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Hepatic Function During and Following Three Days of Acetaminophen Dosing in Alcoholics

Assessment of Hepatic Function in Alcoholic Patients Administered Therapeutic Dosing of Acetaminophen- a Multicenter Study

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00402571
Enrollment
420
Registered
2006-11-22
Start date
2002-01-31
Completion date
2004-07-31
Last updated
2009-02-09

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

Conditions

Alcohol Related Disorders

Keywords

acetaminophen, alcohol, liver injury

Brief summary

The study objective was to determine whether liver injury develops in alcoholic patients who ingest therapeutic doses of APAP for three consecutive days. Volunteers were recruited from two community detoxification centers to take either acetaminophen (4 g/day) or placebo for 3 consecutive days and remain in the facility an additional 2 days for monitoring. The primary measures were aminotransferase measures taken at baseline and Days 2-5. We hypothesized that there would be no difference in aminotransferase measures between the acetaminophen and placebo study groups.

Interventions

DRUGacetaminophen

Sponsors

McNeil Consumer & Specialty Pharmaceuticals, a Division of McNeil-PPC, Inc.
CollaboratorINDUSTRY
Denver Health and Hospital Authority
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Masking
DOUBLE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

Any patient, regardless of gender or ethnicity, who was: 1. 18 years or older 2. admitted to one of the two controlled access alcohol detoxification centers with a positive BAL at the time of admittance 3. signed a written informed consent form. Patients were excluded from the study at baseline if any of the following were present: 1. serum acetaminophen level greater than 20 mcg/ml 2. serum AST or ALT levels greater than 200 IU/L 3. INR greater than 1.5 4. if female, positive for beta-subunit of chorionic gonadotropin 5. clinically intoxicated, psychiatrically impaired or unable to give informed consent 6. known hypersensitivity to acetaminophen 7. history of ingesting more than four grams of APAP per day for any of the four days preceding study enrollment 8. currently enrolled in another trial or had been enrolled in another trial in the preceding three months.

Design outcomes

Primary

MeasureTime frame
mean change in serum aminotransferase levels between study groups

Secondary

MeasureTime frame
proportion of subjects tht developed an abnormal aminotransferase level
proportion of subjects that developed hepatotoxicity (ALT>1000 IU/L)
proportion of subjects that developed drug induced liver injury

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026