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A Study of Ibuprofen 250 mg / Acetaminophen 500 mg Comparing The Antipyretic Effects in Healthy Male Volunteers

A Phase 3, Double-blind, Randomized, Placebo-controlled, Full Factorial, Safety And Efficacy Study Comparing The Antipyretic Effects Of A Single Oral Dose Of Ibuprofen (Ibu) 250 Mg/ Acetaminophen (Apap) 500 Mg Caplets To Ibu 250 Mg And Apap 500 Mg Caplets In Healthy Male Volunteers With Fever Induced By An Endotoxin

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02761980
Enrollment
290
Registered
2016-05-04
Start date
2016-12-06
Completion date
2017-12-06
Last updated
2018-12-07

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

Conditions

Fever

Keywords

ibuprofen; acetaminophen; induced fever; fever

Brief summary

This is a single dose study that will evaluate the efficacy and safety of a Fixed Dose Combination Ibuprofen 250 mg/ Acetaminophen 500 mg tablet in healthy male patients with fever. Results for the Fixed Dose Combination product will be compared to the individual components Ibuprofen 250 mg and Acetaminophen 500 mg and also compared to placebo.

Interventions

Ibuprofen 250 mg / Acetaminophen 500 mg

Ibuprofen 250 mg

1 APAP 500 mg caplet

DRUGPlacebo

Placebo tablet

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
MALE
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

1. Healthy male subjects who, at the time of screening, are between 18 and 55 years of age, inclusive. Healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, full physical examination, including blood pressure and pulse rate measurement, 12 lead ECG and clinical laboratory tests. 2. The subject must have a normal, stable body temperature at Screening and on Day 0. If the subject's oral temperature is not between 97.4°F and 98.8°F, then 2 additional oral temperature readings will be obtained within a 30 minute period. These 3 consecutive temperature readings must be between 97.4°F and 98.8°F, with the highest value within 0.4°F of the lowest temperature value. 3. Body Mass Index (BMI) of 17.5 to 37.0 kg/m2; and a total body weight 50 kg (110 lbs) at Screening. 4. The subject has demonstrably adequate veins, by visual inspection, for IV catheter insertion.

Exclusion criteria

1. Evidence or history of clinically significant laboratory abnormality, hematological, renal, endocrine, pulmonary, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease (excluding untreated, asymptomatic, seasonal allergies at the time of dosing) within the last 5 years that may increase the risk associated with study participation. 2. Subjects with any gastrointestinal disorders (eg, gastrectomy, tracheostomy, esophageal surgeries, short gut syndrome, peptic ulcer disease, known or suspected obstructive disease, previous gastrointestinal surgery, felinization of the esophagus, hypomotility of the gastrointestinal track) that could affect the absorption, metabolism, or excretion of the study medication or affect the results of the ingestible thermometer. 3. Subjects at risk for excessive bleeding. 4. Subjects with a history of nasal polyps, angioedema, or significant or actively treated bronchospastic disease. 5. Screening supine blood pressure ≤90 or ≥140 mm Hg (systolic) or ≤50 or ≥90 mm Hg (diastolic), following at least 5 minutes of supine rest. If blood pressure (BP) is ≤90 or ≥140 mm Hg (systolic) or ≤50 or ≥90 mm Hg (diastolic), the BP should be repeated two more times and the average of the three consecutive BP values should be used to determine the subject's eligibility. 6. Screening supine 12 lead ECG demonstrating QTc \>450 msec or a QRS interval \>120 msec at Screening and on Day 1 prior to RSE administration. If QTc exceeds 450 msec, or QRS exceeds 120 msec, the ECG should be repeated two more times and the average of the three consecutive QTc or QRS values should be used to determine the subject's eligibility. 7. The subject has a history of recurrent or acute or chronic infections of any type or any findings suggestive of occult infection, such as tuberculosis, sinusitis, urinary tract infection, respiratory tract or dental (abscess) infection, etc., or those with a positive QuantiFERON Tuberculosis, Hepatitis B surface antigen, Hepatitis C antibody, and/or Human immunodeficiency virus (HIV) test at Screening. Also excluded are subjects with frequent (more than 3 outbreaks per year), recurrent oral or genital herpes, recurrent herpes zoster, or any infection otherwise judged by the investigator to have the potential for exacerbation by participation in the study. 8. Subjects who have experienced cold/flu symptoms (ie, runny nose, cough, and/or fever) within 2 weeks prior to the first administration of study treatments. 9. Subjects with a reduction in heart rate to ≤50 beats per minute or deemed to be at high risk of syncope and/or hypotension per the clinical judgment of the investigator following a carotid sinus massage procedure.

