AzTrials
AzTrials

Allergic Skin ReactionPhase 2H001-A2NCT01689363

Evaluation of the Allergenicity of AMPHADASE INJECTION (Hyaluronidase Injection USP)

A Phase 2 study testing Hyaluronidase, Histamine and Saline in people with Allergic Skin Reaction, run by Amphastar Pharmaceuticals, Inc. at 5 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study is designed to evaluate the allergenicity of Amphadase® in healthy volunteers using an intradermal skin test. Read more about this study

Who is it for?
Ages 18 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Allergic Skin Reaction
What is being tested?
Hyaluronidase, Histamine and Saline
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
253 participants
Where
5 sitesUnited States
Study dates
Sep 2012to Dec 2012
Phase
Phase 2
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 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy volunteers of either gender; Those without clinically significant cardiovascular gastrointestinal, hepatic, neurological, psychiatric, endocrine, or other major systemic disease that would unduly risk the subject's safety or interfere with the interpretation of results, assessed according to the judgment of the Principal Investigator. A non-inclusive list which would not be exclusionary and define healthy individual for the purposes of this study are:
  • hypothyroidism,
  • stable hypertension except those subjects on beta blockers including ocular preparations,
  • seasonal/perennial allergic rhinitis if able to wash out of antihistamines,
  • stable, mild intermittent asthma (subjects using beta agonists as a monotherapy on an as-needed basis, excluding daily usage),
  • migraine if not taking excluded medications,
Show all 12Show fewer
  • mild anxiety/depression if not taking excluded medications, and
  • mild arthritic conditions if not taking excluded medications.
  • Willingness and ability to sign an informed consent document;
  • 18 - 80 years of age;
  • Intact skin at the forearm ;
  • Female participants are currently practicing effective birth control methods or abstinence.

Who cannot join

  • Known allergy, hypersensitivity or contraindications to hyaluronidase, thimerosal, edetate disodium (EDTA);
  • Use of medications within a duration considered to interfere with skin testing.
  • Known dermographism which may interfere with skin testing.
  • Pregnant or lactating women.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • Amphastar Site 0022

    Eugene, Oregon, 97401

  • Amphastar Site 0023

    Lake Oswego, Oregon, 97035

  • Amphastar Site 0026

    Portland, Oregon, 97202

  • Amphastar Site 0038

    Renton, Washington, 98057

  • Amphastar Site 0034

    Seattle, Washington, 98115

Other trials in United States

About this study

Official title: A Randomized, Double-Blinded, Negative- and Positive-Controlled Study for Evaluation of the Allergenicity of Amphadase® in Healthy Volunteers Using Intradermal Skin Test

This study is designed to evaluate the allergenicity of Amphadase® in healthy volunteers using an intradermal skin test.

Being tested
Hyaluronidase, Histamine, Saline
Keywords
hyaluronidase, enzymes with tissue spreading activity, allergic reaction, intradermal skin testing
Medical subject headings
Hypersensitivity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HyaluronidaseDrug

    Also called Amphadase®

    Subjects received intradermal injections of 0.02 mL Amphadase® (hyaluronidase 150 USP units/mL) at two random sites on their forearms.

  • HistamineDrug

    Also called Histatrol®

    Subjects received one intradermal injection of 0.02 mL Histatrol® (histamine base 0.1 mg/mL) at one random sites on their forearms.

  • SalineDrug

    Subjects received one intradermal injection of 0.02 mL saline at one random site on their forearm.

Study groups in NCT01689363
Study groupRoleWhat they receive
Arm HExperimentalIntradermal injection of Amphadase (hyaluronidase 150 USP units/mL)
Receives: Drug: Hyaluronidase
Arm PActive comparatorIntradermal injection of Histatrol (histamine base 0.1 mg/mL)
Receives: Drug: Histamine
Arm NPlacebo comparatorIntradermal injection of saline (0.02 mL)
Receives: Drug: Saline

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Positive Allergic Reaction to Amphadase® in the Per-Protocol Population (PPP)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. A positive reaction consisted of: a) reaction appearing within 30 minutes of drug placement; b) wheal (>8 mm) with or without pseudopods; c) reaction accompanying erythema; and d) reaction accompanying localized itching.

