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RecruitingNCT07225634Updated Sep 16, 2026

A Study of Combogesic® IV (Intravenous) in Pediatric Patients With Acute Pain

A Phase 3 interventional study of Combogesic® IV (fixed-dose combination containing acetaminophen 10 mg/ml + ibuprofen 3 mg/ml in 100 ml solution for infusion) in Acute Pain, sponsored by AFT Pharmaceuticals, Ltd.. Recruiting at 4 sites in Hungary. Open to participants aged 2 Years to 16 Years. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by AFT Pharmaceuticals, Ltd. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Phase
Phase 3
Study type
Interventional
Enrollment
60
Allocation
Not applicable
Ages
2 Years to 16 Years
Sex
All
01

Study summary

Combogesic® IV is an intravenous medicine (given by vein) containing a combination of two pain relief (analgesic) medicines called ibuprofen and acetaminophen. The goal of this clinical trial is to study the way that the body processes and clears the intravenous infusion of Combogesic® IV and that it is safe to be used in children and adolescents between the ages of 2 and \<17 years.

What will the study involve for participants?

  • Combogesic® IV will be administered every 6 hours as necessary with a maximum of 4 doses within a 24-hour period as an intravenous infusion for about 15 minutes.
  • Participants will receive Combogesic® IV for a minimum of 12 hours (2 doses) up to a maximum of 5 days (20 doses). Dosing will be dependent on body weight.
  • If pain is not sufficiently controlled by Combogesic® IV, opioids may be used as supplementary pain relief at the discretion of the study doctor.
  • Have their blood samples collected before dosing and at specific times after dosing. The amount of study drug in the blood will be measured, and safety assessments (including blood and urine samples) will be done.
  • Rate the study drug at the end of the treatment.

It is expected that Combogesic® IV will be well tolerated in children and adolescents and that the pharmacokinetics findings will be similar as compared with adults.

02

Conditions studied

  • Acute Pain

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Keywords

  • pharmacokinetic
  • pediatric
  • Combogesic IV
  • safety
03

In context

Acute Pain

1,073 studies on the registry are indexed under Acute Pain; 166 are open to participants now.

This study's planned enrollment of 60 is below the median of 86 across 902 interventional studies indexed under Acute Pain.

Browse Acute Pain studies →

Lead sponsor

AFT Pharmaceuticals, Ltd. is the lead sponsor of 9 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
2 Years to 16 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Is male or female aged between 2 and \<17 years.
  2. Have a clinical indication of acute pain* requiring hospitalization and multiple doses of parenterally administered nonopioid analgesic medication for at least 0.5 - 5 days.
  3. Is either able to provide written or consent is provided from parents/legal guardians and assent provided from participants (where appropriate).
  4. Is willing and able to remain at the study site for at least 12 hours and to attend a follow-up visit at 7 ± 2 days after the last dose of study drug.
  5. Have negative and \& C test results.

    • Acute pain indications may include but are not limited to post-operative pain associated with musculoskeletal or soft tissue surgery, fractures or injury, or medical procedures.

Exclusion criteria

Exclusion Criteria:

