A Dose Escalation Study of BLU-5937 in Unexplained or Refractory Chronic Cough (RELIEF)
Primary Purpose
Chronic Refractory Cough
Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
BLU-5937
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Chronic Refractory Cough focused on measuring Unexplained or refractory chronic cough, P2X3 antagonists
Eligibility Criteria
Inclusion Criteria:
- Unexplained or refractory chronic cough for at least one year
- Chest radiograph or CT thorax within the last 60 months not demonstrating any abnormality considered to be significantly contributing to the chronic cough
- Cough count of ≥ 10 per hour (Awake Cough Count) at Screening
- Score of ≥ 40mm on the Cough Severity VAS at Screening
- Women of child-bearing potential must have a negative serum pregnancy test at Screening
- Women of child-bearing potential must use a highly effective contraception method from Screening through the Follow-Up Visit
- Male subjects and their partners of child-bearing potential must use 2 methods of acceptable birth control
Exclusion Criteria:
- Current smoker or individuals who have given up smoking within the past 6 months, or those with >20 pack-year smoking history
- Diagnosis of COPD, bronchiectasis, idiopathic pulmonary fibrosis
- Treatment with an ACE-inhibitor as the potential cause of a subject's cough, or requiring treatment with an ACE-inhibitor during the study, or within 12 weeks prior to the Screening Visit
- FEV1/FVC < 60%
- History of upper respiratory tract infection or recent significant change in pulmonary status within 4 weeks of the Baseline Visit
- History of concurrent malignancy or recurrence of malignancy within 2 years prior to Screening
- History of a diagnosis of drug or alcohol dependency or abuse within the last 3 years
- Clinically significant abnormal electrocardiogram (ECG) or laboratory tests at Screening
- Other severe, acute, or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results
Sites / Locations
- Allergy Associates Medical Group Inc.
- Allergy & Asthma Associates of Santa Clara Valley
- Centre for Cough
- Clinical Research Institute
- Clinical Research of Gastonia
- National Allergy & Asthma Research
- Diagnostics Research Group
- Allergy Asthma & Sinus Center
- Belfast City Hospital
- Castle Hill Hospital
- University Hospitals of Leicester
- Prince Phillip Hospital
- King's College Hospital
- Royal Brompton Hospital
- Manchester Clinical Research Facility
- North Tyneside General Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
BLU-5937 oral tablet BID
Placebo oral tablet BID
Arm Description
Randomized crossover design of 4 different doses (25, 50, 100, 200 mg BID) of BLU-5937 tablets to be administered orally BID
Randomized crossover design of matching placebo tablets to be administered orally BID
Outcomes
Primary Outcome Measures
Change in Awake Objective Cough Frequency on Log-transformed Scale
Change in awake cough frequency (average hourly cough frequency while the subject is awake ) evaluated using the VitaloJAK cough monitor with 24-hour sound recordings collected
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03979638
Brief Title
A Dose Escalation Study of BLU-5937 in Unexplained or Refractory Chronic Cough
Acronym
RELIEF
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Crossover, Dose Escalation Study of BLU-5937 in Subjects With Unexplained or Refractory Chronic Cough (RELIEF)
Study Type
Interventional
2. Study Status
Record Verification Date
April 2020
Overall Recruitment Status
Terminated
Why Stopped
Trial was terminated due to the impact of the COVID-19 on trial activities. 68 patients with refractory chronic cough were enrolled with 52 completing treatment
Study Start Date
July 10, 2019 (Actual)
Primary Completion Date
April 23, 2020 (Actual)
Study Completion Date
April 23, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bellus Health Inc
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a multi-center, randomized, double-blind, placebo-controlled, crossover, dose escalation study of BLU-5937 in subjects with unexplained or refractory chronic cough
Detailed Description
This study will have two 16-day treatment periods (four escalating doses or matching placebo at four days interval) separated by a 10 to 14-day washout period. There will be a 14-day follow-up period.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Refractory Cough
Keywords
Unexplained or refractory chronic cough, P2X3 antagonists
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Model Description
Two-arm, Two-Period, crossover assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
68 (Actual)
8. Arms, Groups, and Interventions
Arm Title
BLU-5937 oral tablet BID
Arm Type
Experimental
Arm Description
Randomized crossover design of 4 different doses (25, 50, 100, 200 mg BID) of BLU-5937 tablets to be administered orally BID
Arm Title
Placebo oral tablet BID
Arm Type
Placebo Comparator
Arm Description
Randomized crossover design of matching placebo tablets to be administered orally BID
Intervention Type
Drug
Intervention Name(s)
BLU-5937
Intervention Description
Four escalating doses of BLU-5937 administered BID over the course of the study
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching placebo for BLU-5937
Primary Outcome Measure Information:
Title
Change in Awake Objective Cough Frequency on Log-transformed Scale
Description
