Efficacy, Safety, and Pharmacokinetics of Intravenous Ibuprofen in Adult Febrile Patients

NCT ID: NCT01131000

Last Updated: 2010-05-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

123 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-06-30

Study Completion Date

2005-08-31

Brief Summary

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The primary objective of this study is to evaluate the efficacy of intravenous ibuprofen on reducing fever at 4 hours.

Detailed Description

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The primary objective of this study is to evaluate the efficacy of a single 400 mg dose of intravenous ibuprofen on reducing fever greater than or equal to 101.0ºF (38.3ºC), as compared with the efficacy of parallel placebo treatment.

Conditions

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Fever

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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Ibuprofen

Group Type EXPERIMENTAL

Ibuprofen

Intervention Type DRUG

Intravenous ibuprofen, 100 mg, Single-dose

Ibuprofen

Intervention Type DRUG

Intravenous ibuprofen, 200mg, single dose

Ibuprofen

Intervention Type DRUG

Intravenous ibuprofen, 400 mg, Single-dose

Saline

Normal Saline

Group Type PLACEBO_COMPARATOR

Normal Saline

Intervention Type OTHER

Normal Saline, 100 ml, Single-dose

Interventions

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Ibuprofen

Intravenous ibuprofen, 100 mg, Single-dose

Intervention Type DRUG

Ibuprofen

Intravenous ibuprofen, 200mg, single dose

Intervention Type DRUG

Ibuprofen

Intravenous ibuprofen, 400 mg, Single-dose

Intervention Type DRUG

Normal Saline

Normal Saline, 100 ml, Single-dose

Intervention Type OTHER

Other Intervention Names

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0.9 % NaCL; 0.9 % Sodium Chloride

Eligibility Criteria

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Inclusion Criteria

1. Be hospitalized
2. Have new (not chronic, within last 7 days) onset of fever, documented by temperature greater than or equal to 101.0ºF (38.3ºC)
3. Have adequate intravenous access
4. Have the ability to understand the requirements of the study, be willing to provide written informed consent (as evidenced by signature on an informed consent document approved by an Institutional Review Board), and agree to abide by the study restrictions and to return for the required assessments

Exclusion Criteria

1. Be less than 18 years of age
2. Have received antipyretic drug therapy (e.g., aspirin, other NSAIDs, or acetaminophen) within 4 hours before dosing
3. Have any history of allergy or hypersensitivity to any component of IVIb, NSAIDs (including aspirin), or COX-2 inhibitors
4. Be pregnant or nursing
5. Have a history of severe head trauma that required current hospitalization, intracranial surgery, or stroke within the previous 30 days, or any history of intracerebral arteriovenous malformation, cerebral aneurysm, or central nervous system mass lesions
6. Weigh less than 40 kg
7. Have a history of congenital bleeding diatheses (e.g., hemophilia) or any active clinically significant bleeding, or have underlying platelet dysfunction, including (but not limited to) idiopathic thrombocytopenic purpura, disseminated intravascular coagulation, or congenital platelet dysfunction
8. Have gastrointestinal bleeding that has required medical intervention within the previous 6 weeks (unless definitive surgery has been performed)
9. Have a platelet count less than 30,000/mm3
10. Be receiving full dose anticoagulation therapy
11. Have fever secondary to blood or drug reaction
12. Have an expected life span of less than 14 days because of imminent withdrawal of life support or severity of illness
13. Be receiving treatment with corticosteroids (Patients who are expected to receive corticosteroids during the Treatment Period or through Hour 120 of the Post-treatment Period are not eligible.)
14. Have neurogenic fever
15. Be on dialysis, have oliguria or creatinine greater than 3.0 mg/dL, or be receiving nephrotoxic drugs
16. Have had major surgery within the past 12 hours, unless adequate hemostasis has been achieved
17. Have received another investigational drug within the past 30 days
18. Become afebrile (temperature below 101.0ºF \[38.3ºC\]) before dosing and not redevelop fever entry criteria during this hospitalization
19. Be otherwise unsuitable for the study, in the opinion of the Investigator
Minimum Eligible Age

18 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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Cumberland Pharmaceuticals Inc.

Principal Investigators

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Gordon Bernard, M.D.

Role: STUDY_CHAIR

Cumberland Pharmaceuticals, Inc.

Locations

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Orlando Regional Medical Center

Orlando, Florida, United States

Site Status

Barnes Jewish Hospital

St Louis, Missouri, United States

Site Status

Moses H. Cone Memorial Hospital

Greensboro, North Carolina, United States

Site Status

Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States

Site Status

Methodist Healthcare - University Hospital

Memphis, Tennessee, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Skyline Medical Center

Nashville, Tennessee, United States

Site Status

Ben Taub General Hospital

Houston, Texas, United States

Site Status

Newcastle Mater Misericordiae Hospital

New Lambton, New South Wales, Australia

Site Status

Flinders Medical Centre

Adelaide, South Australia, Australia

Site Status

Mahidol University Siriraj Hospital

Bangkok, , Thailand

Site Status

Countries

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United States Australia Thailand

References

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Morris PE, Promes JT, Guntupalli KK, Wright PE, Arons MM. A multi-center, randomized, double-blind, parallel, placebo-controlled trial to evaluate the efficacy, safety, and pharmacokinetics of intravenous ibuprofen for the treatment of fever in critically ill and non-critically ill adults. Crit Care. 2010;14(3):R125. doi: 10.1186/cc9089. Epub 2010 Jun 30.

Reference Type DERIVED
PMID: 20591173 (View on PubMed)

Other Identifiers

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CPI-CL-004

Identifier Type: -

Identifier Source: org_study_id

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