Trial Outcomes & Findings for A Pharmacokinetic Study of the Coadministration of LY2216684 With Sertraline (NCT NCT01250873)

NCT ID: NCT01250873

Last Updated: 2019-01-04

Results Overview

The Least Squares (LS) geometric mean AUCτ of LY2216684 was calculated based on the LY2216684 plasma concentration time curve from time 0 hour (hr) to time 24 hr (tau \[τ\]) when LY221684 was administered alone (Day 3) and when LY2216684 was coadministered with sertraline (Day 13). The Day 13-to-Day 3 ratio of the LY2216684 LS geometric mean of AUCτ and the associated 90% confidence interval (CI) of the ratio were calculated.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

20 participants

Primary outcome timeframe

0, 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 3 and Day 13

Results posted on

2019-01-04

Participant Flow

Participant milestones

Participant milestones
Measure
LY2216684/Sertraline/LY2216684 + Sertraline
Period 1: LY2216684 18 milligram (mg) oral (po) dose on Days 1-3; Period 2: Sertraline 50 mg po dose on Day 4 followed by sertraline 100 mg po dose on Days 5-10; Period 3: LY2216684 18 mg po dose + sertraline 100 mg po dose on Days 11-13.
Period 1: LY2216684 (Days 1-3)
STARTED
20
Period 1: LY2216684 (Days 1-3)
COMPLETED
18
Period 1: LY2216684 (Days 1-3)
NOT COMPLETED
2
Period 2: Sertraline (Day 4, 5-10)
STARTED
18
Period 2: Sertraline (Day 4, 5-10)
COMPLETED
18
Period 2: Sertraline (Day 4, 5-10)
NOT COMPLETED
0
Period 3:LY2216684+Sertraline(Days11-13)
STARTED
18
Period 3:LY2216684+Sertraline(Days11-13)
COMPLETED
17
Period 3:LY2216684+Sertraline(Days11-13)
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
LY2216684/Sertraline/LY2216684 + Sertraline
Period 1: LY2216684 18 milligram (mg) oral (po) dose on Days 1-3; Period 2: Sertraline 50 mg po dose on Day 4 followed by sertraline 100 mg po dose on Days 5-10; Period 3: LY2216684 18 mg po dose + sertraline 100 mg po dose on Days 11-13.
Period 1: LY2216684 (Days 1-3)
Adverse Event
2
Period 3:LY2216684+Sertraline(Days11-13)
Adverse Event
1

Baseline Characteristics

A Pharmacokinetic Study of the Coadministration of LY2216684 With Sertraline

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LY2216684/Sertraline/LY2216684 + Sertraline
n=20 Participants
Period 1: LY2216684 18 milligram (mg) oral (po) dose on Days 1-3; Period 2: Sertraline 50 mg po dose on Day 4 followed by sertraline 100 mg po dose on Days 5-10; Period 3: LY2216684 18 mg po dose + sertraline 100 mg po dose on Days 11-13.
Age, Continuous
37.8 years
STANDARD_DEVIATION 8.8 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
4 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
20 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 0, 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 3 and Day 13

Population: The safety population included participants who were randomized, received study drug, and had at least 1 postdose safety assessment.

The Least Squares (LS) geometric mean AUCτ of LY2216684 was calculated based on the LY2216684 plasma concentration time curve from time 0 hour (hr) to time 24 hr (tau \[τ\]) when LY221684 was administered alone (Day 3) and when LY2216684 was coadministered with sertraline (Day 13). The Day 13-to-Day 3 ratio of the LY2216684 LS geometric mean of AUCτ and the associated 90% confidence interval (CI) of the ratio were calculated.

