Paracetamol Discontinuation in the Elderly After Long-term Consumption

NCT ID: NCT04523740

Last Updated: 2020-08-25

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

98 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-31

Study Completion Date

2021-12-31

Brief Summary

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To investigate if long-term treatment of paracetamol can be discontinued without no worsening on pain, health-related quality-of-life and level of function compared to continuing paracetamol treatment in patients aged 65 years or more.

Detailed Description

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Aim: To investigate if long-term treatment of paracetamol can be discontinued without worsening on pain, health-related quality-of-life and level of function compared to continuing paracetamol treatment in patients aged 65 years or more.

Trial design: Patients are randomized to either arm 1: standard care (paracetamol continuation) or arm 2: experimental treatment (placebo).

The investigation is double-blinded.

Patients are screened and recruited from Department of respiratory medicine at Copenhagen University Hospital Bispebjerg. Patients with a daily consumption of 3 grams or more of prescribed paracetamol and who comply with the other eligibility criteria will be invited to participate in the trial and asked for written, informed consent. If given we collect data regarding the patient's medications, any medication changes during the intervention and followup, frailty (FRAIL Scale), self-reported history of falls, recent admissions, self-reported health-related quality of life (EQ-5D-5L), level of function tested by hand grib strength and sitting-rising test, and death.

Data is collected at baseline and after 2 weeks when ending treatment intervention, and a 26 week follow-up.

Conditions

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Pain, Chronic Pain, Medication Pain, Discontinuation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo replacement

Participants will discontinue the paracetamol treatment, and be administered 6 to 8 tablets of placebo per day

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Patients who use regular paracetamol will now receive 6 to 8 tablets of placebo per day for 2 weeks

Usual care with paracetamol

Participants will continue the paracetamol treatment, and be administered 6 to 8 tablets of 500mg paracetamol per day

Group Type ACTIVE_COMPARATOR

Paracetamol

Intervention Type DRUG

Patients who use regular paracetamol will now receive 6 to 8 tablets of 500 mg paracetamol per day for 2 weeks

Interventions

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Placebo

Patients who use regular paracetamol will now receive 6 to 8 tablets of placebo per day for 2 weeks

Intervention Type DRUG

Paracetamol

Patients who use regular paracetamol will now receive 6 to 8 tablets of 500 mg paracetamol per day for 2 weeks

Intervention Type DRUG

Other Intervention Names

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Acetaminophen

Eligibility Criteria

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Inclusion Criteria

* 65 years or more
* Regular daily users of 3 to 4 grams of paracetamol for at least 6 months prior to enrollment

Exclusion Criteria

* Malignant pain cf. their medical records
* Patients using other regular analgesics cf. indication on prescription
* Patients receiving paracetamol tablets with modified release or sustained release
* Patients in warfarin treatment
* Patients with terminal illnesses, cf. their medical records.
* Patients receiving dosages dispensed by their pharmacy
* Mini-Mental State Examination (MMSE) score less than 25
* Patients with or suspected to have COVID-19.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital Bispebjerg and Frederiksberg

OTHER

Sponsor Role lead

Responsible Party

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Lykke Ida Kaas Oldenburg

MSc Pharm, PhD candidate

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jon T Andersen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Clinical Pharmacology

Locations

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Department of clinical pharmacology

Copenhagen, Bispebjerg, Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Charlotte Vermehren, PhD

Role: CONTACT

+45 3863 5209

Lykke I Kaas Oldenburg

Role: CONTACT

+45 38635807

Other Identifiers

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2019-000203-33

Identifier Type: -

Identifier Source: org_study_id

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