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RecruitingNCT07868419OCEAN-2Updated Oct 9, 2026

Idiopathic Pulmonary Fibrosis (IPF)-Related Chronic Cough Reduction With Nalbuphine (NAL) Extended-Release (ER) Tablets

A Phase 3 interventional study of NAL ER and Placebo in Idiopathic Pulmonary Fibrosis, sponsored by Trevi Therapeutics. Recruiting at 4 sites in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Trevi Therapeutics · Phase 3, Interventional, and Treatment

Updated Oct 9, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
201
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The primary purpose is to evaluate the safety and efficacy of NAL ER for the treatment of chronic cough in participants with IPF.

02

Conditions studied

  • Idiopathic Pulmonary Fibrosis
03

In context

Idiopathic Pulmonary Fibrosis

565 studies on the registry are indexed under Idiopathic Pulmonary Fibrosis; 117 are open to participants now.

This study's planned enrollment of 201 is above the median of 55 across 388 interventional studies indexed under Idiopathic Pulmonary Fibrosis.

Browse Idiopathic Pulmonary Fibrosis studies →

Lead sponsor

Trevi Therapeutics is the lead sponsor of 17 studies on the registry; 3 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 6 (67%) have results posted.

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

04

Who can participate

Ages eligible
40 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

  • Diagnosis of IPF as determined by the Investigator based on American Thoracic Society (ATS)/European Respiratory Society (ERS)/Japanese Respiratory Society (JRS)/Latin American Thoracic Society (ALAT) clinical practice guidelines.
  • Chronic cough for ≥8 weeks prior to Screening.
  • PGI-Severity Score ≥ 2 at Screening.
  • Forced vital capacity (FVC) ≥40 percent (%) of predicted at Screening.
  • Diffusing capacity for carbon monoxide (DLCO) ≥25% of predicted during Screening or within 12 weeks prior to Screening.
  • If currently taking antifibrotic medication (nintedanib, pirfenidone, nerandomilast) should be on a stable dose for at least 6 weeks prior to the Baseline Visit.

Exclusion criteria

Exclusion Criteria:

  • Clinical diagnosis or clinical suspicion of an upper or lower respiratory tract infection in the last 8 weeks prior to the Screening visit or during Screening.
  • Hospitalization for any respiratory illness (including acute exacerbation of IPF) within 8 weeks prior to Screening.

Note: Other protocol-defined inclusion/exclusion criteria may apply.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
201 participants (estimated)

Study arms

  • Experimental
    NAL ER 54 mg

    Participants will undergo a 2-week blinded titration period followed by a fixed dose treatment period receiving NAL ER 54 milligrams (mg) twice daily (BID) for 12 weeks.

    Drug: NAL ER

  • Placebo comparator
    Placebo

    Participants will undergo a 2-week blinded titration period followed by a fixed dose treatment period receiving a matching placebo BID for 12 weeks.

    Drug: Placebo

Interventions

  • DrugNAL ER

    Oral tablets

    Also known as: Nalbuphine

  • DrugPlacebo

    Oral tablets

06

What researchers measure

Primary outcomes

  1. Relative Change from Baseline in 24-hour Cough Frequency at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

Secondary outcomes

  1. Absolute Change from Baseline in the Cough Severity Numerical Rating Scale (CS-NRS) at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  2. Relative Change from Baseline in 24-hour Cough Frequency for NAL ER Compared With Placebo

    Time frame: Baseline, Weeks 6 and 10

  3. Absolute Change from Baseline in 24-hour Cough Frequency for NAL ER Compared With Placebo

    Time frame: Baseline, Weeks 6 and 10

  4. Proportion of Participants Achieving ≥30%, ≥50% and ≥75% Reduction from Baseline in 24-hour Cough Frequency at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  5. Absolute Change from Baseline in the Evaluating Respiratory Symptoms in Idiopathic Pulmonary Fibrosis (E:RS-IPF) Cough Domain at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  6. Absolute Change from Baseline in the E-RS:IPF Total Score and Domain Scores (IPF-Breathlessness, IPF-Cough, IPF-Sputum, and IPF-Chest Symptoms) at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  7. Absolute Change from Baseline in the CS-NRS for NAL ER Compared With Placebo

    Time frame: Baseline up to Week 14

  8. Proportion of Participants Achieving a ≥3-point Improvement from Baseline in CS-NRS for NAL ER Compared With Placebo

    Time frame: Baseline up to Week 14

  9. Absolute Change from Baseline in the Leicester Cough Questionnaire (LCQ) Total Scores at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  10. Absolute Change from Baseline in Each LCQ Domain Score (Physical, Psychological, Social) at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  11. Proportion of Participants Achieving a 1.3-point Increase (Improvement) from Baseline in LCQ Total Score at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  12. Change from Baseline in the European Quality of Life 5 Dimensions 5 Level (EQ-5D-5L) at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  13. Relative Change from Baseline in Awake Cough Frequency at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  14. Relative Change from Baseline in Sleep Cough Frequency at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  15. Absolute Change from Baseline in the Patient Global Impression of Severity (PGI-S) Cough Score at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  16. Absolute Change from Baseline in the Patient Global Impression of Change (PGI-C) Cough Score at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  17. Proportion of Participants with Improvements by ≥1 and ≥2 Categories from Baseline on the PGI-S Cough at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  18. Relative Change from Baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) at Week 14 for NAL ER Compared With Placebo

    Time frame: Baseline, Week 14

  19. Safety and Tolerability as Assessed by Number of Participants with Treatment Emergent Adverse Events (TEAEs)

    Time frame: Baseline up to Week 17

07

Study locations

4 of 4 sites recruiting
  • Premier Medical Associates, LLC
    Wilmington, Delaware 19803, United States
    Recruiting
  • Essential Health and Research Services
    North Miami Beach, Florida 33162, United States
    Recruiting
  • American Health Research - Charlotte Location
    Charlotte, North Carolina 28277, United States
    Recruiting
  • Hillcroft Medical Clinic
    Sugar Land, Texas 77478, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07868419
Lead sponsor
Trevi Therapeutics
Responsible party
Sponsor
First posted
Oct 9, 2026
Start date
Sep 30, 2026
Primary completion
Aug 2027 (estimated)
Completion
Oct 2027 (estimated)
Last update
Oct 9, 2026

Study contacts

Paula Buckley
Contact
Paula.Buckley@trevitherapeutics.com
(203) 304-2499
Chief Development Officer
study director · Trevi Therapeutics, Inc.

Oversight

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

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