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NCT02349425

A Dose Escalation Study of Gefapixant (AF-219/MK-7264) in Refractory Chronic Cough (MK-7264-010)

Completed Phase 2 Results posted Last updated 22 October 2020
What this trial tests

Phase 2 trial testing Gefapixant in Refractory Chronic Cough in 59 participants. Completed in 9 February 2016.

Timeline
9 March 2015
Primary endpoint
1 February 2016
9 February 2016

Quick facts

Lead sponsorAfferent Pharmaceuticals, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingquadruple
Primary purposetreatment
Enrollment59
Start date9 March 2015
Primary completion1 February 2016
Estimated completion9 February 2016

Drugs / interventions tested

Conditions studied

Sponsor

Afferent Pharmaceuticals, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) — full company profile →

Who can join

Adults 18 to 80, any sex, with Refractory Chronic Cough. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Awake Objective Cough Frequency on Log-transformed Scale - Cohort 1 Primary · Period 1 (while awake): baseline (Day 0) and 24 hours after Day 4, 8, 12 & 16 doses; Period 2 (while awake): baseline (Day 22) and 24 hours after Day 26, 30, 34 and 38 doses

Awake Objective Frequency (per hour) is the total number of cough events during the monitoring period (in general, 24-hr interval) the participant is awake divided by the total duration (in hours) for the monitoring period the participant is awake. 24-hour sound recordings were collected using a digital recording device.

GroupValue95% CI
Cohort 1 - Gefapixant 50 mg0.560.43 – 0.72
Cohort 1 - Placebo for Gefapixant 50 mg0.950.73 – 1.23
Cohort 1 - Gefapixant 100 mg0.460.34 – 0.61
Cohort 1 - Placebo for Gefapixant 100 mg0.950.71 – 1.28
Cohort 1 - Gefapixant 150 mg0.480.35 – 0.65
Cohort 1 - Placebo for Gefapixant 150 mg0.900.65 – 1.24
Cohort 1 - Gefapixant 200 mg0.450.33 – 0.63
Cohort 1 - Placebo for Gefapixant 200 mg1.060.75 – 1.48
Change in Awake Objective Cough Frequency on Log-transformed Scale - Cohort 2 Primary · Period 1 (while awake): baseline (Day 0) and 24 hours after Day 4, 8, 12 & 16 doses; Period 2 (while awake): baseline (Day 22) and 24 hours after Day 26, 30, 34 and 38 doses

Awake Objective Frequency (per hour) is the total number of cough events during the monitoring period (in general, 24-hr interval) the participant is awake divided by the total duration (in hours) for the monitoring period the participant is awake. 24-hour sound recordings were collected using a digital recording device.

GroupValue95% CI
Cohort 2 - Gefapixant 7.5 mg0.800.66 – 0.96
Cohort 2 - Placebo for Gefapixant 7.5 mg0.930.77 – 1.13
Cohort 2 - Gefapixant 15 mg0.670.57 – 0.80
Cohort 2 - Placebo for Gefapixant 15 mg0.900.75 – 1.08
Cohort 2 - Gefapixant 30 mg0.530.40 – 0.69
Cohort 2 - Placebo for Gefapixant 30 mg0.840.64 – 1.10
Cohort 2 - Gefapixant 50 mg0.440.32 – 0.60
Cohort 2 - Placebo for Gefapixant 50 mg1.000.72 – 1.38
Percent Change From Baseline in Awake Cough Frequency for Cohort 1 Primary · Period 1 (while awake): baseline (Day 0) and 24 hours after Day 4, 8, 12 & 16 doses; Period 2 (while awake): baseline (Day 22) and 24 hours after Day 26, 30, 34 and 38 doses

Awake Objective Cough Frequency (per hour) is the total number of cough events during the monitoring period (in general, 24-hr interval) the participant is awake divided by the total duration (in hours) for the monitoring period the participant is awake. 24-hour sound recordings were collected using a digital recording device. Percent Change in Awake Cough Frequency is the change from baseline in awake cough frequency x 100, divided by baseline awake cough frequency. A negative result indicates a decrease in cough frequency, while a positive result indicates an increase in cough frequency.