    Measured: Up to 30 minutes after the final study drug injection

  2. Positive Allergic Reaction to Amphadase® in the Intent-to-Treat Population (ITT)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. A positive reaction consisted of: a) reaction appearing within 30 minutes of drug placement; b) wheal (>8 mm) with or without pseudopods; c) reaction accompanying erythema; and d) reaction accompanying localized itching.

    Measured: Up to 30 minutes after the final study drug injection

Secondary outcomes (12)
  1. Observed Wheal Size in the Per-Protocol Population (PPP)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. The observed wheal size is the greatest wheal diameter measured at the injection site(s) for a specific study drug injection.

    Measured: Up to 30 minutes after the final study drug injection

  2. Observed Erythema Size in the Per-Protocol Population (PPP)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. The observed erythema size is the greatest erythema diameter measured at the injection site(s) for a specific study drug injection.

    Measured: Up to 30 minutes after the final study drug injection

  3. Allergic Wheal Size in the Per-Protocol Population (PPP)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. The allergic wheal size is the greatest wheal diameter with accompanying erythema and localized itching measured at the injection site(s) for a specific study drug injection.

    Measured: Up to 30 minutes after the final study drug injection

  4. Allergic Erythema Size in the Per-Protocol Population (PPP)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. The allergic erythema size is the greatest erythema diameter with accompanying localized itching measured at the injection site(s) for a specific study drug injection.

    Measured: Up to 30 minutes after the final study drug injection

  5. Local Itchiness Rate in the Per-Protocol Population (PPP)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. The local itchiness rate is the percentage of subjects that reported localized itching at the injection site(s) for a specific study drug injection.

    Measured: Up to 30 minutes after the final study drug injection

  6. Erythema Responder Rate in the Per-Protocol Population (PPP)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. The erythema responder rate is the percentage of subjects that showed an erythema reaction at the injection site(s) for a specific study drug injection.

    Measured: Up to 30 minutes after the final study drug injection

  7. Observed Wheal Size in the Intent-to-Treat Population (ITT)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. The observed wheal size is the greatest wheal diameter measured at the injection site(s) for a specific study drug injection.

    Measured: Up to 30 minutes after the final study drug injection

  8. Observed Erythema Size in the Intent-to-Treat Population (ITT)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. The observed erythema size is the greatest erythema diameter measured at the injection site(s) for a specific study drug injection.

    Measured: Up to 30 minutes after the final study drug injection

  9. Allergic Erythema Size in the Intent-to-Treat Population (ITT)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. The allergic erythema size is the greatest erythema diameter with accompanying localized itching measured at the injection site(s) for a specific study drug injection.

    Measured: Up to 30 minutes after the final study drug injection

  10. Local Itchiness Rate in the Intent-to-Treat Population (ITT)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. The local itchiness rate is the percentage of subjects that reported localized itching at the injection site(s) for a specific study drug injection.

    Measured: Up to 30 minutes after the final study drug injection

  11. Erythema Responder Rate in the Intent-to-Treat Population (ITT)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. The erythema responder rate is the percentage of subjects that showed an erythema reaction at the injection site(s) for a specific study drug injection.

    Measured: Up to 30 minutes after the final study drug injection

  12. Allergic Wheal Size in the Intent-to-Treat Population (ITT)

    Subjects received intradermal injections at 4 injection sites following a randomized configuration of study medications. Injection sites were monitored for any characteristic immediate reactions after the study drug injections. The allergic wheal size is the greatest wheal diameter with accompanying erythema and localized itching measured at the injection site(s) for a specific study drug injection.

    Measured: Up to 30 minutes after the final study drug injection

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Sep 2012 (estimated)
  2. Study startSep 2012
  3. Primary completionNov 2012
  4. Study completionDec 2012

Resources

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 2
Primary purpose
Screening
Allocation
Randomised
Intervention model
Crossover
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
253 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01689363
Sponsor's protocol ID
API-H001-CLN-A2
Acronym
H001-A2
Status last verified
Jan 2017
First submitted
13 Sep 2012
Last updated
20 Jan 2017
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Barr J, Kirkpatrick N, Dick A, Leonard L, Hawksworth G, Noble DW. Effects of adrenaline and hyaluronidase on plasma concentrations of lignocaine and bupivacaine after peribulbar anaesthesia. Br J Anaesth. 1995 Dec;75(6):692-7. doi: 10.1093/bja/75.6.692.

