Trial Outcomes & Findings for A Study of Baricitinib When Administered With Ketoconazole or Fluconazole in Healthy Participants (NCT NCT01924299)

NCT ID: NCT01924299

Last Updated: 2017-06-06

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

36 participants

Primary outcome timeframe

Days 1 and 6: predose of baricitinib and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 and 48 hours postdose

Results posted on

2017-06-06

Participant Flow

This was an open-label, 2-period, fixed-sequence study. Period 1 was from Day 1 through Day 2. Period 2 was from Day 3 through Day 9 for baricitinib + ketoconazole (Group A) and Day 3 through Day 10 for baricitinib + fluconazole (Group B).

Participant milestones

Participant milestones
Measure
Baricitinib + Ketoconazole (Group A)
10 milligrams (mg) baricitinib administered orally once on Day 1 of Period 1 and on Day 6 of Period 2. 400 mg ketoconazole administered orally once daily (QD) for 6 days (Day 3 through Day 8) in Period 2.
Baricitinib + Fluconazole (Group B)
10 mg baricitinib administered orally once on Day 1 of Period 1 and on Day 7 of Period 2. 400 mg fluconazole administered orally once on Day 3 of Period 2, followed by 200 mg administered orally QD for 6 days (Day 4 through Day 9) in Period 2.
Period 1
STARTED
18
18
Period 1
Received Baricitinib
18
18
Period 1
COMPLETED
18
18
Period 1
NOT COMPLETED
0
0
Period 2
STARTED
18
18
Period 2
Received at Least 1 Dose of Study Drug
18
18
Period 2
Received Baricitinib
17
17
Period 2
COMPLETED
17
17
Period 2
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Baricitinib + Ketoconazole (Group A)
10 milligrams (mg) baricitinib administered orally once on Day 1 of Period 1 and on Day 6 of Period 2. 400 mg ketoconazole administered orally once daily (QD) for 6 days (Day 3 through Day 8) in Period 2.
Baricitinib + Fluconazole (Group B)
10 mg baricitinib administered orally once on Day 1 of Period 1 and on Day 7 of Period 2. 400 mg fluconazole administered orally once on Day 3 of Period 2, followed by 200 mg administered orally QD for 6 days (Day 4 through Day 9) in Period 2.
Period 2
Withdrawal by Subject
1
0
Period 2
Adverse Event
0
1

Baseline Characteristics

A Study of Baricitinib When Administered With Ketoconazole or Fluconazole in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Baricitinib + Ketoconazole (Group A)
n=18 Participants
10 mg baricitinib administered orally once on Day 1 of Period 1 and on Day 6 of Period 2. 400 mg Ketoconazole administered orally QD for 6 days (Day 3 through Day 8) in Period 2.
Baricitinib + Fluconazole (Group B)
n=18 Participants
10 mg baricitinib administered orally once on Day 1 of Period 1 and on Day 7 of Period 2. 400 mg fluconazole administered orally once on Day 3 of Period 2, followed by 200 mg administered orally QD for 6 days (Day 4 through Day 9) in Period 2.
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
42.3 years
STANDARD_DEVIATION 15.0 • n=5 Participants
42.7 years
STANDARD_DEVIATION 13.7 • n=7 Participants
42.5 years
STANDARD_DEVIATION 14.2 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
12 Participants
n=7 Participants
28 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=5 Participants
18 Participants
n=7 Participants
36 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 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
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
16 Participants
n=5 Participants
16 Participants
n=7 Participants
32 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United Kingdom
18 Participants
n=5 Participants
18 Participants
n=7 Participants
36 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Days 1 and 6: predose of baricitinib and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 and 48 hours postdose

Population: All enrolled participants who received study drug (baricitinib in Period 1 and baricitinib + ketoconazole in Period 2) and had PK data to calculate AUC(0-∞) of baricitinib.

