Trial Outcomes & Findings for The Effects of LY2409021 on the Liver (NCT NCT01588366)

NCT ID: NCT01588366

Last Updated: 2019-03-07

Results Overview

Measured by magnetic resonance (MR) scanning.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

30 participants

Primary outcome timeframe

Baseline, Day 28 (Pre-meal)

Results posted on

2019-03-07

Participant Flow

Study started in April, 2012 with Part A. Part B was added per protocol amendment in September, 2012.

Participant milestones

Participant milestones
Measure
Placebo - Healthy (Part A)
Placebo administered orally, once daily (QD) for 28 days to healthy participants.
60 mg LY2409021 - Healthy (Part A)
60 milligrams (mg) LY2409021 administered orally, QD for 28 days to healthy participants.
Placebo - T2DM (Part A)
Placebo administered orally, QD for 28 days to participants with type 2 diabetes mellitus (T2DM).
60 mg LY2409021 - T2DM (Part A)
60 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
Placebo - T2DM (Part B)
Placebo administered orally, QD for 28 days to participants with T2DM.
15 mg LY2409021 - T2DM (Part B)
15 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
Overall Study
STARTED
2
7
2
7
3
9
Overall Study
Received at Least One Dose of Study Drug
2
7
2
7
3
9
Overall Study
COMPLETED
2
6
2
6
3
7
Overall Study
NOT COMPLETED
0
1
0
1
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo - Healthy (Part A)
Placebo administered orally, once daily (QD) for 28 days to healthy participants.
60 mg LY2409021 - Healthy (Part A)
60 milligrams (mg) LY2409021 administered orally, QD for 28 days to healthy participants.
Placebo - T2DM (Part A)
Placebo administered orally, QD for 28 days to participants with type 2 diabetes mellitus (T2DM).
60 mg LY2409021 - T2DM (Part A)
60 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
Placebo - T2DM (Part B)
Placebo administered orally, QD for 28 days to participants with T2DM.
15 mg LY2409021 - T2DM (Part B)
15 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
Overall Study
Adverse Event
0
1
0
1
0
2

Baseline Characteristics

The Effects of LY2409021 on the Liver

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo - Healthy (Part A)
n=2 Participants
Placebo administered orally, QD for 28 days to healthy participants.
60 mg LY2409021 - Healthy (Part A)
n=7 Participants
60 mg LY2409021 administered orally, QD for 28 days to healthy participants.
Placebo - T2DM (Parts A and B)
n=5 Participants
Placebo administered orally, QD for 28 days to participants with T2DM.
15 mg LY2409021 - T2DM (Part B)
n=9 Participants
15 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
60 mg LY2409021 - T2DM (Part A)
n=7 Participants
60 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
Healthy Participants
49.5 years
STANDARD_DEVIATION 13.4 • n=5 Participants
39.3 years
STANDARD_DEVIATION 13.2 • n=7 Participants
NA years
STANDARD_DEVIATION NA • n=5 Participants
NA years
STANDARD_DEVIATION NA • n=4 Participants
NA years
STANDARD_DEVIATION NA • n=21 Participants
41.6 years
STANDARD_DEVIATION 13.2 • n=8 Participants
Age, Continuous
T2DM subjects
NA years
STANDARD_DEVIATION NA • n=5 Participants
NA years
STANDARD_DEVIATION NA • n=7 Participants
60.0 years
STANDARD_DEVIATION 5.1 • n=5 Participants
55.7 years
STANDARD_DEVIATION 7.9 • n=4 Participants
51.4 years
STANDARD_DEVIATION 10.0 • n=21 Participants
55.3 years
STANDARD_DEVIATION 8.4 • n=8 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
4 Participants
n=8 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
7 Participants
n=7 Participants
4 Participants
n=5 Participants
8 Participants
n=4 Participants
5 Participants
n=21 Participants
26 Participants
n=8 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
0 Participants
n=8 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
7 Participants
n=7 Participants
5 Participants
n=5 Participants
9 Participants
n=4 Participants
7 Participants
n=21 Participants
30 Participants
n=8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
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
0 Participants
n=8 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Region of Enrollment
Singapore
2 Participants
n=5 Participants
7 Participants
n=7 Participants
5 Participants
n=5 Participants
9 Participants
n=4 Participants
7 Participants
n=21 Participants
30 Participants
n=8 Participants

PRIMARY outcome

Timeframe: Baseline, Day 28 (Pre-meal)

Population: All participants who had evaluable MR scans at Baseline and on Day 28.

Measured by magnetic resonance (MR) scanning.