GroupValue95% CI
Cohort 1 - Gefapixant 50 mg-20.6± 84.29
Cohort 1' - Placebo for Gefapixant 50 mg-0.1± 33.75
Cohort 1 - Gefapixant 100 mg-31.7± 70.27
Cohort 1 - Placebo for Gefapixant 100 mg1.9± 35.18
Cohort 1 - Gefapixant 150 mg-22.0± 82.84
Cohort 1 - Placebo for Gefapixant 150 mg-0.1± 39.55
Cohort 1 - Gefapixant 200 mg-27.9± 57.03
Cohort 1 - Placebo for Gefapixant 200 mg15.1± 48.38
Percent Change From Baseline in Awake Cough Frequency for Cohort 2 Primary · Period 1 (while awake): baseline (Day 0) and 24 hours after Day 4, 8, 12 & 16 doses; Period 2 (while awake): baseline (Day 22) and 24 hours after Day 26, 30, 34 and 38 doses

Awake Objective Cough Frequency (per hour) is the total number of cough events during the monitoring period (in general, 24-hr interval) the participant is awake divided by the total duration (in hours) for the monitoring period the participant is awake. 24-hour sound recordings were collected using a digital recording device. Percent Change in Awake Cough Frequency is the change from baseline in awake cough frequency x 100, divided by baseline awake cough frequency. A negative result indicates a decrease in cough frequency, while a positive result indicates an increase in cough frequency.

GroupValue95% CI
Cohort 2 - Gefapixant 7.5 mg5.0± 125.05
Cohort 2 - Placebo for Gefapixant 7.5 mg-3.8± 36.13
Cohort 2 - Gefapixant 15 mg-21.4± 39.32
Cohort 2 - Placebo for Gefapixant 15 mg-6.4± 33.78
Cohort 2 - Gefapixant 30 mg-26.3± 61.01
Cohort 2 - Placebo for Gefapixant 30 mg-1.1± 64.38
Cohort 2 - Gefapixant 50 mg-28.1± 74.90
Cohort 2 - Placebo for Gefapixant 50 mg23.1± 92.60
Responder Analysis of Awake Cough Frequency for Cohort 1 Primary · Period 1 (while awake): baseline (Day 0) and 24 hours after Day 4, 8, 12 & 16 doses; Period 2 (while awake): baseline (Day 22) and 24 hours after Day 26, 30, 34 and 38 doses

Participants were classified as responders based on the magnitude of the percent change from baseline in Awake Objective cough frequency: 1. ≥70% Reduction=1 if Percent Change from Baseline in cough frequency at the end of the dosing interval ≤-70.0%; 0 Otherwise; 2. ≥50% Reduction=1 if Percent Change from Baseline in cough frequency at the end of the dosing interval ≤ -50.0%; 0 Otherwise; 3. ≥30% Reduction=1 if Percent Change from Baseline in cough frequency at the end of the dosing interval ≤ -30.0%; 0 Otherwise. These responder definitions were not mutually exclusive. A participant who achi

% Reduction ≥70
GroupValue95% CI
Cohort 1 - Gefapixant 50 mg34.6
Cohort 1 - Placebo for Gefapixant 50 mg0
Cohort 1 - Gefapixant 100 mg33.3
Cohort 1 - Placebo for Gefapixant 100 mg0
Cohort 1 - Gefapixant 150 mg34.8
Cohort 1 - Placebo for Gefapixant 150 mg4.5
Cohort 1 - Gefapixant 200 mg32.0
Cohort 1 - Placebo for Gefapixant 200 mg0
% Reduction ≥50
GroupValue95% CI
Cohort 1 - Gefapixant 50 mg46.2
Cohort 1 - Placebo for Gefapixant 50 mg0
Cohort 1 - Gefapixant 100 mg50.0
Cohort 1 - Placebo for Gefapixant 100 mg4.0
Cohort 1 - Gefapixant 150 mg47.8
Cohort 1 - Placebo for Gefapixant 150 mg4.5
Cohort 1 - Gefapixant 200 mg44.0
Cohort 1 - Placebo for Gefapixant 200 mg0
% Reduction ≥30
GroupValue95% CI
Cohort 1 - Gefapixant 50 mg53.8
Cohort 1 - Placebo for Gefapixant 50 mg12.0
Cohort 1 - Gefapixant 100 mg66.7
Cohort 1 - Placebo for Gefapixant 100 mg16.0
Cohort 1 - Gefapixant 150 mg65.2
Cohort 1 - Placebo for Gefapixant 150 mg22.7
Cohort 1 - Gefapixant 200 mg56.0
Cohort 1 - Placebo for Gefapixant 200 mg16.0
Responder Analysis of Awake Cough Frequency for Cohort 2 Primary · Period 1 (while awake): baseline (Day 0) and 24 hours after Day 4, 8, 12 & 16 doses; Period 2 (while awake): baseline (Day 22) and 24 hours after Day 26, 30, 34 and 38 doses

