Trial Outcomes & Findings for A Study to Evaluate the Effect of Clarithromycin on LY2216684 (NCT NCT01460407)

NCT ID: NCT01460407

Last Updated: 2018-10-19

Results Overview

AUC0-∞ of LY2216684 was calculated during Period 1, when 18-mg LY2216684 was administered alone and Period 2, when Clarithromycin was coadministered with LY2216684. The outcome was presented as geometric Least Squares (LS) mean and the 90% Confidence Interval (CI). Geometric LS mean was controlled by participant and treatment.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

14 participants

Primary outcome timeframe

Predose up to 96 hours post administration of LY2216684 (Day 1) and LY2216684 + Clarithromycin (Day 10)

Results posted on

2018-10-19

Participant Flow

Participant milestones

Participant milestones
Measure
LY2216684
LY2216684: a single 18-milligram (mg) tablet on Day 1
LY2216684 and Clarithromycin
LY2216684: a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Period 1: Day 1 to Day 5
STARTED
14
0
Period 1: Day 1 to Day 5
COMPLETED
14
0
Period 1: Day 1 to Day 5
NOT COMPLETED
0
0
Period 2: Day 6 to Day 14
STARTED
0
14
Period 2: Day 6 to Day 14
COMPLETED
0
13
Period 2: Day 6 to Day 14
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
LY2216684
LY2216684: a single 18-milligram (mg) tablet on Day 1
LY2216684 and Clarithromycin
LY2216684: a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Period 2: Day 6 to Day 14
Adverse Event
0
1

Baseline Characteristics

A Study to Evaluate the Effect of Clarithromycin on LY2216684

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Entire Study Population
n=14 Participants
LY2216684: a single 18-mg tablet on Day 1 and Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Age, Continuous
43.5 years
STANDARD_DEVIATION 11.0 • n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 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
1 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
0 Participants
n=5 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
14 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Predose up to 96 hours post administration of LY2216684 (Day 1) and LY2216684 + Clarithromycin (Day 10)

Population: Full Analysis Set: Participants who received at least 1 dose of LY2216684.

AUC0-∞ of LY2216684 was calculated during Period 1, when 18-mg LY2216684 was administered alone and Period 2, when Clarithromycin was coadministered with LY2216684. The outcome was presented as geometric Least Squares (LS) mean and the 90% Confidence Interval (CI). Geometric LS mean was controlled by participant and treatment.

Outcome measures

Outcome measures
Measure
LY2216684
n=14 Participants
LY2216684: a single 18-mg tablet on Day 1
LY2216684 and Clarithromycin
n=14 Participants
LY2216684: a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Pharmacokinetics: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity (AUC0-∞) of LY2216684
582 nanogram*hours per milliliter (ng*h/mL)
Interval 498.0 to 681.0
746 nanogram*hours per milliliter (ng*h/mL)
Interval 638.0 to 873.0

PRIMARY outcome

Timeframe: Predose up to 96 hours post administration of LY2216684 (Day 1) and LY2216684 + Clarithromycin (Day 10)

Population: Full Analysis Set: Participants who received at least 1 dose of LY2216684.

Cmax of LY2216684 was calculated during Period 1, when 18-mg LY2216684 was administered alone, and Period 2, when Clarithromycin was coadministered with LY2216684. The outcome was presented as geometric LS mean and the 90% CI. Geometric LS mean was controlled by participant and treatment.

Outcome measures

Outcome measures
Measure
LY2216684
n=14 Participants
LY2216684: a single 18-mg tablet on Day 1
LY2216684 and Clarithromycin
n=14 Participants
LY2216684: a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Pharmacokinetics: Maximum Plasma Concentration (Cmax) of LY2216684
52.58 nanograms per milliliter (ng/mL)
Interval 46.38 to 59.61
63.55 nanograms per milliliter (ng/mL)
Interval 56.06 to 72.04

PRIMARY outcome

Timeframe: Predose up to 96 hours post administration of LY2216684 (Day 1) and LY2216684 + Clarithromycin (Day 10)

Population: Full Analysis Set: Participants who received at least 1 dose of LY2216684.

Tmax of LY2216684 was calculated during Period 1, when 18-mg LY2216684 was administered alone, and Period 2, when Clarithromycin was coadministered with LY2216684. The outcome was presented as geometric LS mean and the 90% CI. Geometric LS mean was controlled by participant and treatment.

Outcome measures

Outcome measures
Measure
LY2216684
n=14 Participants
LY2216684: a single 18-mg tablet on Day 1
LY2216684 and Clarithromycin
n=14 Participants
LY2216684: a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Pharmacokinetics: Time to Maximum Plasma Concentration (Tmax) of LY2216684
2.00 hours (h)
Interval 1.0 to 5.0
2.00 hours (h)
Interval 2.0 to 4.0

Adverse Events

LY2216684

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

LY2216684 and Clarithromycin

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

Clarithromycin

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
LY2216684
n=14 participants at risk
Adverse Events (AEs) that occurred from Day 1 postdose to Day 6 prior to dosing for all randomized participants.
LY2216684 and Clarithromycin
n=14 participants at risk
AEs that occurred from Day 10 postdose to end of study (7 days post last dose) for all randomized participants.
Clarithromycin
n=14 participants at risk
AEs that occurred from Day 6 postdose to Day 10 prior to dosing, for all randomized participants.
Gastrointestinal disorders
Abdominal pain
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Gastrointestinal disorders
Flatulence
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Gastrointestinal disorders
Gastrointestinal sounds abnormal
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Gastrointestinal disorders
Haematochezia
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Gastrointestinal disorders
Nausea
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
14.3%
2/14 • Number of events 2
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
General disorders
Chest discomfort
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Injury, poisoning and procedural complications
Fall
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Nervous system disorders
Dizziness
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
14.3%
2/14 • Number of events 2
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Nervous system disorders
Dysgeusia
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Nervous system disorders
Headache
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Psychiatric disorders
Depressed mood
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Psychiatric disorders
Insomnia
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Renal and urinary disorders
Urinary hesitation
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
14.3%
2/14 • Number of events 2
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Reproductive system and breast disorders
Penile discharge
0.00%
0/8
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
25.0%
2/8 • Number of events 2
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/8
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Respiratory, thoracic and mediastinal disorders
Dysphonia
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
0.00%
0/14
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13
7.1%
1/14 • Number of events 1
All randomized participants were to receive the following treatment regimen: LY2216684: a single 18-mg tablet on Day 1 and a single 18-mg tablet on Day 10 Clarithromycin: 500-mg tablet twice daily on Day 6 through Day 13

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