Trial Outcomes & Findings for Protective Effects of Propylene Glycol in Daily Acetaminophen Dosing (NCT NCT02322879)

NCT ID: NCT02322879

Last Updated: 2017-09-01

Results Overview

Blood tests to monitor Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) were obtained on every visit prior dosing. ALT and AST were analyzed on a Roche Cobas c501 chemistry module at BIDMC. Responders was defined as peak ALT increased 2x baseline (average of first 3 days)

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

21 participants

Primary outcome timeframe

Daily during the treatment periods (D1-D14 and D29 to 42)

Results posted on

2017-09-01

Participant Flow

After responding to the internet or print advertisement, prospective subjects were scheduled for a screening visit at the Harvard Catalyst Clinical Research Center (CRC) at BIDMC between May 2013 and August 2016. In all participants, consent was obtained prior to initiating any screening evaluation.

Participant milestones

Participant milestones
Measure
Acetaminophen First, Then Acetaminophen + Propylene Glycol
Participants in this arm received 4 grams of solid acetaminophen formulation for two weeks, followed by a two week wash out period. Then, subjects received 4 grams of solid acetaminophen formulation in addition to 70 mg/kg/day of liquid propylene glycol for two weeks.
Acetaminophen + Propylene Glycol First, Then Acetaminophen
Participants in this arm received 4 grams of solid acetaminophen formulation in addition to 70 mg/kg/day of liquid propylene glycol for two weeks, followed by a two week wash out period. Then, subjects received 4 grams of solid acetaminophen formulation for two weeks.
First Intervention
STARTED
11
10
First Intervention
COMPLETED
10
10
First Intervention
NOT COMPLETED
1
0
Washout
STARTED
10
10
Washout
COMPLETED
10
10
Washout
NOT COMPLETED
0
0
Second Intervention
STARTED
10
10
Second Intervention
COMPLETED
10
10
Second Intervention
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Acetaminophen First, Then Acetaminophen + Propylene Glycol
Participants in this arm received 4 grams of solid acetaminophen formulation for two weeks, followed by a two week wash out period. Then, subjects received 4 grams of solid acetaminophen formulation in addition to 70 mg/kg/day of liquid propylene glycol for two weeks.
Acetaminophen + Propylene Glycol First, Then Acetaminophen
Participants in this arm received 4 grams of solid acetaminophen formulation in addition to 70 mg/kg/day of liquid propylene glycol for two weeks, followed by a two week wash out period. Then, subjects received 4 grams of solid acetaminophen formulation for two weeks.
First Intervention
Physician Decision
1
0

Baseline Characteristics

Protective Effects of Propylene Glycol in Daily Acetaminophen Dosing

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Acetaminophen First, Then Acetaminophen + Propylene Glycol
n=10 Participants
Participants in this arm received 4 grams of solid acetaminophen formulation for two weeks, followed by a two week wash out period. Then, subjects received 4 grams of solid acetaminophen formulation in addition to 70 mg/kg/day of liquid propylene glycol for two weeks.
Acetaminophen + Propylene Glycol First, Then Acetaminophen
n=10 Participants
Participants in this arm received 4 grams of solid acetaminophen formulation in addition to 70 mg/kg/day of liquid propylene glycol for two weeks, followed by a two week wash out period. Then, subjects received 4 grams of solid acetaminophen formulation for two weeks.
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
28.6 years
n=5 Participants
29.8 years
n=7 Participants
29.2 years
n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
8 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Daily during the treatment periods (D1-D14 and D29 to 42)

Blood tests to monitor Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) were obtained on every visit prior dosing. ALT and AST were analyzed on a Roche Cobas c501 chemistry module at BIDMC. Responders was defined as peak ALT increased 2x baseline (average of first 3 days)

Outcome measures

Outcome measures
Measure
Acetaminophen
n=21 Participants
Participants received 4 grams of solid acetaminophen formulation for two weeks
Acetaminophen + Propylene Glycol
n=20 Participants
Participants received 4 grams of solid acetaminophen formulation in addition to 70 mg/kg/day of liquid propylene glycol for two weeks
Rise in Plasma Transaminases: Proportion of Responders.
6 Participants
8 Participants

Adverse Events

Acetaminophen

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

Acetaminophen + Propylene Glycol

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

Michael Ganetsky, MD

BIDMC

Phone: 617-754-2323

Results disclosure agreements

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