  1. Has a known history of allergic reaction or intolerance to acetaminophen, aspirin, opioids, or any nonsteroidal anti-inflammatory drugs (NSAIDs, including ibuprofen); history of NSAID-induced bronchospasm (subjects with the triad of asthma, nasal polyps, and chronic rhinitis are at greater risk for bronchospasm and should be considered carefully); or , allergy, or significant reaction to sulfa (including sulfonamide) medicines, ingredients of the study drug, or any other drugs used in the study including anesthetics and antibiotics that may be required.
  2. Has experienced any surgical complications or other issues that, in the opinion of the Investigator, could compromise the safety of the subject if he or she participates in the study or could confound the results of the study.
  3. Has any clinically significant unstable cardiac, respiratory, neurological, immunological, hematological, or renal disease or any other condition that, in the opinion of the Investigator, could compromise the subject's welfare, ability to communicate with the study staff, or otherwise contraindicate study participation.
  4. Has a history or current diagnosis of a significant psychiatric disorder that, in the opinion of the Investigator, would affect the subject's ability to comply with the study requirements.
  5. Has a history of a clinically significant (Investigator opinion) gastrointestinal (GI) event within 6 months before screening or has any history of peptic or gastric ulcers or GI bleeding.
  6. Has a surgical or medical condition of the GI or renal system that might significantly alter the absorption, distribution, or excretion of any drug substance.
  7. Is considered by the Investigator, for any reason to be an unsuitable candidate to receive the study drug.
  8. Is receiving systemic chemotherapy, has an active of any type, or has been diagnosed with cancer within 5 years before Screening (excluding treated squamous or basal cell carcinoma of the skin).
  9. Is currently receiving anticoagulants (e.g. heparin or warfarin).
  10. Has received a course of systemic (either oral or parenteral) within 3 months before screening (inhaled nasal steroids and regional/limited area application of topical corticosteroids (Investigator discretion) are allowed).
  11. Has a history of chronic use (defined as daily use for > 2 weeks) of NSAIDs, opiates, or glucocorticoids (except inhaled nasal steroids and regional/limited topical corticosteroids), for any condition within 6 months before study drug administration. Aspirin at a daily dose of ≤ 325 mg is allowed for cardiovascular prophylaxis if the subject has been on a stable dose regimen for ≥ 30 days before screening and has not experienced any relevant medical problem.
  12. Has a significant renal or hepatic disease, as indicated by clinical laboratory assessment (results ≥ 3 times the [ULN] for any liver function test, including [AST], alanine aminotransferase [ALT], or creatinine ≥ 1.5 times the ULN).
  13. Has any clinically significant laboratory finding at screening that, in the opinion of the Investigator, contraindicates study participation.
  14. Participated in another clinical study within 30 days before Screening.
  15. Pregnant or lactating females
  16. Sexually active females of not using adequate and sexually active males not using adequate contraception
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Combogesic® IV

    Combogesic® IV (acetaminophen 10 mg/ml + ibuprofen 3 mg/ml in 100 ml solution for infusion), will be administered by injection into a dedicated indwelling venous cannula, infused over 15 minutes every 6 hours

    Drug: Combogesic® IV (fixed-dose combination containing acetaminophen 10 mg/ml + ibuprofen 3 mg/ml in 100 ml solution for infusion)

Interventions

  • DrugCombogesic® IV (fixed-dose combination containing acetaminophen 10 mg/ml + ibuprofen 3 mg/ml in 100 ml solution for infusion)

    Acetaminophen 1000 mg and Ibuprofen 300 mg per 100 mL solution for intravenous infusion administered as a 15-minute infusion, every 6 hours, as necessary.

06

What researchers measure

Primary outcomes

  1. The incidence of treatment-emergent adverse events (TEAEs) associated with exposure to Combogesic® IV in pediatric patients

    TEAEs occurring at any timepoint during the treatment period will be coded to MedDRA System Organ Class Code and Preferred Term and tabulated as frequencies and percentages.

    Time frame: From start of exposure to Combogesic® IV up to 7 days after last dose

Secondary outcomes

  1. The time course of treatment-emergent adverse events

    Time frame: From start of exposure to Combogesic® IV up to 7 days after last dose

  2. The incidence of treatment-related adverse events

    Time frame: From start of exposure to Combogesic® IV up to 7 days after last dose

  3. The incidence of treatment-emergent adverse events of interest (cardiovascular, gastrointestinal, renal, hepatic, administration site conditions and bleeding-related events)

    Time frame: From start of exposure to Combogesic® IV up to 7 days after last dose

  4. Changes in heart rate

    Time frame: From baseline up to 7 days after last dose of Combogesic® IV

  5. Changes in biochemistry values (Aspartate transaminase)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  6. Patient's global evaluation of the study drug

    Each patient will rate the study medication using a questionnaire of: How do you rate the study medication? 1. = Poor; 2. = Fair; 3. = Good; 4. = Very Good; 5. = Excellent The patient's global evaluation of the study drug will be summarized by the number and percentage of subjects within each category.

    Time frame: From Day 1 until completion of treatment period up to 5 days.

