Trial Outcomes & Findings for A Safety Study of LY2886721 Single Doses in Healthy Subjects (NCT NCT01133405)

NCT ID: NCT01133405

Last Updated: 2019-09-16

Results Overview

A summary of serious adverse events and other nonserious adverse events located in Reported Adverse Event section. To assess effect of food on pharmacokinetics of LY2886721, participants in Cohort B during Period 3 (1 period=8 days) of Part 1 fasted overnight for at least 8 hours prior to receiving a single 7-milligram (mg) oral dose of LY2886721 in the fed state (Part 1 - Fed). Participants in other LY2886721 groups received LY2886721 in fasted state. Due to crossover design in Part 1, results reported by treatment; thus, participants are included in multiple arms.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

40 participants

Primary outcome timeframe

Predose to 10-14 days after final dose of study drug (up to 42 days)

Results posted on

2019-09-16

Participant Flow

The study consists of 2-parts. Part A was a cross-over study and was conducted in 2 alternating cohorts (Cohorts A and B). Part B was a single-dose, single period study in 2 cohorts (Cohorts C and D). All doses were administered in the fasted state, unless otherwise indicated. Each oral dose was followed by a washout period of at least 14 days.

Participant milestones

Participant milestones
Measure
Cohort A (Part 1) : Sequence 1
Participants received Placebo, 15 milligram (mg) LY2886721 and 35 mg LY2886721 orally as per the below dosing sequence in each period. Period 1: Placebo, Period 2: 15 mg LY2886721 and Period 3: 35 mg LY2886721.
Cohort A (Part 1): Sequence 2
Participants received 1 mg LY2886721, 15 mg LY2886721 and placebo orally as per the below dosing sequence in each period. Period 1: 1 mg LY2886721, Period 2: 15 mg LY2886721 and Period 3: Placebo.
Cohort A (Part 1): Sequence 3
Participants received 1 mg LY2886721, placebo and 35 mg LY2886721 orally as per the below dosing sequence in each period. Period 1: 1 mg LY2886721, Period 2: Placebo and Period 3: 35 mg LY2886721.
Cohort B (Part 1): Sequence 1
Participants received 7 mg LY2886721, 25 mg LY2886721 and placebo and orally as per the below dosing sequence in each period. Period 1: 7 mg LY2886721, Period 2: 25 mg LY2886721 and Period 3: Placebo.
Cohort B (Part 1): Sequence 2
Participants received 7 mg LY2886721, placebo and 7 mg LY2886721 (fed state) orally as per the below dosing sequence in each period. Period 1: 7 mg LY2886721 Period 2: Placebo and Period 3: 7 mg LY2886721 (fed state).
Cohort B (Part 1): Sequence 3
Participants received Placebo, 25 mg LY2886721 and 7 mg LY2886721 (fed state) orally as per the below dosing sequence in each period. Period 1: Placebo, Period 2: 25 mg LY2886721 and Period 3: 7 mg LY2886721 (fed state).
Cohort C (Part 2): 10mg LY2886721
Participants received a single 10 mg LY2886721 oral dose (low dose) in the fasted state.
Cohort C (Part 2): Placebo
Participants received a single oral placebo dose in the fasted state.
Cohort D (Part 2): 35 mg LY2886721
Participants received a single 35 mg LY2886721 oral dose (high dose) in the fasted state.
