Trial Outcomes & Findings for A Study of LY2605541 in Healthy Participants (NCT NCT01877265)

NCT ID: NCT01877265

Last Updated: 2018-10-19

Results Overview

LY2605541 exposure in terms of AUC from time 0 extrapolated to infinity (AUC\[0-inf\]) is summarized for each PEG source (LY1, LY2, or LY3).

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

18 participants

Primary outcome timeframe

Predose and 2, 4, 6, 8, 12, 24, 36, 48, 72, 120, 168, and 216 hours post dose in each period

Results posted on

2018-10-19

Participant Flow

LY2605541 was manufactured using the 3 different polyethylene glycol (PEG) sources (referred to as Source 1 \[LY1\], Source 2 \[LY2\], and Source 3 \[LY3\]). Participants were randomized to 1 of 6 treatment sequences and received a single injection of LY1, LY2, or LY3 on Day 1 of each of 3 treatment periods according to their assigned treatment sequence.

Participant milestones

Participant milestones
Measure
LY3/LY2/LY1
A single, subcutaneous (SC) injection of 0.5 units per kilogram (U/kg) LY2605541 from Source 3 on Day 1 of Period 1; from Source 2 on Day 1 of Period 2; and from Source 1 on Day 1 of Period 3. There was a washout period of at least 14 days between injections. Each participant received up to 3 injections.
LY2/LY1/LY3
A single, SC injection of 0.5 U/kg LY2605541 from Source 2 on Day 1 of Period 1; from Source 1 on Day 1 of Period 2; and from Source 3 on Day 1 of Period 3. There was a washout period of at least 14 days between injections. Each participant received up to 3 injections.
LY1/LY2/LY3
A single, SC injection of 0.5 U/kg LY2605541 from Source 1 on Day 1 of Period 1; from Source 2 on Day 1 of Period 2; and from Source 3 on Day 1 of Period 3. There was a washout period of at least 14 days between injections. Each participant received up to 3 injections.
LY1/LY3/LY2
A single, SC injection of 0.5 U/kg LY2605541 from Source 1 on Day 1 of Period 1; from Source 3 on Day 1 of Period 2; and from Source 2 on Day 1 of Period 3. There was a washout period of at least 14 days between injections. Each participant received up to 3 injections.
LY3/LY1/LY2
A single, SC injection of 0.5 U/kg LY2605541 from Source 3 on Day 1 of Period 1; from Source 1 on Day 1 of Period 2; and from Source 2 on Day 1 of Period 3. There was a washout period of at least 14 days between injections. Each participant received up to 3 injections.
LY2/LY3/LY1
A single, SC injection of 0.5 U/kg LY2605541 from Source 2 on Day 1 of Period 1; from Source 3 on Day 1 of Period 2; and from Source 1 on Day 1 of Period 3. There was a washout period of at least 14 days between injections. Each participant received up to 3 injections.
Treatment Period 1
STARTED
3
3
3
3
3
3
Treatment Period 1
Received at Least One Dose of Study Drug
3
3
3
3
3
3
Treatment Period 1
COMPLETED
3
3
2
3
3
3
Treatment Period 1
NOT COMPLETED
0
0
1
0
0
0
Washout Period 1 (at Least 14 Days)
STARTED
3
3
2
3
3
3
Washout Period 1 (at Least 14 Days)
COMPLETED
3
3
2
3
3
3
Washout Period 1 (at Least 14 Days)
NOT COMPLETED
0
0
0
0
0
0
Treatment Period 2
STARTED
3
3
2
3
3
3
Treatment Period 2
Received at Least One Dose of Study Drug
3
3
2
3
3
3
Treatment Period 2
COMPLETED
3
3
2
3
3
3
Treatment Period 2
NOT COMPLETED
0
0
0
0
0
0
Washout Period 2 (at Least 14 Days)
STARTED
3
3
2
3
3
3
Washout Period 2 (at Least 14 Days)
COMPLETED
3
3
2
3
3
2
Washout Period 2 (at Least 14 Days)
NOT COMPLETED
0
0
0
0
0
1
Treatment Period 3
STARTED
3
3
2
3
3
2
Treatment Period 3
Received at Least One Dose of Study Drug
3
3
2
3
3
2
Treatment Period 3
COMPLETED
2
3
2
3
3
2
Treatment Period 3
NOT COMPLETED
1
0
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
LY3/LY2/LY1
A single, subcutaneous (SC) injection of 0.5 units per kilogram (U/kg) LY2605541 from Source 3 on Day 1 of Period 1; from Source 2 on Day 1 of Period 2; and from Source 1 on Day 1 of Period 3. There was a washout period of at least 14 days between injections. Each participant received up to 3 injections.
LY2/LY1/LY3
A single, SC injection of 0.5 U/kg LY2605541 from Source 2 on Day 1 of Period 1; from Source 1 on Day 1 of Period 2; and from Source 3 on Day 1 of Period 3. There was a washout period of at least 14 days between injections. Each participant received up to 3 injections.
LY1/LY2/LY3
A single, SC injection of 0.5 U/kg LY2605541 from Source 1 on Day 1 of Period 1; from Source 2 on Day 1 of Period 2; and from Source 3 on Day 1 of Period 3. There was a washout period of at least 14 days between injections. Each participant received up to 3 injections.
LY1/LY3/LY2
A single, SC injection of 0.5 U/kg LY2605541 from Source 1 on Day 1 of Period 1; from Source 3 on Day 1 of Period 2; and from Source 2 on Day 1 of Period 3. There was a washout period of at least 14 days between injections. Each participant received up to 3 injections.
LY3/LY1/LY2
A single, SC injection of 0.5 U/kg LY2605541 from Source 3 on Day 1 of Period 1; from Source 1 on Day 1 of Period 2; and from Source 2 on Day 1 of Period 3. There was a washout period of at least 14 days between injections. Each participant received up to 3 injections.
LY2/LY3/LY1
A single, SC injection of 0.5 U/kg LY2605541 from Source 2 on Day 1 of Period 1; from Source 3 on Day 1 of Period 2; and from Source 1 on Day 1 of Period 3. There was a washout period of at least 14 days between injections. Each participant received up to 3 injections.
Treatment Period 1
Sponsor Decision
0
0
1
0
0
0
Washout Period 2 (at Least 14 Days)
Lost to Follow-up
0
0
0
0
0
1
Treatment Period 3
Lost to Follow-up
1
0
0
0
0
0

