DehydrationPhase 4INFUSE-AT1ANCT01116102
Study of In-line Pressure Using Various Techniques of Subcutaneous Administration of Fluids Enabled by Human Recombinant Hyaluronidase (INFUSE-AT1A)
A Phase 4 study testing Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution in people with Dehydration, run by Baxter Healthcare Corporation at 1 site in United States.
Trial summary
The purpose is to characterize the in-line pressure profiles associated with several infusion technique factors during subcutaneous (SC) infusion of Lactated Ringer's solution, preceded by recombinant human hyaluronidase (hylenex). Read more about this study
- Who is it for?
- Ages 18 to 60 yearsHealthy volunteers can take part
- Conditions the study is for
- Dehydration
- What is being tested?
- Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 1 siteUnited States
- Study dates
- May 2010to Jun 2010
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Male or female, aged 18 to 60 years, inclusive.
- Body mass index 19.0 to 35.0 kg/m2
- Intact normal skin without potentially obscuring tattoos, pigmentation, or lesions on the upper back in the area intended for infusion
- Free from any clinically significant abnormality on the basis of medical/medication history or physical examination
- Vital signs and clinical laboratory parameters within normal range or, if outside normal range, deemed not clinically significant
- Negative urine drug and alcohol screens.
Who cannot join
- Upper back pathology that could interfere with study outcome.
- History of congestive heart failure, known coronary heart disease, active or recent pulmonary disease, or renal insufficiency.
- Rales on lung auscultation.
- Known allergy to hyaluronidase or any other ingredient in the formulation of hylenex recombinant
- Treatment with furosemide, benzodiazepines, or phenytoin.
- Pregnancy or breastfeeding.
- Exposure to any experimental drug within 30 days prior to study admission, or previous participation in this study.
- Any other reason which, in the investigator's opinion, would prevent the safe participation in the study.
Trial locations and contacts
1 site in 1 country.
United States1 site
Kendle International, Inc. Drug Study Unit
Morgantown, West Virginia, 26505
About this study
Official title: The INcreased Flow Utilizing Subcutaneously-Enabled Fluids Administration Technique 1A Study (INFUSE-AT 1A): A Randomized, Parallel Group Study to Evaluate the In-line Pressure, Flow Rate, Safety and Tolerability of Hylenex-facilitated Subcutaneous Fluid Administration In Healthy Volunteers Using Various Subcutaneous Infusion Techniques
The purpose is to characterize the in-line pressure profiles associated with several infusion technique factors during subcutaneous (SC) infusion of Lactated Ringer's solution, preceded by recombinant human hyaluronidase (hylenex). The safety and tolerability of hylenex-augmented SC infusion of Lactated Ringer's solution fluid is also being evaluated.
- Conditions
- Dehydration
- Being tested
- Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution
- Keywords
- dehydration, fluid therapy, hyaluronoglucosaminidase, hyaluronidase, hypodermoclysis, clysis, subcutaneous hydration, subcutaneous rehydration, hyaluronan, rHuPH20
- Medical subject headings
- Dehydration
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solutionDrug
Also called rHuPH20, LR solution
Subcutaneous administration of 150 U HYLENEX, followed by 1000 mL Lactated Ringer's solution
| Study group | Role | What they receive |
|---|---|---|
| 24 ga catheter, dose flush, single-step rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX and 3 mL Lactated Ringer's solution flush administered through 24 gauge plastic catheter; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 250 mL/h for the first hour and 200 mL/hr for the remainder of the infusion. Receives: Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution |
| 24 ga catheter, no dose flush, single-step rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX (without a Lactated Ringer's solution flush) administered through 24 gauge plastic catheter; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 250 mL/h for the first hour and 200 mL/hr for the remainder of the infusion. Receives: Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution |
| 24 ga catheter, dose flush, up-titrated rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX and 3 mL Lactated Ringer's solution flush administered through 24 gauge plastic catheter; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 50 mL/h for the first 5 min, 100 mL/h for the next 5 min, 285 mL/h for the next 50 min and 200 mL/h for the remainder of the infusion. Receives: Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution |
| 24 ga catheter, no dose flush, up-titrated rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX (without a Lactated Ringer's solution flush) administered through 24 gauge plastic catheter; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 50 mL/h for the first 5 min, 100 mL/h for the next 5 min, 285 mL/h for the next 50 min and 200 mL/h for the remainder of the infusion. Receives: Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution |
| 25 ga needle, dose flush, single-step rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX and 3 mL Lactated Ringer's solution flush administered through 25 gauge metal butterfly needle; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 250 mL/h for the first hour and 200 mL/hr for the remainder of the infusion. Receives: Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution |
| 25 ga needle, no dose flush, single-step rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX (without a Lactated Ringer's solution flush) administered through 25 gauge metal butterfly needle; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 250 mL/h for the first hour and 200 mL/hr for the remainder of the infusion. Receives: Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution |
| 25 ga needle, dose flush, up-titrated rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX and 3 mL Lactated Ringer's solution flush administered through 25 gauge metal butterfly needle; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 50 mL/h for the first 5 min, 100 mL/h for the next 5 min, 285 mL/h for the next 50 min and 200 mL/h for the remainder of the infusion. Receives: Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution |
| 25 ga needle, no dose flush, up-titrated rate scheme | Experimental | Single 150 U subcutaneous (SC) dose of HYLENEX (without a Lactated Ringer's solution flush) administered through 25 gauge metal butterfly needle; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 50 mL/h for the first 5 min, 100 mL/h for the next 5 min, 285 mL/h for the next 50 min and 200 mL/h for the remainder of the infusion. Receives: Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution |
What is being measured
The primary outcome is the main question the study is designed to answer.