Cohort D (Part 2): Placebo
Participants received a single oral placebo dose in the fasted state.
Period 1
STARTED
3
6
5
5
3
5
5
2
4
2
Period 1
Safety Analysis Population
2
6
5
5
3
5
5
2
4
2
Period 1
Received at Least 1 Dose of Drug
2
4
4
3
3
4
4
2
4
2
Period 1
COMPLETED
2
3
4
1
3
3
4
2
4
2
Period 1
NOT COMPLETED
1
3
1
4
0
2
1
0
0
0
Period 2
STARTED
2
4
4
3
3
4
0
0
0
0
Period 2
Received at Least 1 Dose of Study Drug
2
4
4
3
3
4
0
0
0
0
Period 2
COMPLETED
2
3
3
2
3
2
0
0
0
0
Period 2
NOT COMPLETED
0
1
1
1
0
2
0
0
0
0
Period 3
STARTED
2
4
4
2
3
2
0
0
0
0
Period 3
Received at Least 1 Dose of Study Drug
2
4
4
2
3
2
0
0
0
0
Period 3
COMPLETED
2
4
4
2
3
2
0
0
0
0
Period 3
NOT COMPLETED
0
0
0
0
0
0
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort A (Part 1) : Sequence 1
Participants received Placebo, 15 milligram (mg) LY2886721 and 35 mg LY2886721 orally as per the below dosing sequence in each period. Period 1: Placebo, Period 2: 15 mg LY2886721 and Period 3: 35 mg LY2886721.
Cohort A (Part 1): Sequence 2
Participants received 1 mg LY2886721, 15 mg LY2886721 and placebo orally as per the below dosing sequence in each period. Period 1: 1 mg LY2886721, Period 2: 15 mg LY2886721 and Period 3: Placebo.
Cohort A (Part 1): Sequence 3
Participants received 1 mg LY2886721, placebo and 35 mg LY2886721 orally as per the below dosing sequence in each period. Period 1: 1 mg LY2886721, Period 2: Placebo and Period 3: 35 mg LY2886721.
Cohort B (Part 1): Sequence 1
Participants received 7 mg LY2886721, 25 mg LY2886721 and placebo and orally as per the below dosing sequence in each period. Period 1: 7 mg LY2886721, Period 2: 25 mg LY2886721 and Period 3: Placebo.
Cohort B (Part 1): Sequence 2
Participants received 7 mg LY2886721, placebo and 7 mg LY2886721 (fed state) orally as per the below dosing sequence in each period. Period 1: 7 mg LY2886721 Period 2: Placebo and Period 3: 7 mg LY2886721 (fed state).
Cohort B (Part 1): Sequence 3
Participants received Placebo, 25 mg LY2886721 and 7 mg LY2886721 (fed state) orally as per the below dosing sequence in each period. Period 1: Placebo, Period 2: 25 mg LY2886721 and Period 3: 7 mg LY2886721 (fed state).
Cohort C (Part 2): 10mg LY2886721
Participants received a single 10 mg LY2886721 oral dose (low dose) in the fasted state.
Cohort C (Part 2): Placebo
Participants received a single oral placebo dose in the fasted state.
Cohort D (Part 2): 35 mg LY2886721
Participants received a single 35 mg LY2886721 oral dose (high dose) in the fasted state.
Cohort D (Part 2): Placebo
Participants received a single oral placebo dose in the fasted state.
Period 1
Withdrawal by Subject
0
1
0
1
0
1
0
0
0
0
Period 1
Physician Decision
0
0
0
1
0
0
0
0
0
0
Period 1
Discontinued after randomization
1
0
0
0
0
0
1
0
0
0
Period 1
Received drug only in period 2
0
1
0
2
0
1
0
0
0
0
Period 1
Received drug only in period 3
0
1
1
0
0
0
0
0
0
0
Period 2
Adverse Event
0
0
1
0
0
0
0
0
0
0
Period 2
Withdrawal by Subject
0
0
0
1
0
1
0
0
0
0
Period 2
Entry Criteria Not Met
0
1
0
0
0
0
0
0
0
0
Period 2
Physician Decision
0
0
0
0
0
1
0
0
0
0

