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Strategic business decision (not related to safety or efficacy concerns)
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| Name | Class |
|---|---|
| Halozyme Therapeutics | INDUSTRY |
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The purpose is to characterize the in-line pressure profiles associated with several infusion technique factors during subcutaneous (SC) infusion of Lactated Ringer's solution, preceded by recombinant human hyaluronidase (hylenex). The safety and tolerability of hylenex-augmented SC infusion of Lactated Ringer's solution fluid is also being evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 24 ga catheter, dose flush, single-step rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX and 3 mL Lactated Ringer's solution flush administered through 24 gauge plastic catheter; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 250 mL/h for the first hour and 200 mL/hr for the remainder of the infusion. |
|
| 24 ga catheter, no dose flush, single-step rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX (without a Lactated Ringer's solution flush) administered through 24 gauge plastic catheter; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 250 mL/h for the first hour and 200 mL/hr for the remainder of the infusion. |
|
| 24 ga catheter, dose flush, up-titrated rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX and 3 mL Lactated Ringer's solution flush administered through 24 gauge plastic catheter; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 50 mL/h for the first 5 min, 100 mL/h for the next 5 min, 285 mL/h for the next 50 min and 200 mL/h for the remainder of the infusion. |
|
| 24 ga catheter, no dose flush, up-titrated rate scheme | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution | Drug | Subcutaneous administration of 150 U HYLENEX, followed by 1000 mL Lactated Ringer's solution |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Measured In-line Fluid Pressure | Maximum fluid pressure measured (15 sec period) in delivery line during subcutaneous fluid infusion at specified time point after start of infusion | each minute for the first 15 minutes of fluid infusion, every 5 minutes for the next 45 minutes of infusion, and every 15 minutes thereafter until the end of infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Attempts Needed for Successful Subcutaneous Catheter/Needle Placement | end of catheter/needle placement | |
| Cumulative Fluid Volume Delivered | each minute for the first 15 minutes of fluid infusion, every 5 minutes for the next 45 minutes of infusion, and every 15 minutes thereafter until the end of infusion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| George Harb, MD, MPH | Baxter Healthcare Corporation | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kendle International, Inc. Drug Study Unit | Morgantown | West Virginia | 26505 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | 24 ga Catheter, Dose Flush, Single-step Rate Scheme | |
| FG001 | 24 ga Catheter, No Dose Flush, Single-step Rate Scheme | |
| FG002 | 24 ga Catheter, Dose Flush, Up-titrated Rate Scheme |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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Single 150 U subcutaneous (SC) dose of HYLENEX (without a Lactated Ringer's solution flush) administered through 24 gauge plastic catheter; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 50 mL/h for the first 5 min, 100 mL/h for the next 5 min, 285 mL/h for the next 50 min and 200 mL/h for the remainder of the infusion.
|
| 25 ga needle, dose flush, single-step rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX and 3 mL Lactated Ringer's solution flush administered through 25 gauge metal butterfly needle; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 250 mL/h for the first hour and 200 mL/hr for the remainder of the infusion. |
|
| 25 ga needle, no dose flush, single-step rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX (without a Lactated Ringer's solution flush) administered through 25 gauge metal butterfly needle; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 250 mL/h for the first hour and 200 mL/hr for the remainder of the infusion. |
|
| 25 ga needle, dose flush, up-titrated rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX and 3 mL Lactated Ringer's solution flush administered through 25 gauge metal butterfly needle; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 50 mL/h for the first 5 min, 100 mL/h for the next 5 min, 285 mL/h for the next 50 min and 200 mL/h for the remainder of the infusion. |
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| 25 ga needle, no dose flush, up-titrated rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX (without a Lactated Ringer's solution flush) administered through 25 gauge metal butterfly needle; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 50 mL/h for the first 5 min, 100 mL/h for the next 5 min, 285 mL/h for the next 50 min and 200 mL/h for the remainder of the infusion. |
|
|
| Technical Challenges Encountered During Fluid Infusion | Observed challenges, including catheter kinking, catheter/needle dislodgement/pull-out, infusion pump alarm, other technical problems | at any occurence of a defined challenge or at end of infusion if no challenges occurred |
| FG003 | 24 ga Catheter, No Dose Flush, Up-titrated Rate Scheme |
| FG004 | 25 ga Needle, Dose Flush, Single-step Rate Scheme |
| FG005 | 25 ga Needle, No Dose Flush, Single-step Rate Scheme |
| FG006 | 25 ga Needle, Dose Flush, Up-titrated Rate Scheme |
| FG007 | 25 ga Needle, No Dose Flush, Up-titrated Rate Scheme |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | 24 ga Catheter, Dose Flush, Single-step Rate Scheme | |
| BG001 | 24 ga Catheter, No Dose Flush, Single-step Rate Scheme | |
| BG002 | 24 ga Catheter, Dose Flush, Up-titrated Rate Scheme | |
| BG003 | 24 ga Catheter, No Dose Flush, Up-titrated Rate Scheme | |
| BG004 | 25 ga Needle, Dose Flush, Single-step Rate Scheme | |
| BG005 | 25 ga Needle, No Dose Flush, Single-step Rate Scheme | |
| BG006 | 25 ga Needle, Dose Flush, Up-titrated Rate Scheme | |
| BG007 | 25 ga Needle, No Dose Flush, Up-titrated Rate Scheme | |
| BG008 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||
| Age Continuous | Mean | Full Range | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| 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 | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Maximum Measured In-line Fluid Pressure | Maximum fluid pressure measured (15 sec period) in delivery line during subcutaneous fluid infusion at specified time point after start of infusion | Per protocol (two subjects excluded due to technical error in in-line fluid pressure measurement) | Posted | Mean | Full Range | psi | each minute for the first 15 minutes of fluid infusion, every 5 minutes for the next 45 minutes of infusion, and every 15 minutes thereafter until the end of infusion |
