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Safety and Efficacy of Intravenous Acetaminophen in Adult Inpatients

Information source: Cadence Pharmaceuticals
Information obtained from ClinicalTrials.gov on November 03, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Acute Pain; Fever

Intervention: IV Acetaminophen (Drug)

Phase: Phase 3

Status: Recruiting

Sponsored by: Cadence Pharmaceuticals

Official(s) and/or principal investigator(s):
Eugene Viscusi, MD, Principal Investigator, Affiliation: Thomas Jefferson University

Overall contact:
Mike Royal, MD, JD, MBA, Phone: 858-436-1427, Email: mroyal@cadencepharm.com

Summary

The study will be investigating safety and efficacy administration of repeated dose of IV Acetaminophen over five days for the treatment of acute pain or fever in adult patients.

Clinical Details

Official title: A Phase III, Multi-Center, Open-Label, Prospective, Repeated Dose, Randomized, Controlled, Multi-Day Study of the Safety and Efficacy of Intravenous Acetaminophen in Adult Inpatients

Study design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study

Primary outcome: Spontaneous SAE Reports.

Detailed description: • To assess the safety of IV Acetaminophen when used over five days for the treatment of acute pain or fever in adult inpatients

Secondary Objectives:

- To compare the efficacy of IV Acetaminophen 650 mg q4 hours vs. 1 g q6 hours over 5 days

of treatment

- To compare the safety of IV Acetaminophen 650 mg q4 hours vs. 1 g q6 hours over 5 days

of treatment

- To compare the safety of IV Acetaminophen vs. standard of care treatment over 5 days of

treatment

- To compare the efficacy of IV Acetaminophen vs. standard of care treatment over 5 days

of treatment

Eligibility

Minimum age: 18 Years. Maximum age: 85 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Provide written informed consent prior to participation in the Study

- Be at least 18 years of age and weigh at least 41 kg

- Be anticipated by the Investigator to require multi-day (target is five days) use of

IV treatment either because of having a "nothing by mouth" (NPO) status having a medical condition that makes oral intake difficult having a medical condition that requires IV treatment

- Be willing to undergo 5 days of treatment with IV acetaminophen for the treatment of

pain or fever (defined as a core temperature greater than or equal to 38 degrees celsius). Note that Subjects have a slightly less than 15% chance (one in seven) of being assigned to the Control Group and receiving standard of care treatment, but no IV APAP.

- Have the ability to read and understand the Study procedures and have the ability to

communicate meaningfully with the Study Investigator and staff

- If a female of child bearing potential, have a negative pregnancy test within 48 hours

of randomization

Exclusion Criteria:

- Has a significant medical disease, laboratory abnormality or condition that, in the

Investigator's judgment, could compromise the Subject's welfare or would otherwise contraindicate Study participation

- Is expected to have difficulty in communicating with the Study staff or completing

Study requirements (including follow up visits)

- Has known hypersensitivity to acetaminophen or the inactive ingredients (excipients)

of IV acetaminophen or any contraindication to receiving acetaminophen

- Has impaired liver function, e. g., ALT greater than or equal to 3 times the upper

limit of normal (ULN), bilirubin greater than or equal to 3 times ULN, known active hepatic disease (e. g., hepatitis), evidence of clinically significant chronic liver disease or other condition affecting the liver (e. g., alcoholism as defined by DSM-IV, cirrhosis or chronic hepatitis)

- Has participated in an interventional clinical Study (investigational or marketed

product) within 30 days of Study entry

Locations and Contacts

Mike Royal, MD, JD, MBA, Phone: 858-436-1427, Email: mroyal@cadencepharm.com

Accurate Clinical Trials, Inc., Laguna Hills, California 92653, United States; Recruiting
Kevin R. Jones, MD, Principal Investigator

Arcadia Methodist Hospital, Arcadia, California 91007, United States; Recruiting
Neil K. Singla, MD, Principal Investigator

Glendale Adventist Medical Center, Glendale, California 91206, United States; Recruiting
Sonia Singla, MD, Principal Investigator

Huntington Memorial Hospital, Pasadena, California 91105, United States; Recruiting
Neil Singla, MD, Principal Investigator

Santa Barbara Cottage Hospital, Santa Barbara, California 93105, United States; Recruiting
Kenneth S Waxman, MD, FACS, Principal Investigator

Lotus Clinical Research, Inc., Pasadena, California 91105, United States; Recruiting
Vaibhav M Anvekar, MD, Principal Investigator

University of Miami School of Medicine, Miami, Florida 33136, United States; Recruiting
Keith Candiotti, MD, Principal Investigator

Nature Coast Clinical Research, Crystal River, Florida 34429, United States; Recruiting
Laurence Ferber, MD, Principal Investigator

G&G Research, Fort Pierce, Florida 34950, United States; Active, not recruiting

Weill Medical College of Cornell University, New York, New York 10021, United States; Recruiting
Hugh Hemmings, MD, Principal Investigator

The Ohio State University Medical Center, Columbus, Ohio 43210, United States; Recruiting
Sergio Bergese, MD, Principal Investigator

Oregon Health Science University, Portland, Oregon 97239, United States; Recruiting
Julio Gonzalez-Sotomayor, MD, Principal Investigator

Thomas Jefferson University, Philadelphia, Pennsylvania 19107, United States; Recruiting
Eugene Viscusi, MD, Principal Investigator

Memorial Herman/Memorial City Hospital, Houston, Texas 77024, United States; Recruiting
Harold Minkowitz, MD, Principal Investigator

Additional Information

Starting date: January 2008
Ending date: July 2008
Last updated: July 11, 2008

Page last updated: November 03, 2008

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