Baseline Characteristics

A Study of LY2605541 in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
0.5 U/kg LY2605541
n=18 Participants
Participants randomized to receive a single, SC injection of 0.5 U/kg LY2605541 using 3 different PEG sources on Day 1 of each of 3 treatment periods, according to their assigned treatment sequence.
Age, Continuous
37.6 years
STANDARD_DEVIATION 9.5 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 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
8 Participants
n=5 Participants
Race (NIH/OMB)
White
8 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
United States
18 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Predose and 2, 4, 6, 8, 12, 24, 36, 48, 72, 120, 168, and 216 hours post dose in each period

Population: Participants who received at least 1 dose of LY2605541 and had evaluable LY2605541 concentration data.

LY2605541 exposure in terms of AUC from time 0 extrapolated to infinity (AUC\[0-inf\]) is summarized for each PEG source (LY1, LY2, or LY3).

Outcome measures

Outcome measures
Measure
0.5 U/kg LY2605541 (LY1)
n=17 Participants
LY2605541: 0.5 U/kg SC injection, single dose from PEG source 1 (LY1) on Day 1 of 1 of the 3 treatment periods.
0.5 U/kg LY2605541 (LY2)
n=17 Participants
LY2605541: 0.5 U/kg SC injection, single dose from PEG source 2 (LY2) on Day 1 of 1 of the 3 treatment periods.
0.5 U/kg LY2605541 (LY3)
n=17 Participants
LY2605541: 0.5 U/kg SC injection, single dose from PEG source 3 (LY3) on Day 1 of 1 of the 3 treatment periods.
Pharmacokinetics: Area Under the Concentration Time Curve From Zero to Infinity (AUC[0-∞]) of LY2605541
128000 picomoles times hours per liter
Geometric Coefficient of Variation 23
145000 picomoles times hours per liter
Geometric Coefficient of Variation 22
135000 picomoles times hours per liter
Geometric Coefficient of Variation 18

PRIMARY outcome

Timeframe: Predose and 2, 4, 6, 8, 12, 24, 36, 48, 72, 120, 168, and 216 hours post dose in each period

Population: Participants who received at least 1 dose of LY2605541 and had evaluable LY2605541 concentration data.

The maximum observed drug concentration (Cmax) of LY2605541 is summarized for each PEG source (LY1, LY2, or LY3).

Outcome measures

Outcome measures
Measure
0.5 U/kg LY2605541 (LY1)
n=17 Participants
LY2605541: 0.5 U/kg SC injection, single dose from PEG source 1 (LY1) on Day 1 of 1 of the 3 treatment periods.
0.5 U/kg LY2605541 (LY2)
n=17 Participants
LY2605541: 0.5 U/kg SC injection, single dose from PEG source 2 (LY2) on Day 1 of 1 of the 3 treatment periods.
0.5 U/kg LY2605541 (LY3)
n=17 Participants
LY2605541: 0.5 U/kg SC injection, single dose from PEG source 3 (LY3) on Day 1 of 1 of the 3 treatment periods.
Pharmacokinetics: Maximum Concentration (Cmax) of LY2605541
1980 picomoles per liter
Geometric Coefficient of Variation 39
2490 picomoles per liter
Geometric Coefficient of Variation 35
2210 picomoles per liter
Geometric Coefficient of Variation 39

SECONDARY outcome

Timeframe: Predose and up to 24 hours post dose in each period

Population: Participants who received at least 1 dose of LY2605541 and had evaluable glucose infusion data.

