Trial Outcomes & Findings for Subcutaneous Rehydration Compared to Intravenous Rehydration (NCT NCT00773175)
NCT ID: NCT00773175
Last Updated: 2018-11-07
Results Overview
It was anticipated that most participants in this study would be hydrated through only one infusion site. For participants who received fluid at more than one administration site, a single infusion site was defined as the anatomical site at which the majority of the total infusion volume was infused. The term "anatomical site" was designated as: 1) the back; 2) left thigh; 3) right thigh; 4) abdomen; or 5) chest.
COMPLETED
PHASE4
148 participants
During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)
2018-11-07
Participant Flow
Participant milestones
| Measure |
Subcutaneous Hylenex
Participants received isotonic fluid rehydration by subcutaneous administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
Participants received isotonic fluid rehydration by intravenous injection.
|
|---|---|---|
|
Overall Study
STARTED
|
73
|
75
|
|
Overall Study
Initial Fluids Via Randomized Route
|
73
|
59
|
|
Overall Study
Initial Fluids Via Subcutaneous Rescue
|
0
|
15
|
|
Overall Study
No Fluids Received
|
0
|
1
|
|
Overall Study
COMPLETED
|
71
|
73
|
|
Overall Study
NOT COMPLETED
|
2
|
2
|
Reasons for withdrawal
| Measure |
Subcutaneous Hylenex
Participants received isotonic fluid rehydration by subcutaneous administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
Participants received isotonic fluid rehydration by intravenous injection.
|
|---|---|---|
|
Overall Study
Adverse Event
|
2
|
0
|
|
Overall Study
Consent Withdrawn
|
0
|
2
|
Baseline Characteristics
Subcutaneous Rehydration Compared to Intravenous Rehydration
Baseline characteristics by cohort
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous injection.
|
Total
n=148 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
2.1 years
STANDARD_DEVIATION 1.72 • n=5 Participants
|
2.4 years
STANDARD_DEVIATION 2.07 • n=7 Participants
|
2.3 years
STANDARD_DEVIATION 1.91 • n=5 Participants
|
|
Sex: Female, Male
Female
|
39 Participants
n=5 Participants
|
36 Participants
n=7 Participants
|
75 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
34 Participants
n=5 Participants
|
39 Participants
n=7 Participants
|
73 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Asian
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Black or African American
|
25 Participants
n=5 Participants
|
22 Participants
n=7 Participants
|
47 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
White
|
39 Participants
n=5 Participants
|
40 Participants
n=7 Participants
|
79 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Native Hawaiian or Pacific Islander
|
0 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Unknown
|
9 Participants
n=5 Participants
|
12 Participants
n=7 Participants
|
21 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: Intent-to-Treat (ITT) Population: all randomly assigned participants for whom the treatment was attempted, (i.e., infusion device placement was initiated)
It was anticipated that most participants in this study would be hydrated through only one infusion site. For participants who received fluid at more than one administration site, a single infusion site was defined as the anatomical site at which the majority of the total infusion volume was infused. The term "anatomical site" was designated as: 1) the back; 2) left thigh; 3) right thigh; 4) abdomen; or 5) chest.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Total Volume of Fluid Administered at a Single Infusion Site, From the Start to the Cessation of Fluid Administration, for All Randomized Participants
Emergency department stay only
|
334.3 milliliters
Standard Deviation 226.4
|
299.6 milliliters
Standard Deviation 252.33
|
—
|
|
Mean Total Volume of Fluid Administered at a Single Infusion Site, From the Start to the Cessation of Fluid Administration, for All Randomized Participants
Emergency department plus hospital stay
|
365.0 milliliters
Standard Deviation 324.57
|
455.8 milliliters
Standard Deviation 597.43
|
—
|
PRIMARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population. Only those participants for which fluid administration was initiated were analyzed. Only those participants who did not receive subcutaneous fluid administration by hylenex-facilitated infusion as rescue were analyzed.
It was anticipated that most participants in this study would be hydrated through only one infusion site. For participants who received fluid at more than one administration site, a single infusion site was defined as the anatomical site at which the majority of the total infusion volume was infused. The term "anatomical site" was designated as: 1) the back; 2) left thigh; 3) right thigh; 4) abdomen; or 5) chest. Participants randomized to receive intravenous isotonic fluid were permitted to receive subcutaneous fluid administration by hylenex-facilitated infusion as rescue.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=59 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Total Volume of Fluid Administered at a Single Infusion Site, From the Start to the Cessation of Fluid Administration, for Non-rescued Participants
Emergency department plus hospital stay
|
365.0 milliliters
Standard Deviation 324.57
|
579.4 milliliters
Standard Deviation 618.49
|
—
|
|
Mean Total Volume of Fluid Administered at a Single Infusion Site, From the Start to the Cessation of Fluid Administration, for Non-rescued Participants
Emergency department stay only
|
334.3 milliliters
Standard Deviation 226.4
|
380.8 milliliters
Standard Deviation 223.08
|
—
|
PRIMARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population. Only those participants for which fluid administration was initiated were analyzed. Only those participants randomized to receive intravenous isotonic fluid who received subcutaneous fluid administration by hylenex-facilitated infusion as rescue were analyzed.
