Subcutaneous Rehydration Compared to Intravenous Rehydration

NCT ID: NCT00773175

Last Updated: 2018-11-07

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

148 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-10-31

Study Completion Date

2009-12-31

Brief Summary

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Randomized (1:1 ratio) study of subcutaneous (SC) versus intravenous (IV) fluid rehydration in mildly to moderately dehydrated pediatric patients.

Detailed Description

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This is a prospective, randomized (1:1 ratio), open-label, parallel group, multicenter, multi-national, study of SC versus IV fluid rehydration in mildly to moderately dehydrated pediatric patients treated in the Emergency Department (ED), inpatient pediatric unit, and/or outpatient urgent care facility. It is expected that up to 186 patients, in order to achieve 148 evaluable patients, will be randomized in a 1:1 ratio to receive isotonic fluid rehydration by either SC administration with hylenex (150 Units) or IV without hylenex.

Conditions

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Dehydration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Subcutaneous

Isotonic fluid rehydration by SC administration with hylenex (150 Units in 1 mL)

Group Type ACTIVE_COMPARATOR

recombinant human hyaluronidase

Intervention Type DRUG

150 Units in 1 mL

Intravenous

Isotonic fluid rehydration by IV

Group Type ACTIVE_COMPARATOR

recombinant human hyaluronidase

Intervention Type DRUG

150 Units in 1 mL

Interventions

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recombinant human hyaluronidase

150 Units in 1 mL

Intervention Type DRUG

Other Intervention Names

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Hylenex

Eligibility Criteria

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Inclusion Criteria

* Children of either gender from one month to ≤10 years of age.
* Patients with mild or moderate dehydration
* Healthy child except for the underlying etiology for dehydration
* Pre-dehydration body weight ≥ 5th percentile for age
* Parents or legal guardian(s) available to provide informed consent.

Exclusion Criteria

* Severe dehydration
* Shock or life-threatening situation (life expectancy \< 10 days).
* Requirement for IV access for any indication other than for treatment of dehydration.
* Indwelling IV catheter, except for one intended only for collection of clinical laboratory specimens.
* Any condition precluding SC infusion or infusion site evaluation
* Any reason (prior to study enrollment) for a hospital admission or an extended stay in the ED for other than dehydration.
* Known hypersensitivity to hyaluronidase or hylenex.
* Known hyponatremia (\< 130 milliequivalents per liter \[mEq/L\]) or hypernatremia (\> 155 mEq/L).
* Known hypokalemia (\< 3.0 mEq/L).
* Any medical condition likely to interfere with the patient's ability to fully complete all protocol-specified interventions, the ability to undergo all protocol-specified assessments, or likely to prolong the patient's need for medical attention beyond that required for treatment of dehydration.
* Participation in an investigational drug or device study within 30 days prior to enrollment in this study.
Minimum Eligible Age

30 Days

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Baxter Healthcare Corporation

INDUSTRY

Sponsor Role collaborator

Halozyme Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Coburn H Allen, MD

Role: PRINCIPAL_INVESTIGATOR

Baylor College of Medicine

Locations

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Connecticut Children's Medical Center

Hartford, Connecticut, United States

Site Status

Arnold Palmer Hospital for Children

Orlando, Florida, United States

Site Status

Tampa General Hospital Children's Medical Center

Tampa, Florida, United States

Site Status

Children's Healthcare of Atlanta

Atlanta, Georgia, United States

Site Status

Children's Healthcare of Atlanta - Scottish Rite

Atlanta, Georgia, United States

Site Status

North Georgia Clinical Research

Dalton, Georgia, United States

Site Status

Children's Memorial Hospital

Chicago, Illinois, United States

Site Status

Memorial Hospital

South Bend, Indiana, United States

Site Status

University of Louisville

Louisville, Kentucky, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

William Beaumont Hospital

Troy, Michigan, United States

Site Status

The Children's Mercy Hospital & Clinics

Kansas City, Missouri, United States

Site Status

UMDNJ/Robert Wood Johnson Medical School

New Brunswick, New Jersey, United States

Site Status

St. Joseph's Children's Hospital

Paterson, New Jersey, United States

Site Status

University of New Mexico Health Sciences Center

Albuquerque, New Mexico, United States

Site Status

New York Methodist Hospital

Brooklyn, New York, United States

Site Status

Staten Island University Hospital Emergency Department

Staten Island, New York, United States

Site Status

Children's Hospital at Montefiore

The Bronx, New York, United States

Site Status

Rainbow Children's and Babies Hospital

Cleveland, Ohio, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

Dell Children's Medical Center

Austin, Texas, United States

Site Status

Children's Medical Center Dallas

Dallas, Texas, United States

Site Status

Cook Children's Medical Center

Fort Worth, Texas, United States

Site Status

Texas Children's Hospital

Houston, Texas, United States

Site Status

Countries

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United States

References

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Spandorfer PR, Mace SE, Okada PJ, Simon HK, Allen CH, Spiro DM, Friend K, Harb G, Lebel F; Increased Flow Utilizing Subcutaneously-Enabled Pediatric Rehydration II (INFUSE-Peds II) Study Group. A randomized clinical trial of recombinant human hyaluronidase-facilitated subcutaneous versus intravenous rehydration in mild to moderately dehydrated children in the emergency department. Clin Ther. 2012 Nov;34(11):2232-45. doi: 10.1016/j.clinthera.2012.09.011. Epub 2012 Oct 11.

Reference Type DERIVED
PMID: 23062548 (View on PubMed)

Other Identifiers

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HZ2-08-03

Identifier Type: -

Identifier Source: org_study_id

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