Trial Outcomes & Findings for A Single Dose Study of LY2189265 in Subjects With Varying Degrees of Hepatic (Liver) Impairment (NCT NCT01253304)

NCT ID: NCT01253304

Last Updated: 2014-10-07

Results Overview

This measure was calculated using non-compartmental analysis techniques.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

26 participants

Primary outcome timeframe

Predose to 336 hours postdose

Results posted on

2014-10-07

Participant Flow

Participant milestones

Participant milestones
Measure
Normal Hepatic Function
LY2189265: A single, subcutaneous (SC), 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function
Mild Hepatic Impairment
LY2189265: A single, SC, 1.5-mg injection of LY2189265 on Day 1 in participants with mild hepatic impairment (Child-Pugh A)
Moderate Hepatic Impairment
LY2189265: A single, SC, 1.5-mg injection of LY2189265 on Day 1 in participants with moderate hepatic impairment (Child-Pugh B)
Severe Hepatic Impairment
LY2189265: A single, SC, 1.5-mg injection of LY2189265 on Day 1 in participants with severe hepatic impairment (Child-Pugh C)
Overall Study
STARTED
11
6
6
3
Overall Study
Received at Least 1 Dose of Study Drug
11
6
6
3
Overall Study
COMPLETED
11
6
6
2
Overall Study
NOT COMPLETED
0
0
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Normal Hepatic Function
LY2189265: A single, subcutaneous (SC), 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function
Mild Hepatic Impairment
LY2189265: A single, SC, 1.5-mg injection of LY2189265 on Day 1 in participants with mild hepatic impairment (Child-Pugh A)
Moderate Hepatic Impairment
LY2189265: A single, SC, 1.5-mg injection of LY2189265 on Day 1 in participants with moderate hepatic impairment (Child-Pugh B)
Severe Hepatic Impairment
LY2189265: A single, SC, 1.5-mg injection of LY2189265 on Day 1 in participants with severe hepatic impairment (Child-Pugh C)
Overall Study
Adverse Event
0
0
0
1

Baseline Characteristics

A Single Dose Study of LY2189265 in Subjects With Varying Degrees of Hepatic (Liver) Impairment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Normal Hepatic Function
n=11 Participants
LY2189265: A single, subcutaneous (SC), 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function
Mild Hepatic Impairment
n=6 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with mild hepatic impairment (Child-Pugh A)
Moderate Hepatic Impairment
n=6 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with moderate hepatic impairment (Child-Pugh B)
Severe Hepatic Impairment
n=3 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with severe hepatic impairment (Child-Pugh C)
Total
n=26 Participants
Total of all reporting groups
Age, Continuous
58.2 years
STANDARD_DEVIATION 8.5 • n=5 Participants
56.3 years
STANDARD_DEVIATION 9.2 • n=7 Participants
54.3 years
STANDARD_DEVIATION 4.8 • n=5 Participants
64.3 years
STANDARD_DEVIATION 6.5 • n=4 Participants
57.6 years
STANDARD_DEVIATION 7.9 • n=21 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
1 Participants
n=4 Participants
15 Participants
n=21 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
11 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
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
Race (NIH/OMB)
Asian
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
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
Race (NIH/OMB)
Black or African American
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
Race (NIH/OMB)
White
10 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
3 Participants
n=4 Participants
25 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 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
Race/Ethnicity, Customized
Not Hispanic or Latino
11 participants
n=5 Participants
6 participants
n=7 Participants
6 participants
n=5 Participants
3 participants
n=4 Participants
26 participants
n=21 Participants
Race/Ethnicity, Customized
Hispanic or Latino
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
Region of Enrollment
Germany
11 participants
n=5 Participants
6 participants
n=7 Participants
6 participants
n=5 Participants
3 participants
n=4 Participants
26 participants
n=21 Participants

PRIMARY outcome

Timeframe: Predose to 336 hours postdose

Population: Participants who received at least one dose of study drug (LY2189265) with evaluable concentration data.

This measure was calculated using non-compartmental analysis techniques.

Outcome measures

Outcome measures
Measure
Normal Hepatic Function
n=11 Participants
LY2189265: A single, subcutaneous (SC), 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function
Mild Hepatic Impairment
n=6 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with mild hepatic impairment (Child-Pugh A)
Moderate Hepatic Impairment
n=6 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with moderate hepatic impairment (Child-Pugh B)
Severe Hepatic Impairment
n=3 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with severe hepatic impairment (Child-Pugh C)
Pharmacokinetics: Maximum Observed Concentration (Cmax)
84.5 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 29
63.0 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 30
58.1 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 28
61.3 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 18

PRIMARY outcome

Timeframe: Predose to 336 hours postdose

Population: Participants who received at least one dose of study drug (LY2189265) with evaluable LY2189265 concentration data.

