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 chronic cough that has not responded to existing treatments will inhale a dry powder designed to block cough signals from the throat and airways. This matters because refractory or unexplained chronic cough (rCC) can persist for years, disrupting sleep, work, and social life, with no reliable treatment options. Current medicines often fail or cause side effects. The drug, taplucainium, targets cough receptors directly, aiming to interrupt the reflex at its source rather than just suppressing symptoms. If the trial shows taplucainium is safe and effective, it could become the first targeted therapy for rCC, offering a new option for patients who have exhausted existing treatments. That would directly improve daily life for people whose cough has resisted standard care—allowing them to speak, sleep, and socialise without constant interruption. The study is a Phase 2b randomised, double-blind, placebo-controlled trial, running for about 13 weeks across sites in the US, Canada, and Europe, including several in the UK.

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

Original classification

Respiratory Medicine

Plain English summaries and category classifications on this site are generated by AI and may not perfectly reflect the original research.