Trial Outcomes & Findings for An Open Label Study for Participants With Rheumatoid Arthritis (NCT NCT01215942)

NCT ID: NCT01215942

Last Updated: 2018-06-11

Results Overview

A TEAE was defined as an event that first occurred or worsened in severity on or after the date of the first injection and prior to study termination. AESI are infection, injection site reactions, malignancy, major adverse cardiovascular events (MACE), allergy and hypersensitivity, depression, suicide/self-injury and pregnancy. MACE were defined as 1 of the adjudicated events: cardiovascular death, Myocardial infarction (MI), stroke, hospitalization for unstable angina, hospitalization for heart failure, coronary revascularization procedure, peripheral revascularization procedure, cardiogenic shock due to MI, resuscitated sudden death, serious arrhythmia, hospitalization for hypertension, peripheral arterial event. A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

1086 participants

Primary outcome timeframe

up to 84.4 weeks during treatment period

Results posted on

2018-06-11

Participant Flow

Study consisted of a Treatment Period of up to 240 weeks for participants (pts) who enrolled from Studies H9B-MC-BCDO (BCDO) (NCT01202760) and H9B-MC-BCDV (BCDV) (NCT01202773) or up to 168 weeks for pts who enrolled from Study H9-MC-BCDM (BCDM) (NCT01198002). Discontinued pts were followed in Post-Treatment Follow-Up Period for up to 48 weeks.

Participant milestones

Participant milestones
Measure
120 mg LY2127399 (LY A)
120 milligrams (mg) LY2127399 administered subcutaneously (SC) every 4 weeks (Q4W). Participants from Studies BCDO, BCDV and BCDM who were on 120 mg LY2127399 SC Q4W immediately prior to Study H9B-MC-BCDP (BCDP) enrollment remained on 120 mg LY2127399 SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 240 mg LY2127399 SC, 4 weeks later followed by 120 mg LY2127399 SC Q4W for the subsequent treatment.
90 mg LY2127399 (LY B)
90 mg LY2127399 administered SC every 2 weeks (Q2W). Participants from Studies BCDO, BCDV and BCDM who were on 90 mg LY2127399 SC Q2W immediately prior to Study BCDP enrollment remained on 90 mg LY2127399 SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 180 mg LY2127399 SC, 2 weeks later followed by 90 mg LY2127399 SC Q2W for the subsequent treatment.
Treatment Period
STARTED
414
672
Treatment Period
COMPLETED
0
0
Treatment Period
NOT COMPLETED
414
672
Post-Treatment Follow-Up Period
STARTED
368
591
Post-Treatment Follow-Up Period
COMPLETED
283
445
Post-Treatment Follow-Up Period
NOT COMPLETED
85
146

Reasons for withdrawal

Reasons for withdrawal
Measure
120 mg LY2127399 (LY A)
120 milligrams (mg) LY2127399 administered subcutaneously (SC) every 4 weeks (Q4W). Participants from Studies BCDO, BCDV and BCDM who were on 120 mg LY2127399 SC Q4W immediately prior to Study H9B-MC-BCDP (BCDP) enrollment remained on 120 mg LY2127399 SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 240 mg LY2127399 SC, 4 weeks later followed by 120 mg LY2127399 SC Q4W for the subsequent treatment.
90 mg LY2127399 (LY B)
90 mg LY2127399 administered SC every 2 weeks (Q2W). Participants from Studies BCDO, BCDV and BCDM who were on 90 mg LY2127399 SC Q2W immediately prior to Study BCDP enrollment remained on 90 mg LY2127399 SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 180 mg LY2127399 SC, 2 weeks later followed by 90 mg LY2127399 SC Q2W for the subsequent treatment.
Treatment Period
Adverse Event
15
26
Treatment Period
Death
2
4
Treatment Period
Lack of Efficacy
23
62
Treatment Period
Lost to Follow-up
3
4
Treatment Period
Withdrawal by Subject
17
40
Treatment Period
Physician Decision
5
5
Treatment Period
Protocol Violation
0
1
Treatment Period
Sponsor Decision
349
530
Post-Treatment Follow-Up Period
Death
0
1
Post-Treatment Follow-Up Period
Lost to Follow-up
13
13
Post-Treatment Follow-Up Period
Withdrawal by Subject
43
69
Post-Treatment Follow-Up Period
Physician Decision
1
2
Post-Treatment Follow-Up Period
Sponsor Decision
28
61

