Trial Outcomes & Findings for Effect of IV Acetaminophen on Patients in the Neurocritical Care Unit (NCT NCT01948505)

NCT ID: NCT01948505

Last Updated: 2023-04-24

Results Overview

The primary efficacy end point was narcotic consumption during the first 48 hours after craniotomy. Opioid usage was calculated by converting the amount of the narcotics taken by the patient into oral morphine equivalents (ME), which were totaled for each postoperative day. At 48 hours after surgery, patients who received IV acetaminophen in addition to our standardized pain protocol did not have a statistically significantly lower mean narcotic requirement, measured in ME, when compared with those in the placebo group.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

210 participants

Primary outcome timeframe

48 hours

Results posted on

2023-04-24

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental Group
IV acetaminophen: 1000mg IV q 8 hrs (scheduled) until: a) tolerating PO and IV saline-locked or b) 48 hours reached on medication Intravenous acetaminophen
Placebo Group
IV Normal Saline: 100ml IV q 8 hrs (scheduled) until: a) tolerating PO and IV saline-locked or b) 48 hours reached on medication Placebo for IV acetaminophen
Overall Study
STARTED
105
105
Overall Study
COMPLETED
105
105
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Group
n=102 Participants
IV acetaminophen: 1000mg IV q 8 hrs (scheduled) until: a) tolerating PO and IV saline-locked or b) 48 hours reached on medication Intravenous acetaminophen
Placebo Group
n=102 Participants
IV Normal Saline: 100ml IV q 8 hrs (scheduled) until: a) tolerating PO and IV saline-locked or b) 48 hours reached on medication Placebo for IV acetaminophen
Total
n=204 Participants
Total of all reporting groups
Age, Continuous
50.6 years
n=102 Participants
50.3 years
n=102 Participants
50.5 years
n=204 Participants
Sex: Female, Male
Female
71 Participants
n=102 Participants
54 Participants
n=102 Participants
125 Participants
n=204 Participants
Sex: Female, Male
Male
31 Participants
n=102 Participants
48 Participants
n=102 Participants
79 Participants
n=204 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: 48 hours

The primary efficacy end point was narcotic consumption during the first 48 hours after craniotomy. Opioid usage was calculated by converting the amount of the narcotics taken by the patient into oral morphine equivalents (ME), which were totaled for each postoperative day. At 48 hours after surgery, patients who received IV acetaminophen in addition to our standardized pain protocol did not have a statistically significantly lower mean narcotic requirement, measured in ME, when compared with those in the placebo group.

Outcome measures

Outcome measures
Measure
Experimental Group
n=102 Participants
IV acetaminophen: 1000mg IV q 8 hrs (scheduled) until: a) tolerating PO and IV saline-locked or b) 48 hours reached on medication Intravenous acetaminophen
Placebo Group
n=102 Participants
IV Normal Saline: 100ml IV q 8 hrs (scheduled) until: a) tolerating PO and IV saline-locked or b) 48 hours reached on medication Placebo for IV acetaminophen
Narcotic Requirement After Surgery
123.5 Morphine Equivalents
Interval 102.9 to 144.2
134.2 Morphine Equivalents
Interval 112.1 to 156.3

OTHER_PRE_SPECIFIED outcome

Timeframe: 48 hours

Outcome measures

Outcome data not reported

Adverse Events

Experimental Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Walavan Sivakumar

Pacific Neuroscience Institute

Phone: 424-212-5361

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place