Maximum Measured In-line Fluid Pressure
Maximum fluid pressure measured (15 sec period) in delivery line during subcutaneous fluid infusion at specified time point after start of infusion
Measured: each minute for the first 15 minutes of fluid infusion, every 5 minutes for the next 45 minutes of infusion, and every 15 minutes thereafter until the end of infusion
Secondary outcomes (3)
Number of Attempts Needed for Successful Subcutaneous Catheter/Needle Placement
Measured: end of catheter/needle placement
Cumulative Fluid Volume Delivered
Measured: each minute for the first 15 minutes of fluid infusion, every 5 minutes for the next 45 minutes of infusion, and every 15 minutes thereafter until the end of infusion
Technical Challenges Encountered During Fluid Infusion
Observed challenges, including catheter kinking, catheter/needle dislodgement/pull-out, infusion pump alarm, other technical problems
Measured: at any occurence of a defined challenge or at end of infusion if no challenges occurred
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 May 2010 (estimated)
- Study startMay 2010
- Primary completionMay 2010
- Study completionJun 2010
Why it stopped: Strategic business decision (not related to safety or efficacy concerns)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for DehydrationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 20 participants (actual)
Sponsor and investigators
- Lead sponsor
- Baxter Healthcare Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Halozyme Therapeutics
- Responsible party
- Sponsor
- Investigators
- George Harb, MD, MPH, Study director, Baxter Healthcare Corporation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01116102
- Sponsor's protocol ID
- 1838-009
- Acronym
- INFUSE-AT1A
- Status last verified
- Oct 2011
- First submitted
- 30 Apr 2010
- Last updated
- 24 Oct 2011
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Oct 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The INcreased Flow Utilizing Subcutaneously-Enabled Fluids Administration Technique 1A Study (INFUSE-AT 1A): A Randomized, Parallel Group Study to Evaluate the In-line Pressure, Flow Rate, Safety and Tolerability of Hylenex-facilitated Subcutaneous Fluid Administration In Healthy Volunteers Using Various Subcutaneous Infusion Techniques
- ClinicalTrials.gov ID
- NCT01116102
- Acronym / sponsor ID
- INFUSE-AT1A / 1838-009
- Conditions
- Dehydration
- Keywords
- dehydration, fluid therapy, hyaluronoglucosaminidase, hyaluronidase, hypodermoclysis, clysis, subcutaneous hydration, subcutaneous rehydration
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Strategic business decision (not related to safety or efficacy concerns)
- Enrolment
- 20 participants (actual)
- Lead sponsor
- Baxter Healthcare CorporationIndustry (pharma, biotech, devices)
- Collaborators
- Halozyme Therapeutics
- Study start
- May 2010
- Primary completion
- May 2010 (actual)
- Study completion
- Jun 2010 (actual)
- First posted
- 4 May 2010 (estimated)
- Results
- Posted 18 Oct 2011
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose is to characterize the in-line pressure profiles associated with several infusion technique factors during subcutaneous (SC) infusion of Lactated Ringer's solution, preceded by recombinant human hyaluronidase (hylenex). The safety and tolerability of hylenex-augmented SC infusion of Lactated Ringer's solution fluid is also being evaluated.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| 24 ga catheter, dose flush, single-step rate scheme | Experimental | Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solutionSingle 150 U subcutaneous (SC) dose of HYLENEX and 3 mL Lactated Ringer's solution flush administered through 24 gauge plastic catheter; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 250 mL/h for the first hour and 200 mL/hr for the remainder of the infusion. |
| 24 ga catheter, no dose flush, single-step rate scheme | Experimental | Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solutionSingle 150 U subcutaneous (SC) dose of HYLENEX (without a Lactated Ringer's solution flush) administered through 24 gauge plastic catheter; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 250 mL/h for the first hour and 200 mL/hr for the remainder of the infusion. |
| 24 ga catheter, dose flush, up-titrated rate scheme | Experimental | Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solutionSingle 150 U subcutaneous (SC) dose of HYLENEX and 3 mL Lactated Ringer's solution flush administered through 24 gauge plastic catheter; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 50 mL/h for the first 5 min, 100 mL/h for the next 5 min, 285 mL/h for the next 50 min and 200 mL/h for the remainder of the infusion. |
| 24 ga catheter, no dose flush, up-titrated rate scheme | Experimental | Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solutionSingle 150 U subcutaneous (SC) dose of HYLENEX (without a Lactated Ringer's solution flush) administered through 24 gauge plastic catheter; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 50 mL/h for the first 5 min, 100 mL/h for the next 5 min, 285 mL/h for the next 50 min and 200 mL/h for the remainder of the infusion. |