Baseline Characteristics

An Open Label Study for Participants With Rheumatoid Arthritis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
120 mg LY2127399 (LY A)
n=414 Participants
120 mg LY2127399 administered SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on 120 mg LY2127399 SC Q4W immediately prior to Study BCDP enrollment remained on 120 mg LY2127399 SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 240 mg LY2127399 SC, 4 weeks later followed by 120 mg LY2127399 SC Q4W for the subsequent treatment.
90 mg LY2127399 (LY B)
n=672 Participants
90 mg LY2127399 administered SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on 90 mg LY2127399 SC Q2W immediately prior to Study BCDP enrollment remained on 90 mg LY2127399 SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 180 mg LY2127399 SC, 2 weeks later followed by 90 mg LY2127399 SC Q2W for the subsequent treatment.
Total
n=1086 Participants
Total of all reporting groups
Age, Continuous
52.9 years
STANDARD_DEVIATION 10.9 • n=5 Participants
52.4 years
STANDARD_DEVIATION 11.7 • n=7 Participants
52.6 years
STANDARD_DEVIATION 11.4 • n=5 Participants
Sex: Female, Male
Female
339 Participants
n=5 Participants
538 Participants
n=7 Participants
877 Participants
n=5 Participants
Sex: Female, Male
Male
75 Participants
n=5 Participants
134 Participants
n=7 Participants
209 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
52 Participants
n=5 Participants
100 Participants
n=7 Participants
152 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
218 Participants
n=5 Participants
365 Participants
n=7 Participants
583 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
144 Participants
n=5 Participants
207 Participants
n=7 Participants
351 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
17 Participants
n=5 Participants
36 Participants
n=7 Participants
53 Participants
n=5 Participants
Race (NIH/OMB)
Asian
82 Participants
n=5 Participants
125 Participants
n=7 Participants
207 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
24 Participants
n=5 Participants
43 Participants
n=7 Participants
67 Participants
n=5 Participants
Race (NIH/OMB)
White
285 Participants
n=5 Participants
450 Participants
n=7 Participants
735 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=5 Participants
13 Participants
n=7 Participants
18 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
United States
148 Participants
n=5 Participants
294 Participants
n=7 Participants
442 Participants
n=5 Participants
Region of Enrollment
Taiwan
7 Participants
n=5 Participants
13 Participants
n=7 Participants
20 Participants
n=5 Participants
Region of Enrollment
Slovakia
9 Participants
n=5 Participants
3 Participants
n=7 Participants
12 Participants
n=5 Participants
Region of Enrollment
Greece
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
Ukraine
12 Participants
n=5 Participants
21 Participants
n=7 Participants
33 Participants
n=5 Participants
Region of Enrollment
Russia
12 Participants
n=5 Participants
21 Participants
n=7 Participants
33 Participants
n=5 Participants
Region of Enrollment
Colombia
13 Participants
n=5 Participants
22 Participants
n=7 Participants
35 Participants
n=5 Participants
Region of Enrollment
Sri Lanka
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Region of Enrollment
India
13 Participants
n=5 Participants
7 Participants
n=7 Participants
20 Participants
n=5 Participants
Region of Enrollment
Malaysia
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
Australia
1 Participants
n=5 Participants
9 Participants
n=7 Participants
10 Participants
n=5 Participants
Region of Enrollment
South Africa
23 Participants
n=5 Participants
59 Participants
n=7 Participants
82 Participants
n=5 Participants
Region of Enrollment
South Korea
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Region of Enrollment
Lithuania
16 Participants
n=5 Participants
15 Participants
n=7 Participants
31 Participants
n=5 Participants
Region of Enrollment
Hungary
4 Participants
n=5 Participants
10 Participants
n=7 Participants
14 Participants
n=5 Participants
Region of Enrollment
Mexico
18 Participants
n=5 Participants
25 Participants
n=7 Participants
43 Participants
n=5 Participants
Region of Enrollment
Argentina
9 Participants
n=5 Participants
14 Participants
n=7 Participants
23 Participants
n=5 Participants
Region of Enrollment
Poland
42 Participants
n=5 Participants
36 Participants
n=7 Participants
78 Participants
n=5 Participants
Region of Enrollment
Brazil
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Region of Enrollment
Croatia
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
Romania
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Region of Enrollment
Bulgaria
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants
Region of Enrollment
Germany
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
Japan
44 Participants
n=5 Participants
72 Participants
n=7 Participants
116 Participants
n=5 Participants
Region of Enrollment
New Zealand
7 Participants
n=5 Participants
11 Participants
n=7 Participants
18 Participants
n=5 Participants

PRIMARY outcome

Timeframe: up to 84.4 weeks during treatment period

Population: All enrolled participants.

A TEAE was defined as an event that first occurred or worsened in severity on or after the date of the first injection and prior to study termination. AESI are infection, injection site reactions, malignancy, major adverse cardiovascular events (MACE), allergy and hypersensitivity, depression, suicide/self-injury and pregnancy. MACE were defined as 1 of the adjudicated events: cardiovascular death, Myocardial infarction (MI), stroke, hospitalization for unstable angina, hospitalization for heart failure, coronary revascularization procedure, peripheral revascularization procedure, cardiogenic shock due to MI, resuscitated sudden death, serious arrhythmia, hospitalization for hypertension, peripheral arterial event. A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.

Outcome measures

Outcome measures
Measure
120 mg LY2127399 (LY A)
n=414 Participants
120 mg LY2127399 administered SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on 120 mg LY2127399 SC Q4W immediately prior to Study BCDP enrollment remained on 120 mg LY2127399 SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 240 mg LY2127399 SC, 4 weeks later followed by 120 mg LY2127399 SC Q4W for the subsequent treatment.
90 mg LY2127399 (LY B)
n=672 Participants
90 mg LY2127399 administered SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on 90 mg LY2127399 SC Q2W immediately prior to Study BCDP enrollment remained on 90 mg LY2127399 SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 180 mg LY2127399 SC, 2 weeks later followed by 90 mg LY2127399 SC Q2W for the subsequent treatment.
NR LY A to LY B
90 mg LY2127399 administered SC Q2W. All Week 16 non-responders (NR) from Studies BCDO and BCDV who were randomized to 120 mg LY2127399 SC Q4W at Week 0 of Studies BCDO and BCDV and assigned to 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
NR LY B to LY B
90 mg LY2127399 administered SC Q2W. All Week 16 NR from Studies BCDO and BCDV who were randomized to 90 mg LY2127399 SC Q2W at Week 0 of Studies BCDO and BCDV and continued to receive 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
NR Placebo to LY B
90 mg LY2127399 administered SC Q2W. All Week 16 NR from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and assigned to 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
Placebo to LY A
120 mg LY2127399 administered SC Q4W (240 mg LY2127399 loading dose at Week 0). All Week 16 responders from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and were randomized to receive 120 mg LY2127399 SC Q4W in Study BCDP.
Placebo to LY B
90 mg LY2127399 administered SC Q2W (180 mg LY2127399 loading dose at Week 0). All Week 16 responders from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and were randomized to receive 90 mg LY2127399 SC Q2W in Study BCDP.
Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)During Treatment Period
TEAE
259 Participants
422 Participants
Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)During Treatment Period
SAE
30 Participants
57 Participants
Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)During Treatment Period
Infection
127 Participants
266 Participants
Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)During Treatment Period
Injection site reaction
15 Participants
30 Participants
Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)During Treatment Period
Malignancy
0 Participants
7 Participants
Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)During Treatment Period
MACE
4 Participants
6 Participants
Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)During Treatment Period
Allergy and hypersensitivity
13 Participants
23 Participants
Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)During Treatment Period
Depression
7 Participants
10 Participants
Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)During Treatment Period
Suicide/Self-injury
1 Participants
0 Participants
Number of Participants Who Had Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs) and Adverse Event of Special Interest (AESI)During Treatment Period
Pregnancy
1 Participants
2 Participants

