Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Study of the Analgesic Efficacy & Safety of Intravenous Acetaminophen Versus Placebo for the Treatment of Postoperative Pain After Abdominal Laparoscopic Surgery
This study has been completed.
Sponsored by: Cadence Pharmaceuticals
Information provided by: Cadence Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00564486
  Purpose

This research study will look at the pain relieving ability and safety of using repeated doses of intravenous (into the vein [IV]) acetaminophen in the treatment of moderate postoperative pain after planned or elective abdominal laparoscopic surgery, such as a laparoscopic abdominal hysterectomy or laparoscopic cholecystectomy (removal of the gall bladder).


Condition Intervention Phase
Pain
Drug: IV APAP
Drug: IV Placebo
Drug: IV Acetaminophen
Phase III

Drug Information available for: Acetaminophen
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Phase III Randomized, Double-Blind Placebo-Controlled, Multi-Center, Parallel-Group, Repeated-Dose Study of the Analgesic Efficacy & Safety of Intravenous Acetaminophen Versus Placebo for the Treatment of Postoperative Pain After Abdominal Laparoscopic Surgery

Further study details as provided by Cadence Pharmaceuticals:

Primary Outcome Measures:
  • To assess the analgesic efficacy of repeated doses of intravenous acetaminophen (IV APAP) versus Placebo in the treatment of moderate postoperative pain after abdominal laparoscopic surgery. [ Time Frame: 24 hrs ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To assess the safety of IV APAP versus Placebo in the treatment of moderate postoperative pain after abdominal laparoscopic surgery. • To compare the efficacy of IV APAP plus rescue medication to Placebo plus rescue medication [ Time Frame: 24 hrs ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 240
Study Start Date: November 2007
Study Completion Date: November 2008
Primary Completion Date: November 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
IV Placebo 100ml: Placebo Comparator
IV Placebo 100ml
Drug: IV APAP
IV, q4 for 24 hours
IV Placebo 65ml: Placebo Comparator
IV Placebo 65ml
Drug: IV Placebo
IV, q6 for 24 hours
IV Acetaminophen 1gm: Experimental
IV Acetaminophen 1gm
Drug: IV Acetaminophen
IV, q4 for 24 hours
IV Acetaminophen 650mg: Experimental
IV Acetaminophen 650mg
Drug: IV Acetaminophen
IV, q4 for 24 hours

Detailed Description:

To assess the analgesic efficacy of repeated doses of intravenous acetaminophen (IV APAP) versus Placebo in the treatment of moderate postoperative pain after abdominal laparoscopic surgery.

  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Provide written Informed Consent prior to participation in the Study
  • Is scheduled to undergo abdominal laparoscopic surgery under general anesthesia (laparoscopic bariatric procedures, including gastric bypass or gastric banding, laparoscopic exploratory procedures in which no visceral dissection is performed, and laparoscopic procedures with minimal visceral dissection, such as laparoscopic sterilization,are excluded)
  • If Subject is a female of childbearing potential, have a negative pregnancy test within 21 days of surgery
  • Be at least 18, but not more than 80 years of age
  • Have a Body Mass Index (BMI) ≥ 19 and ≤ 40 lb/in2
  • Have an ASA risk class of I, II, or III according to the American Society of Anesthesiologists
  • Have the ability to read and understand the Study procedures and the use of the pain scales and have the ability to communicate meaningfully with the Study Investigator and staff
  • Be free of other physical, mental, or medical conditions which, in the opinion of the Investigator, makes Study participation inadvisable

Exclusion Criteria:

  • Used opioids or tramadol daily for greater than 7 days prior to Study Medication administration (Subjects who, in the Investigator's opinion have or are developing opioid tolerance are to be excluded)
  • Has been treated with Chapparal, Comfrey, Germander, Gin Bu Huan, Kava, Pennyroyal, Skullcap, St. John's Wort, or Valerian within 14 days prior to surgery
  • 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 to opioids, acetaminophen, or the inactive ingredients (excipients) of the Study Medication
  • Has known or suspected history of alcohol or drug abuse or dependence within the previous 2 years
  • Has impaired liver function, e.g., AST/ALT/bilirubin greater than or equal to 3.0 times the upper limit of normal, active hepatic disease, evidence of clinically significant liver disease, or other condition (e.g., alcoholism, cirrhosis, or hepatitis) that may suggest the potential for an increased susceptibility to hepatic toxicity with Study Medication exposure
  • Has been treated with monoamine oxidase inhibitors (MAOIs) within 7 days prior to surgery
  • Has participated in another clinical Study (investigational or marketed product) within 30 days of surgery

