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A Dose-ranging Study of Orvepitant in Patients With Chronic Refractory Cough

A Double-Blind, Randomized, Placebo Controlled Study of the Efficacy and Safety of Three Doses of Orvepitant in Subjects With Chronic Refractory Cough

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02993822
Enrollment
315
Registered
2016-12-15
Start date
2017-05-22
Completion date
2019-01-24
Last updated
2022-04-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Refractory Cough

Brief summary

The purpose of this study is to determine the effectiveness of three doses of orvepitant, taken once a day, in the treatment of chronic refractory cough.

Detailed description

A multi-center, double-blind, randomized, parallel group, placebo-controlled dose range study in subjects with chronic refractory cough (CRC). Doses of orvepitant (10 mg/day, 20 mg/day and 30 mg/day) and placebo will be investigated in four parallel groups. Each group will compromise of approximately 73 subjects, randomized 1:1:1:1 (approximately 292 subjects in total). All subjects will enter a three-week screening period to determine eligibility. Eligible subjects will be randomized at the Baseline/Day 1 visit and enter a 12-week double-blind dosing period. During this period there will be four visits at Weeks 2, 4, 8 and 12. There will be a final safety follow-up visit at Week 14.

Interventions

Tablet, once daily, oral

DRUGPlacebo

Tablet, once daily, oral

Sponsors

Nerre Therapeutics Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Male and female subjects ≥18 years of age. * Diagnosis of CRC or unexplained cough for at least 1 year (see ACCP/BTS guidelines attached). * An awake average cough frequency of ≥10 coughs/ hour, as assessed using an ACM during the screening period. Key

Exclusion criteria

* Subjects with respiratory tract infection (\<4 weeks prior to study start) * Current smokers or ex-smokers with \<6 months' abstinence or cumulative history of \>10 pack years * Treatment with Angiotensin Converting Enzyme (ACE) inhibitors within 3 months of screening * FEV1 \<80% predicted, measured at screening using spirometry * History of cystic fibrosis, idiopathic pulmonary fibrosis, clinically significant bronchiectasis, moderate to severe asthma, chronic obstructive pulmonary disease (COPD) * Any clinically significant abnormal laboratory test result(s) * Inability to comply with the use of prohibited and allowed medications as described in the protocol.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline to Week 12 in Awake Objective Cough FrequencyBaseline to Week 12Objective cough frequency measured by ambulatory cough monitoring device

Secondary

MeasureTime frameDescription
Change in Awake Objective Cough Frequency at Week 4 Compared to BaselineWeek 4Objective cough frequency measured by ambulatory cough monitoring device
Change in the Leicester Cough Questionnaire (LCQ) at Week 2 Compared to BaselineBaseline to Week 2The Leicester Cough Questionnaire (LCQ) is a 19 item questionnaire that assessed cough related quality of life. It has three domains (physical, psychological and social) and subjects were asked to complete it based on their experience in a recall period of 2 weeks. The total score range is 3 to 21 and domain scores each range from 1 to 7; a higher score indicated a better quality of life. Subjects completed the LCQ whilst in the clinic at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Leicester Cough Questionnaire (LCQ) at Week 4 Compared to BaselineBaseline to Week 4The Leicester Cough Questionnaire (LCQ) is a 19 item questionnaire that assessed cough related quality of life. It has three domains (physical, psychological and social) and subjects were asked to complete it based on their experience in a recall period of 4 weeks. The total score range is 3 to 21 and domain scores each range from 1 to 7; a higher score indicated a better quality of life. Subjects completed the LCQ whilst in the clinic at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Leicester Cough Questionnaire (LCQ) at Week 8 Compared to BaselineBaseline to Week 8The Leicester Cough Questionnaire (LCQ) is a 19 item questionnaire that assessed cough related quality of life. It has three domains (physical, psychological and social) and subjects were asked to complete it based on their experience in a recall period of 8 weeks. The total score range is 3 to 21 and domain scores each range from 1 to 7; a higher score indicated a better quality of life. Subjects completed the LCQ whilst in the clinic at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Leicester Cough Questionnaire (LCQ) at Week 12 Compared to BaselineBaseline to Week 12The Leicester Cough Questionnaire (LCQ) is a 19 item questionnaire that assessed cough related quality of life. It has three domains (physical, psychological and social) and subjects were asked to complete it based on their experience in a recall period of 12 weeks. The total score range is 3 to 21 and domain scores each range from 1 to 7; a higher score indicated a better quality of life. Subjects completed the LCQ whilst in the clinic at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Day-timeBaseline to Week 2The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Day-timeBaseline to Week 4The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Day-timeBaseline to Week 8The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Day-timeBaseline to Week 12The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Night-timeBaseline to Week 2The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Night-timeBaseline to Week 4The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Night-timeBaseline to Week 8The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in Awake Objective Cough Frequency at Week 2 Compared to BaselineBaseline to Week 2Objective cough frequency measured by ambulatory cough monitoring device
Change in the Urge-to-cough Visual Analogue Scale (VAS) at Week 2 Compared to BaselineBaseline to Week 2The urge-to-cough VAS was a 100 mm scale on which subjects indicated their urge to cough over the previous 24 hours (day/awake time and night time combined). The VAS ranged from no urge to cough (0 mm) on the left to severe urge to cough (100 mm) on the right. Subjects completed the urge to cough VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Urge-to-cough Visual Analogue Scale (VAS) at Week 4 Compared to BaselineBaseline to Week 4The urge-to-cough VAS was a 100 mm scale on which subjects indicated their urge to cough over the previous 24 hours (day/awake time and night time combined). The VAS ranged from no urge to cough (0 mm) on the left to severe urge to cough (100 mm) on the right. Subjects completed the urge to cough VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Urge-to-cough Visual Analogue Scale (VAS) at Week 8 Compared to BaselineBaseline to Week 8The urge-to-cough VAS was a 100 mm scale on which subjects indicated their urge to cough over the previous 24 hours (day/awake time and night time combined). The VAS ranged from no urge to cough (0 mm) on the left to severe urge to cough (100 mm) on the right. Subjects completed the urge to cough VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Change in the Urge-to-cough Visual Analogue Scale (VAS) at Week 12 Compared to BaselineBaseline to Week 12The urge-to-cough VAS was a 100 mm scale on which subjects indicated their urge to cough over the previous 24 hours (day/awake time and night time combined). The VAS ranged from no urge to cough (0 mm) on the left to severe urge to cough (100 mm) on the right. Subjects completed the urge to cough VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.
Global Rating of Change in Cough Frequency at Week 2Baseline to Week 2In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.
Global Rating of Change in Cough Frequency at Week 4Baseline to Week 4In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.
Global Rating of Change in Cough Frequency at Week 8Baseline to Week 8In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.
Global Rating of Change in Cough Frequency at Week 12Baseline to Week 12In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.
Global Rating of Change in Cough Severity at Week 2Baseline to Week 2In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.
Global Rating of Change in Cough Severity at Week 4Baseline to Week 4In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.
Global Rating of Change in Cough Severity at Week 8Baseline to Week 8In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.
Global Rating of Change in Cough Severity at Week 12Baseline to Week 12In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.
Change in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Night-timeBaseline to Week 12The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Countries

