Cough Central

  • Research type

    Research Study

  • Full title

    Are there Differences in Central Nervous Systems Processing in Patients with Refractory Chronic Cough?

  • IRAS ID

    258150

  • Contact name

    Jacky A Smith

  • Contact email

    jacky.smith@manchester.ac.uk

  • Sponsor organisation

    University Hospital South Manchester

  • ISRCTN Number

    ISRCTN88737146

  • Duration of Study in the UK

    2 years, 0 months, 1 days

  • Research summary

    Cough is one of the most common conditions for which treatment is sought, however, treatment options are very limited. Some people experience chronic cough, which persists despite attempts to treat. This can be very distressing and disruptive to sufferers. It is suspected that these patients suffer from a hyper-sensitivity of the cough reflex, affecting the nerves either in the peripheral or central nervous system (CNS). Some drugs which act on the CNS have been shown to reduce cough in some patients, but not all. In this study we aim to investigate the CNS by comparing brain activity in chronic cough patient to that of healthy controls. We will use resting-state functional magnetic resonance scanning (fMRI) to look at which areas of the brain interact with each other in chronic cough and if this differs from activity seen in healthy volunteers.
    We are also going to investigate the differences between patient who respond to low-dose morphine, a centrally-acting drug, and those who have no benefit from the drug. We intend to relate the findings of the fMRI scans to cough measures, including questionnaire responses, cough frequency and cough reflex sensitivity.

  • REC name

    North West - Greater Manchester West Research Ethics Committee

  • REC reference

    19/NW/0105

  • Date of REC Opinion

    11 Mar 2019

  • REC opinion

    Favourable Opinion