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A Study of LY3185643 and rGlucagon in Healthy Participants

A Randomized, 9-Way, Single-Dose, Crossover Study to Evaluate the Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of LY3185643 and rGlucagon in Healthy Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02951780
Enrollment
23
Registered
2016-11-01
Start date
2016-11-01
Completion date
2017-03-01
Last updated
2019-09-30

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

Conditions

Healthy

Brief summary

The purpose of this study is to determine how the body handles LY3185643 and rGlucagon and what effects LY3185643 and rGlucagon have on the body. This study will also help to determine if LY3185643 is safe and well-tolerated. This study will last at least 35 days, not including screening.

Interventions

DRUGLY3185643

Administered SC

DRUGrGlucagon

Administered SC

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
21 Years to 60 Years
Healthy volunteers
Yes

Inclusion criteria

* Are overtly healthy as determined by medical history and physical examination * Body mass index of 18.0 to 30.0 kilograms per square meter (kg/m²)

Exclusion criteria

* Have participated, within the last 30 days, in a clinical trial involving an investigational product * Known allergies to LY3185643 or rGlucagon, related compounds, or any components of the formulation * History or electrocardiogram (ECG) evidence of heart block, or any abnormality in the 12-lead ECG * Abnormal blood pressure * History of recurring symptomatic postural hypotension irrespective of the decrease in blood pressure, or asymptomatic postural hypotension at screening as defined as a decrease in systolic blood pressure greater than or equal to (≥) 20 millimeter of Mercury (mm Hg) within 3 minutes when changing from supine to standing position * History of vasovagal response such as fainting * 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 investigational product; or of interfering with the interpretation of data * History of/current insulinoma and/or pheochromocytoma * Have used systemic glucocorticoids within 3 months before entry into the study

Design outcomes

Primary

MeasureTime frameDescription
Pharmacokinetics (PK): Maximum Drug Concentration (Cmax) of LY3185643 and rGlucagon0 (pre-dose), 15, 30, 60, 120 and 180 minutes post-doseMaximum observed plasma concentration (Cmax) was assessed for LY3185643 and rGlucagon.
Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY3185643 and rGlucagon0 (pre-dose), 15, 30, 60, 120 and 180 minutes post-doseArea under the concentration versus time curve from zero to infinity (AUC0-inf) was assessed for LY3185643 and rGlucagon.
Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of Blood Glucose of LY3185643 and rGlucagon-5, 0 (pre-dose), 5, 10, 15, 22, 30, 45, 60, 75, 90, 105, 120, 150, 180 minutes post-doseCmax was assessed for LY3185643 and rGlucagon.
Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of C-peptide of LY3185643 and rGlucagon-5, 0 (predose), 5, 15, 30, 60 and 120 minutes post-doseCmax was assessed for C-peptide of LY3185643 and rGlucagon
Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of Blood Glucose of LY3185643 and rGlucagon-5, 0 (pre-dose), 5, 10, 15, 22, 30, 45, 60, 75, 90, 105, 120, 150, 180 minutes post-doseArea under the concentration versus time curve from time zero to 3 hours \[AUC (0-3)\] was assessed for LY3185643 and rGlucagon.
Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of C-Peptide of LY3185643 and rGlucagon-5, 0 (pre-dose), 5, 15, 30, 60 and 120 minutes post-doseArea under the concentration versus time curve from time zero to 3 hours \[AUC (0-3)\] was assessed for C-peptide of LY3185643 and rGlucagon.

Countries

Singapore

Participant flow

Pre-assignment details

Crossover study with three periods. Each participant received up to 3 doses of study drug (rGlucagon and/or LY3185643) in a dosing day as per the dosing sequence in each period with 7 to 12 days washout period.