Canada, United Kingdom, United States

Participant flow

Recruitment details

The first subject was enrolled (screened and consented) on 22-May-2017; the first subject was randomised on 31-Jan-2017. The last subject was enrolled on 28-Sep-2018. The last subject last visit (study completion) was 24-Jan-2019. Subjects were recruited from a mixture of specialised standalone clinics and clinics within hospitals.

Pre-assignment details

Screening details: 488 subjects were screened, of whom 315 (64.5%) completed screening and were randomised. Screening failures occurred due to not meeting inclusion criteria (74 subjects \[15.2%\]) or exclusion criteria (79 subjects \[16.2%\]), withdrawal of consent (nine \[1.8%\] subjects) and AEs (2 \[0.4%\] subjects). All other reasons reported in individual subjects.

Participants by arm

ArmCount
Orvepitant 10mg
Orvepitant 10mg tablet, once daily for 12 weeks Orvepitant Maleate: Tablet, once daily, oral
79
Orvepitant 20mg
Orvepitant 20mg tablet, once daily for 12 weeks Orvepitant Maleate: Tablet, once daily, oral
78
Orvepitant 30mg
Orvepitant 30mg tablet, once daily for 12 weeks Orvepitant Maleate: Tablet, once daily, oral
79
Placebo
Placebo to match tablet, once daily for 12 weeks Placebo: Tablet, once daily, oral
79
Total315

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event3170
Overall StudyLack of Efficacy1100
Overall StudyLost to Follow-up1010
Overall StudyProtocol Violation1000
Overall StudyUnable to attend follow-up due to illness0001
Overall StudyWithdrawal by Subject4223

Baseline characteristics

CharacteristicOrvepitant 10mgOrvepitant 20mgOrvepitant 30mgPlaceboTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
33 Participants34 Participants23 Participants42 Participants132 Participants
Age, Categorical
Between 18 and 65 years
46 Participants44 Participants56 Participants37 Participants183 Participants
Age, Continuous62.29 years
STANDARD_DEVIATION 9.85
59.86 years
STANDARD_DEVIATION 13.173
59.47 years
STANDARD_DEVIATION 10.02
62.24 years
STANDARD_DEVIATION 11.815
60.97 years
STANDARD_DEVIATION 11.313
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants1 Participants1 Participants4 Participants6 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
74 Participants74 Participants77 Participants74 Participants299 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
5 Participants3 Participants1 Participants1 Participants10 Participants
Region of Enrollment
Europe
28 participants29 participants28 participants28 participants113 participants
Region of Enrollment
North America
51 participants49 participants51 participants51 participants202 participants
Sex: Female, Male
Female
65 Participants69 Participants60 Participants59 Participants253 Participants
Sex: Female, Male
Male
14 Participants9 Participants19 Participants20 Participants62 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 790 / 780 / 790 / 79
other
Total, other adverse events
63 / 7948 / 7853 / 7940 / 79
serious
Total, serious adverse events
1 / 791 / 783 / 791 / 79