PRIMARY outcome

Timeframe: Baseline through Weeks 4, 24, 48 and 72

Population: All participants from Studies BCDO and BCDV with an evaluable baseline anti-LY2127399 antibodies result and a post-baseline anti-LY2127399 antibodies result. Participants missing an evaluable baseline result with a negative post-baseline results were included.

Participants with treatment-emergent anti-LY2127399 antibodies were participants who had any samples from baseline up to and through Week 72 that was a 4-fold increase (2-dilution increase) in immunogenicity titer over baseline titer, or participants who tested negative at baseline and positive post-baseline (at titer of ≥1:20). Baseline is defined as the last non-missing observation on or prior to the date of the first injection of LY2127399 in preceding studies or Study BCDP. Percentage of participants with anti-LY2127399 antibodies=(number of participants with treatment-emergent anti-LY2127399 antibodies / number of participants assessed)\*100.

Outcome measures

Outcome measures
Measure
120 mg LY2127399 (LY A)
n=291 Participants
120 mg LY2127399 administered SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on 120 mg LY2127399 SC Q4W immediately prior to Study BCDP enrollment remained on 120 mg LY2127399 SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 240 mg LY2127399 SC, 4 weeks later followed by 120 mg LY2127399 SC Q4W for the subsequent treatment.
90 mg LY2127399 (LY B)
n=292 Participants
90 mg LY2127399 administered SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on 90 mg LY2127399 SC Q2W immediately prior to Study BCDP enrollment remained on 90 mg LY2127399 SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 180 mg LY2127399 SC, 2 weeks later followed by 90 mg LY2127399 SC Q2W for the subsequent treatment.
NR LY A to LY B
n=88 Participants
90 mg LY2127399 administered SC Q2W. All Week 16 non-responders (NR) from Studies BCDO and BCDV who were randomized to 120 mg LY2127399 SC Q4W at Week 0 of Studies BCDO and BCDV and assigned to 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
NR LY B to LY B
n=88 Participants
90 mg LY2127399 administered SC Q2W. All Week 16 NR from Studies BCDO and BCDV who were randomized to 90 mg LY2127399 SC Q2W at Week 0 of Studies BCDO and BCDV and continued to receive 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
NR Placebo to LY B
n=67 Participants
90 mg LY2127399 administered SC Q2W. All Week 16 NR from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and assigned to 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
Placebo to LY A
n=97 Participants
120 mg LY2127399 administered SC Q4W (240 mg LY2127399 loading dose at Week 0). All Week 16 responders from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and were randomized to receive 120 mg LY2127399 SC Q4W in Study BCDP.
Placebo to LY B
n=102 Participants
90 mg LY2127399 administered SC Q2W (180 mg LY2127399 loading dose at Week 0). All Week 16 responders from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and were randomized to receive 90 mg LY2127399 SC Q2W in Study BCDP.
Percentage of Participants Developing Anti-LY2127399 Antibodies
Week 4
1.7 percentage of participants
0.3 percentage of participants
3.4 percentage of participants
1.1 percentage of participants
1.5 percentage of participants
2.1 percentage of participants
1.0 percentage of participants
Percentage of Participants Developing Anti-LY2127399 Antibodies
Week 24
0.7 percentage of participants
0.7 percentage of participants
1.3 percentage of participants
1.4 percentage of participants
0.0 percentage of participants
1.1 percentage of participants
0.0 percentage of participants
Percentage of Participants Developing Anti-LY2127399 Antibodies
Week 48
0.0 percentage of participants
0.6 percentage of participants
0.0 percentage of participants
0.0 percentage of participants
0.0 percentage of participants
0 percentage of participants
0.0 percentage of participants
Percentage of Participants Developing Anti-LY2127399 Antibodies
Week 72
0.0 percentage of participants
0.0 percentage of participants
0.0 percentage of participants
0.0 percentage of participants
0.0 percentage of participants
0 percentage of participants
0.0 percentage of participants

PRIMARY outcome

Timeframe: Baseline, Week 48

Population: All participants from Studies BCDO and BCDV with an evaluable CD3-CD20+ B cell counts. Last Observation Carried Forward (LOCF) was used to impute missing post-baseline values.

Cell-surface marker cluster designation (CD) 3 negative, CD20 positive (CD3-CD20+) defines total mature B cells. B-lymphocyte antigen CD20 is an activated-glycosylated phosphoprotein expressed on the surface of all mature B cells. Baseline B cell count is the average of the values on or prior to the date of first injection of study treatment in preceding studies, including unscheduled visits. A positive or negative change indicated an increase or decrease, respectively, in B cell count.

