Alcohol Related Disorders
Conditions
Keywords
acetaminophen, alcohol, liver injury
Brief summary
The study objective was to determine if liver injury develops in alcoholic patients during or following 5 days of therapeutic acetaminophen dosing. Volunteers were recruited from two community detoxification centers to take either acetaminophen (4g/day) or placebo for 5 consecutive days. All subjects were monitored an additional two days following the dosing period. The primary measures were aminotransferase measures taken at baseline and Days 2, 4, 6 and 7. We hypothesized that there would be no difference in aminotransferase means between the groups at any study period.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years and older * admitted to participating detox facility with a positive BAL at the time of admittance * signed a written informed consent
Exclusion criteria
* serum acetaminophen level greater than 20 mcg/ml * serum AST or ALT levels greater than 200 IU/L * INR greater than 1.5 * if female, positive for beta-subunit of chorionic gonadotropin (beta-HCG) * clinically intoxicated, psychiatrically impaired or unable to give informed consent * known hypersensitivity to acetaminophen * history of ingesting more than four grams of APAP per day for any of the four days preceding study enrollment * currently enrolled in another trial or had been enrolled in another trial in the preceding three months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| group mean aminotransferase measures | — |
| mean change in aminotransferase measures between study groups | — |
Secondary
| Measure | Time frame |
|---|---|
| proportion of subjects that develop an aminotransferase level greater than the upper limit of reference range | — |
| proportion of subjects that develop hepatotoxicity (ALT>1000 IU/L) | — |
| proportion of subjects that develop drug induced liver injury | — |
Countries
Canada, United States