    PubMed 8672315
  • Brydon CW, Basler M, Kerr WJ. An evaluation of two concentrations of hyaluronidase for supplementation of peribulbar anaesthesia. Anaesthesia. 1995 Nov;50(11):998-1000. doi: 10.1111/j.1365-2044.1995.tb05940.x.

    PubMed 8678264
  • Ahluwalia HS, Lukaris A, Lane CM. Delayed allergic reaction to hyaluronidase: a rare sequel to cataract surgery. Eye (Lond). 2003 Mar;17(2):263-6. doi: 10.1038/sj.eye.6700243. No abstract available.

    PubMed 12640426
  • Agrawal A, McLure HA, Dabbs TR. Allergic reaction to hyaluronidase after a peribulbar injection. Anaesthesia. 2003 May;58(5):493-4. doi: 10.1046/j.1365-2044.2003.03154_17.x. No abstract available.

    PubMed 12694021
  • Kempeneers A, Dralands L, Ceuppens J. Hyaluronidase induced orbital pseudotumor as complication of retrobulbar anesthesia. Bull Soc Belge Ophtalmol. 1992;243:159-66.

    PubMed 1302146
  • Minning CA Jr. Hyaluronidase allergy simulating expulsive choroidal hemorrhage. Arch Ophthalmol. 1994 May;112(5):585-6. doi: 10.1001/archopht.1994.01090170029012. No abstract available.

    PubMed 8185511
  • Szepfalusi Z, Nentwich I, Dobner M, Pillwein K, Urbanek R. IgE-mediated allergic reaction to hyaluronidase in paediatric oncological patients. Eur J Pediatr. 1997 Mar;156(3):199-203. doi: 10.1007/s004310050582.

    PubMed 9083759
  • Allergy testing. American College of Physicians. Ann Intern Med. 1989 Feb 15;110(4):317-20. No abstract available.

    PubMed 2578014
  • Poulsen LK. In vivo and in vitro techniques to determine the biological activity of food allergens. J Chromatogr B Biomed Sci Appl. 2001 May 25;756(1-2):41-55. doi: 10.1016/s0378-4347(01)00070-6.

    PubMed 11419727
  • Howard A, Mercer P, Nataraj HC, Kang BC. Bevel-down superior to bevel-up in intradermal skin testing. Ann Allergy Asthma Immunol. 1997 Jun;78(6):594-6. doi: 10.1016/s1081-1206(10)63222-x.

    PubMed 9207725
  • Barbaud A, Reichert-Penetrat S, Trechot P, Jacquin-Petit MA, Ehlinger A, Noirez V, Faure GC, Schmutz JL, Bene MC. The use of skin testing in the investigation of cutaneous adverse drug reactions. Br J Dermatol. 1998 Jul;139(1):49-58. doi: 10.1046/j.1365-2133.1998.02313.x.

    PubMed 9764148
  • Fisher MM, Bowey CJ. Intradermal compared with prick testing in the diagnosis of anaesthetic allergy. Br J Anaesth. 1997 Jul;79(1):59-63. doi: 10.1093/bja/79.1.59.

    PubMed 9301390
  • Ruzicka T, Gerstmeier M, Przybilla B, Ring J. Allergy to local anesthetics: comparison of patch test with prick and intradermal test results. J Am Acad Dermatol. 1987 Jun;16(6):1202-8. doi: 10.1016/s0190-9622(87)70158-3.

    PubMed 3597862

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Hyaluronidase, Histamine and Saline in people with Allergic Skin Reaction, run by Amphastar Pharmaceuticals, Inc. at 5 sites 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 12 inclusion and 4 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: finished, as of the sponsor's last update on 20 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 20 Jan 2017). 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?

Positive Allergic Reaction to Amphadase® in the Per-Protocol Population (PPP) (time frame: Up to 30 minutes after the final study drug injection). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01689363, which also lists 13 linked publications.

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 20 Jan 2017.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in