This measure was calculated using non-compartmental analysis techniques.

Outcome measures

Outcome measures
Measure
Normal Hepatic Function
n=11 Participants
LY2189265: A single, subcutaneous (SC), 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function
Mild Hepatic Impairment
n=6 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with mild hepatic impairment (Child-Pugh A)
Moderate Hepatic Impairment
n=6 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with moderate hepatic impairment (Child-Pugh B)
Severe Hepatic Impairment
n=3 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with severe hepatic impairment (Child-Pugh C)
Pharmacokinetics: Time of Maximum Concentration (Tmax)
48.00 hours
Interval 24.02 to 72.02
48.01 hours
Interval 47.95 to 72.02
59.96 hours
Interval 47.1 to 95.97
71.93 hours
Interval 71.9 to 71.98

PRIMARY outcome

Timeframe: Predose to 336 hours postdose

Population: Participants who received at least one dose of study drug (LY2189265) with evaluable LY2189265 concentration data.

This measure was calculated using non-compartmental analysis techniques.

Outcome measures

Outcome measures
Measure
Normal Hepatic Function
n=11 Participants
LY2189265: A single, subcutaneous (SC), 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function
Mild Hepatic Impairment
n=6 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with mild hepatic impairment (Child-Pugh A)
Moderate Hepatic Impairment
n=6 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with moderate hepatic impairment (Child-Pugh B)
Severe Hepatic Impairment
n=3 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with severe hepatic impairment (Child-Pugh C)
Pharmacokinetics: Area Under the Concentration Versus Time Curve From Time Zero to the Last Quantifiable Concentration (AUC[0-tlast])
10200 nanograms times hour/milliliter(ng*hr/mL
Geometric Coefficient of Variation 26
7670 nanograms times hour/milliliter(ng*hr/mL
Geometric Coefficient of Variation 27
7220 nanograms times hour/milliliter(ng*hr/mL
Geometric Coefficient of Variation 19
7660 nanograms times hour/milliliter(ng*hr/mL
Geometric Coefficient of Variation 13

PRIMARY outcome

Timeframe: Predose to 336 hours postdose

Population: Participants who received at least one dose of study drug (LY2189265) with evaluable concentration data.

This measure was calculated using non-compartmental analysis techniques.

Outcome measures

Outcome measures
Measure
Normal Hepatic Function
n=11 Participants
LY2189265: A single, subcutaneous (SC), 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function
Mild Hepatic Impairment
n=6 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with mild hepatic impairment (Child-Pugh A)
Moderate Hepatic Impairment
n=5 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with moderate hepatic impairment (Child-Pugh B)
Severe Hepatic Impairment
n=3 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with severe hepatic impairment (Child-Pugh C)
Pharmacokinetics: AUC From Time Zero to Infinity (AUC[0-infinity])
16300 nanograms times hr/milliliter (ng*hr/mL)
Geometric Coefficient of Variation 24
12200 nanograms times hr/milliliter (ng*hr/mL)
Geometric Coefficient of Variation 26
11200 nanograms times hr/milliliter (ng*hr/mL)
Geometric Coefficient of Variation 14
12500 nanograms times hr/milliliter (ng*hr/mL)
Geometric Coefficient of Variation 5

PRIMARY outcome

Timeframe: Predose to 336 hours postdose

Population: Participants who received at least one dose of study drug (LY2189265) with evaluable LY2189265 concentration data.

The half life associated with the terminal rate constant is summarized. This measure was calculated using non-compartmental analysis techniques.

Outcome measures

Outcome measures
Measure
Normal Hepatic Function
n=11 Participants
LY2189265: A single, subcutaneous (SC), 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function
Mild Hepatic Impairment
n=6 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with mild hepatic impairment (Child-Pugh A)
Moderate Hepatic Impairment
n=5 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with moderate hepatic impairment (Child-Pugh B)
Severe Hepatic Impairment
n=3 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with severe hepatic impairment (Child-Pugh C)
Pharmacokinetics: Apparent Terminal Elimination Half-life (t1/2)
104 hours
Interval 88.6 to 116.0
101 hours
Interval 86.2 to 116.0
88.2 hours
Interval 75.1 to 104.0
99.2 hours
Interval 76.4 to 121.0

PRIMARY outcome

Timeframe: Predose to 336 hours postdose

Population: Participants who received at least one dose of study drug (LY2189265) with evaluable LY2189265 concentration data.

