Trial Outcomes & Findings for PP100-01 (Calmangafodipir) for Overdose of Paracetamol (NCT NCT03177395)

NCT ID: NCT03177395

Last Updated: 2019-10-03

Results Overview

Adverse Events and Serious Adverse Events

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

90 days

Results posted on

2019-10-03

Participant Flow

Studied period: 05 June 2017 to 08 August 2018 Study centres: Edinburgh Clinical Trials Unit (ECTU) The Emergency Medicine Research Group Edinburgh (EMERGE)

Adults within 24 h of a paracetamol overdose that required NAC. Within each of 3 sequential cohorts, participants were randomly assigned, with concealed allocation, to NAC and a single intravenous calmangafodipir dose (n=6/dose) or NAC alone (n=2). Calmangafodipir doses were 2, 5, or 10 μmol/kg. Participants, study and clinical teams not blinded

Participant milestones

Participant milestones
Measure
Acetylcysteine (N-acetylcysteine; NAC)
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 μmol/kg)+ NAC
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 μmol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes.
Group B: PP100-01 (Calmangafodipir 5 μmol/kg)+ NAC
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (5 μmol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes.
Group C: PP100-01 (Calmangafodipir 10 μmol/kg)+ NAC
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 μmol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes.
Overall Study
STARTED
6
6
6
6
Overall Study
COMPLETED
6
6
6
6
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

