Trial Outcomes & Findings for A Study of LY2624803 in Japanese Participants With Transient Insomnia (NCT NCT01784614)

NCT ID: NCT01784614

Last Updated: 2016-01-28

Results Overview

WASO was calculated as total time in awake epochs between sleep onset time (first stage 2 epoch) and the end of the primary recording period (8 hours after lights -off). Data presented are Geometric Least Squares (LS) means. Geometric LS mean was calculated using mixed models analysis. The model included factors for treatment, treatment sequence, period and participants.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

8 hours in Periods 1, 2 and 3

Results posted on

2016-01-28

Participant Flow

This was a double-blind, randomized, placebo-controlled, 4-period cross-over study. The first 3 of which were used for polysomnography (PSG) measurements, and the fourth period was used to determine plasma concentrations of LY2624803 to estimate pharmacokinetic (PK) parameters.

Participant milestones

Participant milestones
Measure
Cohort 1
Period 1: Single dose of 1 placebo capsule plus placebo solution administered orally. Period 2: Single dose of one 1.0 milligram (mg) LY2624803 capsule plus placebo solution administered orally. Period 3: Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally. Period 4: Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally. There was at least 7 days washout between each period.
Cohort 2
Period 1: Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally. Period 2: Single dose of 1 placebo capsule plus placebo solution administered orally. Period 3: Single dose of one 6.0 mg LY2624803 capsule plus placebo solution administered orally. Period 4: Single dose of one 6.0 mg LY2624803 capsule plus placebo solution administered orally. There was at least 7 days washout between each period.
Cohort 3
Period 1: Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally. Period 2: Single dose of one 6.0 mg LY2624803 capsule plus placebo solution administered orally. Period 3: Single dose of 1 placebo capsule plus placebo solution administered orally. Period 4: Single dose of one 6.0 mg LY2624803 capsule plus placebo solution administered orally. There was at least 7 days washout between each period.
Cohort 4
Period 1: Single dose of one 6.0 mg LY2624803 capsule plus placebo solution administered orally. Period 2: Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally. Period 3: Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally. Period 4: Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally. There was at least 7 days washout between each period.
Cohort 5
Period 1: Single dose of 1 placebo capsule plus placebo solution administered orally. Period 2: Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally. Period 3: Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally. Period 4: Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally. There was at least 7 days washout between each period.
Cohort 6
Period 1: Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally. Period 2: Single dose of 1 placebo capsule plus placebo solution administered orally. Period 3: Single dose of 0.1 mg LY2624803 solution plus 1 placebo capsule administered orally. Period 4: Single dose of 0.1 mg LY2624803 solution plus 1 placebo capsule administered orally. There was at least 7 days washout between each period.
Cohort 7
Period 1: Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally. Period 2: Single dose of 0.1 mg LY2624803 solution plus 1 placebo capsule administered orally. Period 3: Single dose of 1 placebo capsule plus placebo solution administered orally. Period 4: Single dose of 0.1 mg LY2624803 solution plus 1 placebo capsule administered orally. There was at least 7 days washout between each period.
Cohort 8
Period 1: Single dose of 0.1 mg LY2624803 solution plus 1 placebo capsule administered orally. Period 2: Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally. Period 3: Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally. Period 4: Single dose of 1.0 mg LY2624803 solution plus 1 placebo capsule administered orally. There was at least 7 days washout between each period.
Period 1
STARTED
3
3
3
3
3
3
3
3
Period 1
Received at Least 1 Dose of Study Drug
3
3
3
3
3
3
3
3
Period 1
COMPLETED
3
3
3
3
3
3
3
3
Period 1
NOT COMPLETED
0
0
0
0
0
0
0
0
Period 2
STARTED
3
3
3
3
3
3
3
2
Period 2
COMPLETED
3
3
3
3
3
3
3
2
Period 2
NOT COMPLETED
0
0
0
0
0
0
0
0
Period 3
STARTED
3
2
3
3
3
3
3
2
Period 3
COMPLETED
3
2
3
3
3
3
3
2
Period 3
NOT COMPLETED
0
0
0
0
0
0
0
0
Period 4
STARTED
3
2
3
3
3
3
3
2
Period 4
COMPLETED
3
2
3
3
3
3
3
2
Period 4
NOT COMPLETED
0
0
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of LY2624803 in Japanese Participants With Transient Insomnia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall
n=24 Participants
Single dose of 0.1 mg LY2624803 oral solution plus 1 placebo capsule, one 1.0, 3.0 or 6.0 mg LY2624803 capsule plus placebo solution administered orally in up to 2 of 4 periods or 1 placebo capsule plus placebo solution administered orally in up to 1 of 4 periods. There was at least 7 days washout between each period.
Age, Continuous
54.1 years
STANDARD_DEVIATION 14.1 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
24 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
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
Japan
24 participants
n=5 Participants

