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A Study in Participants With End-Stage Renal Disease

An Exploratory/Proof of Concept Investigation of the Safety and Pharmacodynamics of LY2127399 in HLA-Presensitized Patients With End-Stage Renal Disease Awaiting Transplantation

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01200290
Enrollment
18
Registered
2010-09-13
Start date
2011-04-30
Completion date
2014-03-31
Last updated
2018-05-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Kidney Failure, Chronic

Keywords

end stage renal disease, end stage kidney disease, ESRD, Uremia, Renal Dialysis

Brief summary

The purpose of this trial is to explore the effect of LY2127399 on those antibodies that are a barrier to kidney transplant. Transplantation is currently the definitive treatment for End-Stage Renal Disease (ESRD), providing prolonged survival and improved quality of life.

Detailed description

In this study, LY2127399 will be tested as a potential treatment to reduce the blood proteins in some participants with ESRD. These proteins are called alloantibodies and are made by the body to react with other proteins on cells of transplanted organs called human leukocyte antigen (HLA) proteins. When a participant has these antibodies, they are referred to as HLA-presensitized. Often the presence of these antibodies, categorized by a method called the panel reactive antibody (PRA), can make a person ineligible to receive a transplant or experience very long wait times on the kidney transplant waiting list. Therefore the need to reduce the antibodies is significant for the successful treatment of ESRD. This study will treat ESRD participants for 6 months with LY2127399 and measure PRA levels for a total of 18 months.

Interventions

120 milligrams (mg) administered subcutaneously every 4 weeks for 20 weeks. A loading dose of 240 mg will be given as the first dose of the study medication

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Have ESRD and are awaiting kidney transplant * Have a stable PRA score \>50%

Exclusion criteria

* Have had a tonsillectomy * Have a semi-permanent/tunneled catheter * Have had intravenous immunoglobulin (IVIg) in the past 6 months * Have had plasmapheresis in the past 6 months * Uncontrolled hypertension * Presence of clinically significant cardiac disease in the past 6 months * Malignancy in the past 5 years, with the exception of cervical, basal cell and squamous epithelial cell cancers * Have active or recent infection including herpes zoster or herpes simplex in the last 30 days * Have evidence or suspicion of active Tuberculosis (TB) * Have had major surgery in the past 2 months * Have had a serious infection with recovery in the past 3 months * Have Hepatitis B or C or have Human Immunodeficiency Virus (HIV)

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in PRABaseline, Weeks 8, 16, 24, 36, 52, 64 and 76The PRA value is calculated and expressed as a percentage, which can range from 0 % to 100%. The value represents a summation of the total HLA antibody burden that the participant has and how frequently those HLA antigens appear in organ donor population. A calculated PRA of 20% means the participant has antibodies that represent an antigen frequency that exists in approximately 20% of the population.
Change From Baseline in Arcsine Transformed PRA ScoresBaseline, Weeks 8, 16, 24, 36, 52, 64 and 76The PRA value is calculated and expressed as a percentage, which can range from 0% to 100%. The value represents a summation of the total HLA antibody burden that the participant has and how frequently those HLA antigens appear in organ donor population. A calculated PRA of 20% means the participant has antibodies that represent an antigen frequency that exists in approximately 20% of the population. PRA scores were transformed using the arcsine function, which enables a skewed distribution of data typically expressed as proportions to achieve properties closer to a normal distribution. The range of possible arcsine transformed PRA scores is 0 (when PRA = 0) to approximately 1.57 (when PRA =100). Higher scores indicate the participant has antibodies against HLA antigens that appear frequently in the organ donor population.
Number of Participants With a Change From Baseline Positive to Post-Baseline Negative in the Summation of Top 10 Highest Antibody Levels (Class I and Class II Single Antigen Reactivity Reported Separately) During Treatment and Follow-UpBaseline through Weeks 24, 52 and 76

