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Acute PainPhase 3NCT07225634

A Study of Combogesic® IV (Intravenous) in Pediatric Patients With Acute Pain

A Phase 3 study testing Combogesic® IV (fixed-dose combination containing acetaminophen 10 mg/ml + ibuprofen 3 mg/ml in 100 ml solution for infusion) in people with Acute Pain, run by AFT Pharmaceuticals, Ltd. at 4 sites in Hungary.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Combogesic® IV is an intravenous medicine (given by vein) containing a combination of two pain relief (analgesic) medicines called ibuprofen and acetaminophen. The goal of this clinical trial is to study the way that the body processes and clears the intravenous infusion of Combogesic® IV and that it is safe to be… Read more about this study

Who is it for?
Ages 2 to 16 years
Conditions the study is for
Acute Pain
What is being tested?
Combogesic® IV (fixed-dose combination containing acetaminophen 10 mg/ml + ibuprofen 3 mg/ml in 100 ml solution for infusion)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
4 sitesHungary
Study dates
14 Sep 2026to Apr 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 16 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Is male or female aged between 2 and <17 years.
  • Have a clinical indication of acute pain* requiring hospitalization and multiple doses of parenterally administered nonopioid analgesic medication for at least 0.5 - 5 days.
  • Is either able to provide written informed consent or consent is provided from parents/legal guardians and assent provided from participants (where appropriate).
  • Is willing and able to remain at the study site for at least 12 hours and to attend a follow-up visit at 7 ± 2 days after the last dose of study drug.
  • Have negative HIV and hepatitis B \& C test results.
  • Acute pain indications may include but are not limited to post-operative pain associated with musculoskeletal or soft tissue surgery, fractures or injury, or medical procedures.

Who cannot join

  • Has a known history of allergic reaction or clinically significant intolerance to acetaminophen, aspirin, opioids, or any nonsteroidal anti-inflammatory drugs (NSAIDs, including ibuprofen); history of NSAID-induced bronchospasm (subjects with the triad of asthma, nasal polyps, and chronic rhinitis are at greater risk for bronchospasm and should be considered carefully); or hypersensitivity, allergy, or significant reaction to sulfa (including sulfonamide) medicines, ingredients of the study drug, or any other drugs used in the study including anesthetics and antibiotics that may be required.
  • Has experienced any surgical complications or other issues that, in the opinion of the Investigator, could compromise the safety of the subject if he or she participates in the study or could confound the results of the study.
  • Has any clinically significant unstable cardiac, respiratory, neurological, immunological, hematological, or renal disease or any other condition that, in the opinion of the Investigator, could compromise the subject's welfare, ability to communicate with the study staff, or otherwise contraindicate study participation.
  • Has a history or current diagnosis of a significant psychiatric disorder that, in the opinion of the Investigator, would affect the subject's ability to comply with the study requirements.
  • Has a history of a clinically significant (Investigator opinion) gastrointestinal (GI) event within 6 months before screening or has any history of peptic or gastric ulcers or GI bleeding.
  • Has a surgical or medical condition of the GI or renal system that might significantly alter the absorption, distribution, or excretion of any drug substance.
Show all 16Show fewer
  • Is considered by the Investigator, for any reason to be an unsuitable candidate to receive the study drug.
  • Is receiving systemic chemotherapy, has an active malignancy of any type, or has been diagnosed with cancer within 5 years before Screening (excluding treated squamous or basal cell carcinoma of the skin).
  • Is currently receiving anticoagulants (e.g. heparin or warfarin).
  • Has received a course of systemic corticosteroids (either oral or parenteral) within 3 months before screening (inhaled nasal steroids and regional/limited area application of topical corticosteroids (Investigator discretion) are allowed).
  • Has a history of chronic use (defined as daily use for > 2 weeks) of NSAIDs, opiates, or glucocorticoids (except inhaled nasal steroids and regional/limited topical corticosteroids), for any condition within 6 months before study drug administration. Aspirin at a daily dose of ≤ 325 mg is allowed for cardiovascular prophylaxis if the subject has been on a stable dose regimen for ≥ 30 days before screening and has not experienced any relevant medical problem.
  • Has a significant renal or hepatic disease, as indicated by clinical laboratory assessment (results ≥ 3 times the upper limit of normal [ULN] for any liver function test, including aspartate aminotransferase [AST], alanine aminotransferase [ALT], or creatinine ≥ 1.5 times the ULN).
  • Has any clinically significant laboratory finding at screening that, in the opinion of the Investigator, contraindicates study participation.
  • Participated in another clinical study within 30 days before Screening.
  • Pregnant or lactating females
  • Sexually active females of childbearing potential not using adequate contraception and sexually active males not using adequate contraception

