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Trial registered on ANZCTR
Registration number
ACTRN12608000248369
Ethics application status
Approved
Date submitted
30/04/2008
Date registered
15/05/2008
Date last updated
10/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
The role of Gabapentin in the treatment of refractory chronic dry cough.
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Scientific title
The role of Gabapentin in the treatment of refractory chronic dry cough: A randomised double-blind placebo-controlled study.
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Secondary ID [1]
280045
0
Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
chronic cough
3098
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Condition category
Condition code
Respiratory
3257
3257
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
300 mg of oral Neurontin once per day, then increased to 600mg/d for second day, then 900mg/d for third day upto maximum tolerable dose of 1800mg/day for ten weeks.
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Intervention code [1]
2840
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Treatment: Drugs
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Comparator / control treatment
placebo-lactose (sugar pill)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Improvement in cough quality of life by Leicester Cough Questionnaire (LCQ)
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Assessment method [1]
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Timepoint [1]
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baseline, during treatment visit (week 8) end of treatment visit (week 12) and post treatment visit (week 16).
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Secondary outcome [1]
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Decrease in cough reflex senstivity
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Assessment method [1]
296293
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Timepoint [1]
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baseline, during treatment visit (week 8), end of treatment visit (week 12) and post treatment visit (week 16).
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Secondary outcome [2]
318796
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Decrease in cough frequency by cough monitor recording
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Assessment method [2]
318796
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Timepoint [2]
318796
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baseline, during treatment visit (week 8), end of treatment visit (week 12) and post treatment visit (week 16).
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Secondary outcome [3]
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Improvement in cough severity by Cough visual analogue scale (vas)
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Assessment method [3]
318797
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Timepoint [3]
318797
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baseline, during treatment visit (week 8), end of treatment visit (week 12) and post treatment visit (week 16).
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Eligibility
Key inclusion criteria
Persistent non-productive cough of more than 8 weeks duration,
Male or female between ages of 18 and 80 years,
Non-smoker or ex-smoker with less than 10 pack years,
To have been well during the 4 weeks prior to study entry,
Informed consent obtained.
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Productive cough,
Current smoker,
Smoking history >10 pack years,
Pregnancy/breast feeding,
Other respiratory disease, eg: bronchiectasis, COPD.
Inability to attend study visits
Respiratory tract infection during month prior to randomisation
Impaired liver function at Visit 1 as shown by Aspartate aminotransferase (AST), an enzyme normally present in liver and heart cells and alanine aminotransferase (ALT). If the liver is injured, the liver cells spill the enzymes into blood, raising the enzyme levels in the blood and signaling liver damage.
Therefore, an AST, ALT, alkaline phosphatase or total bilirubin greater than 2 times the upper limit of normal will exclude a participant.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
allocation concealment-central randomisation by computer to pharmacy for active or placebo allocation to subject whois along with the investigators blinded to allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
7/05/2008
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Actual
15/10/2008
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Date of last participant enrolment
Anticipated
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Actual
1/09/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
56
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Accrual to date
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Final
62
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
288337
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Government body
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Name [1]
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NHMRC CCRE PhD Scholarship
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Address [1]
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Level 1
16 Marcus Clarke Street
Canberra ACT 2601
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Country [1]
288337
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Australia
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Funding source category [2]
288338
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Government body
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Name [2]
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NHMRC Project Grant
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Address [2]
288338
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Level 1
16 Marcus Clarke Street
Canberra ACT 2601
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Country [2]
288338
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Australia
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Primary sponsor type
Hospital
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Name
Hunter New England Area Health Service
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Address
Lookout Road,
New Lambton Heights NSW 2305.
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
2991
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Address [1]
2991
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Country [1]
2991
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Other collaborator category [1]
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Individual
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Name [1]
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Dr Surinder S Birring
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Address [1]
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Department of Respiratory Medicine,
King's College Hospital,
Denmark Hill,
London,
SE5 9RS
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Country [1]
278698
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United Kingdom
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
5371
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Hunter New England Research Ethics Unit
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Ethics committee address [1]
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Hunter Area Headquarters Lookout Road, New lambton NSW 2305.
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Ethics committee country [1]
5371
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Australia
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Date submitted for ethics approval [1]
5371
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Approval date [1]
5371
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06/05/2008
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Ethics approval number [1]
5371
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08/03/19/3.04
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Summary
Brief summary
looking at effectiveness of treating persistent cough with a medication
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Trial website
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Trial related presentations / publications
Trial related presentations/publications Presentations: 1) “Recent additions in the treatment of cough”. Invited Keynote Speaker, 1st International Cough Conference, Guangzhou China, November 2013. 2) Gabapentin Treatment for Refractory Chronic Cough: a Randomized Controlled Trial. Clinical science poster Invited Oral Abstract, Seventh International Symposium on Cough “Taming Chronic Cough”. Imperial College London, UK, July 2012. 3) CICADA Cough Symposium: Gabapentin for idiopathic chronic cough: A randomised controlled trial Invited Speaker, Thoracic Society of Australia and New Zealand (TSANZ), Canberra, Australia, April 2012. 4) Review: 3rd American Cough Conference Invited Oral, VIVA Presentation, HMRI, July 2011. 5) Gabapentin for Idiopathic Chronic Cough: A randomised controlled trial, Oral, 3rd American Cough Conference, June 2011. Publications: 1) Ryan NM, Birring SS, Gibson PG. Gabapentin for refractory chronic cough-Author's reply. The Lancet. 2013; 381(9867): 624-5. 2) Ryan NM, Birring SS, Gibson PG. Gabapentin for refractory chronic cough: a randomised, double-blind, placebo-controlled trial. Lancet. 2012; 380: 1583-89.
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Public notes
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Contacts
Principal investigator
Name
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Prof Peter G Gibson
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Address
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Level 2 West Wing, HMRI
Lot 1, Kookaburra Circuit
New Lambton Heights NSW 2305.
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Country
28560
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Australia
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Phone
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+61240420142
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Fax
28560
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+61240420046
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Email
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[email protected]
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Contact person for public queries
Name
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Nicole M Ryan
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Address
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Clinical Toxicology Research Group, Level 5 New Med Building
Calvary Mater Newcastle, Waratah NSW 2298.
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Country
11717
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Australia
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Phone
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+61249211312
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Fax
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+61240143873
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Email
11717
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[email protected]
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Contact person for scientific queries
Name
2645
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Peter G Gibson
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Address
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Level 2 West Wing, HMRI
Lot 1 Kookaburra Circuit
New Lambton Heights NSW 2305.
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Country
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Australia
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Phone
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+612 40420142
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Fax
2645
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+612 40420046
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Arnold's nerve cough reflex: Evidence for chronic cough as a sensory vagal neuropathy.
2014
https://dx.doi.org/10.3978/j.issn.2072-1439.2014.04.22
N.B. These documents automatically identified may not have been verified by the study sponsor.
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