Secondary

MeasureTime frameDescription
Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodBaseline, Weeks1, 4, 8, 16, 24, 36 and 52B cell population counts are: Total B cells (CD19+), mature naïve B cells (CD19+CD27-IgD+CD10-), switched memory B cells (CD19+CD27+IgD-), unswitched memory B cells (CD19+CD27+IgD+), Tr B cells (CD19+CD38++/+++CD24+++/+CD10+) and Tr B cells (CD19+CD27-IgD+CD10+).
Change From Baseline in Serum Immunoglobulin LevelsBaseline, Weeks 8, 16, 24, 36 and 52Immunoglobulins (Ig), or antibodies, are large molecular weight proteins used by the immune system to identify and neutralize foreign particles such as bacteria and viruses. Their normal blood levels indicate proper immune status. Change from baseline in serum immunoglobulin A (IgA), immunoglobulin G (IgG), IgG1-4, and immunoglobulin M (IgM) levels are reported. A negative change indicates a decrease in Ig levels.
Population Pharmacokinetics (PK): Constant ClearanceBaseline through Week 24Population estimate of constant clearance as determined by population PK analysis. A 2-compartment model was used in PK modeling. Constant clearance is the PK parameter which describes the linear elimination of LY2127399 from serum.
Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilBaseline, Weeks 1 and 24B cell population counts are: Total B cells \[cluster designation (CD)19+\], mature naïve B cells \[CD19+CD27-immunoglobulin D (IgD)+CD10-\], switched memory B cells (CD19+CD27+IgD-), unswitched memory B cells (CD19+CD27+IgD+), germinal center B cells Bm2&apos (CD19+CD38+IgD+), germinal center B cells Bm3, Bm4 (CD19+CD38+IgD-), germinal center B cells (CD19+CD38+CD10+CD71+), transitional (Tr) B cells (CD19+CD38++/+++CD24+++/+CD10+) and Tr B cells (CD19+CD27-IgD+CD10+).
Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodBaseline, Weeks1, 4, 8, 16, 24, 36, 52, 64 and 76B cell population counts are: Total B cells (CD19+), mature naïve B cells (CD19+CD27-IgD+CD10-), switched memory B cells (CD19+CD27+IgD-), unswitched memory B cells (CD19+CD27+IgD+), Tr B cells (CD19+CD38++/+++CD24+++/+CD10+) and Tr B cells (CD19+CD27-IgD+CD10+).

Countries

United States

Participant flow

Pre-assignment details

This study consisted of a 24-week treatment period (Weeks 0-24) and a follow-up period (up to Week 76). Participants who discontinued study drug administration were placed into the post-treatment follow-up period.

Participants by arm

ArmCount
LY2127399
LY2127399 was administered as a loading dose of 240-mg SC injection at Week 0 followed by maintenance doses of 120-mg SC injections every 4 weeks at Weeks 4, 8, 12, 16 and 20.
18
Total18

Withdrawals & dropouts

PeriodReasonFG000
Post-Treatment Follow-Up PeriodDeath2
Treatment PeriodAdverse Event1

Baseline characteristics

CharacteristicLY2127399
Age, Continuous44.2 years
STANDARD_DEVIATION 12.09
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Panel Reactive Antibodies (PRA)93.111 percentage of population
STANDARD_DEVIATION 10.593
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
1 Participants
Race (NIH/OMB)
Black or African American
11 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
6 Participants
Region of Enrollment
United States
18 Participants
Sex: Female, Male
Female
10 Participants
Sex: Female, Male
Male
8 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
18 / 18
serious
Total, serious adverse events
9 / 18

Outcome results

Primary

Change From Baseline in Arcsine Transformed PRA Scores

The PRA value is calculated and expressed as a percentage, which can range from 0% to 100%. The value represents a summation of the total HLA antibody burden that the participant has and how frequently those HLA antigens appear in organ donor population. A calculated PRA of 20% means the participant has antibodies that represent an antigen frequency that exists in approximately 20% of the population. PRA scores were transformed using the arcsine function, which enables a skewed distribution of data typically expressed as proportions to achieve properties closer to a normal distribution. The range of possible arcsine transformed PRA scores is 0 (when PRA = 0) to approximately 1.57 (when PRA =100). Higher scores indicate the participant has antibodies against HLA antigens that appear frequently in the organ donor population.

