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A Study of Evacetrapib in Participants With Abnormal Cholesterol

NCT02168803 — Phase 1, Completed, 101 participants, Eli Lilly and Company

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A Phase 1b Study to Characterize the Pharmacokinetics of Evacetrapib and Potential for Accumulation After Dosing for 12, 24, and 52 Weeks

RegistryNCT02168803
StatusCompleted
PhasePhase 1
Study typeInterventional; randomized, parallel, masking: none, basic science
Enrollment101 (Actual)
SponsorEli Lilly and Company (Industry)
ConditionsDyslipidemia
InterventionsEvacetrapib (Drug)
Datesstart 2014-05-01, primary completion 2015-12-01, completion 2015-12-01, first posted 2014-06-20, last updated 2018-10-03
Locations3 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

ArmTypeInterventionsDescription
Evacetrapib: Single DoseExperimentalDrug: EvacetrapibSingle oral dose of evacetrapib on Day 1
Evacetrapib: Multiple Dose 12 WeeksExperimentalDrug: EvacetrapibEvacetrapib administered orally once daily beginning on Day 8 for 12 consecutive weeks
Evacetrapib: Multiple Dose 24 WeeksExperimentalDrug: EvacetrapibEvacetrapib administered orally once daily beginning on Day 8 for 24 consecutive weeks
Evacetrapib: Multiple Dose 52 WeeksExperimentalDrug: EvacetrapibEvacetrapib 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

MilestoneEvacetrapib: Multiple Dose 12 WeeksEvacetrapib: Multiple Dose 24 WeeksEvacetrapib: Multiple Dose 52 Weeks
Started303239
Received at least 1 dose of study drug303239
Completed282933
Not completed236

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

ArmDeathsSerious adverse eventsOther adverse events
Evacetrapib: Single Dose, All Participants00/101 (0.0%)12/101 (11.9%)
Evacetrapib: Multiple Dose 12 Weeks00/30 (0.0%)13/30 (43.3%)
Evacetrapib: Multiple Dose 24 Weeks00/32 (0.0%)17/32 (53.1%)
Evacetrapib: Multiple Dose 52 Weeks05/39 (12.8%)22/39 (56.4%)

Serious adverse events by term

TermOrgan systemEvacetrapib: Single Dose, All ParticipantsEvacetrapib: Multiple Dose 12 WeeksEvacetrapib: Multiple Dose 24 WeeksEvacetrapib: Multiple Dose 52 Weeks
Atrial fibrillationCardiac disorders0/1010/300/321/39
Myocardial infarctionCardiac disorders0/1010/300/321/39
Sudden deathGeneral disorders0/1010/300/321/39
Cholecystitis acuteHepatobiliary disorders0/1010/300/321/39
Mycetoma mycoticInfections and infestations0/1010/300/321/39
Clear cell renal cell carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/1010/300/321/39
Malignant melanomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/1010/300/321/39
Pulmonary embolismRespiratory, thoracic and mediastinal disorders0/1010/300/321/39
Deep vein thrombosisVascular disorders0/1010/300/321/39

Other adverse events by term

TermOrgan systemEvacetrapib: Single Dose, All ParticipantsEvacetrapib: Multiple Dose 12 WeeksEvacetrapib: Multiple Dose 24 WeeksEvacetrapib: Multiple Dose 52 Weeks
DiarrhoeaGastrointestinal disorders1/1012/303/322/39
DyspepsiaGastrointestinal disorders2/1012/301/321/39
NauseaGastrointestinal disorders1/1013/301/321/39
VomitingGastrointestinal disorders0/1012/301/320/39
FatigueGeneral disorders0/1010/302/320/39
PyrexiaGeneral disorders0/1012/300/320/39
PharyngitisInfections and infestations0/1010/302/320/39
Upper respiratory tract infectionInfections and infestations0/1011/304/325/39
Urinary tract infectionInfections and infestations0/1010/302/322/39
Viral upper respiratory tract infectionInfections and infestations0/1011/301/322/39
Arthropod biteInjury, poisoning and procedural complications0/1010/300/323/39
ContusionInjury, poisoning and procedural complications0/1012/300/321/39
ExcoriationInjury, poisoning and procedural complications0/1010/301/323/39
Joint injuryInjury, poisoning and procedural complications0/1010/302/321/39
Procedural painInjury, poisoning and procedural complications0/1010/300/322/39
Rib fractureInjury, poisoning and procedural complications0/1010/300/322/39
Decreased appetiteMetabolism and nutrition disorders0/1011/300/322/39
ArthralgiaMusculoskeletal and connective tissue disorders0/1011/300/322/39
Back painMusculoskeletal and connective tissue disorders3/1011/300/324/39
Joint swellingMusculoskeletal and connective tissue disorders0/1010/300/323/39
Pain in extremityMusculoskeletal and connective tissue disorders1/1010/302/320/39
DizzinessNervous system disorders0/1010/300/322/39
HeadacheNervous system disorders7/1014/303/323/39
Urinary retentionRenal and urinary disorders0/1010/300/322/39
CoughRespiratory, thoracic and mediastinal disorders0/1013/303/320/39
Nasal congestionRespiratory, thoracic and mediastinal disorders0/1010/302/320/39
Oropharyngeal painRespiratory, thoracic and mediastinal disorders0/1010/302/324/39
Sinus congestionRespiratory, thoracic and mediastinal disorders0/1010/301/323/39
Dermatitis contactSkin and subcutaneous tissue disorders0/1010/301/322/39
HypertensionVascular disorders0/1010/300/322/39

+Locations (3)

FacilityCityCountryStatus
Covance Clinical Research IncDaytona Beach, FloridaUnited States
CovanceDallas, TexasUnited States
Covance Clinical Research IncMadison, WisconsinUnited 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

My Notes