Participants were classified as responders based on the magnitude of the percent change from baseline in Awake Objective cough frequency: 1. ≥70% Reduction=1 if Percent Change from Baseline in cough frequency at the end of the dosing interval ≤-70.0%; 0 Otherwise; 2. ≥50% Reduction=1 if Percent Change from Baseline in cough frequency at the end of the dosing interval ≤ -50.0%; 0 Otherwise; 3. ≥30% Reduction=1 if Percent Change from Baseline in cough frequency at the end of the dosing interval ≤ -30.0%; 0 Otherwise. These responder definitions were not mutually exclusive. A participant who achi

% Reduction ≥70
GroupValue95% CI
Cohort 2 - Gefapixant 7.5 mg3.4
Cohort 2 - Placebo for Gefapixant 7.5 mg3.6
Cohort 2 - Gefapixant 15 mg10.0
Cohort 2 - Placebo for Gefapixant 15 mg0
Cohort 2 - Gefapixant 30 mg20.7
Cohort 2 - Placebo for Gefapixant 30 mg3.4
Cohort 2 - Gefapixant 50 mg31.0
Cohort 2 - Placebo for Gefapixant 50 mg3.7
% Reduction ≥50
GroupValue95% CI
Cohort 2 - Gefapixant 7.5 mg13.8
Cohort 2 - Placebo for Gefapixant 7.5 mg7.1
Cohort 2 - Gefapixant 15 mg20.0
Cohort 2 - Placebo for Gefapixant 15 mg6.9
Cohort 2 - Gefapixant 30 mg31.0
Cohort 2 - Placebo for Gefapixant 30 mg17.2
Cohort 2 - Gefapixant 50 mg41.4
Cohort 2 - Placebo for Gefapixant 50 mg11.1
% Reduction ≥30
GroupValue95% CI
Cohort 2 - Gefapixant 7.5 mg37.9
Cohort 2 - Placebo for Gefapixant 7.5 mg14.3
Cohort 2 - Gefapixant 15 mg46.7
Cohort 2 - Placebo for Gefapixant 15 mg20.7
Cohort 2 - Gefapixant 30 mg62.1
Cohort 2 - Placebo for Gefapixant 30 mg31.0
Cohort 2 - Gefapixant 50 mg55.2
Cohort 2 - Placebo for Gefapixant 50 mg22.2
Change From Baseline in Awake (0-8 Hours) Objective Cough Frequency for Cohort 1 Secondary · Period 1 (while awake): baseline (Day 0) and 0-8 hours after Day 4, 8, 12 & 16 doses; Period 2 (while awake): baseline (Day 22) and 0-8 hours after Day 26, 30, 34 and 38 doses

Awake (0-8 hours) Objective Cough Frequency is the total number of cough events during the monitoring period the participant was awake for the first 8 hours after the participant took their study medication divided by 8 or the total duration (in hours) for the monitoring period the participant was awake whichever is less. 24-hour sound recordings were collected using a digital recording device. Results are change from baseline: a negative result indicates a decrease in cough frequency, while a positive result indicates an increase in cough frequency. Cough frequency was analyzed using a mixed

GroupValue95% CI
Cohort 1 - Gefapixant 50 mg-24.5-33.0 – -15.9
Cohort 1 - Placebo for Gefapixant 50 mg-5.5-14.2 – 3.3
Cohort 1 - Gefapixant 100 mg-24.5-33.1 – -15.8
Cohort 1 - Placebo for Gefapixant 100 mg-0.1-8.8 – 8.7
Cohort 1 - Gefapixant 150 mg-26.5-40.3 – -12.8
Cohort 1 - Placebo for Gefapixant 150 mg2.7-11.4 – 16.9
Cohort 1 - Gefapixant 200 mg-27.5-37.9 – -17.0
Cohort 1 - Placebo for Gefapixant 200 mg2.2-8.5 – 12.8
Change From Baseline in Awake (0-8 Hours) Objective Cough Frequency for Cohort 2 Secondary · Period 1 (while awake): baseline (Day 0) and 0-8 hours after Day 4, 8, 12 & 16 doses; Period 2 (while awake): baseline (Day 22) and 0-8 hours after Day 26, 30, 34 and 38 doses