It was anticipated that most participants in this study would be hydrated through only one infusion site. For participants who received fluid at more than one administration site, a single infusion site was defined as the anatomical site at which the majority of the total infusion volume was infused. The term "anatomical site" was designated as: 1) the back; 2) left thigh; 3) right thigh; 4) abdomen; or 5) chest. Participants randomized to receive intravenous isotonic fluid were permitted to receive subcutaneous fluid administration by hylenex-facilitated infusion as rescue.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=15 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Total Volume of Fluid Administered at a Single Infusion Site, From the Start to the Cessation of Fluid Administration, for All Rescued Participants
Emergency department plus hospital stay
|
388.3 milliliters
Standard Deviation 281.13
|
—
|
—
|
|
Mean Total Volume of Fluid Administered at a Single Infusion Site, From the Start to the Cessation of Fluid Administration, for All Rescued Participants
Emergency department stay only
|
315.3 milliliters
Standard Deviation 150.38
|
—
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population
It was anticipated that most participants in this study would be hydrated through only one infusion site. For participants who received fluid at more than one administration site, a single infusion site was defined as the anatomical site at which the majority of the total infusion volume was infused. The term "anatomical site" was designated as: 1) the back; 2) left thigh; 3) right thigh; 4) abdomen; or 5) chest.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Total Volume of Fluid Administered at All Infusion Sites, From the Start to the Cessation of Fluid Administration, for All Randomized Participants
Emergency department plus hospital stay
|
365.4 milliliters
Standard Deviation 324.21
|
455.8 milliliters
Standard Deviation 597.43
|
—
|
|
Mean Total Volume of Fluid Administered at All Infusion Sites, From the Start to the Cessation of Fluid Administration, for All Randomized Participants
Emergency department stay only
|
334.7 milliliters
Standard Deviation 225.94
|
299.6 milliliters
Standard Deviation 252.33
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: Randomized Population: all participants who were assigned a patient randomization number
It was anticipated that most participants in this study would be hydrated through only one infusion site. For participants who received fluid at more than one administration site, a single infusion site was defined as the anatomical site at which the majority of the total infusion volume was infused. The term "anatomical site" was designated as: 1) the back; 2) left thigh; 3) right thigh; 4) abdomen; or 5) chest. The label for hylenex indicated precautionary wording recommending an upper limit on the volume of fluid (200 mL) administered subcutaneously to infants less than 3 years of age. In October 2008, the Food and Drug Administration (FDA) removed this wording from the label, thus negating the need for these data and associated analyses. The protocol was amended to reflect this label change; thus, this analysis was not conducted.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: Randomized Population. Only those participants who did not receive subcutaneous fluid administration by hylenex-facilitated infusion as rescue were to be analyzed.
It was anticipated that most participants in this study would be hydrated through only one infusion site. For participants who received fluid at more than one administration site, a single infusion site was defined as the anatomical site at which the majority of the total infusion volume was infused. The term "anatomical site" was designated as: 1) the back; 2) left thigh; 3) right thigh; 4) abdomen; or 5) chest. Participants randomized to receive intravenous isotonic fluid were permitted to receive subcutaneous fluid administration by hylenex-facilitated infusion as rescue. The label for hylenex indicated precautionary wording recommending an upper limit on the volume of fluid (200 mL) administered subcutaneously to infants less than 3 years of age. In October 2008, the FDA removed this wording from the label, thus negating the need for these data and associated analyses. The protocol was amended to reflect this label change; thus, this analysis was not conducted.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: Randomized Participants. Only those participants randomized to receive intravenous isotonic fluid who received subcutaneous fluid administration by hylenex-facilitated infusion as rescue were analyzed.
It was anticipated that most participants in this study would be hydrated through only one infusion site. For participants who received fluid at more than one administration site, a single infusion site was defined as the anatomical site at which the majority of the total infusion volume was infused. The term "anatomical site" was designated as: 1) the back; 2) left thigh; 3) right thigh; 4) abdomen; or 5) chest. Participants randomized to receive intravenous isotonic fluid were permitted to receive subcutaneous fluid administration by hylenex-facilitated infusion as rescue. The label for hylenex indicated precautionary wording recommending an upper limit on the volume of fluid (200 mL) administered subcutaneously to infants less than 3 years of age. In October 2008, the FDA removed this wording from the label, thus negating the need for these data and associated analyses. The protocol was amended to reflect this label change; thus, this analysis was not conducted.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population
The mean flow rate was averaged over any 60-minute period of time.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Flow Rate, Delivered Per Unit Time, for All Randomized Participants
Emergency department plus hospital stay
|
183.8 milliliters per hour
Standard Deviation 94.61
|
166.1 milliliters per hour
Standard Deviation 142.52
|
—
|
|
Mean Flow Rate, Delivered Per Unit Time, for All Randomized Participants
Emergency department stay only
|
186.4 milliliters per hour
Standard Deviation 92.21
|
179.6 milliliters per hour
Standard Deviation 141.19
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population. Only those participants for which fluid administration was initiated were analyzed. Only those participants who did not receive subcutaneous fluid administration by hylenex-facilitated infusion as rescue were analyzed.
