About this trial
Chronic cough (\>8 weeks in duration) affects 5-12% of the global population, and is associated with considerable health status impairment and comorbidities. Currently, there are validated severity and impact outcome measures whilst objective measures with cough frequency monitoring is not available in routine clinical practice. Unlike other chronic respiratory diseases, namely asthma, there are no validated dedicated tools to assess the control of cough as a disease.
This study aims to develop a validated patient-focused tool to assess the control of cough, which may be useful to evaluate the benefit and value of treatments in both clinical and research settings.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients aged 18 and over with acute and chronic cough (including refractory chronic cough and unexplained chronic cough) and able to read and write in English. A smaller number (n =20) of healthy volunteers will also be included with no evidence of significant respiratory disease.
Disqualifiers
Current smokers (or smoking within the last 12 months), respiratory tract infection within the last 4 weeks, use of angiotensin converting enzyme inhibitors (ACEi), and pregnancy
Trial population
Consecutive patients will be recruited from tertiary chronic cough clinics.
Trial design
Cohort
Prospective
Treatments tested in this trial
Questionnaires
Other interventionCompletion of new questionnaire in addition to other patient reported outcome measures that measure cough severity and cough-related quality of life.
Focus group interviews
Other interventionSemi-structured focus group interviews for patients with refractory chronic cough
Objective cough measures
Other interventionCough monitoring and cough sensitivity testing.
Treatment groups
Trial outcomes
Primary outcomes
A questionnaire to assess cough control
The primary aim of the study is to develop and validate a cough control questionnaire which accurately reflects the nature of cough control.
Secondary outcomes
Cough severity
Assessed using dedicated patient reported outcome measures. Correlations with CCQ will be assessed.
Cough-related quality of life and health status
Assessed using dedicated patient reported outcome measures. Correlations with CCQ will be assessed.
Cough frequency
Cough frequency (Coughs/24 hours) will be assessed at visits using cough monitors and correlations with CCQ will be assessed.
Cough reflex testing
Capsaicin concentration for C2 and C5 (to elicit 2, and 5 coughs respectively) will be assessed in a subset of patients. Correlations with CCQ will be assessed.
Sponsors and contacts
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