Baseline Characteristics

A Safety Study of LY2886721 Single Doses in Healthy Subjects

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort A (Part 1): Sequence 1
n=2 Participants
Participants received Placebo, 15 milligram (mg) LY2886721 and 35 mg LY2886721 orally as per the dosing sequence in each period.
Cohort A (Part 1): Sequence 2
n=6 Participants
Participants received 1 mg LY2886721, 15 mg LY2886721 and placebo orally as per the dosing sequence in each period.
Cohort A (Part 1): Sequence 3
n=5 Participants
Participants received 1 mg LY2886721, placebo and 35 mg LY2886721 orally as per the dosing sequence in each period.
Cohort B (Part 1): Sequence 1
n=5 Participants
Participants received 7 mg LY2886721, 25 mg LY2886721 and placebo and orally as per the dosing sequence in each period.
Cohort B (Part 1): Sequence 2
n=3 Participants
Participants received 7 mg LY2886721, placebo and 7 mg LY2886721 (fed state) orally as per the dosing sequence in each period.
Cohort B (Part 1): Sequence 3
n=5 Participants
Participants received Placebo, 25 mg LY2886721 and 7 mg LY2886721 (fed state) orally as per the below dosing sequence in each period.
Cohort C (Part 2): 10mg LY2886721
n=5 Participants
Participants received a single 10 mg LY2886721 oral dose (low dose) in the fasted state.
Cohort C (Part 2): Placebo
n=2 Participants
.Participants received a single oral placebo dose in the fasted state.
Cohort D (Part 2): 35 mg LY2886721
n=4 Participants
Participants received a single 35 mg LY2886721 oral dose (high dose) in the fasted state.
Cohort D (Part 2): Placebo
n=2 Participants
Participants received a single oral placebo dose in the fasted state.
Total
n=39 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
6 Participants
n=7 Participants
5 Participants
n=5 Participants
5 Participants
n=4 Participants
3 Participants
n=21 Participants
5 Participants
n=8 Participants
5 Participants
n=8 Participants
2 Participants
n=24 Participants
4 Participants
n=42 Participants
2 Participants
n=42 Participants
39 Participants
n=42 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
0 Participants
n=8 Participants
1 Participants
n=8 Participants
1 Participants
n=24 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
7 Participants
n=42 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
6 Participants
n=7 Participants
2 Participants
n=5 Participants
5 Participants
n=4 Participants
1 Participants
n=21 Participants
5 Participants
n=8 Participants
4 Participants
n=8 Participants
1 Participants
n=24 Participants
4 Participants
n=42 Participants
2 Participants
n=42 Participants
32 Participants
n=42 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
1 Participants
n=42 Participants
0 Participants
n=42 Participants
2 Participants
n=42 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
3 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
0 Participants
n=21 Participants
3 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
11 Participants
n=42 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
0 Participants
n=21 Participants
2 Participants
n=8 Participants
4 Participants
n=8 Participants
2 Participants
n=24 Participants
1 Participants
n=42 Participants
1 Participants
n=42 Participants
13 Participants
n=42 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
0 Participants
n=8 Participants
1 Participants
n=8 Participants
0 Participants
n=24 Participants
2 Participants
n=42 Participants
1 Participants
n=42 Participants
11 Participants
n=42 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
2 Participants
n=42 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=24 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
0 Participants
n=42 Participants
Region of Enrollment
United States
2 Participants
n=5 Participants
6 Participants
n=7 Participants
5 Participants
n=5 Participants
5 Participants
n=4 Participants
3 Participants
n=21 Participants
5 Participants
n=8 Participants
5 Participants
n=8 Participants
2 Participants
n=24 Participants
4 Participants
n=42 Participants
2 Participants
n=42 Participants
39 Participants
n=42 Participants

PRIMARY outcome

Timeframe: Predose to 10-14 days after final dose of study drug (up to 42 days)

Population: 39 of the 40 participants who were entered and randomized into the study and who had undergone study procedures were included in the safety analyses. One participant, who was entered and randomized into the study but did not undergo study procedures, was excluded from the analysis.

A summary of serious adverse events and other nonserious adverse events located in Reported Adverse Event section. To assess effect of food on pharmacokinetics of LY2886721, participants in Cohort B during Period 3 (1 period=8 days) of Part 1 fasted overnight for at least 8 hours prior to receiving a single 7-milligram (mg) oral dose of LY2886721 in the fed state (Part 1 - Fed). Participants in other LY2886721 groups received LY2886721 in fasted state. Due to crossover design in Part 1, results reported by treatment; thus, participants are included in multiple arms.

Outcome measures

Outcome measures
Measure
Placebo (Part 1)
n=19 Participants
In a single 8-day period, participants received a single placebo oral dose after an overnight fast.
1 mg LY2886721 (Part 1)
n=8 Participants
In a single 8-day period, participants received a single 1-mg LY2886721 oral dose after an overnight fast.
7 mg LY2886721 (Part 1 - Fed and Fasted)
n=8 Participants
In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast, but 15 minutes after completing breakfast (Fed). In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast (Fasted).
10 mg LY2886721 (Part 2)
n=4 Participants
Participants received a single 10-mg LY2886721 oral dose after an overnight fast.
15 mg LY2886721 (Part 1)
n=6 Participants
In a single 8-day period, participants received a single 15-mg LY2886721 oral dose after an overnight fast.
25 mg LY2886721 (Part 1)
n=7 Participants
In a single 8-day period, participants received a single 25-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 1)
n=6 Participants
In a single 8-day period, participants received a single 35-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 2)
n=4 Participants
Participants received a single 35-mg LY2886721 oral dose after an overnight fast.
Placebo (Part 2)
n=4 Participants
Participants received a single placebo oral dose after an overnight fast.
Number of Participants With Clinically Significant Effects (Adverse Events)
Serious Adverse Events
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Clinically Significant Effects (Adverse Events)
Other Nonserious Adverse Events
4 Participants
2 Participants
1 Participants
1 Participants
0 Participants
1 Participants
3 Participants
4 Participants
3 Participants

SECONDARY outcome

Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60 and 96 hours post-dose

Population: All participants who received at least 1 dose of LY2886721 and have evaluable pharmacokinetic data were included in the analysis. One participant from Part 2, who experienced an adverse event before receiving study medication, was not included in the analysis.