The mean flow rate was averaged over any 60-minute period of time. Participants randomized to receive intravenous isotonic fluid were permitted to receive subcutaneous fluid administration by hylenex-facilitated infusion as rescue.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=59 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Flow Rate, Delivered Per Unit Time, for All Non-rescued Participants
Emergency department plus hospital stay
|
183.8 milliliters per hour
Standard Deviation 94.61
|
211.1 milliliters per hour
Standard Deviation 127.44
|
—
|
|
Mean Flow Rate, Delivered Per Unit Time, for All Non-rescued Participants
Emergency department stay only
|
186.4 milliliters per hour
Standard Deviation 92.21
|
228.3 milliliters per hour
Standard Deviation 118.82
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population. Only those participants for which fluid administration was initiated were analyzed. Only those participants randomized to receive intravenous isotonic fluid who received subcutaneous fluid administration by hylenex-facilitated infusion as rescue were analyzed.
The mean flow rate was averaged over any 60-minute period of time. Participants randomized to receive intravenous isotonic fluid were permitted to receive subcutaneous fluid administration by hylenex-facilitated infusion as rescue.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=15 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Flow Rate, Delivered Per Unit Time, for All Rescued Participants
Emergency department plus hospital stay
|
139.1 milliliters per hour
Standard Deviation 80.27
|
—
|
—
|
|
Mean Flow Rate, Delivered Per Unit Time, for All Rescued Participants
Emergency department stay only
|
149.8 milliliters per hour
Standard Deviation 79.53
|
—
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population. Only those participants with evaluable data (known volume and known baseline body weight) were analyzed.
The mean flow rate was averaged over any 60-minute period of time.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=70 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=73 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Flow Rate, Delivered by Volume Per Unit Body Weight Per Unit Time, for All Randomized Participants
Emergency department plus hospital stay
|
15.4 milliliters per kilogram per hour
Standard Deviation 5.62
|
12.3 milliliters per kilogram per hour
Standard Deviation 9.50
|
—
|
|
Mean Flow Rate, Delivered by Volume Per Unit Body Weight Per Unit Time, for All Randomized Participants
Emergency department stay only
|
15.6 milliliters per kilogram per hour
Standard Deviation 5.33
|
13.3 milliliters per kilogram per hour
Standard Deviation 9.50
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population. Only those participants who did not receive subcutaneous fluid administration by hylenex-facilitated infusion as rescue were analyzed. Only those participants with evaluable data (known volume and known baseline body weight) were analyzed.
The mean flow rate was averaged over any 60-minute period of time. Participants randomized to receive intravenous isotonic fluid were permitted to receive subcutaneous fluid administration by hylenex-facilitated infusion as rescue.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=70 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=57 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Flow Rate, Delivered by Volume Per Unit Body Weight Per Unit Time, for All Non-rescued Participants
Emergency department plus hospital stay
|
15.4 milliliters per kilogram per hour
Standard Deviation 5.62
|
15.7 milliliters per kilogram per hour
Standard Deviation 7.80
|
—
|
|
Mean Flow Rate, Delivered by Volume Per Unit Body Weight Per Unit Time, for All Non-rescued Participants
Emergency department stay only
|
15.6 milliliters per kilogram per hour
Standard Deviation 5.33
|
17.1 milliliters per kilogram per hour
Standard Deviation 7.14
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population. Only those participants randomized to receive intravenous isotonic fluid who received subcutaneous fluid administration by hylenex-facilitated infusion as rescue were analyzed. Only those participants with evaluable data (known volume and known baseline body weight) were analyzed.
The mean flow rate was averaged over any 60-minute period of time. Participants randomized to receive intravenous isotonic fluid were permitted to receive subcutaneous fluid administration by hylenex-facilitated infusion as rescue.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=14 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Flow Rate, Delivered by Volume Per Unit Body Weight Per Unit Time, for All Rescued Participants
Emergency department plus hospital stay
|
14.4 milliliters per kilogram per hour
Standard Deviation 6.47
|
—
|
—
|
|
Mean Flow Rate, Delivered by Volume Per Unit Body Weight Per Unit Time, for All Rescued Participants
Emergency department stay only
|
15.4 milliliters per kilogram per hour
Standard Deviation 6.07
|
—
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population
The maximum flow rate was averaged over any 60-minute period of time.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants Achieving a Maximum Flow Rate of > 2 Milliliters Per Minute (mL/Min), as an Indication of Successful Hydration
|
68 Participants
|
57 Participants
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population
The number of participants administered at least 20 mL total volume was assessed.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants Administered at Least 200 Milliliter (mL) Total Volume at a Single Infusion Site, From the Start to the Cessation of Fluid Administration
|
18 Participants
|
27 Participants
|
—
|
SECONDARY outcome
Timeframe: up to 7 days after hospital dischargePopulation: Safety Population: all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
Adverse events (AEs) are defined as any untoward medical occurrence in a participant administered a product, which did not necessarily have a causal relationship with the treatment. Treatment-emergent adverse events (TEAEs) are defined as those events that occurred on or after the first injection device insertion attempt.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants With the Indicated Type of Adverse Events
At least 1 AE
|
73 Participants
|
68 Participants
|
—
|
|
Number of Participants With the Indicated Type of Adverse Events
At least 1 infusion site AE
|
73 Participants
|
63 Participants
|
—
|
|
Number of Participants With the Indicated Type of Adverse Events
at least 1 AE related to infusion fluid
|
72 Participants
|
32 Participants
|
—
|
|
Number of Participants With the Indicated Type of Adverse Events
At least 1 AE related to hylenex
|
67 Participants
|
14 Participants
|
—
|
SECONDARY outcome
Timeframe: Baseline; after infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: Safety Population. Only those participants for which fluid administration was initiated were analyzed.