Design outcomes

Primary

MeasureTime frameDescription
Time Weighted Sum of Temperature Difference (WSTD) From 0 to 8 Hours0 to 8 hours post-doseWSTD 0-8 was defined as time-weighted sum of temperature differences over 8 hours, weighted by time elapsed between each 2 consecutive time points post treatment (10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110 minutes, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5 and 8 hours). Temperature difference was defined as baseline temperature (at 0 hour) minus the post-baseline temperature at each time point up to 8 hours (10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110 minutes, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5 and 8 hours).

Secondary

MeasureTime frameDescription
Time Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 60 to 2 hours postdose, 0 to 4 hours postdose, 0 to 6 hours postdoseWSTD 0-2, 0-4 and 0-6 was defined as time-weighted sum of temperature differences over each specified time interval (0-2 hour, 0-4 hour and 0-6 hour), weighted by time elapsed between each 2 consecutive time points post treatment (10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110 minutes, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6 hour), within each time interval. Temperature difference was defined as baseline temperature (at 0 hour) minus the post-baseline temperature at each time point within each specified time interval: 1) 0-2 hour (20, 30, 40, 50, 60, 70, 80, 90, 100, 110 minutes) , 2) 0-4 hour (10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110 minutes, 2, 2.5, 3, 3.5, 4 hour), 3) 0-6 hour (10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110 minutes, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6 hour).
Time to Return to Normal Body TemperatureBaseline (pre-dose) up to 8 hours post doseTime to return to normal body temperature was defined as time from initial measurement of normal body temperature (at baseline; before administration of first test dose of RSE to induce pyrexia) till the time at which normal temperature was achieved again after pyrexia. Normal body temperature was defined as the last non-missing body temperature value, assessed prior to or at the time of first RSE test dose.
Time to Rescue Medication0 to 8 hours post doseTime to rescue medication (other than study treatment) (in minutes) was defined as time from first dosing of study medication to the time a participant first takes a rescue medication, or to the end of the study time for participants that do not take any rescue medication prior to the end of the study. The rescue medication was defined as medication received for the treatment of fever during the time period from the administration of study medication to the time of end of the study.
Time Weighted Sum of Temperature Difference From 6 to 8 Hours6 to 8 hours postdoseWSTD 6-8 was defined as time-weighted sum of temperature differences between 6 to 8 hours post-dose, weighted by time elapsed between each 2 consecutive time points within 6 to 8 hours (6.5, 7, 7.5 and 8 hours). Temperature difference was defined as temperature at 6 hours minus the temperature at specified time points (6.5, 7, 7.5 and 8 hours).

Other

MeasureTime frameDescription
Number of Participants With Treatment Emergent Adverse Events (AEs)Baseline up to 24 hours after discharge (up to 32 hours)An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent were events between first dose of study drug and up to 24 hours after discharge (up to 32 hours) that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-SAEs.

Countries

United States

Participant flow

Pre-assignment details

In this study, participants were administered at least 1 test dose of reference standard endotoxin (RSE) intravenously, based on their body weight before randomization, to induce pyrexia in them.

Participants by arm

ArmCount
Placebo
Participants received placebo as single oral dose tablets during the treatment duration of 8 hours. Participants were discharged after completion of study treatment.
29
Ibuprofen 250 mg+Acetaminophen 500 mg
Participants received single oral dose of a fixed dose combination of ibuprofen 250 mg and acetaminophen 500 mg tablets during the treatment duration of 8 hours. Participants were discharged after completion of study treatment.
87
Ibuprofen 250 mg
Participants received single oral dose of ibuprofen 250 mg tablet during the treatment duration of 8 hours. Participants were discharged after completion of study treatment.
87
Acetaminophen 500 mg
Participants received single oral dose of acetaminophen 500 mg tablet during the treatment duration of 8 hours. Participants were discharged after completion of study treatment.
87
Total290

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event4656
Overall StudyOther0010
Overall StudyWithdrawal by Subject0100

