Chronic CoughPhase 2NCT04110054
Evaluation of S-600918 in Adults With Refractory Chronic Cough
A Phase 2 study testing S-600918 in people with Chronic Cough, run by Shionogi at 136 sites in 6 countries.
Trial summary
The primary objective of this study is to determine the optimal dose of S-600918 in patients with refractory chronic cough by evaluating the change from baseline in 24-hour cough frequency (coughs per hour) with S-600918 compared with placebo. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Chronic Cough
- What is being tested?
- S-600918
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 406 participants
- Where
- 136 sitesin 6 countries
- Study dates
- 13 Feb 2020to 28 Dec 2020
- 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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Having refractory chronic cough (including unexplained chronic cough) for at least 1 year.
- If female and of childbearing potential, agreement to use one of the allowed contraceptive methods.
- Capable of giving signed informed consent.
Who cannot join
- Currently smokes or uses potentially irritating inhalational agents (eg, e-cigarettes, smokeless cigarettes, vaping); stopped smoking or using potentially irritating inhalational agents within the last year; or has a smoking history of 20 pack-years or more.
- Has chronic obstructive pulmonary disease or uncontrolled asthma.
- Has a clinically unstable medical condition.
- History of or ongoing significant psychiatric disorder.
- History of respiratory tract infection or significant change in lung function or a pulmonary condition in the last 4 weeks.
- History of malignancy in the last 5 years.
Show all 15Show fewer
- History of severe drug allergy.
- History of alcohol or drug abuse in the last year or currently uses any form of marijuana or illicit drugs.
- Has a clinically significant finding on a chest x-ray or chest computed tomography (CT) scan in the last year.
- Has systolic blood pressure > 160 mm Hg or diastolic blood pressure > 90 mm Hg.
- Received S-600918 previously.
- Received an investigational drug in the last 3 months.
- Received an angiotensin converting enzyme (ACE) inhibitor in the last 3 months or requires such treatment.
- Has a positive serologic test for human immunodeficiency virus (HIV) antigen or antibody, hepatitis B virus surface antigen, or hepatitis C virus ribonucleic acid (RNA).
- If female, pregnant or trying to become pregnant or breastfeeding.
Trial locations and contacts
136 sites in 6 countries.
136 sites in 6 countries
United States51 sites
Shionogi Research Site
Bangor, Maine, 04401
St. Joseph's Hospital
Bangor, Maine, 04401
American Health Research Inc
Charlotte, North Carolina, 28207
Rush University Medical Center
Chicago, Illinois, 60612
New Horizons Clinical Research
Cincinnati, Ohio, 45242
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
University of Missouri Hospital and Clinics, ENT & Allergy Center of Missouri
Columbia, Missouri, 65201
University of Missouri Hospital and Clinics, Hearing and Balance Center
Columbia, Missouri, 65201
University of Missouri Hospital - Clinical Research Center
Columbia, Missouri, 65212
Pharmaceutical Research & Consulting, Inc
Dallas, Texas, 75231
Intermountain Clinical Research
Draper, Utah, 84020
Clinical Research Associates of Central PA, LLC
DuBois, Pennsylvania, 15801
Minnesota Lung Center
Edina, Minnesota, 55435
Abraham Research PLLC
Fort Mitchell, Kentucky, 41017
Clinical Research of Gastonia
Gastonia, North Carolina, 28504
Allergy, Asthma & Sinus Center, S.C.
Greenfield, Wisconsin, 53228
ADAC Research, PA
Greenville, South Carolina, 29607
MCA Research
Houston, Texas, 77084
University of Kansas Medical Center-Hospital
Kansas City, Kansas, 66160
University of Kansas Medical Center
Kansas City, Kansas, 66160
Sher Allergy Specialist/Center for Cough
Largo, Florida, 33778
Medical Research Of Central Florida, LLC
Leesburg, Florida, 34748
Research Solutions of Arizona
Litchfield Park, Arizona, 85340
Southern California Institute For Respiratory Diseases, Inc.
