Can a simple breathing test unlock the secrets of chronic cough?
NCT ID NCT03105843
First seen Aug 12, 2026 · Last updated Aug 13, 2026 · Updated 1 time
Summary
This study investigates how the airways respond to two different challenge tests—mannitol inhalation and a controlled hyperventilation exercise—in people with cough variant asthma, those with chronic cough but normal airway sensitivity, and healthy controls. The goal is to see if these tests trigger similar sensations of breathlessness and airway narrowing in the asthma and cough groups but not in healthy individuals. By comparing these responses, researchers hope to better understand the underlying mechanisms of chronic cough and cough variant asthma.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Methacholine, mannitol, and eucapneic voluntary hyperventilation (EVH) challenge tests
- What this could lead to
- If successful, this could improve understanding of cough variant asthma and chronic cough, potentially leading to better diagnostic tests or treatments.
- What could go wrong
- This is a small, early-stage study focused on understanding mechanisms, not on treatment outcomes. Results may not apply to all patients, and the challenges may cause temporary discomfort.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
45 people
The number who actually took part.
- Started
-
Mar 2022
- Finished
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Jul 2026
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 65 years
- Sex
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Anyone
- Healthy volunteers
-
Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Individuals aged 18-65 years of age with CVA and individuals with methacholine-induced cough but normal airway sensitivity. The following definitions will be used: 1. CVA: chronic cough (≥8 weeks) is the sole or predominant symptom and positive methacholine challenge (PC20 ≤ 16 mg/mL) and history of cough responding to specific asthma treatment (such as inhaled steroid or 1 week trial of bronchodilator); 2. Methacholine-induced cough but normal airway sensitivity: chronic cough (≥8 weeks) is the sole or predominant symptom and negative methacholine challenges (PC20 \> 16 mg/mL). * Individuals aged 18-65 years of age with no history of asthma or chronic cough. Exclusion Criteria: * an exacerbation necessitating a change in medication, emergency department visit or hospitalizations within the previous 4 weeks * inability to perform acceptable spirometry * medical contraindications to methacholine challenge testing * smoking history in excess of 10 pack years Note: Previous treatment with inhaled or systemic corticosteroids is not an exclusion criterion; medication use will be recorded and examined in the analysis.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Kingston Health Sciences Centre
Kingston, Ontario, K7L 2V7, Canada
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