Scottish and Newcastle Anti-emetic Pre-treatment for Paracetamol Poisoning Study (SNAP)
NCT01050270 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 222
Last updated 2013-07-31
Summary
This study is designed to assess the impact of new approaches to therapy for paracetamol poisoning. Standard therapy is currently acetylcysteine by intravenous infusion over 20.25h. This regimen is given to those deemed "at risk" using standard criteria (British National Formulary 200920). It has 3 major problems, adverse events (nausea and vomiting and anaphylactoid reactions), therapy duration and complexity of administration.
This study is primarily designed to test the efficacy of prophylactic anti-emetic therapy.
It will also provide sufficient experience and data from a modified shortened IV acetylcysteine regimen to adequately design and power a study of the modified regimen as a new treatment for this common poison. Such an approach has a major potential to reduce patient adverse events from acetylcysteine therapy and shorten duration of hospital stay.
Conditions
Interventions
- DRUG
-
Ondansetron
4mgs iv bolus
- DRUG
-
acetylcysteine
100 mg/kg over 2 hours then 200mg/kg over 10 hours, followed by glucose 5% for 8 hours
- DRUG
-
acetylcysteine
150 mg/kg over 15 mins 50 mg/kg over 4 hours 100 mg/kg over 16 hours
Sponsors & Collaborators
-
NHS Lothian
collaborator OTHER_GOV -
Chief Scientist Office of the Scottish Government
collaborator OTHER_GOV -
University of Edinburgh
lead OTHER
Principal Investigators
-
Alasdair J Gray · NHS Lothian
-
Harry K Thanacoody · Newcastle Hospitals NHS Foundation Trust
-
Jamie G Cooper · NHS Grampian
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- FACTORIAL
Eligibility
- Min Age
- 16 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-09-30
- Primary Completion
- 2012-12-31
- Completion
- 2013-03-31
Countries
- United Kingdom
Study Locations
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