Intravenous (IV) Solutions for Dehydration in Children With Gastroenteritis

The primary objective of this study was to compare the efficacy and safety of the use of
Plasma Lyte A to the use of NS for the treatment of moderate to severe dehydration and
amelioration of metabolic acidosis due to AGE in children (≥ 6 months to < 11 years of age)
by measuring serum bicarbonate levels.

Inclusion Criteria:

1. AGE (etiology: viral or other) resulting in presentation to the ED deemed in need of
IV rehydration. In the 24 hours prior to presentation, the subject experienced at
least 3 episodes of diarrhea (loose and/or watery stools) and/or nonbilious vomiting.

2. Moderate to severe dehydration (as assessed by Gorelick score13 ≥ 4

3. ≥ 6 months to < 11 years of age.

4. Healthy except for the underlying etiology of AGE.

5. Institutional Review Board (IRB)/Independent Ethics Committee (IEC)-approved written
ICFs and privacy language per national regulations (eg, Health Insurance Portability
and Accountability Act [HIPAA], Personal Information Protection and Electronic
Documents Act [PIPEDA]) were obtained from the parent/guardian prior to any
study-related procedures.

Exclusion Criteria:

1. AGE that did not require IV rehydration per the clinician.

2. Gorelick score ≤ 3

3. Bilious vomiting.

4. Received > 20 mL/kg IV fluid bolus within the 4 hours prior to study enrollment (ie,
Hour -4 to Hour 0).

5. Diarrhea lasting > 7 days prior to presentation to the ED.

6. Chronic vomiting disorder.

7. Grossly bloody diarrhea.

8. Chronic diarrheal disorder.

9. Known hyponatremia (sodium < 130 mmol/L [< 130 mEq/L]) within 72 hours prior to
enrollment.

10. Known hypernatremia (sodium > 155 mmol/L [> 155 mEq/L]) within 72 hours prior to
enrollment.

11. Known hypokalemia (potassium < 3.0 mmol/L [< 3.0 mEq/L]) within 72 hours prior to
enrollment.

12. Known hyperkalemia (potassium > 5.5 mmol/L [> 5.5 mEq/L]) within 72 hours prior to
enrollment.

13. The use of prohibited medications:

- Antacids within 24 hours prior to presentation to the ED and during the study.

- Anti-diarrhea medication within 24 hours prior to presentation to the ED and
during the study.

- The systemic use of corticosteroids/corticotropins was prohibited within 72 hours
of enrollment.

14. Chronic health condition affecting the ability to tolerate fluids or those that result
in electrolyte abnormalities (eg, chronic renal, cardiac, or pulmonary diagnoses), or
abnormalities of sodium or potassium handling (eg, endocrine disorders, medications).

15. Any reason for urgent or emergency hospital admission or ED stays of > 12 hours within
14 days preceding presentation to the ED.

16. Any medical condition likely to interfere with the subject's ability to fully complete
all protocol-specified interventions, the ability to undergo all protocol-specified
assessments, or likely to prolong the subject's need for medical attention beyond that
required for treatment of dehydration.

17. Participation in a study of any investigational drug or device concomitantly or within
30 days prior to enrollment in this study, including previous enrollment in this
study.

18. Subject with a > 50% expected chance of dying within 6 months, in the Investigator's
opinion.

19. Known hypersensitivity to either of the investigational products.

20. Other serious acute or active conditions that, in the Investigator's opinion,
precluded participation in this study.