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    Clinical Trial Results:
    A DOUBLE-BLIND, RANDOMIZED, PLACEBO-CONTROLLED PHASE IV CLINICAL STUDY OF THE EFFICACY AND SAFETY OF A NEW FORMULATION OF PARACETAMOL FOR THE MANAGEMENT OF FEVER OF INFECTIOUS ORIGIN

    Summary
    EudraCT number
    2014-002588-14
    Trial protocol
    GR  
    Global end of trial date
    19 Mar 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    26 Nov 2021
    First version publication date
    26 Nov 2021
    Other versions
    Summary report(s)
    Giamarellos2017

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    APOTEL-02
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02283203
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories SA
    Sponsor organisation address
    14th Km National Road 1, Kifissia, Greece, 14564
    Public contact
    Regulatory Affairs department, Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories SA, 30 2108072512, unipharma@uni-pharma.gr
    Scientific contact
    Regulatory Affairs department, Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories SA, 30 2108072512, unipharma@uni-pharma.gr
    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
    11 Jul 2016
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    19 Mar 2016
    Global end of trial reached?
    Yes
    Global end of trial date
    19 Mar 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    A new formulation of paracetamol for intravenous administration has been manufactured in Greece by the industry Uni-Pharma (ΑPOTEL Μax®). According to this new formulation, 1g of paracetamol is provided as a flask diluted into 100ml volume with the possibility of immediate connection with the infusion device of the patient. This formulation provides the advantage of a dilution ready-to-use which equals considerable financial benefit; nursing staff is not pre-occupied with the preparation of dilutions and the amount of consumables required for the preparation of this dilution is significantly decreased. Taking into consideration that the antipyretic effect of intravenous paracetamol has never been studied compared with other agents in patients and available data come from studies in volunteers with experimental endotoxemia, the present study compares the efficacy of the new ΑPOTEL Μax® formulation versus placebo for the management of fever of infectious origin.
    Protection of trial subjects
    Administration of 1 g paracetamol as rescue medication (APOTEL MAX) 3 h after the start of the study drug infusion on patient demand or at the discretion of the attending physician.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Sep 2014
    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
    Greece: 80
    Worldwide total number of subjects
    80
    EEA total number of subjects
    80
    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)
    0
    Adults (18-64 years)
    65
    From 65 to 84 years
    15
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    The first patient was enrolled on February 18th 2015 and the last on March 19th 2016, in 5 centers in Greece. In total, 39 patients were randomized to the placebo arm and 41 to the paracetamol arm.

    Pre-assignment
    Screening details
    In total, 231 patients were asked to provide written consent for assessment of eligibility, and 185 provided this. As intense follow-up of enrolled patients was mandated as per the protocol, once a patient had been enrolled, no screening was run in parallel, to avoid mistakes by the study personnel during follow-up.

    Period 1
    Period 1 title
    First visit
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator
    Blinding implementation details
    The study drugs (placebo or active drug) were constructed by the sponsor to be visually similar. A separate allocation sequence was designed for each study site by an independent statistician, who was the only holder of the allocation sequence.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo group
    Arm description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Arm title
    Active drug group
    Arm description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Experimental

    Investigational medicinal product name
    Apotel max
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Number of subjects in period 1
    Placebo group Active drug group
    Started
    39
    41
    Completed
    39
    41
    Period 2
    Period 2 title
    Second visit-0.5h postinfusion
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo group
    Arm description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Arm title
    Active drug group
    Arm description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Experimental

    Investigational medicinal product name
    Apotel max
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Number of subjects in period 2
    Placebo group Active drug group
    Started
    39
    41
    Completed
    39
    41
    Period 3
    Period 3 title
    Third visit-1h postinfusion
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo group
    Arm description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Arm title
    Active drug group
    Arm description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Experimental

    Investigational medicinal product name
    Apotel max
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Number of subjects in period 3
    Placebo group Active drug group
    Started
    39
    41
    Completed
    39
    41
    Period 4
    Period 4 title
    Fourth visit-2h postinfusion
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo group
    Arm description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Arm title
    Active drug group
    Arm description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Experimental

    Investigational medicinal product name
    Apotel max
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Number of subjects in period 4
    Placebo group Active drug group
    Started
    39
    41
    Completed
    39
    41
    Period 5
    Period 5 title
    Fifth visit-3h postinfusion
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo group
    Arm description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Arm title
    Active drug group
    Arm description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Experimental

    Investigational medicinal product name
    Apotel max
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Number of subjects in period 5
    Placebo group Active drug group
    Started
    39
    41
    Completed
    39
    41
    Period 6
    Period 6 title
    Sixth visit-4h postinfusion
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo group
    Arm description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Arm title
    Active drug group
    Arm description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Experimental

    Investigational medicinal product name
    Apotel max
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Number of subjects in period 6
    Placebo group Active drug group
    Started
    39
    41
    Completed
    39
    41
    Period 7
    Period 7 title
    Seventh visit-5h postinfusion
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo group
    Arm description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Arm title
    Active drug group
    Arm description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Experimental

    Investigational medicinal product name
    Apotel max
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Number of subjects in period 7
    Placebo group Active drug group
    Started
    39
    41
    Completed
    39
    41
    Period 8
    Period 8 title
    Eighth visit-6h postinfusion
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo group
    Arm description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Arm title
    Active drug group
    Arm description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Arm type
    Experimental

    Investigational medicinal product name
    Apotel max
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Parenteral use
    Dosage and administration details
    Polypropylene bag with a final volume of 100 ml, which was connected directly to the infusion device that led to a catheter already cannulated in one antecubital vein. Infused within 15 min.

