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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.
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IV Acetaminophen | Experimental | 1 g of acetaminophen in 100 mL of intravenous solution |
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| IV Placebo | Placebo Comparator | 100 mL of intravenous placebo solution |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IV Placebo | Drug | IV Placebo |
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| Measure | Description | 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 | The primary efficacy endpoint was WSTD6 defined as the weighted sum of temperature differences from the temperature at each assessment timepoint through 6 hours compared with the temperature at T0, weighted by the time elapsed between each 2 consecutive timepoints. | Baseline (T0) to 6 hours post study drug administration |
| Measure | Description | 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. | WSTD3 is defined as the weighted sum of temperature differences from the temperature at each assessment timepoint through the first 3 hours compared with the temperature at T0, weighted by the time elapsed between each 2 consecutive timepoints. |
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Inclusion Criteria:
Inclusion Criteria (Pre-Randomization) To be eligible for entry into the Study, Subjects must meet each of the following criteria prior to Randomization:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Scirex Research Center | Austin | Texas | 78705 | United States |
Eligible subjects received intravenous endotoxin to induce fever and were then randomized to receive either 1 g acetaminophen in 100 ml intravenous solution or 100 ml placebo solution.
Subjects were recruited at a single clinical research facility in the United States during July to September 2007.
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| ID | Title | Description |
|---|---|---|
| FG000 | Intravenous (IV) Placebo | After induction of fever by endotoxin administration, subjects received one infusion of 100 ml intravenous placebo solution |
| FG001 | Intravenous (IV) Acetaminophen 1 g | After induction of fever by endotoxin administration, subjects received one infusion of 1 g of acetaminophen in 100 ml intravenous solution |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Intravenous (IV) Placebo | After induction of fever by endotoxin administration, subjects received one infusion of 100 ml intravenous placebo solution |
| BG001 | Intravenous (IV) Acetaminophen 1 g |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | 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 | The primary efficacy endpoint was WSTD6 defined as the weighted sum of temperature differences from the temperature at each assessment timepoint through 6 hours compared with the temperature at T0, weighted by the time elapsed between each 2 consecutive timepoints. | Posted | Sep 2009 | Mean | Standard Deviation | Degrees Celsius | Baseline (T0) to 6 hours post study drug administration |
|
Treatment Emergent Adverse Events(TEAEs)were reported from T0 (on or after the start of study medication) to 6 hours after study medication was administered to the subject.
TEAEs are adverse events that start on or after the study medication is given to the subject.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Intravenous (IV) Placebo | After induction of fever by endotoxin administration, subjects received one infusion of 100 ml intravenous placebo solution |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Alanine aminotransferase increased | Investigations | MedDRA (9.1) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Lawrence Hill | Mallinckrodt Pharmaceuticals | (908) 238-6370 | lawrence.hill@mallinckrodt.com |
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| ID | Term |
|---|---|
| D005334 | Fever |
| ID | Term |
|---|---|
| D001832 | Body Temperature Changes |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000082 | Acetaminophen |
| ID | Term |
|---|---|
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 |
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| IV Acetaminophen |
| Drug |
Intravenous acetaminophen solution 1 g / 100 ml |
|
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| Reference Standard Endotoxin (RSE) | Biological | 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. |
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| 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. | Subject Global Evaluation was assessed by subject using a 4 point categorical scale in response to the following question:Overall, how would you rate the study treatments? 0 = Poor
| Baseline (T0) to 6 hours |
After induction of fever by endotoxin administration, subjects received one infusion of 1 g of acetaminophen in 100 ml intravenous solution
| BG002 | Total | Total of all reporting groups |
| Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Only male subjects were allowed to participate in the study. | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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After induction of fever by endotoxin administration, subjects received one infusion of 1 g of acetaminophen in 100 ml intravenous solution |
|
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| Secondary | 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. | WSTD3 is defined as the weighted sum of temperature differences from the temperature at each assessment timepoint through the first 3 hours compared with the temperature at T0, weighted by the time elapsed between each 2 consecutive timepoints. | Posted | Sep 2009 | Mean | Standard Deviation | Degrees Celsius | Baseline (T0) to 3 hours |
|
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| Secondary | Maximum Temperature Change During the Period From T0 to T360 Minutes (6 Hours After Study Drug Administration) | Posted | Sep 2009 | Mean | Standard Deviation | Degrees celsius | Baseline (T0) to 360 minutes (6 hours) post study drug administration |
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|
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| Secondary | 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) | Posted | Sep 2009 | Number | Percentage of participants | 360 minutes (6 hours after study drug administration) |
|
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| Secondary | Global Assessment of Treatment at T360 Minutes or Early Termination. | Subject Global Evaluation was assessed by subject using a 4 point categorical scale in response to the following question:Overall, how would you rate the study treatments? 0 = Poor
| Posted | Sep 2009 | Number | participants | Baseline (T0) to 6 hours |
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| 0 |
| 29 |
| 13 |
| 29 |
| EG001 | Intravenous (IV) Acetaminophen 1 g | After induction of fever by endotoxin administration, subjects received one infusion of 1 g of acetaminophen in 100 ml intravenous solution | 0 | 31 | 14 | 31 |
| Aspartate aminotransferase increased | Investigations | MedDRA (9.1) | Non-systematic Assessment |
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| Blood bilirubin increased | Investigations | MedDRA (9.1) | Non-systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA (9.1) | Non-systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
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| Gamma-glutamyltransferase increased | Investigations | MedDRA (9.1) | Non-systematic Assessment |
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| Mucosal dryness | General disorders | MedDRA (9.1) | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (9.1) | Non-systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA (9.1) | Non-systematic Assessment |
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| Dehydration | Metabolism and nutrition disorders | MedDRA (9.1) | Non-systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA (9.1) | Non-systematic Assessment |
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Investigator may publish only after cooperative publication or 18 months after sponsor's final evaluation of study data, whichever occurs first. At least 60 days prior to submission for publication, investigator must submit manuscript to sponsor for review and comment. Sponsor has 60 day period thereafter to respond with comment. Investigator will remove confidential information at the request of sponsor.
| Aniline Compounds |
| D000588 | Amines |
| Rate treatment as 'good' |
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| Rate treatment as 'excellent' |
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