Awake (0-8 hours) Objective Cough Frequency is the total number of cough events during the monitoring period the participant was awake for the first 8 hours after the participant took their study medication divided by 8 or the total duration (in hours) for the monitoring period the participant was awake whichever is less. 24-hour sound recordings were collected using a digital recording device. Results are change from baseline: a negative result indicates a decrease in cough frequency, while a positive result indicates an increase in cough frequency. Cough frequency was analyzed using a mixed

GroupValue95% CI
Cohort 2 - Gefapixant 7.5 mg-8.0-17.9 – 1.9
Cohort 2 - Placebo for Gefapixant 7.5 mg-1.1-11.1 – 9.0
Cohort 2 - Gefapixant 15 mg-15.2-22.1 – -8.3
Cohort 2 - Placebo for Gefapixant 15 mg-1.7-8.8 – 5.3
Cohort 2 - Gefapixant 30 mg-21.7-31.9 – -11.5
Cohort 2 - Placebo for Gefapixant 30 mg8.5-1.8 – 18.8
Cohort 2 - Gefapixant 50 mg-21.9-32.8 – -11.0
Cohort 2 - Placebo for Gefapixant 50 mg4.7-6.5 – 16.0
Change From Baseline in Total (24 Hours) Cough Frequency - Cohort 1 Secondary · Period 1: baseline (Day 0) and 0-24 hours after Day 4, 8, 12 & 16 doses; Period 2: baseline (Day 22) and 0-24 hours after Day 26, 30, 34 and 38 doses

Total (0-24 hours) Objective Cough Frequency is the total number of cough events during the monitoring period divided by the total duration (in hours, i.e., 24 hours mostly) for the monitoring period. 24-hour sound recordings were collected using a digital recording device. Results are change from baseline: a negative result indicates a decrease in cough frequency, while a positive result indicates an increase in cough frequency. Cough frequency was analyzed using MMRM to evaluate the results of the 2-period cross-over study. The derived change measured at each dose were the repeated measures

GroupValue95% CI
Cohort 1 - Gefapixant 50 mg-16.6-22.4 – -10.9
Cohort 1 - Placebo for Gefapixant 50 mg-1.5-7.5 – 4.5
Cohort 1 - Gefapixant 100 mg-17.6-24.1 – -11.0
Cohort 1 - Placebo for Gefapixant 100 mg-0.9-7.5 – 5.8
Cohort 1 - Gefapixant 150 mg-18.0-26.1 – -9.9
Cohort 1 - Placebo for Gefapixant 150 mg1.5-6.8 – 9.8
Cohort 1 - Gefapixant 200 mg-17.4-25.2 – -9.5
Cohort 1 - Placebo for Gefapixant 200 mg3.1-4.9 – 11.2
Change From Baseline in Total (24 Hours) Cough Frequency - Cohort 2 Secondary · Period 1: baseline (Day 0) and 0-24 hours after Day 4, 8, 12 & 16 doses; Period 2: baseline (Day 22) and 0-24 hours after Day 26, 30, 34 and 38 doses

Total (0-24 hours) Objective Cough Frequency is the total number of cough events during the monitoring period divided by the total duration (in hours, i.e., 24 hours mostly) for the monitoring period. 24-hour sound recordings were collected using a digital recording device. Results are change from baseline: a negative result indicates a decrease in cough frequency, while a positive result indicates an increase in cough frequency. Cough frequency was analyzed using MMRM to evaluate the results of the 2-period cross-over study. The derived change measured at each dose were the repeated measures