Time frame: Baseline, Weeks 8, 16, 24, 36, 52, 64 and 76

Population: All enrolled participants who received at least 1 dose of study drug, had a non-missing baseline PRA score and at least 1 non-missing post-baseline PRA score.

ArmMeasureGroupValue (MEAN)Dispersion
LY2127399Change From Baseline in Arcsine Transformed PRA ScoresWeek 8-0.022 units on a scaleStandard Deviation 0.086
LY2127399Change From Baseline in Arcsine Transformed PRA ScoresWeek 16-0.059 units on a scaleStandard Deviation 0.101
LY2127399Change From Baseline in Arcsine Transformed PRA ScoresWeek 24-0.060 units on a scaleStandard Deviation 0.104
LY2127399Change From Baseline in Arcsine Transformed PRA ScoresWeek 36-0.078 units on a scaleStandard Deviation 0.099
LY2127399Change From Baseline in Arcsine Transformed PRA ScoresWeek 52-0.014 units on a scaleStandard Deviation 0.133
LY2127399Change From Baseline in Arcsine Transformed PRA ScoresWeek 64-0.053 units on a scaleStandard Deviation 0.124
LY2127399Change From Baseline in Arcsine Transformed PRA ScoresWeek 76-0.071 units on a scaleStandard Deviation 0.158
p-value: 0.335Mixed Effect Model Repeat Measurement
p-value: 0.043Mixed Effect Model Repeat Measurement
p-value: 0.073Mixed Effect Model Repeat Measurement
p-value: 0.004Mixed Effect Model Repeat Measurement
p-value: 0.699Mixed Effect Model Repeat Measurement
p-value: 0.095Mixed Effect Model Repeat Measurement
p-value: 0.082Mixed Effect Model Repeat Measurement
Primary

Change From Baseline in PRA

The PRA value is calculated and expressed as a percentage, which can range from 0 % to 100%. The value represents a summation of the total HLA antibody burden that the participant has and how frequently those HLA antigens appear in organ donor population. A calculated PRA of 20% means the participant has antibodies that represent an antigen frequency that exists in approximately 20% of the population.

Time frame: Baseline, Weeks 8, 16, 24, 36, 52, 64 and 76

Population: All enrolled participants who received at least 1 dose of study drug, had a non-missing baseline PRA score and at least 1 non-missing post-baseline PRA score.

ArmMeasureGroupValue (MEAN)Dispersion
LY2127399Change From Baseline in PRAWeek 64-1.706 percentage of populationStandard Deviation 4.497
LY2127399Change From Baseline in PRAWeek 76-2.800 percentage of populationStandard Deviation 7.674
LY2127399Change From Baseline in PRAWeek 8-0.706 percentage of populationStandard Deviation 2.664
LY2127399Change From Baseline in PRAWeek 16-2.176 percentage of populationStandard Deviation 3.575
LY2127399Change From Baseline in PRAWeek 24-1.688 percentage of populationStandard Deviation 3.24
LY2127399Change From Baseline in PRAWeek 36-2.353 percentage of populationStandard Deviation 3.499
LY2127399Change From Baseline in PRAWeek 52-0.529 percentage of populationStandard Deviation 3.573
p-value: 0.324Mixed Effect Model Repeat Measurement
p-value: 0.031Mixed Effect Model Repeat Measurement
p-value: 0.076Mixed Effect Model Repeat Measurement
p-value: 0.013Mixed Effect Model Repeat Measurement
p-value: 0.553Mixed Effect Model Repeat Measurement
p-value: 0.132Mixed Effect Model Repeat Measurement
p-value: 0.23Mixed Effect Model Repeat Measurement
Primary

Number of Participants With a Change From Baseline Positive to Post-Baseline Negative in the Summation of Top 10 Highest Antibody Levels (Class I and Class II Single Antigen Reactivity Reported Separately) During Treatment and Follow-Up

