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| Name | Class |
|---|---|
| Halozyme Therapeutics | INDUSTRY |
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The objectives of this study are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HYLENEX SC, Placebo SC, IV | Experimental | subcutaneous HYLENEX and ceftriaxone as 1st intervention, subcutaneous placebo and ceftriaxone as 2nd intervention, IV ceftriaxone as 3rd intervention |
|
| HYLENEX SC, IV, Placebo SC | Experimental | subcutaneous HYLENEX and ceftriaxone as 1st intervention, IV ceftriaxone as 2nd intervention, subcutaneous placebo and ceftriaxone as 3rd intervention |
|
| Placebo SC, HYLENEX SC, IV | Experimental | subcutaneous placebo and ceftriaxone as 1st intervention, subcutaneous HYLENEX and ceftriaxone as 2nd intervention, IV ceftriaxone as 3rd intervention |
|
| Placebo SC, IV, HYLENEX SC | Experimental | subcutaneous placebo and ceftriaxone as 1st intervention, IV ceftriaxone as 2nd intervention, subcutaneous HYLENEX and ceftriaxone as 3rd intervention |
|
| IV, HYLENEX SC, Placebo SC |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SC HYLENEX and Ceftriaxone | Drug | single, subcutaneous, 150 U dose of HYLENEX; followed by single, subcutaneous, 1 gm dose of ceftriaxone (350 mg/mL solution administered at 2.5 mL/min over 1.14 minutes) |
| Measure | Description | Time Frame |
|---|---|---|
| AUC0-t | Area under the drug concentration-time curve from time zero to the time of the last measurable concentration (calculated by the linear trapezoidal method) | Start of ceftriaxone administration through time of last measureable plasma ceftriaxone concentration |
| AUC0-inf | Area under the drug concentration-time curve from time zero to infinity, calculated as AUC0-t + Ct/kel (Ct = time of last measurable concentration; kel = terminal elimination rate constant) | from the start of ceftriaxone administration to infinity |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax | Maximum measured plasma ceftriaxone concentration | at the time of the highest measured plasma ceftriaxone concentration |
| Tmax | Time to maximum measured plasma ceftriaxone concentration |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| George E Harb, MD | Baxter Healthcare Corporation | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19947907 | Result | Harb G, Lebel F, Battikha J, Thackara JW. Safety and pharmacokinetics of subcutaneous ceftriaxone administered with or without recombinant human hyaluronidase (rHuPH20) versus intravenous ceftriaxone administration in adult volunteers. Curr Med Res Opin. 2010 Feb;26(2):279-88. doi: 10.1185/03007990903432900. |
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Healthy volunteers recruited via subject-initiated telephone or internet contacts or visits to Phase I unit. Those considered potentially eligible were, after obtaining consent, screened in detail to determine eligibility against protocol eligibility criteria.
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| ID | Title | Description |
|---|---|---|
| FG000 | HYLENEX SC, Placebo SC, IV | subcutaneous HYLENEX and ceftriaxone as first intervention, subcutaneous placebo and ceftriaxone as second intervention, intravenous ceftriaxone as third intervention |
| FG001 | HYLENEX SC, IV, Placebo SC | subcutaneous HYLENEX and ceftriaxone as first intervention, intravenous ceftriaxone as second intervention, subcutaneous placebo and ceftriaxone as third intervention |
| FG002 | Placebo SC, HYLENEX SC, IV | subcutaneous placebo and ceftriaxone as first intervention, subcutaneous HYLENEX and ceftriaxone as second intervention, intravenous ceftriaxone as third intervention |
| FG003 | Placebo SC, IV, HYLENEX SC | subcutaneous placebo and ceftriaxone as first intervention, intravenous ceftriaxone as second intervention, subcutaneous HYLENEX and ceftriaxone as third intervention |
| FG004 | IV, HYLENEX SC, Placebo SC | intravenous ceftriaxone as first intervention, subcutaneous HYLENEX and ceftriaxone as second intervention, subcutaneous placebo and ceftriaxone as third intervention |
| FG005 | IV, Placebo SC, HYLENEX SC | intravenous ceftriaxone as first intervention, subcutaneous placebo and ceftriaxone as second intervention, subcutaneous HYLENEX and ceftriaxone as third intervention |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| First Intervention |