Participants by arm

ArmCount
Cohort A (Sequence 1,9,7: 6,4,8:5,3,2)
LY3185643 and rGlucagon were administered as single SC doses with Dosing Sequence 1-9-7 in Treatment Period 1, Dosing Sequence: 6-4-8 in Treatment Period 2 and Dosing Sequence: 5-3-2 in Treatment Period 3. Dose assignment was: Dose 1 = 10 μg LY3185643; Dose 2 = 25 μg LY3185643; Dose 3 = 50 μg LY3185643; Dose 4 = 100 μg LY3185643; Dose 5 = 200 μg LY3185643; Dose 6 = 10 μg rGlucagon; Dose 7 = 25 μg rGlucagon; Dose 8 = 50 μg rGlucagon; Dose 9 = 200 μg rGlucagon.
3
Cohort B (Sequence 2,7,8: 4,5,9: 6,1,3 )
LY3185643 and rGlucagon were administered as single SC doses with Dosing Sequence 2-7-8 in Treatment Period 1, Dosing Sequence: 4-5-9 in Treatment Period 2 and Dosing Sequence: 6-1-3 in Treatment Period 3. Dose assignment was: Dose 1 = 10 μg LY3185643; Dose 2 = 25 μg LY3185643; Dose 3 = 50 μg LY3185643; Dose 4 = 100 μg LY3185643; Dose 5 = 200 μg LY3185643; Dose 6 = 10 μg rGlucagon; Dose 7 = 25 μg rGlucagon; Dose 8 = 50 μg rGlucagon; Dose 9 = 200 μg rGlucagon.
2
Cohort C (Sequence 3,8,9: 5,6,7: 4,2,1)
LY3185643 and rGlucagon were administered as single SC doses with Dosing Sequence 3-8-9 in Treatment Period 1, Dosing Sequence: 5-6-7 in Treatment Period 2 and Dosing Sequence: 4-2-1 in Treatment Period 3. Dose assignment was: Dose 1 = 10 μg LY3185643; Dose 2 = 25 μg LY3185643; Dose 3 = 50 μg LY3185643; Dose 4 = 100 μg LY3185643; Dose 5 = 200 μg LY3185643; Dose 6 = 10 μg rGlucagon; Dose 7 = 25 μg rGlucagon; Dose 8 = 50 μg rGlucagon; Dose 9 = 200 μg rGlucagon.
3
Cohort D (Sequence 4,6,2: 3,9,1: 8,7,5)
LY3185643 and rGlucagon were administered as single SC doses with Dosing Sequence 4-6-2 in Treatment Period 1, Dosing Sequence: 3-9-1 in Treatment Period 2 and Dosing Sequence: 8-7-5 in Treatment Period 3. Dose assignment was: Dose 1 = 10 μg LY3185643; Dose 2 = 25 μg LY3185643; Dose 3 = 50 μg LY3185643; Dose 4 = 100 μg LY3185643; Dose 5 = 200 μg LY3185643; Dose 6 = 10 μg rGlucagon; Dose 7 = 25 μg rGlucagon; Dose 8 = 50 μg rGlucagon; Dose 9 = 200 μg rGlucagon.
3
Cohort E (Sequence 5,4,3: 1,7,2: 9,8,6)
LY3185643 and rGlucagon were administered as single SC doses with Dosing Sequence 5-4-3 in Treatment Period 1, Dosing Sequence: 1-7-2 in Treatment Period 2 and Dosing Sequence: 9-8-6 in Treatment Period 3. Dose assignment was: Dose 1 = 10 μg LY3185643; Dose 2 = 25 μg LY3185643; Dose 3 = 50 μg LY3185643; Dose 4 = 100 μg LY3185643; Dose 5 = 200 μg LY3185643; Dose 6 = 10 μg rGlucagon; Dose 7 = 25 μg rGlucagon; Dose 8 = 50 μg rGlucagon; Dose 9 = 200 μg rGlucagon.
2
Cohort F (Sequence 6,5,1: 2,8,3: 7,9,4)
LY3185643 and rGlucagon were administered as single SC doses with Dosing Sequence 6-5-1 in Treatment Period 1, Dosing Sequence: 2-8-3 in Treatment Period 2 and Dosing Sequence: 7-9-4 in Treatment Period 3. Dose assignment was: Dose 1 = 10 μg LY3185643; Dose 2 = 25 μg LY3185643; Dose 3 = 50 μg LY3185643; Dose 4 = 100 μg LY3185643; Dose 5 = 200 μg LY3185643; Dose 6 = 10 μg rGlucagon; Dose 7 = 25 μg rGlucagon; Dose 8 = 50 μg rGlucagon; Dose 9 = 200 μg rGlucagon.
3
Cohort G (Sequence 7,1,4: 9,2,6: 9,2,6)
LY3185643 and rGlucagon were administered as single SC doses with Dosing Sequence 7-1-4 in Treatment Period 1, Dosing Sequence: 9-2-6 in Treatment Period 2 and Dosing Sequence: 9-2-6 in Treatment Period 3. Dose assignment was: Dose 1 = 10 μg LY3185643; Dose 2 = 25 μg LY3185643; Dose 3 = 50 μg LY3185643; Dose 4 = 100 μg LY3185643; Dose 5 = 200 μg LY3185643; Dose 6 = 10 μg rGlucagon; Dose 7 = 25 μg rGlucagon; Dose 8 = 50 μg rGlucagon; Dose 9 = 200 μg rGlucagon.
2
Cohort H (Sequence 8,2,5: 7,3,4: 1,6,9)
LY3185643 and rGlucagon were administered as single SC doses with Dosing Sequence 8-2-5 in Treatment Period 1, Dosing Sequence: 7-3-4 in Treatment Period 2 and Dosing Sequence: 1-6-9 in Treatment Period 3. Dose assignment was: Dose 1 = 10 μg LY3185643; Dose 2 = 25 μg LY3185643; Dose 3 = 50 μg LY3185643; Dose 4 = 100 μg LY3185643; Dose 5 = 200 μg LY3185643; Dose 6 = 10 μg rGlucagon; Dose 7 = 25 μg rGlucagon; Dose 8 = 50 μg rGlucagon; Dose 9 = 200 μg rGlucagon.
3
Cohort I (Sequence 9,3,6: 8,1,5: 2,4,7) )
LY3185643 and rGlucagon were administered as single SC doses with Dosing Sequence 9-3-6 in Treatment Period 1, Dosing Sequence: 8-1-5 in Treatment Period 2 and Dosing Sequence: 2-4-7 in Treatment Period 3. Dose assignment was: Dose 1 = 10 μg LY3185643; Dose 2 = 25 μg LY3185643; Dose 3 = 50 μg LY3185643; Dose 4 = 100 μg LY3185643; Dose 5 = 200 μg LY3185643; Dose 6 = 10 μg rGlucagon; Dose 7 = 25 μg rGlucagon; Dose 8 = 50 μg rGlucagon; Dose 9 = 200 μg rGlucagon.
2
Total23

