cough

A Phase 2 study testing Orvepitant Maleate in people with Chronic Refractory Cough, run by Nerre Therapeutics Ltd. at 66 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

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. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Refractory Cough
What is being tested?
Orvepitant Maleate
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
315 participants
Where
66 sitesin 3 countries
Study dates
22 May 2017to 24 Jan 2019
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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.

Who cannot join

  • 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.

Trial locations and contacts

66 sites in 3 countries.

66 sites in 3 countries

United States46 sites
  • Study Site 34

    Baltimore, Maryland, 21236

  • Study Site 14

    Bellingham, Washington, 98225

  • Study Site 25

    Centennial, Colorado, 80112

  • Study Site 15

    Chandler, Arizona, 85224

  • Study Site 21

    Charleston, South Carolina, 29420

  • Study Site 72

    Charleston, South Carolina, 29464

  • Study Site 55

    Charlotte, North Carolina, 28204

  • Study Site 24

    Charlotte, North Carolina, 28207

  • Study Site 53

    Charlotte, North Carolina, 29732

  • Study Site 19

    Charlottesville, Virginia, 22911

  • Study Site 56

    Cincinnati, Ohio, 45231

  • Study Site 68

    Clearwater, Florida, 33765

  • Study Site 36

    Colorado Springs, Colorado, 80907

  • Study Site 22

    Dallas, Texas, 75231

  • Study Site 35

    Dallas, Texas, 75231

  • Study Site 38

    East Providence, Rhode Island, 02914

  • Study Site 42

    Edina, Minnesota, 55435

  • Study Site 50

    Gastonia, North Carolina, 28054

  • Study Site 13

    Greenfield, Wisconsin, 53228

  • Study Site 54

    Greensboro, North Carolina, 27403

  • Study Site 10

    Houston, Texas, 77074

  • Study Site 59

    Jacksonville, Florida, 32224

  • Study Site 12

    Largo, Florida, 33778

  • Study Site 16

    Las Vegas, Nevada, 89128

  • Study Site 43

    Los Angeles, California, 90025

  • Study Site 60

    Meridian, Idaho, 83642

  • Study Site 62

    Miami, Florida, 33060

  • Study Site 57

    Miami, Florida, 33186

  • Study Site 41

    Minneapolis, Minnesota, 55402

  • Study Site 52

    Mission Viejo, California, 92692

  • Study Site 27

    Missoula, Montana, 59808

  • Study Site 73

    Mooresville, North Carolina, 28117

  • Study Site 39

    Normal, Illinois, 61761

  • Study Site 74

    Oklahoma City, Oklahoma, 73131

  • Study Site 71

    Raleigh, North Carolina, 27612

  • Study Site 37

    Rochester, Minnesota, 55905

  • Study Site 32

    Rochester, New York, 14618

  • Study Site 58

    Salt Lake City, Utah, 84108

  • Study Site 49

    San Antonio, Texas, 78229

  • Study Site 20

    San Diego, California, 92108

  • Study Site 28

    San Jose, California, 95117

  • Study Site 33

    Tampa, Florida, 33613

  • Study Site 26

    Tulsa, Oklahoma, 74136

  • Study Site 23

    Waco, Texas, 76712

  • Study Site 48

    Waterbury, Connecticut, 06708

  • Study Site 11

    Winter Park, Florida, 32789

Other trials in United States

United Kingdom17 sites
  • Study Site 96

    Barnsley, South Yorkshire, S75 3DL

  • Study Site 40

    Belfast, Northern Ireland, BT9 7AB

  • Study Site 94

    Blackpool, Lancashire, FY2 0JH

  • Study Site 97

    Cannock, Staffordshire, WS11 0BN

  • Study Site 45

    Hull

  • Study Site 92

    Leeds, LS10 1DU

  • Study Site 30

    Leicester

  • Study Site 46

    London

  • Study Site 91

    Manchester, M32 0UT

  • Study Site 18

    Manchester

  • Study Site 47

    Newcastle upon Tyne

  • Study Site 31

    North Shields

  • Study Site 17

    Northwood, Middlesex

  • Study Site44

    Oxford

  • Study Site 93

    Prescot, Merseyside, L34 1BH

  • Study Site 29

    Romford, Essex, RM1 3PJ

  • Study Site 95

    Stockton-on-Tees, Teesside, TS17 6EW

Other trials in United Kingdom

Canada3 sites
  • Study Site 66

    Niagara Falls, Ontario, L2G 1J4

  • Study Site 65

    Québec, Quebec, G1V 4W2

  • Study Site 64

    Trois-Rivières, Quebec, G8T 7A1

Other trials in Canada

About this study

Official title: A Double-Blind, Randomized, Placebo Controlled Study of the Efficacy and Safety of Three Doses of Orvepitant in Subjects With Chronic Refractory Cough

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.

Read the detailed 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.

