PBPK Modelling Applied to Acetaminophen Poisoned Obese Children

NCT ID: NCT04850014

Last Updated: 2021-04-20

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

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-01-01

Study Completion Date

2021-10-31

Brief Summary

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Childhood obesity is increasing globally. Changes in body composition and physiology in obesity setting modify pharmacokinetic parameters and might increase the risk in case of poisoning. Acetaminophen is a drug often implied in poisoning in children population, especially in adolescent attempting suicide. In practice, clinicians use weight to assess intoxication severity, but depending on the weight chosen (actual weight, lean body weight, ideal weight,..) the severity assessment can change as well as medical care needed. In this context we hypothesize that a PBPK modelling would be helpful to predict toxic dosing in obese population and especially in obese adolescent or children. The primary objective of this study is to collect data related to acetaminophen-poisoned patient with at least one acetaminophen concentration sampling and whose clinical outcome is known in order to refine and validate such a PBPK model.

Detailed Description

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Conditions

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Poisoning Obesity

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Poisoned patients

All subjects with paracetamolemia in the context of paracetamol poisoning

Anthropomorphism

Intervention Type OTHER

Height, weight, body surface area, body mass index, exact age (date of birth or age in days, months and years), falling which year of birth gender

Relevant clinical datas

Intervention Type OTHER

Medical history Concomitant medication Paracetamol intake : dosage, delay, context, route of intake Alcohol intake Smoking status (including active and passive exposition or no exposition) Curative treatment / Antidote / purifying treatment received and time of introduction Clinical signs, Acetaminophen concentration in plasma with associated accurate time of sampling (date, hour and time following acetaminophen intake Liver and kindney function assessment by measure measuring plasma concentration of: AST, ALT, Factor V, Prothrombin, APTT, INR, albuminemia, bilirubin, phosphorus, pH, creatitine. And GFR estimation.

Imaging.

Control group

Acetaminophen-poisoned patient being non-obese

Anthropomorphism

Intervention Type OTHER

Height, weight, body surface area, body mass index, exact age (date of birth or age in days, months and years), falling which year of birth gender

Relevant clinical datas

Intervention Type OTHER

Medical history Concomitant medication Paracetamol intake : dosage, delay, context, route of intake Alcohol intake Smoking status (including active and passive exposition or no exposition) Curative treatment / Antidote / purifying treatment received and time of introduction Clinical signs, Acetaminophen concentration in plasma with associated accurate time of sampling (date, hour and time following acetaminophen intake Liver and kindney function assessment by measure measuring plasma concentration of: AST, ALT, Factor V, Prothrombin, APTT, INR, albuminemia, bilirubin, phosphorus, pH, creatitine. And GFR estimation.

Imaging.

Interventions

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Anthropomorphism

Height, weight, body surface area, body mass index, exact age (date of birth or age in days, months and years), falling which year of birth gender

Intervention Type OTHER

Relevant clinical datas

Medical history Concomitant medication Paracetamol intake : dosage, delay, context, route of intake Alcohol intake Smoking status (including active and passive exposition or no exposition) Curative treatment / Antidote / purifying treatment received and time of introduction Clinical signs, Acetaminophen concentration in plasma with associated accurate time of sampling (date, hour and time following acetaminophen intake Liver and kindney function assessment by measure measuring plasma concentration of: AST, ALT, Factor V, Prothrombin, APTT, INR, albuminemia, bilirubin, phosphorus, pH, creatitine. And GFR estimation.

Imaging.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All subjects \>/= 10 year old
* Availability of at least one positive acetaminophen concentration with its associated sampling time
* Known clinical outcome

Exclusion Criteria

* \< 10 year old
* lack of data-
Minimum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hospices Civils de Lyon

Lyon, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Kim An NGUYEN, MD

Role: CONTACT

4 72 31 94 11 ext. +33

Sébastien RIVAS

Role: CONTACT

6 43 09 51 20 ext. +33

Facility Contacts

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Kim An NGUYEN, MD

Role: primary

4 72 31 94 11 ext. +33

Other Identifiers

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69HCL20_1244

Identifier Type: -

Identifier Source: org_study_id

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