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Trial registered on ANZCTR
Registration number
ACTRN12610000273088
Ethics application status
Approved
Date submitted
17/03/2010
Date registered
1/04/2010
Date last updated
7/11/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
PIANO: Pharmacokinetics of Ibuprofen and Acetaminophen in Normal and Overweight adults
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Scientific title
PIANO: Pharmacokinetics of Ibuprofen and Acetaminophen in Normal and Overweight adults
A single-dose, open-label, feasibility study to assess the impact of varying body mass index (BMI) on the pharmacokinetics of acetaminophen (paracetamol) and ibuprofen in adults.
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Secondary ID [1]
1567
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None
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Universal Trial Number (UTN)
U1111-1114-4374
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Trial acronym
PIANO
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pharmacokinetics of analgesics in obesity
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Condition category
Condition code
Anaesthesiology
257128
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Each subject will recevie a single oral dose of 1g paracetamol and 400mg ibuprofen on a single occasion. Treatment will be administered with 500mL of water under fasting conditions.
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Intervention code [1]
256153
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Treatment: Drugs
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Comparator / control treatment
No comparator/control treatment will be administered. All subjects will be administered paracetamol & ibuprofen; pharmacokinetics will be assessed across body weight groups.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To investigate the impact of varying body mass index on paracetamol, ibuprofen and metabolite pharmacokinetics in adults.
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Assessment method [1]
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Timepoint [1]
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Screening: within 1 month prior to treatment administration.
Study Visit: Subjects are confined to the study unit from prior to dosing until 8 hours after treatment administration. Fingerprick blood and saliva samples for pharmacokinetic analysis will be collected prior to dosing, 0.5, 1, 1.5, 2, 3, 4, 6 & 8 hours after treatment administration.
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Secondary outcome [1]
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To determine the relationship between venous blood plasma paracetamol, ibuprofen and metabolite concentrations and those obtained from saliva and fingerprick blood samples.
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Assessment method [1]
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Timepoint [1]
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Venous blood, saliva and fingerprick blood samples will be collected at 0.5, 2 & 4 hours after treatment administration.
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Eligibility
Key inclusion criteria
1. Participant is >18 years of age at the time of informed consent.
2. Participant in a male or non-pregnant (as evidenced by a negative urine pregnancy test in women of child-bearing potential), non-lactating female.
3. Particpant is a non-smoker.
4. Participant has previously received 2 or more doses each of paracetamol and ibuprofen with no significant adverse events.
5. Participant is aware of the study procedures and the risks involved, and voluntarily agrees to participate by providing written informed consent.
Participants shall be classified as normal weight (18.5-25mg/m2), overweight (25-30kg/m2) or obese (>30kg/m2) based on BMI.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Participant has a history of allergy and/or sensitivity to paracetamol or non-steroidal anti-inflammatory drugs.
2. Participant has a medical condition or has received treatment with a pharmacologic agent for which administration of paracetamol and/or ibuprofen is contraindicated as outlined in the current product information.
3. Participant has a history or current evidence of any condition, therapy or laboratory abnormality that, in the opinion of the medical officer, might affect the results of the study or may not be in the best interest of the participant to take part.
4. Participant has received treatment with paracetamol or ibuprofen containing products within 24 hours of study treatment administration.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All subjects will be allocated to recevie the same study treatment (single oral dose of 1g paracetamol and 400mg ibuprofen). Equal numbers of participants will be recruited into each BMI classification group (ie. normal weight 18.5-25kg/m2; overweight 25-30kg/m2; obese >30kg/m2).
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not randomised.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Pharmacokinetics
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/04/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
18
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
2627
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5000
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of South Australia
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Address [1]
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GPO Box 2471
Adelaide, SA, 5001
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of South Australia
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Address
GPO Box 2471
Adelaide, SA, 5001
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Not applicable
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Address [1]
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Not applicable
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of South Australia Human Research Ethics Committee
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Ethics committee address [1]
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GPO Box 2471 Adelaide, SA, 5001
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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27/11/2009
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Approval date [1]
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Ethics approval number [1]
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P378/09
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Summary
Brief summary
Whilst paracetamol and ibuprofen are relatively safe and effective medications, high doses have been associated with potentially fatal liver damage or gastrointestinal problems whilst administration of low doses can result in inadequate treatment of pain and/or fever. This study is being conducted to investigate how increased body size impacts on how the body handles these medications. It is proposed that the results of this study will be used to guide dosing strategies for patients who are overweight or obese.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Stephanie Reuter
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Address
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University of South Australia
GPO Box 2471
Adelaide, SA, 5001
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Country
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Australia
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Phone
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+61883021872
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Stephanie Reuter
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Address
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University of South Australia
GPO Box 2471
Adelaide, SA, 5001
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Country
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Australia
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Phone
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+61883021872
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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