| |||||||||||||
| First 7-Day Washout & Safety Follow-up |
| |||||||||||||
| Second Intervention |
| |||||||||||||
| Second 7-Day Washout & Safety Follow-up |
| |||||||||||||
| Third Intervention |
| |||||||||||||
| Final 7-Day Safety Follow-up |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | HYLENEX SC, Placebo SC, IV | subcutaneous HYLENEX and ceftriaxone as first intervention, subcutaneous placebo and ceftriaxone as second intervention, intravenous ceftriaxone as third intervention |
| BG001 | HYLENEX SC, IV, Placebo SC |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Secondary | Cmax | Maximum measured plasma ceftriaxone concentration | Per protocol (excludes one participant that did not receive intravenous ceftriaxone intervention) | Posted | Mean | Standard Deviation | µg/mL | at the time of the highest measured plasma ceftriaxone concentration |
|
from time of start of intervention administration through 7 days after intervention administered
Infusion site reaction assessments performed at baseline (shortly before study drug administration) and at 5, 30 and 45 minutes, and 1, 4, 6, 24, 36 and 48 hours after completion of study drug administration. Other adverse events were to be recorded whenever reported by the participant or observed by study staff.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | HYLENEX SC | All participants administered subcutaneous HYLENEX and ceftriaxone |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Infusion site anaesthesia | General disorders | MedDRA (9.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| George Harb, MD, MPH | Baxter Healthcare Corporation | george_harb@baxter.com |
| ID | Term |
|---|---|
| D002443 | Ceftriaxone |
| D006821 | Hyaluronoglucosaminidase |
| D012965 | Sodium Chloride |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D002439 | Cefotaxime |
| D002505 | Cephacetrile |
| D002511 | Cephalosporins |
| D047090 | beta-Lactams |
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| Experimental |
IV ceftriaxone as 1st intervention, subcutaneous HYLENEX and ceftriaxone as 2nd intervention, subcutaneous placebo and ceftriaxone as 3rd intervention |
|
| IV, Placebo SC, HYLENEX SC | Experimental | IV ceftriaxone as 1st intervention, subcutaneous placebo and ceftriaxone as 2nd intervention, subcutaneous HYLENEX and ceftriaxone as 3rd intervention |
|
|
| SC Placebo and Ceftriaxone | Drug | single, subcutaneous injection of 1 mL 0.9% sodium chloride solution; followed by single, subcutaneous, 1 gm dose of ceftriaxone (350 mg/mL solution administered at 2.5 mL/min over 1.14 minutes) |
|
|
| IV Ceftriaxone | Drug | single, intravenous infusion of 1 gm ceftriaxone (40 mg/mL solution administered at 0.83 mL/min over 30 minutes) |
|
|
| from start of ceftriaxone administration until time of maximum measured plasma ceftriaxone concentration |
| COMPLETED |
|
| NOT COMPLETED |
|
| COMPLETED |
|
| NOT COMPLETED |
|
| COMPLETED |
|
| NOT COMPLETED |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
| COMPLETED |
|
| NOT COMPLETED |
|
subcutaneous HYLENEX and ceftriaxone as first intervention, intravenous ceftriaxone as second intervention, subcutaneous placebo and ceftriaxone as third intervention
| BG002 | Placebo SC, HYLENEX SC, IV | subcutaneous placebo and ceftriaxone as first intervention, subcutaneous HYLENEX and ceftriaxone as second intervention, intravenous ceftriaxone as third intervention |
| BG003 | Placebo SC, IV, HYLENEX SC | subcutaneous placebo and ceftriaxone as first intervention, intravenous ceftriaxone as second intervention, subcutaneous HYLENEX and ceftriaxone as third intervention |
| BG004 | IV, HYLENEX SC, Placebo SC | intravenous ceftriaxone as first intervention, subcutaneous HYLENEX and ceftriaxone as second intervention, subcutaneous placebo and ceftriaxone as third intervention |
| BG005 | IV, Placebo SC, HYLENEX SC | intravenous ceftriaxone as first intervention, subcutaneous placebo and ceftriaxone as second intervention, subcutaneous HYLENEX and ceftriaxone as third intervention |
| BG006 | Total | Total of all reporting groups |
| Participants |
|
| Age Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Intravenous |
All per-protocol participants administered intravenous ceftriaxone |
|
|
|