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008
Period 1Adverse Event000100000
Period 1Scheduling Conflicts000000010
Period 2Scheduling Conflicts000000010

Baseline characteristics

CharacteristicTotalCohort B (Sequence 2,7,8: 4,5,9: 6,1,3 )Cohort C (Sequence 3,8,9: 5,6,7: 4,2,1)Cohort D (Sequence 4,6,2: 3,9,1: 8,7,5)Cohort E (Sequence 5,4,3: 1,7,2: 9,8,6)Cohort A (Sequence 1,9,7: 6,4,8:5,3,2)Cohort F (Sequence 6,5,1: 2,8,3: 7,9,4)Cohort G (Sequence 7,1,4: 9,2,6: 9,2,6)Cohort H (Sequence 8,2,5: 7,3,4: 1,6,9)Cohort I (Sequence 9,3,6: 8,1,5: 2,4,7) )
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
23 Participants2 Participants3 Participants3 Participants2 Participants3 Participants3 Participants2 Participants3 Participants2 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants2 Participants3 Participants3 Participants2 Participants3 Participants3 Participants2 Participants3 Participants2 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
23 Participants2 Participants3 Participants3 Participants2 Participants3 Participants3 Participants2 Participants3 Participants2 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Region of Enrollment
Singapore
23 Participants2 Participants3 Participants3 Participants2 Participants3 Participants3 Participants2 Participants3 Participants2 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
23 Participants2 Participants3 Participants3 Participants2 Participants3 Participants3 Participants2 Participants3 Participants2 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
deaths
Total, all-cause mortality
0 / 200 / 230 / 210 / 220 / 220 / 210 / 210 / 220 / 20
other
Total, other adverse events
3 / 203 / 233 / 215 / 224 / 222 / 211 / 212 / 222 / 20
serious
Total, serious adverse events
0 / 200 / 230 / 210 / 220 / 220 / 210 / 210 / 220 / 20

