A Study of LY2940680 in Healthy Participants

NCT01681186 — Phase 1, Completed, 30 participants, Eli Lilly and Company

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A Single Ascending Dose and Relative Bioavailability Study of LY2940680 in Healthy Subjects

RegistryNCT01681186
StatusCompleted
PhasePhase 1
Study typeInterventional; randomized, crossover, masking: double, other
Enrollment30 (Actual)
SponsorEli Lilly and Company (Industry)
ConditionsHealthy Participants
InterventionsLY2940680 Capsule(s) (Reference), LY2940680 Tablet (Test), Lansoprazole, Placebo Capsule(s) (Drug)
Datesstart 2012-09-01, primary completion 2012-12-01, completion 2012-12-01, first posted 2012-09-07, last updated 2019-10-21
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Healthy Participants All trials of LY2940680 Capsule(s) (Reference) All trials of LY2940680 Tablet (Test)

-Summary

This study involves 2 parts, Part A and Part B. The purpose of Part A is to evaluate the safety and side effects of LY2940680 in healthy participants. Part A will involve two groups of participants, each taking up to two single doses of LY2940680 at different dose levels. There is a minimum 14 day washout period between each of the participant's doses. The purpose of Part B is to study how much of the study drug, in capsule or tablet form, gets into the bloodstream and how long the body takes to get rid of it. In addition, the effect of food and a proton pump inhibitor (PPI) on LY2940680 will be studied. Part B will involve one group of participants who will take four single doses of 100 milligrams (mg) LY2940680. There is a minimum 7 day washout period between doses. Participants may only enroll in one part. Screening is required within 28 days prior to the start of the study.

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+Arms and interventions

ArmTypeInterventionsDescription
LY2940680 (Part A)ExperimentalDrug: LY2940680 Capsule(s) (Reference)Single escalating dose (50 mg up to 400 mg) of LY2940680 given once orally in up to 2 of 2 study periods
Placebo (Part A)Placebo comparatorDrug: Placebo Capsule(s)Placebo given once orally in up to 1 of 2 study periods
LY2940680 Capsule Fasted (Part B)ExperimentalDrug: LY2940680 Capsule(s) (Reference)100 mg LY2940680 given once orally as a capsule (reference formulation) in fasted state in 1 of 4 study periods
LY2940680 Tablet Fasted (Part B)ExperimentalDrug: LY2940680 Tablet (Test)100 mg LY2940680 given once orally as a tablet (test formulation) in fasted state in 1 of 4 study periods
LY2940680 Tablet Fed (Part B)ExperimentalDrug: LY2940680 Tablet (Test)100 mg LY2940680 given once orally as a tablet (test formulation) in fed state following a standardized, high-fat breakfast in 1 of 4 study periods
LY2940680 Tablet Fasted + PPI (Part B)ExperimentalDrug: LY2940680 Tablet (Test); Drug: Lansoprazole30 mg lansoprazole (PPI) given orally once daily for 7 days. One hour after last dose, 100 mg LY2940680 given orally once as a tablet (test formulation) in fasted state in 1 of 4 study periods
  • LY2940680 Capsule(s) (Reference) (Drug): Administered orally as a capsule(s)
  • LY2940680 Tablet (Test) (Drug): Administered orally as a tablet
  • Lansoprazole (Drug): Administered orally as a capsule
  • Placebo Capsule(s) (Drug): Administered orally as a capsule(s)

+Outcome measures

Primary outcomes

  • Number of Participants With 1 or More Adverse Events (AEs) or Any Serious AEs [Baseline through study completion (up to 4 weeks in Part A and 8 weeks in Part B)]: Data presented are the number of participants with AEs or any serious AEs (SAEs) regardless of causality. A summary of non-serious AEs is located in the Reported Adverse Events section.
  • Part B: Pharmacokinetics: Maximum Observed Concentrations (Cmax) of LY2940680 Test and Reference Formulation [Predose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours after administration of study drug]: The Cmax of 100-milligram (mg) LY2940680 capsule (reference formulation) and 100-mg LY2940680 tablet (test formulation) in fasted and fed state, and with lansoprazole during Part B of the study.