Outcome results

Primary

Change From Baseline to Week 12 in Awake Objective Cough Frequency

Objective cough frequency measured by ambulatory cough monitoring device

Time frame: Baseline to Week 12

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange From Baseline to Week 12 in Awake Objective Cough Frequency-0.185 coughs per hour (log transformed)Standard Deviation 0.3258
Orvepitant 20mgChange From Baseline to Week 12 in Awake Objective Cough Frequency-0.192 coughs per hour (log transformed)Standard Deviation 0.3405
Orvepitant 30mgChange From Baseline to Week 12 in Awake Objective Cough Frequency-0.271 coughs per hour (log transformed)Standard Deviation 0.4055
PlaceboChange From Baseline to Week 12 in Awake Objective Cough Frequency-0.243 coughs per hour (log transformed)Standard Deviation 0.3225
Comparison: Change from baseline to each visit (Week 2, Week 4 and Week 12) in log transformed awake objective cough frequency was analysed using a mixed model for repeated measures (MMRM) with restricted maximum likelihood (REML) estimation. The treatment effect at Week 12 was estimated using the ratio of geometric means (i.e. the difference between the treatments least squares means \[adjusted means\] on the log scale, back transformed to the original scale).p-value: 0.32495% CI: [0.88, 1.49]Mixed model repeated measures
Comparison: Change from baseline to each visit (Week 2, Week 4 and Week 12) in log transformed awake objective cough frequency was analysed using a mixed model for repeated measures (MMRM) with restricted maximum likelihood (REML) estimation. The treatment effect at Week 12 was estimated using the ratio of geometric means (i.e. the difference between the treatments least squares means \[adjusted means\] on the log scale, back transformed to the original scale).p-value: 0.33295% CI: [0.88, 1.48]Mixed model repeated measures
Comparison: Change from baseline to each visit (Week 2, Week 4 and Week 12) in log transformed awake objective cough frequency was analysed using a mixed model for repeated measures (MMRM) with restricted maximum likelihood (REML) estimation. The treatment effect at Week 12 was estimated using the ratio of geometric means (i.e. the difference between the treatments least squares means \[adjusted means\] on the log scale, back transformed to the original scale).p-value: 0.53195% CI: [0.71, 1.2]Mixed model repeated measures
Secondary

Change in Awake Objective Cough Frequency at Week 2 Compared to Baseline

Objective cough frequency measured by ambulatory cough monitoring device

Time frame: Baseline to Week 2

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in Awake Objective Cough Frequency at Week 2 Compared to Baseline-0.180 coughs per hour (log transformed)Standard Deviation 0.2791
Orvepitant 20mgChange in Awake Objective Cough Frequency at Week 2 Compared to Baseline-0.181 coughs per hour (log transformed)Standard Deviation 0.3142
Orvepitant 30mgChange in Awake Objective Cough Frequency at Week 2 Compared to Baseline-0.215 coughs per hour (log transformed)Standard Deviation 0.2515
PlaceboChange in Awake Objective Cough Frequency at Week 2 Compared to Baseline-0.139 coughs per hour (log transformed)Standard Deviation 0.2892
Comparison: Change from baseline to each visit (Week 2, Week 4 and Week 12) in log transformed awake objective cough frequency was analysed using a mixed model for repeated measures (MMRM) with restricted maximum likelihood (REML) estimation. The treatment effect at Week 12 was estimated using the ratio of geometric means (i.e. the difference between the treatments least squares means \[adjusted means\] on the log scale, back transformed to the original scale).p-value: 0.48295% CI: [0.75, 1.15]Mixed model repeated measures
Comparison: Change from baseline to each visit (Week 2, Week 4 and Week 12) in log transformed awake objective cough frequency was analysed using a mixed model for repeated measures (MMRM) with restricted maximum likelihood (REML) estimation. The treatment effect at Week 12 was estimated using the ratio of geometric means (i.e. the difference between the treatments least squares means \[adjusted means\] on the log scale, back transformed to the original scale).p-value: 0.4695% CI: [0.75, 1.14]Mixed model repeated measures
Comparison: Change from baseline to each visit (Week 2, Week 4 and Week 12) in log transformed awake objective cough frequency was analysed using a mixed model for repeated measures (MMRM) with restricted maximum likelihood (REML) estimation. The treatment effect at Week 12 was estimated using the ratio of geometric means (i.e. the difference between the treatments least squares means \[adjusted means\] on the log scale, back transformed to the original scale).p-value: 0.14495% CI: [0.69, 1.06]Mixed model repeated measures
Secondary

Change in Awake Objective Cough Frequency at Week 4 Compared to Baseline

Objective cough frequency measured by ambulatory cough monitoring device

Time frame: Week 4

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in Awake Objective Cough Frequency at Week 4 Compared to Baseline-0.188 coughs per hour (log transformed)Standard Deviation 0.3292
Orvepitant 20mgChange in Awake Objective Cough Frequency at Week 4 Compared to Baseline-0.231 coughs per hour (log transformed)Standard Deviation 0.3665
Orvepitant 30mgChange in Awake Objective Cough Frequency at Week 4 Compared to Baseline-0.211 coughs per hour (log transformed)Standard Deviation 0.2994
PlaceboChange in Awake Objective Cough Frequency at Week 4 Compared to Baseline-0.169 coughs per hour (log transformed)Standard Deviation 0.2699
Comparison: Change from baseline to each visit (Week 2, Week 4 and Week 12) in log transformed awake objective cough frequency was analysed using a mixed model for repeated measures (MMRM) with restricted maximum likelihood (REML) estimation. The treatment effect at Week 12 was estimated using the ratio of geometric means (i.e. the difference between the treatments least squares means \[adjusted means\] on the log scale, back transformed to the original scale).p-value: 0.99295% CI: [0.78, 1.27]Mixed model repeated measures
Comparison: Change from baseline to each visit (Week 2, Week 4 and Week 12) in log transformed awake objective cough frequency was analysed using a mixed model for repeated measures (MMRM) with restricted maximum likelihood (REML) estimation. The treatment effect at Week 12 was estimated using the ratio of geometric means (i.e. the difference between the treatments least squares means \[adjusted means\] on the log scale, back transformed to the original scale).p-value: 0.38795% CI: [0.71, 1.14]Mixed model repeated measures
Comparison: Change from baseline to each visit (Week 2, Week 4 and Week 12) in log transformed awake objective cough frequency was analysed using a mixed model for repeated measures (MMRM) with restricted maximum likelihood (REML) estimation. The treatment effect at Week 12 was estimated using the ratio of geometric means (i.e. the difference between the treatments least squares means \[adjusted means\] on the log scale, back transformed to the original scale).p-value: 0.695% CI: [0.74, 1.19]Mixed model repeated measures
Secondary

