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Safety of Intravenous Acetaminophen Versus Placebo for the Treatment of Endotoxin-Induced Fever in Healthy Adult Males (IV APAP)
This study has been completed.
First Received: June 27, 2007   Last Updated: November 26, 2007   History of Changes
Sponsor: Cadence Pharmaceuticals
Information provided by: Cadence Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00493311
  Purpose

A research study to determine if acetaminophen 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.


Condition Intervention Phase
Fever
Drug: IV Placebo
Drug: IV APAP
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: 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

Resource links provided by NLM:


Further study details as provided by Cadence Pharmaceuticals:

Enrollment: 60
Study Start Date: June 2007
Study Completion Date: October 2007
Arms Assigned Interventions
IV APAP: Experimental
IV APAP 1g/100ml
Drug: IV APAP
IV APAP 1g/100ml
IV Placebo: Placebo Comparator
IV Placebo
Drug: IV Placebo
IV Placebo

Detailed Description:

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

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   Yes
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 (CBC) and urine testing
  • Have an average baseline oral temperature that is equal to or below 37ºC (98.6ºF) and does not vary more than 0.4ºC (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 38.6ºC (101.5 ºF) after IV 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 (0.4ºF) of each other

Exclusion Criteria:

  • Has been treated with any medication having antipyretic effects (e.g., corticosteroid, 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 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 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., 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
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00493311

Locations
United States, Texas
Scirex Research Center
Austin, Texas, United States, 78705
Sponsors and Collaborators
Cadence Pharmaceuticals
Investigators
Study Director: Mike Royal, MD, JD, MBA Medical Monitor
  More Information

No publications provided

Study ID Numbers: CPI-APF-302
Study First Received: June 27, 2007
Last Updated: November 26, 2007
ClinicalTrials.gov Identifier: NCT00493311     History of Changes
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Fever
Signs and Symptoms
Sensory System Agents
Analgesics, Non-Narcotic
Therapeutic Uses
Physiological Effects of Drugs
Peripheral Nervous System Agents
Analgesics
Body Temperature Changes
Central Nervous System Agents
Pharmacologic Actions
Acetaminophen

ClinicalTrials.gov processed this record on February 08, 2010