A Phase III, Randomized, Double-Blind, Placebo-Controlled, Single-Dose Study of the Efficacy and Safety of Intravenous Acetaminophen Versus Placebo for the Treatment of Endotoxin-Induced Fever in Healthy Adult Males
Safety of Intravenous Acetaminophen Vs Placebo for the Treatment of Endotoxin-Induced Fever in Healthy Adult Males
Sponsors
Source
Mallinckrodt
Oversight Info
Has Dmc
No
Brief Summary
A research study to determine if acetaminophen (APAP) given intravenously (IV-a liquid given
through a needle into a vein in your arm) is safe and effective in controlling fever when
compared to placebo. Acetaminophen given this way is the investigational part of this study.
Detailed Description
A Phase III, Randomized, Double-Blind, Placebo-Controlled, Single-Dose Study of the Efficacy
and Safety of Intravenous Acetaminophen (IVAPAP) Versus Placebo for the Treatment of
Endotoxin-Induced Fever in Healthy Adult Males
Overall Status
Completed
Start Date
2007-06-01
Completion Date
2007-10-01
Primary Completion Date
2007-10-01
Phase
Phase 3
Study Type
Interventional
Primary Outcome
Measure |
Time Frame |
Weighted Sum of Temperature Differences Over 6 Hours (WSTD6) Assessment of the Antipyretic Effect Over 6 h of a Single Dose of IV APAP vs. Placebo for Treatment of Endotoxin-induced Fever |
Baseline (T0) to 6 hours post study drug administration |
Secondary Outcome
Measure |
Time Frame |
Weighted Sum of Temperature Differences Over 3 Hours (WSTD3) Assessment of the Antipyretic Effect Over 3 Hours of a Single Dose of IV APAP vs. Placebo for Treatment of Endotoxin-induced Fever. |
Baseline (T0) to 3 hours |
Maximum Temperature Change During the Period From T0 to T360 Minutes (6 Hours After Study Drug Administration) |
Baseline (T0) to 360 minutes (6 hours) post study drug administration |
The Percentage of Subjects With Temperature Less Than 38 Degrees Celsius at Any Timepoint During the Time From T0 to T360 Minutes (6 Hours After Study Drug Administration) |
360 minutes (6 hours after study drug administration) |
Global Assessment of Treatment at T360 Minutes or Early Termination. |
Baseline (T0) to 6 hours |
Enrollment
60
Condition
Intervention
Intervention Type
Drug
Intervention Name
Description
IV Placebo
Arm Group Label
IV Placebo
Other Name
Placebo
Intervention Type
Drug
Intervention Name
Description
Intravenous acetaminophen solution 1 g / 100 ml
Arm Group Label
IV Acetaminophen
Other Name
IV APAP
APAP
Intervention Type
Biological
Intervention Name
Description
Administration of Reference Standard Endotoxin (RSE) to induce fever. Applicable to both study arms: Administration of a 1 ng/kg body weight test dose of RSE to test for fever response. Observation period of at least 60 minutes to ensure no exaggerated systemic responses, followed by administration of a 4 ng/kg of RSE to induce fever.
Arm Group Label
IV Acetaminophen
IV Placebo
Other Name
IV Acetaminophen
APAP
Eligibility
Criteria
Inclusion Criteria:
- Provide written Informed Consent prior to participation in the Study
- Be a healthy male between the ages of 18 and 75 years of age, inclusive, at
Randomization
- Have a Body Mass Index (BMI) ≥ 19 and ≤ 40 lbs / in2
- Have the ability to read and understand the Study procedures and have the ability to
communicate meaningfully with the Study Investigator and staff
- Be free of physical, mental, or medical conditions which, in the opinion of the
Investigator, may confound quantifying assessments for the Study
- Be willing to abstain from smoking cigarettes or using nicotine products from the time
of admission to Clinic until Study Completion
Inclusion Criteria (Pre-Randomization) To be eligible for entry into the Study, Subjects
must meet each of the following criteria prior to Randomization:
- Be free of evidence of infection based upon clinical assessment and blood (Complete
Blood Count-CBC) and urine testing
- Have an average baseline oral temperature that is equal to or below 37 ºC (98.6 ºF)
and does not vary more than 0.4 ºC (0.7 ºF) from lowest to highest on three
assessments performed during a 30 minute period
- Not develop a medically significant allergic or exaggerated systemic response to
administration of a test dose of reference standard endotoxin
- Develop a core temperature of at least 38.6 ºC (101.5 ºF) after intravenous reference
standard endotoxin dosed per Study guidelines and have a fever response to endotoxin
that is at or near the peak temperature by virtue of two consecutive temperature
assessments 5 minutes apart that are within 0.2 ºC (0.4 ºF) of each other
Exclusion Criteria:
- Has been treated with any medication having antipyretic effects (e.g., corticosteroid,
Non-steroidal anti-inflammatory drug (NSAID), aspirin or acetaminophen) within 2 days
of clinic admission (aspirin at low dose for cardiac prophylaxis is allowed, but
should not be taken on the day of the Study)
- Has significant medical disease(s), laboratory abnormalities, or condition(s) that in
the Investigator's judgment could compromise the Subject's welfare, ability to
communicate with the Study staff, complete Study activities, or would otherwise
contraindicate Study participation.