PP100-01 (Calmangafodipir) for Overdose of Paracetamol

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: • Group B: PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Total
n=24 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=99 Participants
5 Participants
n=107 Participants
6 Participants
n=206 Participants
6 Participants
n=7 Participants
23 Participants
n=31 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
1 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
1 Participants
n=31 Participants
Age, Continuous
32.2 years
STANDARD_DEVIATION 12.5 • n=99 Participants
42.5 years
STANDARD_DEVIATION 13.1 • n=107 Participants
42.7 years
STANDARD_DEVIATION 12.7 • n=206 Participants
22.7 years
STANDARD_DEVIATION 3.3 • n=7 Participants
35.0 years
STANDARD_DEVIATION 13.4 • n=31 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
4 Participants
n=107 Participants
4 Participants
n=206 Participants
3 Participants
n=7 Participants
13 Participants
n=31 Participants
Sex: Female, Male
Male
4 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
3 Participants
n=7 Participants
11 Participants
n=31 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
1 Participants
n=31 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
White
5 Participants
n=99 Participants
6 Participants
n=107 Participants
6 Participants
n=206 Participants
6 Participants
n=7 Participants
23 Participants
n=31 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Region of Enrollment
United Kingdom
6 participants
n=99 Participants
6 participants
n=107 Participants
6 participants
n=206 Participants
6 participants
n=7 Participants
24 participants
n=31 Participants
Time from ingestion of paracetamol to hospital presentation
8.8 hours
STANDARD_DEVIATION 6.2 • n=99 Participants
6.0 hours
STANDARD_DEVIATION 6.2 • n=107 Participants
5.8 hours
STANDARD_DEVIATION 7.2 • n=206 Participants
4.9 hours
STANDARD_DEVIATION 5.2 • n=7 Participants
6.4 hours
STANDARD_DEVIATION 6.2 • n=31 Participants
Type of overdose
Acute, ≤8 h to NAC
2 Participants
n=99 Participants
4 Participants
n=107 Participants
4 Participants
n=206 Participants
4 Participants
n=7 Participants
14 Participants
n=31 Participants
Type of overdose
Acute, >8 h to NAC
3 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
1 Participants
n=7 Participants
8 Participants
n=31 Participants
Type of overdose
Staggered intentional
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
1 Participants
n=7 Participants
1 Participants
n=31 Participants
Type of overdose
Supra-therapeutic
1 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
1 Participants
n=31 Participants
Presentation paracetamol concentration
76 mg/L
STANDARD_DEVIATION 81 • n=99 Participants
127 mg/L
STANDARD_DEVIATION 90 • n=107 Participants
74 mg/L
STANDARD_DEVIATION 44 • n=206 Participants
127 mg/L
STANDARD_DEVIATION 47 • n=7 Participants
101 mg/L
STANDARD_DEVIATION 66 • n=31 Participants
Total paracetamol ingested
185 mg/kg
STANDARD_DEVIATION 156 • n=99 Participants
235 mg/kg
STANDARD_DEVIATION 77 • n=107 Participants
229 mg/kg
STANDARD_DEVIATION 72 • n=206 Participants
397 mg/kg
STANDARD_DEVIATION 476 • n=7 Participants
262 mg/kg
STANDARD_DEVIATION 195 • n=31 Participants
Time from ingestion of paracetamol to start of NAC treatment
12.1 hours
STANDARD_DEVIATION 5.2 • n=99 Participants
9.8 hours
STANDARD_DEVIATION 6.5 • n=107 Participants
10.2 hours
STANDARD_DEVIATION 6.9 • n=206 Participants
8.6 hours
STANDARD_DEVIATION 4.1 • n=7 Participants
10.2 hours
STANDARD_DEVIATION 5.7 • n=31 Participants
Time from ingestion of paracetamol to start of calmangafodipir
NA hours
STANDARD_DEVIATION NA • n=99 Participants
12.6 hours
STANDARD_DEVIATION 6.8 • n=107 Participants
10.8 hours
STANDARD_DEVIATION 4.1 • n=206 Participants
11.8 hours
STANDARD_DEVIATION 5.4 • n=7 Participants
11.7 hours
STANDARD_DEVIATION 5.4 • n=31 Participants
Any other drug ingested
Yes
5 Participants
n=99 Participants
4 Participants
n=107 Participants
5 Participants
n=206 Participants
5 Participants
n=7 Participants
19 Participants
n=31 Participants
Any other drug ingested
No
1 Participants
n=99 Participants
2 Participants
n=107 Participants
1 Participants
n=206 Participants
1 Participants
n=7 Participants
5 Participants
n=31 Participants
Serum creatinine
74.7 μmol/L
STANDARD_DEVIATION 11.0 • n=99 Participants
67.5 μmol/L
STANDARD_DEVIATION 13.3 • n=107 Participants
67.3 μmol/L
STANDARD_DEVIATION 17.2 • n=206 Participants
69.5 μmol/L
STANDARD_DEVIATION 13.1 • n=7 Participants
69.8 μmol/L
STANDARD_DEVIATION 13.6 • n=31 Participants

PRIMARY outcome

Timeframe: 90 days

Population: In addition to paracetamol overdose, 19 out of the 24 randomised participants reported taking overdoses of other medicines in addition to the paracetamol. All treatment groups included participants with paracetamol only overdoses and mixed overdoses

Adverse Events and Serious Adverse Events

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Safety Events
Any Adverse event
6 participants
6 participants
6 participants
6 participants
Safety Events
Any serious adverse event
2 participants
4 participants
2 participants
3 participants
Safety Events
Adverse event after commencement of NAC treatment
6 participants
5 participants
6 participants
6 participants
Safety Events
Serious AE after commencement of NAC treatment
1 participants
1 participants
1 participants
2 participants
Safety Events
Adverse event where outcome was death
0 participants
0 participants
1 participants
0 participants
Safety Events
Adverse event unrelated to NAC
3 participants
5 participants
3 participants
5 participants
Safety Events
Adverse event possibly related to NAC
2 participants
2 participants
2 participants
2 participants
Safety Events
Adverse event probably related to NAC
3 participants
2 participants
3 participants
2 participants
Safety Events
Adverse event definitely related to NAC
2 participants
3 participants
1 participants
1 participants
Safety Events
Adverse event unrelated to PP100-01
6 participants
6 participants
5 participants
6 participants
Safety Events
Adverse event possibly related to PP100-01
0 participants
4 participants
2 participants
2 participants
Safety Events
Adverse event probably related to PP100-01
0 participants
0 participants
0 participants
0 participants
Safety Events
Adverse event definitely related to PP100-01
0 participants
0 participants
0 participants
0 participants
Safety Events
Any suspected unexpected serious adverse reaction
0 participants
0 participants
0 participants
1 participants
Safety Events
SUSAR to NAC
0 participants
0 participants
0 participants
0 participants
Safety Events
SUSAR to PP100-01
0 participants
0 participants
0 participants
1 participants
Safety Events
SUSAR to NAC and PP100-01
0 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline

