Cough Monitoring for Clinical Trials

Our team of expert Cough Analysts are available to provide objective cough counts recorded using the VitaloJAKĀ® Cough Monitor to provide gold standard objective cough counts.
Lady coughing

Our Experience

At Vitalograph, we have proven expertise in Cough Studies. With over 58 clinical trials with world-leading pharmaceutical and research partners, 22 million coughs counted, and 37,000 recorded sessions (As of October, 2024).
Vitalograph is an industry leader in cough frequency assessment. We provide objective cough counts recorded using the VitaloJAKĀ® Cough Monitoring System. This system has redefined how cough is measured in clinical trials by providing evidence for therapeutic effect of investigational medicinal products in conditions such as chronic cough, IPF, asthma, COPD and cystic fibrosis.
Output data accuracy: 
>99% sensitivity, >97% specificity and intra- and inter-rater reliability for 24-hour recordings shown to exceed 0.99 

Our Support

Vitalographā€™s team of expert Cough Analysts are available to provide objective cough counts recorded using the VitaloJAKĀ® Cough Monitor. Recordings are uploaded by Sites through the central data management system, the Vitalograph Web Portal. They are then processed through the semi-automated cough analysis system using a compression algorithm developed by the internationally renowned cough researchers Prof Jacky Smith, Dr. Kevin McGuiness, and Prof Ashley Woodcock, working at Manchester University NHS Foundation Trust (MFT).
A detailed Cough Analysis plan will be agreed upon at the start of the Study to ensure the definition of cough, query resolution, handling of early terminations, level of QC and other requirements as clearly specified. 
Clinical Trial Management Services Include:
  • Clinical trialā€Ædevices and software including VitaloJAK high fidelity cough monitoring device and test kits, Vitalograph Web Portal to collect and manage analysis of cough data and VitaloJAK algorithm to remove non-cough sounds.

  • An expert cough analysis service: Benefit from continuous access to subject matter experts throughout the lifecycle of your study, ensuring informed decisions at every stage. 

  • Professional and dedicatedā€Æstudy services. Study reports can be tailored to your needs so that the primary, secondary and/or exploratory endpoints can be reviewed on a regular basis, giving you live overview of your study. 

Key Endpoints We Measure

Objective frequency of cough is the preferred assessment of cough in clinical trials. 
 We offer a robust, customisable system for the measurement and analysis of cough study data in Phase I ā€“ IV trials. The study reports can be tailored to your needs so that the primary, secondary and/or exploratory endpoints can be reviewed on a regular basis, giving you live overview of your study. 

 

Criteria 

Example Endpoints 

Cough counts 

  • Cough count over the 24-hour recording 

  • Cough count per hourly segments 

  • Including screening, baseline and treatment counts. 

  • Change from baseline in awake cough frequency 

Events 

  • Sleep / wake events 

  • Quality events 

Subjective Endpoints

  • Quality of life questionnaires

  • Cough questionnaire

ā€œMeasures of both intra- and inter-rater reliability for both filtered and full-length 24-hour recordings were found to be excellent, exceeding a reliability of 0.99ā€ā€Æ 

Mines et al. Assessment of Inter- and Intra- Rater Reliability of Objective Cough Frequency in patients with Chronic Cough. European Respiratory Journal 2019; 54: Suppl. 63, PA4342
Case Study

Cough: Study solutions for a global trial

A customer was conducting a suite of phase II/III Clinical trials to investigate the efficacy and safety of an investigational medicinal product in patients with chronic cough.  These were global studies with >300 sites, >3000 VitaloJAKs and 30,000 sensor kits and data cards.

31 2a Chronic Cough
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