Baseline was defined as the time prior to the single site fluid infusion. End of infusion was defined as the end of infusion of the single site fluid infusion for participants who had more than one fluid infusion. Not Rel Dehy = Abnormal, Not Related to Dehydration; Rel Dehy = Abnormal, Related to Dehydration. The investigator assessed findings as abnormal.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=59 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
n=15 Participants
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Endocrine/Metabolism and Nutrition: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Other: Not Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Other: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Musculoskeletal: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Head, eyes, ears: Not Rel Dehy
|
1 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Head, eyes, ears: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Neck/upper airway: Not Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Neck/upper airway: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Heart: Not Rel Dehy
|
0 Participants
|
1 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Heart: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Lungs: Not Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Lungs: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Abdomen: Not Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Abdomen: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Skin: Not Rel Dehy
|
0 Participants
|
1 Participants
|
2 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Skin: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Musculoskeletal: Not Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Endocrine/Metabolism and Nutrition: Not Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Extremities: Not Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Extremities: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Neurological: Not Rel Dehy
|
1 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Neurological: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Vascular/Circulatory: Not Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Vascular/Circulatory: Rel Dehy
|
1 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Lymphatic: Not Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Lymphatic: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Reproductive: Not Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Reproductive: Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Renal/Urinary: Not Rel Dehy
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With Normal Physical Examination Findings at Baseline That Shifted to Abnormal at the End of Fluid Administration
Renal/Urinary: Rel Dehy
|
1 Participants
|
0 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: Baseline; after infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: Safety Population. Only those participants with available data were analyzed.
Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the time prior to the single site fluid infusion. End of infusion was defined as the end of infusion of the single site fluid infusion for participants who had more than one fluid infusion.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=68 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=53 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
n=14 Participants
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Change From Baseline in Heart Rate
|
-6.9 beats per minute
Standard Deviation 17.38
|
-4.8 beats per minute
Standard Deviation 18.64
|
-11.3 beats per minute
Standard Deviation 24.68
|
SECONDARY outcome
Timeframe: Baseline; after infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: Safety Population. Only those participants with available data were analyzed.
Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the time prior to the single site fluid infusion. End of infusion was defined as the end of infusion of the single site fluid infusion for participants who had more than one fluid infusion.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=68 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=52 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
n=14 Participants
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Change From Baseline in Respiratory Rate
|
-4.8 breaths per minute
Standard Deviation 9.76
|
-1.3 breaths per minute
Standard Deviation 7.96
|
-2.6 breaths per minute
Standard Deviation 13.36
|
SECONDARY outcome
Timeframe: Baseline; after infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: Safety Population. Only those participants with available data were analyzed.
Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Baseline was defined as the time prior to the single site fluid infusion. End of infusion was defined as the end of infusion of the single site fluid infusion for participants who had more than one fluid infusion.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=61 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=49 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
n=14 Participants
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Change From Baseline in Systolic Blood Pressure and Diastolic Blood Pressure
Systolic blood pressure
|
3.2 millimeters of mercury (mmHg)
Standard Deviation 16.15
|
1.1 millimeters of mercury (mmHg)
Standard Deviation 15.49
|
-4.0 millimeters of mercury (mmHg)
Standard Deviation 24.17
|
|
Mean Change From Baseline in Systolic Blood Pressure and Diastolic Blood Pressure
Diastolic blood pressure
|
-0.2 millimeters of mercury (mmHg)
Standard Deviation 12.43
|
0.7 millimeters of mercury (mmHg)
Standard Deviation 12.45
|
-2.9 millimeters of mercury (mmHg)
Standard Deviation 23.07
|
SECONDARY outcome
Timeframe: Before infusion (Baseline); after infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: Safety Population. Only those participants with available data were analyzed.
The infusion site was assessed for pain at two time points: after placement of the infusion device but before fluid infusion and at the end of infusion. Pain was recorded using the FLACC pain scale for children less than 3 years of age. Scores on the scale ranged from 0 (no hurt) to 10 (hurt worst).
Outcome measures
| Measure |
Subcutaneous Hylenex
n=59 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=39 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
n=15 Participants
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Mean Change From Baseline in the Face, Legs, Activity, Cry, Consolability (FLACC) Pain Scale Score
|
-4.4 score on a scale
Standard Deviation 3.45
|
-5.2 score on a scale
Standard Deviation 2.94
|
-3.8 score on a scale
Standard Deviation 2.11
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population. Only those participants for which fluid administration was initiated were analyzed.