The alanine aminotransferase (ALT) test is a blood test that checks for liver damage.

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
ALT(U/L)
42.5 U/L
Standard Deviation 3.6
24.6 U/L
Standard Deviation 2.1
29.4 U/L
Standard Deviation 2.3
17.7 U/L
Standard Deviation 1.5

SECONDARY outcome

Timeframe: 10 hours

Population: All 24 participants received the full dose of PP100-01 according to the allocated dosing cohort, all participants received as a minimum 12 hours of NAC treatment (loading dose, plus further 10 hours). For both PP100-01 and NAC total dose was adjusted according to participant weight

The alanine aminotransferase (ALT) test is a blood test that checks for liver damage.

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
ALT(U/L)
41.4 U/L
Standard Deviation 3.3
22.9 U/L
Standard Deviation 1.8
25.3 U/L
Standard Deviation 2.1
15.0 U/L
Standard Deviation 1.3

SECONDARY outcome

Timeframe: 20 hours

Population: All 24 participants received the full dose of PP100-01 according to the allocated dosing cohort, all participants received as a minimum 12 hours of NAC treatment (loading dose, plus further 10 hours). For both PP100-01 and NAC total dose was adjusted according to participant weight

The alanine aminotransferase (ALT) test is a blood test that checks for liver damage.

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
ALT(U/L)
43.3 U/L
Standard Deviation 3.8
20.4 U/L
Standard Deviation 1.9
25.4 U/L
Standard Deviation 1.8
16.4 U/L
Standard Deviation 1.5

SECONDARY outcome

Timeframe: Baseline

Population: All 24 participants received the full dose of PP100-01 according to the allocated dosing cohort, all participants received as a minimum 12 hours of NAC treatment (loading dose, plus further 10 hours). For both PP100-01 and NAC total dose was adjusted according to participant weight

international normalised ratio (INR) characterise acute liver injury (ALI) and failure (ALF)

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=5 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
INR
1.02 ratio
Standard Deviation 0.04
1.00 ratio
Standard Deviation 0.12
0.98 ratio
Standard Deviation 0.04
1.05 ratio
Standard Deviation 0.14

SECONDARY outcome

Timeframe: 10 hours

international normalised ratio (INR) characterise acute liver injury (ALI) and failure (ALF)

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
INR
1.30 ratio
Standard Deviation 0.18
1.17 ratio
Standard Deviation 0.20
1.20 ratio
Standard Deviation 0.00
1.22 ratio
Standard Deviation 0.25

SECONDARY outcome

Timeframe: 20 hours

international normalised ratio (INR) characterise acute liver injury (ALI) and failure (ALF)

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
INR
1.18 ratio
Standard Deviation 0.21
1.07 ratio
Standard Deviation 0.19
1.08 ratio
Standard Deviation 0.04
1.22 ratio
Standard Deviation 1.17

SECONDARY outcome

Timeframe: value at 20 hours divided by baseline value for each patient

international normalised ratio (INR) characterise acute liver injury (ALI) and failure (ALF)

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=5 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
INR
1.15 ratio
Standard Deviation 1.17
1.07 ratio
Standard Deviation 1.12
1.10 ratio
Standard Deviation 1.07
1.10 ratio
Standard Deviation 1.10

SECONDARY outcome

Timeframe: Additional NAC at 12 hour

participants required additional NAC infusions after the 12-hour NAC regimen

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Additional NAC Infusion
None
3 Participants
5 Participants
6 Participants
6 Participants
Additional NAC Infusion
One
1 Participants
1 Participants
0 Participants
0 Participants
Additional NAC Infusion
Two
2 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline (2 hours)

In paracetamol overdose, the full-length variant of Keratin-18 (K-18) is released by necrotic hepatocyte death.

