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Trial · NCT02502097

A Study of Gefapixant (AF-219/MK-7264) in Participants With Idiopathic Pulmonary Fibrosis (IPF) With Persistent Cough (MK-7264-016)

NCT02502097, Phase 2, Completed, Afferent Pharmaceuticals, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA); results first posted 2021-05-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Gefapixant (AF-219/MK-7264) in Participants With Idiopathic Pulmonary Fibrosis (IPF) With Persistent Cough (MK-7264-016). Trials, record NCT02502097. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02502097

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study of Gefapixant (AF-219/MK-7264) in Participants With Idiopathic Pulmonary Fibrosis (IPF) With Persistent Cough (MK-7264-016)
NCT number
NCT02502097
Status
Completed
Phases
Phase 2
Enrollment
51 participants, actual
Lead sponsor
Afferent Pharmaceuticals, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
Conditions
Idiopathic Pulmonary Fibrosis, Cough
Interventions
Gefapixant, Placebo
First posted
2015-07-20
Last updated
2021-05-26
Results first posted
2021-05-26

Source ClinicalTrials.gov

Registered outcomes36

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMixed Model of Repeated Measures (MMRM) Change From Baseline in Awake Objective Cough Frequency (Periods 1 & 2 Combined)Baseline (Day 0), Day 7, and Day 14 (Period 1 and Period 2)
Cough monitoring was conducted for 24 hours while awake, at pre-dose on Day 0 (baseline), and after administration of the study drug on Day 7 and Day 14 in Periods 1 and 2. The cough frequency is the coughs/hour over each 24-hour period. Awake objective cough frequency was analyzed using Mixed Effect Model for Repeated Measures (MMRM) to evaluate the results of the 2-period cross-over study. Baseline cough frequency was derived from the cough monitoring performed at the beginning of each treatment period while the post-treatment cough frequency was derived from the cough monitoring performed at the end of the dosing period. A negative change indicates a decrease in cough frequency, while a positive change indicates an increase in cough frequency.
PrimaryAwake Objective Cough Frequency (Periods 1 & 2 Combined)Baseline (Day 0), Day 7, and Day 14 (Period 1 and Period 2)
Cough monitoring was conducted for 24 hours while awake, at pre-dose on Day 0 (baseline), and after administration of the study drug on Day 7 and Day 14 in Periods 1 and 2. The cough frequency is the coughs/hour over each 24-hour period. Awake objective cough frequency was defined as the total number of cough events during the monitoring period the participant was awake divided by the total duration for the monitoring period the participant was awake. Baseline cough frequency was derived from the cough monitoring performed at the beginning of each treatment period while the post-treatment cough frequency was derived from the cough monitoring performed at the end of the dosing period.
PrimaryChange From Baseline of Awake Objective Cough Frequency (Periods 1 & 2 Combined)Baseline (Day 0), Day 7, and Day 14 (Period 1 and Period 2)
Cough monitoring was conducted for 24 hours while awake, at pre-dose on Day 0 (baseline), and after administration of the study drug on Day 7 and Day 14 in Periods 1 and 2. The cough frequency is the coughs/hour over each 24-hour period. Awake objective cough frequency was defined as the total number of cough events during the monitoring period the participant was awake divided by the total duration for the monitoring period the participant was awake. Baseline cough frequency was derived from the cough monitoring performed at the beginning of each treatment period while the post-treatment cough frequency was derived from the cough monitoring performed at the end of the dosing period. A negative value indicates a decrease in cough frequency.
PrimaryPercent Change From Baseline of Awake Objective Cough Frequency (Periods 1 & 2 Combined)Baseline (Day 0), Day 7, and Day 14 (Period 1 and Period 2)
Awake objective cough frequency was defined as the total number of cough events during the monitoring period the participant was awake divided by the total duration for the monitoring period the participant was awake. Percent change from baseline in awake objective cough frequency (0-6 hours after the morning dose) was reported at each dosing interval. Percent change in awake cough frequency = 100 X (post treatment cough frequency - baseline cough frequency) divided by the baseline cough frequency. A negative value indicates a decrease in cough frequency.