PRIMARY outcome

Timeframe: 8 hours in Periods 1, 2 and 3

Population: All randomized participants who received at least 1 dose of study drug and had PSG measurements in Periods 1, 2 and 3.

WASO was calculated as total time in awake epochs between sleep onset time (first stage 2 epoch) and the end of the primary recording period (8 hours after lights -off). Data presented are Geometric Least Squares (LS) means. Geometric LS mean was calculated using mixed models analysis. The model included factors for treatment, treatment sequence, period and participants.

Outcome measures

Outcome measures
Measure
0.1 mg LY2624803
n=8 Participants
Single dose of 0.1 mg LY2624803 solution plus 1 placebo capsule administered orally in Periods 1, 2 and 3.
1.0 mg LY2624803
n=17 Participants
Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
3.0 mg LY2624803
n=16 Participants
Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
6.0 mg LY2624803
n=8 Participants
Single dose of one 6.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
Placebo
n=17 Participants
Single dose of 1 placebo capsule plus placebo solution administered orally in Periods 1, 2 and 3.
Wake After Sleep Onset (WASO) With LY2624803 Compared to Placebo
58.88 minutes (min)
Interval 33.32 to 104.05
40.70 minutes (min)
Interval 25.67 to 64.54
32.27 minutes (min)
Interval 20.27 to 51.37
18.42 minutes (min)
Interval 10.44 to 32.51
61.10 minutes (min)
Interval 38.6 to 96.72

SECONDARY outcome

Timeframe: 8 hours in Periods 1, 2 and 3

Population: All randomized participants who received at least 1 dose of study drug and had PSG measurements in Periods 1, 2 and 3.

LPS is defined as the latency from the lights-off time to the first stage 2 sleep followed by at least 10 consecutive minutes of sleep epochs. Data presented are Geometric LS means. Geometric LS mean was calculated using mixed models analysis. The model included factors for treatment, treatment sequence, period and participants.

Outcome measures

Outcome measures
Measure
0.1 mg LY2624803
n=8 Participants
Single dose of 0.1 mg LY2624803 solution plus 1 placebo capsule administered orally in Periods 1, 2 and 3.
1.0 mg LY2624803
n=17 Participants
Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
3.0 mg LY2624803
n=16 Participants
Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
6.0 mg LY2624803
n=8 Participants
Single dose of one 6.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
Placebo
n=17 Participants
Single dose of 1 placebo capsule plus placebo solution administered orally in Periods 1, 2 and 3.
Latency to Persistent Sleep (LPS)
14.30 min
Interval 7.41 to 27.59
8.39 min
Interval 5.41 to 13.02
7.84 min
Interval 5.01 to 12.28
7.27 min
Interval 3.78 to 13.99
10.40 min
Interval 6.72 to 16.09

SECONDARY outcome

Timeframe: 8 hours in Periods 1, 2 and 3

Population: All randomized participants who received at least 1 dose of study drug and had PSG measurements in Periods 1, 2 and 3.

TST is defined as the total time in sleep epochs from sleep onset time to the end of the primary recording period (8 hours after lights -off). LS mean was calculated using mixed models analysis. The model included factors for treatment, treatment sequence, period and participants.

