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    Clinical Trial Results:
    Effects of paracetamol on nociception in adolescents.

    Summary
    EudraCT number
    2011-005086-20
    Trial protocol
    NL  
    Global end of trial date
    13 Aug 2014

    Results information
    Results version number
    v1(current)
    This version publication date
    01 Mar 2022
    First version publication date
    01 Mar 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CHDR1117
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Centre for Human Drug Research
    Sponsor organisation address
    Zernikedreef 8, Leiden, Netherlands, 2333 CL
    Public contact
    L. Schrier, CHDR, 0031 715246400, lschrier@chdr.nl
    Scientific contact
    L. Schrier, CHDR, 0031 715246400, lschrier@chdr.nl
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    13 Aug 2014
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    13 Aug 2014
    Global end of trial reached?
    Yes
    Global end of trial date
    13 Aug 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    - To educate adolescents about clinical drug studies by involving them as project team members and participants in an experiment with negligible risk and minimal burden; - To investigate the effects of paracetamol on nociception in adolescents; - To describe saliva paracetamol concentrations in adolescents; - To describe the PK/PD relationship of paracetamol in adolescents (using data obtained in the healthy adult volunteer study); - To evaluate the applicability of the PainCart test battery in adolescents, including evaluation how adolescents have experienced trial participation.
    Protection of trial subjects
    The proposed tests are without risks for the volunteer (e.g., do not cause tissue damage or psychological trauma). As it is possible that in rare cases a participant might react to pain with a stress response or exaggerated pressor/baroreflex response (for example fainting), an exclusion criterion addressing risk factors for fainting have been included. In addition, participants will have unlimited access to fluids to ensure hydration prior and during the experiments to reduce the risk of fainting due to vasovagal stress responses. Also, participants will be given time to habituate to the laboratory setting before starting the tests. Therefore, the risk related to participating in this study is considered to be minimal. The proposed tests generally cause some pain, but (1) the participant has control over the process (i.e. control of cessation during the test); (2) the pain mounts fairly slowly so that it can be terminated before it becomes severe, and (3) the discomfort subsides rapidly once the test is terminated. Also, the participant knows the maximum duration of the pain and that no harm is being done, despite the fact that the test is painful. When a volunteer displays resistance against any study related activity, the “Gedragscode verzet minderjarigen” (Code of conduct in case of resistance in minors) will be followed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Dec 2011
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Netherlands: 12
    Worldwide total number of subjects
    12
    EEA total number of subjects
    12
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    12
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Start 28DEC2011 end 13AUG2014 in the Netherlands

    Pre-assignment
    Screening details
    Healthy male and female subjects aged 16 and 17 years, with consent from parents. Subjects indicating nociceptive tests intolerable at screening or achieving tolerance at >70% of maximum input intensity for any nociceptive test were also excluded. No alcohol or caffeine use 24 hours and no smoking 12 hours before and during studydays.

    Period 1
    Period 1 title
    Studyperiod (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Investigator, Monitor, Subject, Data analyst, Carer, Assessor

    Arms
    Are arms mutually exclusive
    No

    Arm title
    Paracetamol
    Arm description
    Paracetamol 1000mg
    Arm type
    Experimental

    Investigational medicinal product name
    Paracetamol
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Single dose 1000mg

    Arm title
    Placebo
    Arm description
    Placebo
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    Single dose

    Number of subjects in period 1
    Paracetamol Placebo
    Started
    12
    12
    Completed
    12
    12

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Studyperiod
    Reporting group description
    -

    Reporting group values
    Studyperiod Total
    Number of subjects
    12 12
    Age categorical
    Units: Subjects
        Adolescents (12-17 years)
    12 12
    Gender categorical
    Units: Subjects
        Female
    7 7
        Male
    5 5

    End points

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    End points reporting groups
    Reporting group title
    Paracetamol
    Reporting group description
    Paracetamol 1000mg

    Reporting group title
    Placebo
    Reporting group description
    Placebo

    Primary: Tolerance levels for heat pain

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    End point title
    Tolerance levels for heat pain [1]
    End point description
    End point type
    Primary
    End point timeframe
    Period 1
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Please refer to the uploaded PD report for the end points and analyses.
    End point values
    Paracetamol Placebo
    Number of subjects analysed
    12
    12
    Units: Celcius
        number (not applicable)
    12
    12
    Attachments
    CHDR1117_PD_stats_output_2014-09-30
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From first dose to follow up.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.1
    Reporting groups
    Reporting group title
    Studyperiod
    Reporting group description
    -

    Serious adverse events
    Studyperiod
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 12 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Studyperiod
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    2 / 12 (16.67%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    1 / 12 (8.33%)
         occurrences all number
    1
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    1 / 12 (8.33%)
         occurrences all number
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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