Outcome results

Primary

Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of Blood Glucose of LY3185643 and rGlucagon

Area under the concentration versus time curve from time zero to 3 hours \[AUC (0-3)\] was assessed for LY3185643 and rGlucagon.

Time frame: -5, 0 (pre-dose), 5, 10, 15, 22, 30, 45, 60, 75, 90, 105, 120, 150, 180 minutes post-dose

Population: All randomized participants who received at least one dose of study drug (LY3185643, C-peptide) and with a baseline and at least 1 postbaseline measurement for each dose with evaluable LY3185643 and rGlucagon PD data.

ArmMeasureValue (MEAN)Dispersion
10 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of Blood Glucose of LY3185643 and rGlucagon1.46 milligram*hour per deciliter (mg*hr/dL)Standard Deviation 7.52
25 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of Blood Glucose of LY3185643 and rGlucagon18.9 milligram*hour per deciliter (mg*hr/dL)Standard Deviation 15.3
50 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of Blood Glucose of LY3185643 and rGlucagon29.7 milligram*hour per deciliter (mg*hr/dL)Standard Deviation 21.1
100 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of Blood Glucose of LY3185643 and rGlucagon45.1 milligram*hour per deciliter (mg*hr/dL)Standard Deviation 27.1
200 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of Blood Glucose of LY3185643 and rGlucagon71.5 milligram*hour per deciliter (mg*hr/dL)Standard Deviation 37.8
10 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of Blood Glucose of LY3185643 and rGlucagon0.594 milligram*hour per deciliter (mg*hr/dL)Standard Deviation 11.9
25 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of Blood Glucose of LY3185643 and rGlucagon7.74 milligram*hour per deciliter (mg*hr/dL)Standard Deviation 15.6
50 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of Blood Glucose of LY3185643 and rGlucagon12.1 milligram*hour per deciliter (mg*hr/dL)Standard Deviation 14.4
200 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of Blood Glucose of LY3185643 and rGlucagon24.0 milligram*hour per deciliter (mg*hr/dL)Standard Deviation 15.8
Primary

Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of C-Peptide of LY3185643 and rGlucagon

Area under the concentration versus time curve from time zero to 3 hours \[AUC (0-3)\] was assessed for C-peptide of LY3185643 and rGlucagon.

Time frame: -5, 0 (pre-dose), 5, 15, 30, 60 and 120 minutes post-dose

Population: All randomized participants who received at least one dose of study drug (C-peptide of LY3185643 and rGlucagon) and with a baseline and at least 1 postbaseline measurement for each dose with evaluable LY3185643 and rGlucagon PD data.

ArmMeasureValue (MEAN)Dispersion
10 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of C-Peptide of LY3185643 and rGlucagon25.0 picomole*hour per liter (pmol*h/L)Standard Deviation 60.5
25 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of C-Peptide of LY3185643 and rGlucagon246 picomole*hour per liter (pmol*h/L)Standard Deviation 194
50 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of C-Peptide of LY3185643 and rGlucagon354 picomole*hour per liter (pmol*h/L)Standard Deviation 388
100 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of C-Peptide of LY3185643 and rGlucagon669 picomole*hour per liter (pmol*h/L)Standard Deviation 441
200 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of C-Peptide of LY3185643 and rGlucagon1170 picomole*hour per liter (pmol*h/L)Standard Deviation 529
10 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of C-Peptide of LY3185643 and rGlucagon-28.3 picomole*hour per liter (pmol*h/L)Standard Deviation 82.2
25 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of C-Peptide of LY3185643 and rGlucagon82.1 picomole*hour per liter (pmol*h/L)Standard Deviation 130
50 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of C-Peptide of LY3185643 and rGlucagon167 picomole*hour per liter (pmol*h/L)Standard Deviation 162
200 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Area Under the Concentration Time Curve (AUC) of C-Peptide of LY3185643 and rGlucagon626 picomole*hour per liter (pmol*h/L)Standard Deviation 325
Primary

Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of Blood Glucose of LY3185643 and rGlucagon

Cmax was assessed for LY3185643 and rGlucagon.