Secondary outcomes

  • Part A: Pharmacokinetics: Maximum Observed Drug Concentration (Cmax) [Predose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, and 120 hours after administration of study drug]: The Cmax of LY2940680 during Part A of the study was reported.
  • Part A: Pharmacokinetics: Time to Maximum Observed Drug Concentration (Tmax) [Predose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, and 120 hours after administration of study drug]: Part A: Pharmacokinetics: Time to Maximum Observed Drug Concentration (tmax)
  • Part B: Pharmacokinetics: Time to Maximum Observed Drug Concentration (Tmax) [Predose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72 and 96 hours after administration of study drug]: Part B: Pharmacokinetics: Time to Maximum Observed Drug Concentration (tmax)
  • Part A: Pharmacokinetics: Area Under the Curve From Time Zero to Time T, Where T is the Last Time Point With a Measurable Concentration [AUC(0-tlast)] [Predose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, and 120 hours after administration of study drug]: Part A: Pharmacokinetics: Area Under the Curve from Time Zero to Time T, where T is the Last Time Point with a Measurable Concentration \[AUC(0-tlast)\]
  • Part B: Pharmacokinetics: Area Under the Curve From Time Zero to Time T, Where T is the Last Time Point With a Measurable Concentration [AUC(0-tlast)] [Predose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72 and 96 hours after administration of study drug]: Part B: Pharmacokinetics: Area Under the Curve from Time Zero to Time T, where T is the Last Time Point with a Measurable Concentration \[AUC(0-tlast)\]
  • Part A: Pharmacokinetics: Area Under the Curve From Time Zero to Infinity [AUC(0-∞)] [Predose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, and 120 hours after administration of study drug]: Part A: Pharmacokinetics: Area Under the Curve From Time Zero to Infinity \[AUC(0-∞)\]
  • Part B: Pharmacokinetics: Area Under the Curve From Time Zero to Infinity [AUC(0-∞)] [Predose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72 and 96 hours after administration of study drug]: Part B: Pharmacokinetics: Area Under the Curve From Time Zero to Infinity \[AUC(0-∞)\]

+Eligibility

Sex: All, ages: 18 Years to 65 Years, accepts healthy volunteers

Inclusion Criteria:

* Healthy sterile males or surgically sterile females or postmenopausal females, as determined by medical history and physical examination
* Body mass index of 18.5 to 32.0 kilograms per meter square (kg/m\^2)
* Have clinical laboratory test results within normal reference range
* Have given written informed consent approved by Lilly and the ethical review board (ERB) governing the site
* Prepared to eat an entire high fat breakfast

Exclusion Criteria:

* Are currently enrolled in, have completed or discontinued within the last 30 days from a clinical trial involving an investigational product
* Have known allergies to LY2940680, related compounds or any components of the formulation, or known allergies to lansoprazole (Part B only)
* Have previously completed or withdrawn from this study or any other study investigating LY2940680, and have previously received the investigational product. Participants in Part A are not allowed to participate in Part B
* Have an abnormality in the 12-lead electrocardiogram (ECG)
* Have a history of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; of constituting a risk when taking the study medication; or of interfering with the interpretation of data (cholecystectomy or appendectomy are allowed if surgery at least 6 months prior to screening)
* Regularly use known drugs of abuse and/or show positive findings on urinary drug screening
* Show evidence of human immunodeficiency virus (HIV) infection and/or positive human HIV antibodies
* Show evidence of hepatitis C and/or positive hepatitis C antibody
* Show evidence of hepatitis B and/or positive hepatitis B surface antigen
* Have used or intend to use over-the-counter or prescription medication within 14 days prior to dosing or during the study. Exception: participants may continue hormone replacement therapy (HRT; estrogen)
* Use of herbal supplements, grapefruit juice, grapefruits, Seville orange juice, Seville oranges, or Starfruit within 7 days prior to dosing or during the study

+Posted results

Participant flow

MilestonePart A, Cohort 1, Sequence 1Part A, Cohort 1, Sequence 2Part A, Cohort 1, Sequence 3Part A, Cohort 2, Sequence 4Part A, Cohort 2, Sequence 5Part A, Cohort 2, Sequence 6Part B, Cohort 3, Sequence 1Part B, Cohort 3, Sequence 2
Started42233277
Completed42233277
Not completed00000000