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
K18 (U/L)
187 U/L
Standard Deviation 2.20
177 U/L
Standard Deviation 1.82
193 U/L
Standard Deviation 1.56
128 U/L
Standard Deviation 1.25

SECONDARY outcome

Timeframe: 10 hours

In paracetamol overdose, the full-length variant of Keratin-18 (K-18) is released by necrotic hepatocyte death.

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
K18(U/L)
182 U/L
Standard Deviation 1.95
152 U/L
Standard Deviation 1.56
170 U/L
Standard Deviation 1.42
111 U/L
Standard Deviation 1.18

SECONDARY outcome

Timeframe: 20 hours

In paracetamol overdose, the full-length variant of Keratin-18 (K-18) is released by necrotic hepatocyte death.

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
K18 (U/L)
347 U/L
Standard Deviation 3.18
229 U/L
Standard Deviation 1.94
172 U/L
Standard Deviation 1.45
181 U/L
Standard Deviation 1.73

SECONDARY outcome

Timeframe: Ratio - value at 20 hours divided by baseline value for each patient

In paracetamol overdose, the full-length variant of Keratin-18 (K-18) is released by necrotic hepatocyte death.

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
K18 (U/L)
1.85 U/L
Standard Deviation 1.47
1.29 U/L
Standard Deviation 1.89
0.89 U/L
Standard Deviation 1.57
1.41 U/L
Standard Deviation 1.83

SECONDARY outcome

Timeframe: Baseline (2 hours)

The shorter, Caspase cleaved form of K-18 is released following hepatocyte apoptosis (programmed cell death).

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
ccK18 (U/L)
67 U/L
Standard Deviation 1.99
45 U/L
Standard Deviation 1.33
84 U/L
Standard Deviation 1.80
104 U/L
Standard Deviation 2.44

SECONDARY outcome

Timeframe: 10 hours

The shorter, Caspase cleaved form of K-18 is released following hepatocyte apoptosis (programmed cell death).

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
ccK18 (U/L)
72 U/L
Standard Deviation 2.24
53 U/L
Standard Deviation 1.25
56 U/L
Standard Deviation 1.57
78 U/L
Standard Deviation 2.12

SECONDARY outcome

Timeframe: 20 hours

The shorter, Caspase cleaved form of K-18 is released following hepatocyte apoptosis (programmed cell death).

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
ccK18 (U/L)
149 U/L
Standard Deviation 3.34
66 U/L
Standard Deviation 1.34
85 U/L
Standard Deviation 1.62
111 U/L
Standard Deviation 2.56

SECONDARY outcome

Timeframe: Ratio - value at 20 hours divided by baseline value for each patient

Caspace-cleaved Keratin-18

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
ccK18 (U/L)
2.22 U/L
Standard Deviation 1.77
1.49 U/L
Standard Deviation 1.55
1.02 U/L
Standard Deviation 1.79
1.08 U/L
Standard Deviation 2.44

SECONDARY outcome

Timeframe: Baseline (2 hours)

MiR-122 is a biomarker specific for liver injury and fully conserved (translational) across in vitro models, in vivo models and humans. MiR-122 is an early marker for acute liver injury which predicts a rise in ALT activity following paracetamol overdose

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
miR-122 (Delta Count)
5.58 DCt
Standard Deviation 3.36
5.85 DCt
Standard Deviation 1.50
4.43 DCt
Standard Deviation 3.92
8.73 DCt
Standard Deviation 2.36

