ClinicalTrials.gg
RecruitingNCT07070895Updated Sep 11, 2025

Cough Management Wellness App for Refractory or Unexplained Chronic Cough

An interventional study of Cough Management and CoughMonitor Suite in Refractory Chronic Cough, Unexplained Chronic Cough and Cough Hypersensitivity, sponsored by Hyfe Inc. Recruiting at 1 site in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2025-09-11.

Sponsored by Hyfe Inc · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2025; still recruiting 1 year 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
21 Years and older
Sex
All
01

Study summary

The goal of this single-cohort clinical trial is to learn whether a smartphone-based Cough Management (CM) program can reduce cough frequency and burden in adults (21-80 years) who have refractory or unexplained chronic cough. 

The main questions it aims to answer are:

  • Does four weeks of using the CM feature in the CoughPro app lower objective cough rate (coughs per hour) compared with each participant's one-week baseline? 
  • Does the program also lessen cough intensity (bout metrics) and improve patient-reported quality-of-life scores on the Leicester Cough Questionnaire and PGI-S?

Participants will:

  • Wear a Hyfe CoughMonitor smartwatch continuously for 6 weeks (1-week baseline, 4-week intervention, 1-week follow-up), charging it nightly. 
  • Complete science-based in-app CM lessons based on behavioral cough-suppression therapy and practice the techniques during the 4-week intervention.
  • Fill out online questionnaires (LCQ and PGI-S) at baseline and at the end of Week 4.
  • Join a brief exit interview, then return the smartwatch and receive a compensation voucher.
02

Conditions studied

  • Refractory Chronic Cough
  • Unexplained Chronic Cough
  • Cough Hypersensitivity

Keywords

  • chronic cough
  • hyfe
  • cough monitoring
  • coughpro
  • refractory chronic cough
  • unexplained chronic cough
  • digital therapeutic
  • DTx
  • software enhanced treatment
  • cough management
  • behavioural cough suppression techniques
  • BCST
  • digital health
  • CoughMonitor Suite
  • cough tracking
  • cough recording
  • cough bouts
  • coughing
  • cough hypersensitivity
  • urge to cough
  • cough-free time
  • Leicester Cough Questionnaire (LCQ)
03

In context

Chronic Cough

142 studies on the registry are indexed under Chronic Cough; 39 are open to participants now.

This study's planned enrollment of 20 is below the median of 60 across 104 interventional studies indexed under Chronic Cough.

Browse Chronic Cough studies →

Lead sponsor

Hyfe Inc is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 21 or older.
  • Currently suffering from a cough that started at least 8 weeks ago that is largely unproductive (i.e., at least 50% of the time the cough produces zero mucus that needs to be spit out or swallowed).
  • Normal chest X-ray or chest CT scan at some point that was prescribed specifically for their cough.
  • At least one physician visit for cough with standard-of-care therapy but inadequate symptom relief.
  • Stability of treatment: willing to avoid new cough treatments during study or report changes if they occur.
  • Ability to comply: willing/able to wear the watch daily for the required duration of study and to complete all required questionnaires.
  • : understanding of the study procedures and agreement to comply with protocol.

Exclusion criteria

Exclusion Criteria:

  • Recent upper respiratory infection (past 4 weeks).
  • History of hemoptysis (coughing up blood) since onset of the current cough.
  • Current smoker (incl. vaping) of any substance.
  • ≥10 consecutive pack-years smoking history within \<10 years prior to screening.
  • Diagnosed with a chronic lung condition (, emphysema, lung cancer, IPF, chronic bronchitis, asthma). Note: Suspected asthma without confirmed diagnosis or benefit from asthma therapy is not an exclusion.
  • Current or past head/neck cancer.
  • Difficulty swallowing.
  • On ACE inhibitors, such as Benzapril (Lotensin), Captopril (Capoten), Enalapril/Enalaprilat (Vasotec oral and injectable), Fosinopril (Monopril), Lisinopril (Zestril and Prinivil), Moexipril (Univasc), Perindopril (Aceon), Quinapril (Accupril), Ramipril (Altace), and Trandolapril (Mavik)
  • Prior treatment for cough by a speech-language pathologist.
  • Living with another individual with a frequent cough that would interfere with monitoring.
  • Participation in any cough intervention study within 30 days or 5 half-lives of the intervention.
  • Major scheduled surgery during the study period.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Cough Management

    CoughPro wellness application includes a Cough Management (CM) component, which delivers short, structured behavioral lessons (based on BCST) designed to help users recognize their urge to cough and apply cough suppression strategies in real-world settings. The Cough Management wellness feature is the key area of investigation in this study.

    Behavioral: Cough Management · Device: CoughMonitor Suite

Interventions

  • BehavioralCough Management

    CoughPro is a smartphone wellness application that uses algorithms to detect and count coughs continuously and passively (similar to a "step counter," but for cough). CoughPro also includes a Cough Management (CM) component, which delivers short, structured behavioral lessons (based on BCST) designed to help users recognize their urge to cough and apply cough suppression strategies in real-world settings. The Cough Management wellness feature is the key area of investigation in this study. The novel CM program is delivered entirely through participants' devices. The application aims to help users better understand and manage their cough by coupling real-time cough detection with self-management BCST resources: * Reduce cough frequency (coughs per hour). * Reduce cough intensity (as measured by cough bouts). * Improve cough-related quality of life (as reported by patients and its correlation with cough-free time as measured objectively).