Outcome measures

Outcome measures
Measure
120 mg LY2127399 (LY A)
n=302 Participants
120 mg LY2127399 administered SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on 120 mg LY2127399 SC Q4W immediately prior to Study BCDP enrollment remained on 120 mg LY2127399 SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 240 mg LY2127399 SC, 4 weeks later followed by 120 mg LY2127399 SC Q4W for the subsequent treatment.
90 mg LY2127399 (LY B)
n=305 Participants
90 mg LY2127399 administered SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on 90 mg LY2127399 SC Q2W immediately prior to Study BCDP enrollment remained on 90 mg LY2127399 SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 180 mg LY2127399 SC, 2 weeks later followed by 90 mg LY2127399 SC Q2W for the subsequent treatment.
NR LY A to LY B
n=90 Participants
90 mg LY2127399 administered SC Q2W. All Week 16 non-responders (NR) from Studies BCDO and BCDV who were randomized to 120 mg LY2127399 SC Q4W at Week 0 of Studies BCDO and BCDV and assigned to 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
NR LY B to LY B
n=88 Participants
90 mg LY2127399 administered SC Q2W. All Week 16 NR from Studies BCDO and BCDV who were randomized to 90 mg LY2127399 SC Q2W at Week 0 of Studies BCDO and BCDV and continued to receive 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
NR Placebo to LY B
n=70 Participants
90 mg LY2127399 administered SC Q2W. All Week 16 NR from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and assigned to 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
Placebo to LY A
n=102 Participants
120 mg LY2127399 administered SC Q4W (240 mg LY2127399 loading dose at Week 0). All Week 16 responders from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and were randomized to receive 120 mg LY2127399 SC Q4W in Study BCDP.
Placebo to LY B
n=105 Participants
90 mg LY2127399 administered SC Q2W (180 mg LY2127399 loading dose at Week 0). All Week 16 responders from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and were randomized to receive 90 mg LY2127399 SC Q2W in Study BCDP.
Change From Baseline in Absolute B Cell Counts
-111.68 cells/microliter (cells/µL)
Standard Deviation 155.59
-121.30 cells/microliter (cells/µL)
Standard Deviation 132.68
-134.68 cells/microliter (cells/µL)
Standard Deviation 130.21
-110.92 cells/microliter (cells/µL)
Standard Deviation 125.30
-99.67 cells/microliter (cells/µL)
Standard Deviation 126.55
-75.92 cells/microliter (cells/µL)
Standard Deviation 142.78
-104.67 cells/microliter (cells/µL)
Standard Deviation 143.24

PRIMARY outcome

Timeframe: Baseline, Week 48

Population: All participants from Studies BCDO and BCDV with an evaluable serum Ig data. LOCF was used to impute missing post-baseline values.

Immunoglobulins (Ig), or antibodies, are large 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 serum immunoglobulin A (IgA), immunoglobulin G (IgG), and immunoglobulin M (IgM) levels are reported. A negative change indicated a decrease in Ig levels. Baseline is defined as the last non-missing observation on or prior to the date of the first injection of LY2127399 in preceding studies or Study BCDP.

Outcome measures

Outcome measures
Measure
120 mg LY2127399 (LY A)
n=306 Participants
120 mg LY2127399 administered SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on 120 mg LY2127399 SC Q4W immediately prior to Study BCDP enrollment remained on 120 mg LY2127399 SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 240 mg LY2127399 SC, 4 weeks later followed by 120 mg LY2127399 SC Q4W for the subsequent treatment.
90 mg LY2127399 (LY B)
n=307 Participants
90 mg LY2127399 administered SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on 90 mg LY2127399 SC Q2W immediately prior to Study BCDP enrollment remained on 90 mg LY2127399 SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 180 mg LY2127399 SC, 2 weeks later followed by 90 mg LY2127399 SC Q2W for the subsequent treatment.
NR LY A to LY B
n=90 Participants
90 mg LY2127399 administered SC Q2W. All Week 16 non-responders (NR) from Studies BCDO and BCDV who were randomized to 120 mg LY2127399 SC Q4W at Week 0 of Studies BCDO and BCDV and assigned to 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
NR LY B to LY B
n=91 Participants
90 mg LY2127399 administered SC Q2W. All Week 16 NR from Studies BCDO and BCDV who were randomized to 90 mg LY2127399 SC Q2W at Week 0 of Studies BCDO and BCDV and continued to receive 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
NR Placebo to LY B
n=71 Participants
90 mg LY2127399 administered SC Q2W. All Week 16 NR from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and assigned to 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
Placebo to LY A
n=104 Participants
120 mg LY2127399 administered SC Q4W (240 mg LY2127399 loading dose at Week 0). All Week 16 responders from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and were randomized to receive 120 mg LY2127399 SC Q4W in Study BCDP.
Placebo to LY B
n=105 Participants
90 mg LY2127399 administered SC Q2W (180 mg LY2127399 loading dose at Week 0). All Week 16 responders from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and were randomized to receive 90 mg LY2127399 SC Q2W in Study BCDP.
Change From Baseline in Serum Immunoglobulin (Ig) Levels
IgA
-0.402 grams/liter (g/L)
Standard Deviation 0.580
-0.424 grams/liter (g/L)
Standard Deviation 0.604
-0.499 grams/liter (g/L)
Standard Deviation 0.681
-0.465 grams/liter (g/L)
Standard Deviation 0.501
-0.298 grams/liter (g/L)
Standard Deviation 0.376
-0.300 grams/liter (g/L)
Standard Deviation 0.590
-0.407 grams/liter (g/L)
Standard Deviation 0.481
Change From Baseline in Serum Immunoglobulin (Ig) Levels
IgG
-1.465 grams/liter (g/L)
Standard Deviation 2.112
-1.366 grams/liter (g/L)
Standard Deviation 2.166
-1.321 grams/liter (g/L)
Standard Deviation 2.071
-1.196 grams/liter (g/L)
Standard Deviation 2.276
-1.420 grams/liter (g/L)
Standard Deviation 1.651
-1.376 grams/liter (g/L)
Standard Deviation 2.295
-1.415 grams/liter (g/L)
Standard Deviation 2.163
Change From Baseline in Serum Immunoglobulin (Ig) Levels
IgM
-0.346 grams/liter (g/L)
Standard Deviation 0.372
-0.332 grams/liter (g/L)
Standard Deviation 0.465
-0.422 grams/liter (g/L)
Standard Deviation 0.505
-0.387 grams/liter (g/L)
Standard Deviation 0.267
-0.287 grams/liter (g/L)
Standard Deviation 0.228
-0.256 grams/liter (g/L)
Standard Deviation 0.289
-0.267 grams/liter (g/L)
Standard Deviation 0.298

SECONDARY outcome

Timeframe: Baseline through Weeks 12, 24 and 48

Population: All participants from Studies BCDO and BCDV with an evaluable ACR20 responder data. If participant's CRP was missing, last post-baseline value was used. If ACR20 was missing after carrying forward CRP, last post-baseline ACR20 response was used.

