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Hepatic Function in Alcoholics Following 5 Days of Acetaminophen Dosing

Hepatic Function Following Five Days of Therapeutic Dosing of Acetaminophen in Alcoholics

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00427206
Enrollment
181
Registered
2007-01-26
Start date
2004-11-30
Completion date
2005-12-31
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 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

DRUGacetaminophen (4g/day)
DRUGplacebo

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 (Subject, Investigator)

Eligibility

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

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

MeasureTime frame
group mean aminotransferase measures
mean change in aminotransferase measures between study groups

Secondary

MeasureTime 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

Outcome results

None listed

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