Healthy
Conditions
Brief summary
The main purpose of this study is to investigate the safety of the study drug known as LY3039478 and evaluate two different formulations of LY3039478 in healthy participants. Part A has three periods. Either LY3039478 or placebo will be given once by mouth in each period. Part B has two periods. Participants will receive both formulations of LY3039478, by mouth, over the course of the study. Both parts of the study will also explore how much LY3039478 gets into the bloodstream and how long it takes the body to get rid of it. Information about any side effects will also be collected. Participants may only enroll in one part. The study will last at least 33 days, not including screening. Screening must be performed up to 30 days before enrollment. Part B was added by protocol amendment approved in April, 2016.
Interventions
Administered orally
Administered orally
Administered orally
Administered orally
Sponsors
Study design
Eligibility
Inclusion criteria
\- Body mass index (BMI) of 18 to 32 kilogram per meter square (kg/m²)
Exclusion criteria
\- Known allergies to LY3039478, related compounds or any components of the formulation * Have previously received LY3039478 * Smokers or who have stopped smoking less than 3 months prior to enrollment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacokinetics (PK): Mean Time-Matched Difference in Placebo-Adjusted QTcF Interval With Time Matched Concentrations Between LY3039478 Capsule Formulation (Formulation 3) Part A | Predose, 0.5, 1, 2, 3, 4, 6, 8,12, 24, 36, 48 Hours Postdose | PK: mean time-matched difference in QTcF interval with time-matched concentrations between LY3039478 capsule formulation (formulation 3) compared to placebo. Analyses of QTcF was assessed by the mean change in QTcF as a function of plasma drug concentration. Triplicate measures at each time point was averaged prior to analysis. The primary analysis was based on the time-matched placebo-adjusted QTcF (ΔQTcF) for each time point, which was calculated by subtracting each participant's time-matched placebo QTcF from their QTcF results after receiving LY3039478. The relationship between plasma concentrations of LY3039478 and ΔQTcF was evaluated using a linear mixed-effects modeling approach. The response variable was ΔQTcF, and concentrations was fitted as a fixed effect with participants as a random effect. The regression slope was presented with the unit in milliseconds per nanogram per milliliter abbreviated as ms/ng/mL. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PK: Cmax of LY3039478 Capsule Formulation (Formulation 3) Part A | Predose, 0.5, 1, 2, 3, 4, 6, 8,12, 24, 36, 48 Hours Postdose | PK is Cmax of LY3039478 capsule formulation (formulation 3) in part A. |
| PK: Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC[0-∞]) of LY3039478 Capsule Formulation (Formulation 3) Part A | Predose, 0.5, 1, 2, 3, 4, 6, 8,12, 24, 36, 48 Hours Postdose | PK is the area under the concentration versus time curve from zero to infinity (AUC\[0-∞\]) of LY3039478 capsule formulation (formulation 3) in part A. |
| PK: Cmax of the 2 Formulations of LY3039478 Part B | Predose, 0.5, 1, 2, 3, 4, 6, 8,12, 24, 36, 48 Hours Postdose | PK is the Cmax of the 2 formulations of LY3039478 in part B |
| PK: AUC(0-∞) of the 2 Formulations of LY3039478 Part B | Predose, 0.5, 1, 2, 3, 4, 6, 8,12, 24, 36, 48 Hours Postdose | PK is the AUC(0-∞) of the 2 formulations of LY3039478 in part B. |
Countries
United States
Participant flow
Pre-assignment details
Participants were randomized to 1 of 3 treatment sequences with a placebo-control in at least 1 of the 3 study periods in Part A. Each period was separated by a washout period of ≥14 days. Participants were randomized to 1 of 2 treatment sequences in Part B. Each period was separated by a washout of ≥14 days.
Participants by arm
| Arm | Count |
|---|---|
| Part A Single oral dose of LY3039478 capsule formulation (formulation 3) administered in one of three periods. A washout period occurred after each period. | 15 |
| Part B Single oral dose of 50 mg drug-in capsule LY3039478 (reference, formulation 1) administered in one of two study periods. Single oral dose of 50 mg formulated capsule LY3039478 (test, formulation 3) administered in one of two study periods | 14 |
| Total | 29 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 |
|---|---|---|---|---|---|---|
| Period 1 | Adverse Event | 0 | 0 | 0 | 0 | 1 |
| Period 1 | Withdrawal by Subject | 1 | 0 | 0 | 0 | 0 |
Baseline characteristics
| Characteristic | Part A | Part B | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 15 Participants | 14 Participants | 29 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 3 Participants | 8 Participants | 11 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 12 Participants | 6 Participants | 18 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 1 Participants | 1 Participants | 2 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 6 Participants | 4 Participants | 10 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 8 Participants | 9 Participants | 17 Participants |
| Region of Enrollment United States | 15 Participants | 14 Participants | 29 Participants |
| Sex: Female, Male Female | 2 Participants | 2 Participants | 4 Participants |
| Sex: Female, Male Male | 13 Participants | 12 Participants | 25 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk |
|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 1 / 14 | 1 / 10 | 1 / 9 | 0 / 10 | 1 / 13 | 1 / 14 |
| serious Total, serious adverse events | 0 / 14 | 0 / 10 | 0 / 9 | 0 / 10 | 0 / 13 | 0 / 14 |
Outcome results
Pharmacokinetics (PK): Mean Time-Matched Difference in Placebo-Adjusted QTcF Interval With Time Matched Concentrations Between LY3039478 Capsule Formulation (Formulation 3) Part A
PK: mean time-matched difference in QTcF interval with time-matched concentrations between LY3039478 capsule formulation (formulation 3) compared to placebo. Analyses of QTcF was assessed by the mean change in QTcF as a function of plasma drug concentration. Triplicate measures at each time point was averaged prior to analysis. The primary analysis was based on the time-matched placebo-adjusted QTcF (ΔQTcF) for each time point, which was calculated by subtracting each participant's time-matched placebo QTcF from their QTcF results after receiving LY3039478. The relationship between plasma concentrations of LY3039478 and ΔQTcF was evaluated using a linear mixed-effects modeling approach. The response variable was ΔQTcF, and concentrations was fitted as a fixed effect with participants as a random effect. The regression slope was presented with the unit in milliseconds per nanogram per milliliter abbreviated as ms/ng/mL.