Time frame: -5, 0 (pre-dose), 5, 10, 15, 22, 30, 45, 60, 75, 90, 105, 120, 150, 180 minutes post-dose

Population: All randomized participants who received at least one dose of study drug (LY3185643, rGlucagon) and with a baseline and at least 1 postbaseline measurement for each dose with evaluable LY3185643 and rGlucagon PD data.

ArmMeasureValue (MEAN)Dispersion
10 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of Blood Glucose of LY3185643 and rGlucagon5.54 milligram per deciliter (mg/dL)Standard Deviation 2.66
25 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of Blood Glucose of LY3185643 and rGlucagon15.1 milligram per deciliter (mg/dL)Standard Deviation 9.94
50 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of Blood Glucose of LY3185643 and rGlucagon24.0 milligram per deciliter (mg/dL)Standard Deviation 16.6
100 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of Blood Glucose of LY3185643 and rGlucagon37.1 milligram per deciliter (mg/dL)Standard Deviation 20.6
200 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of Blood Glucose of LY3185643 and rGlucagon53.2 milligram per deciliter (mg/dL)Standard Deviation 17.7
10 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of Blood Glucose of LY3185643 and rGlucagon4.37 milligram per deciliter (mg/dL)Standard Deviation 3.39
25 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of Blood Glucose of LY3185643 and rGlucagon12.5 milligram per deciliter (mg/dL)Standard Deviation 11.1
50 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of Blood Glucose of LY3185643 and rGlucagon16.9 milligram per deciliter (mg/dL)Standard Deviation 11.4
200 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of Blood Glucose of LY3185643 and rGlucagon38.1 milligram per deciliter (mg/dL)Standard Deviation 13.9
Primary

Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of C-peptide of LY3185643 and rGlucagon

Cmax was assessed for C-peptide of LY3185643 and rGlucagon

Time frame: -5, 0 (predose), 5, 15, 30, 60 and 120 minutes post-dose

Population: All randomized participants who received at least one dose of study drug (C-peptide of LY3185643 and rGlucagon) and with a baseline and at least 1 postbaseline measurement for each dose with evaluable LY3185643 and rGlucagon PD data.

ArmMeasureValue (MEAN)Dispersion
10 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of C-peptide of LY3185643 and rGlucagon50.2 picomole per liter (pmol/L)Standard Deviation 44.7
25 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of C-peptide of LY3185643 and rGlucagon201 picomole per liter (pmol/L)Standard Deviation 168
50 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of C-peptide of LY3185643 and rGlucagon324 picomole per liter (pmol/L)Standard Deviation 330
100 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of C-peptide of LY3185643 and rGlucagon555 picomole per liter (pmol/L)Standard Deviation 387
200 ug LY3185643Pharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of C-peptide of LY3185643 and rGlucagon969 picomole per liter (pmol/L)Standard Deviation 451
10 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of C-peptide of LY3185643 and rGlucagon25.4 picomole per liter (pmol/L)Standard Deviation 34.1
25 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of C-peptide of LY3185643 and rGlucagon119 picomole per liter (pmol/L)Standard Deviation 98.9
50 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of C-peptide of LY3185643 and rGlucagon218 picomole per liter (pmol/L)Standard Deviation 154
200 ug rGlucagonPharmacodynamics (PD): Change From Baseline in Maximum Concentration (Cmax) of C-peptide of LY3185643 and rGlucagon577 picomole per liter (pmol/L)Standard Deviation 292
Primary

Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY3185643 and rGlucagon

Area under the concentration versus time curve from zero to infinity (AUC0-inf) was assessed for LY3185643 and rGlucagon.