ACR Responder Index is a Composite of clinical, laboratory, and functional measures of rheumatoid arthritis (RA). ACR20 Responders: had ≥20% improvement from baseline in both 68 tender and 66 swollen joint counts and ≥20% improvement in at least 3 of 5 criteria: participant's and physician's global assessment of disease activity, Health Assessment Questionnaire-Disability Index (HAQ-DI) (which measured participants' perceived degree of difficulty performing daily activities), joint pain, and C-reactive protein (CRP). Baseline is defined as the last non-missing observation on or prior to the date of the first injection of LY2127399 in preceding studies or Study BCDP. Percentage of participants achieving ACR20 response=(number of ACR20 responders / number of participants treated) \* 100. All participants who discontinue study treatment for any reason were defined as NR at that time point and going forward.

Outcome measures

Outcome measures
Measure
120 mg LY2127399 (LY A)
n=308 Participants
120 mg LY2127399 administered SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on 120 mg LY2127399 SC Q4W immediately prior to Study BCDP enrollment remained on 120 mg LY2127399 SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 240 mg LY2127399 SC, 4 weeks later followed by 120 mg LY2127399 SC Q4W for the subsequent treatment.
90 mg LY2127399 (LY B)
n=308 Participants
90 mg LY2127399 administered SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on 90 mg LY2127399 SC Q2W immediately prior to Study BCDP enrollment remained on 90 mg LY2127399 SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 180 mg LY2127399 SC, 2 weeks later followed by 90 mg LY2127399 SC Q2W for the subsequent treatment.
NR LY A to LY B
n=91 Participants
90 mg LY2127399 administered SC Q2W. All Week 16 non-responders (NR) from Studies BCDO and BCDV who were randomized to 120 mg LY2127399 SC Q4W at Week 0 of Studies BCDO and BCDV and assigned to 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
NR LY B to LY B
n=92 Participants
90 mg LY2127399 administered SC Q2W. All Week 16 NR from Studies BCDO and BCDV who were randomized to 90 mg LY2127399 SC Q2W at Week 0 of Studies BCDO and BCDV and continued to receive 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
NR Placebo to LY B
n=72 Participants
90 mg LY2127399 administered SC Q2W. All Week 16 NR from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and assigned to 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
Placebo to LY A
n=105 Participants
120 mg LY2127399 administered SC Q4W (240 mg LY2127399 loading dose at Week 0). All Week 16 responders from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and were randomized to receive 120 mg LY2127399 SC Q4W in Study BCDP.
Placebo to LY B
n=106 Participants
90 mg LY2127399 administered SC Q2W (180 mg LY2127399 loading dose at Week 0). All Week 16 responders from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and were randomized to receive 90 mg LY2127399 SC Q2W in Study BCDP.
Percentage of Participants With American College of Rheumatology 20% Response (ACR20)
Week 12
41.9 percentage of participants
46.1 percentage of participants
30.8 percentage of participants
21.7 percentage of participants
25.0 percentage of participants
8.6 percentage of participants
4.7 percentage of participants
Percentage of Participants With American College of Rheumatology 20% Response (ACR20)
Week 24
37.3 percentage of participants
37.0 percentage of participants
29.7 percentage of participants
16.3 percentage of participants
27.8 percentage of participants
6.7 percentage of participants
9.4 percentage of participants
Percentage of Participants With American College of Rheumatology 20% Response (ACR20)
Week 48
14.0 percentage of participants
15.9 percentage of participants
18.7 percentage of participants
7.6 percentage of participants
16.7 percentage of participants
6.7 percentage of participants
5.7 percentage of participants

SECONDARY outcome

Timeframe: Baseline, 240 weeks

Population: Zero participants analyzed. DAS28-CRP data was not collected for analysis due to early termination of the study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline through 240 weeks

Population: Zero participants analyzed. EULAR-28 data was not collected for analysis due to early termination of the study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, 240 weeks

Population: Zero participants analyzed. SF-36 data was not collected for analysis due to early termination of the study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, 240 weeks

Population: Zero participants analyzed. Tender joint count data was not collected for analysis due to early termination of the study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, 240 weeks

Population: Zero participants analyzed. Swollen joint count data was not collected for analysis due to early termination of the study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, 240 weeks

Population: Zero participants analyzed. VAS data was not collected for analysis due to early termination of the study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, 240 weeks

Population: Zero participants analyzed. Participants Global assessment data was not collected for analysis due to early termination of the study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, 240 weeks

Population: Zero participants analyzed. Physicians global assessment data was not collected for analysis due to early termination of the study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, 240 weeks

Population: Zero participants analyzed. HAQ-DI data was not collected for analysis due to early termination of the study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, 240 weeks

Population: Zero participants analyzed. CRP data was not collected for analysis due to early termination of the study.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline through 240 weeks

Population: Zero participants analyzed. ACR-N data was not collected for analysis due to early termination of the study.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 84.4 weeks during treatment period and discontinuation from study treatment up to 48 weeks during follow-up period

Population: All enrolled participants.