SECONDARY outcome

Timeframe: 10 hours

MiR-122 is a biomarker specific for liver injury and fully conserved (translational) across in vitro models, in vivo models and humans. MiR-122 is an early marker for acute liver injury which predicts a rise in ALT activity following paracetamol overdose

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
miR-122 (Delta Count)
5.41 DCt
Standard Deviation 3.86
6.14 DCt
Standard Deviation 1.99
5.01 DCt
Standard Deviation 3.36
9.00 DCt
Standard Deviation 1.45

SECONDARY outcome

Timeframe: 20 hours

MiR-122 is a biomarker specific for liver injury and fully conserved (translational) across in vitro models, in vivo models and humans. MiR-122 is an early marker for acute liver injury which predicts a rise in ALT activity following paracetamol overdose

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
miR-122 (Delta Count)
4.85 DCt
Standard Deviation 3.97
7.12 DCt
Standard Deviation 2.26
4.49 DCt
Standard Deviation 2.93
8.44 DCt
Standard Deviation 1.50

SECONDARY outcome

Timeframe: Baseline (2 h)

MiR-122 is a biomarker specific for liver injury and fully conserved (translational) across in vitro models, in vivo models and humans. MiR-122 is an early marker for acute liver injury which predicts a rise in ALT activity following paracetamol overdose

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
miR-122 (Copies/mcL)
146,363 copies/mcL
Standard Deviation 11.7
116,749 copies/mcL
Standard Deviation 2.4
194,075 copies/mcL
Standard Deviation 13.5
36,051 copies/mcL
Standard Deviation 3.9

SECONDARY outcome

Timeframe: 10 hours

MiR-122 is a biomarker specific for liver injury and fully conserved (translational) across in vitro models, in vivo models and humans. MiR-122 is an early marker for acute liver injury which predicts a rise in ALT activity following paracetamol overdose

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
miR-122(Copies/mcL)
206,205 copies/mcL
Standard Deviation 13.0
109,882 copies/mcL
Standard Deviation 3.3
196,732 copies/mcL
Standard Deviation 9.4
37,066 copies/mcL
Standard Deviation 2.2

SECONDARY outcome

Timeframe: 20 hours

MiR-122 is a biomarker specific for liver injury and fully conserved (translational) across in vitro models, in vivo models and humans. MiR-122 is an early marker for acute liver injury which predicts a rise in ALT activity following paracetamol overdose

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
miR-122 (Copies/mcL)
216,256 copies/mcL
Standard Deviation 10.8
57,664 copies/mcL
Standard Deviation 3.8
202,271 copies/mcL
Standard Deviation 7.7
40,745 copies/mcL
Standard Deviation 3.2

SECONDARY outcome

Timeframe: Ratio - value at 20 hours divided by baseline value for each patient

MiR-122 is a biomarker specific for liver injury and fully conserved (translational) across in vitro models, in vivo models and humans. MiR-122 is an early marker for acute liver injury which predicts a rise in ALT activity following paracetamol overdose

Outcome measures

Outcome measures
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 Participants
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: * Group A: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC * Group C: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 Participants
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
miR-122 (Copies/mcL)
1.48 copies/mcL
Standard Deviation 5.71
0.49 copies/mcL
Standard Deviation 1.98
1.04 copies/mcL
Standard Deviation 8.28
1.13 copies/mcL
Standard Deviation 2.96

Adverse Events

Acetylcysteine (N-acetylcysteine; NAC)

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC

Serious events: 4 serious events
Other events: 6 other events
Deaths: 0 deaths

Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC

Serious events: 2 serious events
Other events: 6 other events
Deaths: 1 deaths

Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC

Serious events: 3 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 participants at risk
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 participants at risk
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 participants at risk
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 participants at risk
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Cardiac disorders
cardiac disorders
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Gastrointestinal disorders
Gastrointestinal disorders
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
33.3%
2/6 • Number of events 2 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Infections and infestations
Infections and infestations
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
33.3%
2/6 • Number of events 2 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
33.3%
2/6 • Number of events 2 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Nervous system disorders
Nervous system disorders
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Psychiatric disorders
Psychiatric disorders
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
33.3%
2/6 • Number of events 2 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Vascular disorders
Vascular disorders
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation

Other adverse events

Other adverse events
Measure
Acetylcysteine (N-acetylcysteine; NAC)
n=6 participants at risk
NAC infusion 100mg/kg in 200ml 'loading dose' at timepoint '0'. 12 hour NAC regime will be continued with the second dose: 200mg/kg NAC in 1000ml i.v. over 10hr as per standard care protocol in NHS Lothian.
Group A: PP100-01 (Calmangafodipir 2 Umol/kg)+ NAC
n=6 participants at risk
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (2 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group B: PP100-01 (Calmangafodipir 5 Umol/kg)+ NAC
n=6 participants at risk
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Group C: PP100-01 (Calmangafodipir 10 Umol/kg)+ NAC
n=6 participants at risk
In addition to the standard care NAC regime, participants will be allocated into a dosing cohort to receive: PP100-01 (5 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 (10 umol/kg calmangafodipir) after the "loading" dose of NAC PP100-01 treatment is administered intravenously over 5 minutes. PP100-01 (calmangafodipir): PP100-01
Infections and infestations
Pyelonephritis
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Injury, poisoning and procedural complications
Fall
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Cardiac disorders
Ventricular extrasystoles
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Gastrointestinal disorders
Nausea
50.0%
3/6 • Number of events 4 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
33.3%
2/6 • Number of events 3 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
50.0%
3/6 • Number of events 3 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
General disorders
Pyrexia
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Infections and infestations
Otitis externa
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Injury, poisoning and procedural complications
Overdose
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
33.3%
2/6 • Number of events 2 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 2 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Metabolism and nutrition disorders
Hypokalemia
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Musculoskeletal and connective tissue disorders
Back Pain
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Nervous system disorders
Dizziness
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Psychiatric disorders
Alcohol withdrawal syndrome
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Renal and urinary disorders
Dysuria
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Respiratory, thoracic and mediastinal disorders
Respiration abnormal
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Skin and subcutaneous tissue disorders
Hyperhidrosis
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Vascular disorders
Hypotension
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Cardiac disorders
Tachycardia
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Cardiac disorders
heart block
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Gastrointestinal disorders
vomiting
66.7%
4/6 • Number of events 4 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
66.7%
4/6 • Number of events 7 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
33.3%
2/6 • Number of events 2 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Gastrointestinal disorders
abdominal pain
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
50.0%
3/6 • Number of events 3 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Gastrointestinal disorders
Retching
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Gastrointestinal disorders
Hypoaethesia oral
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
General disorders
chest pain
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Infections and infestations
Pneumonia
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Infections and infestations
Tubo-ovarian abscess
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Infections and infestations
Pharyngitis
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Injury, poisoning and procedural complications
Soft tissue injury
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Injury, poisoning and procedural complications
ntentional product misuse
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Nervous system disorders
Headache
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
33.3%
2/6 • Number of events 3 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 2 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Psychiatric disorders
Anxiety
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Nervous system disorders
migraine
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Psychiatric disorders
substance abuse
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Respiratory, thoracic and mediastinal disorders
Wheezing
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
Respiratory, thoracic and mediastinal disorders
Dyspnoea
16.7%
1/6 • Number of events 1 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation
0.00%
0/6 • Adverse events / adverse reactions were assessed at baseline, 2, 2.5, 10, 20 and 22 hours as well as ad hoc and as part of follow up. Following discharge, patients were followed up using their electronic records. AE data were collected 7, 30 and 90 days after randomisation

Additional Information

Dr James Dear

Pharmacology, Therapeutics and Toxicology Unit, Centre for Cardiovascular Science, University of Edinburgh, UK

Phone: +44(0)131 242 9214

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place