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Trial ยท NCT04030026

A Study of Nalbuphine (Extended Release) ER in Idiopathic Pulmonary Fibrosis (IPF) for Treatment of Cough

NCT04030026, Phase 2, Completed, Trevi Therapeutics; results first posted 2025-05-29

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Nalbuphine (Extended Release) ER in Idiopathic Pulmonary Fibrosis (IPF) for Treatment of Cough. Trials, record NCT04030026. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04030026

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Trial

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

Title
A Study of Nalbuphine (Extended Release) ER in Idiopathic Pulmonary Fibrosis (IPF) for Treatment of Cough
NCT number
NCT04030026
Status
Completed
Phases
Phase 2
Enrollment
42 participants, actual
Lead sponsor
Trevi Therapeutics
Conditions
Idiopathic Pulmonary Fibrosis
Interventions
NAL ER, Placebo
First posted
2019-07-23
Last updated
2025-05-29
Other registries' IDs
eudract:2018-004744-31
Results first posted
2025-05-29

Source ClinicalTrials.gov

Registered outcomes18

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

ListOutcomeTime frameDescription
PrimaryNumber of Participants Who Experienced at Least One Treatment Emergent Adverse Events (TEAEs)Up to Day 72
An AE was defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A TEAE was defined as any AE that occurs after the first dose of study drug. TEAEs included both serious and non-serious TEAEs.
PrimaryNumber of Participants With Clinically Significant Abnormalities in Laboratory ParametersUp to Day 72The clinical laboratory parameters included the urinalysis, hematology, serum chemistry, coagulation and liver function parameters. Clinical significance was determined by the investigator.
PrimaryNumber of Participants With Clinically Significant Changes in Vital Sign ParametersUp to Day 72Vital signs measurements included blood pressure, heart rate, and respiration rate, body temperature, pulse oximetry, and weight. Clinical significance was determined by the investigator.
PrimaryNumber of Participants With Clinically Significant Changes in Physical Examination ParametersUp to Day 72
Physical examination included examination of the following body systems: general appearance, eyes, ears, nose, throat, head and neck, chest and lungs, cardiovascular, abdomen, musculoskeletal, lymphatic, dermatological, neurological, and extremities. Clinical significance was determined by the investigator.
PrimaryNumber of Participants With Clinically Significant Abnormalities in 12-Lead Electrocardiogram (ECG)Up to Day 72
Changes in ECG data such as heart rate, rhythm, and other clinically significant abnormalities (left ventricular hypertrophy, pathological Q-waves) were measured. Clinical significance was determined by the investigator.
PrimaryChange From Baseline in Forced Vital Capacity (FVC) at Day 21Baseline, Day 21Spirometry was used to assess FVC. It was used to assess pulmonary breathing mechanics.
PrimarySubjective Opiate Withdrawal (SOWS) Total Raw ScoreUp to Day 72
The SOWS is a self-administered scale for grading opioid withdrawal symptoms and was collected via the study issued e-diary. It consisted of 16 symptoms related to how the participant felt. Each symptom was scored between 0 to 4. The total score ranges between 0 to 64, higher score indicates more severe symptoms.
PrimaryDaytime Cough Frequency at BaselineAt Baseline
Daytime cough was defined as cough that occurs between the time that the participant is a wake in the 24 hours after the digital cough monitor was applied for use. Assessment was done using objective digital cough monitoring. Baseline was defined as the last available assessment prior to the first Treatment Period 1 IP intake.
PrimaryPercent Change From Baseline in Daytime Cough Frequency at Day 22Baseline, Day 22
Daytime cough was defined as cough that occurs between the time that the participant is a wake in the 24 hours after the digital cough monitor was applied for use. Assessment was done using objective digital cough monitoring. Percent change in daytime cough frequency (coughs per hour) from baseline was assessed. Baseline was defined as the last available assessment prior to the first Treatment Period 1 IP intake.
SecondaryChange From Baseline in Daytime Cough Frequency at Day 22Baseline, Day 22
Daytime cough was defined as cough that occurs between the time that the participant wakes up and the time that the participant goes to bed. Assessment was done using objective digital cough monitoring. The change in daytime cough frequency (coughs per hour) from baseline was assessed. Baseline was defined as the last available assessment prior to the first Treatment Period 1 IP intake.