Trial locations and contacts

4 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Hungary4 sites, 4 recruiting
  • Semmelweis University

    Budapest

    Zoltan Jenovari, +3612151380, jenovari.zoltan@semmelweis.hu

    Zoltan Jenovari

    Recruiting
  • Petz Aladar County Teaching Hospital

    Győr

    Csilla Bogar, 0036704510266, bogarcsilla@gmail.com

    Csilla Bogar

    Recruiting
  • University of Pecs

    Pécs

    Peter Vajda, +36309161243, vajda.peter@pte.hu

    Peter Vajda

    Recruiting
  • Zala County St. Rafael Hospital

    Zalaegerszeg

    Pap Zsolt, +36703309139, pap.zsolt@gmail.com

    Pap Zsolt

    Recruiting

Other trials in Hungary

About this study

Official title: An Open Label, Pharmacokinetic and Safety Study of Combogesic® IV in Pediatric Patients With Acute Pain

Combogesic® IV is an intravenous medicine (given by vein) containing a combination of two pain relief (analgesic) medicines called ibuprofen and acetaminophen. The goal of this clinical trial is to study the way that the body processes and clears the intravenous infusion of Combogesic® IV and that it is safe to be used in children and adolescents between the ages of 2 and <17 years.

What will the study involve for participants?

Read more
  • Combogesic® IV will be administered every 6 hours as necessary with a maximum of 4 doses within a 24-hour period as an intravenous infusion for about 15 minutes.
  • Participants will receive Combogesic® IV for a minimum of 12 hours (2 doses) up to a maximum of 5 days (20 doses). Dosing will be dependent on body weight.
  • If pain is not sufficiently controlled by Combogesic® IV, opioids may be used as supplementary pain relief at the discretion of the study doctor.
  • Have their blood samples collected before dosing and at specific times after dosing. The amount of study drug in the blood will be measured, and safety assessments (including blood and urine samples) will be done.
  • Rate the study drug at the end of the treatment.

It is expected that Combogesic® IV will be well tolerated in children and adolescents and that the pharmacokinetics findings will be similar as compared with adults.

Conditions
Acute Pain
Being tested
Combogesic® IV (fixed-dose combination containing acetaminophen 10 mg/ml + ibuprofen 3 mg/ml in 100 ml solution for infusion)
Keywords
pharmacokinetic, pediatric, Combogesic IV, safety
Medical subject headings
Acute Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Combogesic® IV (fixed-dose combination containing acetaminophen 10 mg/ml + ibuprofen 3 mg/ml in 100 ml solution for infusion)Drug

    Acetaminophen 1000 mg and Ibuprofen 300 mg per 100 mL solution for intravenous infusion administered as a 15-minute infusion, every 6 hours, as necessary.

Study groups in NCT07225634
Study groupRoleWhat they receive
Combogesic® IVExperimentalCombogesic® IV (acetaminophen 10 mg/ml + ibuprofen 3 mg/ml in 100 ml solution for infusion), will be administered by injection into a dedicated indwelling venous cannula, infused over 15 minutes every 6 hours
Receives: Drug: Combogesic® IV (fixed-dose combination containing acetaminophen 10 mg/ml + ibuprofen 3 mg/ml in 100 ml solution for infusion)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The incidence of treatment-emergent adverse events (TEAEs) associated with exposure to Combogesic® IV in pediatric patients

    TEAEs occurring at any timepoint during the treatment period will be coded to MedDRA System Organ Class Code and Preferred Term and tabulated as frequencies and percentages.

    Measured: From start of exposure to Combogesic® IV up to 7 days after last dose

Secondary outcomes (31)
  1. The time course of treatment-emergent adverse events

    Measured: From start of exposure to Combogesic® IV up to 7 days after last dose

  2. The incidence of treatment-related adverse events

    Measured: From start of exposure to Combogesic® IV up to 7 days after last dose

  3. The incidence of treatment-emergent adverse events of interest (cardiovascular, gastrointestinal, renal, hepatic, administration site conditions and bleeding-related events)

    Measured: From start of exposure to Combogesic® IV up to 7 days after last dose

  4. Changes in heart rate

    Measured: From baseline up to 7 days after last dose of Combogesic® IV

  5. Changes in biochemistry values (Aspartate transaminase)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  6. Patient's global evaluation of the study drug

    Each patient will rate the study medication using a questionnaire of:

    How do you rate the study medication?

