UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000047523
Receipt number R000054199
Scientific Title To Control of Refractory Chronic Cough: Approach to Pathological Diversity Using Biomarkers
Date of disclosure of the study information 2022/04/20
Last modified on 2022/11/09 21:08:02

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Basic information

Public title

To Control of Refractory Chronic Cough: Approach to Pathological Diversity Using Biomarkers

Acronym

Exploratory research on the pathophysiology of refractory chronic cough using biomarkers

Scientific Title

To Control of Refractory Chronic Cough: Approach to Pathological Diversity Using Biomarkers

Scientific Title:Acronym

Exploratory research on the pathophysiology of refractory chronic cough using biomarkers

Region

Japan


Condition

Condition

chronic cough

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

By using biomarkers to clarify the pathophysiology or phenotypes that are predominantly involved in individual patients with chronic cough, we aim to establish treatment selection criteria tailored to each individual patient with chronic cough.

Basic objectives2

Others

Basic objectives -Others

By using biomarkers to clarify the pathophysiology or phenotypes that are predominantly involved in individual patients with chronic cough, we aim to establish treatment selection criteria tailored to each individual patient with chronic cough.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Patients whose cough VAS has improved by 30 or more or 50% or more from the pretreatment value at 12 weeks after the start of treatment are defined as the responders, and the other patients are defined as non-responders. Comparing clinical characteristics and biomarkers at the baseline between the responders and the non-responders.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

85 years-old >

Gender

Male and Female

Key inclusion criteria

(1) Patients with chronic cough in a narrow sense who visited our outpatient department for asthma and chronic cough at the first visit
(2) Patients for whom written consent has been obtained for participation in this study

Key exclusion criteria

(1) Current smokers and past smokers with 20 pack-years or more
(2) Patients with frequent visits who have difficulty following the course
(3) Patients with other obvious respiratory diseases such as lung cancer and interstitial lung disease
(4) Pregnant and lactating patients
(5) Other patients who are judged to be inappropriate as subjects by the principal investigators or the co-investigators

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Kensuke
Middle name
Last name Fukumitsu

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Department of Respiratory Medicine, Allergy and Clinical Immunology

Zip code

4678601

Address

Mizuhocyo-Kawasumi-1, Nagoya, Japan

TEL

0528538216

Email

k-fkmt@med.nagoya-cu.ac.jp


Public contact

Name of contact person

1st name Takehiro
Middle name
Last name Uemura

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Department of Respiratory Medicine, Allergy and Clinical Immunology

Zip code

4678601

Address

Mizuhocyo-Kawasumi-1, Nagoya, Japan

TEL

0528538216

Homepage URL


Email

keimaito4869@gmail.com


Sponsor or person

Institute

Nagoya City University

Institute

Department

Personal name



Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagoya City University Hospital, clinical research center

Address

Mizuhocyo-Kawasumi-1, Nagoya, Japan

Tel

0528515511

Email

clinical_research@med.nagoya-cu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 04 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2021 Year 05 Month 10 Day

Date of IRB

2022 Year 03 Month 02 Day

Anticipated trial start date

2022 Year 03 Month 03 Day

Last follow-up date

2027 Year 05 Month 09 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

[Research Flow]
We will select patients with a narrowly defined chronic cough who are first-time visitors to our outpatient asthma and chronic cough clinic and for whom a cause cannot be easily identified after medical interview, physical examination, and chest X-ray (chest and sinus CT, bronchoscopy, and echocardiography, if necessary). Patients who consent to the study will be evaluated by spirometry, airway reversibility test, peripheral blood eosinophil and neutrophil counts, total and specific IgE levels, exhaled NO measurement, induced sputum test, capsaicin cough receptor sensitivity test, sputum and serum ghrelin levels, serum vitamin B12 and various questionnaires.
Thereafter, after 12 weeks of thorough evaluation and maximum treatment by a specialist physician, the patients will be sorted into "a group of patients whose cough visual analog scale (cough VAS) has improved by 30 or more or by 50% or more from the pre-treatment value" and "other groups" and baseline clinical indices will be compared between the two groups.
Serum and induced sputum supernatants will be frozen and stored at -80. Serum biomarkers (ATP, HMGB-1, hydrogen sulfide, YKL-40, melatonin, CRH, ACTH) and sputum biomarkers (ATP, HMGB-1, hydrogen sulfide, YKL-40, pepsin/bile acids) that may be relevant to the pathogenesis of RCC/UCC patients will also be measured.


Management information

Registered date

2022 Year 04 Month 19 Day

Last modified on

2022 Year 11 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000054199


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name