A Study of Nalbuphine (Extended Release) ER in Idiopathic Pulmonary Fibrosis (IPF) for Treatment of Cough

NCT ID: NCT04030026

Last Updated: 2025-05-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-29

Study Completion Date

2022-05-27

Brief Summary

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To evaluate the safety and tolerability of nalbuphine ER tablets in the study population and to evaluate the effect of NAL ER tablets on the mean daytime cough frequency (coughs per hour) at Day 22 (dose 162 mg BID) as compared to placebo tablets.

Detailed Description

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Conditions

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Idiopathic Pulmonary Fibrosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Randomized, double-blinded, placebo-controlled, 2-Treatment, 2-Period Crossover Study
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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NAL ER then placebo

Participants received NAL ER in treatment period 1 at dose 27 mg once daily (QD) to 54 mg twice daily (BID) over a 5-day period and then maintained at 54 mg BID for 4 days. Dose was increased to 108 mg BID for 1 week then to 162 mg BID for 6 days, followed by placebo matching NAL ER for 3 weeks in treatment period 2. Both the treatment periods were separated by 2 weeks of washout period.

Group Type EXPERIMENTAL

NAL ER

Intervention Type DRUG

Participants received NAL ER 27 mg QD, 27 mg BID, 54 mg BID, 108 mg BID, 162 mg BID.

Placebo

Intervention Type DRUG

Participants received Placebo tablet (matching NAL ER ).

Placebo then NAL ER

Participants received placebo matching NAL ER for 3 weeks in treatment period 1 followed by NAL ER in treatment period 2 at dose 27 mg QD to 54 mg BID over a 5-day period and then maintained at 54 mg BID for 4 days. Dose was increased to 108 mg BID for 1 week then to 162 mg BID for 6 days. Both the treatment periods were separated by 2 weeks of washout period.

Group Type EXPERIMENTAL

NAL ER

Intervention Type DRUG

Participants received NAL ER 27 mg QD, 27 mg BID, 54 mg BID, 108 mg BID, 162 mg BID.

Placebo

Intervention Type DRUG

Participants received Placebo tablet (matching NAL ER ).

Interventions

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NAL ER

Participants received NAL ER 27 mg QD, 27 mg BID, 54 mg BID, 108 mg BID, 162 mg BID.

Intervention Type DRUG

Placebo

Participants received Placebo tablet (matching NAL ER ).

Intervention Type DRUG

Other Intervention Names

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Nalbuphine Placebo matched to NAL ER

Eligibility Criteria

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Inclusion Criteria

1. Individuals diagnosed with Idiopathic Pulmonary Fibrosis
2. Chronic cough \> 8 weeks.
3. Daytime cough severity score ≥ 4 on Cough Severity Numerical Rating Scale at screening.

Exclusion Criteria

1. The following conditions are excluded:

1. Interstitial lung disease (ILD) known to be caused by domestic and occupational environmental exposures.
2. Interstitial lung disease (ILD) known to be caused by connective tissue disease.
3. Interstitial lung disease (ILD) known to be caused by drug related toxicity.

2\. Currently on continuous oxygen therapy.

3\. History of substance abuse that, as determined by the Investigator, may interfere with the conduct of the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Parexel

INDUSTRY

Sponsor Role collaborator

Trevi Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Thomas Sciascia

Role: STUDY_DIRECTOR

Trevi Therapeutics, Inc

Locations

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09

Cambridge, , United Kingdom

Site Status

08

Cottingham, , United Kingdom

Site Status

17

Dundee, , United Kingdom

Site Status

13

Edinburgh, , United Kingdom

Site Status

04

London, , United Kingdom

Site Status

01

London, , United Kingdom

Site Status

02

Manchester, , United Kingdom

Site Status

10

Newcastle upon Tyne, , United Kingdom

Site Status

06

Nottingham, , United Kingdom

Site Status

14

Oxford, , United Kingdom

Site Status

03

Southampton, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Maher TM, Avram C, Bortey E, Hart SP, Hirani N, Molyneux PL, Porter JC, Smith JA, Sciascia T. Nalbuphine Tablets for Cough in Patients with Idiopathic Pulmonary Fibrosis. NEJM Evid. 2023 Aug;2(8):EVIDoa2300083. doi: 10.1056/EVIDoa2300083. Epub 2023 May 22.

Reference Type DERIVED
PMID: 38320144 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2018-004744-31

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

TR12

Identifier Type: -

Identifier Source: org_study_id

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