Data are reported for the initial fluid administered.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=59 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
n=15 Participants
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants With the Indicated Type of Fluid Administered
Lactated Ringers
|
28 Participants
|
9 Participants
|
6 Participants
|
|
Number of Participants With the Indicated Type of Fluid Administered
Normal saline (NS)
|
44 Participants
|
49 Participants
|
9 Participants
|
|
Number of Participants With the Indicated Type of Fluid Administered
D5 1/2 NS without potassium chloride (KCL)
|
0 Participants
|
1 Participants
|
0 Participants
|
|
Number of Participants With the Indicated Type of Fluid Administered
D5 1/2 NS with KCL
|
0 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants With the Indicated Type of Fluid Administered
Other
|
1 Participants
|
0 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: first hour of infusionPopulation: ITT Population
Infusion duration was assessed as a measure of the time required to complete the initial infusion of 20 mL/kg.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Infusion Duration During the Initial Infusion
|
1.0 hours
Standard Deviation 0.13
|
0.8 hours
Standard Deviation 0.42
|
—
|
SECONDARY outcome
Timeframe: Baseline; during the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population. Only those participants contributing data at the indicated time point were assessed.
Hydration status was assessed clinically using the Gorelick 10-item scale: general condition, quality of radial pulse, quality of respiration, skin elasticity, eyes, tears, mucous membranes, urine output, heart rate, and capillary refill time at the fingertip. Scores ranged from 0 (less severe impairment) to 10 (more severe impairment). Change from Baseline was calculated as the post-Baseline value minus the Baseline value.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=73 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Change From Baseline in Hydration Status According to the Gorelick Assessment at the End of Fluid Infusion
|
-2.6 score on a scale
Standard Deviation 1.26
|
-2.2 score on a scale
Standard Deviation 1.64
|
—
|
SECONDARY outcome
Timeframe: Baseline; during the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population. Only those participants contributing data at the indicated time point were assessed.
Percent change from Baseline was calculated as the (\[post-Baseline value minus the Baseline value\] / Baseline value) \* 100.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=68 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=67 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Percent Change From Baseline in Body Weight
|
2.9 percent change
Standard Deviation 2.52
|
3.8 percent change
Standard Deviation 15.17
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population
Participants for whom parenteral access by the randomized route of administration could not be achieved after a reasonable number of attempts and for whom the investigator had deemed the access by that route a failure were expected to receive fluid administration by other means, designated as "rescue route" for the purpose of this study. This rescue route may have included venous cut-down, central venous line, interosseous access, etc., and for those participants initially randomly assigned to IV fluid administration, SC fluid administration by hylenex-facilitated infusion.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants With the Indicated Type of Rescue Route Therapy Administered
hylenex-facilitated SC
|
0 Participants
|
15 Participants
|
—
|
|
Number of Participants With the Indicated Type of Rescue Route Therapy Administered
Other type of rescue
|
0 Participants
|
0 Participants
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population
A global assessment of overall satisfaction with the rehydration therapy by healthcare provider was performed at the end of SC or IV fluid rehydration utilizing a simple questionnaire. There were separate questionnaires for the two types of rehydration (SC and IV). Question 1: Was the participant successfully hydrated using the randomized route of administration?; Question 2: Overall, was the procedure of fluid infusion easy to perform?; Question 3: Were there any unacceptable side effects from the therapy?; Question 4: Would you consider using this hydration therapy for this indication in the future?
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Questions Comprising the Healthcare Provider Global Satisfaction Questionnaire
Question 1 · Yes
|
68 Participants
|
57 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Questions Comprising the Healthcare Provider Global Satisfaction Questionnaire
Question 1 · No
|
4 Participants
|
13 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Questions Comprising the Healthcare Provider Global Satisfaction Questionnaire
Question 1 · Missing
|
1 Participants
|
5 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Questions Comprising the Healthcare Provider Global Satisfaction Questionnaire
Question 2 · Yes
|
69 Participants
|
49 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Questions Comprising the Healthcare Provider Global Satisfaction Questionnaire
Question 2 · No
|
4 Participants
|
21 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Questions Comprising the Healthcare Provider Global Satisfaction Questionnaire
Question 2 · Missing
|
0 Participants
|
5 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Questions Comprising the Healthcare Provider Global Satisfaction Questionnaire
Question 3 · Yes
|
3 Participants
|
4 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Questions Comprising the Healthcare Provider Global Satisfaction Questionnaire
Question 3 · No
|
70 Participants
|
66 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Questions Comprising the Healthcare Provider Global Satisfaction Questionnaire
Question 3 · Missing
|
0 Participants
|
5 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Questions Comprising the Healthcare Provider Global Satisfaction Questionnaire
Question 4 · Yes
|
71 Participants
|
64 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Questions Comprising the Healthcare Provider Global Satisfaction Questionnaire
Question 4 · No
|
2 Participants
|
6 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Questions Comprising the Healthcare Provider Global Satisfaction Questionnaire
Question 4 · Missing
|
0 Participants
|
5 Participants
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population
A global assessment of overall satisfaction with the rehydration therapy by healthcare provider was performed at the end of SC or IV fluid rehydration utilizing a simple questionnaire. There were separate questionnaires for the two types of rehydration (SC and IV).