SecondaryMMRM Analysis of Change From Baseline in Awake Objective Cough Frequency (Period 1)Baseline (Day 0), Day 7, and Day 14 (Period 1)
Awake objective cough frequency was defined as the total number of cough events during the monitoring period the participant was awake divided by the total duration for the monitoring period the participant was awake. Change from Baseline in awake cough frequency = post-treatment awake cough frequency - Baseline awake cough frequency. A negative value indicates a decrease in cough frequency. A positive value indicates an increase in cough frequency. Baseline cough frequency was derived from the cough monitoring performed at the beginning of each treatment period while the post-treatment cough frequency was derived from the cough monitoring performed at the end of the dosing period. Awake objective cough frequency for Period 1 was analyzed for using MMRM to evaluate the results of the 2-period cross-over study. The derived change measured at each dose were the repeated measures.
SecondaryMMRM Analysis of Change From Baseline in Awake Objective Cough Frequency (Period 2)Baseline (Day 0), Day 7, and Day 14 (Period 2)
Awake objective cough frequency was defined as the total number of cough events during the monitoring period the participant was awake divided by the total duration for the monitoring period the participant was awake. Change from baseline in awake cough frequency = post-treatment awake cough frequency - Baseline awake cough frequency. A negative value indicates a decrease in cough frequency. A positive value indicates an increase in cough frequency. Baseline cough frequency was derived from the cough monitoring performed at the beginning of each treatment period while the post-treatment cough frequency was derived from the cough monitoring performed at the at the end of the dosing period. Awake objective cough frequency for Period 2 was analyzed using MMRM to evaluate the results of the 2-period cross-over study. The derived change measured at each dose were the repeated measures.
SecondaryResponder Analysis of Awake Cough Frequency at Day 7 (Periods 1 & 2 Combined)Day 7 (Period 1 and Period 2)
Awake objective cough frequency was defined as the total number of cough events during the monitoring period the participant was awake divided by the total duration for the monitoring period the participant was awake. The number of participants that met responder criteria for ≥70%, ≥50%, ≥30%, and ≥20% change (reduction) from baseline levels in 24-hour awake cough frequency was reported (Period 1 and Period 2 combined) at Day 7.
SecondaryResponder Analysis of Awake Cough Frequency at Day 14 (Periods 1 & 2 Combined)Day 14 (Period 1 and Period 2)
Awake objective cough frequency was defined as the total number of cough events during the monitoring period the participant was awake divided by the total duration for the monitoring period the participant was awake. The number of participants that met responder criteria for ≥70%, ≥50%, ≥30%, and ≥20% change (reduction) from baseline levels in 24-hour awake cough frequency was reported (Period 1 and Period 2 combined) at Day 14.
SecondaryMMRM Analysis of Change From Baseline 24-hour Objective Cough Frequency (Periods 1 & 2 Combined)Baseline (Day 0), Day 7, and Day 14 (Period 1 and Period 2)
24-hour objective cough frequency = total number of coughs during the monitoring period divided by the total duration for the monitoring period. A negative value indicates a decrease in cough frequency. A positive value indicates an increase in cough frequency. 24-hour objective cough frequency was analyzed using MMRM to evaluate the results of the 2-period cross-over study. The derived change measured at each dose were the repeated measures.
SecondaryMMRM Analysis of Change From Baseline in 24-hour Objective Cough Frequency (Period 1)Baseline (Day 0), Day 7, and Day 14 (Period 1)
24-hour objective cough frequency = total number of coughs during the monitoring period divided by the total duration for the monitoring period. A negative value indicates a decrease in cough frequency. A positive value indicates an increase in cough frequency. 24-hour objective cough frequency for Period 1 was analyzed using MMRM to evaluate the results of the 2-period cross-over study. The derived change measured at each dose were the repeated measures.