Post Operative Exclusion Criteria

The Subject must not meet any of the following criteria prior to randomization to Study Medication:

  • Had any other surgery than the planned laparoscopic surgery or had intra operative or post operative complications which in the view of the Investigator would make Study participation inadvisable
  • Has taken non steroidal anti-inflammatory drugs (NSAIDs), steroids or MAOIs during the day after surgery. Exceptions: The use of low-dose aspirin, e.g, 81 mg/day, for cardioprophylaxis, and limited use of topical or inhaled steroids are acceptable.
  • Had any neuraxial (spinal or epidural) opioid injected perioperatively
  • Had a local anesthetic injection (including into surgical wound at closure) or continuous infusion by any route
  • Had an epidural, regional, or percutaneous (intrawound) catheter with continuous local anesthetic infusion used for postoperative analgesic management
  • Had a fever (greater than 38.6ºC or 101.5ºF) requiring treatment

Post Operative Day 1 Randomization Criterion On the morning of the first post operative day (POD1), the Subject must have a categorical pain intensity score at rest of moderate or severe and a score ≥40 mm and less than/equal to 70 mm at rest on a 100 mm Visual Analogue Scale (VAS)

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00564486

Locations
United States, Alabama
Helen Keller Hospital
Sheffield, Alabama, United States, 35660
United States, Arizona
Precision Trials
Phoenix, Arizona, United States, 85032
United States, California
Huntington Memorial Hospital
Pasadena, California, United States, 91105
Physicians Clinical Research Corporation
Laguna Hills, California, United States, 92653
Glendale Adventist Medical Center
Glendale, California, United States, 91206
Methodist Hospital
Arcadia, California, United States, 91007
United States, Florida
Visions Clinical Research
Boynton Beach, Florida, United States, 33414
G and G Research, Inc.
Fort Pierce, Florida, United States, 34950
University of Miami School of Medicine
Miami, Florida, United States, 33136
Nature Coast Clinical Research
Crystal River, Florida, United States, 34429
Advanced Surgery Associates at Mercy Hospital
Miami, Florida, United States, 33133
United States, Michigan
William Beaumont Hospital
Royal Oak, Michigan, United States, 48073
United States, New Jersey
Cooper University Hospital
Camden, New Jersey, United States, 08103
United States, New York
Staten Island University Hospital
Staten Island, New York, United States, 10305
United States, Texas
Texas Woman's Hospital
Houston, Texas, United States, 77024
Memorial Herman/Memorial City Hospital
Houston, Texas, United States, 77024
Sponsors and Collaborators
Cadence Pharmaceuticals
Investigators
Study Director: Mike Royal, MD, JD, MBA Cadence Pharmaceuticals
  More Information

Responsible Party: Cadence Pharmaceuticals ( Mike Royal, VP Clinical Development, Analgesics )
Study ID Numbers: CPI-APA-304
Study First Received: November 26, 2007
Last Updated: November 7, 2008
ClinicalTrials.gov Identifier: NCT00564486  
Health Authority: United States: Food and Drug Administration

Keywords provided by Cadence Pharmaceuticals:
Abdominal Laparoscopic Surgery

Study placed in the following topic categories:
Signs and Symptoms
Postoperative Complications
Pain
Acetaminophen
Pain, Postoperative

Additional relevant MeSH terms:
Pathologic Processes
Sensory System Agents
Analgesics, Non-Narcotic
Therapeutic Uses
Physiological Effects of Drugs
Peripheral Nervous System Agents
Analgesics
Central Nervous System Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 15, 2009