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Question: How Does This Therapy Compare to Your Experience With IV (for SC Group) / SC (for IV Group) Therapy?
Degree of Difficulty: Missing
|
2 Participants
|
0 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Question: How Does This Therapy Compare to Your Experience With IV (for SC Group) / SC (for IV Group) Therapy?
Effectiveness: Less Effective
|
3 Participants
|
1 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Question: How Does This Therapy Compare to Your Experience With IV (for SC Group) / SC (for IV Group) Therapy?
Effectiveness: Same Effectiveness
|
58 Participants
|
41 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Question: How Does This Therapy Compare to Your Experience With IV (for SC Group) / SC (for IV Group) Therapy?
Effectiveness: More Effective
|
11 Participants
|
0 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Question: How Does This Therapy Compare to Your Experience With IV (for SC Group) / SC (for IV Group) Therapy?
Effectiveness: Missing
|
1 Participants
|
0 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Question: How Does This Therapy Compare to Your Experience With IV (for SC Group) / SC (for IV Group) Therapy?
Degree of Difficulty: Less Difficult
|
57 Participants
|
2 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Question: How Does This Therapy Compare to Your Experience With IV (for SC Group) / SC (for IV Group) Therapy?
Degree of Difficulty: Same Difficulty
|
11 Participants
|
12 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Question: How Does This Therapy Compare to Your Experience With IV (for SC Group) / SC (for IV Group) Therapy?
Degree of Difficulty: More Difficult
|
3 Participants
|
28 Participants
|
—
|
|
Number of Participants Classified With the Indicated Healthcare Provider Responses to the Question: How Does This Therapy Compare to Your Experience With IV (for SC Group) / SC (for IV Group) Therapy?
Not applicable: no prior experience with alternate
|
0 Participants
|
33 Participants
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population. Only participants with a response of "Yes" to Question 2 contributed responses for Question 3.
A global assessment of overall satisfaction with the rehydration therapy by healthcare provider was performed at the end of SC or IV fluid rehydration utilizing a simple questionnaire. There were separate questionnaires for the two types of rehydration (SC and IV). Question 1: Do you believe the method of therapy was successful in your child's rehydration?; Question 2: Have you or your child ever previously had IV fluids (for SC Group) / SC fluids (for IV Group)?; Question 3: If the response to Question 2 was "yes," how does this compare to prior experience with IV (for SC Group) / SC (for IV Group)?; Question 4: Should your child(ren) need rehydration treatment in the future, would you opt for this procedure?; Question 5: Should you need rehydration treatment in the future, would you opt for this procedure?; Question 6: What is your global satisfaction with the study procedure?
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 1, yes
|
70 Participants
|
59 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 1, no
|
3 Participants
|
8 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 1, missing
|
0 Participants
|
8 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 2, yes
|
47 Participants
|
2 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 2, no
|
26 Participants
|
63 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 2, not done
|
0 Participants
|
2 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 2, missing
|
0 Participants
|
8 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 3, worse
|
2 Participants
|
0 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 3, same
|
9 Participants
|
2 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 3, better
|
35 Participants
|
0 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 3, missing
|
1 Participants
|
0 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 4, yes
|
65 Participants
|
56 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 4, no
|
4 Participants
|
11 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 4, not done
|
2 Participants
|
0 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 4, unknown
|
1 Participants
|
0 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 4, missing
|
1 Participants
|
8 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 5, yes
|
68 Participants
|
55 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 5, no
|
4 Participants
|
12 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 5, not done
|
1 Participants
|
0 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 5, missing
|
0 Participants
|
8 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 6, very unsatisfied
|
3 Participants
|
8 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 6, unsatisfied
|
1 Participants
|
4 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 6, satisfied
|
26 Participants
|
31 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 6, very satisfied
|
43 Participants
|
24 Participants
|
—
|
|
Number of Participants Classified With the Indicated Parent/Guardian Responses to the Questions Comprising the Parent / Guardian Global Satisfaction Questionnaire
Question 6, missing
|
0 Participants
|
8 Participants
|
—
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population. Only those participants for which fluid administration was initiated were analyzed.
In the event that the degree of local infusion site swelling became unacceptable for any reason (e.g., a 30% or greater increase from the baseline circumference of the infused thigh or in the clinical judgment of the investigator), the infusion rate was decreased or the infusion site was changed.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=59 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
n=15 Participants
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants With the Indicated Number of Different Anatomical Administration Sites Needed After the Start of Fluid Administration
1 administration site
|
72 Participants
|
59 Participants
|
15 Participants
|
|
Number of Participants With the Indicated Number of Different Anatomical Administration Sites Needed After the Start of Fluid Administration
2 administration sites
|
1 Participants
|
0 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: During the infusion (single bolus dose of hylenex [1 hr], followed by subcutaneous fluid for 1 hour to 72 hours)Population: ITT Population
In the event that the degree of local infusion site swelling became unacceptable for any reason (e.g., a 30% or greater increase from the baseline circumference of the infused thigh or in the clinical judgment of the investigator), the infusion rate was decreased or the infusion site was changed.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants Experiencing Reductions in Flow Rate
|
43 Participants
|
39 Participants
|
—
|
SECONDARY outcome
Timeframe: average of approximately 3 minutesPopulation: ITT Population. Only those participants for which fluid administration was initiated were analyzed.
