New pill aims to silence stubborn chronic cough
NCT ID NCT07671924
First seen Jun 27, 2026 · Last updated Aug 11, 2026 · Updated 3 times
Summary
This study tests a new extended-release tablet called nalbuphine for people with refractory chronic cough—a cough that persists despite treatment. About 100 adults will receive either the drug or a placebo for 6 weeks. The main goal is to see if the drug reduces how often people cough over 24 hours.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nalbuphine extended-release tablets
- What this could lead to
- If successful, this could provide a new treatment option for people with chronic cough that doesn't respond to other therapies.
- What could go wrong
- This is an early Phase 2 trial with only 100 participants, so results may not be conclusive. The drug may not reduce cough better than placebo, and side effects are possible.
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
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: * Meets society guideline-based criteria for a diagnosis of RCC defined as: * Insufficient improvement in cough after treatment for any identified cough-associated conditions. * Unexplained cough for which an underlying condition has not been determined despite adequate investigation with diagnostic tests and trials of therapy. * Persistent and chronic cough for at least one year prior to Screening. * Chest computed tomography (CT) or chest radiograph of the thorax performed within the last 24 months and after the onset of chronic cough OR the procedure completed by the Investigator during the Screening period, that does not show any abnormality considered to be significantly contributing to the RCC in the opinion of the Principal Investigator. * 24-hour objective cough frequency ≥10 coughs/hour based on VitaloJAK® cough monitor recording performed during the Screening and Placebo Run-in Periods as well as a minimum recording duration of 20 hours suitable for analysis during the placebo Run-in assessment. * Forced expiratory volume in 1 second (FEV1) /forced vital capacity (FVC) ratio ≥ 60% as determined by spirometry adhering to American Thoracic Society (ATS)/European Respiratory Society (ERS) guidelines. Exclusion Criteria: * Clinical diagnosis of sleep apnea and/or use of continuous positive airway pressure (CPAP). * Upper or lower respiratory tract infection or change in pulmonary status in the 4 weeks prior to the Screening visit or during the Screening or PBO Run-in periods. * History of bronchiectasis, chronic obstructive pulmonary disease (COPD) or idiopathic pulmonary fibrosis (IPF), or other significant respiratory disorder that might affect cough. * History of uncontrolled asthma defined as one of the following: * ≥1 clinically significant exacerbation in the last 6 months, OR * ≥2 clinically significant exacerbations in the past 12 months (a clinically significant asthma exacerbation is defined as requiring the use of systemic corticosteroids). * Current smoker or vaper or current use of tobacco smoke, cannabis smoke, or nicotine vaper. * Individuals who have stopped smoking or vaping within the past 6 months, or those with \>20 pack-year smoking history. * Current active tuberculosis or nontuberculous mycobacterial infection, a history of latent untreated tuberculosis, or a history of incompletely treated tuberculosis. * Speech therapy/physiotherapy for RCC starting within 4 weeks of Baseline or during the study. Speech therapy/physiotherapy is acceptable if the participant has started the therapy more than 4 weeks prior to the Baseline visit AND plans to continue the therapy through the Titration and Fixed-dose Treatment Period. * Known intolerance \[gastrointestinal, central nervous system (CNS) symptoms\], hypersensitivity, or drug allergy considered to be related to an opioid drug or known hypersensitivity to nalbuphine or to NAL ER excipients. Note: Other protocol-defined inclusion/exclusion criteria may apply.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
10 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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BLC Clinical Research
RECRUITINGBurlington, L7N3V2, Canada
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Centre D'Investigation Clinique Mauricie Inc (CIC Mauricie)
RECRUITINGTrois-Rivières, G8T7A1, Canada
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Clinique Specialisee En Allergie De La Capitale
RECRUITINGQuébec, G1V4W2, Canada
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Clinque DE Pneumologie ET Du Sommeil DE Lanaudiere
RECRUITINGSaint-Charles-Borromée, J6E 2B4, Canada
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Diex Recherche - Quebec
RECRUITINGQuébec, G1V4T3, Canada
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Diex Recherche-Victoriaville
RECRUITINGVictoriaville, G6P3Z8, Canada
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Dynamic Drug Advancement Ltd
RECRUITINGAjax, L1S 2J5, Canada
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Fadia El Boreky Medicine Prof. Corp.
RECRUITINGWaterloo, N2J1C4, Canada
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Medical Arts Health Research Group - North Vancouver
RECRUITINGNorth Van Couver, V7P2T4, Canada
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Recherche GCP Research
RECRUITINGMontreal, H1Y3H5, Canada
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