Change in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Day-time

The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 12

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Day-time-18.8 ScoreStandard Deviation 31.27
Orvepitant 20mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Day-time-11.6 ScoreStandard Deviation 27.33
Orvepitant 30mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Day-time-20.1 ScoreStandard Deviation 29.33
PlaceboChange in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Day-time-10.6 ScoreStandard Deviation 24.46
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.10395% CI: [-15.3, 1.4]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.54695% CI: [-10.6, 5.6]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.03495% CI: [-17.2, -0.7]Mixed model repeated measures
Secondary

Change in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Night-time

The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 12

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Night-time-8.9 ScoreStandard Deviation 35.99
Orvepitant 20mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Night-time-7.1 ScoreStandard Deviation 26.88
Orvepitant 30mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Night-time-9.6 ScoreStandard Deviation 30.24
PlaceboChange in the Cough Severity Visual Analogue Scale (VAS) at Week 12 Compared to Baseline - Night-time-1.5 ScoreStandard Deviation 33.74
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.02795% CI: [-18.9, -1.2]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.14795% CI: [-14.9, 2.2]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.04695% CI: [-17.6, -0.1]Mixed model repeated measures
Secondary

Change in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Day-time

The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 2

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Day-time-17.7 ScoreStandard Deviation 26.06
Orvepitant 20mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Day-time-10.5 ScoreStandard Deviation 27.78
Orvepitant 30mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Day-time-13.5 ScoreStandard Deviation 22.93
PlaceboChange in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Day-time-6.3 ScoreStandard Deviation 19.24
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.00895% CI: [-16.6, -2.5]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.19895% CI: [-11.4, 2.4]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.05595% CI: [-13.7, 0.1]Mixed model repeated measures
Secondary

Change in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Night-time

The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 2

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Night-time-12.8 ScoreStandard Deviation 28.96
Orvepitant 20mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Night-time-7.8 ScoreStandard Deviation 26.76
Orvepitant 30mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Night-time-6.2 ScoreStandard Deviation 24.97
PlaceboChange in the Cough Severity Visual Analogue Scale (VAS) at Week 2 Compared to Baseline - Night-time-3.9 ScoreStandard Deviation 27.62
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.00495% CI: [-18.8, -3.6]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.28295% CI: [-11.5, 3.4]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.39895% CI: [-10.7, 4.3]Mixed model repeated measures
Secondary

Change in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Day-time

The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 4

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Day-time-17.9 ScoreStandard Deviation 27.11
Orvepitant 20mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Day-time-9.4 ScoreStandard Deviation 26.76
Orvepitant 30mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Day-time-15.9 ScoreStandard Deviation 25.02
PlaceboChange in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Day-time-7.8 ScoreStandard Deviation 22.36
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.02695% CI: [-16.3, -1.1]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.57195% CI: [-9.6, 5.3]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.04395% CI: [-15.2, -0.3]Mixed model repeated measures
Secondary

Change in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Night-time

The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 4

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Night-time-10.1 ScoreStandard Deviation 32.87
Orvepitant 20mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Night-time-7.9 ScoreStandard Deviation 27.52
Orvepitant 30mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Night-time-5.8 ScoreStandard Deviation 27.96
PlaceboChange in the Cough Severity Visual Analogue Scale (VAS) at Week 4 Compared to Baseline - Night-time-2.7 ScoreStandard Deviation 27.99
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.01995% CI: [-18.3, -1.7]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.1795% CI: [-13.7, 2.4]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.38495% CI: [-11.7, 4.5]Mixed model repeated measures
Secondary

Change in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Day-time

The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 8

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Day-time-21.0 ScoreStandard Deviation 30.37
Orvepitant 20mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Day-time-9.9 ScoreStandard Deviation 29.57
Orvepitant 30mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Day-time-18.6 ScoreStandard Deviation 27.24
PlaceboChange in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Day-time-8.2 ScoreStandard Deviation 23.58
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.00695% CI: [-19.7, -3.3]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.43595% CI: [-11.1, 4.8]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.02295% CI: [-17.4, -1.4]Mixed model repeated measures
Secondary

Change in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Night-time

The cough VAS is a 100 mm scale on which subjects indicated their severity of cough over the previous 24 hours, both during the day-time and during night time separately. The VAS ranged from no cough (0 mm) on the left to worst cough (100 mm) on the right. Subjects completed the cough severity VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 8