Outcome measures

Outcome measures
Measure
0.1 mg LY2624803
n=8 Participants
Single dose of 0.1 mg LY2624803 solution plus 1 placebo capsule administered orally in Periods 1, 2 and 3.
1.0 mg LY2624803
n=17 Participants
Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
3.0 mg LY2624803
n=16 Participants
Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
6.0 mg LY2624803
n=8 Participants
Single dose of one 6.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
Placebo
n=17 Participants
Single dose of 1 placebo capsule plus placebo solution administered orally in Periods 1, 2 and 3.
Total Sleep Time (TST)
374.37 min
Interval 333.21 to 415.53
404.35 min
Interval 373.53 to 435.17
420.65 min
Interval 389.43 to 451.88
452.09 min
Interval 411.06 to 493.12
373.78 min
Interval 343.12 to 404.44

SECONDARY outcome

Timeframe: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, 10, 12, 18, and 42 hours post-dose in Period 4

Population: All randomized participants who received a single oral dose of LY2624803 in Period 4 and had evaluable PK data.

Outcome measures

Outcome measures
Measure
0.1 mg LY2624803
n=6 Participants
Single dose of 0.1 mg LY2624803 solution plus 1 placebo capsule administered orally in Periods 1, 2 and 3.
1.0 mg LY2624803
n=5 Participants
Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
3.0 mg LY2624803
n=6 Participants
Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
6.0 mg LY2624803
n=5 Participants
Single dose of one 6.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
Placebo
Single dose of 1 placebo capsule plus placebo solution administered orally in Periods 1, 2 and 3.
PK: Maximum Plasma Concentration (Cmax) of LY2624803 After Single Oral Dose in Period 4
4.88 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 10
43.8 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 10
146 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 13
251 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 9

SECONDARY outcome

Timeframe: Pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, 10, 12, 18, and 42 hours post-dose in Period 4

Population: All randomized participants who received a single oral dose of LY2624803 in Period 4 and had evaluable PK data.

Outcome measures

Outcome measures
Measure
0.1 mg LY2624803
n=6 Participants
Single dose of 0.1 mg LY2624803 solution plus 1 placebo capsule administered orally in Periods 1, 2 and 3.
1.0 mg LY2624803
n=5 Participants
Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
3.0 mg LY2624803
n=6 Participants
Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
6.0 mg LY2624803
n=5 Participants
Single dose of one 6.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
Placebo
Single dose of 1 placebo capsule plus placebo solution administered orally in Periods 1, 2 and 3.
PK: Area Under the Concentration-Time Curve From Time 0 to Infinity [AUC(0-∞)] of LY2624803 After Single Oral Dose in Period 4
79.0 nanograms•hour/milliliter (ng•hr/mL)
Geometric Coefficient of Variation 39
714 nanograms•hour/milliliter (ng•hr/mL)
Geometric Coefficient of Variation 20
2240 nanograms•hour/milliliter (ng•hr/mL)
Geometric Coefficient of Variation 34
4220 nanograms•hour/milliliter (ng•hr/mL)
Geometric Coefficient of Variation 24