Los Angeles, California, 90048
Metroplex Pulmonary and Sleep Center
McKinney, Texas, 75069
Allergy & Asthma Associates of Southern California dba Southern California Research
Mission Viejo, California, 92691
Montana Medical Research, Inc.
Missoula, Montana, 59808
Sneeze, Wheeze, & Itch Associates, LLC
Normal, Illinois, 61761
California Medical Research Associates, Inc.
Northridge, California, 91324
Atlantic Research Center, LLC
Ocean City, New Jersey, 07712
Creighton University Clinical Research Office
Omaha, Nebraska, 68124
Center for Clinical Trials, LLC
Paramount, California, 90723
Pulmonary Associates, PA
Phoenix, Arizona, 85032
Northwest Research Center
Portland, Oregon, 97202
Mayo Clinic Pulmonary Clinical Research Unit
Rochester, Minnesota, 55905
Mayo Clinic, Division of Pulmonary and Critical Care Medicine
Rochester, Minnesota, 55905
Clinical Research of Rock Hill
Rock Hill, South Carolina, 29732
Diagnostics Research Group
San Antonio, Texas, 78229
Institute of HealthCare Assessment, Inc.
San Diego, California, 92120
Clayton Sleep Institute, LLC
St Louis, Missouri, 63123
Associated Specialists in Medicine, PC
St Louis, Missouri, 63141
The Clinical Research Center, LLC
St Louis, Missouri, 63141
Lenus Research & Medical Group, LLC
Sweetwater, Florida, 33172
Alliance for Multispecialty Research
Tempe, Arizona, 85283
Montefiore Medical Center
The Bronx, New York, 10461
Allergy and Asthma Care of Waco
Waco, Texas, 76712
Allergy Asthma Research Institute
Waco, Texas, 76712
AAPRI Clinical Research Institute
Warwick, Rhode Island, 02886
Tidewater Physicians Multispecialty Group Clinical Research
Williamsburg, Virginia, 23188
Southeastern Research Center
Winston-Salem, North Carolina, 27103
Minnesota Lung Center
Woodbury, Minnesota, 55125
Japan38 sites
Mazda Hospital of Mazda Motor Corporation
Aki-gun, Hiroshima, 735-8585
Nihonbashi Medical & Allergy Clinic
Chuo-ku, Tokyo, 103-0022
Fukuwa Clinic
Chuo-ku, Tokyo, 104-0031
Fujisawa City Hospital
Fujisawa, Kanagawa, 251-8550
Fukui Prefectural Hospital
Fukui-shi, Fukui, 910-8526
Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers
Fukuoka, Fukuoka, 815-8588
Nishi Fukuoka Hospital
Fukuoka, Fukuoka, 819-8555
Fukushima Medical University Hospital
Fukushima, Fukushima, 960-1295
Japan Mutual Aid Association of Public School Teachers Chugoku Central Hospital
Fukuyama, Hiroshima, 7200001
Japan Organization of Occupational Health and Safety Hamamatsu Rosai Hospital
Hamamatsu, Shizuoka, 430-8525
Nakatani Hospital
Himeji, Hyōgo, 672-8064
Hitachi, Ltd. Hitachinaka General Hospital
Hitachi-Naka, Ibaraki, 312-0057
Iizuka Hospital
Iizuka, Fukuoka, 820-8505
Ishikawa Prefectural Central Hospital
Kanazawa, Ishikawa-ken, 9208530
Kobe University Hospital
Kobe, Hyōgo, 650-0017
Takahashi Medical Clinic
Kokubunji-shi, Tokyo, 185-0014
Kyoto University Hospital
Kyoto, Kyoto, 606-8507
Tohno Chuo Clinic
Mizunami-shi, Gifu, 509-6134
Nagoya City University Hospital
Nagoya, Aichi-ken, 467-8602
National Hospital Organization Ibarakihigashi National Hospital
Naka-gun, Ibaraki, 319-1113
Lee's Clinic
Osaka, Osaka, 531-0073
Senzoku Kokyuuki Allergy Clinic
Ōta-ku, Tokyo, 145-0063
National Hospital Organization Sagamihara National Hospital
Sagamihara-shi, Kanagawa, 252-0392