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| Secondary | Number of Attempts Needed for Successful Subcutaneous Catheter/Needle Placement | Per Protocol (two subjects excluded due to technical error in in-line fluid pressure measurements) | Posted | Number | Subjects | end of catheter/needle placement |
| ||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Cumulative Fluid Volume Delivered | Per Protocol (two subjects excluded due to technical errors in fluid pressure measurement) | Posted | Mean | Full Range | mL | each minute for the first 15 minutes of fluid infusion, every 5 minutes for the next 45 minutes of infusion, and every 15 minutes thereafter until the end of infusion |
| |||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Technical Challenges Encountered During Fluid Infusion | Observed challenges, including catheter kinking, catheter/needle dislodgement/pull-out, infusion pump alarm, other technical problems | Per Protocol (two subjects excluded due to technical error in in-line fluid pressure measurement) | Posted | Number | participants | at any occurence of a defined challenge or at end of infusion if no challenges occurred |
|
7 days
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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 | 24 ga Catheter, Dose Flush, Single-step Rate Scheme | 0 | 2 | 2 | 2 | |||
| EG001 | 24 ga Catheter, No Dose Flush, Single-step Rate Scheme | 0 | 3 | 3 | 3 | |||
| EG002 | 24 ga Catheter, Dose Flush, Up-titrated Rate Scheme | 0 | 3 | 3 | 3 | |||
| EG003 | 24 ga Catheter, No Dose Flush, Up-titrated Rate Scheme | 0 | 3 | 3 | 3 | |||
| EG004 | 25 ga Needle, Dose Flush, Single-step Rate Scheme | 0 | 2 | 2 | 2 | |||
| EG005 | 25 ga Needle, No Dose Flush, Single-step Rate Scheme | 0 | 2 | 2 | 2 | |||
| EG006 | 25 ga Needle, Dose Flush, Up-titrated Rate Scheme | 0 | 2 | 2 | 2 | |||
| EG007 | 25 ga Needle, No Dose Flush, Up-titrated Rate Scheme | 0 | 3 | 3 | 3 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Infusion site erythema | General disorders | MedDRA (13.0) | Systematic Assessment |
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| Infusion site oedema | General disorders | MedDRA (13.0) | Systematic Assessment |
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| Infusion site pain | General disorders | MedDRA (13.0) | Systematic Assessment |
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| Infusion site pruritus | General disorders | MedDRA (13.0) | Systematic Assessment |
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| Infusion site rash | General disorders | MedDRA (13.0) | Systematic Assessment |
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| Infusion site swelling | General disorders | MedDRA (13.0) | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA (13.0) | Non-systematic Assessment |
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| Hot flush | Vascular disorders | MedDRA (13.0) | Non-systematic Assessment |
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Due to small numbers of subjects in each treatment arm, no conclusions can be drawn on the influence of any of the individual potential pressure-affecting factors or the combinations of these factors on in-line fluid pressure.
For this study, Baxter requires a review of any planned PI results communications (eg, for confidential information) up to 30 days prior to submission or communication. Baxter may request an additional delay of up to 60 days (eg, to allow for intellectual property protection).
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| George Harb, MD, MPH | Baxter Healthcare Corporation | george_harb@baxter.com |
| ID | Term |
|---|---|
| D003681 | Dehydration |
| ID | Term |
|---|---|
| D014883 | Water-Electrolyte Imbalance |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000077325 | Ringer's Lactate |
| ID | Term |
|---|---|
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
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| Between 18 and 65 years |
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| >=65 years |
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| Male |
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| 2 min |
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| 3 min |
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| 4 min |
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| 5 min |
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| 6 min |
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| 7 min |
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| 8 min |
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| 9 min |
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| 10 min |
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| 11 min |
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| 12 min |
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| 13 min |
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| 14 min |
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| 15 min |
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| 20 min |
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| 25 min |
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| 30 min |
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| 35 min |
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| 40 min |
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| 45 min |
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| 50 min |
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| 55 min |
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| 60 min |
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| 75 min |
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| 90 min |
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| 105 min |
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| 120 min |
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| 135 min |
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| 150 min |
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| 165 min |
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| 180 min |
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| 195 min |
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| 210 min |
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| 225 min |
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| 240 min |
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| 255 min |
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| 270 min |
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| 285 min |
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| OG007 | 25 ga Needle, No Dose Flush, Up-titrated Rate Scheme |
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| 25 ga Needle, Dose Flush, Up-titrated Rate Scheme |
| OG007 | 25 ga Needle, No Dose Flush, Up-titrated Rate Scheme |
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| OG006 | 25 ga Needle, Dose Flush, Up-titrated Rate Scheme |
| OG007 | 25 ga Needle, No Dose Flush, Up-titrated Rate Scheme |
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