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The Effect of Long term Low dose Erythromycin on cough frequency in chronic unexplained cough: a randomised double-blind placebo controlled parallel group trial
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN75393495
Date ISRCTN assigned06/08/2007
Local reference number(s)1
Public titleThe Effect of Long term Low dose Erythromycin on cough frequency in chronic unexplained cough: a randomised double-blind placebo controlled parallel group trial
Scientific title
AcronymELLE
Disease/condition/study domainChronic unexplained cough
Study hypothesisLong term low dose erythromycin will improve both objective and subjective markers of chronic unexplained cough.
Design/methodologyRandomised double-blind placebo controlled parallel group trial
Research ethics reviewEthics approval pending as of 24th July 2007.
Countries of trialUnited Kingdom
Participants - inclusion criteria1. Cough lasting greater than eight weeks
2. Normal Spirometry
3. A Provocative Concentration of methacholine required to cause a 20% fall (PC20) in Forced Expiratory Volume in one second (FEV1) of greater than 8 mg/ml
4. A normal sputum eosinophil count (less than 3%)
5. No response to a three-month trial of treatment with a high dose Proton-Pump Inhibitor (PPI)
6. No response to a trial of a nasal steroid
7. A normal thoracic Computed Tomography (CT)
Participants - exclusion criteria1. Current smokers or past smokers with a greater than 10 pack year history will be excluded
2. Those with a history of intolerance macrolide antibiotics
3. Pregnant or breastfeeding women
Patient information material
Anticipated start date01/09/2007
Anticipated end date01/08/2009
Status of trialOngoing
Target number of participants40
Interventions250 mg of erythromycin once a day for three months or placebo once a day for three months.
Primary outcome measure(s)24-hour cough frequency.

Primary and secondary endpoints will be measured at baseline, 6 weeks into treatment, at 3 months (at the end of treatment) and at 3 months after the end of treatment.
Secondary outcome measure(s)1. Leicester cough questionnaire score
2. Visual analogue score
3. Difference in sputum inflammatory markers

Primary and secondary endpoints will be measured at baseline, 6 weeks into treatment, at 3 months (at the end of treatment) and at 3 months after the end of treatment.
Sources of fundingGlenfield Hospital Clinical Trials Unit (UK)
Sponsor nameUniversity Hospitals of Leicester NHS Trust (UK)
Sponsor detailsc/o Professor David Rowbotham
Leicester General Hospital
Research Office
Gwendolen Road
Leicester
United Kingdom
LE5 4PW
Sponsor websitehttp://www.uhl-tr.nhs.uk/
Contact nameDr Nadia Yousaf
Contact detailsGlenfield Hospital
Groby Road
Leicester
United Kingdom
LE3 9QP
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN75393495
Date last extracted from ISRCTN register17/04/2008
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