Outcome measures

Outcome measures
Measure
120 mg LY2127399 (LY A)
n=414 Participants
120 mg LY2127399 administered SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on 120 mg LY2127399 SC Q4W immediately prior to Study BCDP enrollment remained on 120 mg LY2127399 SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 240 mg LY2127399 SC, 4 weeks later followed by 120 mg LY2127399 SC Q4W for the subsequent treatment.
90 mg LY2127399 (LY B)
n=672 Participants
90 mg LY2127399 administered SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on 90 mg LY2127399 SC Q2W immediately prior to Study BCDP enrollment remained on 90 mg LY2127399 SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 180 mg LY2127399 SC, 2 weeks later followed by 90 mg LY2127399 SC Q2W for the subsequent treatment.
NR LY A to LY B
90 mg LY2127399 administered SC Q2W. All Week 16 non-responders (NR) from Studies BCDO and BCDV who were randomized to 120 mg LY2127399 SC Q4W at Week 0 of Studies BCDO and BCDV and assigned to 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
NR LY B to LY B
90 mg LY2127399 administered SC Q2W. All Week 16 NR from Studies BCDO and BCDV who were randomized to 90 mg LY2127399 SC Q2W at Week 0 of Studies BCDO and BCDV and continued to receive 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
NR Placebo to LY B
90 mg LY2127399 administered SC Q2W. All Week 16 NR from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and assigned to 90 mg LY2127399 SC Q2W at Week 16 of Studies BCDO and BCDV.
Placebo to LY A
120 mg LY2127399 administered SC Q4W (240 mg LY2127399 loading dose at Week 0). All Week 16 responders from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and were randomized to receive 120 mg LY2127399 SC Q4W in Study BCDP.
Placebo to LY B
90 mg LY2127399 administered SC Q2W (180 mg LY2127399 loading dose at Week 0). All Week 16 responders from Studies BCDO and BCDV who were randomized to placebo SC Q2W at Week 0 of Studies BCDO and BCDV and were randomized to receive 90 mg LY2127399 SC Q2W in Study BCDP.
Number of Participants Who Died During Treatment Period and Post-Treatment Follow-Up Period
Treatment Period
2 Participants
4 Participants
Number of Participants Who Died During Treatment Period and Post-Treatment Follow-Up Period
Post-Treatment Follow-Up Period
0 Participants
1 Participants

Adverse Events

120 mg LY2127399 (LY A) Treatment Period

Serious events: 30 serious events
Other events: 130 other events
Deaths: 0 deaths

90 mg LY2127399 (LY B) Treatment Period

Serious events: 57 serious events
Other events: 251 other events
Deaths: 0 deaths

