Completed Lungs & Breathing NIHR-supported project Cancer

ASPIRE Phase 2b, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy, Safety, and Tolerability of Taplucanium Inhalation Powder (NOC-110) in Adults with Refractory or Unexplained Chronic Cough

In plain English

AI plain-English summary

Around 325 adults with a chronic cough that has not responded to existing treatments will inhale a dry powder designed to block the cough signal before it reaches the brain. This matters because refractory or unexplained chronic cough (rCC) affects a significant number of people—persistent coughing lasting over a year, often with no clear cause or effective remedy. Current treatments frequently fail, leaving patients with disrupted sleep, social embarrassment, and physical exhaustion. Taplucainium targets a specific mechanism: it blocks signals from cough receptors in the throat and airways, potentially stopping the cough at its source rather than just managing symptoms. If this Phase 2b trial shows that taplucainium is safe and effective, it could offer a new, targeted treatment option for people with rCC who currently have few alternatives. The study compares the drug against a placebo over roughly 13 weeks, with participants randomly assigned to either group. Success would mean a practical, inhalable therapy that directly addresses the underlying nerve signalling problem, potentially improving quality of life for thousands of patients in the UK and beyond.

View original technical description
The purpose of this clinical research study is to look at whether the investigational study drug, taplucainium, works and how safe it is in adults with refractory or unexplained chronic cough (rCC). Refractory means that treatments have not made it better; chronic means long term.Taplucainium is a dry powder that has been placed into a capsule. Participants will take the capsule using an inhaler, which will release the powder allowing the participants to breathe the powder in. Taplucainium is designed to block the signals sent from cough receptors in the throat and airways. These signals tell the brain to cause coughing. In this study, the study drug, taplucainium, will be compared with a placebo. A placebo looks like the study drug but does not contain any actual medicine. During the study, participants will be randomly assigned to receive the study drug or placebo. The total duration of the study for each participant will be approximately 13 weeks, including a Screening period (up to 4 weeks); a Study treatment period (up to 7 weeks) and a Follow-up period (about 2 weeks). Only people who are aged 18 to 80 years; have had a persistent cough for more than 1 year and have seen a doctor and received prescribed or over-the-counter medicines but their cough as not gotten better, or has only improved a little can take part. This study is sponsored by Nocion Therapeutics, Inc. Approximately 325 participants will take part in the study across all study centres in the United States, Canada, and Europe, including several sites in the United Kingdom.

Researchers

Matthew Martin (Principal Investigator)

Related Research

Grants with similar aims, by meaning.

A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy, Safety, and Tolerability of Taplucainium Inhalation Powder (NOC-110) in Adults with Refractory or Unexplained Chronic Cough
"A Phase IIa, multicenter, randomized, double-blind, placebo-controlled, crossover study to evaluate the efficacy, safety, pharmacokinetics, and pharmacodynamic effects of GDC-6599 in patients with chronic cough"
A Phase IIa, multicenter, randomized, double-blind, placebo-controlled, crossover study to evaluate the efficacy, safety, pharmacokinetics, and pharmacodynamic effects of GDC-6599 in patients with chronic cough
A Randomized, Double-Blind, Placebo-Controlled, Parallel, 4-Arm Dose Ranging Study of the Safety and Efficacy of NAL ER Tablets for the Treatment of Cough in Idiopathic Pulmonary Fibrosis (IPF)
A Phase 3, 52-Week, Randomized, Efficacy and Safety Study with Open-Label Extension of BLU-5937 in Adult Participants with Refractory or Unexplained Chronic Cough

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