Change in awake cough frequency (average hourly cough frequency while the subject is awake ) evaluated using the VitaloJAK cough monitor with 24-hour sound recordings collected
Time Frame
Period 1: baseline (Day 0) and 24 hours after Day 4, 8, 12, 16 doses ; Period 2: baseline (Day 30) and 24 hours after Day 34, 38, 42, 46 doses
Other Pre-specified Outcome Measures:
Title
Change in Awake Cough Frequency on Log-transformed Scale in the Subgroup of Participants With Awake Cough Frequency > or = 20 Coughs/Hour at Baseline
Description
Change in awake cough frequency (average hourly cough frequency while the subject is awake) in the a pre-specified subgroup of participants with awake cough frequency > or = 20 coughs/hour at baseline evaluated using the VitaloJAK cough monitor with 24-hour sound recordings collected
Time Frame
Period 1: baseline (Day 0) and 24 hours after Day 4, 8, 12, 16 doses ; Period 2: baseline (Day 30) and 24 hours after Day 34, 38, 42, 46 doses
Title
Change in Awake Cough Frequency on Log-transformed Scale in the Subgroup of Participants With Awake Cough Frequency > or = Median (32.4 Coughs/Hour) at Baseline
Description
Change in awake cough frequency (average hourly cough frequency while the subject is awake) in the a pre-specified subgroup of participants with awake cough frequency > or = median (32.4 coughs/hour) at baseline evaluated using the VitaloJAK cough monitor with 24-hour sound recordings collected
Time Frame
Period 1: baseline (Day 0) and 24 hours after Day 4, 8, 12,16 doses ; Period 2: baseline (Day 30) and 24 hours after Day 34, 38, 42, 46 doses
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Unexplained or refractory chronic cough for at least one year
Chest radiograph or CT thorax within the last 60 months not demonstrating any abnormality considered to be significantly contributing to the chronic cough
Cough count of ≥ 10 per hour (Awake Cough Count) at Screening
Score of ≥ 40mm on the Cough Severity VAS at Screening
Women of child-bearing potential must have a negative serum pregnancy test at Screening
Women of child-bearing potential must use a highly effective contraception method from Screening through the Follow-Up Visit
Male subjects and their partners of child-bearing potential must use 2 methods of acceptable birth control
Exclusion Criteria:
Current smoker or individuals who have given up smoking within the past 6 months, or those with >20 pack-year smoking history
Diagnosis of COPD, bronchiectasis, idiopathic pulmonary fibrosis
Treatment with an ACE-inhibitor as the potential cause of a subject's cough, or requiring treatment with an ACE-inhibitor during the study, or within 12 weeks prior to the Screening Visit
FEV1/FVC < 60%
History of upper respiratory tract infection or recent significant change in pulmonary status within 4 weeks of the Baseline Visit
History of concurrent malignancy or recurrence of malignancy within 2 years prior to Screening
History of a diagnosis of drug or alcohol dependency or abuse within the last 3 years
Clinically significant abnormal electrocardiogram (ECG) or laboratory tests at Screening
Other severe, acute, or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with trial participation or investigational product administration or may interfere with the interpretation of trial results
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jacky Smith, MD, Ph.D.
Organizational Affiliation
University of Manchester
Official's Role
Principal Investigator
Facility Information:
Facility Name
Allergy Associates Medical Group Inc.
City
San Diego
State/Province
California
ZIP/Postal Code
92108
Country
United States
Facility Name
Allergy & Asthma Associates of Santa Clara Valley
City
San Jose
State/Province
California
ZIP/Postal Code
95117
Country
United States
Facility Name
Centre for Cough
City
Largo
State/Province
Florida
ZIP/Postal Code
33778
Country
United States
Facility Name
Clinical Research Institute
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55402
Country
United States
Facility Name
Clinical Research of Gastonia
City
Gastonia
State/Province
North Carolina
ZIP/Postal Code
20854
Country
United States
Facility Name
National Allergy & Asthma Research
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29420
Country
United States
Facility Name
Diagnostics Research Group
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Allergy Asthma & Sinus Center
City
Greenfield
State/Province
Wisconsin
ZIP/Postal Code
53228
Country
United States
Facility Name
Belfast City Hospital
City
Belfast
ZIP/Postal Code
BT9 7BL
Country
United Kingdom
Facility Name
Castle Hill Hospital
City
Cottingham
ZIP/Postal Code
HU16 5JQ
Country
United Kingdom
Facility Name
University Hospitals of Leicester
City
Leicester
ZIP/Postal Code
LE3 9QP
Country
United Kingdom
Facility Name
Prince Phillip Hospital
City
Llanelli
ZIP/Postal Code
SA14 8QF
Country
United Kingdom
Facility Name
King's College Hospital
City
London
ZIP/Postal Code
SE5 9RS
Country
United Kingdom
Facility Name
Royal Brompton Hospital
City
London
ZIP/Postal Code
SW3 6HP
Country
United Kingdom
Facility Name
Manchester Clinical Research Facility
City
Manchester
ZIP/Postal Code
M23 9LT
Country
United Kingdom
Facility Name
North Tyneside General Hospital
City
North Shields
ZIP/Postal Code
NE29 8NH
Country
United Kingdom
12. IPD Sharing Statement
Learn more about this trial
A Dose Escalation Study of BLU-5937 in Unexplained or Refractory Chronic Cough
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