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Trial registered on ANZCTR
Registration number
ACTRN12607000053426
Ethics application status
Approved
Date submitted
15/01/2007
Date registered
16/01/2007
Date last updated
10/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of Speech Pathology on Cough Reflex Hypersensitivity in Chronic Cough
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Scientific title
Effect of Speech Pathology on Cough Reflex Hypersensitivity in Chronic Cough
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Secondary ID [1]
287857
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
SPECC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Cough
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Condition category
Condition code
Respiratory
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0
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Normal development and function of the respiratory system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Speech Pathology involves a number of speciifc breathing and voice exercises that retrain the vocal cords to open on inspiration and close on expiration.
Education/Reassurance, specific strategies for controlling the cough sensation such as swallowing instead of coughing or sipping regular small quantities of water when the sensation to cough arises. Reassurance, involves assuring the subject that their chronic cough is not caused by a fatal disease and that their condition can be improved and even resolved in cases.
Intervention and control treatments have a duration of one hour.
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Intervention code [1]
1558
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Treatment: Other
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Comparator / control treatment
No Intervention, the subject is directed to sit in the waiting room and supplied with reading material.
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Control group
Active
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Outcomes
Primary outcome [1]
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Cough Reflex Sensitivity (C5)
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Assessment method [1]
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Timepoint [1]
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Baseline (0) and 1 hour and after 4-5 sessions of speech therapy
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Secondary outcome [1]
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Cough monitor (frequency)
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Assessment method [1]
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Timepoint [1]
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Baseline (0) and vsit 2 which is 4-5 sessions of speech therapy completed.
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Eligibility
Key inclusion criteria
Chronic cough (> 8 weeks).
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Previously undergone speech therapy.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Central randomisation by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomisation table created by computer software.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
subject is blinded
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
17/01/2007
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Actual
5/03/2007
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Date of last participant enrolment
Anticipated
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Actual
3/08/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
72
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Accrual to date
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Final
17
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Faculty of Health/Department of Respiratory Medicine, University of Newcastle
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Address [1]
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Callaghan Campus, Newcastle, 2300, NSW
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Hunter New England Health, Professor Peter Gibson
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Address
Hunter Medical Research Institute,
Dept. of Respiratory and Sleep Medicine
Level 3 John Hunter Hospital,
Lookout Road, New Lambton, NSW, 2305
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Nil
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Address [1]
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Country [1]
1611
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Hunter New England Human Research Ethics Committee of Hunter New England Health
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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13/12/2006
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Ethics approval number [1]
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06/11/22/5.05
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Summary
Brief summary
This research study will investigate how speech pathology treatments may work for chronic cough. Chronic cough is a common problem that can be caused by conditions such as asthma, rhinitis and reflux. In approximately 20% of people, chronic cough remains unexplained. Recently we have identified that 50% of chronic cough sufferers have Paradoxical Vocal Cord Movement or Vocal Cord Dysfunction coexisting with chronic cough. Paradoxical vocal movement or vocal cord dysfunction is a condition that results in the vocal cords closing rather than opening when you breathe in. This can cause cough or breathing problems. Paradoxical vocal cord movement can be effectively treated with speech pathology. This study will assess how speech pathology benefits chronic cough. The purpose of this study is to:- (i) To investigate the effects of various aspects of the speech pathology treatment program on cough reflex sensitivity. (ii) To compare changes in cough reflex sensitivity following single components of the speech pathology intervention e.g. voluntary control versus specific strategies. It is hypothesised that specific speech pathology treatments will decrease cough reflex hypersensitivity.
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Trial website
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Trial related presentations / publications
* Ryan NM, Gibson PG. Recent additions in the treatment of cough. J Thorac Dis. 2014; 6 (Suppl 7): S739–S747. doi: 10.3978/j.issn.2072-1439.2014.03.13 * Gibson PG, Ryan NM. Cough pharmacotherapy: current and future status. Expert Opin Pharmacother. 2011;12(11):1745-55. (Invited Manuscript) * Ryan NM, Vertigan AE, Bone SL, Gibson PG. Cough reflex sensitivity improves with speech language pathology management of refractory chronic cough. Cough. 2010;6:5.
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Public notes
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Attachments [1]
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/AnzctrAttachments/81812-SPECC Study Publication, Cough, 2010.pdf
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Contacts
Principal investigator
Name
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Dr Nicole M Ryan
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Address
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Clinical Toxicology Research Group, the University of Newcastle
Level 5, New Med Building, Calvary Mater Newcastle
Edith Street, Waratah, NSW 2298.
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Country
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Australia
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Phone
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+61249211312
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Nicole M Ryan
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Address
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Clinical Toxicology Research Group, the University of Newcastle
Level 5, New Med Building, Calvary Mater Newcastle
Edith Street, Waratah, NSW 2298.
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Country
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Australia
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Phone
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+61249211312
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Fax
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+61240143873
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Peter Gibson
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Address
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Level 3 Room 3598
School of Medicine and Public Health
Hunter Medical Research Institute
John Hunter Hospital
Lookout Road
New Lambton Heights NSW 2305
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Country
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Australia
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Phone
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+61 2 49855766
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Fax
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+61 2 49855850
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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