To assess effect of food on pharmacokinetics of LY2886721, participants in Cohort B during Period 3 (1 period=8 days) of Part 1 fasted overnight for at least 8 hours prior to receiving a single 7-milligram (mg) oral dose of LY2886721 in the fed state (Part 1 - Fed). Participants in the other LY2886721 groups received LY2886721 in the fasted state. Due to the crossover design in Part 1, results are reported by treatment; therefore, participants are included in multiple arms.

Outcome measures

Outcome measures
Measure
Placebo (Part 1)
n=8 Participants
In a single 8-day period, participants received a single placebo oral dose after an overnight fast.
1 mg LY2886721 (Part 1)
n=5 Participants
In a single 8-day period, participants received a single 1-mg LY2886721 oral dose after an overnight fast.
7 mg LY2886721 (Part 1 - Fed and Fasted)
n=6 Participants
In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast, but 15 minutes after completing breakfast (Fed). In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast (Fasted).
10 mg LY2886721 (Part 2)
n=4 Participants
Participants received a single 10-mg LY2886721 oral dose after an overnight fast.
15 mg LY2886721 (Part 1)
n=6 Participants
In a single 8-day period, participants received a single 15-mg LY2886721 oral dose after an overnight fast.
25 mg LY2886721 (Part 1)
n=7 Participants
In a single 8-day period, participants received a single 25-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 1)
n=6 Participants
In a single 8-day period, participants received a single 35-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 2)
n=4 Participants
Participants received a single 35-mg LY2886721 oral dose after an overnight fast.
Placebo (Part 2)
Participants received a single placebo oral dose after an overnight fast.
Maximum Observed Plasma Concentration (Cmax) of LY2886721
1.9 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 65
22.5 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 23
18.2 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 64
6.6 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 60
41.6 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 24
79.1 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 25
78.2 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 45
53.3 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 44

SECONDARY outcome

Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60 and 96 hours post-dose

Population: All participants who received at least 1 dose of LY2886721 and have evaluable pharmacokinetic data were included in the analysis. One participant in Part 2, who experienced an adverse event before receiving study medication, was not included in the analysis.

Pharmacokinetic AUC for LY2886721 from time 0 to infinity. To assess effect of food on pharmacokinetics of LY2886721, participants in Cohort B during Period 3 (1 period=8 days) of Part 1 fasted overnight for at least 8 hours prior to receiving a single 7-milligram (mg) oral dose of LY2886721 in the fed state (Part 1 - Fed). Participants in the other LY2886721 groups received LY2886721 in the fasted state. Due to the crossover design in Part 1, results are reported by treatment; therefore, participants are included in multiple arms.

Outcome measures

Outcome measures
Measure
Placebo (Part 1)
n=8 Participants
In a single 8-day period, participants received a single placebo oral dose after an overnight fast.
1 mg LY2886721 (Part 1)
n=5 Participants
In a single 8-day period, participants received a single 1-mg LY2886721 oral dose after an overnight fast.
7 mg LY2886721 (Part 1 - Fed and Fasted)
n=6 Participants
In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast, but 15 minutes after completing breakfast (Fed). In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast (Fasted).
10 mg LY2886721 (Part 2)
n=4 Participants
Participants received a single 10-mg LY2886721 oral dose after an overnight fast.
15 mg LY2886721 (Part 1)
n=6 Participants
In a single 8-day period, participants received a single 15-mg LY2886721 oral dose after an overnight fast.
25 mg LY2886721 (Part 1)
n=7 Participants
In a single 8-day period, participants received a single 25-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 1)
n=6 Participants
In a single 8-day period, participants received a single 35-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 2)
n=4 Participants
Participants received a single 35-mg LY2886721 oral dose after an overnight fast.
Placebo (Part 2)
Participants received a single placebo oral dose after an overnight fast.
Plasma Concentration of LY2886721: Area Under the Concentration Versus Time Curve (AUC)
NA nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation NA
Data for the 1-mg LY2886721 group are not presented for this outcome measure because sufficient data did not exist for the terminal elimination phase calculations.
311 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 14
212 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 41
144 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 580
468 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 20
926 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 16
954 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 37
800 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 38