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Night-time-11.5 ScoreStandard Deviation 32.65
Orvepitant 20mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Night-time-6.8 ScoreStandard Deviation 29.07
Orvepitant 30mgChange in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Night-time-9.8 ScoreStandard Deviation 28.73
PlaceboChange in the Cough Severity Visual Analogue Scale (VAS) at Week 8 Compared to Baseline - Night-time-2.2 ScoreStandard Deviation 28.95
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.00695% CI: [-20, -3.3]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.22295% CI: [-13, 3]Mixed model repeated measures
Comparison: Change in the Cough Severity VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in Cough Severity VAS was analysed using a MMRM with REML estimation.p-value: 0.05895% CI: [-16, 0.3]Mixed model repeated measures
Secondary

Change in the Leicester Cough Questionnaire (LCQ) at Week 12 Compared to Baseline

The Leicester Cough Questionnaire (LCQ) is a 19 item questionnaire that assessed cough related quality of life. It has three domains (physical, psychological and social) and subjects were asked to complete it based on their experience in a recall period of 12 weeks. The total score range is 3 to 21 and domain scores each range from 1 to 7; a higher score indicated a better quality of life. Subjects completed the LCQ whilst in the clinic at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 12

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Leicester Cough Questionnaire (LCQ) at Week 12 Compared to Baseline2.38 Total scoreStandard Deviation 3.609
Orvepitant 20mgChange in the Leicester Cough Questionnaire (LCQ) at Week 12 Compared to Baseline2.09 Total scoreStandard Deviation 3.736
Orvepitant 30mgChange in the Leicester Cough Questionnaire (LCQ) at Week 12 Compared to Baseline3.23 Total scoreStandard Deviation 4.007
PlaceboChange in the Leicester Cough Questionnaire (LCQ) at Week 12 Compared to Baseline1.50 Total scoreStandard Deviation 3.586
Comparison: The change from baseline in LCQ total score and the three domain scores was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline.~The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in LCQ total score and the three domain scores was analysed using a MMRM with REML estimation.p-value: 0.25895% CI: [-0.5, 1.9]Mixed model repeated measures
Comparison: The change from baseline in LCQ total score and the three domain scores was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline.~The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in LCQ total score and the three domain scores was analysed using a MMRM with REML estimation.p-value: 0.24395% CI: [-0.5, 1.8]Mixed model repeated measures
Comparison: The change from baseline in LCQ total score and the three domain scores was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline.~The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in LCQ total score and the three domain scores was analysed using a MMRM with REML estimation.p-value: 0.00995% CI: [0.4, 2.8]Mixed model repeated measures
Secondary

Change in the Leicester Cough Questionnaire (LCQ) at Week 2 Compared to Baseline

The Leicester Cough Questionnaire (LCQ) is a 19 item questionnaire that assessed cough related quality of life. It has three domains (physical, psychological and social) and subjects were asked to complete it based on their experience in a recall period of 2 weeks. The total score range is 3 to 21 and domain scores each range from 1 to 7; a higher score indicated a better quality of life. Subjects completed the LCQ whilst in the clinic at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 2

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Leicester Cough Questionnaire (LCQ) at Week 2 Compared to Baseline2.41 Total scoreStandard Deviation 3.309
Orvepitant 20mgChange in the Leicester Cough Questionnaire (LCQ) at Week 2 Compared to Baseline2.37 Total scoreStandard Deviation 3.252
Orvepitant 30mgChange in the Leicester Cough Questionnaire (LCQ) at Week 2 Compared to Baseline2.93 Total scoreStandard Deviation 3.01
PlaceboChange in the Leicester Cough Questionnaire (LCQ) at Week 2 Compared to Baseline1.24 Total scoreStandard Deviation 2.714
Comparison: The change from baseline in LCQ total score and the three domain scores was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline.~The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in LCQ total score and the three domain scores was analysed using a MMRM with REML estimation.p-value: 0.04295% CI: [0, 2]Mixed model repeated measures
Comparison: The change from baseline in LCQ total score and the three domain scores was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline.~The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in LCQ total score and the three domain scores was analysed using a MMRM with REML estimation.p-value: 0.02695% CI: [0.1, 2]Mixed model repeated measures
Comparison: The change from baseline in LCQ total score and the three domain scores was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline.~The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in LCQ total score and the three domain scores was analysed using a MMRM with REML estimation.p-value: 0.00395% CI: [0.5, 2.4]Mixed model repeated measures
Secondary

Change in the Leicester Cough Questionnaire (LCQ) at Week 4 Compared to Baseline

The Leicester Cough Questionnaire (LCQ) is a 19 item questionnaire that assessed cough related quality of life. It has three domains (physical, psychological and social) and subjects were asked to complete it based on their experience in a recall period of 4 weeks. The total score range is 3 to 21 and domain scores each range from 1 to 7; a higher score indicated a better quality of life. Subjects completed the LCQ whilst in the clinic at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 4