Outcome measures

Outcome measures
Measure
LY2216684/Sertraline/LY2216684 + Sertraline
n=18 Participants
Period 1: LY2216684 18 milligram (mg) oral (po) dose on Days 1-3; Period 2: Sertraline 50 mg po dose on Day 4 followed by sertraline 100 mg po dose on Days 5-10; Period 3: LY2216684 18 mg po dose + sertraline 100 mg po dose on Days 11-13.
Pharmacokinetic (PK) Parameter: Area Under the Plasma Concentration-Time Curve Over a 24-Hour Dosing Interval (AUCτ) of LY2216684
LY2216684 alone
675 hour*nanogram per milliliter (h*ng/mL)
Interval 618.0 to 738.0
Pharmacokinetic (PK) Parameter: Area Under the Plasma Concentration-Time Curve Over a 24-Hour Dosing Interval (AUCτ) of LY2216684
LY2216684 + sertraline
792 hour*nanogram per milliliter (h*ng/mL)
Interval 716.0 to 876.0

PRIMARY outcome

Timeframe: 0, 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 3 and Day 13

Population: The safety population included participants who were randomized, received study drug, and had at least 1 postdose safety assessment.

The Least Squares (LS) geometric mean Cmax of LY2216684 was determined when LY2216684 was administered alone (Day 3) and when LY2216684 was coadministered with sertraline (Day 13). The Day 13-to-Day 3 ratio of the LY2216684 LS geometric mean of Cmax and the associated 90% confidence interval (CI) of the ratio were calculated.

Outcome measures

Outcome measures
Measure
LY2216684/Sertraline/LY2216684 + Sertraline
n=18 Participants
Period 1: LY2216684 18 milligram (mg) oral (po) dose on Days 1-3; Period 2: Sertraline 50 mg po dose on Day 4 followed by sertraline 100 mg po dose on Days 5-10; Period 3: LY2216684 18 mg po dose + sertraline 100 mg po dose on Days 11-13.
Pharmacokinetic (PK) Parameter: Maximum Plasma Concentration (Cmax) of LY2216684
LY2216684 alone
65.9 nanogram per milliliter (ng/mL)
Interval 60.9 to 71.4
Pharmacokinetic (PK) Parameter: Maximum Plasma Concentration (Cmax) of LY2216684
LY2216684 + sertraline
74.9 nanogram per milliliter (ng/mL)
Interval 68.1 to 82.4

PRIMARY outcome

Timeframe: 0, 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 3 and Day 13

Population: The safety population included participants who were randomized, received study drug, and had at least 1 postdose safety assessment.

Tmax of LY2216684 was determined using the median of paired differences between the 2 treatment groups when LY2216684 was administered alone (Day 3) and when LY2216684 was coadministered with sertraline (Day 13). The 90% confidence interval (CI) for the median of differences was calculated.

Outcome measures

Outcome measures
Measure
LY2216684/Sertraline/LY2216684 + Sertraline
n=13 Participants
Period 1: LY2216684 18 milligram (mg) oral (po) dose on Days 1-3; Period 2: Sertraline 50 mg po dose on Day 4 followed by sertraline 100 mg po dose on Days 5-10; Period 3: LY2216684 18 mg po dose + sertraline 100 mg po dose on Days 11-13.
Pharmacokinetic (PK) Parameter: Time to Maximum Plasma Concentration (Tmax) of LY2216684
LY2216684 alone
2.00 hours
Interval 2.0 to 4.0
Pharmacokinetic (PK) Parameter: Time to Maximum Plasma Concentration (Tmax) of LY2216684
LY2216684 + sertraline
3.00 hours
Interval 2.0 to 4.0

PRIMARY outcome

Timeframe: 0, 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 10 and Day 13

Population: The safety population included participants who were randomized, received study drug, and had at least 1 postdose safety assessment.

The Least Squares (LS) geometric mean AUCτ of sertraline was calculated based on the sertraline plasma concentration time curve from time 0 hour (hr) to time 24 hr (tau \[τ\]) when sertraline was administered alone (Day 10) and when sertraline was coadministered with LY2216684 (Day 13). The Day 13-to-Day 10 ratio of the sertraline LS geometric mean of AUCτ and the associated 90% confidence interval (CI) of the ratio were calculated.