SECONDARY outcome

Timeframe: 0, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60 and 96 hours post-dose

Population: All participants who received at least 1 dose of LY2886721 in Part 1 and have evaluable pharmacodynamic data were included in the analysis. One participant who was entered and randomized into the study but did not undergo study procedures, was excluded from the analysis.

Plasma concentrations of Aβ1-40 were based on the lowest observed/measured concentration (Cnadir). To assess effect of food on pharmacokinetics of LY2886721, participants in Cohort B during Period 3 (1 period=8 days) of Part 1 fasted overnight for at least 8 hours prior to receiving a single 7-milligram (mg) oral dose of LY2886721 in the fed state (Part 1 - Fed). Participants in the other LY2886721 groups received LY2886721 in the fasted state. Due to the crossover design in Part 1, results are reported by treatment; therefore, participants are included in multiple arms.

Outcome measures

Outcome measures
Measure
Placebo (Part 1)
n=19 Participants
In a single 8-day period, participants received a single placebo oral dose after an overnight fast.
1 mg LY2886721 (Part 1)
n=8 Participants
In a single 8-day period, participants received a single 1-mg LY2886721 oral dose after an overnight fast.
7 mg LY2886721 (Part 1 - Fed and Fasted)
n=6 Participants
In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast, but 15 minutes after completing breakfast (Fed). In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast (Fasted).
10 mg LY2886721 (Part 2)
n=6 Participants
Participants received a single 10-mg LY2886721 oral dose after an overnight fast.
15 mg LY2886721 (Part 1)
n=7 Participants
In a single 8-day period, participants received a single 15-mg LY2886721 oral dose after an overnight fast.
25 mg LY2886721 (Part 1)
n=6 Participants
In a single 8-day period, participants received a single 25-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 1)
In a single 8-day period, participants received a single 35-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 2)
Participants received a single 35-mg LY2886721 oral dose after an overnight fast.
Placebo (Part 2)
Participants received a single placebo oral dose after an overnight fast.
Pharmacodynamic Biomarker: Plasma Amyloid Beta (Aβ) 1-40 Concentration (Part 1 Only)
121 picogram per milliliter (pg/mL)
Geometric Coefficient of Variation 23.6
80 picogram per milliliter (pg/mL)
Geometric Coefficient of Variation 19.5
56 picogram per milliliter (pg/mL)
Geometric Coefficient of Variation 41.3
35 picogram per milliliter (pg/mL)
Geometric Coefficient of Variation 37.7
34 picogram per milliliter (pg/mL)
Geometric Coefficient of Variation 28.4
36 picogram per milliliter (pg/mL)
Geometric Coefficient of Variation 11.7

SECONDARY outcome

Timeframe: Predose and up to 36 hours postdose

Population: All participants who received at least 1 dose of LY2886721 in Part 2 and have evaluable pharmacokinetic data were included in the analysis. One participant, who experienced an adverse event before receiving study medication, was not included in the analysis.

Outcome measures

Outcome measures
Measure
Placebo (Part 1)
n=4 Participants
In a single 8-day period, participants received a single placebo oral dose after an overnight fast.
1 mg LY2886721 (Part 1)
n=4 Participants
In a single 8-day period, participants received a single 1-mg LY2886721 oral dose after an overnight fast.
7 mg LY2886721 (Part 1 - Fed and Fasted)
In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast, but 15 minutes after completing breakfast (Fed). In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast (Fasted).
10 mg LY2886721 (Part 2)
Participants received a single 10-mg LY2886721 oral dose after an overnight fast.
15 mg LY2886721 (Part 1)
In a single 8-day period, participants received a single 15-mg LY2886721 oral dose after an overnight fast.
25 mg LY2886721 (Part 1)
In a single 8-day period, participants received a single 25-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 1)
In a single 8-day period, participants received a single 35-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 2)
Participants received a single 35-mg LY2886721 oral dose after an overnight fast.
Placebo (Part 2)
Participants received a single placebo oral dose after an overnight fast.
Cerebrospinal Fluid (CSF) Maximum Observed Drug Concentration (Cmax) of LY2886721 (Part 2 Only)
0.93 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 60
5.99 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 39

SECONDARY outcome

Timeframe: Predose and up to 36 hours postdose

Population: All participants who received at least 1 dose of LY2886721 in Part 2 and have evaluable pharmacodynamic data were included in the analysis. One participant, who experienced an adverse event before receiving study medication, was not included in the analysis.

