Trial Outcomes & Findings for A Study of Baricitinib and Rifampicin in Healthy Participants (NCT NCT01910311)

NCT ID: NCT01910311

Last Updated: 2017-06-06

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

18 participants

Primary outcome timeframe

Period 1, Day 1 and Period 2, Day 10: Predose, 0.5, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours postdose

Results posted on

2017-06-06

Participant Flow

This was an open-label, fixed-sequence, 2-period study conducted in healthy participants to compare the single dose pharmacokinetics (PK) of baricitinib when given alone and when coadministered with rifampicin.

Participant milestones

Participant milestones
Measure
Baricitinib Then Baricitinib and Rifampicin
Period 1: 10-milligram (mg) dose of baricitinib (2 x 4-mg and 1 x 2-mg tablets) administered orally on Day 1. Period 2: 600-mg dose of rifampicin (2 x 300-mg capsules) administered orally once daily (QD) on Days 3 through 11, with coadministration of a 10-mg dose of baricitinib on Day 10.
Period 1 (Days 1-2)
STARTED
18
Period 1 (Days 1-2)
Received Baricitinib
18
Period 1 (Days 1-2)
COMPLETED
18
Period 1 (Days 1-2)
NOT COMPLETED
0
Period 2 (Days 3-32)
STARTED
18
Period 2 (Days 3-32)
Received Baricitinib
18
Period 2 (Days 3-32)
Received At Least 1 Dose of Rifampicin
18
Period 2 (Days 3-32)
COMPLETED
18
Period 2 (Days 3-32)
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of Baricitinib and Rifampicin in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Baricitinib Then Baricitinib and Rifampicin
n=18 Participants
Period 1: 10-mg dose of baricitinib (2 x 4-mg and 1 x 2-mg tablets) administered orally on Day 1. Period 2: 600-mg dose of rifampicin (2 x 300-mg capsules) administered orally QD on Days 3 through 11, with coadministration of a 10-mg dose of baricitinib on Day 10.
Age, Continuous
40.9 years
STANDARD_DEVIATION 15.4 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 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
1 Participants
n=5 Participants
Race (NIH/OMB)
White
16 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 Kingdom
18 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Period 1, Day 1 and Period 2, Day 10: Predose, 0.5, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours postdose

Population: Participants who received study drug (baricitinib in Period 1 and at least 1 dose of rifampicin and baricitinib in Period 2) and had evaluable PK data.

Outcome measures

Outcome measures
Measure
Baricitinib
n=18 Participants
Period 1: 10-mg dose of baricitinib (2 x 4-mg and 1 x 2-mg tablets) administered orally on Day 1.
Baricitinib and Rifampicin
n=18 Participants
Period 2: 600-mg dose of rifampicin (2 x 300-mg capsules) administered orally QD on Days 3 through 11, with coadministration of a 10-mg dose of baricitinib on Day 10.
PK: Maximum Concentration (Cmax) of Baricitinib
96.1 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 22
101 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 28

PRIMARY outcome

Timeframe: Period 1, Day 1 and Period 2, Day 10: Predose, 0.5, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours postdose

Population: Participants who received study drug (baricitinib in Period 1 and at least 1 dose of rifampicin and baricitinib in Period 2) and had evaluable PK data.

Outcome measures

Outcome measures
Measure
Baricitinib
n=18 Participants
Period 1: 10-mg dose of baricitinib (2 x 4-mg and 1 x 2-mg tablets) administered orally on Day 1.
Baricitinib and Rifampicin
n=18 Participants
Period 2: 600-mg dose of rifampicin (2 x 300-mg capsules) administered orally QD on Days 3 through 11, with coadministration of a 10-mg dose of baricitinib on Day 10.
PK: Area Under the Concentration Versus Time Curve From 0 to Infinity [AUC(0-∞)] of Baricitinib
634 nanograms*hour/milliliter (ng*h/mL)
Geometric Coefficient of Variation 19
416 nanograms*hour/milliliter (ng*h/mL)
Geometric Coefficient of Variation 20

PRIMARY outcome

Timeframe: Period 1, Day 1 and Period 2, Day 10: Predose, 0.5, 1, 2, 4, 6, 8, 12, 16, 24, 36, and 48 hours postdose

Population: Participants who received study drug (baricitinib in Period 1 and at least 1 dose of rifampicin and baricitinib in Period 2) and who had evaluable PK data.

Outcome measures

Outcome measures
Measure
Baricitinib
n=18 Participants
Period 1: 10-mg dose of baricitinib (2 x 4-mg and 1 x 2-mg tablets) administered orally on Day 1.
Baricitinib and Rifampicin
n=18 Participants
Period 2: 600-mg dose of rifampicin (2 x 300-mg capsules) administered orally QD on Days 3 through 11, with coadministration of a 10-mg dose of baricitinib on Day 10.
PK: Time of Maximum Observed Drug Concentration (Tmax) of Baricitinib
1.00 hours (h)
Interval 0.5 to 2.0
1.00 hours (h)
Interval 0.5 to 1.0

Adverse Events

Baricitinib

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

Rifampicin

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

Baricitinib and Rifampicin

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Baricitinib
n=18 participants at risk
A 10-mg dose of baricitinib (2 x 4-mg and 1 x 2-mg tablets) administered orally on Day 1. Adverse events (AEs) are reported from baseline through predose on Day 3.
Rifampicin
n=18 participants at risk
A 600-mg dose of rifampicin (2 x 300-mg capsules) administered orally QD on Days 3 through 9. AEs are reported postdose on Day 3 through predose on Day 10.
Baricitinib and Rifampicin
n=18 participants at risk
A 600-mg dose of rifampicin (2 x 300-mg capsules) administered orally QD on Days 10 and 11, with coadministration of a 10-mg dose of baricitinib on Day 10. AEs are reported postdose on Day 10 up to Day 32.
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/18 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
Gastrointestinal disorders
Flatulence
0.00%
0/18 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
Gastrointestinal disorders
Gingival bleeding
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
Gastrointestinal disorders
Nausea
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
11.1%
2/18 • Number of events 2 • Baseline through study completion (up to Day 32)
Gastrointestinal disorders
Vomiting
0.00%
0/18 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 2 • Baseline through study completion (up to Day 32)
General disorders
Chest discomfort
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
General disorders
Fatigue
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
General disorders
Thirst
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
Infections and infestations
Nasopharyngitis
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
11.1%
2/18 • Number of events 2 • Baseline through study completion (up to Day 32)
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
Nervous system disorders
Headache
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
Psychiatric disorders
Mood swings
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
Psychiatric disorders
Terminal insomnia
0.00%
0/18 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
Renal and urinary disorders
Chromaturia
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 3 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
Renal and urinary disorders
Pollakiuria
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
Skin and subcutaneous tissue disorders
Acne
0.00%
0/18 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/18 • Baseline through study completion (up to Day 32)
0.00%
0/18 • Baseline through study completion (up to Day 32)
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 32)

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