GroupValue95% CI
Cohort 2 - Gefapixant 7.5 mg-6.9-12.6 – -1.1
Cohort 2 - Placebo for Gefapixant 7.5 mg-2.7-8.6 – 3.1
Cohort 2 - Gefapixant 15 mg-11.0-15.5 – -6.4
Cohort 2 - Placebo for Gefapixant 15 mg-3.8-8.4 – 0.9
Cohort 2 - Gefapixant 30 mg-16.9-23.3 – -10.4
Cohort 2 - Placebo for Gefapixant 30 mg1.4-5.2 – 7.9
Cohort 2 - Gefapixant 50 mg-15.9-21.0 – -9.9
Cohort 2 - Placebo for Gefapixant 50 mg1.8-4.4 – 7.9
Change From Baseline in Sleep Cough Frequency - Cohort 1 Secondary · Period 1 (while asleep): baseline (Day 0) and 24 hours after Day 4, 8, 12 & 16 doses; Period 2 (while asleep): baseline (Day 22) and 24 hours after Day 26, 30, 34 and 38 doses

Sleep Objective Cough Frequency is the total number of cough events during the monitoring period the participant is asleep divided by the total duration (in hours) for the monitoring period the participant is asleep. 24-hour sound recording were collected with a digital recording device. Results are change from baseline: a negative result indicates a decrease in cough frequency, while a positive result indicates an increase in cough frequency. Cough frequency was analyzed using MMRM to evaluate the results of the 2-period cross-over study. The derived change measured at each dose were the rep

GroupValue95% CI
Cohort 1 - Gefapixant 50 mg-3.5-7.0 – 0.1
Cohort 1 - Placebo for Gefapixant 50 mg0.1-3.5 – 3.7
Cohort 1 - Gefapixant 100 mg-3.1-6.8 – 0.6
Cohort 1 - Placebo for Gefapixant 100 mg-0.7-4.2 – 2.8
Cohort 1 - Gefapixant 150 mg-2.0-4.8 – 0.7
Cohort 1 - Placebo for Gefapixant 150 mg-0.1-2.8 – 2.6
Cohort 1 - Gefapixant 200 mg-3.6-7.0 – -0.1
Cohort 1 - Placebo for Gefapixant 200 mg0.2-3.2 – 3.6
Change From Baseline in Sleep Cough Frequency - Cohort 2 Secondary · Period 1 (while asleep): baseline (Day 0) and 24 hours after Day 4, 8, 12 & 16 doses; Period 2 (while asleep): baseline (Day 22) and 24 hours after Day 26, 30, 34 and 38 doses

Sleep Objective Cough Frequency is the total number of cough events during the monitoring period the participant is asleep divided by the total duration (in hours) for the monitoring period the participant is asleep. 24-hour sound recording were collected with a digital recording device. Results are change from baseline: a negative result indicates a decrease in cough frequency, while a positive result indicates an increase in cough frequency. Cough frequency was analyzed using MMRM to evaluate the results of the 2-period cross-over study. The derived change measured at each dose were the rep

GroupValue95% CI
Cohort 2 - Gefapixant 7.5 mg0.6-2.7 – 3.9
Cohort 2 - Placebo for Gefapixant 7.5 mg-0.6-3.9 – 2.8
Cohort 2 - Gefapixant 15 mg-3.1-5.6 – -0.5
Cohort 2 - Placebo for Gefapixant 15 mg-2.5-5.1 – 0.2
Cohort 2 - Gefapixant 30 mg-2.4-4.7 – -0.2
Cohort 2 - Placebo for Gefapixant 30 mg-1.6-3.8 – 0.7
Cohort 2 - Gefapixant 50 mg-3.0-8.7 – 2.6
Cohort 2 - Placebo for Gefapixant 50 mg2.1-3.6 – 7.9

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data collection is up to 11 weeks All-cause mortality is up to 22 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1: Gefapixant 50 mg
Serious: 0/28 (0%)
Deaths: 0/28
Cohort 1: Gefapixant 100 mg
Serious: 1/28 (4%)
Deaths: 0/28
Cohort 1 - Gefapixant 150 mg
Serious: 0/26 (0%)
Deaths: 0/26
Cohort 1: Gefapixant 200 mg
Serious: 0/26 (0%)
Deaths: 0/26
Cohort 1 - Placebo
Serious: 1/28 (4%)
Deaths: 0/28
Cohort 2 - Gefapixant 7.5 mg
Serious: 0/30 (0%)
Deaths: 0/30
Cohort 2 - Gefapixant 15 mg
Serious: 0/30 (0%)
Deaths: 0/30
Cohort 2 - Gefapixant 30 mg
Serious: 0/30 (0%)
Deaths: 0/30
Cohort 2 - Gefapixant 50 mg
Serious: 1/30 (3%)
Deaths: 0/30
Cohort 2- Placebo
Serious: 0/29 (0%)
Deaths: 0/29