Outcome measures

Outcome measures
Measure
Baricitinib (Group A)
n=18 Participants
10 mg baricitinib administered orally once on Day 1 of Period 1.
Baricitinib + Ketoconazole (Group A)
n=17 Participants
10 mg baricitinib administered orally once on Day 6 of Period 2. 400 mg Ketoconazole administered orally QD for 6 days (Day 3 through Day 8) in Period 2.
Pharmacokinetics (PK): Area Under the Plasma Concentration-Time Curve From Time 0 Hour to Infinity [AUC(0-∞)] of Baricitinib Following Single Doses of Baricitinib Alone or Coadministered With Ketoconazole
720 nanograms*hour/milliliter (ng*h/mL)
Geometric Coefficient of Variation 23
868 nanograms*hour/milliliter (ng*h/mL)
Geometric Coefficient of Variation 24

PRIMARY outcome

Timeframe: Days 1 and 7: predose of baricitinib and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 and 48 hours postdose

Population: All enrolled participants who received study drug (baricitinib in Period 1 and baricitinib + fluconazole in Period 2) and had PK data to calculate AUC(0-∞) of baricitinib.

Outcome measures

Outcome measures
Measure
Baricitinib (Group A)
n=18 Participants
10 mg baricitinib administered orally once on Day 1 of Period 1.
Baricitinib + Ketoconazole (Group A)
n=17 Participants
10 mg baricitinib administered orally once on Day 6 of Period 2. 400 mg Ketoconazole administered orally QD for 6 days (Day 3 through Day 8) in Period 2.
PK: AUC(0-∞) of Baricitinib Following Single Doses of Baricitinib Alone or Coadministered With Fluconazole
698 ng*h/mL
Geometric Coefficient of Variation 24
851 ng*h/mL
Geometric Coefficient of Variation 24

PRIMARY outcome

Timeframe: Days 1 and 6: predose of baricitinib and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 and 48 hours postdose

Population: All enrolled participants who received study drug (baricitinib in Period 1 and baricitinib + ketoconazole in Period 2) and had PK data to calculate Cmax of baricitinib.

Outcome measures

Outcome measures
Measure
Baricitinib (Group A)
n=18 Participants
10 mg baricitinib administered orally once on Day 1 of Period 1.
Baricitinib + Ketoconazole (Group A)
n=17 Participants
10 mg baricitinib administered orally once on Day 6 of Period 2. 400 mg Ketoconazole administered orally QD for 6 days (Day 3 through Day 8) in Period 2.
PK: Maximum Concentration (Cmax) of Baricitinib Following Single Doses of Baricitinib Alone or Coadministered With Ketoconazole
106 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 27
115 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 32

PRIMARY outcome

Timeframe: Days 1 and 7: predose of baricitinib and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 and 48 hours postdose

Population: All enrolled participants who received study drug (baricitinib in Period 1 and baricitinib + fluconazole in Period 2) and had PK data to calculate Cmax of baricitinib.

Outcome measures

Outcome measures
Measure
Baricitinib (Group A)
n=18 Participants
10 mg baricitinib administered orally once on Day 1 of Period 1.
Baricitinib + Ketoconazole (Group A)
n=17 Participants
10 mg baricitinib administered orally once on Day 6 of Period 2. 400 mg Ketoconazole administered orally QD for 6 days (Day 3 through Day 8) in Period 2.
PK: Cmax of Baricitinib Following Single Doses of Baricitinib Alone or Coadministered With Fluconazole
103 ng/mL
Geometric Coefficient of Variation 36
107 ng/mL
Geometric Coefficient of Variation 38

PRIMARY outcome

Timeframe: Days 1 and 6: predose of baricitinib and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 and 48 hours postdose

Population: All enrolled participants who received study drug (baricitinib in Period 1 and baricitinib + ketoconazole in Period 2) and had PK data to calculate Tmax of baricitinib.

