Chronic unexplained cough
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Cough lasting greater than 8 weeks which remains unexplained after routine clinical assessment as outlined in the British Thoracic Society Cough guidelines document. Normal spirometry values Normal methocholine challange test Normal sputum eosinophillia No response to a 3 month trial of a high dose PPI No response to a trial of a nasal steriod Normal CT thorax Non smokers with a less than 10 pack year smoking history Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Intolerance to macrolides Pregnant Breastfeeding Unable to consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate the effect of long term low dose erythromycin on objective and subjective markers of cough in chronic unexplained cough;Secondary Objective: Determine which radiological and inflammatroy features of cough makes it more likely to respond to erythromycin.;Primary end point(s): cough frequency before, during, at the end of and 3 months following treatment with a macrolide antibiotic. | — |
Countries
United Kingdom