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NCT06549062

Pharmacokinetics and Pharmacodynamics of Intravenous Paracetamol in Morbidly Obese and Non- Obese Patients.

Recruiting now Last updated 12 August 2024
What this trial tests

trial in Acetaminophen Toxicity in 70 participants. Currently enrolling.

Timeline
11 September 2020
Primary endpoint
1 January 2025
1 January 2025

Quick facts

Lead sponsorUniversity Hospital, Ghent
StatusRecruiting now
Study typeOBSERVATIONAL
Enrollment70
Start date11 September 2020
Primary completion1 January 2025
Estimated completion1 January 2025
Sites1 location across Belgium

Conditions studied

Sponsor

University Hospital, Ghent

Who can join

Adults 18 to 70, any sex, with Acetaminophen Toxicity or Obesity, Morbid. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Obese patients may need higher doses of acetaminophen (APAP) for adequate analgesia, due to increased total clearance and distribution volume. APAP-induced hepatotoxicity is mainly caused through CYP2E1 pathway. Its activity is induced by obesity, potentially endangering the safety profile of APAP. Metabolic-dysfunction associated liver disease (MASLD) is an important associated risk factor for APAP induced-hepatotoxicity. The primary endpoint of this study is to validate Van Rongen's prediction model on plasma concentration of paracetamol and its metabolites and extend it to the steady state phase over a period of 30 hours by measuring plasma concentrations of paracetamol and its metabolites and comparing them with the plasma concentrations predicted by the model by Van Rongen et al. In addition, results obtained from venous blood will be compared with results obtained via VAMS after finger stick. If VAMS correlates well with plasma concentrations of paracetamol and its NAPQI adducts, future interventional studies may utilize the patient-friendly VAMS technology in an effort to further investigate the safety and efficacy of higher doses of paracetamol in obese patients and possibly other patient groups. The secondary endpoints of this study are liver function tests before and after 30hrs of paracetamol administration, the VAS pain scores, the surgical pleth index (SPI) and the consumption of piritramide as recorded by a PCIA pump.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other University Hospital, Ghent trials

Trials by the same sponsor.

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Data sources for this page

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