About this trial
To evaluate the efficacy and safety of TYNADOTE® in the treatment of acetaminophen overdose
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Poisoning and hospitalized patients taking acetaminophen.
Acute ingestion of more than 150 mg/kg or plasma concentration of Acetaminophen is above the treatment line on single acute acetaminophen overdose nomogram.
Male or female with age more than 20 years at Screening.
Ability and willingness to provide informed consent, adhere to the study visit schedule and complete all study assessments.
Disqualifiers
Subjects with Sequential Organ Failure Assessment (SOFA) Score higher than 12.
Subjects who fulfilled the King's College Hospital (KCH) Criteria for liver transplantation.
Subjects who was conscious disturbance.
History of allergic response(s) to N-acetylcysteine (NAC), mannitol, sucralose or related drugs.
Trial design
Parallel
Treatments tested in this trial
TYNADOTE
DrugSubjects will take 200 mg/every 4 hours, with a loading dose (400 mg) and then followed by 17 maintenance doses
Placebo Oral Tablet
DrugSubjects will take 200 mg/every 4 hours, with a loading dose (400 mg) and then followed by 17 maintenance doses
Treatment groups
Trial outcomes
Primary outcomes
Alanine aminotransferase
Percentage change from baseline of ALT at Day 3.
Secondary outcomes
Alanine aminotransferase
Percentage change from baseline of ALT at Day 7
Alanine aminotransferase
Percentage change from baseline of AST at Day 3, Day 7
Total bilirubin
Incidence of total bilirubin \> 2.5mg/dL at Day 3, Day 7, Day 21
Inte- rnational Normalize Ratio
Incidence of INR \> 1.25 at Day 3, Day 7, Day 21
Sponsors and contacts
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Sinew Pharma Inc.
Lead sponsor
Taipei Veterans General Hospital, Taiwan
Collaborator