Phase 4
N=50
Drug Interactions Between Morphine and Orally or IV Administered Acetaminophen
Pain
Bottom Line
View on ClinicalTrials.gov: NCT02848729 ↗Enrolled (actual)
50
Serious AEs
0.0%
Results posted
Jan 2020
Primary outcome: Primary: Area Under the Plasma Concentration-time Curve Over 6 Hours (AUC6) for Acetaminophen — 31.00; 28.51; 25.31; 52.38 hour*microgram per milliliter (h*mcg/mL)
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- Oral Acetaminophen (Drug); IV Acetaminophen (Drug); IV Morphine (Drug); Placebo Tablets (Drug); Saline (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Mallinckrodt
- Primary completion
- Mar 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Area Under the Plasma Concentration-time Curve Over 6 Hours (AUC6) for Acetaminophen |
31.00; 28.51; 25.31; 52.38; 42.56; 44.37 | — |
| PRIMARY Area Under the Plasma Concentration-time Curve Over 18 Hours (AUC18) for Acetaminophen After First Morphine Co-administration |
82.50; 63.58 | — |
| PRIMARY Maximum Concentration (Cmax) of Acetaminophen |
11.6; 7.29; 7.25; 13.5; 22.6; 17.0 | — |
| PRIMARY Time to Maximum Concentration (Tmax) of Acetaminophen |
1.48; 1.64; 3.26; 2.84; 0.25; 0.50 | — |
Summary
Morphine is the opioid used to treat pain after surgery. Acetaminophen (called APAP) can reduce the amount of opioids needed for this.
The problem is that morphine slows down digestion. That can delay pain relief from APAP pills. It can even change what the body does to the drug [pharmacokinetics (PK)].
Some doctors have started using intravenous (IV) APAP with morphine, instead of the pills.
This study will measure the PK of APAP pills and IV when used with morphine in healthy volunteers.
IV APAP will likely be more effective and cause fewer side effects when used with morphine to treat pain after surgery.
Eligibility Criteria
Inclusion Criteria
- Subject must have a health status of "healthy" assessed by the investigator and defined as no clinically significant deviation from normal medical history, physical examination, vital signs, and clinical laboratory determinations.
- Subject must have a body mass index ≥ 19.0 and ≤ 32.0 kg/m² with a minimum weight of 110 pounds (50 kg) at Screening.
Exclusion Criteria
- Subject has a positive test result for human immunodeficiency virus (HIV), hepatitis B (surface antigen), or hepatitis C virus antibody at screening.
- Subject has a history of any drug allergy, hypersensitivity, or intolerance to acetaminophen or morphine/opioids or to any of the excipients in the IV or oral formulations used.
- Subject has an oxygen saturation of less than 95% while awake at screening and check-in.
- Subject has a positive test result for drugs of abuse (minimum: opioids, barbiturates, cannabinoids, benzodiazepines, cocaine, amphetamine) or alcohol at the screening and check-in.
- Subject has donated or had significant loss of whole blood (480 mL or more) within 30 days, or plasma within 14 days prior to dosing.
- Subject has any other medical, psychiatric and/or social reason for exclusion as determined by the investigator.
Data sourced from ClinicalTrials.gov (NCT02848729). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.