Outcome measures

Outcome measures
Measure
Placebo - Healthy (Part A)
n=2 Participants
Placebo administered orally, QD for 28 days to healthy participants.
60 mg LY2409021 - Healthy (Part A)
n=6 Participants
60 mg LY2409021 administered orally, QD for 28 days to healthy participants.
Placebo - T2DM (Parts A and B)
n=5 Participants
Placebo administered orally, QD for 28 days to participants with T2DM.
15 mg LY2409021 - T2DM (Part B)
n=7 Participants
15 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
60 mg LY2409021 - T2DM (Part A)
n=6 Participants
60 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
Change From Baseline to Day 28 in Liver Fat Average Percent (%)
-0.47 percentage of liver fat average
For n=2, confidence Intervals were not calculated due to few participants.
5.55 percentage of liver fat average
Interval 0.346 to 10.7
-1.49 percentage of liver fat average
Interval -5.0 to 2.03
4.45 percentage of liver fat average
Interval 1.66 to 7.24
5.84 percentage of liver fat average
Interval 3.17 to 8.51

PRIMARY outcome

Timeframe: Baseline, Day 28 (Pre-meal)

Population: All participants in Part A who received 60 mg LY2409021 and had evaluable MR scans at Baseline and on Day 28.

Measured by MR scanning.

Outcome measures

Outcome measures
Measure
Placebo - Healthy (Part A)
n=6 Participants
Placebo administered orally, QD for 28 days to healthy participants.
60 mg LY2409021 - Healthy (Part A)
n=5 Participants
60 mg LY2409021 administered orally, QD for 28 days to healthy participants.
Placebo - T2DM (Parts A and B)
Placebo administered orally, QD for 28 days to participants with T2DM.
15 mg LY2409021 - T2DM (Part B)
15 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
60 mg LY2409021 - T2DM (Part A)
60 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
Change From Baseline to Day 28 in Hepatic Glycogen Content
12.8 millimoles per liter (mmol/L)
Interval -48.1 to 73.8
42.1 millimoles per liter (mmol/L)
Interval -8.18 to 92.4

SECONDARY outcome

Timeframe: Baseline, Day 28

Population: All participants who had evaluable transaminase levels at Baseline and on Day 28.

Outcome measures

Outcome measures
Measure
Placebo - Healthy (Part A)
n=2 Participants
Placebo administered orally, QD for 28 days to healthy participants.
60 mg LY2409021 - Healthy (Part A)
n=6 Participants
60 mg LY2409021 administered orally, QD for 28 days to healthy participants.
Placebo - T2DM (Parts A and B)
n=5 Participants
Placebo administered orally, QD for 28 days to participants with T2DM.
15 mg LY2409021 - T2DM (Part B)
n=7 Participants
15 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
60 mg LY2409021 - T2DM (Part A)
n=6 Participants
60 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
Change From Baseline to Day 28 in Transaminase Levels
Alanine aminotransferase (ALT)
-0.5 units per liter (U/L)
Standard Deviation 0.7
47.7 units per liter (U/L)
Standard Deviation 51.6
-3.5 units per liter (U/L)
Standard Deviation 4.3
15.7 units per liter (U/L)
Standard Deviation 15.1
13.3 units per liter (U/L)
Standard Deviation 5.8
Change From Baseline to Day 28 in Transaminase Levels
Aspartate aminotransferase (AST)
0.3 units per liter (U/L)
Standard Deviation 3.2
22.2 units per liter (U/L)
Standard Deviation 22.8
-0.2 units per liter (U/L)
Standard Deviation 3.7
9.9 units per liter (U/L)
Standard Deviation 9.5
7.7 units per liter (U/L)
Standard Deviation 4.8

SECONDARY outcome

Timeframe: Baseline, Day 29

Population: Zero participants were analyzed for this outcome measure because glucose response data was not collected or included in the data analysis plan.

Acute glucose response to an AST at a blood glucose level of approximately 250 milligrams per deciliter (mg/dL).

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Day 29

Population: All participants in Part A who received 60 mg LY2409021 and had an evaluable glucagon response at Baseline and on Day 29.

Acute glucagon response to an AST at a blood glucose level of approximately 250 mg/dL.

Outcome measures

Outcome measures
Measure
Placebo - Healthy (Part A)
n=5 Participants
Placebo administered orally, QD for 28 days to healthy participants.
60 mg LY2409021 - Healthy (Part A)
n=7 Participants
60 mg LY2409021 administered orally, QD for 28 days to healthy participants.
Placebo - T2DM (Parts A and B)
Placebo administered orally, QD for 28 days to participants with T2DM.
15 mg LY2409021 - T2DM (Part B)
15 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
60 mg LY2409021 - T2DM (Part A)
60 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
Change From Baseline to Day 29 in Glucagon Response to an Arginine Stimulation Test (AST) (Part A)
80.0 pmol/L
Interval 42.2 to 118.0
103 pmol/L
Interval 79.5 to 126.0

SECONDARY outcome

Timeframe: Baseline, Day 29

Population: All participants in Part A who received 60 mg LY2409021 and had an evaluable insulin response at Baseline and on Day 29.