National Hospital Organization Kinki-Chuo Chest Medical Center
Sakai-shi, Osaka, 591-8555
Sakaide City Hospital
Sakaide-shi, Kagawa-ken, 762-8550
Makita Hospital
Sapporo, Hokkaido, 001-0901
Idaimae Minamiyojo Int Clinic
Sapporo, Hokkaido, 064-0804
Tohoku Rosai Hospital
Sendai, Miyagi, 981-8563
Yoga Allergy Clinic
Setagaya City, Tokyo, 158-0097
KONO Medical Clinic
Setagaya-ku, Tokyo, 157-0072
Koukokukai Ebisu Clinic
Shibuya-shi, Tokyo, 150-0013
Shimonoseki City Hospital
Shimonoseki-shi, Yamaguchi, 750-8520
Tokyo Shinagawa Hospital Medical Corporation Association Tokyokyojuno-kai
Shinagawa-ku, Tokyo, 140-8522
Shizuoka General Hospital
Shizuoka, Shizuoka, 420-8527
Kamei Internal Medicine and Respiratory Clinic
Takamatsu, Kagawa-ken, 761-8073
Kouwakai Kouwa Clinic
Toshima-ku, Tokyo, 170-0003
Kaiseikai Kita Shin Yokohama Internal Medicine Clinic
Yokohama, Kanagawa, 223-0059
Yokohama City Minato Red Cross Hospital
Yokohama, Kanagawa, 231-8682
Ukraine17 sites
Chernihiv City Hospital #2, Therapy Department
Chernihiv, 14034
Medical and Sanitary Unit of Private Joint Stock Company Kharkiv Tractor Plant, Therapeutic Department, Kharkiv Medical Academy of Postgraduate Education, Chair of General Practice-family Medicine
Kharkiv, 61007
Communal Non-Commercial Enterprize of Kharkiv Regional Council Regional Clinical Hospital, Pulmonary-Allergological Department with Immunological and Therapeutic Beds
Kharkiv, 61058
City Clinical Hospital #13
Kharkiv, 61124
Communal Non-profit Enterprise "Kherson City Clinical Hospital named after Ye. Ye. Karabelesh" of the Kherson City Council, Pulmonary Therapeutic Department
Kherson, 73000
Medical Center of LLC Medical Clinic Blagomed
Kyiv, 01023
Medical Center of Edelweiss Medics LLC , Treatment and Prevention Department
Kyiv, 02002
Municipal Non-commercial Enterprise "Consultative-Diagnostics Center" of Desnyanskyi District of Kyiv, Therapy Department
Kyiv, 02232
Medical Center of LLC Medbud-Clinic, Treatment and Prevention Department
Kyiv, 03037
National Institute of Phthisiology and Pulmonology, Department of Pulmonology
Kyiv, 03038
SI "National Institute of Phthisiology and Pulmonology n.a. F.G.Yanovskyi under NAMS of Ukraine," Department of Diagnostic, Therapy and Clinical Pharmacology of Lung Diseases
Kyiv, 03038
Kyiv Railway Clinical Hospital No2 of Branch Health Center of the JSC Ukrainian Rail, Department of Pulmonology
Kyiv, 03049
Clinic of SI National Research Centre of Radiation Medicine of NAMS of Ukraine, Unit of Pulmonology of Department of Therapy of Radiation Consequences of Clinical Radiology Institute
Kyiv, 03115
Municipal Enterprise Volyn Regional Clinical Hospital of Volyn Regional Council, Pulmonology Department
Lutsk, 43005
The 1st City Clinical Hospital of Poltava City Council
Poltava, 36039
Small Business Private Enterprise Medical Centre "Pulse", Therapeutic Department
Vinnytsia, 21001
CNE Vinnytsia Regional Clinical Hospital named after N.I. Pirogov VRC, Regional Treatment and Diagnostic Pulmonology Center, Chair of Internal Medicine #1, Vinnytsia National Medical University n.a.M.I.Pyrogov
Vinnytsia, 21018
Poland13 sites
Prywatny Gabinet lnternistyczno-Alergologiczny
Bialystok, 15-010
Centrum Medycyny Oddechowej Mroz sp. j.
