Observational study of cough severity in patients with idiopathic pulmonary fibrosis cough

ISRCTN ISRCTN57234685
DOI https://doi.org/10.1186/ISRCTN57234685
IRAS number 293624
Secondary identifying numbers IPF-Obs-01, IRAS 293624
Submission date
26/04/2021
Registration date
27/04/2021
Last edited
17/08/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Respiratory
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
The aim of this study is to evaluate a new patient questionnaire that measures the severity of cough in patients with idiopathic pulmonary fibrosis (IPF). Cough is a common symptom in patients with IPF and is frequently cited as one of the most burdensome aspects of this terminal disease. NeRRe Therapeutics (which is funding the research) is developing a potential treatment for chronic cough in IPF and plans to use this cough questionnaire in clinical trials to see whether the treatment is effective. However, before the questionnaire can be used in trials testing this potential treatment, information needs to be gathered on the questionnaire itself.

Who can participate?
Patients aged 40 and over who have a troublesome cough due to IPF

What does the study involve?
Participants will be asked to complete a cough diary containing this questionnaire every evening for two separate 1-week periods with a 1-week gap between these two periods. The cough diary will be completed using an app on a phone or tablet. The cough diary app has been designed to be very simple to use and should take no more than a minute each day. At the end of the diary completion period, participants will be invited to have a telephone interview with a trained researcher to find out more about their cough and to gather feedback on the cough diary. This interview will be optional, and participants will still be able to participate in the study even if they do not wish to have an interview.

What are the possible benefits and risks of participating?
There will be no direct benefit to participants. However, the results may help the development of future treatments for chronic cough due to IPF.

Where is the study run from?
NeRRe Therapeutics (UK)

When is the study starting and how long is it expected to run for?
December 2020 to July 2021

Who is funding the study?
NeRRe Therapeutics (UK)

Who is the main contact?
Susan Seymore
susan.seymore@nerretherapeutics.com

Contact information

Ms Susan Seymore
Public

Stevenage Bioscience Catalyst
Gunnells Wood Road
Stevenage
SG1 2FX
United Kingdom

Phone +44 (0)7741 634591
Email susan.seymore@nerretherapeutics.com
Dr Steve Pawsey
Scientific

Stevenage Bioscience Catalyst
Gunnells Wood Road
Stevenage
SG1 2FX
United Kingdom

Phone +44 (0)7827 460726
Email steve.pawsey@nerretherapeutics.com

Study information

Study designMulti-centre observational study
Primary study designObservational
Secondary study designLongitudinal study
Study setting(s)Home
Study typeOther
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleAn observational study to record cough symptom severity in patients with chronic cough due to idiopathic pulmonary fibrosis
Study hypothesisThe objective of this observational study is to evaluate a new patient questionnaire that measures the severity of cough in patients with idiopathic pulmonary fibrosis (IPF).
Ethics approval(s)Approved 22/02/2021, West of Scotland REC 3 (Dykebar Hospital, Grahamston Road, Paisley, PA2 7DE, UK; +44 (0)141 314 0211; WoSREC3@ggc.scot.nhs.uk), REC ref: 21/WS/0014
ConditionChronic cough due to idiopathic pulmonary fibrosis
InterventionParticipants will be asked to record measures of coughing severity in a diary app once a day for two separate 7 day periods with approximately 1 week between the two periods. On the first day of diary completion, participants will complete two assessments: the Cough Severity numerical rating scale (NRS) and the cough severity visual analogue scale (VAS). On the seventh day of diary completion, participants will complete two assessments: the Cough Severity NRS and the global rating of severity (GRS). On the last day of diary completion, participants will complete all three assessments: the Cough Severity NRS, the cough severity VAS and the GRS. On all other diary completion days, participants will just complete the Cough Severity NRS.
Intervention typeOther
Primary outcome measureCough severity on a 0-10 scale (where 0 is “no coughing” and 10 is “coughing as bad as you can imagine”) using the cough severity numerical rating scale (NRS) on Days 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, and 14
Secondary outcome measures1. Cough severity (none, mild, moderate or severe) measured using the Global Rating Scale (GRS) on Days 7 and 14
2. Cough severity (between 0 and 100 mm, where 0 is “no coughing” and 10 is “coughing as bad as you can imagine”), measured using the cough severity visual analogue scale (VAS) on Days 1 and 14
3. Patients’ experience of chronic cough due to IPF collected by interview between Day 14 and 42
Overall study start date29/12/2020
Overall study end date22/07/2021

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants30
Total final enrolment28
Participant inclusion criteria1. Male or female, aged ≥40 years of age
2. Able to understand and comply with the requirements of the study and sign Informed consent forms
3. Good understanding of written and spoken English
4. Diagnosis of IPF established according to the 2018 joint ATS/ERS/JRS/ALAT Clinical Practice Guideline
5. Life expectancy of at least 6 months
6. Cough that is attributed to IPF and which has been present for at least 8 weeks
7. Cough severity rated at least 4 on the Cough Severity NRS at screening (verbal assessment acceptable for screening)
8. If taking pirfenidone or nintedanib, the dose should have been stable for at least 1 month prior to screening
Participant exclusion criteria1. Recent respiratory tract infection (<4 weeks prior to Screening)
2. Recent acute exacerbation of IPF (<8 weeks prior to Screening)
3. Current smokers or ex-smokers with <6 months’ abstinence prior to Screening
4. Any clinically significant or unstable medical or psychiatric condition that would, in the opinion of the investigator, interfere with the subject's ability to participate in the study safely
5. Participation in any clinical research study evaluating an investigational drug or therapy within 30 days or within 5 half-lives (whichever is longer) of the investigational drug prior to Screening. If the subject was in an observational clinical study no washout is required
6. Subjects who, in the opinion of the Investigator, should not participate in the study for any other reason
Recruitment start date08/04/2021
Recruitment end date30/06/2021

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centres

Guy's Hospital
Guys and St Thomas NHS Foundation Trust
Great Maze Pond
London
SE1 9RT
United Kingdom
Tussogenics Ltd
11 Beck Lane
Broughton
DN20 0HR
United Kingdom

Sponsor information

NeRRe Therapeutics (United Kingdom)
Industry

Stevenage Bioscience Catalyst
Gunnells Wood Road
Stevenage
SG1 2FX
United Kingdom

Phone +44 (0)1438906960
Email info@nerretherapeutics.com
Website http://nerretherapeutics.com/
ROR logo "ROR" https://ror.org/04kyz2p97

Funders

Funder type

Industry

NeRRe Therapeutics (United Kingdom)

No information available

Results and Publications

Intention to publish date31/07/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal.
IPD sharing planThe datasets generated during the current study will be available upon request from info@nerretherapeutics.com to academic researchers who have a bona fide reason to request them. Only aggregated data will be provided as participants did not give consent for subject level data to be provided to parties other than NeRRe. Requests for data should include a summary of the research project including its objectives, the funding source, the role of the study data in achieving these objectives, the proposed analysis methods and publication plans.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results 17/08/2022 17/08/2022 No No
HRA research summary 28/06/2023 No No

Additional files

ISRCTN57234685_BasicResults_17Aug2022.pdf

Editorial Notes

17/08/2022: A basic results summary has been uploaded.
19/07/2022: The intention to publish date was changed from 31/07/2022 to 31/07/2023.
28/07/2021: IPD sharing statement added.
06/07/2021: The following changes were made to the trial record:
1. Total final enrolment added.
2. The overall trial end date was changed from 31/07/2021 to 22/07/2021.
26/04/2021: Trial's existence confirmed by West of Scotland REC 3.