Data were collected for the level of staff training for the person who performed the needle placement.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=59 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
n=15 Participants
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants Who Received Needle Placement by People With the Indicated Level of Staff Training
Physician
|
28 Participants
|
4 Participants
|
1 Participants
|
|
Number of Participants Who Received Needle Placement by People With the Indicated Level of Staff Training
Registered nurse
|
35 Participants
|
48 Participants
|
10 Participants
|
|
Number of Participants Who Received Needle Placement by People With the Indicated Level of Staff Training
Physician assistant
|
2 Participants
|
2 Participants
|
1 Participants
|
|
Number of Participants Who Received Needle Placement by People With the Indicated Level of Staff Training
Nurse practitioner
|
6 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants Who Received Needle Placement by People With the Indicated Level of Staff Training
Licensed vocational nurse
|
0 Participants
|
0 Participants
|
2 Participants
|
|
Number of Participants Who Received Needle Placement by People With the Indicated Level of Staff Training
Other
|
2 Participants
|
5 Participants
|
1 Participants
|
SECONDARY outcome
Timeframe: average of approximately 3 minutesPopulation: ITT Population. Only those participants for which fluid administration was initiated were analyzed.
Data were collected for the number of additional personnel involved in needle placement.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=59 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
n=15 Participants
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants for Which the Indicated Number of Additional Personnel Was Involved in Needle Placement
0
|
20 Participants
|
1 Participants
|
1 Participants
|
|
Number of Participants for Which the Indicated Number of Additional Personnel Was Involved in Needle Placement
1
|
36 Participants
|
34 Participants
|
5 Participants
|
|
Number of Participants for Which the Indicated Number of Additional Personnel Was Involved in Needle Placement
2
|
14 Participants
|
20 Participants
|
7 Participants
|
|
Number of Participants for Which the Indicated Number of Additional Personnel Was Involved in Needle Placement
3
|
3 Participants
|
3 Participants
|
2 Participants
|
|
Number of Participants for Which the Indicated Number of Additional Personnel Was Involved in Needle Placement
4
|
0 Participants
|
1 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: up to approximately 26 hoursPopulation: ITT Population. Only those participants for which fluid administration was initiated were analyzed. Only those participants with available data were analyzed.
Data are reported from the start of infusion to the time of ED discharge.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=72 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=59 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
n=15 Participants
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Time From the Start of Infusion to the Time of Emergency Department (ED) Discharge
|
4.0 hours
Standard Deviation 4.26
|
3.1 hours
Standard Deviation 1.92
|
4.7 hours
Standard Deviation 4.64
|
SECONDARY outcome
Timeframe: up to approximately 110 and 220 minutes for the SC and IV arms, respectivelyPopulation: ITT Population. Only those participants for which fluid administration was initiated were analyzed.
Data are reported for the time from randomization to the start of fluid infusion for all randomized participants.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=74 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Time From Randomization to the First Drop of Fluid Infusion
|
37 minutes
Interval 31.0 to 41.0
|
42.5 minutes
Interval 37.0 to 52.0
|
—
|
SECONDARY outcome
Timeframe: average of approximately 3 minutesPopulation: ITT Population
Data are reported for the number of needle stick attempts needed to initiate fluid administration.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants With the Indicated Number of Needle Stick Attempts Needed to Initiate Fluid Administration
1
|
69 Participants
|
54 Participants
|
—
|
|
Number of Participants With the Indicated Number of Needle Stick Attempts Needed to Initiate Fluid Administration
2
|
4 Participants
|
13 Participants
|
—
|
|
Number of Participants With the Indicated Number of Needle Stick Attempts Needed to Initiate Fluid Administration
3
|
0 Participants
|
7 Participants
|
—
|
|
Number of Participants With the Indicated Number of Needle Stick Attempts Needed to Initiate Fluid Administration
>3
|
0 Participants
|
1 Participants
|
—
|
SECONDARY outcome
Timeframe: average of approximately 3 minutesPopulation: ITT Population. Only those participants for which fluid administration was initiated were analyzed.
Data are reported for the type of infusion device used.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=59 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
n=15 Participants
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants for Which the Indicated Type of Infusion Device Was Used
Angiocatheter
|
63 Participants
|
57 Participants
|
15 Participants
|
|
Number of Participants for Which the Indicated Type of Infusion Device Was Used
Butterfly needle
|
10 Participants
|
1 Participants
|
0 Participants
|
|
Number of Participants for Which the Indicated Type of Infusion Device Was Used
Other
|
0 Participants
|
1 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: average of approximately 3 minutesPopulation: ITT Population. Only those participants for which fluid administration was initiated were analyzed.