Acute insulin response to an AST at a blood glucose level of approximately 250 mg/dL.

Outcome measures

Outcome measures
Measure
Placebo - Healthy (Part A)
n=5 Participants
Placebo administered orally, QD for 28 days to healthy participants.
60 mg LY2409021 - Healthy (Part A)
n=7 Participants
60 mg LY2409021 administered orally, QD for 28 days to healthy participants.
Placebo - T2DM (Parts A and B)
Placebo administered orally, QD for 28 days to participants with T2DM.
15 mg LY2409021 - T2DM (Part B)
15 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
60 mg LY2409021 - T2DM (Part A)
60 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
Change From Baseline to Day 29 in Insulin Response to an Arginine Stimulation Test (AST) (Part A)
-34.7 pmol/L
Interval -207.0 to 138.0
139 pmol/L
Interval -73.6 to 352.0

Adverse Events

Placebo - Healthy (Part A)

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

60 mg LY2409021 - Healthy (Part A)

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Placebo - T2DM (Parts A and B)

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

15 mg LY2409021 - T2DM (Part B)

Serious events: 2 serious events
Other events: 7 other events
Deaths: 0 deaths

60 mg LY2409021 - T2DM (Part A)

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

Serious adverse events

Serious adverse events
Measure
Placebo - Healthy (Part A)
n=2 participants at risk
Placebo administered orally, QD for 28 days to healthy participants.
60 mg LY2409021 - Healthy (Part A)
n=7 participants at risk
60 mg LY2409021 administered orally, QD for 28 days to healthy participants.
Placebo - T2DM (Parts A and B)
n=5 participants at risk
Placebo administered orally, QD for 28 days to participants with T2DM.
15 mg LY2409021 - T2DM (Part B)
n=9 participants at risk
15 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
60 mg LY2409021 - T2DM (Part A)
n=7 participants at risk
60 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/2
0.00%
0/7
0.00%
0/5
11.1%
1/9 • Number of events 1
0.00%
0/7
Nervous system disorders
Presyncope
0.00%
0/2
0.00%
0/7
0.00%
0/5
11.1%
1/9 • Number of events 1
0.00%
0/7

