The Effect of Nalbuphine Extended-Release (NAL ER) on Cough in Participants With Refractory Chronic Cough (RCC)

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorTrevi Therapeutics

About this trial

The purpose of this study is to evaluate the efficacy and safety of Nalbuphine ER Extended-release tablets for the treatment of participants with RCC.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Insufficient improvement in cough after treatment for any identified cough-associated conditions.

Unexplained cough for which an underlying condition has not been determined despite adequate investigation with diagnostic tests and trials of therapy.

Persistent and chronic cough for at least one year prior to Screening.

Chest computed tomography (CT) or chest radiograph of the thorax performed within the last 24 months and after the onset of chronic cough OR the procedure completed by the Investigator during the Screening period, that does not show any abnormality considered to be significantly contributing to the RCC in the opinion of the Principal Investigator.

Disqualifiers

Clinical diagnosis of sleep apnea and/or use of continuous positive airway pressure (CPAP).

Upper or lower respiratory tract infection or change in pulmonary status in the 4 weeks prior to the Screening visit or during the Screening or PBO Run-in periods.

History of bronchiectasis, chronic obstructive pulmonary disease (COPD) or idiopathic pulmonary fibrosis (IPF), or other significant respiratory disorder that might affect cough.

≥1 clinically significant exacerbation in the last 6 months, OR

Trial design

Design model

Parallel

Treatments tested in this trial

  • NAL ER

    Drug

    Oral tablets

  • Placebo

    Drug

    Oral tablets

Treatment groups

100 Participants
are divided into 4 treatment groups
Group A: NAL ER 54 mg BIDExperimental treatment 2 interventions
Group B: NAL ER 27 mg BIDExperimental treatment 2 interventions
Group C: NAL ER 27 mg QDExperimental treatment 2 interventions
Group D: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Relative Change From Baseline in 24-hour Cough Frequency at Week 6

Time frame
Baseline, Week 6

Secondary outcomes

1

Relative Change From Baseline in 24-hour Cough Frequency

Time frame
Baseline up to Week 6
2

Percentage of Participants Achieving ≥30%, ≥50% and ≥75% Reduction in 24-hour Cough Frequency

Time frame
Baseline up to Week 6
3

Change From Baseline in Patient Reported Cough Frequency (PR-CF)

Time frame
Baseline up to Week 6
4

Change From Baseline in Cough Severity Visual Analog Scale (CS-VAS)

Time frame
Baseline up to Week 6

Other outcomes

Sponsors and contacts

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