Data are reported for the gauge of infusion device used.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=59 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
n=15 Participants
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants for Which the Indicated Gauge for Infusion Device Was Used
20
|
2 Participants
|
0 Participants
|
0 Participants
|
|
Number of Participants for Which the Indicated Gauge for Infusion Device Was Used
22
|
28 Participants
|
22 Participants
|
5 Participants
|
|
Number of Participants for Which the Indicated Gauge for Infusion Device Was Used
23
|
4 Participants
|
1 Participants
|
0 Participants
|
|
Number of Participants for Which the Indicated Gauge for Infusion Device Was Used
24
|
31 Participants
|
33 Participants
|
10 Participants
|
|
Number of Participants for Which the Indicated Gauge for Infusion Device Was Used
25
|
8 Participants
|
2 Participants
|
0 Participants
|
|
Number of Participants for Which the Indicated Gauge for Infusion Device Was Used
26
|
0 Participants
|
1 Participants
|
0 Participants
|
SECONDARY outcome
Timeframe: up to approximately 26 hoursPopulation: ITT Population. Only those participants for which fluid administration was initiated were analyzed.
Participants were discharged from the ED to home or the hospital to continue hydration therapy.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=73 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=74 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants Discharged From the ED to Home or the Hospital
Home
|
60 Participants
|
64 Participants
|
—
|
|
Number of Participants Discharged From the ED to Home or the Hospital
Hospital
|
13 Participants
|
10 Participants
|
—
|
SECONDARY outcome
Timeframe: from randomization up to approximately 98 hoursPopulation: ITT Population. Only those participants who were re-hospitalized or had an Emergency Department visit after initial discharge to home were analyzed.
Participants were discharged from the ED to home or the hospital to continue hydration therapy.
Outcome measures
| Measure |
Subcutaneous Hylenex
n=9 Participants
Participants received isotonic fluid rehydration by subcutaneous (SC) administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=10 Participants
Participants received isotonic fluid rehydration by intravenous (IV) injection.
|
Intravenous Isotonic Fluid: SC Rescued
Participants randomized to receive IV isotonic fluid were rescued via the hylenex-facilitated SC-rescue route after IV access could not be established.
|
|---|---|---|---|
|
Number of Participants With the Indicated Reason for Rehospitalization Within 48 and 72 Hours After Discharge
Other
|
7 Participants
|
8 Participants
|
—
|
|
Number of Participants With the Indicated Reason for Rehospitalization Within 48 and 72 Hours After Discharge
Retreatment for dehydration
|
2 Participants
|
2 Participants
|
—
|
Adverse Events
Subcutaneous Hylenex
Intravenous Isotonic Fluid
Serious adverse events
| Measure |
Subcutaneous Hylenex
n=73 participants at risk
Participants received isotonic fluid rehydration by subcutaneous administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 participants at risk
Participants received isotonic fluid rehydration by intravenous injection.
|
|---|---|---|
|
General disorders
Pyrexia
|
0.00%
0/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
1.3%
1/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
|
Metabolism and nutrition disorders
Ongoing dehydration
|
0.00%
0/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
1.3%
1/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
|
Infections and infestations
Rotavirus infection
|
0.00%
0/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
1.3%
1/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
|
Vascular disorders
Kawasaki disease
|
0.00%
0/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
1.3%
1/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
|
Infections and infestations
Viral gastroenteritis
|
1.4%
1/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
0.00%
0/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
|
Infections and infestations
Pneumonia
|
1.4%
1/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
0.00%
0/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
|
Cardiac disorders
Cardio-respiratory Arrest
|
1.4%
1/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
0.00%
0/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
|
Infections and infestations
Gastroenteritis
|
1.4%
1/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
0.00%
0/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
Other adverse events
| Measure |
Subcutaneous Hylenex
n=73 participants at risk
Participants received isotonic fluid rehydration by subcutaneous administration with recombinant human hyaluronidase (hylenex: 150 Units in 1 milliliter \[mL\]).
|
Intravenous Isotonic Fluid
n=75 participants at risk
Participants received isotonic fluid rehydration by intravenous injection.
|
|---|---|---|
|
General disorders
Infusion site erythema
|
74.0%
54/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
25.3%
19/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
|
General disorders
Infusion site haematoma
|
0.00%
0/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
4.0%
3/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
|
General disorders
Infusion site oedema
|
6.8%
5/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
1.3%
1/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
|
General disorders
Infusion site pain
|
78.1%
57/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
78.7%
59/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
|
General disorders
Infusion site swelling
|
80.8%
59/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
21.3%
16/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
|
General disorders
Pyrexia
|
2.7%
2/73
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
2.7%
2/75
Adverse event data are reported in members of the Safety Population, comprised of all randomly assigned participants for whom the treatment was attempted (i.e., infusion device placement was initiated)
|
Additional Information
Dimitrios Chondros, M.D., Chief Medical Officer
Halozyme Therapeutics
Results disclosure agreements
- Principal investigator is a sponsor employee All information obtained as a result of this study or during the conduct of this study will be regarded as confidential. The Investigator agrees to use the information for the purpose of carrying out this study and for no other purpose, unless written permission from the sponsor (Halozyme) is obtained.
- Publication restrictions are in place
Restriction type: OTHER