Bialystok, 15-044
Centrum Medyczne Pratia Bydgoszcz
Bydgoszcz, 85-796
Centrum Medyczne Pratia Gdynia
Gdynia, 81-338
Centrum Medyczne Silmedic Sp. z o. o.
Katowice, 40-282
Gyncentrum Sp. Z o. o.
Katowice, 40-851
Diamond Clinic
Krakow, 31-559
Poradnia Alergologiczna SPZOZ USK nr 1 UM w Lodzi
Lodz, 90-141
Ostrowieckie CM S.C. A. Olech-Cudzik, K. Cudzik
Ostrowiec Świętokrzyski, 27-400
Centrum Alergologii Teresa Hofman Sp. Z o.o.
Poznan, 60-214
RCMed Oddz. Sochaczew
Sochaczew, 96-500
Centrum Medyczne Lucyna Andrzej Dymek
Strzelce Opolskie, 47-100
Alergo-Med Specjalistyczna Przychodnia Lekarska
Tarnów, 33-100
United Kingdom11 sites
Belfast City Hospital
Belfast, BT9 7AB
Medinova Yorkshire Quality Research Site
Bradford, West Yorkshire, 8D18 3SA
Medinova Research Northamptonshire Quality Research Site
Corby, Northamptonshire, NN18 9EZ
Respiratory Clinical Trials
Cottingham, East Yorkshire, HU16 5JQ
Kings College Hospital
London, SE5 9RS
Wythenshawe Hospital
Manchester, Greater Manchester, M23 9LT
Northumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital
North Shields, Northumberland, NE29 8NH
BMI Bishops Wood Hospital
Northwood, Middlesex, HA6 2JW
MeDiNova North London Quality Research Site
Northwood, Middlesex, HA6 2RN
MeDiNova South London Quality Research Site
Sidcup, Kent, DA14 6LT
West Walk Surgery
Yate, BS37 4AX
Czechia6 sites
MUDr. I. Čierná-Peterová s.r.o.
Brandýs nad Labem-Stará Boleslav, 250 01
Fakultní Nemocnice Olomouc
Olomouc, Czech Republic, 779 00
Plicní Ambulance Rokycany s.r.o.
Rokycany, 337 22
MUDr. Jaroslav Mareš -
Strakonice, 386 01
Plicní středisko Teplice s.r.o.
Teplice, 415 01
Pneumologie Varnsdorf s.r.o.
Varnsdorf, 407 47
About this study
Official title: A Phase 2b, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Dose-selection Study of S-600918 in Patients With Refractory Chronic Cough
The primary objective of this study is to determine the optimal dose of S-600918 in patients with refractory chronic cough by evaluating the change from baseline in 24-hour cough frequency (coughs per hour) with S-600918 compared with placebo.
- Conditions
- Chronic Cough
- Being tested
- S-600918, Placebo to S-600918
- Keywords
- P2X3 receptor antagonist, Refractory chronic cough, S-600918
- Medical subject headings
- Chronic Cough
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
S-600918Drug
Also called Sivopixant
Tablets for oral administration
Placebo to S-600918Drug
Tablets for oral administration
| Study group | Role | What they receive |
|---|---|---|
| S-600918 50 mg | Experimental | Participants will receive 50 mg S-600918 orally once a day for 28 days. Receives: Drug: S-600918 |
| S-600918 150 mg | Experimental | Participants will receive 150 mg S-600918 orally once a day for 28 days. Receives: Drug: S-600918 |
| S-600918 300 mg | Experimental | Participants will receive 300 mg S-600918 orally once a day for 28 days. Receives: Drug: S-600918 |
| Placebo | Placebo comparator | Participants will receive placebo to S-600918 orally once a day for 28 days. Receives: Drug: Placebo to S-600918 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent Change in Number of Coughs Per Hour in 24 Hours Following 4 Weeks of Study Treatment
Change in cough was calculated based upon the number of coughs per hour in 24 hours at Week 4 and baseline. Results are presented as percent change from baseline. Reported percent change is based on a mixed model for the log-transformed ratio of the number of coughs per hour in 24 hours at each visit with treatment, week, and treatment-by-week as fixed effect, participant as random effect, and region (Japan, Europe, or the United States) and the log-transformed coughs per hour in 24 hours at baseline as covariates. The number of coughs per hour while awake was measured using a cough monitor.