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Leicester Cough Questionnaire (LCQ) at Week 4 Compared to Baseline2.50 Total scoreStandard Deviation 3.416
Orvepitant 20mgChange in the Leicester Cough Questionnaire (LCQ) at Week 4 Compared to Baseline2.15 Total scoreStandard Deviation 3.49
Orvepitant 30mgChange in the Leicester Cough Questionnaire (LCQ) at Week 4 Compared to Baseline2.98 Total scoreStandard Deviation 3.163
PlaceboChange in the Leicester Cough Questionnaire (LCQ) at Week 4 Compared to Baseline1.61 Total scoreStandard Deviation 3.132
Comparison: The change from baseline in LCQ total score and the three domain scores was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline.~The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in LCQ total score and the three domain scores was analysed using a MMRM with REML estimation.p-value: 0.2595% CI: [-0.4, 1.7]Mixed model repeated measures
Comparison: The change from baseline in LCQ total score and the three domain scores was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline.~The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in LCQ total score and the three domain scores was analysed using a MMRM with REML estimation.p-value: 0.32595% CI: [-0.5, 1.5]Mixed model repeated measures
Comparison: The change from baseline in LCQ total score and the three domain scores was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline.~The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in LCQ total score and the three domain scores was analysed using a MMRM with REML estimation.p-value: 0.02995% CI: [0.1, 2.2]Mixed model repeated measures
Secondary

Change in the Leicester Cough Questionnaire (LCQ) at Week 8 Compared to Baseline

The Leicester Cough Questionnaire (LCQ) is a 19 item questionnaire that assessed cough related quality of life. It has three domains (physical, psychological and social) and subjects were asked to complete it based on their experience in a recall period of 8 weeks. The total score range is 3 to 21 and domain scores each range from 1 to 7; a higher score indicated a better quality of life. Subjects completed the LCQ whilst in the clinic at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 8

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Leicester Cough Questionnaire (LCQ) at Week 8 Compared to Baseline2.78 Total scoreStandard Deviation 3.535
Orvepitant 20mgChange in the Leicester Cough Questionnaire (LCQ) at Week 8 Compared to Baseline2.19 Total scoreStandard Deviation 3.602
Orvepitant 30mgChange in the Leicester Cough Questionnaire (LCQ) at Week 8 Compared to Baseline2.82 Total scoreStandard Deviation 3.96
PlaceboChange in the Leicester Cough Questionnaire (LCQ) at Week 8 Compared to Baseline1.34 Total scoreStandard Deviation 3.222
Comparison: The change from baseline in LCQ total score and the three domain scores was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline.~The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in LCQ total score and the three domain scores was analysed using a MMRM with REML estimation.p-value: 0.03895% CI: [0.1, 2.3]Mixed model repeated measures
Comparison: The change from baseline in LCQ total score and the three domain scores was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline.~The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in LCQ total score and the three domain scores was analysed using a MMRM with REML estimation.p-value: 0.11895% CI: [-0.2, 2]Mixed model repeated measures
Comparison: The change from baseline in LCQ total score and the three domain scores was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline.~The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in LCQ total score and the three domain scores was analysed using a MMRM with REML estimation.p-value: 0.02595% CI: [0.2, 2.4]Mixed model repeated measures
Secondary

Change in the Urge-to-cough Visual Analogue Scale (VAS) at Week 12 Compared to Baseline

The urge-to-cough VAS was a 100 mm scale on which subjects indicated their urge to cough over the previous 24 hours (day/awake time and night time combined). The VAS ranged from no urge to cough (0 mm) on the left to severe urge to cough (100 mm) on the right. Subjects completed the urge to cough VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 12

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 12 Compared to Baseline-23.7 ScoreStandard Deviation 27.3
Orvepitant 20mgChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 12 Compared to Baseline-12.6 ScoreStandard Deviation 28.57
Orvepitant 30mgChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 12 Compared to Baseline-22.9 ScoreStandard Deviation 28.43
PlaceboChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 12 Compared to Baseline-11.8 ScoreStandard Deviation 26.5
Comparison: Change in the urge-to-cough VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in urge-to cough VAS was analysed using a MMRM with REML estimation.p-value: 0.01895% CI: [-18.4, -1.8]Mixed model repeated measures
Comparison: Change in the urge-to-cough VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in urge-to cough VAS was analysed using a MMRM with REML estimation.p-value: 0.68295% CI: [-9.8, 6.4]Mixed model repeated measures
Comparison: Change in the urge-to-cough VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in urge-to cough VAS was analysed using a MMRM with REML estimation.p-value: 0.00595% CI: [-20, -3.6]Mixed model repeated measures
Secondary

Change in the Urge-to-cough Visual Analogue Scale (VAS) at Week 2 Compared to Baseline

The urge-to-cough VAS was a 100 mm scale on which subjects indicated their urge to cough over the previous 24 hours (day/awake time and night time combined). The VAS ranged from no urge to cough (0 mm) on the left to severe urge to cough (100 mm) on the right. Subjects completed the urge to cough VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 2

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 2 Compared to Baseline-20.8 ScoreStandard Deviation 24.59
Orvepitant 20mgChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 2 Compared to Baseline-12.0 ScoreStandard Deviation 25.09
Orvepitant 30mgChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 2 Compared to Baseline-13.8 ScoreStandard Deviation 22.03
PlaceboChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 2 Compared to Baseline-7.0 ScoreStandard Deviation 20.35
Comparison: Change in the urge-to-cough VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in urge-to cough VAS was analysed using a MMRM with REML estimation.p-value: <0.00195% CI: [-19.5, -5.5]Mixed model repeated measures
Comparison: Change in the urge-to-cough VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in urge-to cough VAS was analysed using a MMRM with REML estimation.p-value: 0.11495% CI: [-12.4, 1.3]Mixed model repeated measures
Comparison: Change in the urge-to-cough VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in urge-to cough VAS was analysed using a MMRM with REML estimation.p-value: 0.05695% CI: [-13.7, 0.2]Mixed model repeated measures
Secondary