| Secondary | Tmax | Time to maximum measured plasma ceftriaxone concentration | Per protocol (excludes one participant that did not receive intravenous ceftriaxone intervention) | Posted | Median | Full Range | hr | from start of ceftriaxone administration until time of maximum measured plasma ceftriaxone concentration |
|
|
|
|
| Primary | AUC0-t | Area under the drug concentration-time curve from time zero to the time of the last measurable concentration (calculated by the linear trapezoidal method) | Per protocol (excludes one participant that did not receive intravenous ceftriaxone intervention) | Posted | Mean | Standard Deviation | μg*hr/mL | Start of ceftriaxone administration through time of last measureable plasma ceftriaxone concentration |
|
|
|
|
| Primary | AUC0-inf | Area under the drug concentration-time curve from time zero to infinity, calculated as AUC0-t + Ct/kel (Ct = time of last measurable concentration; kel = terminal elimination rate constant) | Per protocol (excludes one participant that did not receive intravenous ceftriaxone intervention) | Posted | Mean | Standard Deviation | µg*hr/mL | from the start of ceftriaxone administration to infinity |
|
|
|
|
| 0 |
| 30 |
| 30 |
| 30 |
| EG001 | Placebo SC | All participants administered subcutaneous placebo and ceftriaxone | 0 | 30 | 30 | 30 |
| EG002 | Intravenous | All participants administered intravenous ceftriaxone | 0 | 29 | 22 | 29 |
| Infusion site bruising | General disorders | MedDRA (9.0) | Systematic Assessment |
|
| Infusion site erythema | General disorders | MedDRA (9.0) | Systematic Assessment |
|
| Infusion site induration | General disorders | MedDRA (9.0) | Systematic Assessment |
|
| Infusion site pain | General disorders | MedDRA (9.0) | Systematic Assessment |
|
| Infusion site pruritus | General disorders | MedDRA (9.0) | Systematic Assessment |
|
| Infusion site reaction | General disorders | MedDRA (9.0) | Systematic Assessment | Reported term = "muscle twitching" |
|
| Infusion site swelling | General disorders | MedDRA (9.0) | Systematic Assessment |
|
| Vessel puncture site bruise | General disorders | MedDRA (9.0) | Non-systematic Assessment | Refers to site of placement of catheter for PK plasma sample collection, not study drug administration site |
|
| Headache | Nervous system disorders | MedDRA (9.0) | Non-systematic Assessment |
|
For this study, Baxter requires a review of any planned PI results communications (eg, for confidential information) up to 90 days prior to submission or communication. Baxter may request an additional delay of up to 60 days (eg, to allow for intellectual property protection).
| D007769 |
| Lactams |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D013843 | Thiazines |
| D013457 | Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D006026 | Glycoside Hydrolases |
| D006867 | Hydrolases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
| D011133 | Polysaccharide-Lyases |
| D019757 | Carbon-Oxygen Lyases |
| D008190 | Lyases |
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
| <0.01 |
| Median Difference (Net) |
| 1.52 |
| 2-Sided |
| 90 |
| 1.27 |
| 1.71 |
Placebo SC minus Intravenous |
| No |
| Superiority or Other |
| Wilcoxon signed-rank test | <0.01 | Median Difference (Net) | 2.52 | 2-Sided | 90 | 2.26 | 2.76 | Placebo SC minus Intravenous | No | Superiority or Other |
| Schuirmann two one-sided tests procedure |
| LSM ratio (%; ln-transformed) |
| 106.79 |
| 2-Sided |
| 90 |
| 103.61 |
| 110.07 |
HYLENEX SC/Intravenous |
| Yes |
| Non-Inferiority or Equivalence |
Bioequivalence = 90% confidence interval of least squares mean (LSM) within 80%-125% |
| Schuirmann two one-sided tests procedure | LSM ratio (%; ln-transformed) | 104.71 | 2-Sided | 90 | 101.59 | 107.92 | Placebo SC/Intravenous | Yes | Non-Inferiority or Equivalence | Bioequivalence = 90% confidence interval of least squares mean (LSM) within 80%-125% |
| Schuirmann two one-sided tests procedure |
| LSM ratio (%; ln-transformed) |
| 106.95 |
| 2-Sided |
| 90 |
| 103.67 |
| 110.33 |
HYLENEX SC/Intravenous |
| Yes |
| Non-Inferiority or Equivalence |
Bioequivalence = 90% confidence interval of least squares mean (LSM) within 80%-125% |
| Schuirmann two one-sided tests procedure | LSM ratio (%; ln-transformed) | 105.10 | 2-Sided | 90 | 101.87 | 108.42 | Placebo SC/Intravenous | Yes | Non-Inferiority or Equivalence | Bioequivalence = 90% confidence interval of least squares mean (LSM) within 80%-125% |