120 mg LY2127399 (LY A) Follow-Up Period

Serious events: 15 serious events
Other events: 47 other events
Deaths: 0 deaths

90 mg LY2127399 (LY B) Follow-Up Period

Serious events: 28 serious events
Other events: 71 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
120 mg LY2127399 (LY A) Treatment Period
n=414 participants at risk
120 mg LY2127399 administered SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on 120 mg LY2127399 SC Q4W immediately prior to Study BCDP enrollment remained on 120 mg LY2127399 SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 240 mg LY2127399 SC, 4 weeks later followed by 120 mg LY2127399 SC Q4W for the subsequent treatment.
90 mg LY2127399 (LY B) Treatment Period
n=672 participants at risk
90 mg LY2127399 administered SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on 90 mg LY2127399 SC Q2W immediately prior to Study BCDP enrollment remained on 90 mg LY2127399 SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 180 mg LY2127399 SC, 2 weeks later followed by 90 mg LY2127399 SC Q2W for the subsequent treatment.
120 mg LY2127399 (LY A) Follow-Up Period
n=368 participants at risk
The Post-Treatment Follow-Up Period was defined as the time after study treatment discontinuation visit up to 48 weeks following the last injection of study treatment. Includes Participants who were previously enrolled in Studies BCDO, BCDV and BCDM and who received 120 mg LY2127399 SC Q4W during Study BCDP treatment period.
90 mg LY2127399 (LY B) Follow-Up Period
n=591 participants at risk
The Post-Treatment Follow-Up Period was defined as the time after study treatment discontinuation visit up to 48 weeks following the last injection of study treatment. Includes Participants who were previously enrolled in Studies BCDO, BCDV and BCDM and who received 90 mg LY2127399 SC Q2W during Study BCDP treatment period.
Blood and lymphatic system disorders
Anaemia
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Cardiac disorders
Acute myocardial infarction
0.24%
1/414 • Number of events 1
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Cardiac disorders
Arteriosclerosis coronary artery
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Cardiac disorders
Atrial fibrillation
0.72%
3/414 • Number of events 3
0.00%
0/672
0.00%
0/368
0.00%
0/591
Cardiac disorders
Cardiac failure acute
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Cardiac disorders
Cardiac failure congestive
0.48%
2/414 • Number of events 2
0.00%
0/672
0.00%
0/368
0.00%
0/591
Cardiac disorders
Coronary artery disease
0.24%
1/414 • Number of events 1
0.30%
2/672 • Number of events 2
0.00%
0/368
0.00%
0/591
Cardiac disorders
Left ventricular dysfunction
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Cardiac disorders
Palpitations
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Cardiac disorders
Supraventricular tachycardia
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Endocrine disorders
Hyperthyroidism
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Eye disorders
Diabetic retinal oedema
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Eye disorders
Diabetic retinopathy
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Eye disorders
Maculopathy
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Gastrointestinal disorders
Abdominal adhesions
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/414
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Gastrointestinal disorders
Colon dysplasia
0.00%
0/414
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Gastrointestinal disorders
Duodenal ulcer
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Gastrointestinal disorders
Duodenal ulcer perforation
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Gastrointestinal disorders
Dyspepsia
0.24%
1/414 • Number of events 1
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Gastrointestinal disorders
Gastritis
0.00%
0/414
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Gastrointestinal disorders
Haemorrhoids
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Gastrointestinal disorders
Nausea
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Gastrointestinal disorders
Pancreatitis
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Gastrointestinal disorders
Small intestinal obstruction
0.00%
0/414
0.30%
2/672 • Number of events 2
0.00%
0/368
0.00%
0/591
Gastrointestinal disorders
Vomiting
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
General disorders
Chest pain
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
General disorders
Non-cardiac chest pain
0.24%
1/414 • Number of events 1
0.30%
2/672 • Number of events 2
0.00%
0/368
0.17%
1/591 • Number of events 1
General disorders
Ulcer haemorrhage
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Hepatobiliary disorders
Cholecystitis chronic
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Hepatobiliary disorders
Cholelithiasis
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Hepatobiliary disorders
Hepatic function abnormal
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Hepatobiliary disorders
Non-alcoholic steatohepatitis
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.34%
2/591 • Number of events 2
Infections and infestations
Abscess limb
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Infections and infestations
Appendicitis
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Infections and infestations
Bacterial pyelonephritis
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Infections and infestations
Bronchiolitis
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Infections and infestations
Campylobacter gastroenteritis
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Infections and infestations
Cellulitis
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.17%
1/591 • Number of events 1
Infections and infestations
Cellulitis staphylococcal
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Infections and infestations
Cholecystitis infective
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Infections and infestations
Clostridium difficile colitis
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.17%
1/591 • Number of events 1
Infections and infestations
Diverticulitis
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Infections and infestations
Gastroenteritis
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Infections and infestations
Infected bunion
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Infections and infestations
Influenza
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Infections and infestations
Klebsiella infection
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Infections and infestations
Pelvic inflammatory disease
0.00%
0/339
0.00%
0/538
0.00%
0/301
0.21%
1/473 • Number of events 1
Infections and infestations
Pneumocystis jiroveci pneumonia
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Infections and infestations
Pneumonia
0.24%
1/414 • Number of events 1
0.15%
1/672 • Number of events 1
0.27%
1/368 • Number of events 1
0.00%
0/591
Infections and infestations
Pyelonephritis
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Infections and infestations
Sepsis
0.48%
2/414 • Number of events 2
0.00%
0/672
0.00%
0/368
0.00%
0/591
Infections and infestations
Septic shock
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Infections and infestations
Sinusitis
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Infections and infestations
Soft tissue infection
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Infections and infestations
Staphylococcal bacteraemia
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Infections and infestations
Staphylococcal infection
0.00%
0/414
0.15%
1/672 • Number of events 2
0.00%
0/368
0.17%
1/591 • Number of events 2
Infections and infestations
Subcutaneous abscess
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Infections and infestations
Urinary tract infection
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Infections and infestations
Urosepsis
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Infections and infestations
Wound infection
0.00%
0/414
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Injury, poisoning and procedural complications
Accidental overdose
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Injury, poisoning and procedural complications
Chest injury
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Injury, poisoning and procedural complications
Fall
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Injury, poisoning and procedural complications
Femur fracture
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.34%
2/591 • Number of events 2
Injury, poisoning and procedural complications
Fibula fracture
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Injury, poisoning and procedural complications
Foot fracture
0.00%
0/414
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Injury, poisoning and procedural complications
Humerus fracture
0.00%
0/414
0.30%
2/672 • Number of events 2
0.27%
1/368 • Number of events 1
0.00%
0/591
Injury, poisoning and procedural complications
Meniscus injury
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Injury, poisoning and procedural complications
Pelvic fracture
0.00%
0/414
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Injury, poisoning and procedural complications
Spinal compression fracture
0.24%
1/414 • Number of events 1
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Injury, poisoning and procedural complications
Traumatic arthritis
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Injury, poisoning and procedural complications
Upper limb fracture
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Metabolism and nutrition disorders
Dehydration
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Metabolism and nutrition disorders
Diabetes mellitus
0.00%
0/414
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Metabolism and nutrition disorders
Hypercalcaemia
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Musculoskeletal and connective tissue disorders
Arthritis
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Musculoskeletal and connective tissue disorders
Bunion
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Musculoskeletal and connective tissue disorders
Bursitis
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.17%
1/591 • Number of events 1
Musculoskeletal and connective tissue disorders
Neuropathic arthropathy
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.24%
1/414 • Number of events 1
0.30%
2/672 • Number of events 2
0.27%
1/368 • Number of events 1
0.51%
3/591 • Number of events 3
Musculoskeletal and connective tissue disorders
Osteonecrosis
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Musculoskeletal and connective tissue disorders
Rheumatoid arthritis
0.48%
2/414 • Number of events 2
0.74%
5/672 • Number of events 5
0.54%
2/368 • Number of events 2
0.51%
3/591 • Number of events 3
Musculoskeletal and connective tissue disorders
Spondylolisthesis
0.24%
1/414 • Number of events 1
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Musculoskeletal and connective tissue disorders
Synovial cyst
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.00%
0/414
0.30%
2/672 • Number of events 3
0.27%
1/368 • Number of events 1
0.00%
0/591
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cervix carcinoma stage 0
0.00%
0/339
0.19%
1/538 • Number of events 1
0.00%
0/301
0.00%
0/473
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon adenoma
0.00%
0/414
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer metastatic
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive ductal breast carcinoma
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.00%
0/75
0.00%
0/134
0.00%
0/67
0.85%
1/118 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.17%
1/591 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma of skin
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ureteric cancer
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.00%
0/339
0.00%
0/538
0.00%
0/301
0.21%
1/473 • Number of events 1
Nervous system disorders
Cerebrovascular accident
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Nervous system disorders
Ischaemic stroke
0.00%
0/414
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Nervous system disorders
Lumbar radiculopathy
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Nervous system disorders
Transient ischaemic attack
0.24%
1/414 • Number of events 1
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Nervous system disorders
Vertebral artery dissection
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous
0.00%
0/339
0.19%
1/538 • Number of events 1
0.00%
0/301
0.00%
0/473
Pregnancy, puerperium and perinatal conditions
Pregnancy
0.00%
0/339
0.19%
1/538 • Number of events 1
0.00%
0/301
0.00%
0/473
Psychiatric disorders
Depression
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Psychiatric disorders
Schizoaffective disorder bipolar type
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Renal and urinary disorders
Renal failure acute
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Reproductive system and breast disorders
Uterine polyp
0.00%
0/339
0.19%
1/538 • Number of events 1
0.00%
0/301
0.00%
0/473
Respiratory, thoracic and mediastinal disorders
Asthma
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Respiratory, thoracic and mediastinal disorders
Atelectasis
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Respiratory, thoracic and mediastinal disorders
Lung infiltration
0.00%
0/414
0.00%
0/672
0.00%
0/368
0.17%
1/591 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.24%
1/414 • Number of events 1
0.30%
2/672 • Number of events 2
0.00%
0/368
0.00%
0/591
Respiratory, thoracic and mediastinal disorders
Sleep apnoea syndrome
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Skin and subcutaneous tissue disorders
Skin ulcer
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Vascular disorders
Aortic stenosis
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Vascular disorders
Arterial haemorrhage
0.24%
1/414 • Number of events 1
0.00%
0/672
0.00%
0/368
0.00%
0/591
Vascular disorders
Arteriosclerosis
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Vascular disorders
Deep vein thrombosis
0.24%
1/414 • Number of events 1
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591
Vascular disorders
Hypertension
0.24%
1/414 • Number of events 1
0.00%
0/672
0.27%
1/368 • Number of events 1
0.00%
0/591
Vascular disorders
Hypotension
0.00%
0/414
0.15%
1/672 • Number of events 1
0.00%
0/368
0.00%
0/591