Outcome results

  • Number of Participants With 1 or More Adverse Events (AEs) or Any Serious AEs (Primary), Count of participants, Participants: Placebo Capsule (Fasted) 2; 50-mg LY2940680 Capsule (Fasted) 3; 100-mg LY2940680 Capsule (Fasted) Part A 4; 100-mg LY2940680 Capsule (Fasted) Part B 6; 100-mg LY2940680 Tablet (Fasted) 5; 100-mg LY2940680 Tablet Plus 30-mg Lansoprazole (Fasted) 3; 100-mg LY2940680 Tablet (Fed) 5; 200-mg LY2940680 Capsule (Fasted) 3; 400-mg LY2940680 Capsule (Fasted) 3
  • Part B: Pharmacokinetics: Maximum Observed Concentrations (Cmax) of LY2940680 Test and Reference Formulation (Primary), Geometric mean, nanograms per milliliter (ng/mL): 100-mg LY2940680 Capsule (Fasted) 879 +/- 49.3; 100-mg LY2940680 Tablet (Fasted) 1170 +/- 22.4; 100-mg LY2940680 Tablet (Fed) 776 +/- 26.3; 100-mg LY2940680 Tablet Plus 30-mg Lansoprazole (Fasted) 1290 +/- 47.9
  • Part A: Pharmacokinetics: Maximum Observed Drug Concentration (Cmax) (Secondary), Geometric mean, nanograms per milliliter (ng/mL): 50-mg LY2940680 Capsule (Fasted) 622 +/- 25.3; 100-mg LY2940680 Capsule (Fasted) 661 +/- 68.3; 200-mg LY2940680 Capsule (Fasted) 1740 +/- 15.6; 400-mg LY2940680 Capsule (Fasted) 3360 +/- 32.8
  • Part A: Pharmacokinetics: Time to Maximum Observed Drug Concentration (Tmax) (Secondary), Median, hours (h): 50-mg LY2940680 Capsule (Fasted) 1.5 (0.92 to 3.0); 100-mg LY2940680 Capsule (Fasted) 2 (2.0 to 4.03); 200-mg LY2940680 Capsule (Fasted) 2 (1.0 to 2.0); 400-mg LY2940680 Capsule (Fasted) 2 (1.0 to 3.0)
  • Part B: Pharmacokinetics: Time to Maximum Observed Drug Concentration (Tmax) (Secondary), Median, hours (h): 100-mg LY2940680 Capsule (Fasted) 1 (1 to 4); 100-mg LY2940680 Tablet (Fasted) 1.5 (1 to 4); 100-mg LY2940680 Tablet (Fed) 3 (2 to 8); 100-mg LY2940680 Tablet (Fasted) PPI 1 (1 to 3)
  • Part A: Pharmacokinetics: Area Under the Curve From Time Zero to Time T, Where T is the Last Time Point With a Measurable Concentration [AUC(0-tlast)] (Secondary), Geometric mean, nanograms*hours per milliliter (ng*h/mL): 50-mg LY2940680 Capsule (Fasted) 5300 +/- 27.5; 100-mg LY2940680 Capsule (Fasted) 9440 +/- 53.9; 200-mg LY2940680 Capsule (Fasted) 22800 +/- 21.2; 400-mg LY2940680 Capsule (Fasted) 49300 +/- 27.9
  • Part B: Pharmacokinetics: Area Under the Curve From Time Zero to Time T, Where T is the Last Time Point With a Measurable Concentration [AUC(0-tlast)] (Secondary), Geometric mean, nanograms*hours per milliliter (ng*h/mL): 100-mg LY2940680 Capsule (Fasted) 9390 +/- 41.1; 100-mg LY2940680 Tablet (Fasted) 10300 +/- 39.9; 100-mg LY2940680 Tablet (Fed) 11200 +/- 37.2; 100-mg LY2940680 Tablet (Fasted) PPI 9980 +/- 50.1
  • Part A: Pharmacokinetics: Area Under the Curve From Time Zero to Infinity [AUC(0-∞)] (Secondary), Geometric mean, nanograms*hours per milliliter (ng*h/mL): 50-mg LY2940680 Capsule (Fasted) 5340 +/- 27.4; 100-mg LY2940680 Capsule (Fasted) 9530 +/- 54.0; 200-mg LY2940680 Capsule (Fasted) 23000 +/- 21.6; 400-mg LY2940680 Capsule (Fasted) 49800 +/- 28.3
  • Part B: Pharmacokinetics: Area Under the Curve From Time Zero to Infinity [AUC(0-∞)] (Secondary), Geometric mean, nanograms*hours per milliliter (ng*h/mL): 100-mg LY2940680 Capsule (Fasted) 9460 +/- 41.3; 100-mg LY2940680 Tablet (Fasted) 10300 +/- 40.1; 100-mg LY2940680 Tablet (Fed) 11300 +/- 37.3; 100-mg LY2940680 Tablet (Fasted) PPI 10000 +/- 50.1