Measured: Baseline to Week 4
Secondary outcomes (10)
Number of Participants With 30%, 50%, and 70% Reduction in Number of Coughs Per Hour Over 24 Hours After 4 Weeks of Study Treatment
The number of coughs per hour for 24 hours was measured using a cough monitor.
Measured: Baseline to Week 4
Percent Change in Number of Coughs Per Hour While Awake Following 4 Weeks of Study Treatment
Change in cough was calculated based upon the number of coughs per hour in 24 hours at Week 4 and baseline. Results are presented as percent change from baseline. Reported percent change is based on a mixed model for the log-transformed ratio of the number of coughs per hour while awake at each visit with treatment, week, and treatment-by-week as fixed effect, participants as random effect, and region and the log-transformed coughs per hour while awake at baseline as covariates. The number of coughs per hour while awake was measured using a cough monitor.
Measured: Baseline to Week 4
Number of Participants With 30%, 50% and 70% Reduction in Number of Coughs Per Hour While Awake After 4 Weeks of Study Treatment
The number of coughs per hour while awake was measured using a cough monitor.
Measured: Baseline to Week 4
Percent Change in Number of Coughs Per Hour While Asleep Following 4 Weeks of Study Treatment
Change in cough was calculated based upon the number of coughs per hour in 24 hours at Week 4 and baseline. Results are presented as percent change from baseline. Reported percent change is based on a mixed model for the log-transformed ratio of the number of coughs per hour while asleep at each visit with treatment, week, and treatment-by-week as fixed effect, participants as random effect, and region and the log-transformed coughs per hour while asleep at baseline as covariates. The number of coughs per hour while awake was measured using a cough monitor.
Measured: Baseline to Week 4
Change From Baseline in Weekly Cough Severity Following 4 Weeks of Study Treatment
Cough severity was assessed by the participant by a visual analog scale with numbers from 0 to 100. Results are presented as change from baseline. Reported change is based on a mixed model for the change in weekly cough severity score after 4 weeks of treatment with treatment, week, and treatment-by-week as fixed effect, participant as random effect, and region (Japan, Europe, or the United States) and the severity score at baseline as covariates. Higher scores indicated higher cough severity.
Measured: Baseline to Week 4
Change From Baseline in Leicester Cough Questionnaire (LCQ) Total Score
The LCQ is a patient-reported quality of life (QOL) measure of chronic cough. The questionnaire consists of 19 items to which the participant responds on a 7-point Likert response scale (from 1 to 7). Each item assesses symptoms during cough and the effect of cough on 3 main domains: physical, psychological and social. Domain scores range from 1-7, and the total score ranges from 3 - 21. Higher score indicates a better quality of life. Results are presented as change from baseline. Reported change is based on a mixed model for the change in LCQ Total Score after 4 weeks of treatment with treatment, week, and treatment-by-week as fixed effect, participant as random effect, and region (Japan, Europe, or the United States) and the LCQ Score of corresponding domain at baseline as covariates.
Measured: Baseline to Week 4
Number of Responders Defined as Participants With an Increase in LCQ of ≥ 1.3 Points
The LCQ is a patient-reported quality of life (QOL) measure of chronic cough. The questionnaire consists of 19 items to which the participant responds on a 7-point Likert response scale (from 1 to 7). Each item assesses symptoms during cough and the effect of cough on 3 main domains: physical, psychological and social. Domain scores range from 1-7, and the total score ranges from 3 - 2. A higher score indicates a better quality of life.