CSF Aβ 1-40 concentration was based on the lowest observed/measured concentration (Cnadir).

Outcome measures

Outcome measures
Measure
Placebo (Part 1)
n=4 Participants
In a single 8-day period, participants received a single placebo oral dose after an overnight fast.
1 mg LY2886721 (Part 1)
n=4 Participants
In a single 8-day period, participants received a single 1-mg LY2886721 oral dose after an overnight fast.
7 mg LY2886721 (Part 1 - Fed and Fasted)
n=4 Participants
In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast, but 15 minutes after completing breakfast (Fed). In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast (Fasted).
10 mg LY2886721 (Part 2)
Participants received a single 10-mg LY2886721 oral dose after an overnight fast.
15 mg LY2886721 (Part 1)
In a single 8-day period, participants received a single 15-mg LY2886721 oral dose after an overnight fast.
25 mg LY2886721 (Part 1)
In a single 8-day period, participants received a single 25-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 1)
In a single 8-day period, participants received a single 35-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 2)
Participants received a single 35-mg LY2886721 oral dose after an overnight fast.
Placebo (Part 2)
Participants received a single placebo oral dose after an overnight fast.
Cerebrospinal Fluid (CSF) Pharmacodynamic Biomarker Amyloid Beta (Aβ) 1-40 Concentration (Part 2 Only)
8080 picogram per milliliter (pg/mL)
Geometric Coefficient of Variation 48.8
5650 picogram per milliliter (pg/mL)
Geometric Coefficient of Variation 51.1
7150 picogram per milliliter (pg/mL)
Geometric Coefficient of Variation 62.4

SECONDARY outcome

Timeframe: Predose and up to 36 hours postdose

Population: All participants who received at least 1 dose of LY2886721 in Part 2 and have evaluable pharmacokinetic data were included in the analysis. One participant, who experienced an adverse event before receiving study medication, was not included in the analysis.

Outcome measures

Outcome measures
Measure
Placebo (Part 1)
n=4 Participants
In a single 8-day period, participants received a single placebo oral dose after an overnight fast.
1 mg LY2886721 (Part 1)
n=4 Participants
In a single 8-day period, participants received a single 1-mg LY2886721 oral dose after an overnight fast.
7 mg LY2886721 (Part 1 - Fed and Fasted)
In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast, but 15 minutes after completing breakfast (Fed). In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast (Fasted).
10 mg LY2886721 (Part 2)
Participants received a single 10-mg LY2886721 oral dose after an overnight fast.
15 mg LY2886721 (Part 1)
In a single 8-day period, participants received a single 15-mg LY2886721 oral dose after an overnight fast.
25 mg LY2886721 (Part 1)
In a single 8-day period, participants received a single 25-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 1)
In a single 8-day period, participants received a single 35-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 2)
Participants received a single 35-mg LY2886721 oral dose after an overnight fast.
Placebo (Part 2)
Participants received a single placebo oral dose after an overnight fast.
Cerebrospinal Fluid (CSF) Area Under the Concentration Versus Time Curve (AUC) of LY2886721 (Part 2 Only)
27 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 89
121 nanogram*hour per milliliter (ng*h/mL)
Geometric Coefficient of Variation 30

Adverse Events

Placebo (Part 1)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

1 mg LY2886721 (Part 1)

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

7 mg LY2886721 (Part 1 - Fed and Fasted)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

10 mg LY2886721 (Part 2)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

15 mg LY2886721 (Part 1)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

25 mg LY2886721 (Part 1)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

35 mg LY2886721 (Part 1)

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

35 mg LY2886721 (Part 2)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Placebo (Part 2)