Adverse Events

0.1 mg LY2624803 - Periods 1-3

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

1.0 mg LY2624803 - Periods 1-3

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

3.0 mg LY2624803 - Periods 1-3

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

6.0 mg LY2624803 - Periods 1-3

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

Placebo - Periods 1-3

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

0.1 mg LY2624803 - Period 4

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

1.0 mg LY2624803 - Period 4

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

3.0 mg LY2624803 - Period 4

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

6 mg LY2624803 - Period 4

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
0.1 mg LY2624803 - Periods 1-3
n=9 participants at risk
Single dose of 0.1 mg LY2624803 solution plus 1 placebo capsule administered orally in Periods 1, 2 and 3.
1.0 mg LY2624803 - Periods 1-3
n=17 participants at risk
Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
3.0 mg LY2624803 - Periods 1-3
n=17 participants at risk
Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
6.0 mg LY2624803 - Periods 1-3
n=8 participants at risk
Single dose of one 6.0 mg LY2624803 capsule plus placebo solution administered orally in Periods 1, 2 and 3.
Placebo - Periods 1-3
n=18 participants at risk
Single dose of 1 placebo capsule plus placebo solution administered orally in Periods 1, 2 and 3.
0.1 mg LY2624803 - Period 4
n=6 participants at risk
Single dose of 0.1 mg LY2624803 solution plus 1 placebo capsule administered orally in Period 4.
1.0 mg LY2624803 - Period 4
n=5 participants at risk
Single dose of one 1.0 mg LY2624803 capsule plus placebo solution administered orally in Period 4.
3.0 mg LY2624803 - Period 4
n=6 participants at risk
Single dose of one 3.0 mg LY2624803 capsule plus placebo solution administered orally in Period 4.
6 mg LY2624803 - Period 4
n=5 participants at risk
Single dose of one 6.0 mg LY2624803 capsule plus placebo solution administered orally in Period 4.
Eye disorders
Conjunctivitis
0.00%
0/9
0.00%
0/17
5.9%
1/17 • Number of events 1
0.00%
0/8
0.00%
0/18
0.00%
0/6
0.00%
0/5
0.00%
0/6
0.00%
0/5
Gastrointestinal disorders
Diarrhoea
0.00%
0/9
5.9%
1/17 • Number of events 1
5.9%
1/17 • Number of events 1
0.00%
0/8
5.6%
1/18 • Number of events 1
0.00%
0/6
0.00%
0/5
0.00%
0/6
20.0%
1/5 • Number of events 1
General disorders
Feeling abnormal
11.1%
1/9 • Number of events 1
0.00%
0/17
0.00%
0/17
0.00%
0/8
0.00%
0/18
0.00%
0/6
0.00%
0/5
0.00%
0/6
0.00%
0/5
General disorders
Vessel puncture site pain
0.00%
0/9
0.00%
0/17
0.00%
0/17
0.00%
0/8
0.00%
0/18
0.00%
0/6
20.0%
1/5 • Number of events 1
0.00%
0/6
20.0%
1/5 • Number of events 1
Injury, poisoning and procedural complications
Contusion
0.00%
0/9
0.00%
0/17
5.9%
1/17 • Number of events 1
0.00%
0/8
0.00%
0/18
0.00%
0/6
0.00%
0/5
0.00%
0/6
0.00%
0/5
Injury, poisoning and procedural complications
Muscle strain
11.1%
1/9 • Number of events 1
0.00%
0/17
0.00%
0/17
0.00%
0/8
0.00%
0/18
0.00%
0/6
0.00%
0/5
0.00%
0/6
0.00%
0/5
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/9
0.00%
0/17
0.00%
0/17
0.00%
0/8
0.00%
0/18
0.00%
0/6
20.0%
1/5 • Number of events 1
0.00%
0/6
0.00%
0/5
Nervous system disorders
Dizziness
0.00%
0/9
0.00%
0/17
0.00%
0/17
0.00%
0/8
0.00%
0/18
0.00%
0/6
0.00%
0/5
0.00%
0/6
20.0%
1/5 • Number of events 1
Nervous system disorders
Headache
0.00%
0/9
5.9%
1/17 • Number of events 1
0.00%
0/17
0.00%
0/8
0.00%
0/18
0.00%
0/6
0.00%
0/5
0.00%
0/6
0.00%
0/5
Nervous system disorders
Poor quality sleep
0.00%
0/9
5.9%
1/17 • Number of events 1
0.00%
0/17
0.00%
0/8
11.1%
2/18 • Number of events 3
0.00%
0/6
0.00%
0/5
0.00%
0/6
0.00%
0/5
Nervous system disorders
Somnolence
0.00%
0/9
0.00%
0/17
0.00%
0/17
0.00%
0/8
5.6%
1/18 • Number of events 1
0.00%
0/6
0.00%
0/5
0.00%
0/6
0.00%
0/5
Respiratory, thoracic and mediastinal disorders
Cough
11.1%
1/9 • Number of events 1
0.00%
0/17
0.00%
0/17
0.00%
0/8
0.00%
0/18
0.00%
0/6
0.00%
0/5
0.00%
0/6
0.00%
0/5
Respiratory, thoracic and mediastinal disorders
Upper airway obstruction
0.00%
0/9
5.9%
1/17 • Number of events 1
0.00%
0/17
0.00%
0/8
0.00%
0/18
0.00%
0/6
0.00%
0/5
0.00%
0/6
0.00%
0/5
Skin and subcutaneous tissue disorders
Dermatitis contact
0.00%
0/9
0.00%
0/17
0.00%
0/17
0.00%
0/8
0.00%
0/18
0.00%
0/6
20.0%
1/5 • Number of events 1
16.7%
1/6 • Number of events 1
0.00%
0/5

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