Other adverse events

Other adverse events
Measure
120 mg LY2127399 (LY A) Treatment Period
n=414 participants at risk
120 mg LY2127399 administered SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on 120 mg LY2127399 SC Q4W immediately prior to Study BCDP enrollment remained on 120 mg LY2127399 SC Q4W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 240 mg LY2127399 SC, 4 weeks later followed by 120 mg LY2127399 SC Q4W for the subsequent treatment.
90 mg LY2127399 (LY B) Treatment Period
n=672 participants at risk
90 mg LY2127399 administered SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on 90 mg LY2127399 SC Q2W immediately prior to Study BCDP enrollment remained on 90 mg LY2127399 SC Q2W. Participants from Studies BCDO, BCDV and BCDM who were on placebo immediately prior to Study BCDP enrollment were randomized to receive a loading dose of 180 mg LY2127399 SC, 2 weeks later followed by 90 mg LY2127399 SC Q2W for the subsequent treatment.
120 mg LY2127399 (LY A) Follow-Up Period
n=368 participants at risk
The Post-Treatment Follow-Up Period was defined as the time after study treatment discontinuation visit up to 48 weeks following the last injection of study treatment. Includes Participants who were previously enrolled in Studies BCDO, BCDV and BCDM and who received 120 mg LY2127399 SC Q4W during Study BCDP treatment period.
90 mg LY2127399 (LY B) Follow-Up Period
n=591 participants at risk
The Post-Treatment Follow-Up Period was defined as the time after study treatment discontinuation visit up to 48 weeks following the last injection of study treatment. Includes Participants who were previously enrolled in Studies BCDO, BCDV and BCDM and who received 90 mg LY2127399 SC Q2W during Study BCDP treatment period.
Blood and lymphatic system disorders
Anaemia
1.4%
6/414 • Number of events 6
2.2%
15/672 • Number of events 15
0.82%
3/368 • Number of events 3
0.68%
4/591 • Number of events 4
General disorders
Injection site reaction
1.7%
7/414 • Number of events 10
2.4%
16/672 • Number of events 44
0.00%
0/368
0.17%
1/591 • Number of events 9
Infections and infestations
Bronchitis
3.6%
15/414 • Number of events 15
4.5%
30/672 • Number of events 36
1.4%
5/368 • Number of events 7
2.2%
13/591 • Number of events 13
Infections and infestations
Influenza
1.4%
6/414 • Number of events 6
2.7%
18/672 • Number of events 19
0.82%
3/368 • Number of events 3
0.51%
3/591 • Number of events 3
Infections and infestations
Nasopharyngitis
5.1%
21/414 • Number of events 32
5.7%
38/672 • Number of events 44
3.3%
12/368 • Number of events 17
2.0%
12/591 • Number of events 14
Infections and infestations
Sinusitis
4.1%
17/414 • Number of events 19
3.4%
23/672 • Number of events 26
0.82%
3/368 • Number of events 3
1.9%
11/591 • Number of events 12
Infections and infestations
Upper respiratory tract infection
5.6%
23/414 • Number of events 36
10.9%
73/672 • Number of events 89
2.2%
8/368 • Number of events 8
1.9%
11/591 • Number of events 11
Infections and infestations
Urinary tract infection
3.9%
16/414 • Number of events 19
2.5%
17/672 • Number of events 22
0.54%
2/368 • Number of events 2
0.85%
5/591 • Number of events 7
Musculoskeletal and connective tissue disorders
Arthralgia
3.9%
16/414 • Number of events 19
3.7%
25/672 • Number of events 27
0.82%
3/368 • Number of events 3
0.34%
2/591 • Number of events 2
Musculoskeletal and connective tissue disorders
Pain in extremity
2.2%
9/414 • Number of events 9
0.89%
6/672 • Number of events 7
0.54%
2/368 • Number of events 2
0.34%
2/591 • Number of events 2
Musculoskeletal and connective tissue disorders
Rheumatoid arthritis
6.3%
26/414 • Number of events 33
8.8%
59/672 • Number of events 65
2.7%
10/368 • Number of events 10
2.5%
15/591 • Number of events 21
Nervous system disorders
Headache
2.7%
11/414 • Number of events 11
1.3%
9/672 • Number of events 11
0.27%
1/368 • Number of events 1
0.51%
3/591 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Cough
2.4%
10/414 • Number of events 11
1.9%
13/672 • Number of events 14
0.00%
0/368
0.17%
1/591 • Number of events 1

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