Other adverse events

Other adverse events
Measure
Placebo - Healthy (Part A)
n=2 participants at risk
Placebo administered orally, QD for 28 days to healthy participants.
60 mg LY2409021 - Healthy (Part A)
n=7 participants at risk
60 mg LY2409021 administered orally, QD for 28 days to healthy participants.
Placebo - T2DM (Parts A and B)
n=5 participants at risk
Placebo administered orally, QD for 28 days to participants with T2DM.
15 mg LY2409021 - T2DM (Part B)
n=9 participants at risk
15 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
60 mg LY2409021 - T2DM (Part A)
n=7 participants at risk
60 mg LY2409021 administered orally, QD for 28 days to participants with T2DM.
Gastrointestinal disorders
Abdominal discomfort
0.00%
0/2
0.00%
0/7
20.0%
1/5 • Number of events 1
0.00%
0/9
0.00%
0/7
Gastrointestinal disorders
Abdominal distension
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
11.1%
1/9 • Number of events 1
0.00%
0/7
Gastrointestinal disorders
Abdominal pain
0.00%
0/2
0.00%
0/7
0.00%
0/5
0.00%
0/9
14.3%
1/7 • Number of events 1
Gastrointestinal disorders
Nausea
0.00%
0/2
0.00%
0/7
0.00%
0/5
11.1%
1/9 • Number of events 1
0.00%
0/7
Gastrointestinal disorders
Vomiting
0.00%
0/2
0.00%
0/7
0.00%
0/5
11.1%
1/9 • Number of events 1
0.00%
0/7
General disorders
Asthenia
0.00%
0/2
0.00%
0/7
0.00%
0/5
11.1%
1/9 • Number of events 1
0.00%
0/7
General disorders
Catheter site erythema
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
14.3%
1/7 • Number of events 1
General disorders
Catheter site haematoma
0.00%
0/2
14.3%
1/7 • Number of events 1
20.0%
1/5 • Number of events 1
33.3%
3/9 • Number of events 3
28.6%
2/7 • Number of events 3
General disorders
Catheter site pain
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
0.00%
0/7
General disorders
Catheter site swelling
0.00%
0/2
0.00%
0/7
20.0%
1/5 • Number of events 1
0.00%
0/9
0.00%
0/7
General disorders
Fatigue
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
14.3%
1/7 • Number of events 1
General disorders
Pain
0.00%
0/2
0.00%
0/7
0.00%
0/5
11.1%
1/9 • Number of events 1
0.00%
0/7
General disorders
Pyrexia
0.00%
0/2
14.3%
1/7 • Number of events 1
20.0%
1/5 • Number of events 1
0.00%
0/9
0.00%
0/7
General disorders
Vessel puncture site haematoma
0.00%
0/2
0.00%
0/7
20.0%
1/5 • Number of events 2
11.1%
1/9 • Number of events 1
14.3%
1/7 • Number of events 1
General disorders
Vessel puncture site pain
0.00%
0/2
0.00%
0/7
20.0%
1/5 • Number of events 1
0.00%
0/9
0.00%
0/7
Infections and infestations
Influenza
0.00%
0/2
0.00%
0/7
0.00%
0/5
0.00%
0/9
14.3%
1/7 • Number of events 1
Infections and infestations
Upper respiratory tract infection
0.00%
0/2
0.00%
0/7
20.0%
1/5 • Number of events 1
0.00%
0/9
0.00%
0/7
Injury, poisoning and procedural complications
Arthropod bite
0.00%
0/2
0.00%
0/7
0.00%
0/5
11.1%
1/9 • Number of events 1
0.00%
0/7
Injury, poisoning and procedural complications
Contusion
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
0.00%
0/7
Injury, poisoning and procedural complications
Laceration
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
0.00%
0/7
Injury, poisoning and procedural complications
Scratch
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
0.00%
0/7
Injury, poisoning and procedural complications
Thermal burn
0.00%
0/2
0.00%
0/7
0.00%
0/5
11.1%
1/9 • Number of events 1
0.00%
0/7
Investigations
Aspartate aminotransferase increased
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
14.3%
1/7 • Number of events 1
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
0.00%
0/7
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/2
28.6%
2/7 • Number of events 2
0.00%
0/5
11.1%
1/9 • Number of events 1
0.00%
0/7
Metabolism and nutrition disorders
Increased appetite
0.00%
0/2
0.00%
0/7
0.00%
0/5
0.00%
0/9
42.9%
3/7 • Number of events 3
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/2
14.3%
1/7 • Number of events 3
0.00%
0/5
11.1%
1/9 • Number of events 1
0.00%
0/7
Nervous system disorders
Dizziness
0.00%
0/2
0.00%
0/7
20.0%
1/5 • Number of events 1
0.00%
0/9
0.00%
0/7
Nervous system disorders
Dizziness postural
0.00%
0/2
0.00%
0/7
20.0%
1/5 • Number of events 1
0.00%
0/9
0.00%
0/7
Nervous system disorders
Headache
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
14.3%
1/7 • Number of events 1
Nervous system disorders
Hypoaesthesia
0.00%
0/2
0.00%
0/7
0.00%
0/5
11.1%
1/9 • Number of events 1
0.00%
0/7
Nervous system disorders
Lethargy
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
0.00%
0/7
Nervous system disorders
Somnolence
0.00%
0/2
0.00%
0/7
0.00%
0/5
0.00%
0/9
14.3%
1/7 • Number of events 1
Psychiatric disorders
Anxiety
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
0.00%
0/7
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/2
14.3%
1/7 • Number of events 1
20.0%
1/5 • Number of events 1
0.00%
0/9
28.6%
2/7 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
0.00%
0/7
Respiratory, thoracic and mediastinal disorders
Productive cough
0.00%
0/2
0.00%
0/7
20.0%
1/5 • Number of events 1
0.00%
0/9
0.00%
0/7
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/2
0.00%
0/7
0.00%
0/5
11.1%
1/9 • Number of events 1
14.3%
1/7 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Throat irritation
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
0.00%
0/7
Skin and subcutaneous tissue disorders
Blister
50.0%
1/2 • Number of events 1
0.00%
0/7
0.00%
0/5
0.00%
0/9
0.00%
0/7
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
0.00%
0/7
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
0.00%
0/7
Skin and subcutaneous tissue disorders
Night sweats
0.00%
0/2
0.00%
0/7
20.0%
1/5 • Number of events 1
0.00%
0/9
0.00%
0/7
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/2
14.3%
1/7 • Number of events 1
0.00%
0/5
0.00%
0/9
14.3%
1/7 • Number of events 1
Skin and subcutaneous tissue disorders
Rash
0.00%
0/2
14.3%
1/7 • Number of events 2
0.00%
0/5
0.00%
0/9
0.00%
0/7

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