Being tested
Orvepitant Maleate, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Orvepitant MaleateDrug

    Tablet, once daily, oral

  • PlaceboDrug

    Tablet, once daily, oral

Study groups in NCT02993822
Study groupRoleWhat they receive
Orvepitant 10mgExperimentalOrvepitant 10mg tablet, once daily for 12 weeks
Receives: Drug: Orvepitant Maleate
Orvepitant 20mgExperimentalOrvepitant 20mg tablet, once daily for 12 weeks
Receives: Drug: Orvepitant Maleate
Orvepitant 30mgExperimentalOrvepitant 30mg tablet, once daily for 12 weeks
Receives: Drug: Orvepitant Maleate
PlaceboPlacebo comparatorPlacebo to match tablet, once daily for 12 weeks
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline to Week 12 in Awake Objective Cough Frequency

    Objective cough frequency measured by ambulatory cough monitoring device

    Measured: Baseline to Week 12

Secondary outcomes (26)
  1. Change in Awake Objective Cough Frequency at Week 2 Compared to Baseline

    Objective cough frequency measured by ambulatory cough monitoring device

    Measured: Baseline to Week 2

  2. Change in Awake Objective Cough Frequency at Week 4 Compared to Baseline

    Objective cough frequency measured by ambulatory cough monitoring device

    Measured: Week 4

  3. 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.

    Measured: Baseline to Week 2

  4. 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.

    Measured: Baseline to Week 4

  5. 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.

    Measured: Baseline to Week 8

  6. 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.

    Measured: Baseline to Week 12

  7. 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.

    Measured: Baseline to Week 2

  8. 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.

    Measured: Baseline to Week 4

  9. 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.

    Measured: Baseline to Week 8

  10. 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.

    Measured: Baseline to Week 12

  11. 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.

    Measured: Baseline to Week 2

  12. 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.

    Measured: Baseline to Week 4

  13. 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.

    Measured: Baseline to Week 8

  14. 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.

    Measured: Baseline to Week 12

  15. 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.

    Measured: Baseline to Week 2

  16. 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.

    Measured: Baseline to Week 4

  17. 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.

    Measured: Baseline to Week 8

  18. 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.

    Measured: Baseline to Week 12

  19. 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.

    Measured: Baseline to Week 2

  20. 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.

    Measured: Baseline to Week 4

  21. 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.

    Measured: Baseline to Week 8

  22. 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.

    Measured: Baseline to Week 12

  23. 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.

    Measured: Baseline to Week 2

  24. 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.

    Measured: Baseline to Week 4

  25. 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.

    Measured: Baseline to Week 8

  26. 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.

    Measured: Baseline to Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Dec 2016 (estimated)
  2. Study start22 May 2017
  3. Primary completion14 Jan 2019
  4. Study completion24 Jan 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
315 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02993822
Sponsor's protocol ID
VOLCANO-2
Status last verified
Mar 2022
First submitted
6 Dec 2016
Last updated
26 Apr 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Orvepitant Maleate in people with Chronic Refractory Cough, run by Nerre Therapeutics Ltd. at 66 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 66 sites in United States, United Kingdom, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 26 Apr 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline to Week 12 in Awake Objective Cough Frequency (time frame: Baseline to Week 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Apr 2022.

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