The apparent total body clearance of drug calculated after extra vascular administration is summarized. This measure was calculated using non-compartmental analysis techniques.

Outcome measures

Outcome measures
Measure
Normal Hepatic Function
n=11 Participants
LY2189265: A single, subcutaneous (SC), 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function
Mild Hepatic Impairment
n=6 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with mild hepatic impairment (Child-Pugh A)
Moderate Hepatic Impairment
n=5 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with moderate hepatic impairment (Child-Pugh B)
Severe Hepatic Impairment
n=3 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with severe hepatic impairment (Child-Pugh C)
Pharmacokinetics: Apparent Total Plasma Clearance (CL/F)
0.0920 liters/hour (L/h)
Geometric Coefficient of Variation 24
0.123 liters/hour (L/h)
Geometric Coefficient of Variation 26
0.135 liters/hour (L/h)
Geometric Coefficient of Variation 14
0.120 liters/hour (L/h)
Geometric Coefficient of Variation 5

PRIMARY outcome

Timeframe: Predose to 336 hours postdose

Population: Participants who received at least one dose of study drug (LY2189265) with evaluable LY2189265 concentration data.

The apparent volume of distribution during the terminal phase after extra vascular administration is summarized. This measure was calculated using non-compartmental analysis techniques.

Outcome measures

Outcome measures
Measure
Normal Hepatic Function
n=11 Participants
LY2189265: A single, subcutaneous (SC), 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function
Mild Hepatic Impairment
n=6 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with mild hepatic impairment (Child-Pugh A)
Moderate Hepatic Impairment
n=5 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with moderate hepatic impairment (Child-Pugh B)
Severe Hepatic Impairment
n=3 Participants
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with severe hepatic impairment (Child-Pugh C)
Pharmacokinetics: Apparent Volume of Distribution (Vz/F)
13.8 liters (L)
Geometric Coefficient of Variation 27
17.9 liters (L)
Geometric Coefficient of Variation 27
17.1 liters (L)
Geometric Coefficient of Variation 20
17.1 liters (L)
Geometric Coefficient of Variation 24

Adverse Events

Normal Hepatic Function

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Mild Hepatic Impairment

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Moderate Hepatic Impairment

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Severe Hepatic Impairment

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

Serious adverse events

Serious adverse events
Measure
Normal Hepatic Function
n=11 participants at risk
LY2189265: A single, subcutaneous (SC), 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function
Mild Hepatic Impairment
n=6 participants at risk
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with mild hepatic impairment (Child-Pugh A)
Moderate Hepatic Impairment
n=6 participants at risk
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with moderate hepatic impairment (Child-Pugh B)
Severe Hepatic Impairment
n=3 participants at risk
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with severe hepatic impairment (Child-Pugh C)
Blood and lymphatic system disorders
Iron deficiency anaemia
0.00%
0/11
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/3
Hepatobiliary disorders
Acute hepatic failure
0.00%
0/11
0.00%
0/6
0.00%
0/6
33.3%
1/3 • Number of events 1
Infections and infestations
Peritonitis bacterial
0.00%
0/11
0.00%
0/6
0.00%
0/6
33.3%
1/3 • Number of events 1
Nervous system disorders
Status epilepticus
0.00%
0/11
0.00%
0/6
0.00%
0/6
33.3%
1/3 • Number of events 1
Renal and urinary disorders
Renal failure acute
0.00%
0/11
0.00%
0/6
0.00%
0/6
33.3%
1/3 • Number of events 1