Outcomes36

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMixed Model of Repeated Measures (MMRM) Change From Baseline in Awake Objective Cough Frequency (Periods 1 & 2 Combined)Baseline (Day 0), Day 7, and Day 14 (Period 1 and Period 2)
The analysis population includes all randomized participants who had a baseline and at least 1 post-baseline frequency values, were enrolled into the study under protocol amendment 3, and had otherwise complied with the protocol without any major protocol deviations. Participants enrolled prior to protocol amendment 3 were not included in the efficacy analysis.
Coughs/hourLEAST_SQUARES_MEAN
PRIMARYAwake Objective Cough Frequency (Periods 1 & 2 Combined)Baseline (Day 0), Day 7, and Day 14 (Period 1 and Period 2)
The analysis population includes all randomized participants who had a baseline and at least 1 post-baseline frequency values, were enrolled into the study under protocol amendment 3, and had otherwise complied with the protocol without any major protocol deviations. Participants enrolled prior to protocol amendment 3 were not included in the efficacy analysis.
Coughs/hourMEAN
PRIMARYChange From Baseline of Awake Objective Cough Frequency (Periods 1 & 2 Combined)Baseline (Day 0), Day 7, and Day 14 (Period 1 and Period 2)
The analysis population includes all randomized participants who had a baseline and at least 1 post-baseline frequency values, were enrolled into the study under protocol amendment 3, and had otherwise complied with the protocol without any major protocol deviations. Participants enrolled prior to protocol amendment 3 were not included in the efficacy analysis.
Coughs/hourMEAN
PRIMARYPercent Change From Baseline of Awake Objective Cough Frequency (Periods 1 & 2 Combined)Baseline (Day 0), Day 7, and Day 14 (Period 1 and Period 2)
The analysis population includes all randomized participants who had a baseline and at least 1 post-baseline frequency values, were enrolled into the study under protocol amendment 3, and had otherwise complied with the protocol without any major protocol deviations. Participants enrolled prior to protocol amendment 3 were not included in the efficacy analysis.
Percent changeMEAN
SECONDARYMMRM Analysis of Change From Baseline in Awake Objective Cough Frequency (Period 1)Baseline (Day 0), Day 7, and Day 14 (Period 1)
The analysis population includes all randomized participants who had a baseline and at least 1 post-baseline frequency values, were enrolled into the study under protocol amendment 3, and had otherwise complied with the protocol without any major protocol deviations. Participants enrolled prior to protocol amendment 3 were not included in the efficacy analysis.
Coughs/hourLEAST_SQUARES_MEAN
SECONDARYMMRM Analysis of Change From Baseline in Awake Objective Cough Frequency (Period 2)Baseline (Day 0), Day 7, and Day 14 (Period 2)
The analysis population includes all randomized participants who had a baseline and at least 1 post-baseline frequency values, were enrolled into the study under protocol amendment 3, and had otherwise complied with the protocol without any major protocol deviations. Participants enrolled prior to protocol amendment 3 were not included in the efficacy analysis.
Coughs/hourLEAST_SQUARES_MEAN
SECONDARYResponder Analysis of Awake Cough Frequency at Day 7 (Periods 1 & 2 Combined)Day 7 (Period 1 and Period 2)
The analysis population includes all randomized participants who had a baseline and at least 1 post-baseline frequency values, were enrolled into the study under protocol amendment 3, and had otherwise complied with the protocol without any major protocol deviations. Participants enrolled prior to protocol amendment 3 were not included in the efficacy analysis.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYResponder Analysis of Awake Cough Frequency at Day 14 (Periods 1 & 2 Combined)Day 14 (Period 1 and Period 2)
The analysis population includes all randomized participants who had a baseline and at least 1 post-baseline frequency values, were enrolled into the study under protocol amendment 3, and had otherwise complied with the protocol without any major protocol deviations. Participants enrolled prior to protocol amendment 3 were not included in the efficacy analysis.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMMRM Analysis of Change From Baseline 24-hour Objective Cough Frequency (Periods 1 & 2 Combined)Baseline (Day 0), Day 7, and Day 14 (Period 1 and Period 2)
The analysis population includes all randomized participants who had a baseline and at least 1 post-baseline frequency values, were enrolled into the study under protocol amendment 3, and had otherwise complied with the protocol without any major protocol deviations. Participants enrolled prior to protocol amendment 3 were not included in the efficacy analysis.
Coughs/hourLEAST_SQUARES_MEAN
SECONDARYMMRM Analysis of Change From Baseline in 24-hour Objective Cough Frequency (Period 1)Baseline (Day 0), Day 7, and Day 14 (Period 1)
The analysis population includes all randomized participants who had a baseline and at least 1 post-baseline frequency values, were enrolled into the study under protocol amendment 3, and had otherwise complied with the protocol without any major protocol deviations. Participants enrolled prior to protocol amendment 3 were not included in the efficacy analysis.
Coughs/hourLEAST_SQUARES_MEAN