Change in the Urge-to-cough Visual Analogue Scale (VAS) at Week 4 Compared to Baseline

The urge-to-cough VAS was a 100 mm scale on which subjects indicated their urge to cough over the previous 24 hours (day/awake time and night time combined). The VAS ranged from no urge to cough (0 mm) on the left to severe urge to cough (100 mm) on the right. Subjects completed the urge to cough VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 4

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 4 Compared to Baseline-19.0 ScoreStandard Deviation 26.93
Orvepitant 20mgChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 4 Compared to Baseline-12.0 ScoreStandard Deviation 26.67
Orvepitant 30mgChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 4 Compared to Baseline-17.3 ScoreStandard Deviation 24.73
PlaceboChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 4 Compared to Baseline-8.8 ScoreStandard Deviation 24.26
Comparison: Change in the urge-to-cough VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in urge-to cough VAS was analysed using a MMRM with REML estimation.p-value: 0.02795% CI: [-16.8, -1]Mixed model repeated measures
Comparison: Change in the urge-to-cough VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in urge-to cough VAS was analysed using a MMRM with REML estimation.p-value: 0.35795% CI: [-11.3, 4.1]Mixed model repeated measures
Comparison: Change in the urge-to-cough VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in urge-to cough VAS was analysed using a MMRM with REML estimation.p-value: 0.03195% CI: [-16.2, -0.8]Mixed model repeated measures
Secondary

Change in the Urge-to-cough Visual Analogue Scale (VAS) at Week 8 Compared to Baseline

The urge-to-cough VAS was a 100 mm scale on which subjects indicated their urge to cough over the previous 24 hours (day/awake time and night time combined). The VAS ranged from no urge to cough (0 mm) on the left to severe urge to cough (100 mm) on the right. Subjects completed the urge to cough VAS at baseline/Day 1 (pre dose) and at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 8

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureValue (MEAN)Dispersion
Orvepitant 10mgChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 8 Compared to Baseline-23.8 ScoreStandard Deviation 28
Orvepitant 20mgChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 8 Compared to Baseline-14.5 ScoreStandard Deviation 27.55
Orvepitant 30mgChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 8 Compared to Baseline-19.7 ScoreStandard Deviation 26.8
PlaceboChange in the Urge-to-cough Visual Analogue Scale (VAS) at Week 8 Compared to Baseline-11.0 ScoreStandard Deviation 24.78
Comparison: Change in the urge-to-cough VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in urge-to cough VAS was analysed using a MMRM with REML estimation.p-value: 0.00895% CI: [-19.2, -2.9]Mixed model repeated measures
Comparison: Change in the urge-to-cough VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in urge-to cough VAS was analysed using a MMRM with REML estimation.p-value: 0.32195% CI: [-11.8, 3.9]Mixed model repeated measures
Comparison: Change in the urge-to-cough VAS was summarised by treatment group and visit (Weeks 2, 4, 8 and 12) in terms of absolute values and changes from baseline. The effect of treatment in terms of the change from baseline to each scheduled visit (Week 2, Week 4, Week 8 and Week 12) in urge-to cough VAS was analysed using a MMRM with REML estimation.p-value: 0.04795% CI: [-16, -0.1]Mixed model repeated measures
Secondary

Global Rating of Change in Cough Frequency at Week 12

In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 12

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Orvepitant 10mgGlobal Rating of Change in Cough Frequency at Week 12Worse7 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Frequency at Week 12Better28 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Frequency at Week 12About the same32 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Frequency at Week 12Worse13 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Frequency at Week 12Better28 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Frequency at Week 12About the same33 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Frequency at Week 12About the same31 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Frequency at Week 12Worse7 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Frequency at Week 12Better29 Participants
PlaceboGlobal Rating of Change in Cough Frequency at Week 12About the same37 Participants
PlaceboGlobal Rating of Change in Cough Frequency at Week 12Worse13 Participants
PlaceboGlobal Rating of Change in Cough Frequency at Week 12Better24 Participants
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.158Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.597Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.124Cochran-Mantel-Haenszel
Secondary

Global Rating of Change in Cough Frequency at Week 2

In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 2

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Orvepitant 10mgGlobal Rating of Change in Cough Frequency at Week 2Better34 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Frequency at Week 2Worse4 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Frequency at Week 2About the same35 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Frequency at Week 2Better30 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Frequency at Week 2Worse10 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Frequency at Week 2About the same37 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Frequency at Week 2Better37 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Frequency at Week 2Worse5 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Frequency at Week 2About the same34 Participants
PlaceboGlobal Rating of Change in Cough Frequency at Week 2About the same44 Participants
PlaceboGlobal Rating of Change in Cough Frequency at Week 2Better19 Participants
PlaceboGlobal Rating of Change in Cough Frequency at Week 2Worse11 Participants
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.004Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.134Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.003Cochran-Mantel-Haenszel
Secondary

Global Rating of Change in Cough Frequency at Week 4

In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 4

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Orvepitant 10mgGlobal Rating of Change in Cough Frequency at Week 4Worse9 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Frequency at Week 4Better28 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Frequency at Week 4About the same32 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Frequency at Week 4Worse8 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Frequency at Week 4Better32 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Frequency at Week 4About the same36 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Frequency at Week 4About the same37 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Frequency at Week 4Worse6 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Frequency at Week 4Better31 Participants
PlaceboGlobal Rating of Change in Cough Frequency at Week 4Worse12 Participants
PlaceboGlobal Rating of Change in Cough Frequency at Week 4Better25 Participants
PlaceboGlobal Rating of Change in Cough Frequency at Week 4About the same39 Participants
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.401Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.175Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.126Cochran-Mantel-Haenszel
Secondary