Other adverse events

Other adverse events
Measure
Normal Hepatic Function
n=11 participants at risk
LY2189265: A single, subcutaneous (SC), 1.5-milligram (mg) injection on Day 1 in participants with normal hepatic function
Mild Hepatic Impairment
n=6 participants at risk
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with mild hepatic impairment (Child-Pugh A)
Moderate Hepatic Impairment
n=6 participants at risk
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with moderate hepatic impairment (Child-Pugh B)
Severe Hepatic Impairment
n=3 participants at risk
LY2189265: A single, SC, 1.5-mg injection on Day 1 in participants with severe hepatic impairment (Child-Pugh C)
Blood and lymphatic system disorders
Disseminated intravascular coagulation
0.00%
0/11
0.00%
0/6
0.00%
0/6
33.3%
1/3 • Number of events 1
Blood and lymphatic system disorders
Heparin-induced thrombocytopenia
0.00%
0/11
0.00%
0/6
0.00%
0/6
33.3%
1/3 • Number of events 1
Gastrointestinal disorders
Abdominal distension
18.2%
2/11 • Number of events 2
0.00%
0/6
0.00%
0/6
0.00%
0/3
Gastrointestinal disorders
Abdominal pain upper
9.1%
1/11 • Number of events 1
0.00%
0/6
0.00%
0/6
0.00%
0/3
Gastrointestinal disorders
Constipation
18.2%
2/11 • Number of events 2
0.00%
0/6
0.00%
0/6
0.00%
0/3
Gastrointestinal disorders
Diarrhoea
9.1%
1/11 • Number of events 1
16.7%
1/6 • Number of events 1
0.00%
0/6
0.00%
0/3
Gastrointestinal disorders
Dyspepsia
18.2%
2/11 • Number of events 2
0.00%
0/6
0.00%
0/6
0.00%
0/3
Gastrointestinal disorders
Erosive duodenitis
0.00%
0/11
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/3
Gastrointestinal disorders
Eructation
27.3%
3/11 • Number of events 3
0.00%
0/6
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
Gastrointestinal disorders
Gastritis erosive
0.00%
0/11
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/3
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/11
0.00%
0/6
0.00%
0/6
33.3%
1/3 • Number of events 1
Gastrointestinal disorders
Nausea
27.3%
3/11 • Number of events 3
33.3%
2/6 • Number of events 6
0.00%
0/6
0.00%
0/3
Gastrointestinal disorders
Reflux oesophagitis
0.00%
0/11
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/3
Gastrointestinal disorders
Varices oesophageal
0.00%
0/11
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/3
Gastrointestinal disorders
Vomiting
18.2%
2/11 • Number of events 3
16.7%
1/6 • Number of events 5
0.00%
0/6
0.00%
0/3
General disorders
Fatigue
9.1%
1/11 • Number of events 1
0.00%
0/6
16.7%
1/6 • Number of events 1
33.3%
1/3 • Number of events 1
Hepatobiliary disorders
Portal vein thrombosis
0.00%
0/11
0.00%
0/6
0.00%
0/6
33.3%
1/3 • Number of events 1
Infections and infestations
Clostridial infection
0.00%
0/11
0.00%
0/6
0.00%
0/6
33.3%
1/3 • Number of events 1
Infections and infestations
Nasopharyngitis
27.3%
3/11 • Number of events 3
0.00%
0/6
0.00%
0/6
0.00%
0/3
Infections and infestations
Oesophageal candidiasis
0.00%
0/11
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/3
Infections and infestations
Rhinitis
0.00%
0/11
16.7%
1/6 • Number of events 1
0.00%
0/6
0.00%
0/3
Investigations
Alanine aminotransferase increased
18.2%
2/11 • Number of events 2
0.00%
0/6
0.00%
0/6
0.00%
0/3
Investigations
Aspartate aminotransferase increased
9.1%
1/11 • Number of events 1
0.00%
0/6
0.00%
0/6
0.00%
0/3
Investigations
Lipase increased
0.00%
0/11
0.00%
0/6
0.00%
0/6
33.3%
1/3 • Number of events 1
Metabolism and nutrition disorders
Decreased appetite
72.7%
8/11 • Number of events 8
66.7%
4/6 • Number of events 4
0.00%
0/6
33.3%
1/3 • Number of events 1
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/11
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/3
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/11
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/3
Musculoskeletal and connective tissue disorders
Muscle spasms
9.1%
1/11 • Number of events 1
0.00%
0/6
0.00%
0/6
0.00%
0/3
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebral hygroma
0.00%
0/11
0.00%
0/6
0.00%
0/6
33.3%
1/3 • Number of events 1
Nervous system disorders
Dizziness
9.1%
1/11 • Number of events 1
0.00%
0/6
0.00%
0/6
0.00%
0/3
Nervous system disorders
Headache
18.2%
2/11 • Number of events 3
16.7%
1/6 • Number of events 3
0.00%
0/6
33.3%
1/3 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/11
0.00%
0/6
16.7%
1/6 • Number of events 1
0.00%
0/3
Skin and subcutaneous tissue disorders
Pruritus generalised
9.1%
1/11 • Number of events 1
0.00%
0/6
0.00%
0/6
0.00%
0/3

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