Results by group180

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Mixed Model of Repeated Measures (MMRM) Change From Baseline in Awake Objective Cough Frequency (Periods 1 & 2 Combined)GefapixantDay 7-9.1Standard Error 2.7Coughs/hour
Mixed Model of Repeated Measures (MMRM) Change From Baseline in Awake Objective Cough Frequency (Periods 1 & 2 Combined)PlaceboDay 7-6.6Standard Error 2.7Coughs/hour
Mixed Model of Repeated Measures (MMRM) Change From Baseline in Awake Objective Cough Frequency (Periods 1 & 2 Combined)GefapixantDay 14-6.6Standard Error 4.5Coughs/hour
Mixed Model of Repeated Measures (MMRM) Change From Baseline in Awake Objective Cough Frequency (Periods 1 & 2 Combined)PlaceboDay 14-5.8Standard Error 4.4Coughs/hour
Awake Objective Cough Frequency (Periods 1 & 2 Combined)GefapixantBaseline46.2Standard Deviation 43.06Coughs/hour
Awake Objective Cough Frequency (Periods 1 & 2 Combined)PlaceboBaseline48.0Standard Deviation 55.17Coughs/hour
Awake Objective Cough Frequency (Periods 1 & 2 Combined)GefapixantDay 737.1Standard Deviation 46.52Coughs/hour
Awake Objective Cough Frequency (Periods 1 & 2 Combined)PlaceboDay 741.8Standard Deviation 50.11Coughs/hour
Awake Objective Cough Frequency (Periods 1 & 2 Combined)GefapixantDay 1439.4Standard Deviation 57.67Coughs/hour
Awake Objective Cough Frequency (Periods 1 & 2 Combined)PlaceboDay 1441.9Standard Deviation 44.37Coughs/hour

Participant flow36

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Period 1STARTEDGefapixant>Placebo Pre-Amendment 34
Period 1STARTEDPlacebo>Gefapixant Pre-Amendment 33
Period 1STARTEDGefapixant>Placebo Post-Amendment 322
Period 1STARTEDPlacebo>Gefapixant Post-Amendment 322
Period 1COMPLETEDGefapixant>Placebo Pre-Amendment 34
Period 1COMPLETEDPlacebo>Gefapixant Pre-Amendment 33
Period 1COMPLETEDGefapixant>Placebo Post-Amendment 321
Period 1COMPLETEDPlacebo>Gefapixant Post-Amendment 322
Period 1NOT COMPLETEDGefapixant>Placebo Pre-Amendment 30
Period 1NOT COMPLETEDPlacebo>Gefapixant Pre-Amendment 30

Adverse events69

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersPlacebo2452
otherDiarrhoeaGastrointestinal disordersGefapixant 50 mg3473
otherDiarrhoeaGastrointestinal disordersGefapixant 150 mg040
otherHypoaesthesia oralGastrointestinal disordersPlacebo0450
otherHypoaesthesia oralGastrointestinal disordersGefapixant 50 mg4475
otherHypoaesthesia oralGastrointestinal disordersGefapixant 150 mg040
otherParaesthesia oralGastrointestinal disordersPlacebo0450
otherParaesthesia oralGastrointestinal disordersGefapixant 50 mg4476
otherParaesthesia oralGastrointestinal disordersGefapixant 150 mg040
otherNauseaGastrointestinal disordersPlacebo0450

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo
Total, all-cause mortalityGefapixant 50 mg
Total, all-cause mortalityGefapixant 150 mg
Total, other adverse eventsPlacebo1245
Total, other adverse eventsGefapixant 50 mg3947
Total, other adverse eventsGefapixant 150 mg34
Total, serious adverse eventsPlacebo345
Total, serious adverse eventsGefapixant 50 mg347
Total, serious adverse eventsGefapixant 150 mg14

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
34152585DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

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