    Number of subjects in period 8
    Placebo group Active drug group
    Started
    39
    41
    Completed
    39
    41

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Placebo group
    Reporting group description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Reporting group title
    Active drug group
    Reporting group description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Reporting group values
    Placebo group Active drug group Total
    Number of subjects
    39 41 80
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    50.1 ± 24.7 53.0 ± 20.8 -
    Gender categorical
    Units: Subjects
        Female
    21 21 42
        Male
    18 20 38

    End points

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    End points reporting groups
    Reporting group title
    Placebo group
    Reporting group description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Reporting group title
    Active drug group
    Reporting group description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Reporting group title
    Placebo group
    Reporting group description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Reporting group title
    Active drug group
    Reporting group description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Reporting group title
    Placebo group
    Reporting group description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Reporting group title
    Active drug group
    Reporting group description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Reporting group title
    Placebo group
    Reporting group description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Reporting group title
    Active drug group
    Reporting group description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Reporting group title
    Placebo group
    Reporting group description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Reporting group title
    Active drug group
    Reporting group description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Reporting group title
    Placebo group
    Reporting group description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Reporting group title
    Active drug group
    Reporting group description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Reporting group title
    Placebo group
    Reporting group description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Reporting group title
    Active drug group
    Reporting group description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.
    Reporting group title
    Placebo group
    Reporting group description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Reporting group title
    Active drug group
    Reporting group description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Primary: Achievement of defervescence

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    End point title
    Achievement of defervescence [1]
    End point description
    Percentage of patients found with sustained defervescence during the 6-h follow-up. Achievement of defervescence was defined as any core body temperature ≤37.1°C.
    End point type
    Primary
    End point timeframe
    6 h after administration
    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: Comparisons of the advent of defervescence and of the need for rescue medication between the groups were carried out using the Fisher exact test
    End point values
    Placebo group Active drug group
    Number of subjects analysed
    39
    41
    Units: percent
        number (not applicable)
    38.5
    80.5
    No statistical analyses for this end point

    Primary: Time to defervescence

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    End point title
    Time to defervescence [2]
    End point description
    Median time to defervescence
    End point type
    Primary
    End point timeframe
    6 hours after administration
    Notes
    [2] - 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: The median and interquartile ranges of time to the advent of defervescence and to the need for rescue medication were measured after Kaplan–Meier analysis
    End point values
    Placebo group Active drug group
    Number of subjects analysed
    39
    41
    Units: hour
        median (inter-quartile range (Q1-Q3))
    6 (3 to 6)
    3 (1 to 5)
    No statistical analyses for this end point

    Secondary: Rescue medication

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    End point title
    Rescue medication
    End point description
    Need for administration of rescue medication
    End point type
    Secondary
    End point timeframe
    6 hours after administration
    End point values
    Placebo group Active drug group
    Number of subjects analysed
    39
    41
    Units: percent
        number (not applicable)
    38.5
    12.2
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    10 days after administration
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.0
    Reporting groups
    Reporting group title
    Placebo group
    Reporting group description
    Patients were randomly assigned to the placebo group, receiving excipients diluted in water for injection at a volume of 100 ml and infused within 15 min. The specific excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Reporting group title
    Active drug group
    Reporting group description
    Patients were randomly assigned to active drug group receiving 1 g paracetamol (Apotel max, Uni-Pharma SA) diluted in water for injection at a volume of 100ml and infused within 15 min. The inactive excipients were hydroxypropylbetadex, monothioglycerol, disodium edetate, sodium chloride and disodium phosphate dihydrate.

    Serious adverse events
    Placebo group Active drug group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 39 (0.00%)
    2 / 41 (4.88%)
         number of deaths (all causes)
    0
    2
         number of deaths resulting from adverse events
    0
    2
    General disorders and administration site conditions
    Death
    Additional description: Deaths, which occurred more than 24 h after infusion of the study drug; in all cases, this was caused by the underlying infection.
         subjects affected / exposed
    0 / 39 (0.00%)
    2 / 41 (4.88%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 2
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Placebo group Active drug group
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 39 (0.00%)
    2 / 41 (4.88%)
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 41 (2.44%)
         occurrences all number
    0
    1
    Endocrine disorders
    Hypoglycaemia
         subjects affected / exposed
    0 / 39 (0.00%)
    1 / 41 (2.44%)
         occurrences all number
    0
    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

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/27792836
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