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Is treatment with the painkiller paracetamol safe in patients with spinal muscular atrophy and cerebral palsy?

Pharmacokinetics and safety of treatment with paracetamol in children and adults with spinal muscular atrophy and cerebral palsy - Paracetamol study in patients with low muscle mass

Status
Active, not recruiting
Phases
Phase 1Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2018-002295-40-DK
Enrollment
24
Registered
2018-07-11
Start date
2018-09-11
Completion date
Unknown
Last updated
2024-10-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Spinal muscular atrophy type II (SMA II) Cerebral palsy (CP)

Interventions

Pharmaceutical Form: Oral suspension INN or Proposed INN: Paracetamol Other descriptive name: PARACETAMOL Concentration unit: mg/ml milligram(s)/millilitre Concentration type: equal Concentration numb

Sponsors

Copenhagen Neuromuscular Center
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Patients: Men, women and children diagnosed with/biochemically verified SMA and CP - Patients admitted to the ICU: Men, women, children diagnosed with/biochemically verified SMA and CP - Healthy controls: Need to be healthy, evaluated by the investigator. - Age: o Children: 6-18 years o Adult patients: 18-45 years o Healthy controls: 18-45 years o ICU-admitted patients: 6-45 years - Signed informed consent to participation in the trial Are the trial subjects under 18? yes Number of subjects for this age range: 12 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 12 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: - Inability to understand the purpose of the trial or cooperate in the conduction of the experiments. o For the children this will concern of course the parents or the guardians of the child. - Competing conditions at risk for compromising the results of the study. - Participation in other trials that may interfere with the results. - Intake of medications that may interfere with the results, evaluated by investigator. - Pregnancy and breastfeeding. - BMI >30

Design outcomes

Primary

MeasureTime frame
Main Objective: To investigate the safety and toxicity related to paracetamol treatment in children and adults with respectively SMA and CP. ;Secondary Objective: Not applicable.;Primary end point(s): -Clearance (total, glucuronidation, sulphation, CYP2E1 oxidation and unchanged) of paracetamol in patients with SMA, CP and ICU-admitted patients with either SMA or CP. -Volume of distribution of paracetamol in patients with SMA, CP and ICU-admitted patients with SMA or CP, in comparison with healthy controls. ;Timepoint(s) of evaluation of this end point: Before, during and after treatment of paracetamol in three consecutive days.

Secondary

MeasureTime frame
Secondary end point(s): - Liver function tests in patients with SMA, CP and ICU-admitted patients with SMA or CP. - Concentration-time data on plasma paracetamol, paracetamol-sulphate, paracetamol-glucuronide, paracetamol-cysteine and paracetamol-mercapturate (oxidative metabolites), plasma-glutathione and liver biomarkers (ALAT, PP, bilirubin, MicroRNA-122 (miR-122)). ;Timepoint(s) of evaluation of this end point: Before, during and after treatment of paracetamol in three consecutive days.

Countries

Denmark

Contacts

Public ContactCopenhagen Neuromuscular Center

Rigshospitalet

marie.mostue.naume.01@regionh.dk+4535456135

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026