  7. Define the pharmacokinetic parameters of Combogesic® IV (Cmax - Maximum measured plasma concentration)

    This will be estimated for paracetamol and ibuprofen from the plasma concentration against time data, using a non-compartmental model

    Time frame: Pre-dose of Combogesic® IV to 6 hours post infusion

  8. Consumption of supplemental opioid medication in each 24-hour period as Morphine Milligram Equivalent (MME).

    Time frame: From start of exposure to Combogesic® IV until up to 5 days

  9. Define the pharmacokinetic parameters of Combogesic® IV (Tmax - Time of maximum measured plasma concentration)

    This will be estimated for paracetamol and ibuprofen from the plasma concentration against time data, using a non-compartmental model

    Time frame: Pre-dose of Combogesic® IV to 6 hours post infusion

  10. Define the pharmacokinetic parameters of Combogesic® IV ( t½ - Time required for the plasma drug concentration to decrease by one half)

    This will be estimated for paracetamol and ibuprofen from the plasma concentration against time data, using a non-compartmental model

    Time frame: Pre-dose of Combogesic® IV to 6 hours post infusion

  11. Define the pharmacokinetic parameters of Combogesic® IV (AUC(0-t) - The area under the plasma concentration versus time curve from time zero to the last measurable concentration)

    This will be estimated for paracetamol and ibuprofen from the plasma concentration against time data, using a non-compartmental model

    Time frame: Pre-dose of Combogesic® IV to 6 hours post infusion

  12. Define the pharmacokinetic parameters of Combogesic® IV (Extrapolated AUC(0-∞)- The area under the plasma concentration versus time curve, from zero to infinity)

    This will be estimated for paracetamol and ibuprofen from the plasma concentration against time data, using a non-compartmental model

    Time frame: Pre-dose of Combogesic® IV to 6 hours post infusion

  13. Changes in blood pressure

    Time frame: From baseline up to 7 days after last dose of Combogesic® IV

  14. Changes in body temperature

    Time frame: From baseline up to 7 days after last dose of Combogesic® IV

  15. Changes in respiratory rate

    Time frame: From baseline up to 7 days after last dose of Combogesic® IV

  16. Changes in hematology values (Hemaglobin)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  17. Changes in hematology values (Hematocrit)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  18. Changes in hematology values (Platelet count)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  19. Changes in hematology values (Red Blood Cell (RBC) count)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  20. Changes in hematology values (White Blood Cell (WBC) count)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment

    Time frame: From baseline up to 7 days after last dose

  21. Changes in hematology values (Differential Leukocyte Count (DLC))

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  22. Changes in biochemistry values (Sodium)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  23. Changes in biochemistry values (Potassium)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  24. Changes in biochemistry values (Urea)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  25. Changes in biochemistry values (Creatinine)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  26. Changes in biochemistry values (Phosphate)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  27. Changes in biochemistry values (Glucose)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  28. Changes in biochemistry values (Albumin)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  29. Changes in biochemistry values (Total protein)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  30. Changes in biochemistry values (Alkaline phosphates)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

  31. Changes in biochemistry values (Gamma-glutamyl transferase)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Time frame: From baseline up to 7 days after last dose

07

Study locations

4 of 4 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2026 (actual). Primary completion is estimated for Mar 2027, 6 months after the start.

Of 28 industry-sponsored phase 3 interventional studies under Acute Pain, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 15. This study's planned 6 months is below that.

Counting every sponsor, half of 53 studies reached it within 14 months; a quarter within 7 and three quarters within 25.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 30, 2025
First posted
Nov 6, 2025
StartActual
Sep 14, 2026
Primary completionEst.
Mar 2027
CompletionEst.
Apr 2027
Last update
Sep 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07225634
Lead sponsor
AFT Pharmaceuticals, Ltd.
Collaborators
HungaroTrial
Responsible party
Sponsor
First posted
Nov 6, 2025
Start date
Sep 14, 2026
Primary completion
Mar 2027 (estimated)
Completion
Apr 2027 (estimated)
Last update
Sep 16, 2026

Study contacts

Laura Boddington
Contact
laura.boddington@aftpharm.com
+64 9 488 0232 ext 735

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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