    Also known as: Behavioural Cough Suppression Techniques (BCST), CoughPro

  • DeviceCoughMonitor Suite

    CoughMonitor Suite's smartwatch is used in this study to continuously, automatically, and passively monitor cough frequency in a fully privacy-preserving way - no audio is recorded, stored, or synced to the cloud, and no human is in the loop.

    Also known as: Hyfe CoughMonitor Suite, Hyfe CMS

06

What researchers measure

Primary outcomes

  1. Change in objective cough rate (coughs/hour)

    Change in objective cough rate (coughs/hours) from baseline (week minus 1) to end of Week 4, measured by the CoughMonitor smartwatch.

    Time frame: From baseline (week minus 1) to end of Week 4

Secondary outcomes

  1. Change in cough intensity from baseline to end of Week 4

    Change in cough intensity from baseline to end of Week 4, including: 1. Number of cough bouts per day. 2. Mean number of coughs within bouts.

    Time frame: Fom baseline (week minus 1) to end of week 4

  2. Change in subjective impression of cough burden

    Change in subjective impression of cough burden using the Leicester Cough Questionnaire (LCQ) from baseline to 4 weeks after starting the intervention. LCQ covers the following domains (19 questions total, each with a value from 0 to 7): Physical, Psychological, Social. Domain scores are a total score from items in domain/number of items in domain (range 1-7). Total LCQ score results from the addition of domain scores with higher scores meaning a better outcome.

    Time frame: From baseline to 4 weeks after starting the intervention.

  3. Change in subjective impression of cough burden

    Change in subjective impression of cough burden using the Patient Global Impression of Severity Scale in Chronic Cough (PGI-S) from baseline to 4 weeks after starting the intervention. Scale from 0 to 5, higher scores mean a worse outcome.

    Time frame: From baseline to 4 weeks after starting the intervention.

Other outcomes

  1. Change in cough-free time

    Change in cough-free time or intervals between coughs, statistical changepoint moments, and day/night distribution from baseline to end of Week 4.

    Time frame: From baseline to end of Week 4.

  2. Usability interview

    Usability interview evaluating the ease of use and features of the CoughPro app, following the completion of this study.

    Time frame: Interview on the study duration, done at the completion of 4 weeks on Cough Management intervention.

07

Study locations

1 of 1 sites recruiting
  • Hyfe Inc.
    Wilmington, Delaware 19801, United States
    Recruiting
    • Laurie Slovarp, PhD, CCC-SLP · Contactstudy@hyfe.com · 302-618-2348
08

References and documents

Publications

  • Sundholm N, Shelly S, Wright ML, Reynolds J, Slovarp L, Gillespie AI. Effect of Behavioral Cough Suppression Therapy Delivered via Telehealth. J Voice. 2025 May;39(3):851.e1-851.e5. doi: 10.1016/j.jvoice.2022.11.015. Epub 2022 Dec 20. PubMed 36550001 ↗
  • Chaccour C, Sanchez-Olivieri I, Siegel S, Megson G, Winthrop KL, Botella JB, de-Torres JP, Jover L, Brew J, Kafentzis G, Galvosas M, Rudd M, Small P. Validation and accuracy of the Hyfe cough monitoring system: a multicenter clinical study. Sci Rep. 2025 Jan 6;15(1):880. doi: 10.1038/s41598-025-85341-3. PubMed 39762316 ↗
  • Yi B, Wang S, Xu X, Yu L. Efficacy of behavioral cough suppression therapy for refractory chronic cough or unexplained chronic cough: a meta-analysis of randomized controlled trials. Ther Adv Respir Dis. 2024 Jan-Dec;18:17534666241305952. doi: 10.1177/17534666241305952. PubMed 39707881 ↗
  • Chamberlain Mitchell SA, Garrod R, Clark L, Douiri A, Parker SM, Ellis J, Fowler SJ, Ludlow S, Hull JH, Chung KF, Lee KK, Bellas H, Pandyan A, Birring SS. Physiotherapy, and speech and language therapy intervention for patients with refractory chronic cough: a multicentre randomised control trial. Thorax. 2017 Feb;72(2):129-136. doi: 10.1136/thoraxjnl-2016-208843. Epub 2016 Sep 28. PubMed 27682331 ↗
  • Slovarp LJ, Jette ME, Gillespie AI, Reynolds JE, Barkmeier-Kraemer JM. Evaluation and Management Outcomes and Burdens in Patients with Refractory Chronic Cough Referred for Behavioral Cough Suppression Therapy. Lung. 2021 Jun;199(3):263-271. doi: 10.1007/s00408-021-00442-w. Epub 2021 Apr 5. PubMed 33821355 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2025 to primary completion in Aug 2025, 4 months.

Of 20 interventional studies with no phase under Chronic Cough, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 48. This study's 4 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 20, 2025
First posted
Jul 17, 2025
StartActual
Mar 27, 2025
Primary completionActual
Aug 8, 2025
CompletionEst.
Sep 2025
Last update
Sep 11, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07070895
Lead sponsor
Hyfe Inc
Responsible party
Sponsor
First posted
Jul 17, 2025
Start date
Mar 27, 2025
Primary completion
Aug 8, 2025
Completion
Sep 2025 (estimated)
Last update
Sep 11, 2025

Study contacts

Laurie Slovarp, PhD, CCC-SLP
Contact
study@hyfe.com
302-618-2348

Oversight

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

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