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CompletedNCT00616018Non-DrinkerUpdated Jul 12, 2012Results posted

Acetaminophen Adduct Formation in Non-Drinkers Taking Therapeutic Doses of Acetaminophen for Ten Consecutive Days

A Phase 4 interventional study of acetaminophen in Drug Induced Liver Injury, sponsored by Kennon Heard. Completed at 1 site in United States. Open to participants aged 21 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-07-12.

Sponsored by Kennon Heard · Phase 4 and Interventional

Phase
Phase 4
Study type
Interventional
Enrollment
35
Allocation
Non-randomized
Ages
21 Years and older
Sex
All
01

Study summary

Acetaminophen is commonly used to treat fever or pain. Your body clears acetaminophen by processing it in the liver. During the processing, some of the acetaminophen may bind to proteins in the liver. The protein-acetaminophen product is called an "adduct." After a large acetaminophen overdose, the liver has to process a lot of acetaminophen, so large amounts of adducts are formed. However, we have found that lower levels may be formed even when people take recommended doses. The purpose of this study is to measure the amount of adducts formed when healthy people who do not drink alcohol take normal doses of acetaminophen for 10 days.

02

Conditions studied

  • Drug Induced Liver Injury

Keywords

  • acetaminophen
  • protein adducts
  • hepatic function
  • drug safety
  • non drinkers
03

In context

Chemical and Drug Induced Liver Injury

75 studies on the registry are indexed under Chemical and Drug Induced Liver Injury; 20 are open to participants now.

This study's enrollment of 35 is below the median of 80 across 36 interventional studies indexed under Chemical and Drug Induced Liver Injury.

Browse Chemical and Drug Induced Liver Injury studies →

Lead sponsor

This is the only study on the registry with Kennon Heard as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. age 21 years or older
  2. provide written informed consent
  3. consume, on average, less than 1 alcoholic beverage daily for the previous 3 months and would be considered non-drinkers

Exclusion criteria

Exclusion Criteria:

  1. History of ingesting more than 4 grams of acetaminophen per day for any of the 4 days preceding study enrollment
  2. Currently taking isoniazid
  3. Consumption of any alcoholic beverage during the run-in period
  4. A detectable serum acetaminophen at baseline
  5. Serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels greater than 50 IU/L at the start of the run-in period or at baseline
  6. Platelet count less than 125,000/cc at baseline
  7. Positive pregnancy test at baseline (female participants only)
  8. Currently adheres to a fasting type diet as determined by self report
  9. Currently has anorexia nervosa as determined by self report
  10. Subject appears clinically intoxicated, psychiatrically impaired or unable to give informed consent for any reason
  11. Known hypersensitivity to acetaminophen
05

Study design

Phase
Phase 4
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
35 participants (actual)

Study arms

  • Experimental
    A

    all subjects receive 4 g/day of acetaminophen for 10 consecutive days in this open-label study

    Drug: acetaminophen

Interventions

  • Drugacetaminophen

    4 g/day for 10 consecutive days

    Also known as: Tylenol Extra Strength

06

What researchers measure

Primary outcomes

  1. Serum Level of Acetaminophen-cysteine (APAP-Cys) Protein Adducts

    Acetaminophen-cysteine (APAP-Cys) protein adduct concentrations were measured at Day 0, 4, 7, 9, 11 and 14. All units are in nmol/mL serum.

    Time frame: Day 0, 4, 7, 9, 11, and 14.

Secondary outcomes

  1. Alanine Aminotransferase (ALT)

    ALT was measured at Day 0, 4, 7, 9, 11, and 14.

    Time frame: Day 0, 4, 7, 9, 11, and 14.

07

Results

Posted Jul 12, 2012
Limitations and caveats
One limitation is that this study did not include a placebo group. The study was limited to healthy volunteers. The ingestion of each dose and use of other medications was self-reported.

Participant flow

Study was conducted from August 2007 through January 2008. Healthy volunteers were recruited through flyers posted in community settings.

Participant flow — Overall Study
MilestoneAcetaminophen
Started27
Completed24
Not completed3
Withdrew: Protocol violation3

Outcome measures

PrimarySerum Level of Acetaminophen-cysteine (APAP-Cys) Protein Adducts

Acetaminophen-cysteine (APAP-Cys) protein adduct concentrations were measured at Day 0, 4, 7, 9, 11 and 14. All units are in nmol/mL serum.

Time frame:
Day 0, 4, 7, 9, 11, and 14.
Reported as:
Mean · nmol/mL
Serum Level of Acetaminophen-cysteine (APAP-Cys) Protein Adducts
nmol/mLAcetaminophen
Day 00.0 ± 0.0
Day 40.3 ± 0.1
Day 70.3 ± 0.2
Day 90.4 ± 0.2
Day 110.4 ± 0.2
Day 140.2 ± 0.1
SecondaryAlanine Aminotransferase (ALT)

ALT was measured at Day 0, 4, 7, 9, 11, and 14.

Time frame:
Day 0, 4, 7, 9, 11, and 14.
Reported as:
Mean · IU/L
Alanine Aminotransferase (ALT)
IU/LAcetaminophen
Day 024.0 ± 8.1
Day 425.9 ± 10.1
Day 741.3 ± 27.3
Day 941.3 ± 27.3
Day 1141.8 ± 24.2
Day 1436.1 ± 18.6

Adverse events

Collected over Adverse events were collected from time of first dose of study medication through followup visits.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Acetaminophen—0/27 (0%)12/27 (44.4%)
Most frequent other events
Most frequent other events
EventAcetaminophen
nauseaGastrointestinal disorders5/27
headacheNervous system disorders3/27
diarrhoeaGastrointestinal disorders2/27
fatigueGeneral disorders2/27
migraineNervous system disorders2/27

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Acetaminophen
<=18 years0
Between 18 and 65 years27
>=65 years0
Age Continuous
Age Continuous(years)Acetaminophen
Mean37.3 ± 12.2
Sex: Female, Male
Sex: Female, Male(Participants)Acetaminophen
Female19
Male8
Region of Enrollment
Region of Enrollment(participants)Acetaminophen
United States27
08

Study locations

1 site
  • Denver Health Rocky Mountain Poison and Drug Center
    Denver, Colorado 80204, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 12, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00616018
Lead sponsor
Kennon Heard
Collaborators
McNeil Consumer & Specialty Pharmaceuticals, a Division of McNeil-PPC, Inc.
Responsible party
Kennon Heard (Medical Toxicology Fellowship Director, Denver Health and Hospital Authority) — Sponsor-investigator
First posted
Feb 14, 2008
Start date
Aug 2007
Primary completion
Jan 2008
Completion
Jan 2008
Results posted
Jul 12, 2012
Last update
Jul 12, 2012

Study contacts

Kennon Heard, MD
principal investigator · Denver Health/Rocky Mountain Poison & Drug Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2012. You cannot join it, but the record below documents what was studied.

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