The maximum observed glucose infusion rate following LY2605541 injection is summarized for each PEG source (LY1, LY2, or LY3).

Outcome measures

Outcome measures
Measure
0.5 U/kg LY2605541 (LY1)
n=17 Participants
LY2605541: 0.5 U/kg SC injection, single dose from PEG source 1 (LY1) on Day 1 of 1 of the 3 treatment periods.
0.5 U/kg LY2605541 (LY2)
n=17 Participants
LY2605541: 0.5 U/kg SC injection, single dose from PEG source 2 (LY2) on Day 1 of 1 of the 3 treatment periods.
0.5 U/kg LY2605541 (LY3)
n=17 Participants
LY2605541: 0.5 U/kg SC injection, single dose from PEG source 3 (LY3) on Day 1 of 1 of the 3 treatment periods.
Glucodynamics: Maximum Glucose Infusion Rate (Rmax)
1.21 milligrams per minute per kilogram
Geometric Coefficient of Variation 37
1.31 milligrams per minute per kilogram
Geometric Coefficient of Variation 57
1.40 milligrams per minute per kilogram
Geometric Coefficient of Variation 41

SECONDARY outcome

Timeframe: Predose and up to 24 hours post dose in each period

Population: Participants who received at least 1 dose of LY2605541 and had evaluable glucose infusion data.

The total amount of glucose infused following LY2605541 injection is summarized for each PEG source (LY1, LY2, or LY3).

Outcome measures

Outcome measures
Measure
0.5 U/kg LY2605541 (LY1)
n=17 Participants
LY2605541: 0.5 U/kg SC injection, single dose from PEG source 1 (LY1) on Day 1 of 1 of the 3 treatment periods.
0.5 U/kg LY2605541 (LY2)
n=17 Participants
LY2605541: 0.5 U/kg SC injection, single dose from PEG source 2 (LY2) on Day 1 of 1 of the 3 treatment periods.
0.5 U/kg LY2605541 (LY3)
n=16 Participants
LY2605541: 0.5 U/kg SC injection, single dose from PEG source 3 (LY3) on Day 1 of 1 of the 3 treatment periods.
Glucodynamics: Total Amount of Glucose Infused (Gtot)
900 milligrams per kilogram
Geometric Coefficient of Variation 53
963 milligrams per kilogram
Geometric Coefficient of Variation 103
1190 milligrams per kilogram
Geometric Coefficient of Variation 49

Adverse Events

0.5 U/kg LY2605541 (LY1)

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

0.5 U/kg LY2605541 (LY2)

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

0.5 U/kg LY2605541 (LY3)

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
0.5 U/kg LY2605541 (LY1)
n=17 participants at risk
LY2605541: 0.5 U/kg SC injection, single dose from LY1 on Day 1 of 1 of the 3 treatment periods.
0.5 U/kg LY2605541 (LY2)
n=17 participants at risk
LY2605541: 0.5 U/kg SC injection, single dose from LY2 on Day 1 of 1 of the 3 treatment periods.
0.5 U/kg LY2605541 (LY3)
n=17 participants at risk
LY2605541: 0.5 U/kg SC injection, single dose from LY3 on Day 1 of 1 of the 3 treatment periods.
Gastrointestinal disorders
Nausea
0.00%
0/17
5.9%
1/17 • Number of events 1
0.00%
0/17
Gastrointestinal disorders
Toothache
0.00%
0/17
0.00%
0/17
5.9%
1/17 • Number of events 1
General disorders
Asthenia
0.00%
0/17
0.00%
0/17
5.9%
1/17 • Number of events 1
General disorders
Catheter site pain
5.9%
1/17 • Number of events 1
11.8%
2/17 • Number of events 2
11.8%
2/17 • Number of events 2
General disorders
Catheter site swelling
5.9%
1/17 • Number of events 2
5.9%
1/17 • Number of events 1
5.9%
1/17 • Number of events 2
Infections and infestations
Urinary tract infection
0.00%
0/17
5.9%
1/17 • Number of events 1
0.00%
0/17
Nervous system disorders
Dizziness
5.9%
1/17 • Number of events 1
5.9%
1/17 • Number of events 1
0.00%
0/17
Nervous system disorders
Headache
5.9%
1/17 • Number of events 1
11.8%
2/17 • Number of events 2
0.00%
0/17
Nervous system disorders
Tremor
0.00%
0/17
0.00%
0/17
5.9%
1/17 • Number of events 1
Skin and subcutaneous tissue disorders
Papule
0.00%
0/17
5.9%
1/17 • Number of events 1
0.00%
0/17

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