- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05185089
Efficacy and Safety Study of Orvepitant for Chronic Cough in Patients With Idiopathic Pulmonary Fibrosis (IPF-COMFORT)
A Double-Blind, Randomised, Placebo Controlled, Two Period Cross-Over Study to Evaluate the Efficacy and Safety of Orvepitant in Chronic Cough in Patients With Idiopathic Pulmonary Fibrosis
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The study will be a multi-center, double-blind, randomised, placebo-controlled 2-period cross-over study in subjects with chronic cough due to idiopathic pulmonary fibrosis (IPF).
Subjects will participate in one of two cohorts (Cohort 1 and Cohort 2). Cohort 1 will evaluate a 30 mg orvepitant dose and Cohort 2 the 10 mg dose. Within each cohort, subjects will be randomised to receive either orvepitant or placebo in the first treatment period (Treatment Period A) followed by the alternate treatment in Treatment Period B. There will be a wash-out period of 3 weeks between the two treatment periods. Subjects will be randomised 1:1 to each of the two treatment orders and 1:1 to each cohort.
Subjects will enter a screening period of between 14 and 28 days to determine eligibility. Eligible subjects will be randomised at the Baseline visit and will participate in two identical 28 day treatment periods with the wash-out period between them. There will be a total of 8 visits including the Screening, Baseline and final Follow-up visits.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: NeRRe Therapeutics Chief Medical Officer
- Phone Number: +44 (0) 1438 906960
- Email: info@nerretherapeutics.com
Study Locations
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Heerlen, Netherlands, 6419 PC
- Zuyderland Medical Centre
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Nieuwegein, Netherlands, 3435 CM
- Sint Antonius Hospital
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Rotterdam, Netherlands, 3015 GD
- Erasmus University Medical Centre
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Zwolle, Netherlands, 8025 AB
- Isala Ziekenhuis
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Birmingham, United Kingdom, B9 5SS
- Heartlands Hospital
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Cambridge, United Kingdom, CB2 0AY
- Royal Papworth Hospital
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Exeter, United Kingdom, EX2 5DW
- Royal Devon and Exeter Hospital
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London, United Kingdom, SE1 9RT
- Guy's Hospital
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Manchester, United Kingdom, M13 9NQ
- MAC Clinical Research
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Nottingham, United Kingdom, NG5 1PB
- Nottingham City Hospital
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Southampton, United Kingdom, SO16 6YD
- Southampton General Hospital
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Berkshire
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Reading, Berkshire, United Kingdom, RG1 5AN
- Royal Berkshire Hospital
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Hull
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Cottingham, Hull, United Kingdom, HU16 5JQ
- Castle Hill Hospital
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Merseyside
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Prescot, Merseyside, United Kingdom, L34 1BH
- MAC Clinical Research
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Northern Ireland
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Antrim, Northern Ireland, United Kingdom, BT41 2RL
- Antrim Area Hospital
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Derry, Northern Ireland, United Kingdom, BT47 6SB
- Altnagelvin Area Hospital
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Oxford
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Headington, Oxford, United Kingdom, OX3 7LE
- Churchill Hospital
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Perth And Kinross
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Perth, Perth And Kinross, United Kingdom, PH1 1NX
- Perth Royal Infirmary
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Scotland
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Edinburgh, Scotland, United Kingdom, EH16 4SA
- Royal Infirmary of Edinburgh
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South Yorkshire
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Barnsley, South Yorkshire, United Kingdom, S75 3DL
- MAC Clinical Research
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West Yorkshire
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Leeds, West Yorkshire, United Kingdom, LS10 1DU
- MAC Clinical Research
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California
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Los Angeles, California, United States, 90033
- University of Southern California
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San Francisco, California, United States, 94143
- University of California
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Colorado
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Denver, Colorado, United States, 80206
- National Jewish Health
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Illinois
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Maywood, Illinois, United States, 60153
- Loyola University Chicago
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Maryland
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Silver Spring, Maryland, United States, 20904
- Jadestone Clinical Research, LLC
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Michigan
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Ann Arbor, Michigan, United States, 48109
- University of Michigan
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic
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North Carolina
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Charlotte, North Carolina, United States, 28277
- American Health Research
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Greensboro, North Carolina, United States, 27403
- Pulmonix, LLC
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19140
- Temple University
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South Carolina
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Charleston, South Carolina, United States, 29424
- Medical University of South Carolina
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Tennessee
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Nashville, Tennessee, United States, 37204
