Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Study of the Efficacy and Safety of Intravenous vs Oral Acetaminophen for Treatment of Fever in Healthy Adult Males
This study has been completed.
Sponsored by: Cadence Pharmaceuticals
Information provided by: Cadence Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00564629
  Purpose

To assess the rapidity of onset of antipyretic effect and the efficacy and safety of a single dose of IV APAP versus PO acetaminophen in the treatment of fever induced by a standard dose of endotoxin


Condition Intervention Phase
Fever
Drug: IV APAP
Drug: Oral acetaminophen
Phase III

MedlinePlus related topics: Fever
Drug Information available for: Acetaminophen
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase III, Randomized, Double-Blind, Double-Dummy, Single-Dose Study of the Efficacy and Safety of Intravenous Acetaminophen Versus Oral Acetaminophen for the Treatment of Endotoxin-Induced Fever in Healthy Adult Males

Further study details as provided by Cadence Pharmaceuticals:

Primary Outcome Measures:
  • Time to protocol specified temperature reduction. [ Time Frame: 6 hours ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Temperature differences weighted over time. [ Time Frame: 6 hours ] [ Designated as safety issue: No ]

Enrollment: 81
Study Start Date: July 2007
Study Completion Date: October 2007
Primary Completion Date: October 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
IV acetaminophen plus oral placebo.
Drug: IV APAP
Single dose of 1gm IV
2: Active Comparator
Oral acetaminophen plus IV placebo.
Drug: Oral acetaminophen
Acetaminophen single-dose 1 gm PO

Detailed Description:

To assess the rapidity of onset of antipyretic effect and the efficacy and safety of a single dose of IV APAP versus PO acetaminophen in the treatment of fever induced by a standard dose of endotoxin

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria (Screening) To be eligible for entry into the Study, Subjects must meet all of the following criteria at Screening:

  1. Provide written Informed Consent prior to participation in the Study
  2. Be a healthy male between the ages of 18 and 75 years of age, inclusive, at Randomization
  3. Have a Body Mass Index (BMI) ≥19 and ≤ 45 lbs/in2
  4. Have the ability to read and understand the Study procedures and have the ability to communicate meaningfully with the Study Investigator and staff
  5. Be free of physical, mental, or medical conditions which, in the opinion of the Investigator, may confound quantifying assessments for the Study
  6. 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 Randomization, Subjects must meet each of the following criteria:

  1. Be free of evidence of infection based upon clinical assessment and blood (CBC) and urine testing
  2. 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
  3. Not develop a medically significant allergic or exaggerated systemic response to administration of a test dose of reference standard endotoxin
  4. Develop a core temperature of at least 38.6 ºC (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 (0.4 ºF) of each other

Exclusion Criteria:

  1. 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)
  2. 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
  3. Has known hypersensitivity or contraindication to receiving endotoxin that in the Investigator's clinical judgment merits discontinuation from further Study participation
  4. Has known hypersensitivity to acetaminophen, the inactive ingredients (excipients) of the IV or PO acetaminophen formulation or the Rescue Medications (ibuprofen, aspirin, and ketorolac)
  5. Has known or suspected recent history of alcohol or drug abuse or dependence (as defined by DSM-IV criteria)
  6. 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
  7. Has an active infection or other disease or condition that may cause abnormal alterations in body temperature
  8. 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)
  9. 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: NCT00564629

Locations
United States, Tennessee
New Orleans Center for Clinical Research-Knoxville
Knoxville, Tennessee, United States, 37920
Sponsors and Collaborators
Cadence Pharmaceuticals
Investigators
Study Director: Mike Royal, MD, JD, MBA Cadence Pharmaceuticals
  More Information

Responsible Party: Cadence Pharmaceuticals ( Mike Royal MD JD MBA, VP Clinical Development, Analgesics )
Study ID Numbers: CPI-APF-303
Study First Received: November 26, 2007
Last Updated: January 10, 2008
ClinicalTrials.gov Identifier: NCT00564629  
Health Authority: United States: Food and Drug Administration

Study placed in the following topic categories:
Fever
Signs and Symptoms
Healthy
Acetaminophen

Additional relevant MeSH terms:
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

ClinicalTrials.gov processed this record on January 15, 2009