Trial Outcomes & Findings for Topical Acetaminophen for Itch Relief: a Proof of Concept Study in Healthy Subjects (NCT NCT03997851)

NCT ID: NCT03997851

Last Updated: 2025-12-08

Results Overview

Peak itch intensity between the vehicle and 3 other active treatments (5%, 2.5%, and 1% acetaminophen gels) after non-histaminergic itch induction (cowhage). Itch intensity was measured on a 10cm scale visual analog scale for 10 minutes. 0 was weighted with "no itch" and 10 was weighted with "most itch imaginable".

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

17 participants

Primary outcome timeframe

10 minutes

Results posted on

2025-12-08

Participant Flow

Unit of analysis: skin arm test areas

Participant milestones

Participant milestones
Measure
Topical acetaminophen and vehicle gel
Each participant will receive topical gel treatments applied for 30 minutes to 4 separate 4 x 4 cm predefined skin areas on the ventral forearms twice at 2 separate study visits. The 4 treatments are: 5% acetaminophen gel 2.5% acetaminophen gel 1% acetaminophen gel Vehicle gel Acetaminophen: Topical acetaminophen gel
Overall Study
STARTED
17 136
Overall Study
COMPLETED
17 136
Overall Study
NOT COMPLETED
0 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Topical Acetaminophen for Itch Relief: a Proof of Concept Study in Healthy Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Topical Acetaminophen and Vehicle Gel
n=17 Participants
Each participant will receive topical gel treatments applied for 30 minutes to 4 separate 4 x 4 cm predefined skin areas on the ventral forearms twice at 2 separate study visits. The 4 treatments are: 5% acetaminophen gel 2.5% acetaminophen gel 1% acetaminophen gel Vehicle gel Acetaminophen: Topical acetaminophen gel
Age, Categorical
<=18 years
0 Participants
n=9 Participants
Age, Categorical
Between 18 and 65 years
17 Participants
n=9 Participants
Age, Categorical
>=65 years
0 Participants
n=9 Participants
Sex: Female, Male
Female
15 Participants
n=9 Participants
Sex: Female, Male
Male
2 Participants
n=9 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=9 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=9 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=9 Participants
Race (NIH/OMB)
Asian
3 Participants
n=9 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=9 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=9 Participants
Race (NIH/OMB)
White
11 Participants
n=9 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=9 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants

PRIMARY outcome

Timeframe: 10 minutes

Population: All subjects received 4 topical cream treatments.

Peak itch intensity between the vehicle and 3 other active treatments (5%, 2.5%, and 1% acetaminophen gels) after non-histaminergic itch induction (cowhage). Itch intensity was measured on a 10cm scale visual analog scale for 10 minutes. 0 was weighted with "no itch" and 10 was weighted with "most itch imaginable".

Outcome measures

Outcome measures
Measure
Topical 5% acetaminophen gel
n=17 Participants
Topical 5% acetaminophen gel will be applied to one 4x4 cm predefined skin area on the ventral forearm during 2 study visits. The gel will be applied to the test area and will be allowed 30 minutes to adsorb. Following this pre-treatment, residual gel will be removed and itch induction/sensory testing will commence, strictly within the pre-treated area. Acetaminophen: Topical acetaminophen gel
Topical 2.5% acetaminophen gel
n=17 Participants
Topical 2.5% acetaminophen gel will be applied to one 4x4 cm predefined skin area on the ventral forearm during 2 study visits. The gel will be applied to the test area and will be allowed 30 minutes to adsorb. Following this pre-treatment, residual gel will be removed and itch induction/sensory testing will commence, strictly within the pre-treated area. Acetaminophen: Topical acetaminophen gel
Topical 1% acetaminophen gel
n=17 Participants
Topical 1% acetaminophen gel will be applied to one 4x4 cm predefined skin area on the ventral forearm during 2 study visits. The gel will be applied to the test area and will be allowed 30 minutes to adsorb. Following this pre-treatment, residual gel will be removed and itch induction/sensory testing will commence, strictly within the pre-treated area. Acetaminophen: Topical acetaminophen gel
Topical vehicle gel
n=17 Participants
Topical vehile gel will be applied to one 4x4 cm predefined skin area on the ventral forearm during 2 study visits. The gel will be applied to the test area and will be allowed 30 minutes to adsorb. Following this pre-treatment, residual gel will be removed and itch induction/sensory testing will commence, strictly within the pre-treated area. Carbomer 980: Topical vehicle gel
Peak Itch Intensity Between the Vehicle and Active Treatments During Non-histaminergic Itch Induction
4.5 Intensity score
Standard Deviation 1.98
3.94 Intensity score
Standard Deviation 2.77
5.32 Intensity score
Standard Deviation 2.29
5.79 Intensity score
Standard Deviation 2.61

PRIMARY outcome

Timeframe: 10 minutes

Population: All subjects received 4 topical cream treatments.

Peak itch intensity between the vehicle and 3 other active treatments (5%, 2.5%, and 1% acetaminophen gels) after histaminergic itch induction. Itch intensity was measured on a 10cm scale visual analog scale for 10 minutes. 0 was weighted with "no itch" and 10 was weighted with "most itch imaginable".