- Vanderbilt University Medical Center
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Texas
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Dallas, Texas, United States, 75246
- Baylor University
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Webster, Texas, United States, 77598
- Clear Lake Health
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Utah
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Salt Lake City, Utah, United States, 84108
- University of Utah
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Virginia
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Charlottesville, Virginia, United States, 22908
- University of Virginia Health System
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Diagnosis of IPF established according to the 2018 or 2022 joint ATS/ERS/JRS/ALAT Clinical Practice Guideline
- FEV1/FVC ratio ≥0.65 at the screening visit
- Haemoglobin-corrected diffusion capacity of carbon monoxide (Hb-corrected DLCO) ≥25% within 12 months of the screening visit
- Arterial oxygen saturation on room air or oxygen ≥90% at Screening
- Life expectancy of at least 12 months
- Cough that is attributed to IPF, which has not responded to anti-tussive treatment, and which has been present for at least 8 weeks prior to Screening
- Mean daily IPF Coughing Severity Scale score ≥5 (after rounding) during the second week of the baseline assessment period
Key Exclusion Criteria:
- Recent respiratory tract infection (<8 weeks prior to Screening)
- Recent acute exacerbation of IPF (<8 weeks prior to Screening)
- Current smokers or ex-smokers with <6 months' abstinence prior to Screening
- Emphysema ≥50% on high-resolution computed tomography, or the extent of emphysema is greater than the extent of fibrosis according to the reported results of the most recent scan
- Mean early morning cough scale score ≥5 and rest of the day cough scale score <5 (after rounding) during the second week of the baseline assessment period (assessed at Visit 2)
- Cough that is predominantly productive in nature and attributable to lung pathology such as chronic bronchitis or bronchiectasis
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Orvepitant 30mg
Orvepitant 30mg tablet once daily for 4 weeks
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Orvepitant tablets 30mg or 10mg
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Experimental: Orvepitant 10mg
Orvepitant 10mg tablet once daily for 4 weeks
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Orvepitant tablets 30mg or 10mg
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Placebo Comparator: Placebo
Placebo tablet once daily for 4 weeks
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Placebo tablets to match orvepitant 30mg and 10mg tablets
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mean change from Baseline in weekly average of the daily Idiopathic Pulmonary Fibrosis Coughing Severity Scale
Time Frame: Week 4
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A numerical rating scale from 0 (no coughing) to 10 (coughing as bad as you can imagine)
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Week 4
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mean change from Baseline in weekly average of the early morning IPF Coughing Severity Scale
Time Frame: Week 4
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A numerical rating scale from 0 (no coughing) to 10 (coughing as bad as you can imagine)
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Week 4
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Mean change from Baseline in weekly average of the rest of the day IPF Coughing Severity Scale
Time Frame: Week 4
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A numerical rating scale from 0 (no coughing) to 10 (coughing as bad as you can imagine)
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Week 4
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Mean change from Baseline in weekly average of the daily urge to cough scale
Time Frame: Week 4
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A numerical rating scale from 0 (no urge to cough) to 10 (urge to cough as bad as you can imagine)
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Week 4
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Mean change from Baseline in weekly average of the daily cough frequency scale
Time Frame: Week 4
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A numerical rating scale from 0 (no coughing) to 10 (coughing as often as you can imagine)
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Week 4
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Mean change from Baseline in weekly average of the daily dyspnoea scale
Time Frame: Week 4
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A numerical rating scale from 0 (no shortness of breath) to 10 (shortness of breath as bad as you can imagine)
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Week 4
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Mean change from Baseline in 24-hour cough frequency
Time Frame: Week 4
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Cough frequency assessed using an ambulatory cough monitoring device
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Week 4
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Mean change from Baseline in awake cough frequency
Time Frame: Week 4
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Cough frequency assessed using an ambulatory cough monitoring device
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Week 4
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Mean change from Baseline in night-time cough frequency
Time Frame: Week 4
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Cough frequency assessed using an ambulatory cough monitoring device
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Week 4
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Mean change from Baseline in the number of coughing bouts
Time Frame: Week 4
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Cough frequency assessed using an ambulatory cough monitoring device
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Week 4
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Prof. S. Birring, MB ChB, MD, Department of Respiratory Medicine, King's College Hospital, London UK
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ORV-PF-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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