Adverse events

ArmDeathsSerious adverse eventsOther adverse events
Placebo Capsule (Fasted)00/9 (0.0%)2/9 (22.2%)
50-mg LY2940680 Capsule (Fasted)00/6 (0.0%)3/6 (50.0%)
100-mg LY2940680 Capsule (Fasted) Part A or Part B00/20 (0.0%)10/20 (50.0%)
100 mg LY2940680 Tablet (Fasted)00/14 (0.0%)5/14 (35.7%)
100-mg LY2940680 Tablet Plus 30-mg Lansoprazole (Fasted)00/11 (0.0%)3/11 (27.3%)
100-mg LY2940680 Tablet (Fed)00/12 (0.0%)5/12 (41.7%)
200-mg LY2940680 Capsule (Fasted)00/6 (0.0%)3/6 (50.0%)
400-mg LY2940680 Capsule (Fasted)00/5 (0.0%)3/5 (60.0%)

Other adverse events by term

TermOrgan systemPlacebo Capsule (Fasted)50-mg LY2940680 Capsule (Fasted)100-mg LY2940680 Capsule (Fasted) Part A or Part B100 mg LY2940680 Tablet (Fasted)100-mg LY2940680 Tablet Plus 30-mg Lansoprazole (Fasted)100-mg LY2940680 Tablet (Fed)200-mg LY2940680 Capsule (Fasted)400-mg LY2940680 Capsule (Fasted)
Abdominal painGastrointestinal disorders0/90/61/200/140/110/120/60/5
ConstipationGastrointestinal disorders0/90/61/200/140/110/120/60/5
DiarrhoeaGastrointestinal disorders0/90/61/201/140/111/120/60/5
Dry mouthGastrointestinal disorders0/90/61/200/140/110/120/60/5
EructationGastrointestinal disorders0/90/61/200/140/110/120/60/5
NauseaGastrointestinal disorders1/91/62/200/140/111/122/60/5
VomitingGastrointestinal disorders0/90/62/200/141/111/120/60/5
Facial painGeneral disorders0/90/60/200/141/110/120/60/5
FatigueGeneral disorders0/90/60/200/140/111/120/60/5
Feeling coldGeneral disorders0/90/61/200/140/110/120/60/5
PainGeneral disorders0/90/60/200/141/110/120/60/5
Seasonal allergyImmune system disorders0/90/60/200/141/110/120/60/5
Tooth infectionInfections and infestations0/90/60/201/140/110/120/60/5
ExcoriationInjury, poisoning and procedural complications0/90/60/200/140/111/120/60/5
Muscle spasmsMusculoskeletal and connective tissue disorders0/90/60/200/140/110/120/62/5
Neck massMusculoskeletal and connective tissue disorders0/90/60/200/141/110/120/60/5
DizzinessNervous system disorders0/90/63/200/140/110/120/60/5
HeadacheNervous system disorders2/91/66/203/140/113/123/61/5
ParaesthesiaNervous system disorders0/90/60/200/140/110/121/60/5
SomnolenceNervous system disorders0/90/61/201/140/110/120/60/5
Vulvovaginal pruritusReproductive system and breast disorders0/80/61/190/140/110/120/60/3
Nasal congestionRespiratory, thoracic and mediastinal disorders0/91/61/200/140/110/120/61/5
Throat irritationRespiratory, thoracic and mediastinal disorders0/90/61/200/140/110/120/60/5
Dry skinSkin and subcutaneous tissue disorders0/90/60/201/140/110/120/60/5
PruritusSkin and subcutaneous tissue disorders0/90/61/200/140/110/120/60/5
RashSkin and subcutaneous tissue disorders0/90/61/200/140/110/120/60/5
FlushingVascular disorders0/91/60/200/140/110/120/60/5

+Locations (1)

FacilityCityCountryStatus
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.Dallas, TexasUnited States

+Investigators

  • Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company