Chronic Cough
Conditions
Keywords
Chronic Cough, Lidocaine
Brief summary
People cough in order to clear their airways. Most coughs are caused by viruses and settle down by themselves, but some people develop persistent coughing which can be anywhere from 8 weeks to several years. This is called chronic cough. People with chronic cough find the symptom distressing and it can have a major impact on their quality of life. Patients with chronic cough often report a sensation at the back of their throat which makes them feel an urge to cough. There is some evidence that Lidocaine (an anaesthetic used during medical procedures) can suppress a person's cough when given to patients via a nebuliser (a machine that turns liquid into a fine mist). It is currently unknown whether using a local anaesthetic, such as Lidocaine, in the form of a throat spray would successfully suppress a person's cough. A throat spray would be an easier treatment option in chronic cough patients. Thus, the investigators research aims to compare cough rates, severity and urge to cough scores between Lidocaine throat spray and nebulised Lidocaine.
Interventions
DRUG10 % Lidocaine
600 mg Nebulised Lidocaine ( 6 mls of 10 % Lidocaine) one-off dose
DRUG0.9% saline
6 mls of 0.9% saline nebulised followed by 1 ml of 0.9% saline as throat spray
Sponsors
Manchester University NHS Foundation Trust
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Male and female subjects, age 18 years and over. * History of cough for more than 8 weeks. * Normal chest x ray * Chronic idiopathic cough or chronic cough resistant to treatment of specific triggers.
Exclusion criteria
* Smoking status: * Current smokers * Ex smokers with history of smoking \> 20 pack years or those who have given up \< 6 months ago. * Prohibited medications: * Use of medications likely to suppress / affect cough including codeine, morphine, pregabalin, gabapentin, amitriptylline, angiotensin converting enzyme inhibitors (type 1) and baclofen. * Use of any anti-arrhythmic medication. * Use of cimetidine, beta blockers, or diuretics. * Cardiovascular conditions: * Sinoatrial disease, bradycardia or all types of heart blocks. * History of ischaemic heart disease or heart failure. * Clinically significant abnormal electrocardiogram (ECG) at Screening or Baseline. * History of cardiac surgery * Respiratory conditions: o Asthma. * Central nervous system / Peripheral nervous system conditions: * Epilepsy. * Myasthenia gravis. * Miscellaneous: * History of hepatic or renal dysfunction. * Porphyria * History of hypersensitivity to Lidocaine or related drugs. * Pregnancy or breast feeding. * Participation in another trial within the preceding 6 weeks. * Trauma or ulceration to oral mucosa. * History of chest or upper airway infection within the past 6 weeks. * Conditions which may affect cough response such as stroke, diabetes, Parkinson's Disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Objective cough counts over 10 hours post dose. Change in Urge to cough and Visual Analogue Score (VAS). | over 24 hours following treatment | patients will wear a cough recorder device for a 24 hour period. The recordings will then be analysed to reveal how many times the patient coughed. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate | over 2 hours | to document any change in heart rate after treatment |
| Mouth Numbness | over 24 hours following treatment | Duration of mouth numbness will be subjectively assessed by asking patients about the presence of mouth numbness and its duration after treatment. |
| Electrocardiogram (ECG) | 15 minutes after treatment | ECG will be recorded before treatment and 15 minutes after treatment to rule out any arrhythmias |
Countries
United Kingdom
Outcome results
None listed