Outcome measures

Outcome measures
Measure
LY2216684/Sertraline/LY2216684 + Sertraline
n=17 Participants
Period 1: LY2216684 18 milligram (mg) oral (po) dose on Days 1-3; Period 2: Sertraline 50 mg po dose on Day 4 followed by sertraline 100 mg po dose on Days 5-10; Period 3: LY2216684 18 mg po dose + sertraline 100 mg po dose on Days 11-13.
Pharmacokinetic (PK) Parameter: Area Under the Plasma Concentration-Time Curve Over a 24-Hour Dosing Interval (AUCτ) of Sertraline
sertraline alone
1240 hour*nanogram per milliliter (h*ng/mL)
Interval 1090.0 to 1400.0
Pharmacokinetic (PK) Parameter: Area Under the Plasma Concentration-Time Curve Over a 24-Hour Dosing Interval (AUCτ) of Sertraline
sertraline + LY2216684
1570 hour*nanogram per milliliter (h*ng/mL)
Interval 1380.0 to 1790.0

PRIMARY outcome

Timeframe: 0, 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 10 and Day 13

Population: The safety population included participants who were randomized, received study drug, and had at least 1 postdose safety assessment.

The Least Squares (LS) geometric mean Cmax of sertraline was determined when sertraline was administered alone (Day 10) and when sertraline was coadministered with LY2216684 (Day 13). The Day 13-to-Day 10 ratio of the sertraline LS geometric mean of Cmax and the associated 90% confidence interval (CI) of the ratio were calculated.

Outcome measures

Outcome measures
Measure
LY2216684/Sertraline/LY2216684 + Sertraline
n=17 Participants
Period 1: LY2216684 18 milligram (mg) oral (po) dose on Days 1-3; Period 2: Sertraline 50 mg po dose on Day 4 followed by sertraline 100 mg po dose on Days 5-10; Period 3: LY2216684 18 mg po dose + sertraline 100 mg po dose on Days 11-13.
Pharmacokinetic (PK) Parameter: Maximum Plasma Concentration (Cmax) of Sertraline
sertraline alone
70.7 nanogram per milliliter (ng/mL)
Interval 62.4 to 80.1
Pharmacokinetic (PK) Parameter: Maximum Plasma Concentration (Cmax) of Sertraline
sertraline + LY2216684
86.4 nanogram per milliliter (ng/mL)
Interval 75.6 to 98.7

PRIMARY outcome

Timeframe: 0, 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 10 and Day 13

Population: The safety population included participants who were randomized, received study drug, and had at least 1 postdose safety assessment.

Tmax of sertraline was determined using the median of paired differences between the 2 treatment groups when sertraline was administered alone (Day 10) and when sertraline was coadministered with LY2216684 (Day 13). The 90% confidence interval (CI) for the median of differences was calculated.

Outcome measures

Outcome measures
Measure
LY2216684/Sertraline/LY2216684 + Sertraline
n=13 Participants
Period 1: LY2216684 18 milligram (mg) oral (po) dose on Days 1-3; Period 2: Sertraline 50 mg po dose on Day 4 followed by sertraline 100 mg po dose on Days 5-10; Period 3: LY2216684 18 mg po dose + sertraline 100 mg po dose on Days 11-13.
Pharmacokinetic (PK) Parameter: Time to Maximum Plasma Concentration (Tmax) of Sertraline
sertraline alone
6.00 hours
Interval 2.0 to 12.0
Pharmacokinetic (PK) Parameter: Time to Maximum Plasma Concentration (Tmax) of Sertraline
sertraline + LY2216684
8.00 hours
Interval 6.0 to 8.0