| 25 ga needle, dose flush, single-step rate scheme | Experimental | Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solutionSingle 150 U subcutaneous (SC) dose of HYLENEX and 3 mL Lactated Ringer's solution flush administered through 25 gauge metal butterfly needle; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 250 mL/h for the first hour and 200 mL/hr for the remainder of the infusion. |
| 25 ga needle, no dose flush, single-step rate scheme | Experimental | Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solutionSingle 150 U subcutaneous (SC) dose of HYLENEX (without a Lactated Ringer's solution flush) administered through 25 gauge metal butterfly needle; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 250 mL/h for the first hour and 200 mL/hr for the remainder of the infusion. |
| 25 ga needle, dose flush, up-titrated rate scheme | Experimental | Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solutionSingle 150 U subcutaneous (SC) dose of HYLENEX and 3 mL Lactated Ringer's solution flush administered through 25 gauge metal butterfly needle; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 50 mL/h for the first 5 min, 100 mL/h for the next 5 min, 285 mL/h for the next 50 min and 200 mL/h for the remainder of the infusion. |
| 25 ga needle, no dose flush, up-titrated rate scheme | Experimental | Drug: Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solutionSingle 150 U subcutaneous (SC) dose of HYLENEX (without a Lactated Ringer's solution flush) administered through 25 gauge metal butterfly needle; followed by SC infusion of 1000 mL Lactated Ringer's solution via large-volume infusion pump at 50 mL/h for the first 5 min, 100 mL/h for the next 5 min, 285 mL/h for the next 50 min and 200 mL/h for the remainder of the infusion. |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Male or female, aged 18 to 60 years, inclusive.
- Body mass index 19.0 to 35.0 kg/m2
- Intact normal skin without potentially obscuring tattoos, pigmentation, or lesions on the upper back in the area intended for infusion
- Free from any clinically significant abnormality on the basis of medical/medication history or physical examination
- Vital signs and clinical laboratory parameters within normal range or, if outside normal range, deemed not clinically significant
Key exclusion criteria (8 listed)
- Upper back pathology that could interfere with study outcome.
- History of congestive heart failure, known coronary heart disease, active or recent pulmonary disease, or renal insufficiency.
- Rales on lung auscultation.
- Known allergy to hyaluronidase or any other ingredient in the formulation of hylenex recombinant
- Treatment with furosemide, benzodiazepines, or phenytoin.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solutionAlso: rHuPH20, LR solutionSubcutaneous administration of 150 U HYLENEX, followed by 1000 mL Lactated Ringer's solution | Drug | 24 ga catheter, dose flush, single-step rate scheme, 24 ga catheter, dose flush, up-titrated rate scheme, 24 ga catheter, no dose flush, single-step rate scheme, 24 ga catheter, no dose flush, up-titrated rate scheme, 25 ga needle, dose flush, single-step rate scheme, 25 ga needle, dose flush, up-titrated rate scheme, 25 ga needle, no dose flush, single-step rate scheme, 25 ga needle, no dose flush, up-titrated rate scheme |
Primary outcome
Maximum Measured In-line Fluid Pressure
Time frame: each minute for the first 15 minutes of fluid infusion, every 5 minutes for the next 45 minutes of infusion, and every 15 minutes thereafter until the end of infusion
Maximum fluid pressure measured (15 sec period) in delivery line during subcutaneous fluid infusion at specified time point after start of infusion
3 secondary outcomes
Number of Attempts Needed for Successful Subcutaneous Catheter/Needle Placement
Time frame: end of catheter/needle placement
Cumulative Fluid Volume Delivered
Time frame: each minute for the first 15 minutes of fluid infusion, every 5 minutes for the next 45 minutes of infusion, and every 15 minutes thereafter until the end of infusion
Technical Challenges Encountered During Fluid Infusion
Time frame: at any occurence of a defined challenge or at end of infusion if no challenges occurred
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Oct 2011.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
George Harb, MD, MPH study director
Baxter Healthcare Corporation
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Subcutaneous HYLENEX (recombinant human hyaluronidase) and Lactated Ringer's solution in people with Dehydration, run by Baxter Healthcare Corporation at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 24 Oct 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 18 Oct 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Maximum Measured In-line Fluid Pressure (time frame: each minute for the first 15 minutes of fluid infusion, every 5 minutes for the next 45 minutes of infusion, and every 15 minutes thereafter until the end of infusion). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Oct 2011.