Time frame: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, 24, 36, 48 Hours Postdose
Population: All randomized participants who received at least one dose of study drug and had evaluable mean time-matched difference in QTcF interval data in part A. Data from all dose levels were combined due to analysis is looking at QTcF as a function of concentration of LY in the blood, not as a function of dose per protocol and statistical analysis plan.
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Part A: LY3039478 Capsule Formulation (Formulation 3)+Placebo | Pharmacokinetics (PK): Mean Time-Matched Difference in Placebo-Adjusted QTcF Interval With Time Matched Concentrations Between LY3039478 Capsule Formulation (Formulation 3) Part A | -0.001 ms/ng/mL |
PK: Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC[0-∞]) of LY3039478 Capsule Formulation (Formulation 3) Part A
PK is the area under the concentration versus time curve from zero to infinity (AUC\[0-∞\]) of LY3039478 capsule formulation (formulation 3) in part A.
Time frame: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, 24, 36, 48 Hours Postdose
Population: All randomized participants who received at least one dose of study drug and had evaluable PK data in Part A
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part A: LY3039478 Capsule Formulation (Formulation 3)+Placebo | PK: Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC[0-∞]) of LY3039478 Capsule Formulation (Formulation 3) Part A | 711 nanogram*hour/milliliter (ng*h/mL) | Geometric Coefficient of Variation 39 |
| Part A: 50 mg of LY3039478 Capsule Formulation (Formulation 3) | PK: Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC[0-∞]) of LY3039478 Capsule Formulation (Formulation 3) Part A | 1400 nanogram*hour/milliliter (ng*h/mL) | Geometric Coefficient of Variation 21 |
| Part A: 75 mg of LY3039478 Capsule Formulation (Formulation 3) | PK: Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC[0-∞]) of LY3039478 Capsule Formulation (Formulation 3) Part A | 2090 nanogram*hour/milliliter (ng*h/mL) | Geometric Coefficient of Variation 41 |
PK: AUC(0-∞) of the 2 Formulations of LY3039478 Part B
PK is the AUC(0-∞) of the 2 formulations of LY3039478 in part B.
Time frame: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, 24, 36, 48 Hours Postdose
Population: All randomized participants who received at least one dose of study drug and had evaluable PK data in part B.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part A: LY3039478 Capsule Formulation (Formulation 3)+Placebo | PK: AUC(0-∞) of the 2 Formulations of LY3039478 Part B | 1340 ng*h/mL | Geometric Coefficient of Variation 22 |
| Part A: 50 mg of LY3039478 Capsule Formulation (Formulation 3) | PK: AUC(0-∞) of the 2 Formulations of LY3039478 Part B | 1750 ng*h/mL | Geometric Coefficient of Variation 19 |
PK: Cmax of LY3039478 Capsule Formulation (Formulation 3) Part A
PK is Cmax of LY3039478 capsule formulation (formulation 3) in part A.
Time frame: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, 24, 36, 48 Hours Postdose
Population: All randomized participants who received at least one dose of study drug and had evaluable PK data in part A.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part A: LY3039478 Capsule Formulation (Formulation 3)+Placebo | PK: Cmax of LY3039478 Capsule Formulation (Formulation 3) Part A | 158 nanogram/milliliter (ng/mL) | Geometric Coefficient of Variation 43 |
| Part A: 50 mg of LY3039478 Capsule Formulation (Formulation 3) | PK: Cmax of LY3039478 Capsule Formulation (Formulation 3) Part A | 296 nanogram/milliliter (ng/mL) | Geometric Coefficient of Variation 31 |
| Part A: 75 mg of LY3039478 Capsule Formulation (Formulation 3) | PK: Cmax of LY3039478 Capsule Formulation (Formulation 3) Part A | 461 nanogram/milliliter (ng/mL) | Geometric Coefficient of Variation 44 |
PK: Cmax of the 2 Formulations of LY3039478 Part B
PK is the Cmax of the 2 formulations of LY3039478 in part B
Time frame: Predose, 0.5, 1, 2, 3, 4, 6, 8,12, 24, 36, 48 Hours Postdose
Population: All randomized participants who received at least one dose of study drug and had evaluable PK data in part B.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part A: LY3039478 Capsule Formulation (Formulation 3)+Placebo | PK: Cmax of the 2 Formulations of LY3039478 Part B | 322 ng/mL | Geometric Coefficient of Variation 25 |
| Part A: 50 mg of LY3039478 Capsule Formulation (Formulation 3) | PK: Cmax of the 2 Formulations of LY3039478 Part B | 384 ng/mL | Geometric Coefficient of Variation 21 |