Adverse Events

LY2216684

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Sertraline

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

LY2216684 + Sertraline

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
LY2216684
n=20 participants at risk
Period 1: LY2216684 18 milligram (mg) oral (po) dose on Days 1-3; Period 2: Sertraline 50 mg po dose on Day 4 followed by sertraline 100 mg po dose on Days 5-10; Period 3: LY2216684 18 mg po dose + sertraline 100 mg po dose on Days 11-13.
Sertraline
n=18 participants at risk
Period 2: Sertraline 50 mg po dose on Day 4 followed by sertraline 100 mg po dose on Days 5-10.
LY2216684 + Sertraline
n=18 participants at risk
Period 3: LY2216684 18 mg po dose + sertraline 100 mg po dose on Days 11-13.
Ear and labyrinth disorders
Vertigo
5.0%
1/20 • Number of events 1
0.00%
0/18
5.6%
1/18 • Number of events 1
Eye disorders
Dry eye
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Gastrointestinal disorders
Abdominal pain
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Gastrointestinal disorders
Constipation
15.0%
3/20 • Number of events 3
0.00%
0/18
0.00%
0/18
Gastrointestinal disorders
Diarrhoea haemorrhagic
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Gastrointestinal disorders
Dyspepsia
0.00%
0/20
0.00%
0/18
5.6%
1/18 • Number of events 1
Gastrointestinal disorders
Flatulence
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Gastrointestinal disorders
Nausea
10.0%
2/20 • Number of events 2
0.00%
0/18
16.7%
3/18 • Number of events 3
Gastrointestinal disorders
Vomiting
5.0%
1/20 • Number of events 1
0.00%
0/18
5.6%
1/18 • Number of events 1
General disorders
Chills
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
General disorders
Feeling of body temperature change
30.0%
6/20 • Number of events 7
0.00%
0/18
5.6%
1/18 • Number of events 1
General disorders
Irritability
0.00%
0/20
0.00%
0/18
5.6%
1/18 • Number of events 1
General disorders
Pain
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Infections and infestations
Cellulitis
0.00%
0/20
5.6%
1/18 • Number of events 1
0.00%
0/18
Infections and infestations
Herpes zoster
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Infections and infestations
Lower respiratory tract infection
0.00%
0/20
0.00%
0/18
5.6%
1/18 • Number of events 1
Infections and infestations
Pharyngitis
0.00%
0/20
0.00%
0/18
5.6%
1/18 • Number of events 1
Infections and infestations
Rhinitis
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Infections and infestations
Sinusitis
5.0%
1/20 • Number of events 1
5.6%
1/18 • Number of events 1
0.00%
0/18
Metabolism and nutrition disorders
Hyperphagia
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Musculoskeletal and connective tissue disorders
Costochondritis
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Musculoskeletal and connective tissue disorders
Groin pain
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/20
0.00%
0/18
5.6%
1/18 • Number of events 1
Nervous system disorders
Disturbance in attention
0.00%
0/20
0.00%
0/18
5.6%
1/18 • Number of events 1
Nervous system disorders
Dizziness
0.00%
0/20
0.00%
0/18
11.1%
2/18 • Number of events 2
Nervous system disorders
Headache
10.0%
2/20 • Number of events 2
16.7%
3/18 • Number of events 4
11.1%
2/18 • Number of events 2
Nervous system disorders
Presyncope
0.00%
0/20
5.6%
1/18 • Number of events 1
0.00%
0/18
Nervous system disorders
Somnolence
5.0%
1/20 • Number of events 1
0.00%
0/18
11.1%
2/18 • Number of events 2
Psychiatric disorders
Anxiety
5.0%
1/20 • Number of events 1
0.00%
0/18
5.6%
1/18 • Number of events 1
Psychiatric disorders
Insomnia
5.0%
1/20 • Number of events 1
0.00%
0/18
5.6%
1/18 • Number of events 1
Renal and urinary disorders
Dysuria
10.0%
2/20 • Number of events 2
0.00%
0/18
0.00%
0/18
Renal and urinary disorders
Semenuria
10.0%
2/20 • Number of events 2
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 1
Renal and urinary disorders
Urinary retention
0.00%
0/20
0.00%
0/18
5.6%
1/18 • Number of events 1
Reproductive system and breast disorders
Testicular pain
0.00%
0/20
0.00%
0/18
5.6%
1/18 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/20
5.6%
1/18 • Number of events 1
5.6%
1/18 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnoea
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/20
0.00%
0/18
5.6%
1/18 • Number of events 1
Skin and subcutaneous tissue disorders
Hyperhidrosis
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Skin and subcutaneous tissue disorders
Pruritus
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Skin and subcutaneous tissue disorders
Rash
0.00%
0/20
0.00%
0/18
11.1%
2/18 • Number of events 2
Vascular disorders
Flushing
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18
Vascular disorders
Vasodilatation
5.0%
1/20 • Number of events 1
0.00%
0/18
0.00%
0/18

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