- Has known hypersensitivity or contraindication to receiving endotoxin that in the
Investigator's clinical judgment merits discontinuation from further Study
participation
- Has known hypersensitivity to acetaminophen, the inactive ingredients (excipients) of
the Intravenous(IV) acetaminophen formulation or the Rescue Medications (ibuprofen,
aspirin and ketorolac)
- Has known or suspected recent history of alcohol or drug abuse or dependence as
defined by Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV)
criteria
- Has a history of nasal polyps, angioedema, significant or actively treated
bronchospastic disease, or any other significant medical condition that
contraindicates participation in the Study or receiving endotoxin, Study Medication,
or Rescue Medication
- Has an active infection or other disease or condition that may cause abnormal
alterations in body temperature, or has worked the night shift on a regular basis for
the last 3 months prior to Screening
- Has impaired liver function, e.g. Alanine aminotransferases (ALT) greater than or
equal to 3 times the upper limit of normal, bilirubin greater than 3.0, active hepatic
disease, or evidence of clinically significant liver disease (e.g., cirrhosis or
hepatitis)
- Has participated in another clinical Study (investigational or marketed product)
within 30 days of Screening
Gender
Male
Minimum Age
18 Years
Maximum Age
75 Years
Healthy Volunteers
Accepts Healthy Volunteers
Location
Facility |
Scirex Research Center Austin Texas 78705 United States |
Location Countries
Country
United States
Verification Date
2016-10-01
Lastchanged Date
N/A
Firstreceived Date
N/A
Responsible Party
Responsible Party Type
Sponsor
Has Expanded Access
No
Condition Browse
Number Of Arms
2
Intervention Browse
Mesh Term
Acetaminophen
Arm Group
Arm Group Label
IV Acetaminophen
Arm Group Type
Experimental
Description
1 g of acetaminophen in 100 mL of intravenous solution
Arm Group Label
IV Placebo
Arm Group Type
Placebo Comparator
Description
100 mL of intravenous placebo solution
Firstreceived Results Date
N/A
Firstreceived Results Disposition Date
N/A
Study Design Info
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Study First Submitted
June 27, 2007
Study First Submitted Qc
June 27, 2007
Study First Posted
June 28, 2007
Last Update Submitted
October 18, 2016
Last Update Submitted Qc
October 18, 2016
Last Update Posted
October 19, 2016
Results First Submitted
September 25, 2009
Results First Submitted Qc
August 26, 2010
Results First Posted
September 21, 2010
Disposition First Submitted
April 3, 2009
Disposition First Submitted Qc
August 26, 2010
Disposition First Posted
September 21, 2010
ClinicalTrials.gov processed this data on December 06, 2019
Conditions
Conditions usually refer to a disease, disorder, syndrome, illness, or injury. In ClinicalTrials.gov,
conditions include any health issue worth studying, such as lifespan, quality of life, health risks, etc.
Interventions
Interventions refer to the drug, vaccine, procedure, device, or other potential treatment being studied.
Interventions can also include less intrusive possibilities such as surveys, education, and interviews.
Study Phase
Most clinical trials are designated as phase 1, 2, 3, or 4, based on the type of questions
that study is seeking to answer:
In Phase 1 (Phase I) clinical trials, researchers test a new drug or treatment in a small group of people (20-80) for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
In Phase 2 (Phase II) clinical trials, the study drug or treatment is given to a larger group of people (100-300) to see if it is effective and to further evaluate its safety.
In Phase 3 (Phase III) clinical trials, the study drug or treatment is given to large groups of people (1,000-3,000) to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
In Phase 4 (Phase IV) clinical trials, post marketing studies delineate additional information including the drug's risks, benefits, and optimal use.
These phases are defined by the Food and Drug Administration in the Code of Federal Regulations.
In Phase 1 (Phase I) clinical trials, researchers test a new drug or treatment in a small group of people (20-80) for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
In Phase 2 (Phase II) clinical trials, the study drug or treatment is given to a larger group of people (100-300) to see if it is effective and to further evaluate its safety.
In Phase 3 (Phase III) clinical trials, the study drug or treatment is given to large groups of people (1,000-3,000) to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
In Phase 4 (Phase IV) clinical trials, post marketing studies delineate additional information including the drug's risks, benefits, and optimal use.
These phases are defined by the Food and Drug Administration in the Code of Federal Regulations.