A Phase 1b Study to Characterize the Pharmacokinetics of Evacetrapib and Potential for Accumulation After Dosing for 12, 24, and 52 Weeks
| Registry | NCT02168803 |
| Status | Completed |
| Phase | Phase 1 |
| Study type | Interventional; randomized, parallel, masking: none, basic science |
| Enrollment | 101 (Actual) |
| Sponsor | Eli Lilly and Company (Industry) |
| Conditions | Dyslipidemia |
| Interventions | Evacetrapib (Drug) |
| Dates | start 2014-05-01, primary completion 2015-12-01, completion 2015-12-01, first posted 2014-06-20, last updated 2018-10-03 |
| Locations | 3 sites in United States |
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-Summary
The main purpose of this study is to measure how much of the drug gets into the blood stream and how long it takes the body to get rid of it when given once a day for 12, 24, and 52 weeks to participants with abnormal amounts of cholesterol and/or fat in the blood stream. Information about any side effects that may occur will also be collected.
This study will also evaluate how the study drug reacts in the body when given once a day for 12, 24 and 52 weeks and how the body responds and returns to normal when the treatment is complete. The relationship between study drug and the results from the how the study drug reacts in the body may be explored, if needed.
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+Arms and interventions
| Arm | Type | Interventions | Description |
|---|
| Evacetrapib: Single Dose | Experimental | Drug: Evacetrapib | Single oral dose of evacetrapib on Day 1 |
| Evacetrapib: Multiple Dose 12 Weeks | Experimental | Drug: Evacetrapib | Evacetrapib administered orally once daily beginning on Day 8 for 12 consecutive weeks |
| Evacetrapib: Multiple Dose 24 Weeks | Experimental | Drug: Evacetrapib | Evacetrapib administered orally once daily beginning on Day 8 for 24 consecutive weeks |
| Evacetrapib: Multiple Dose 52 Weeks | Experimental | Drug: Evacetrapib | Evacetrapib administered orally once daily beginning on Day 8 for 52 consecutive weeks |
- Evacetrapib (Drug), also known as LY2484595: Administered orally
+Outcome measures
Primary outcomes
- Pharmacokinetics (PK) Parameters of Evacetrapib: Area Under the Concentration Versus Time Curve From Time Zero to the Last Time Point With a Measurable Concentration (AUC[0-tlast]) [Single-Dose: 1,2,3,4,6,8,12,24,36,48,72,120,168 Hours Postdose; Multiple Dose: Predose, 1,2,3,4,6,8,12,24,36,48,72,120,168 hours; 10,13,17,20,24,29,36,43,50,57, and 71 Days Post Dose]
- PK Parameters of Evacetrapib: Maximum Concentration (Cmax) [Single-Dose: 1,2,3,4,6,8,12,24,36,48,72,120,168 Hours Postdose; Multiple Dose: Predose, 1,2,3,4,6,8,12,24,36,48,72,120,168 hours; 10,13,17,20,24,29,36,43,50,57, and 71 Days Post Dose]
- PK Parameters of Evacetrapib: Terminal Half-life [Single-Dose: 1,2,3,4,6,8,12,24,36,48,72,120,168 Hours Postdose; Multiple Dose: Predose, 1,2,3,4,6,8,12,24,36,48,72,120,168 hours; 10,13,17,20,24,29,36,43,50,57, and 71 Days Post Dose]
Secondary outcomes
- PD Parameters of Evacetrapib: High Density Lipoprotein Cholesterol (HDL-C) Level [Day -1, Day 8]
- PD Parameters of Evacetrapib: Low-Density Lipoprotein Cholesterol (LDL-C) Level [Day -1, Day 8]
- PD Parameters of Evacetrapib: Total Cholesterol Level [Day -1, Day 8]
- PD Parameters of Evacetrapib: Triglyceride Level [Day -1, Day 8]
+Eligibility
Sex: All, ages: 18 Years to any, accepts healthy volunteers
Inclusion Criteria:
* Generally healthy participants or have stable medical conditions that, in the investigator's opinion, will not significantly alter the disposition of the drug, will not place the participant at increased risk by participating in the study, and will not interfere with interpretation of the data and meets one of the following criteria:
* Elevated low-density lipoprotein cholesterol (LDL-C) greater than 100 milligrams per deciliter (mg/dL), OR
* Low high-density lipoprotein cholesterol (HDL-C) less than 45 mg/dL (men); less than 50 mg/dL (women), OR
* Hypercholesterolemia on stable statin therapy for at least 3 month
* Have a body mass index (BMI) of 18 to 37 kilograms per square meter (kg/m\^2), inclusive, at screening
Exclusion Criteria:
* Have known allergies or intolerance to evacetrapib, related compounds
* Have history of recurrent rashes or chronic skin conditions
* Have significant history of or current chronic, active inflammatory conditions
* Have history or current evidence of significant neurological disorder
* Have long-standing diabetes that is insulin requiring
* Have history of or current symptoms of malabsorption syndromes, history of gastric bypass surgery
+Posted results
Participant flow
| Milestone | Evacetrapib: Multiple Dose 12 Weeks | Evacetrapib: Multiple Dose 24 Weeks | Evacetrapib: Multiple Dose 52 Weeks |
|---|
| Started | 30 | 32 | 39 |
| Received at least 1 dose of study drug | 30 | 32 | 39 |
| Completed | 28 | 29 | 33 |
| Not completed | 2 | 3 | 6 |
Outcome results
- Pharmacokinetics (PK) Parameters of Evacetrapib: Area Under the Concentration Versus Time Curve From Time Zero to the Last Time Point With a Measurable Concentration (AUC[0-tlast]) (Primary), Geometric mean, nanogram∙hour/mililliter (ng∙h/mL): Evacetrapib: Single Dose, All Participants 14200 +/- 28; Evacetrapib: Multiple Dose 12 Weeks 37400 +/- 43; Evacetrapib: Multiple Dose 24 Weeks 36900 +/- 39; Evacetrapib: Multiple Dose 52 Weeks 44400 +/- 32
- PK Parameters of Evacetrapib: Maximum Concentration (Cmax) (Primary), Geometric mean, nanogram/milliliter (ng/mL): Evacetrapib: Single Dose, All Participants 1020 +/- 32; Evacetrapib: Multiple Dose 12 Weeks 1690 +/- 41; Evacetrapib: Multiple Dose 24 Weeks 1770 +/- 39; Evacetrapib: Multiple Dose 52 Weeks 1850 +/- 28
- PK Parameters of Evacetrapib: Terminal Half-life (Primary), Number, Days: Evacetrapib: Single, Multiple Dose 12, 24, and 52 Weeks 52.5
- PD Parameters of Evacetrapib: High Density Lipoprotein Cholesterol (HDL-C) Level (Secondary), Mean, millimole/Liter (mmol/L): Evacetrapib: Multiple Dose 12 Weeks 1.538 +/- 0.416; Evacetrapib: Multiple Dose 24 Weeks 1.562 +/- 0.395; Evacetrapib: Multiple Dose 52 Weeks 1.670 +/- 0.548
- PD Parameters of Evacetrapib: Low-Density Lipoprotein Cholesterol (LDL-C) Level (Secondary), Mean, mmol/L: Evacetrapib: Multiple Dose 12 Weeks 3.711 +/- 0.958; Evacetrapib: Multiple Dose 24 Weeks 3.359 +/- 0.835; Evacetrapib: Multiple Dose 52 Weeks 3.662 +/- 1.039
- PD Parameters of Evacetrapib: Total Cholesterol Level (Secondary), Mean, mmol: Evacetrapib: Multiple Dose 12 Weeks 5.922 +/- 1.244; Evacetrapib: Multiple Dose 24 Weeks 5.523 +/- 0.736; Evacetrapib: Multiple Dose 52 Weeks 6.015 +/- 1.099
- PD Parameters of Evacetrapib: Triglyceride Level (Secondary), Mean, mmol: Evacetrapib: Multiple Dose 12 Weeks 1.474 +/- 0.849; Evacetrapib: Multiple Dose 24 Weeks 1.311 +/- 0.815; Evacetrapib: Multiple Dose 52 Weeks 1.485 +/- 0.631
Adverse events
| Arm | Deaths | Serious adverse events | Other adverse events |
|---|
| Evacetrapib: Single Dose, All Participants | 0 | 0/101 (0.0%) | 12/101 (11.9%) |
| Evacetrapib: Multiple Dose 12 Weeks | 0 | 0/30 (0.0%) | 13/30 (43.3%) |
| Evacetrapib: Multiple Dose 24 Weeks | 0 | 0/32 (0.0%) | 17/32 (53.1%) |
| Evacetrapib: Multiple Dose 52 Weeks | 0 | 5/39 (12.8%) | 22/39 (56.4%) |
Serious adverse events by term
| Term | Organ system | Evacetrapib: Single Dose, All Participants | Evacetrapib: Multiple Dose 12 Weeks | Evacetrapib: Multiple Dose 24 Weeks | Evacetrapib: Multiple Dose 52 Weeks |
|---|