Outcomes18

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants Who Experienced at Least One Treatment Emergent Adverse Events (TEAEs)Up to Day 72
SAS included all randomized participants who had received at least 1 dose of the IP. 3 participants did not receive at least one dose of NAL ER but received placebo and 1 participant did not receive at least one dose of placebo but received NAL ER treatment. Data was summarized under actual treatment received (NAL ER or placebo) independently whether this was received in Treatment Period 1 or 2 (participants who received both treatments are counted in both NAL ER and placebo columns).
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Clinically Significant Abnormalities in Laboratory ParametersUp to Day 72
SAS included all randomized participants who had received at least 1 dose of the IP. 3 participants did not receive at least one dose of NAL ER but received placebo and 1 participant did not receive at least one dose of placebo but received NAL ER treatment. Data was summarized under actual treatment received (NAL ER or placebo) independently whether this was received in Treatment Period 1 or 2 (participants who received both treatments are counted in both NAL ER and placebo columns).
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Clinically Significant Changes in Vital Sign ParametersUp to Day 72
SAS included all randomized participants who had received at least 1 dose of the IP. 3 participants did not receive at least one dose of NAL ER but received placebo and 1 participant did not receive at least one dose of placebo but received NAL ER treatment. Data was summarized under actual treatment received (NAL ER or placebo) independently whether this was received in Treatment Period 1 or 2 (participants who received both treatments are counted in both NAL ER and placebo columns).
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Clinically Significant Changes in Physical Examination ParametersUp to Day 72
SAS included all randomized participants who had received at least 1 dose of the IP. 3 participants did not receive at least one dose of NAL ER but received placebo and 1 participant did not receive at least one dose of placebo but received NAL ER treatment. Data was summarized under actual treatment received (NAL ER or placebo) independently whether this was received in Treatment Period 1 or 2 (participants who received both treatments are counted in both NAL ER and placebo columns).
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Clinically Significant Abnormalities in 12-Lead Electrocardiogram (ECG)Up to Day 72
SAS included all randomized participants who had received at least 1 dose of the IP. 3 participants did not receive at least one dose of NAL ER but received placebo and 1 participant did not receive at least one dose of placebo but received NAL ER treatment. Data was summarized under actual treatment received (NAL ER or placebo) independently whether this was received in Treatment Period 1 or 2 (participants who received both treatments are counted in both NAL ER and placebo columns).
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYChange From Baseline in Forced Vital Capacity (FVC) at Day 21Baseline, Day 21
Participants in SAS were analyzed.3 participants did not receive at least 1 dose of NAL ER but received placebo and 1 participant did not receive at least 1 dose of placebo but received NAL ER treatment. Data was summarized under actual treatment received (NAL ER or placebo) independently whether in Treatment Period 1 or 2 (participants who received both treatments are counted in both NAL ER and placebo columns).Overall number of participants analyzed'=participants who were evaluable for the OM.
litre(s)MEAN
PRIMARYSubjective Opiate Withdrawal (SOWS) Total Raw ScoreUp to Day 72
Participants in SAS were analyzed.3 participants did not receive at least 1 dose of NAL ER but received placebo and 1 participant did not receive at least 1 dose of placebo but received NAL ER treatment. Data was summarized under actual treatment received (NAL ER or placebo) independently whether in Treatment Period 1 or 2 (participants who received both treatments are counted in both NAL ER and placebo columns).Overall number of participants analyzed'=participants who were evaluable for the OM.
score on a scaleMEAN
PRIMARYDaytime Cough Frequency at BaselineAt Baseline
Full Analysis Set (FAS) included all randomized participants who had received at least single dose of the study medication and provided study baseline and at least one post -baseline primary efficacy variable assessment during the treatment Period.
coughs per hourMEAN
PRIMARYPercent Change From Baseline in Daytime Cough Frequency at Day 22Baseline, Day 22
FAS included all randomized participants who had received at least single dose of the study medication and provided study baseline and at least one post -baseline primary efficacy variable assessment during the treatment Period. 'Overall number of participants analyzed' included those participants who were evaluable for this outcome measure.
percent changeGEOMETRIC_MEAN
SECONDARYChange From Baseline in Daytime Cough Frequency at Day 22Baseline, Day 22
FAS included all randomized participants who had received at least single dose of the study medication and provided study baseline and at least one post -baseline primary efficacy variable assessment during the treatment Period. 'Overall number of participants analyzed' included those participants who were evaluable for this outcome measure.
coughs per hourMEAN