Measured: Baseline to Week 4
Change From Baseline in International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF)
The ICIQ-SF is a questionnaire used to evaluate the frequency, severity, and impact of urinary incontinence on the quality of life. The questionnaire includes 3 items with responses measured on Likert scales, and 1 item that is measured via a qualitative response. The 3 nominal responses are summed to give the ICIQ score (this total ICIQ-SF score can range from 0 to 21), where a higher score indicates more severe symptoms. The 1 item remaining that is measured via qualitative response is not given a score; rather, the participant selects 1 description out of 8 possible descriptions of this item.
Measured: Baseline to Week 4
Change From Baseline in Short Form (36) Health Survey (SF-36)
The SF-36 is a 36-item questionnaire to assesses a participant's health status using 8 health concepts: limitations in physical activities because of health problems; limitations in social activities because of physical or emotional problems; limitations in usual role activities because of physical health problems; bodily pain; general mental health (psychological distress and well-being); limitations in usual role activities because of emotional problems; vitality (energy and fatigue); and general health perceptions. The mental component reports the average of all the emotionally relevant items and the physical component reports the average of all the physically relevant items. Each component is directly transformed into a 0 to 100 scale on the assumption that each question carries equal weight. A score of 0 is equal to maximum disability, and a score of 100 indicates no disability. Median change can range from -100 to 100. A positive median change indicates an improved outcome.
Measured: Baseline to Week 4
Number of Responders as Assessed by Patient Global Impression of Change (PGIC)
The PGIC is a patient-reported measure of overall health status and consists of 1 item adapted from the Clinical Global Impressions scale. The participant selects 1 description out of 7 possible descriptions of this item. The descriptions are numbered from 1 through 7, where lower numbers indicate better quality of life. Participants were considered responders if they reported "Very much improved", "Much improved", or "Minimally improved" from baseline on the PGIC assessment.
Measured: Week 4
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Oct 2019
- Study start13 Feb 2020
- Primary completion8 Dec 2020
- Study completion28 Dec 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Chronic CoughStudies of the same condition, open and under way.
- More trials run by ShionogiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 406 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shionogi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Shionogi Clinical Trials Administrator Clinical Support Help Line, Study director, Shionogi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04110054
- Sponsor's protocol ID
- 1812VA323
- Status last verified
- Mar 2024
- First submitted
- 26 Sep 2019
- Last updated
- 27 Mar 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
McGarvey L, Smith JA, Morice A, Birring SS, Chung KF, Dicpinigaitis PV, Niimi A, Benninger MS, Sher M, Matsunaga Y, Miyazaki S, Machida M, Ishihara H, Mahmood A, Gomez JC. A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Phase 2b Trial of P2X3 Receptor Antagonist Sivopixant for Refractory or Unexplained Chronic Cough. Lung. 2023 Feb;201(1):25-35. doi: 10.1007/s00408-022-00592-5. Epub 2022 Dec 13.
PubMed 36512069
Study at a glance
From the registry record, last updated by the sponsor on 27 Mar 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2b, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Dose-selection Study of S-600918 in Patients With Refractory Chronic Cough
- ClinicalTrials.gov ID
- NCT04110054
- Acronym / sponsor ID
- 1812VA323
- Conditions
- Chronic Cough
- Keywords
- P2X3 receptor antagonist, Refractory chronic cough, S-600918
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 406 participants (actual)
- Lead sponsor
- ShionogiIndustry (pharma, biotech, devices)
- Study start
- 13 Feb 2020 (actual)
- Primary completion
- 8 Dec 2020 (actual)
- Study completion
- 28 Dec 2020 (actual)
- First posted
- 1 Oct 2019 (actual)
- Results
- Posted 27 Mar 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this study is to determine the optimal dose of S-600918 in patients with refractory chronic cough by evaluating the change from baseline in 24-hour cough frequency (coughs per hour) with S-600918 compared with placebo.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| S-600918 50 mg | Experimental | Drug: S-600918Participants will receive 50 mg S-600918 orally once a day for 28 days. |
| S-600918 150 mg | Experimental | Drug: S-600918Participants will receive 150 mg S-600918 orally once a day for 28 days. |
| S-600918 300 mg | Experimental | Drug: S-600918Participants will receive 300 mg S-600918 orally once a day for 28 days. |
| Placebo | Placebo comparator | Drug: Placebo to S-600918Participants will receive placebo to S-600918 orally once a day for 28 days. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Having refractory chronic cough (including unexplained chronic cough) for at least 1 year.
