Actively Recruiting

Phase 4
Age: 60Years +
All Genders
ID05425355

INTACT-HIP: Intravenous Acetaminophen versus Oral Acetaminophen for Older Adults Undergoing Hip Fracture Surgery - A Feasibility Randomized Controlled Trial

Led by University Health Network, Toronto · Updated on 2025-05-30

42

Participants Needed

1

Research Sites

26 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This trial evaluates the feasibility of conducting a randomized, double-blinded study comparing intravenous (IV) acetaminophen to oral acetaminophen for pain management after hip fracture surgery in older adults aged 60 and above. The study aims to inform a larger trial assessing whether IV acetaminophen can better reduce delirium and improve clinical and patient-centered outcomes after surgery. Participants will be randomly assigned to one of two groups. One group receives IV acetaminophen plus an oral placebo tablet, while the other gets an IV placebo (normal saline) plus oral acetaminophen. Both treatments are administered every 6 hours for 48 hours, totaling eight doses postoperatively. During the study, researchers will monitor recruitment, retention, procedure compliance, and safety within 30 days. They will also assess pain, opioid use, delirium, cognitive function, overall health, depression, ambulation, adverse events, and discharge location from before surgery up to 30 days after. The trial is led by the University Health Network, Toronto, and participants will be closely followed for these outcomes.

CONDITIONS

Brief Title

Intravenous vs Oral Acetaminophen in Postoperative Hip Fracture Adult Patients

Who Can Participate

Age: 60Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 60 years of age and older
  • Able to walk without human assistance before the hip fracture
  • Any type of non-cancerous hip fracture
  • Undergoing surgical treatment as an inpatient
Not Eligible

You will not qualify if you...

  • Neoplastic (cancerous) hip fracture
  • Severe cognitive impairment (MoCA score less than 10)
  • Existing delirium before surgery
  • Known allergy or hypersensitivity to acetaminophen
  • Severe or chronic liver or kidney problems
  • Planned postoperative ventilation
  • Swallowing difficulties or dysphagia
  • Limited English language ability
  • Weight less than 50 kg

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 48 hours

Participants receive either intravenous acetaminophen with oral placebo or intravenous placebo with oral acetaminophen postoperatively every 6 hours for 48 hours, totaling 8 doses.

1 baseline visit and daily visits during treatment

Follow-up

Duration - Up to 30 days after surgery

Participants are assessed for postoperative pain, opioid consumption, delirium, cognitive function, overall health, disability, depression, ambulation, adverse events, and discharge location up to 30 days after surgery.

Visits on the day of surgery, days 1, 2, 3 after surgery, and at 30 days post-surgery

Trial Site Locations

Total: 1 location

1

Toronto Western Hospital (UHN)

Toronto, Ontario, Canada, M5T 2S8

Actively Recruiting

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Research Team

L

Laurentia Enesi

A

Aparna P Saripella

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Safety and efficacy of intravenous acetaminophen in the elderly after major orthopedic surgery: subset data analysis from 3, randomized, placebo-controlled trials.

Jonathan S Jahr, James B Breitmeyer, Christine Pan...

https://pubmed.ncbi.nlm.nih.gov/22354127

Perioperative outcomes in geriatric patients undergoing hip fracture surgery with different anesthesia techniques: A systematic review and meta-analysis.

Dong Xu Chen, Lei Yang, Lin Ding...

https://pubmed.ncbi.nlm.nih.gov/31804347

Clinical predictors of postoperative delirium, functional status, and mortality in geriatric patients undergoing non-elective surgery for hip fracture.

Mark J Harris, Ethan Y Brovman, Richard D Urman

https://pubmed.ncbi.nlm.nih.gov/31100691