Baseline characteristics

CharacteristicTotalPlaceboIbuprofen 250 mg+Acetaminophen 500 mgIbuprofen 250 mgAcetaminophen 500 mg
Age, Continuous32.4 years
STANDARD_DEVIATION 10.07
28.8 years
STANDARD_DEVIATION 7.97
33.4 years
STANDARD_DEVIATION 10.54
32.3 years
STANDARD_DEVIATION 10.19
32.6 years
STANDARD_DEVIATION 9.99
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants2 Participants4 Participants4 Participants3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
277 Participants27 Participants83 Participants83 Participants84 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
6 Participants2 Participants1 Participants0 Participants3 Participants
Race (NIH/OMB)
Black or African American
47 Participants5 Participants10 Participants20 Participants12 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
10 Participants1 Participants4 Participants2 Participants3 Participants
Race (NIH/OMB)
White
227 Participants21 Participants72 Participants65 Participants69 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
290 Participants29 Participants87 Participants87 Participants87 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 290 / 870 / 870 / 87
other
Total, other adverse events
1 / 291 / 870 / 870 / 87
serious
Total, serious adverse events
0 / 290 / 870 / 870 / 87

Outcome results

Primary

Time Weighted Sum of Temperature Difference (WSTD) From 0 to 8 Hours

WSTD 0-8 was defined as time-weighted sum of temperature differences over 8 hours, weighted by time elapsed between each 2 consecutive time points post treatment (10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110 minutes, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5 and 8 hours). Temperature difference was defined as baseline temperature (at 0 hour) minus the post-baseline temperature at each time point up to 8 hours (10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110 minutes, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5 and 8 hours).

Time frame: 0 to 8 hours post-dose

Population: Modified intent to treat (mITT) population included all randomized participants who were dosed with the study medication and RSE per procedures specified in protocol post amendment 4 and had a baseline assessment. Here, Overall Number of Participants Analyzed signifies participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
PlaceboTime Weighted Sum of Temperature Difference (WSTD) From 0 to 8 Hours9.28 degrees fahrenheitStandard Deviation 6.395
Ibuprofen 250 mg+Acetaminophen 500 mgTime Weighted Sum of Temperature Difference (WSTD) From 0 to 8 Hours12.54 degrees fahrenheitStandard Deviation 5.519
Ibuprofen 250 mgTime Weighted Sum of Temperature Difference (WSTD) From 0 to 8 Hours11.09 degrees fahrenheitStandard Deviation 6.355
Acetaminophen 500 mgTime Weighted Sum of Temperature Difference (WSTD) From 0 to 8 Hours12.39 degrees fahrenheitStandard Deviation 6.278
Comparison: Treatment difference and 95 percent (%) confidence interval (CI) were based on Least Square Mean (LSM) from analysis of covariance (ANCOVA) with treatment, and covariates time from the first RSE full dose to randomization, and baseline temperature.p-value: 0.00295% CI: [1.13, 5.15]ANCOVA
Comparison: Treatment difference and 95 % CI were based on LSM from ANCOVA with treatment, and covariates time from the first RSE full dose to randomization, and baseline temperature.p-value: 0.2195% CI: [-0.52, 2.33]ANCOVA
Comparison: Treatment difference and 95 % CI were based on LSM from ANCOVA with treatment, and covariates time from the first RSE full dose to randomization, and baseline temperature.p-value: 0.2895% CI: [-0.64, 2.21]ANCOVA
p-value: 0.0395% CI: [0.22, 4.25]ANCOVA
p-value: 0.02395% CI: [0.33, 4.37]ANCOVA
Comparison: Treatment difference and 95 % CI were based on LSM from ANCOVA with treatment, and covariates time from the first RSE full dose to randomization, and baseline temperature.p-value: 0.86495% CI: [-1.54, 1.29]ANCOVA
Secondary

Time to Rescue Medication

Time to rescue medication (other than study treatment) (in minutes) was defined as time from first dosing of study medication to the time a participant first takes a rescue medication, or to the end of the study time for participants that do not take any rescue medication prior to the end of the study. The rescue medication was defined as medication received for the treatment of fever during the time period from the administration of study medication to the time of end of the study.

Time frame: 0 to 8 hours post dose

Population: mITT population included all randomized participants who were dosed with the study medication and RSE per procedures specified in protocol post amendment 4 and had a baseline assessment. Here, Overall Number of Participants Analyzed signifies participants who were evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
PlaceboTime to Rescue MedicationNA minutes
Ibuprofen 250 mg+Acetaminophen 500 mgTime to Rescue MedicationNA minutes
Ibuprofen 250 mgTime to Rescue MedicationNA minutes
Acetaminophen 500 mgTime to Rescue MedicationNA minutes
p-value: 0.997hazard ratio
p-value: 0.998Hazard Ratio
p-value: 0.997Hazard Ratio
Secondary

Time to Return to Normal Body Temperature

Time to return to normal body temperature was defined as time from initial measurement of normal body temperature (at baseline; before administration of first test dose of RSE to induce pyrexia) till the time at which normal temperature was achieved again after pyrexia. Normal body temperature was defined as the last non-missing body temperature value, assessed prior to or at the time of first RSE test dose.