Global Rating of Change in Cough Frequency at Week 8

In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 8

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Orvepitant 10mgGlobal Rating of Change in Cough Frequency at Week 8Worse11 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Frequency at Week 8Better34 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Frequency at Week 8About the same22 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Frequency at Week 8Worse17 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Frequency at Week 8Better27 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Frequency at Week 8About the same31 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Frequency at Week 8About the same37 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Frequency at Week 8Worse10 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Frequency at Week 8Better25 Participants
PlaceboGlobal Rating of Change in Cough Frequency at Week 8Worse20 Participants
PlaceboGlobal Rating of Change in Cough Frequency at Week 8Better17 Participants
PlaceboGlobal Rating of Change in Cough Frequency at Week 8About the same38 Participants
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.002Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.144Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.025Cochran-Mantel-Haenszel
Secondary

Global Rating of Change in Cough Severity at Week 12

In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 12

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Orvepitant 10mgGlobal Rating of Change in Cough Severity at Week 12Worse5 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Severity at Week 12Better24 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Severity at Week 12About the same38 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Severity at Week 12Worse15 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Severity at Week 12Better26 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Severity at Week 12About the same33 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Severity at Week 12About the same30 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Severity at Week 12Worse8 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Severity at Week 12Better29 Participants
PlaceboGlobal Rating of Change in Cough Severity at Week 12Worse16 Participants
PlaceboGlobal Rating of Change in Cough Severity at Week 12Better22 Participants
PlaceboGlobal Rating of Change in Cough Severity at Week 12About the same36 Participants
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.1Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.557Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.054Cochran-Mantel-Haenszel
Secondary

Global Rating of Change in Cough Severity at Week 2

In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 2

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Orvepitant 10mgGlobal Rating of Change in Cough Severity at Week 2Worse7 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Severity at Week 2Better33 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Severity at Week 2About the same33 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Severity at Week 2Worse8 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Severity at Week 2Better30 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Severity at Week 2About the same39 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Severity at Week 2About the same35 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Severity at Week 2Worse4 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Severity at Week 2Better37 Participants
PlaceboGlobal Rating of Change in Cough Severity at Week 2Worse12 Participants
PlaceboGlobal Rating of Change in Cough Severity at Week 2Better18 Participants
PlaceboGlobal Rating of Change in Cough Severity at Week 2About the same44 Participants
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.01Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.049Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.001Cochran-Mantel-Haenszel
Secondary

Global Rating of Change in Cough Severity at Week 4

In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 4

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Orvepitant 10mgGlobal Rating of Change in Cough Severity at Week 4Worse9 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Severity at Week 4Better28 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Severity at Week 4About the same32 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Severity at Week 4Worse7 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Severity at Week 4Better26 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Severity at Week 4About the same43 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Severity at Week 4About the same31 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Severity at Week 4Worse7 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Severity at Week 4Better36 Participants
PlaceboGlobal Rating of Change in Cough Severity at Week 4Worse14 Participants
PlaceboGlobal Rating of Change in Cough Severity at Week 4Better25 Participants
PlaceboGlobal Rating of Change in Cough Severity at Week 4About the same37 Participants
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.309Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.387Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.025Cochran-Mantel-Haenszel
Secondary

Global Rating of Change in Cough Severity at Week 8

In the Global Rating of Change scale, subjects indicated if there had been a change in their symptoms (cough frequency and, separately, cough severity) since starting the IMP. Subjects responded with worse, about the same or better. If subjects indicated a change (either worse or better) they then indicated on a 7 point scale the degree of change ranging from 1 (almost the same, hardly any change) to 7 (a very great deal changed). Subjects documented their Global Rating of Change in cough frequency and cough severity at Weeks 2, 4, 8, and 12.

Time frame: Baseline to Week 8

Population: The number of participants analyzed differs from the overall subject disposition as it includes only participants with data available for the comparison (i.e. some participants have missing data).

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Orvepitant 10mgGlobal Rating of Change in Cough Severity at Week 8Worse8 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Severity at Week 8About the same26 Participants
Orvepitant 10mgGlobal Rating of Change in Cough Severity at Week 8Better33 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Severity at Week 8Better27 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Severity at Week 8About the same36 Participants
Orvepitant 20mgGlobal Rating of Change in Cough Severity at Week 8Worse12 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Severity at Week 8Worse6 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Severity at Week 8About the same35 Participants
Orvepitant 30mgGlobal Rating of Change in Cough Severity at Week 8Better31 Participants
PlaceboGlobal Rating of Change in Cough Severity at Week 8Better18 Participants
PlaceboGlobal Rating of Change in Cough Severity at Week 8About the same42 Participants
PlaceboGlobal Rating of Change in Cough Severity at Week 8Worse15 Participants
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.003Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.152Cochran-Mantel-Haenszel
Comparison: The Global Rating of Change responses were summarised by treatment group and visit (Weeks 2, 4, 8 and 12) as categorical endpoints (worse, about the same and better). Pairwise comparisons were performed using the Cochran Mantel Haenszel test stratified by region using modified ridit scores (row mean scores differ).p-value: 0.004Cochran-Mantel-Haenszel

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026