Outcome measures

Outcome measures
Measure
Topical 5% acetaminophen gel
n=17 Participants
Topical 5% acetaminophen gel will be applied to one 4x4 cm predefined skin area on the ventral forearm during 2 study visits. The gel will be applied to the test area and will be allowed 30 minutes to adsorb. Following this pre-treatment, residual gel will be removed and itch induction/sensory testing will commence, strictly within the pre-treated area. Acetaminophen: Topical acetaminophen gel
Topical 2.5% acetaminophen gel
n=17 Participants
Topical 2.5% acetaminophen gel will be applied to one 4x4 cm predefined skin area on the ventral forearm during 2 study visits. The gel will be applied to the test area and will be allowed 30 minutes to adsorb. Following this pre-treatment, residual gel will be removed and itch induction/sensory testing will commence, strictly within the pre-treated area. Acetaminophen: Topical acetaminophen gel
Topical 1% acetaminophen gel
n=17 Participants
Topical 1% acetaminophen gel will be applied to one 4x4 cm predefined skin area on the ventral forearm during 2 study visits. The gel will be applied to the test area and will be allowed 30 minutes to adsorb. Following this pre-treatment, residual gel will be removed and itch induction/sensory testing will commence, strictly within the pre-treated area. Acetaminophen: Topical acetaminophen gel
Topical vehicle gel
n=17 Participants
Topical vehile gel will be applied to one 4x4 cm predefined skin area on the ventral forearm during 2 study visits. The gel will be applied to the test area and will be allowed 30 minutes to adsorb. Following this pre-treatment, residual gel will be removed and itch induction/sensory testing will commence, strictly within the pre-treated area. Carbomer 980: Topical vehicle gel
Peak Itch Intensity Between the Vehicle and Active Treatments During Histaminergic Itch Induction
2.04 Intensity score
Standard Deviation 2.52
2.38 Intensity score
Standard Deviation 2.26
2.91 Intensity score
Standard Deviation 2.31
3.07 Intensity score
Standard Deviation 2.64

SECONDARY outcome

Timeframe: 3 minutes

Population: All subjects received treatment with the 4 topical cream formulations at 2 study visits. Quantitative sensory testing was performed on each area of treated skin.

Standardized quantitative sensory testing is performed to measure heat pain threshold (assesses the threshold at which heat pain sensation is first detected). Measured in Celsius.

Outcome measures

Outcome measures
Measure
Topical 5% acetaminophen gel
n=17 Participants
Topical 5% acetaminophen gel will be applied to one 4x4 cm predefined skin area on the ventral forearm during 2 study visits. The gel will be applied to the test area and will be allowed 30 minutes to adsorb. Following this pre-treatment, residual gel will be removed and itch induction/sensory testing will commence, strictly within the pre-treated area. Acetaminophen: Topical acetaminophen gel
Topical 2.5% acetaminophen gel
n=17 Participants
Topical 2.5% acetaminophen gel will be applied to one 4x4 cm predefined skin area on the ventral forearm during 2 study visits. The gel will be applied to the test area and will be allowed 30 minutes to adsorb. Following this pre-treatment, residual gel will be removed and itch induction/sensory testing will commence, strictly within the pre-treated area. Acetaminophen: Topical acetaminophen gel
Topical 1% acetaminophen gel
n=17 Participants
Topical 1% acetaminophen gel will be applied to one 4x4 cm predefined skin area on the ventral forearm during 2 study visits. The gel will be applied to the test area and will be allowed 30 minutes to adsorb. Following this pre-treatment, residual gel will be removed and itch induction/sensory testing will commence, strictly within the pre-treated area. Acetaminophen: Topical acetaminophen gel
Topical vehicle gel
n=17 Participants
Topical vehile gel will be applied to one 4x4 cm predefined skin area on the ventral forearm during 2 study visits. The gel will be applied to the test area and will be allowed 30 minutes to adsorb. Following this pre-treatment, residual gel will be removed and itch induction/sensory testing will commence, strictly within the pre-treated area. Carbomer 980: Topical vehicle gel
Thermal Threshold Detection (Heat Pain)
After non-histamine itch induction
43.99 Degrees celsius
Standard Deviation 0.95
44.03 Degrees celsius
Standard Deviation 0.81
44.30 Degrees celsius
Standard Deviation 0.64
44.20 Degrees celsius
Standard Deviation 0.59
Thermal Threshold Detection (Heat Pain)
After histamine itch induction
43.95 Degrees celsius
Standard Deviation 2.17
44.51 Degrees celsius
Standard Deviation 0.72
43.94 Degrees celsius
Standard Deviation 0.88
44.07 Degrees celsius
Standard Deviation 0.56

Adverse Events

Topical 5% acetaminophen gel

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

Topical 2.5% acetaminophen gel

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

Topical 1% acetaminophen gel

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

Topical vehicle gel

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Leigh Nattkemper

University of Miami

Phone: 3055889734

Results disclosure agreements

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