Results by group60

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants Who Experienced at Least One Treatment Emergent Adverse Events (TEAEs)NAL ER35Participants
Number of Participants Who Experienced at Least One Treatment Emergent Adverse Events (TEAEs)Placebo26Participants
Number of Participants With Clinically Significant Abnormalities in Laboratory ParametersNAL ERUrinalysis0Participants
Number of Participants With Clinically Significant Abnormalities in Laboratory ParametersPlaceboUrinalysis0Participants
Number of Participants With Clinically Significant Abnormalities in Laboratory ParametersNAL ERHematology1Participants
Number of Participants With Clinically Significant Abnormalities in Laboratory ParametersPlaceboHematology0Participants
Number of Participants With Clinically Significant Abnormalities in Laboratory ParametersNAL ERSerum Chemistry1Participants
Number of Participants With Clinically Significant Abnormalities in Laboratory ParametersPlaceboSerum Chemistry1Participants
Number of Participants With Clinically Significant Abnormalities in Laboratory ParametersNAL ERCoagulation0Participants
Number of Participants With Clinically Significant Abnormalities in Laboratory ParametersPlaceboCoagulation1Participants

Participant flow14

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

PeriodMilestoneGroupParticipantsUnits counted
Treatment Period 1 (22 Days)STARTEDFirst NAL ER Then Placebo21
Treatment Period 1 (22 Days)STARTEDFirst Placebo Then NAL ER21
Treatment Period 1 (22 Days)Safety Analysis SetFirst NAL ER Then Placebo20
Treatment Period 1 (22 Days)Safety Analysis SetFirst Placebo Then NAL ER21
Treatment Period 1 (22 Days)COMPLETEDFirst NAL ER Then Placebo19
Treatment Period 1 (22 Days)COMPLETEDFirst Placebo Then NAL ER19
Treatment Period 1 (22 Days)NOT COMPLETEDFirst NAL ER Then Placebo2
Treatment Period 1 (22 Days)NOT COMPLETEDFirst Placebo Then NAL ER2
Treatment Period 2 (22 Days)STARTEDFirst NAL ER Then Placebo19
Treatment Period 2 (22 Days)STARTEDFirst Placebo Then NAL ER19

Adverse events32

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDizzinessNervous system disordersNAL ER1038
otherDizzinessNervous system disordersPlacebo040
otherSomnolenceNervous system disordersNAL ER938
otherSomnolenceNervous system disordersPlacebo140
otherHeadacheNervous system disordersNAL ER538
otherHeadacheNervous system disordersPlacebo540
otherLethargyNervous system disordersNAL ER338
otherLethargyNervous system disordersPlacebo240
otherFatigueGeneral disordersNAL ER1238
otherFatigueGeneral disordersPlacebo340

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityNAL ER042
Total, all-cause mortalityPlacebo042
Total, other adverse eventsNAL ER3538
Total, other adverse eventsPlacebo2640
Total, serious adverse eventsNAL ER138
Total, serious adverse eventsPlacebo140

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
38320144DERIVED

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 comparisons6

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

ComparisonSource
NAL ER vs Placebo: Number of Participants With Clinically Significant Abnormalities in 12-Lead Electrocardiogram (ECG)Trial comparisons
NAL ER vs Placebo: Number of Participants With Clinically Significant Changes in Physical Examination ParametersTrial comparisons
NAL ER vs Placebo: Number of Participants With Clinically Significant Changes in Vital Sign ParametersTrial comparisons
NAL ER vs Placebo: Number of Participants Who Experienced at Least One Treatment Emergent Adverse Events (TEAEs)Trial comparisons
NAL ER vs Placebo: deaths from any causeTrial comparisons
NAL ER vs Placebo: serious adverse eventsTrial comparisons

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.

GET https://conductscience.org/api/trials/v1/NCT04030026

GET https://conductscience.org/api/trials/v1/NCT04030026/results?page=2