Time frame: Baseline (pre-dose) up to 8 hours post dose

Population: mITT population included all randomized participants who were dosed with the study medication and RSE per procedures specified in protocol post amendment 4 and had a baseline assessment. Here, Overall Number of Participants Analyzed signifies participants who were evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
PlaceboTime to Return to Normal Body Temperature360 minutes
Ibuprofen 250 mg+Acetaminophen 500 mgTime to Return to Normal Body Temperature330 minutes
Ibuprofen 250 mgTime to Return to Normal Body Temperature390 minutes
Acetaminophen 500 mgTime to Return to Normal Body Temperature330 minutes
p-value: 0.449Log Rank
p-value: 0.142Log Rank
p-value: 0.822Log Rank
p-value: 0.671Log Rank
p-value: 0.514Log Rank
p-value: 0.191Log Rank
Secondary

Time Weighted Sum of Temperature Difference From 6 to 8 Hours

WSTD 6-8 was defined as time-weighted sum of temperature differences between 6 to 8 hours post-dose, weighted by time elapsed between each 2 consecutive time points within 6 to 8 hours (6.5, 7, 7.5 and 8 hours). Temperature difference was defined as temperature at 6 hours minus the temperature at specified time points (6.5, 7, 7.5 and 8 hours).

Time frame: 6 to 8 hours postdose

Population: mITT population included all randomized participants who were dosed with the study medication and RSE per procedures specified in protocol post amendment 4 and had a baseline assessment. Here, Overall Number of Participants Analyzed signifies participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
PlaceboTime Weighted Sum of Temperature Difference From 6 to 8 Hours4.96 degrees fahrenheitStandard Deviation 2.228
Ibuprofen 250 mg+Acetaminophen 500 mgTime Weighted Sum of Temperature Difference From 6 to 8 Hours5.69 degrees fahrenheitStandard Deviation 1.904
Ibuprofen 250 mgTime Weighted Sum of Temperature Difference From 6 to 8 Hours5.49 degrees fahrenheitStandard Deviation 2.261
Acetaminophen 500 mgTime Weighted Sum of Temperature Difference From 6 to 8 Hours5.84 degrees fahrenheitStandard Deviation 2.328
p-value: 0.10195% CI: [-0.13, 1.48]ANCOVA
p-value: 0.58295% CI: [-0.41, 0.73]ANCOVA
Comparison: Treatment difference and 95 % CI were based on LSM from ANCOVA with treatment, and covariates time from the first RSE full dose to randomization, and baseline temperature.p-value: 0.61495% CI: [-0.43, 0.72]ANCOVA
p-value: 0.21295% CI: [-0.29, 1.32]ANCOVA
p-value: 0.20295% CI: [-0.28, 1.34]ANCOVA
p-value: 0.96595% CI: [-0.58, 0.55]ANCOVA
Secondary

Time Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6

WSTD 0-2, 0-4 and 0-6 was defined as time-weighted sum of temperature differences over each specified time interval (0-2 hour, 0-4 hour and 0-6 hour), weighted by time elapsed between each 2 consecutive time points post treatment (10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110 minutes, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6 hour), within each time interval. Temperature difference was defined as baseline temperature (at 0 hour) minus the post-baseline temperature at each time point within each specified time interval: 1) 0-2 hour (20, 30, 40, 50, 60, 70, 80, 90, 100, 110 minutes) , 2) 0-4 hour (10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110 minutes, 2, 2.5, 3, 3.5, 4 hour), 3) 0-6 hour (10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110 minutes, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6 hour).