Time frame: 0 (pre-dose), 15, 30, 60, 120 and 180 minutes post-dose

Population: All randomized participants who received at least one dose of study drug (LY3185643, rGlucagon) and with a baseline and at least 1 postbaseline measurement for each dose with evaluable LY3185643 and rGlucagon PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
10 ug LY3185643Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY3185643 and rGlucagon356 picogram*hour per milliliter (pg*hr/mL)Geometric Coefficient of Variation 30
25 ug LY3185643Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY3185643 and rGlucagon1200 picogram*hour per milliliter (pg*hr/mL)Geometric Coefficient of Variation 21
50 ug LY3185643Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY3185643 and rGlucagon2230 picogram*hour per milliliter (pg*hr/mL)Geometric Coefficient of Variation 21
100 ug LY3185643Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY3185643 and rGlucagon4430 picogram*hour per milliliter (pg*hr/mL)Geometric Coefficient of Variation 21
200 ug LY3185643Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY3185643 and rGlucagon9120 picogram*hour per milliliter (pg*hr/mL)Geometric Coefficient of Variation 17
10 ug rGlucagonPharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY3185643 and rGlucagonNA picogram*hour per milliliter (pg*hr/mL)
25 ug rGlucagonPharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY3185643 and rGlucagon189 picogram*hour per milliliter (pg*hr/mL)Geometric Coefficient of Variation 57
50 ug rGlucagonPharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY3185643 and rGlucagon249 picogram*hour per milliliter (pg*hr/mL)Geometric Coefficient of Variation 24
200 ug rGlucagonPharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY3185643 and rGlucagon764 picogram*hour per milliliter (pg*hr/mL)Geometric Coefficient of Variation 26
Primary

Pharmacokinetics (PK): Maximum Drug Concentration (Cmax) of LY3185643 and rGlucagon

Maximum observed plasma concentration (Cmax) was assessed for LY3185643 and rGlucagon.

Time frame: 0 (pre-dose), 15, 30, 60, 120 and 180 minutes post-dose

Population: All randomized participants who received at least one dose of study drug (LY3185643, rGlucagon) and with a baseline and at least 1 postbaseline measurement for each dose with evaluable LY3185643 and rGlucagon PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
10 ug LY3185643Pharmacokinetics (PK): Maximum Drug Concentration (Cmax) of LY3185643 and rGlucagon191 picogram per milliliter (pg/mL)Geometric Coefficient of Variation 49
25 ug LY3185643Pharmacokinetics (PK): Maximum Drug Concentration (Cmax) of LY3185643 and rGlucagon658 picogram per milliliter (pg/mL)Geometric Coefficient of Variation 36
50 ug LY3185643Pharmacokinetics (PK): Maximum Drug Concentration (Cmax) of LY3185643 and rGlucagon1110 picogram per milliliter (pg/mL)Geometric Coefficient of Variation 40
100 ug LY3185643Pharmacokinetics (PK): Maximum Drug Concentration (Cmax) of LY3185643 and rGlucagon2010 picogram per milliliter (pg/mL)Geometric Coefficient of Variation 40
200 ug LY3185643Pharmacokinetics (PK): Maximum Drug Concentration (Cmax) of LY3185643 and rGlucagon3830 picogram per milliliter (pg/mL)Geometric Coefficient of Variation 38
10 ug rGlucagonPharmacokinetics (PK): Maximum Drug Concentration (Cmax) of LY3185643 and rGlucagon53.7 picogram per milliliter (pg/mL)Geometric Coefficient of Variation 31
25 ug rGlucagonPharmacokinetics (PK): Maximum Drug Concentration (Cmax) of LY3185643 and rGlucagon204 picogram per milliliter (pg/mL)Geometric Coefficient of Variation 70
50 ug rGlucagonPharmacokinetics (PK): Maximum Drug Concentration (Cmax) of LY3185643 and rGlucagon283 picogram per milliliter (pg/mL)Geometric Coefficient of Variation 44
200 ug rGlucagonPharmacokinetics (PK): Maximum Drug Concentration (Cmax) of LY3185643 and rGlucagon897 picogram per milliliter (pg/mL)Geometric Coefficient of Variation 49

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026