| Atrial fibrillation | Cardiac disorders | 0/101 | 0/30 | 0/32 | 1/39 |
| Myocardial infarction | Cardiac disorders | 0/101 | 0/30 | 0/32 | 1/39 |
| Sudden death | General disorders | 0/101 | 0/30 | 0/32 | 1/39 |
| Cholecystitis acute | Hepatobiliary disorders | 0/101 | 0/30 | 0/32 | 1/39 |
| Mycetoma mycotic | Infections and infestations | 0/101 | 0/30 | 0/32 | 1/39 |
| Clear cell renal cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/101 | 0/30 | 0/32 | 1/39 |
| Malignant melanoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/101 | 0/30 | 0/32 | 1/39 |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | 0/101 | 0/30 | 0/32 | 1/39 |
| Deep vein thrombosis | Vascular disorders | 0/101 | 0/30 | 0/32 | 1/39 |
Other adverse events by term
| Term | Organ system | Evacetrapib: Single Dose, All Participants | Evacetrapib: Multiple Dose 12 Weeks | Evacetrapib: Multiple Dose 24 Weeks | Evacetrapib: Multiple Dose 52 Weeks |
|---|
| Diarrhoea | Gastrointestinal disorders | 1/101 | 2/30 | 3/32 | 2/39 |
| Dyspepsia | Gastrointestinal disorders | 2/101 | 2/30 | 1/32 | 1/39 |
| Nausea | Gastrointestinal disorders | 1/101 | 3/30 | 1/32 | 1/39 |
| Vomiting | Gastrointestinal disorders | 0/101 | 2/30 | 1/32 | 0/39 |
| Fatigue | General disorders | 0/101 | 0/30 | 2/32 | 0/39 |
| Pyrexia | General disorders | 0/101 | 2/30 | 0/32 | 0/39 |
| Pharyngitis | Infections and infestations | 0/101 | 0/30 | 2/32 | 0/39 |
| Upper respiratory tract infection | Infections and infestations | 0/101 | 1/30 | 4/32 | 5/39 |
| Urinary tract infection | Infections and infestations | 0/101 | 0/30 | 2/32 | 2/39 |
| Viral upper respiratory tract infection | Infections and infestations | 0/101 | 1/30 | 1/32 | 2/39 |
| Arthropod bite | Injury, poisoning and procedural complications | 0/101 | 0/30 | 0/32 | 3/39 |
| Contusion | Injury, poisoning and procedural complications | 0/101 | 2/30 | 0/32 | 1/39 |
| Excoriation | Injury, poisoning and procedural complications | 0/101 | 0/30 | 1/32 | 3/39 |
| Joint injury | Injury, poisoning and procedural complications | 0/101 | 0/30 | 2/32 | 1/39 |
| Procedural pain | Injury, poisoning and procedural complications | 0/101 | 0/30 | 0/32 | 2/39 |
| Rib fracture | Injury, poisoning and procedural complications | 0/101 | 0/30 | 0/32 | 2/39 |
| Decreased appetite | Metabolism and nutrition disorders | 0/101 | 1/30 | 0/32 | 2/39 |
| Arthralgia | Musculoskeletal and connective tissue disorders | 0/101 | 1/30 | 0/32 | 2/39 |
| Back pain | Musculoskeletal and connective tissue disorders | 3/101 | 1/30 | 0/32 | 4/39 |
| Joint swelling | Musculoskeletal and connective tissue disorders | 0/101 | 0/30 | 0/32 | 3/39 |
| Pain in extremity | Musculoskeletal and connective tissue disorders | 1/101 | 0/30 | 2/32 | 0/39 |
| Dizziness | Nervous system disorders | 0/101 | 0/30 | 0/32 | 2/39 |
| Headache | Nervous system disorders | 7/101 | 4/30 | 3/32 | 3/39 |
| Urinary retention | Renal and urinary disorders | 0/101 | 0/30 | 0/32 | 2/39 |
| Cough | Respiratory, thoracic and mediastinal disorders | 0/101 | 3/30 | 3/32 | 0/39 |
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | 0/101 | 0/30 | 2/32 | 0/39 |
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | 0/101 | 0/30 | 2/32 | 4/39 |
| Sinus congestion | Respiratory, thoracic and mediastinal disorders | 0/101 | 0/30 | 1/32 | 3/39 |
| Dermatitis contact | Skin and subcutaneous tissue disorders | 0/101 | 0/30 | 1/32 | 2/39 |
| Hypertension | Vascular disorders | 0/101 | 0/30 | 0/32 | 2/39 |
+Locations (3)
| Facility | City | Country | Status |
|---|
| Covance Clinical Research Inc | Daytona Beach, Florida | United States | |
| Covance | Dallas, Texas | United States | |
| Covance Clinical Research Inc | Madison, Wisconsin | United 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