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Status unknownNCT03638063Updated Feb 11, 2020

ATP and Capsaicin Cough Provocation Test in Chronic Cough and Bronchiectasis

An observational study in Chronic Cough and Bronchiectasis, sponsored by Guangzhou Institute of Respiratory Disease. Status unknown at 1 site in China. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-02-11.

Sponsored by Guangzhou Institute of Respiratory Disease · Observational

The sponsor has not verified this record recently (last verified Feb 2020), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
200
Ages
18 Years to 60 Years
Sex
All
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Study summary

This is a randomized, cross-over, single-blind trial. Eligible patients will be randomly assigned to undergo either capsaicin or adenosine triphosphate (ATP) cough provocation test, followed by a washout period of 2 to 14 days. Participants will be crossed-over to undergo another cough provocation test. Patient would be under observation in the out-patient clinics for \~2 hours following the cough provocation tests in case of severe adverse events.

Read the detailed description

This is a randomized, cross-over, single-blind trial. After verification of the entry criteria, eligible patients will be, based on the randomization codes, randomly assigned to undergo either capsaicin or ATP cough provocation test (the participants will inhale capasaicin or ATP incremental concentration to induce cough, meanwhile the number of coughs and adverse events will be recorded in each concentration during the first 30 seconds), followed by a washout period of 2 to 14 days (no major changes in the use of concomitant medications are allowed,especially the medcines which are not allowed before test ). Participants will be crossed-over to undergo another cough provocation test. Patient would be under observation in the out-patient clinics for \~2 hours following the cough provocation tests in case of severe adverse events. Twenty four hours after each test, a follow-up telephone visit will be scheduled for all patients to record any response which may be related to the test.

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Conditions studied

  • Chronic Cough
  • Bronchiectasis

Keywords

  • Adenosine triphosphate
  • Capsaicin
  • cough provocation test
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In context

Cough

346 studies on the registry are indexed under Cough; 71 are open to participants now.

This study's planned enrollment of 200 is above the median of 94 across 75 observational studies indexed under Cough.

Browse Cough studies →

Lead sponsor

Guangzhou Institute of Respiratory Disease is the lead sponsor of 96 studies on the registry; 17 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

patients with chronic cough (including bronchiectasis) who remained clinically stable for at least 4 weeks

Inclusion criteria

  • Out-patients of either gender, ex- or never-smokers, aged between 18 and 60 years
  • Cough symptoms lasting for more than 8 weeks
  • Remaining free of acute upper respiratory tract infection for at least 4 weeks
  • Agreed to participate in the trial and signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • Patients with serious systemic diseases (such as malignant tumors), bullae, severe uncontrolled asthma, and a history of major hemoptysis
  • Systemic antibiotic use (except for maintenance low-dose macrolides) within 4 weeks
  • Pregnancy or lactation
  • Any known history of sensitivity to ATP or capsaicin
  • Poor understanding of the test procedure
  • Diagnosed with cough variant asthma or Eosinophilic bronchitis
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Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
200 participants (estimated)
Patient registry
No

Groups and cohorts

  • Chronic cough

    patients with chronic cough who remain clinically stable

    Diagnostic Test: Adenosine Triphosphate · Diagnostic Test: capsaicin

  • Bx

    bronchiectasis patients who remain clinically stable

    Diagnostic Test: Adenosine Triphosphate · Diagnostic Test: capsaicin

  • Control

    healthy controls

    Diagnostic Test: Adenosine Triphosphate · Diagnostic Test: capsaicin

Interventions

  • Diagnostic testAdenosine Triphosphate

    Adenosine Triphosphate aerosol

  • Diagnostic testcapsaicin

    capsaicin aerosol

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What researchers measure

Primary outcomes

  1. C5 (Provocant concentration eliciting at least 5 coughs)

    Provocant concentration eliciting at least 5 coughs

    Time frame: 18 months

Secondary outcomes

  1. ED50 (half maximal effective Dose)

    50% effective dose of provocant

    Time frame: 18 months

  2. Emax (effective concentration of provocant eliciting maximal cough count)

    effective concentration of provocant eliciting maximal cough count

    Time frame: 18 months

  3. potency ratio

    ATP/capsaicin potency ratio

    Time frame: 18 months

  4. Difference in cough VAS score (a 10-point likert scale for assessing the global severity of cough, no subscale was applied)

    The difference between pre- and post-challenge cough VAS scores

    Time frame: 18 months

  5. The incidence of adverse events (i.e. dry throat , pharyngeal itching)

    adverse events such as dry throat , pharyngeal itching, wheeze or dyspnea according to the subject's reporting to record the rate of the incidence and the severity (the aboved-mentioned VAS score would be applied)

    Time frame: 18 months

  6. Cough dose ratio (CDR)

    the ratio of cough count and dose/concentration

    Time frame: 18 months

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Study locations

1 of 1 sites recruiting
  • First Affiliated Hospital of Guangzhou Medical University
    Guangzhou, Guangdong, China
    Recruiting
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References and documents

Publications

  • Fowles HE, Rowland T, Wright C, Morice A. Tussive challenge with ATP and AMP: does it reveal cough hypersensitivity? Eur Respir J. 2017 Feb 8;49(2):1601452. doi: 10.1183/13993003.01452-2016. Print 2017 Feb. PubMed 28179439 ↗
  • Guan WJ, Gao YH, Xu G, Lin ZY, Tang Y, Li HM, Lin ZM, Zheng JP, Chen RC, Zhong NS. Capsaicin cough sensitivity and the association with clinical parameters in bronchiectasis. PLoS One. 2014 Nov 19;9(11):e113057. doi: 10.1371/journal.pone.0113057. eCollection 2014. PubMed 25409316 ↗
  • Torrego A, Haque RA, Nguyen LT, Hew M, Carr DH, Wilson R, Chung KF. Capsaicin cough sensitivity in bronchiectasis. Thorax. 2006 Aug;61(8):706-9. doi: 10.1136/thx.2005.049767. Epub 2006 Apr 6. PubMed 16601085 ↗
  • Fuller RW. Cough provocation tests: their clinical value. Pulm Pharmacol Ther. 2002;15(3):273-6. doi: 10.1006/pupt.2002.0355. PubMed 12099777 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03638063
Lead sponsor
Guangzhou Institute of Respiratory Disease
Responsible party
Weijie Guan (Associated professor; principal investigator (respiratory medicine), Guangzhou Institute of Respiratory Disease) — Principal investigator
First posted
Aug 20, 2018
Start date
Oct 29, 2018
Primary completion
Jul 2020 (estimated)
Completion
Jul 2020 (estimated)
Last update
Feb 11, 2020

Study contacts

Wei-jie Guan, MD
Contact
battery203@163.com
+86-13826042052
Jing jing Yuan, Msc
Contact
jacyyjj@163.com
+86-13502414649
Ke-fang Lai, MD
study chair · Guangzhou Institute of Respiratory Health Locations: China, Guangdong First Affiliated Hospital of Guangzhou Medical

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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