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Cough Monitoring

Strados Objective Cough Monitoring

Capture real-world cough burden with flexible monitoring solutions designed around your protocol, endpoint strategy, and patients.

Cough Frequency Cough Bouts Sound Intensity Sleep/Wake Activity Levels
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Cough Monitor - Strados Labs

STRADOS FOR COUGH MONITORING

Cough monitoring for any study design

Strados combines multiple wearable options, analysis approaches, and an expanding set of cough measures to support a wide range of research needs.

Multiple devices to fit the needs of your study
Gold-standard human annotation or automated cough detection
Cough measures beyond frequency, including cough bouts, sound intensity and lung sounds
Strados Labs Cough Monitoring Suite

PRODUCT SUITE

Choose the right cough monitoring device for your study

RESP® Biosensor

High-fidelity, multi-dimensional cough monitoring

Designed to capture cough frequency in daily life with the highest fidelity and accuracy, as well as cough bouts and sound intensity.

Best for: Primary endpoints, secondary endpoints, and multidimensional cough monitoring beyond frequency.

Two FDA 510(k) clearances and CE marked.

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RESP® Watch

Seamless, multi-day cough monitoring

A familiar form factor designed for easy deployment, particularly well suited for capturing cough over longer, multi-day monitoring periods.

Best for: Subject screening, feasibility studies, population studies, and exploratory endpoints or substudies.

Supported by Samsung Galaxy Watch 8

Not a medical device; for clinical trial use only.

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HOW IT WORKS

From cough capture to endpoint-ready data

Capture cough and related respiratory data, securely transfer recordings to the Strados Cloud, and select the analysis approach that fits your study.

STEP 1

Capture

Passively capture cough and related measures in daily life.

Synced

STEP 2

Securely transfer

Encrypted data securely syncs through the companion device.

STEP 3

Analyze in the Strados Cloud

Flexible analysis approaches to fit study goals.

STEP 3

Deliver subject reports

Sponsors and study teams receive subject reports.

On-device cough detection is also available.

BUILT AROUND YOUR STUDY

Cough monitoring for multiple
clinical trial applications

Configure cough monitoring around your protocol, population, endpoint strategy, and required monitoring duration.

Primary endpoints

24-hour cough frequency supported by gold-standard manual cough annotation for regulatory-grade evidence.

Secondary endpoints

Support multidimensional cough endpoints beyond frequency, including cough bouts, intensity, and day/night patterns.

Exploratory endpoints and substudies

Improve understanding of cough burden and quality of life in respiratory studies such as IPF, asthma, COPD, and bronchiectasis.

Feasibility and proof-of-concept studies

Evaluate cough patterns and establish endpoint parameters before larger studies.

Real-world evidence

Capture cough burden during daily life, outside the limits of scheduled site assessments.

See the full picture of cough burden

Go beyond cough frequency by capturing multiple dimensions of cough burden, including cough sound intensity and cough bouts.

Cough frequency

Measure traditional cough count across predefined monitoring periods

Cough bouts

Capture these highly burdensome events in chronic coughers 

Day and night patterns

Evaluate changes during waking and sleeping periods

Cough sound intensity

Not all coughs are the same - better understand the quality and forcefulness of each cough

Lung sounds

Capture wheezing, crackles and rhonchi alongside cough

Actigraphy, vitals and sleep

Explore how cough relates to daily activity, rest, and physiological signals

*Measurement not FDA cleared; for research use only.

MULTI-DAY COUGH FREQUENCY

Representative monitoring window

Illustrative
Coughs/hour08162418.4Day 116.2Day 221.5Day 314.8Day 419.3Day 5
Daily cough frequency

INTELLIGENCE ADVANTAGE

Flexible Cough Analysis to Fit Your Study

Strados offers both manual gold-standard cough annotation by trained analysts and automated machine-learning detection with CoughCheck™*, plus hybrid approaches that combine the two. Configure the analysis to fit your study's endpoints, volume, budget, and regulatory requirements, with retained source audio creating a traceable evidence chain from capture through final reporting.

Learn about the Intelligence Advantage

*CoughCheck machine learning algorithm not FDA cleared; for research use only.

Gold-standard annotation

Trained Strados specialists manually review cough recordings, aligning with primary endpoint requirements.

Automated detection

Machine-learning cough detection offers an economical, efficient option for applications such as subject screening.

Hybrid approaches

Strados has developed a novel hybrid approach combining automated cough detection with expert quality review.

Retained source audio

Cough audio recordings are preserved for traceability and audit readiness from capture through reporting.

Objective cough monitoring across respiratory research

Support endpoint development and treatment evaluation across a range of respiratory conditions and research applications.

Refractory or unexplained chronic cough

Asthma

COPD

Interstitial lung disease

Bronchiectasis

Cystic fibrosis

Respiratory infection

Oncology and treatment-related cough

Indications represent research applications and do not imply that every measurement has been validated as a primary endpoint in every condition.

Publications

Clinical evidence for cough monitoring

View all publications

Objective monitoring detects more patients with coughs than monitoring tools based on patient self-reported symptoms

2023 · American Cough Conference

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Cough Detection Performance of the CoughCheck™ Algorithm in Subjects with Subacute Cough

2025 · ATS Annual Conference

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The Strados Remote Electronic Stethoscope Platform: a novel wearable remote auscultation system

2020 · ATS Annual Conference

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Results of Clinical Performance Testing of a Novel Wearable E-Stethoscope in Patients with Chronic Lung Diseases

2022 · ATS Annual Conference

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RESOURCES

Explore more Strados cough resources

Support endpoint development and treatment evaluation across a range of respiratory conditions and research applications.

Resource Hub

Browse resources covering objective cough measurement, digital endpoints, and respiratory acoustic analysis.

Visit the Resource Hub

Key Cough Resource

Read our Cough Endpoint & Validation Guidance for an overview of FDA validation requirements for cough monitoring.

Read the Cough Validation Guidance

eCOA

Pair cough monitoring with Strados eCOA to capture patient-reported symptoms alongside objective cough data for a more complete view of treatment response.

Explore eCOA

Meet the team behind our cough expertise

Our clinical, regulatory, and data-science specialists partner with sponsors from protocol design through analysis.

Meet our Team

Ready to measure cough in your study?

Tell us about your program and we'll help you design the right cough endpoint strategy.

Design a Study →