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo (Part 1)
n=19 participants at risk
In a single 8-day period, participants received a single placebo oral dose after an overnight fast.
1 mg LY2886721 (Part 1)
n=8 participants at risk
In a single 8-day period, participants received a single 1-mg LY2886721 oral dose after an overnight fast.
7 mg LY2886721 (Part 1 - Fed and Fasted)
n=8 participants at risk
In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast, but 15 minutes after breakfast (Fed). In a single 8-day period, participants received a single 7-mg LY2886721 oral dose after an overnight fast (Fasted).
10 mg LY2886721 (Part 2)
n=4 participants at risk
Participants received a single 10-mg LY2886721 oral dose after an overnight fast.
15 mg LY2886721 (Part 1)
n=6 participants at risk
In a single 8-day period, participants received a single 15-mg LY2886721 oral dose after an overnight fast.
25 mg LY2886721 (Part 1)
n=7 participants at risk
In a single 8-day period, participants received a single 25-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 1)
n=6 participants at risk
In a single 8-day period, participants received a single 35-mg LY2886721 oral dose after an overnight fast.
35 mg LY2886721 (Part 2)
n=4 participants at risk
Participants received a single 35-mg LY2886721 oral dose after an overnight fast.
Placebo (Part 2)
n=4 participants at risk
Participants received a single placebo oral dose after an overnight fast.
Ear and labyrinth disorders
Ear discomfort
5.3%
1/19 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
0.00%
0/6
0.00%
0/4
0.00%
0/4
Ear and labyrinth disorders
Vertigo
0.00%
0/19
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/4
0.00%
0/6
0.00%
0/7
0.00%
0/6
0.00%
0/4
0.00%
0/4
Gastrointestinal disorders
Nausea
5.3%
1/19 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
0.00%
0/6
0.00%
0/4
0.00%
0/4
General disorders
Chest pain
0.00%
0/19
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
0.00%
0/6
0.00%
0/4
25.0%
1/4 • Number of events 1
General disorders
Puncture site pain
0.00%
0/19
0.00%
0/8
0.00%
0/8
25.0%
1/4 • Number of events 1
0.00%
0/6
0.00%
0/7
0.00%
0/6
25.0%
1/4 • Number of events 2
0.00%
0/4
General disorders
Vessel puncture site haematoma
5.3%
1/19 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
0.00%
0/6
0.00%
0/4
0.00%
0/4
Injury, poisoning and procedural complications
Procedural headache
0.00%
0/19
0.00%
0/8
0.00%
0/8
25.0%
1/4 • Number of events 1
0.00%
0/6
0.00%
0/7
0.00%
0/6
100.0%
4/4 • Number of events 5
25.0%
1/4 • Number of events 1
Injury, poisoning and procedural complications
Procedural vomiting
0.00%
0/19
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
0.00%
0/6
25.0%
1/4 • Number of events 1
0.00%
0/4
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/19
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
0.00%
0/6
25.0%
1/4 • Number of events 1
0.00%
0/4
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/19
0.00%
0/8
0.00%
0/8
25.0%
1/4 • Number of events 1
0.00%
0/6
0.00%
0/7
16.7%
1/6 • Number of events 1
0.00%
0/4
0.00%
0/4
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/19
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
16.7%
1/6 • Number of events 1
0.00%
0/4
0.00%
0/4
Musculoskeletal and connective tissue disorders
Plantar fasciitis
5.3%
1/19 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
0.00%
0/6
0.00%
0/4
0.00%
0/4
Nervous system disorders
Dizziness
5.3%
1/19 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
16.7%
1/6 • Number of events 1
0.00%
0/4
0.00%
0/4
Nervous system disorders
Dysgeusia
0.00%
0/19
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
0.00%
0/6
0.00%
0/4
0.00%
0/4
Nervous system disorders
Headache
5.3%
1/19 • Number of events 1
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
0.00%
0/6
0.00%
0/4
25.0%
1/4 • Number of events 1
Nervous system disorders
Syncope
0.00%
0/19
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
0.00%
0/6
0.00%
0/4
25.0%
1/4 • Number of events 1
Psychiatric disorders
Anxiety
0.00%
0/19
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
16.7%
1/6 • Number of events 1
0.00%
0/4
0.00%
0/4
Respiratory, thoracic and mediastinal disorders
Rhinitis allergic
0.00%
0/19
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
14.3%
1/7 • Number of events 1
0.00%
0/6
0.00%
0/4
0.00%
0/4
Skin and subcutaneous tissue disorders
Dermatitis contact
5.3%
1/19 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/4
0.00%
0/6
0.00%
0/7
0.00%
0/6
0.00%
0/4
0.00%
0/4

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60