Time frame: 0 to 2 hours postdose, 0 to 4 hours postdose, 0 to 6 hours postdose

Population: mITT population included all randomized participants who were dosed with the study medication and RSE per procedures specified in protocol post amendment 4 and had a baseline assessment. Here, Overall Number of Participants Analyzed signifies participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboTime Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6WSTD 0-2-0.42 degrees fahrenheitStandard Deviation 1.827
PlaceboTime Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6WSTD 0-65.26 degrees fahrenheitStandard Deviation 4.833
PlaceboTime Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6WSTD 0-41.79 degrees fahrenheitStandard Deviation 3.443
Ibuprofen 250 mg+Acetaminophen 500 mgTime Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6WSTD 0-20.48 degrees fahrenheitStandard Deviation 1.829
Ibuprofen 250 mg+Acetaminophen 500 mgTime Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6WSTD 0-67.95 degrees fahrenheitStandard Deviation 4.245
Ibuprofen 250 mg+Acetaminophen 500 mgTime Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6WSTD 0-43.69 degrees fahrenheitStandard Deviation 3.152
Ibuprofen 250 mgTime Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6WSTD 0-42.61 degrees fahrenheitStandard Deviation 3.345
Ibuprofen 250 mgTime Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6WSTD 0-66.65 degrees fahrenheitStandard Deviation 4.788
Ibuprofen 250 mgTime Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6WSTD 0-2-0.19 degrees fahrenheitStandard Deviation 1.856
Acetaminophen 500 mgTime Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6WSTD 0-67.65 degrees fahrenheitStandard Deviation 4.604
Acetaminophen 500 mgTime Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6WSTD 0-43.41 degrees fahrenheitStandard Deviation 3.173
Acetaminophen 500 mgTime Weighted Sum of Temperature Differences (WSTD) From Baseline Through Hours 2, 4 and 6WSTD 0-20.21 degrees fahrenheitStandard Deviation 1.732
Comparison: WSTD 0-2 hoursp-value: 0.00495% CI: [0.29, 1.51]ANCOVA
Comparison: WSTD 0-2 hoursp-value: 0.07895% CI: [-0.04, 0.82]ANCOVA
Comparison: WSTD 0-2 hoursp-value: 0.17295% CI: [-0.13, 0.74]ANCOVA
Comparison: WSTD 0-2 hoursp-value: 0.09895% CI: [-0.1, 1.13]ANCOVA
Comparison: WSTD 0-2 hoursp-value: 0.05495% CI: [-0.01, 1.21]ANCOVA
Comparison: WSTD 0-2 hoursp-value: 0.69295% CI: [-0.52, 0.34]ANCOVA
Comparison: WSTD 0-4 hoursp-value: <0.00195% CI: [0.86, 2.88]ANCOVA
Comparison: WSTD 0-4 hoursp-value: 0.09495% CI: [-0.1, 1.33]ANCOVA
Comparison: WSTD 0-4 hoursp-value: 0.21795% CI: [-0.27, 1.17]ANCOVA
Comparison: WSTD 0-4 hoursp-value: 0.01595% CI: [0.24, 2.27]ANCOVA
Comparison: WSTD 0-4 hoursp-value: 0.00695% CI: [0.4, 2.44]ANCOVA
Comparison: WSTD 0-4 hoursp-value: 0.65995% CI: [-0.87, 0.55]ANCOVA
Comparison: WSTD 0-6 hoursp-value: <0.00195% CI: [1.16, 4.08]ANCOVA
Comparison: WSTD 0-6 hoursp-value: 0.13595% CI: [-0.25, 1.82]ANCOVA
Comparison: WSTD 0-6 hoursp-value: 0.18695% CI: [-0.34, 1.74]ANCOVA
Comparison: WSTD 0-6 hoursp-value: 0.01495% CI: [0.37, 3.29]ANCOVA
Comparison: WSTD 0-6 hoursp-value: 0.01195% CI: [0.45, 3.39]ANCOVA
Comparison: WSTD 0-6 hoursp-value: 0.86595% CI: [-1.12, 0.94]ANCOVA
Other Pre-specified

Number of Participants With Treatment Emergent Adverse Events (AEs)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent were events between first dose of study drug and up to 24 hours after discharge (up to 32 hours) that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-SAEs.

Time frame: Baseline up to 24 hours after discharge (up to 32 hours)

Population: Safety analysis set included all participants who received study medication.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Treatment Emergent Adverse Events (AEs)1 Participants
Ibuprofen 250 mg+Acetaminophen 500 mgNumber of Participants With Treatment Emergent Adverse Events (AEs)1 Participants
Ibuprofen 250 mgNumber of Participants With Treatment Emergent Adverse Events (AEs)0 Participants
Acetaminophen 500 mgNumber of Participants With Treatment Emergent Adverse Events (AEs)0 Participants

Source: ClinicalTrials.gov · Data processed: Feb 15, 2026