Safety and Efficacy Study of a New Formulation of Acetylcysteine Injection

NCT ID: NCT01118663

Last Updated: 2014-08-04

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2013-05-31

Brief Summary

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The primary purpose of this study is determine if a new formulation of Acetadote is at least as effective as the current formulation in the prevention and treatment of acetaminophen overdose related liver injury.

Detailed Description

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The primary objective of this study is to demonstrate non-inferiority of efficacy determined by the proportion of subjects who develop hepatotoxicity when treated with a new formulation of Acetadote and the proposed new dosing regimen compared to the rate of hepatotoxicity with the current formulation of Acetadote and the current dosing regimen.

Conditions

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Acetaminophen Overdose

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Acetadote without EDTA

Acetadote EF \[Ethylenediaminetetraacetic Acid (EDTA) - Free\]

Group Type EXPERIMENTAL

Acetadote EF (Ethylenediaminetetraacetic Acid (EDTA) - Free)

Intervention Type DRUG

Acetadote EF (Ethylenediaminetetraacetic Acid (EDTA) - Free) {new formulation} 200 mg/kg in 1000 ml diluent over 4 hours; then 100 mg/kg in 1000 ml diluent over 16 hours

Acetadote

Acetadote \[Old formulation containing EDTA\]

Group Type ACTIVE_COMPARATOR

Acetadote

Intervention Type DRUG

Acetadote \[old formulation\] 150 mg/kg in 200 mL diluent over 60 minutes; then Acetadote 50 mg/kg in 500 mL diluent over 4 hours; then Acetadote 100 mg/kg in 1000 mL diluent over 16 hours.

Interventions

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Acetadote EF (Ethylenediaminetetraacetic Acid (EDTA) - Free)

Acetadote EF (Ethylenediaminetetraacetic Acid (EDTA) - Free) {new formulation} 200 mg/kg in 1000 ml diluent over 4 hours; then 100 mg/kg in 1000 ml diluent over 16 hours

Intervention Type DRUG

Acetadote

Acetadote \[old formulation\] 150 mg/kg in 200 mL diluent over 60 minutes; then Acetadote 50 mg/kg in 500 mL diluent over 4 hours; then Acetadote 100 mg/kg in 1000 mL diluent over 16 hours.

Intervention Type DRUG

Other Intervention Names

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acetylcysteine acetylcysteine

Eligibility Criteria

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Inclusion Criteria

1\) Any subject requiring treatment with acetylcysteine for acute acetaminophen toxicity

Exclusion Criteria

1. History of allergy or hypersensitivity to acetylcysteine or any component of Acetadote.
2. Exposed to investigational drugs within 30 days before Clinical Trial Material (CTM) administration.
3. Pregnant or nursing.
4. Less than 12 years of age.
5. Have a baseline alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>1000 U/L.
6. Have a baseline International Normalized. Ratio (INR) \> 2.0
7. Be on dialysis or having existing renal injury such that the volume of the study drug administration would render the patient unsuitable for the study, in the opinion of the investigator.
8. Have congestive heart failure such that the volume of the study drug administration would render the patient unsuitable for the study, in the opinion of the investigator.
9. Inability to understand the requirements of the study. Subjects must be willing to provide written informed consent or consent of parent/legal guardian (as evidenced by signature on an informed consent document approved by an Institutional Review Board \[IRB\]), and agree to abide by the study restrictions. (If the subject is incapacitated, informed consent will be sought from a legally acceptable representative).
10. Refusal to provide written authorization for use and disclosure of protected health information.
11. Be otherwise unsuitable for the study, in the opinion of the Investigator.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cumberland Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Art Wheeler, MD

Role: STUDY_DIRECTOR

Cumberland Pharmaceuticals, Inc.

Locations

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Maricopa Medical Center

Phoenix, Arizona, United States

Site Status

Loma Linda University Medical Center

Loma Linda, California, United States

Site Status

University of California Irvine Medical Center

Orange, California, United States

Site Status

UCSD Medical Center

San Diego, California, United States

Site Status

University of Colorado Hospital

Aurora, Colorado, United States

Site Status

Denver Health and Hospital Authority

Denver, Colorado, United States

Site Status

Hartford Hospital

Hartford, Connecticut, United States

Site Status

LSU Health Sciences Center - Shreveport

Shreveport, Louisiana, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

UMass Memorial Medical Center

Worcester, Massachusetts, United States

Site Status

Spectrum Health Butterworth Hospital

Grand Rapids, Michigan, United States

Site Status

East Carolina University Medical Center

Greenville, North Carolina, United States

Site Status

Toledo Hospital

Toledo, Ohio, United States

Site Status

Scott & White Medical Center

Temple, Texas, United States

Site Status

Countries

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United States

References

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Bhushan M, Beck MH. Allergic contact dermatitis from disodium ethylenediamine tetra-acetic acid (EDTA) in a local anaesthetic. Contact Dermatitis. 1998 Mar;38(3):183. doi: 10.1111/j.1600-0536.1998.tb05702.x. No abstract available.

Reference Type BACKGROUND
PMID: 9536427 (View on PubMed)

van Laar T, van Hilten B, Neef C, Rutgers AW, Pavel S, Bruijn JA. The role of EDTA in provoking allergic reactions to subcutaneous infusion of apomorphine in patients with Parkinson's disease: a histologic study. Mov Disord. 1998 Jan;13(1):52-5. doi: 10.1002/mds.870130113.

Reference Type BACKGROUND
PMID: 9452326 (View on PubMed)

Kimura M, Kawada A. Contact dermatitis due to trisodium ethylenediaminetetra-acetic acid (EDTA) in a cosmetic lotion. Contact Dermatitis. 1999 Dec;41(6):341. doi: 10.1111/j.1600-0536.1999.tb06184.x. No abstract available.

Reference Type BACKGROUND
PMID: 10617216 (View on PubMed)

Marik PE. Propofol: therapeutic indications and side-effects. Curr Pharm Des. 2004;10(29):3639-49. doi: 10.2174/1381612043382846.

Reference Type BACKGROUND
PMID: 15579060 (View on PubMed)

Other Identifiers

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CPI-NAC-001

Identifier Type: -

Identifier Source: org_study_id

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