Time frame: Baseline through Weeks 24, 52 and 76

Population: All enrolled participants who received at least 1 dose of study drug and had single antigen reactivity assessed at baseline, during treatment and during follow-up.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
LY2127399Number of Participants With a Change From Baseline Positive to Post-Baseline Negative in the Summation of Top 10 Highest Antibody Levels (Class I and Class II Single Antigen Reactivity Reported Separately) During Treatment and Follow-UpClass I - Week 240 Participants
LY2127399Number of Participants With a Change From Baseline Positive to Post-Baseline Negative in the Summation of Top 10 Highest Antibody Levels (Class I and Class II Single Antigen Reactivity Reported Separately) During Treatment and Follow-UpClass I - Week 520 Participants
LY2127399Number of Participants With a Change From Baseline Positive to Post-Baseline Negative in the Summation of Top 10 Highest Antibody Levels (Class I and Class II Single Antigen Reactivity Reported Separately) During Treatment and Follow-UpClass I - Week 760 Participants
LY2127399Number of Participants With a Change From Baseline Positive to Post-Baseline Negative in the Summation of Top 10 Highest Antibody Levels (Class I and Class II Single Antigen Reactivity Reported Separately) During Treatment and Follow-UpClass II - Week 240 Participants
LY2127399Number of Participants With a Change From Baseline Positive to Post-Baseline Negative in the Summation of Top 10 Highest Antibody Levels (Class I and Class II Single Antigen Reactivity Reported Separately) During Treatment and Follow-UpClass II - Week 520 Participants
LY2127399Number of Participants With a Change From Baseline Positive to Post-Baseline Negative in the Summation of Top 10 Highest Antibody Levels (Class I and Class II Single Antigen Reactivity Reported Separately) During Treatment and Follow-UpClass II - Week 760 Participants
Secondary

Change From Baseline in Serum Immunoglobulin Levels

Immunoglobulins (Ig), or antibodies, are large molecular weight proteins used by the immune system to identify and neutralize foreign particles such as bacteria and viruses. Their normal blood levels indicate proper immune status. Change from baseline in serum immunoglobulin A (IgA), immunoglobulin G (IgG), IgG1-4, and immunoglobulin M (IgM) levels are reported. A negative change indicates a decrease in Ig levels.

Time frame: Baseline, Weeks 8, 16, 24, 36 and 52

Population: All enrolled participants who received at least 1 dose of study drug, had a non-missing baseline Ig value and at least 1 non-missing post-baseline Ig value.

ArmMeasureGroupValue (MEAN)Dispersion
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgA at Week 52-0.098 grams/liter (g/L)Standard Deviation 0.509
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG at Week 8-1.625 grams/liter (g/L)Standard Deviation 1.85
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG at Week 16-1.856 grams/liter (g/L)Standard Deviation 1.5373
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG at Week 24-2.048 grams/liter (g/L)Standard Deviation 1.8486
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG at Week 36-2.245 grams/liter (g/L)Standard Deviation 2.1388
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG at Week 52-0.625 grams/liter (g/L)Standard Deviation 3.0933
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG1 at Week 8-1.018 grams/liter (g/L)Standard Deviation 1.4024
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG1 at Week 16-1.459 grams/liter (g/L)Standard Deviation 1.5242
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG3 at Week 8-0.046 grams/liter (g/L)Standard Deviation 0.0847
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG3 at Week 16-0.072 grams/liter (g/L)Standard Deviation 0.0601
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG3 at Week 24-0.076 grams/liter (g/L)Standard Deviation 0.0899
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG3 at Week 36-0.061 grams/liter (g/L)Standard Deviation 0.1074
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG3 at Week 52-0.022 grams/liter (g/L)Standard Deviation 0.0761
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG4 at Week 80.013 grams/liter (g/L)Standard Deviation 0.0511
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG4 at Week 16-0.009 grams/liter (g/L)Standard Deviation 0.0512
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG4 at Week 24-0.010 grams/liter (g/L)Standard Deviation 0.05
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG4 at Week 36-0.032 grams/liter (g/L)Standard Deviation 0.0558
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG4 at Week 520.019 grams/liter (g/L)Standard Deviation 0.0899
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgM at Week 8-0.208 grams/liter (g/L)Standard Deviation 0.265
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgM at Week 52-0.197 grams/liter (g/L)Standard Deviation 0.3032
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgA at Week 8-0.305 grams/liter (g/L)Standard Deviation 0.4552
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgA at Week 16-0.261 grams/liter (g/L)Standard Deviation 0.3983
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgA at Week 24-0.409 grams/liter (g/L)Standard Deviation 0.5467
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgA at Week 36-0.325 grams/liter (g/L)Standard Deviation 0.5715
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG1 at Week 24-1.682 grams/liter (g/L)Standard Deviation 1.819
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG1 at Week 36-1.969 grams/liter (g/L)Standard Deviation 1.6652
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG1 at Week 52-0.668 grams/liter (g/L)Standard Deviation 2.9531
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG2 at Week 8-0.125 grams/liter (g/L)Standard Deviation 0.3016
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG2 at Week 16-0.261 grams/liter (g/L)Standard Deviation 0.3044
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG2 at Week 24-0.274 grams/liter (g/L)Standard Deviation 0.2693
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG2 at Week 36-0.226 grams/liter (g/L)Standard Deviation 0.3951
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgG2 at Week 520.046 grams/liter (g/L)Standard Deviation 0.5918
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgM at Week 16-0.295 grams/liter (g/L)Standard Deviation 0.2895
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgM at Week 24-0.266 grams/liter (g/L)Standard Deviation 0.2781
LY2127399Change From Baseline in Serum Immunoglobulin LevelsIgM at Week 36-0.302 grams/liter (g/L)Standard Deviation 0.2449
Secondary

Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the Tonsil

B cell population counts are: Total B cells \[cluster designation (CD)19+\], mature naïve B cells \[CD19+CD27-immunoglobulin D (IgD)+CD10-\], switched memory B cells (CD19+CD27+IgD-), unswitched memory B cells (CD19+CD27+IgD+), germinal center B cells Bm2&apos (CD19+CD38+IgD+), germinal center B cells Bm3, Bm4 (CD19+CD38+IgD-), germinal center B cells (CD19+CD38+CD10+CD71+), transitional (Tr) B cells (CD19+CD38++/+++CD24+++/+CD10+) and Tr B cells (CD19+CD27-IgD+CD10+).

Time frame: Baseline, Weeks 1 and 24

Population: All enrolled participants who received at least 1 dose of study drug, had a non-missing baseline tonsil B cell populations value and at least 1 non-missing post-baseline B cell populations value.

ArmMeasureGroupValue (MEAN)Dispersion
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 2426.999 relative percent of LymphocytesStandard Deviation 79.5306
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilTr (CD19+CD27-IgD+CD10+) at Week 1-8.977 relative percent of LymphocytesStandard Deviation 53.7335
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilTotal B cells at Week 112.732 relative percent of LymphocytesStandard Deviation 61.2266
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilTotal B cells at Week 24-25.371 relative percent of LymphocytesStandard Deviation 40.1642
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilMature naïve at Week 1-1.559 relative percent of LymphocytesStandard Deviation 4.9348
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilMature naïve at Week 24-21.611 relative percent of LymphocytesStandard Deviation 12.6669
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilSwitched memory at Week 111.850 relative percent of LymphocytesStandard Deviation 27.6106
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilSwitched memory at Week 2492.905 relative percent of LymphocytesStandard Deviation 74.1293
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilGerminal center Bm2' at Week 1-8.818 relative percent of LymphocytesStandard Deviation 21.98
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilGerminal center Bm2' at Week 24-61.051 relative percent of LymphocytesStandard Deviation 20.9845
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilGerminal center at Week 17.280 relative percent of LymphocytesStandard Deviation 58.0681
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 146.508 relative percent of LymphocytesStandard Deviation 96.0036
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilUnswitched memory at Week 140.343 relative percent of LymphocytesStandard Deviation 82.3486
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilUnswitched memory at Week 24224.298 relative percent of LymphocytesStandard Deviation 331.6551
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilGerminal center Bm3, Bm4 at Week 126.705 relative percent of LymphocytesStandard Deviation 51.6762
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilGerminal center Bm3, Bm4 at Week 24104.890 relative percent of LymphocytesStandard Deviation 230.9829
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilGerminal center at Week 2419.279 relative percent of LymphocytesStandard Deviation 102.9617
LY2127399Percent Change From Baseline at Week 1 and Week 24 in Relative Percent of Lymphocytes for B Cell Populations in the TonsilTr (CD19+CD27-IgD+CD10+) at Week24-59.131 relative percent of LymphocytesStandard Deviation 27.212
Secondary

Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral Blood

B cell population counts are: Total B cells (CD19+), mature naïve B cells (CD19+CD27-IgD+CD10-), switched memory B cells (CD19+CD27+IgD-), unswitched memory B cells (CD19+CD27+IgD+), Tr B cells (CD19+CD38++/+++CD24+++/+CD10+) and Tr B cells (CD19+CD27-IgD+CD10+).

Time frame: Baseline, Weeks1, 4, 8, 16, 24, 36 and 52

Population: All enrolled participants who received at least 1 dose of study drug, had a non-missing baseline peripheral blood B cell populations value and at least 1 non-missing post-baseline B cell populations value.

ArmMeasureGroupValue (MEAN)Dispersion
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTotal B cells at Week 137.305 percent change in absolute countsStandard Deviation 48.241
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTotal B cells at Week 4-12.050 percent change in absolute countsStandard Deviation 48.5995
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTotal B cells at Week 8-27.875 percent change in absolute countsStandard Deviation 51.5586
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTotal B cells at Week 16-46.861 percent change in absolute countsStandard Deviation 33.8978
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTotal B cells at Week 24-55.759 percent change in absolute countsStandard Deviation 33.609
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTotal B cells at Week 36-68.301 percent change in absolute countsStandard Deviation 23.1588
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTotal B cells at Week 52-65.676 percent change in absolute countsStandard Deviation 17.3689
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodMature naïve at Week 137.533 percent change in absolute countsStandard Deviation 60.6785
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodMature naïve at Week 4-23.351 percent change in absolute countsStandard Deviation 47.2486
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodMature naïve at Week 8-52.128 percent change in absolute countsStandard Deviation 39.7386
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodMature naïve at Week 16-72.891 percent change in absolute countsStandard Deviation 19.8886
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodMature naïve at Week 24-81.367 percent change in absolute countsStandard Deviation 16.4389
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodMature naïve at Week 36-85.213 percent change in absolute countsStandard Deviation 12.9636
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodMature naïve at Week 52-70.114 percent change in absolute countsStandard Deviation 21.6407
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodSwitched memory at Week 164.309 percent change in absolute countsStandard Deviation 68.7102
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodSwitched memory at Week 466.849 percent change in absolute countsStandard Deviation 62.1042
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodSwitched memory at Week 883.774 percent change in absolute countsStandard Deviation 76.5159
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodSwitched memory at Week 1674.667 percent change in absolute countsStandard Deviation 72.0109
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodSwitched memory at Week 2456.192 percent change in absolute countsStandard Deviation 117.0402
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodSwitched memory at Week 361.221 percent change in absolute countsStandard Deviation 53.8382
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodSwitched memory at Week 52-48.620 percent change in absolute countsStandard Deviation 17.2563
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodUnswitched memory at Week 151.590 percent change in absolute countsStandard Deviation 98.1357
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodUnswitched memory at Week 417.522 percent change in absolute countsStandard Deviation 62.0773
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodUnswitched memory at Week 835.339 percent change in absolute countsStandard Deviation 84.768
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodUnswitched memory at Week 1611.962 percent change in absolute countsStandard Deviation 74.5105
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodUnswitched memory at Week 24-8.604 percent change in absolute countsStandard Deviation 59.8587
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodUnswitched memory at Week 36-33.746 percent change in absolute countsStandard Deviation 38.8791
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodUnswitched memory at Week 52-48.381 percent change in absolute countsStandard Deviation 26.9717
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 122.103 percent change in absolute countsStandard Deviation 72.4137
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 4-57.052 percent change in absolute countsStandard Deviation 30.706
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 8-64.282 percent change in absolute countsStandard Deviation 25.8516
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 16-71.138 percent change in absolute countsStandard Deviation 26.0579
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 24-80.746 percent change in absolute countsStandard Deviation 12.1379
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 36-75.133 percent change in absolute countsStandard Deviation 20.0926
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 52-59.288 percent change in absolute countsStandard Deviation 31.9767
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD27-IgD+CD10+) at Week 125.018 percent change in absolute countsStandard Deviation 44.8425
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD27-IgD+CD10+) at Week 4-47.991 percent change in absolute countsStandard Deviation 42.3991
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD27-IgD+CD10+) at Week 8-70.447 percent change in absolute countsStandard Deviation 20.195
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD27-IgD+CD10+) at Week 16-76.085 percent change in absolute countsStandard Deviation 24.0089
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD27-IgD+CD10+) at Week 24-87.204 percent change in absolute countsStandard Deviation 11.6008
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD27-IgD+CD10+) at Week 36-84.531 percent change in absolute countsStandard Deviation 14.5977
LY2127399Percent Change From Baseline in Absolute Counts of B Cell Populations in Peripheral BloodTr(CD19+CD27-IgD+CD10+) at Week 52-69.306 percent change in absolute countsStandard Deviation 29.8739
Secondary

Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral Blood

B cell population counts are: Total B cells (CD19+), mature naïve B cells (CD19+CD27-IgD+CD10-), switched memory B cells (CD19+CD27+IgD-), unswitched memory B cells (CD19+CD27+IgD+), Tr B cells (CD19+CD38++/+++CD24+++/+CD10+) and Tr B cells (CD19+CD27-IgD+CD10+).

Time frame: Baseline, Weeks1, 4, 8, 16, 24, 36, 52, 64 and 76

Population: All enrolled participants who received at least 1 dose of study drug, had a non-missing baseline peripheral blood B cell populations value and at least 1 non-missing post-baseline B cell populations value.

ArmMeasureGroupValue (MEAN)Dispersion
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTotal B cells at Week 135.303 relative percent of LymphocytesStandard Deviation 34.2864
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTotal B cells at Week 4-10.883 relative percent of LymphocytesStandard Deviation 24.1837
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTotal B cells at Week 8-28.765 relative percent of LymphocytesStandard Deviation 25.2472
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTotal B cells at Week 16-45.027 relative percent of LymphocytesStandard Deviation 23.1939
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTotal B cells at Week 24-52.115 relative percent of LymphocytesStandard Deviation 22.5144
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTotal B cells at Week 36-63.677 relative percent of LymphocytesStandard Deviation 17.2158
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTotal B cells at Week 76-32.467 relative percent of LymphocytesStandard Deviation 32.7608
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodMature naïve at Week 1-1.172 relative percent of LymphocytesStandard Deviation 11.6626
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodMature naïve at Week 4-14.222 relative percent of LymphocytesStandard Deviation 13.8931
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodMature naïve at Week 8-34.496 relative percent of LymphocytesStandard Deviation 15.9776
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodMature naïve at Week 16-47.957 relative percent of LymphocytesStandard Deviation 19.008
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodMature naïve at Week 24-54.859 relative percent of LymphocytesStandard Deviation 23.8066
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodMature naïve at Week 36-54.030 relative percent of LymphocytesStandard Deviation 20.4375
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodMature naïve at Week 52-20.440 relative percent of LymphocytesStandard Deviation 29.5837
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodMature naïve at Week 64-1.237 relative percent of LymphocytesStandard Deviation 22.1831
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodSwitched memory at Week 4111.611 relative percent of LymphocytesStandard Deviation 73.4853
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodSwitched memory at Week 8204.443 relative percent of LymphocytesStandard Deviation 118.2768
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodSwitched memory at Week 16305.653 relative percent of LymphocytesStandard Deviation 198.0679
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodSwitched memory at Week 24305.930 relative percent of LymphocytesStandard Deviation 197.4446
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodSwitched memory at Week 36285.668 relative percent of LymphocytesStandard Deviation 238.3301
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodSwitched memory at Week 5275.155 relative percent of LymphocytesStandard Deviation 85.9638
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodSwitched memory at Week 6420.179 relative percent of LymphocytesStandard Deviation 42.5419
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodSwitched memory at Week 7611.947 relative percent of LymphocytesStandard Deviation 37.6837
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodUnswitched memory at Week 445.073 relative percent of LymphocytesStandard Deviation 61.3175
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodUnswitched memory at Week 8110.285 relative percent of LymphocytesStandard Deviation 87.0203
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodUnswitched memory at Week 16143.020 relative percent of LymphocytesStandard Deviation 113.1325
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodUnswitched memory at Week 24138.646 relative percent of LymphocytesStandard Deviation 121.7276