Serious adverse events (5 terms)

ReactionSystemCohort 1: Gefapixant 50 mgCohort 1: Gefapixant 100 mgCohort 1 - Gefapixant 150 mgCohort 1: Gefapixant 200 mgCohort 1 - PlaceboCohort 2 - Gefapixant 7.5 mgCohort 2 - Gefapixant 15 mgCohort 2 - Gefapixant 30 mgCohort 2 - Gefapixant 50 mgCohort 2- Placebo
Blood creatinine increasedInvestigations
DehydrationMetabolism and nutrition disorders
Invasive ductal breast carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebrovascular accidentNervous system disorders
PresyncopeNervous system disorders
Other adverse events (12 terms — click to expand)

ReactionSystemCohort 1: Gefapixant 50 mgCohort 1: Gefapixant 100 mgCohort 1 - Gefapixant 150 mgCohort 1: Gefapixant 200 mgCohort 1 - PlaceboCohort 2 - Gefapixant 7.5 mgCohort 2 - Gefapixant 15 mgCohort 2 - Gefapixant 30 mgCohort 2 - Gefapixant 50 mgCohort 2- Placebo
DysgeusiaNervous system disorders
Upper respiratory tract infectionInfections and infestations
Dry mouthGastrointestinal disorders
Hypoaesthesia oralGastrointestinal disorders
Paraesthesia oralGastrointestinal disorders
RhinitisInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
Urine output decreasedInvestigations
Flank painMusculoskeletal and connective tissue disorders
AgeusiaNervous system disorders
HypogeusiaNervous system disorders
Nasal drynessRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Blood creatinine increased, Dehydration, Invasive ductal breast carcinoma, Cerebrovascular accident, Presyncope.

Data from ClinicalTrials.gov NCT02349425 adverse events section.

Sponsor's own description

A randomized, double-blind, placebo-controlled, crossover, dose escalation study to assess the efficacy and tolerability of gefapixant (AF-219; MK-7264) in participants with refractory chronic cough.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Mechanisms and Rationale for Targeted Therapies in Refractory and Unexplained Chronic Cough.
    Mazzone SB, McGarvey L. · · 2021 · cited 73× · PMID 32748976 · DOI 10.1002/cpt.2003
  2. Design and rationale of two phase 3 randomised controlled trials (COUGH-1 and COUGH-2) of gefapixant, a P2X3 receptor antagonist, in refractory or unexplained chronic cough.
    Muccino DR, Morice AH, Birring SS, Dicpinigaitis PV, et al · · 2020 · cited 46× · PMID 33263037 · DOI 10.1183/23120541.00284-2020
  3. Efficacy and Tolerability of Gefapixant for Treatment of Refractory or Unexplained Chronic Cough: A Systematic Review and Dose-Response Meta-Analysis.
    Kum E, Patel M, Diab N, Wahab M, et al · · 2023 · cited 27× · PMID 37694849 · DOI 10.1001/jama.2023.18035
  4. Basic/Translational Development of Forthcoming Opioid- and Nonopioid-Targeted Pain Therapeutics.
    Knezevic NN, Yekkirala A, Yaksh TL. · · 2017 · cited 24× · PMID 29049116 · DOI 10.1213/ane.0000000000002442
  5. Safety and efficacy of gefapixant, a novel drug for the treatment of chronic cough: A systematic review and meta-analysis of randomized controlled trials.
    Abu-Zaid A, Aljaili AK, Althaqib A, Adem F, et al · · 2021 · cited 12× · PMID 34012479 · DOI 10.4103/atm.atm_417_20
  6. Decoding the impact of the placebo response in clinical trials for chronic cough.
    Zhang M, Zhang B, Morice AH. · · 2024 · cited 6× · PMID 39469270 · DOI 10.1183/23120541.00335-2024
  7. Systematic literature review of treatments used for refractory or unexplained chronic cough in adults.
    Bali V, Kardos P, Page C, Rogliani P, et al · · 2024 · cited 5× · PMID 38444993 · DOI 10.4103/atm.atm_105_23

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