    1. = Poor;
    2. = Fair;
    3. = Good;
    4. = Very Good;
    5. = Excellent

    The patient's global evaluation of the study drug will be summarized by the number and percentage of subjects within each category.

    Measured: From Day 1 until completion of treatment period up to 5 days.

  7. Define the pharmacokinetic parameters of Combogesic® IV (Cmax - Maximum measured plasma concentration)

    This will be estimated for paracetamol and ibuprofen from the plasma concentration against time data, using a non-compartmental model

    Measured: Pre-dose of Combogesic® IV to 6 hours post infusion

  8. Consumption of supplemental opioid medication in each 24-hour period as Morphine Milligram Equivalent (MME).

    Measured: From start of exposure to Combogesic® IV until up to 5 days

  9. Define the pharmacokinetic parameters of Combogesic® IV (Tmax - Time of maximum measured plasma concentration)

    This will be estimated for paracetamol and ibuprofen from the plasma concentration against time data, using a non-compartmental model

    Measured: Pre-dose of Combogesic® IV to 6 hours post infusion

  10. Define the pharmacokinetic parameters of Combogesic® IV ( t½ - Time required for the plasma drug concentration to decrease by one half)

    This will be estimated for paracetamol and ibuprofen from the plasma concentration against time data, using a non-compartmental model

    Measured: Pre-dose of Combogesic® IV to 6 hours post infusion

  11. Define the pharmacokinetic parameters of Combogesic® IV (AUC(0-t) - The area under the plasma concentration versus time curve from time zero to the last measurable concentration)

    This will be estimated for paracetamol and ibuprofen from the plasma concentration against time data, using a non-compartmental model

    Measured: Pre-dose of Combogesic® IV to 6 hours post infusion

  12. Define the pharmacokinetic parameters of Combogesic® IV (Extrapolated AUC(0-∞)- The area under the plasma concentration versus time curve, from zero to infinity)

    This will be estimated for paracetamol and ibuprofen from the plasma concentration against time data, using a non-compartmental model

    Measured: Pre-dose of Combogesic® IV to 6 hours post infusion

  13. Changes in blood pressure

    Measured: From baseline up to 7 days after last dose of Combogesic® IV

  14. Changes in body temperature

    Measured: From baseline up to 7 days after last dose of Combogesic® IV

  15. Changes in respiratory rate

    Measured: From baseline up to 7 days after last dose of Combogesic® IV

  16. Changes in hematology values (Hemaglobin)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  17. Changes in hematology values (Hematocrit)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  18. Changes in hematology values (Platelet count)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  19. Changes in hematology values (Red Blood Cell (RBC) count)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  20. Changes in hematology values (White Blood Cell (WBC) count)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment

    Measured: From baseline up to 7 days after last dose

  21. Changes in hematology values (Differential Leukocyte Count (DLC))

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  22. Changes in biochemistry values (Sodium)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  23. Changes in biochemistry values (Potassium)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  24. Changes in biochemistry values (Urea)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  25. Changes in biochemistry values (Creatinine)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  26. Changes in biochemistry values (Phosphate)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  27. Changes in biochemistry values (Glucose)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  28. Changes in biochemistry values (Albumin)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  29. Changes in biochemistry values (Total protein)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  30. Changes in biochemistry values (Alkaline phosphates)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

  31. Changes in biochemistry values (Gamma-glutamyl transferase)

    The number of cases with normal baseline laboratory tests changed to abnormal at the end of the treatment period, and abnormal baseline laboratory tests worsened at the end of the treatment period, with the severity of changes summarized as proportional effects will be evaluated.

    Measured: From baseline up to 7 days after last dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Nov 2025
  2. Study start14 Sep 2026
  3. Primary completionMar 2027 (estimated)
  4. Study completionApr 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07225634
Sponsor's protocol ID
AFT-MXIV-08p
Status last verified
Sep 2026
First submitted
30 Oct 2025
Last updated
16 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Combogesic® IV (fixed-dose combination containing acetaminophen 10 mg/ml + ibuprofen 3 mg/ml in 100 ml solution for infusion) in people with Acute Pain, run by AFT Pharmaceuticals, Ltd. at 4 sites in Hungary.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 16 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Hungary. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Laura Boddington (+64 9 488 0232 ext 735, laura.boddington@aftpharm.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The incidence of treatment-emergent adverse events (TEAEs) associated with exposure to Combogesic® IV in pediatric patients (time frame: From start of exposure to Combogesic® IV up to 7 days after last dose). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Sep 2026.

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