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodUnswitched memory at Week 36140.917 relative percent of LymphocytesStandard Deviation 123.0888
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodUnswitched memory at Week 5265.607 relative percent of LymphocytesStandard Deviation 109.5101
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodUnswitched memory at Week 7626.283 relative percent of LymphocytesStandard Deviation 52.1802
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 1-13.511 relative percent of LymphocytesStandard Deviation 29.4311
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 4-49.869 relative percent of LymphocytesStandard Deviation 23.7764
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 8-49.292 relative percent of LymphocytesStandard Deviation 18.56
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 16-40.847 relative percent of LymphocytesStandard Deviation 36.94
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 24-44.355 relative percent of LymphocytesStandard Deviation 32.0001
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 3610.080 relative percent of LymphocytesStandard Deviation 118.1582
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 5236.776 relative percent of LymphocytesStandard Deviation 136.3827
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 649.357 relative percent of LymphocytesStandard Deviation 210.4455
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr(CD19+CD38++/+++CD24+++/+CD10+) at Week 76-7.396 relative percent of LymphocytesStandard Deviation 181.0879
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr (CD19+CD27-IgD+CD10+) at Week1-6.512 relative percent of LymphocytesStandard Deviation 23.602
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr (CD19+CD27-IgD+CD10+) at Week8-56.047 relative percent of LymphocytesStandard Deviation 13.9734
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr (CD19+CD27-IgD+CD10+) at Week 16-56.886 relative percent of LymphocytesStandard Deviation 32.9379
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr (CD19+CD27-IgD+CD10+) at Week 24-64.706 relative percent of LymphocytesStandard Deviation 24.3874
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr (CD19+CD27-IgD+CD10+) at Week 36-41.231 relative percent of LymphocytesStandard Deviation 48.6871
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr (CD19+CD27-IgD+CD10+) at Week 526.504 relative percent of LymphocytesStandard Deviation 118.6276
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr (CD19+CD27-IgD+CD10+) at Week 642.059 relative percent of LymphocytesStandard Deviation 177.4749
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr (CD19+CD27-IgD+CD10+) at Week 76-45.425 relative percent of LymphocytesStandard Deviation 90.9992
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTotal B cells at Week 52-60.808 relative percent of LymphocytesStandard Deviation 17.8105
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTotal B cells at Week 64-25.982 relative percent of LymphocytesStandard Deviation 49.3294
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodMature naïve at Week 769.210 relative percent of LymphocytesStandard Deviation 21.7629
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodSwitched memory at Week 120.241 relative percent of LymphocytesStandard Deviation 41.7855
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodUnswitched memory at Week 15.563 relative percent of LymphocytesStandard Deviation 41.2351
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodUnswitched memory at Week 6417.782 relative percent of LymphocytesStandard Deviation 41.126
LY2127399Percent Change From Baseline in Relative Percent of Lymphocytes for B Cell Populations in Peripheral BloodTr (CD19+CD27-IgD+CD10+) at Week4-42.852 relative percent of LymphocytesStandard Deviation 25.4319
Secondary

Population Pharmacokinetics (PK): Constant Clearance

Population estimate of constant clearance as determined by population PK analysis. A 2-compartment model was used in PK modeling. Constant clearance is the PK parameter which describes the linear elimination of LY2127399 from serum.

Time frame: Baseline through Week 24

Population: All randomized participants who received at least 1 dose of LY2127399 with evaluable LY2127399 PK data.

ArmMeasureValue (MEAN)Dispersion
LY2127399Population Pharmacokinetics (PK): Constant Clearance5.65 milliliters/hour (mL/h)Standard Error 9.72

Source: ClinicalTrials.gov · Data processed: Mar 14, 2026