Refractory Chronic Cough Improvement Via NAL ER (RIVER) (RIVER)
Refractory Chronic Cough
About this trial
This is an interventional treatment trial for Refractory Chronic Cough focused on measuring RCC, Cough, Nalbuphine
Eligibility Criteria
Key Inclusion Criteria: Diagnosis of refractory chronic cough (RCC) for at least one year Chest radiograph or CT of thorax within 24 months or during screening not demonstrating any significant abnormalities contributing to RCC Exclusion Criteria: Diagnosis of sleep apnea Respiratory tract infection within 6 weeks of Baseline History of bronchiectasis, COPD, or IPF History of uncontrolled asthma Current smokers/vapers, quit smoking with <=12 months, using nicotine supplements, or history of >=20 pack years History of major psychiatric disorder History of substance abuse Pregnant or lactating females Known intolerance to opioids Abnormal kidney or liver functions based on Screening lab results. Known hypersensitivity to nalbuphine or to NAL ER excipients Previous participation in a nalbuphine ER clinical study Use of opiates, benzodiazepines, or MAOIs within 14 days of Baseline Use of pregabalin, gabapentin, thalidomide for treatment of cough within 14 days of Baseline Use of ACE inhibitors within 12 weeks of Baseline Use of a medication having a "known risk" of Torsade de Pointes (categorized as "KR" on the Credible Meds® website.) 4 weeks prior to Baseline Use of unstable doses of medications associated with a potential risk of QT prolongation but not clearly associated with Torsade de Pointes within 4 weeks of screening. Use of unstable doses of cough suppressants within 14 days of Baseline Use of unstable doses of medications that affect serotonergic neurotransmission that may cause serotonin syndrome with opioids within14 days of Baseline Use of unstable doses of P450 isozyme inhibitors/inducers within 14 days of Baseline
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
NAL ER
Placebo
NAL ER, tablets, 27 mg QD to BID, 54 mg BID, 108 mg BID
Placebo, tablets, 0 mg QD to BID, 0 mg BID, 0 mg BID