- If female and of childbearing potential, agreement to use one of the allowed contraceptive methods.
- Capable of giving signed informed consent.
Key exclusion criteria (15 listed)
- Currently smokes or uses potentially irritating inhalational agents (eg, e-cigarettes, smokeless cigarettes, vaping); stopped smoking or using potentially irritating inhalational agents within the last year; or has a smoking history of 20 pack-years or more.
- Has chronic obstructive pulmonary disease or uncontrolled asthma.
- Has a clinically unstable medical condition.
- History of or ongoing significant psychiatric disorder.
- History of respiratory tract infection or significant change in lung function or a pulmonary condition in the last 4 weeks.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| S-600918Also: SivopixantTablets for oral administration | Drug | S-600918 150 mg, S-600918 300 mg, S-600918 50 mg |
| Placebo to S-600918Tablets for oral administration | Drug | Placebo |
Primary outcome
Percent Change in Number of Coughs Per Hour in 24 Hours Following 4 Weeks of Study Treatment
Time frame: Baseline to Week 4
Change in cough was calculated based upon the number of coughs per hour in 24 hours at Week 4 and baseline. Results are presented as percent change from baseline. Reported percent change is based on a mixed model for the log-transformed ratio of the number of coughs per hour in 24 hours at each visit with treatment, week, and treatment-by-week as fixed effect, participant as random effect, and region (Japan, Europe, or the United States) and the log-transformed coughs per hour in 24 hours at baseline as covariates. The number of coughs per hour while awake was measured using a cough monitor.
10 secondary outcomes
Number of Participants With 30%, 50%, and 70% Reduction in Number of Coughs Per Hour Over 24 Hours After 4 Weeks of Study Treatment
Time frame: Baseline to Week 4
Percent Change in Number of Coughs Per Hour While Awake Following 4 Weeks of Study Treatment
Time frame: Baseline to Week 4
Number of Participants With 30%, 50% and 70% Reduction in Number of Coughs Per Hour While Awake After 4 Weeks of Study Treatment
Time frame: Baseline to Week 4
Percent Change in Number of Coughs Per Hour While Asleep Following 4 Weeks of Study Treatment
Time frame: Baseline to Week 4
Change From Baseline in Weekly Cough Severity Following 4 Weeks of Study Treatment
Time frame: Baseline to Week 4
Change From Baseline in Leicester Cough Questionnaire (LCQ) Total Score
Time frame: Baseline to Week 4
Number of Responders Defined as Participants With an Increase in LCQ of ≥ 1.3 Points
Time frame: Baseline to Week 4
Change From Baseline in International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF)
Time frame: Baseline to Week 4
Change From Baseline in Short Form (36) Health Survey (SF-36)
Time frame: Baseline to Week 4
Number of Responders as Assessed by Patient Global Impression of Change (PGIC)
Time frame: Week 4
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Mar 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36512069McGarvey L, Smith JA, Morice A, Birring SS, Chung KF, Dicpinigaitis PV, Niimi A, Benninger MS, Sher M, Matsunaga Y, Miyazaki S, Machida M, Ishihara H, Mahmood A, Gomez JC. A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Phase 2b Trial of P2X3 Receptor Antagonist Sivopixant for Refractory or Unexplained Chronic Cough. Lung. 2023 Feb;201(1):25-35. doi: 10.1007/s00408-022-00592-5. Epub 2022 Dec 13.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Shionogi Clinical Trials Administrator Clinical Support Help Line study director
Shionogi
136 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing S-600918 in people with Chronic Cough, run by Shionogi at 136 sites in 6 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 15 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 27 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 136 sites in United States, Japan, Ukraine, Poland, United Kingdom and 1 more country. 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 27 Mar 2024). 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?
Percent Change in Number of Coughs Per Hour in 24 Hours Following 4 Weeks of Study Treatment (time frame: Baseline to Week 4). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04110054, which also lists 1 linked publication.
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 27 Mar 2024.