The study aims to determine the tolerability of repeated doses of Maxigesic® IV over an extended period of exposure.
Combined administration of acetaminophen and ibuprofen has been shown to provide superior analgesia over administration of comparable doses of either component alone or placebo, when given as an intravenous formulation or as a solid oral tablet in the postoperative setting. The superior efficacy of the combination does not appear to come at the expense of tolerability. A previous study of Maxigesic® IV in bunionectomy patients found that there were no differences between patients treated with repeated doses of Maxigesic® IV and those treated with intravenous acetaminophen, ibuprofen or placebo in the rate of discontinuations due to adverse events (AEs), the overall incidence of treatment-emergent AEs (TEAEs) or the severity of TEAEs. The incidence of common TEAEs (affecting ≥ 10% of the study population), including gastrointestinal disorders, nervous system disorders, general disorders and administration site conditions, and skin and subcutaneous tissue disorders, was not changed due to combined administration of acetaminophen and ibuprofen in Maxigesic® IV. This study aims to determine the tolerability of repeated doses of Maxigesic® IV over an extended period of exposure (≥ 48 hours).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
232
acetaminophen 1000 mg + ibuprofen 300 mg, 100 ml solution for infusion
Chesapeake Reserach Group
Pasadena, Maryland, United States
Chapel Hill Research Group
Chapel Hill, North Carolina, United States
Canterbury Geriatric Medical Research Trust
Christchurch, New Zealand
Southern Clinical Trials
Christchurch, New Zealand
Incidence of TEAEs (Treatment-emergent Adverse Events)
The incidence of treatment-emergent adverse events associated with exposure Maxigesic® IV
Time frame: During treatment period (≥ 48 hours - 5 days)
Time Course of TEAEs
The incidence of treatment-emergent adverse events associated with exposure Maxigesic® IV during various study time periods
Time frame: After receiving the first dose of study medication until 7 days after the last dose, a total of approximately 9 days for subjects who received the treatment for 48 hours and 12 days for subjects who received the treatment for 5 days.
Incidence of TRAEs (Treatment-related Adverse Events)
The incidence of treatment-related adverse events (TEAEs considered by the investigator to be "probably" or "definitely" related to the study drug) associated with exposure Maxigesic® IV
Time frame: During treatment period (≥ 48 hours - 5 days)
Incidence of TEAEs of Interest
The incidence of TEAEs of interest (cardiovascular, gastrointestinal, renal, hepatic, administration site conditions and bleeding-related events)
Time frame: During treatment period (≥ 48 hours - 5 days)
Changes in Blood Pressure
Systolic and Diastolic Blood Pressured Measured every 24 hours
Time frame: From the baseline (Day 1 prior to surgery) until 7 days after the last dose
Changes in Heart Rate
Measured every 24 hours
Time frame: From the baseline (Day 1 prior to surgery) until 7 days after the last dose
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Changes in Temperature
Measured every 24 hours
Time frame: From the baseline (Day 1 prior to surgery) until 7 days after the last dose
Changes in Respiratory Rate
Respiratory Rate Measured every 24 hours
Time frame: From the baseline (Day 1 prior to surgery) until 7 days after the last dose
Changes in Hematology Values (Hemoglobin)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Hematology Values (Hematocrit)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Hematology Values (Platelet Count)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Hematology Values (Red Blood Cell Count)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Hematology Values (White Blood Cell Count)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Hematology Values (Differential Leukocyte Count)
Hematology test was Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Sodium)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Potassium)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Urea)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Creatinine)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Phosphate)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Glucose)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Albumin)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Total Protein)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Alkaline Phosphates)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Gamma-glutamyl Transferase)
Blood Biochemistry was Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Aspartate Transaminase)
Blood Chemistry (AST) was Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Alanine Transaminase)
Blood Chemistry (ALT) was Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Blood Biochemistry Values (Bilirubin)
Measured at screening visit and at the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in ECG (Electrocardiography) Status (Normal/Abnormal)
All components of the ECG will be analysed to assess safety (P wave, QRS Complex, QT interval, PR interval, T wave, ST segment, U wave, PR segment) in 5 categories of the shift from baseline to the end of treatment from: Normal to Normal Normal to Abnormal NCS (Non-clinically Significant) Abnormal NCS to Normal Abnormal NCS to Abnormal NCS Missing
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Changes in Hepatic Enzymes From Baseline to the End of the Treatment
The elevation in hepatic enzymes (ALP, ALT, AST, GGT) from baseline to the end of the treatment
Time frame: Prior to surgery, on Day 1 and at discharge (Day 5)
Patient's Global Evaluation of the Study Drug
Summary of the patients' ratings of the study medication (1 = Poor; 2 = Fair; 3 = Good; 4 = Very Good; 5 = Excellent)
Time frame: 5 days after the first dose