Outcome measures

Outcome measures
Measure
Baricitinib (Group A)
n=18 Participants
10 mg baricitinib administered orally once on Day 1 of Period 1.
Baricitinib + Ketoconazole (Group A)
n=17 Participants
10 mg baricitinib administered orally once on Day 6 of Period 2. 400 mg Ketoconazole administered orally QD for 6 days (Day 3 through Day 8) in Period 2.
PK: Time of Maximum Observed Drug Concentration (Tmax) of Baricitinib Following Single Doses of Baricitinib Alone or Coadministered With Ketoconazole
1.00 hours
Interval 0.5 to 2.0
1.00 hours
Interval 0.5 to 2.0

PRIMARY outcome

Timeframe: Days 1 and 7: predose of baricitinib and 0.5, 1, 2, 3, 4, 5, 6, 8, 12, 24 and 48 hours postdose

Population: All enrolled participants who received study drug (baricitinib in Period 1 and baricitinib + fluconazole in Period 2) and had PK data to calculate Tmax of baricitinib.

Outcome measures

Outcome measures
Measure
Baricitinib (Group A)
n=18 Participants
10 mg baricitinib administered orally once on Day 1 of Period 1.
Baricitinib + Ketoconazole (Group A)
n=17 Participants
10 mg baricitinib administered orally once on Day 6 of Period 2. 400 mg Ketoconazole administered orally QD for 6 days (Day 3 through Day 8) in Period 2.
PK: Tmax of Baricitinib Following Single Doses of Baricitinib Alone or Coadministered With Fluconazole
1.00 hours
Interval 0.5 to 4.0
1.00 hours
Interval 0.5 to 3.0

Adverse Events

Baricitinib (Group A)

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

Ketoconazole (Group A)

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

Baricitinib + Ketoconazole (Group A)

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

Baricitinib (Group B)

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

Fluconazole (Group B)

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

Baricitinib + Fluconazole (Group B)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Baricitinib (Group A)
n=18 participants at risk
10 mg baricitinib administered orally once on Day 1 of Period 1. Adverse events are reported from baseline through predose on Day 3.
Ketoconazole (Group A)
n=18 participants at risk
400 mg ketoconazole administered orally QD on Day 3 through Day 5 in Period 2. Adverse events are reported from postdose on Day 3 through predose on Day 6.
Baricitinib + Ketoconazole (Group A)
n=17 participants at risk
10 mg baricitinib administered orally once on Day 6 of Period 2. 400 mg ketoconazole administered orally QD on Day 6 through Day 8 in Period 2. Adverse events are reported from postdose on Day 6 up to Day 22.
Baricitinib (Group B)
n=18 participants at risk
10 mg baricitinib administered orally once on Day 1 of Period 1. Adverse events are reported from baseline through predose on Day 3.
Fluconazole (Group B)
n=18 participants at risk
400 mg fluconazole administered orally once on Day 3 of Period 2, followed by 200 mg administered orally QD on Day 4 through Day 6 in Period 2. Adverse events are reported from postdose on Day 3 through predose on Day 7.
Baricitinib + Fluconazole (Group B)
n=17 participants at risk
10 mg baricitinib administered orally once on Day 7 of Period 2. 200 mg fluconazole administered orally QD on Day 7 through Day 9 in Period 2. Adverse events are reported from postdose on Day 7 up to Day 23.
Eye disorders
Vision blurred
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Gastrointestinal disorders
Abdominal pain
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Gastrointestinal disorders
Anorectal discomfort
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Gastrointestinal disorders
Constipation
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Gastrointestinal disorders
Diarrhoea
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Gastrointestinal disorders
Flatulence
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Gastrointestinal disorders
Nausea
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
11.1%
2/18 • Number of events 2 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Gastrointestinal disorders
Retching
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
General disorders
Catheter site related reaction
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.9%
1/17 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.9%
1/17 • Number of events 1 • Baseline through study completion (up to Day 23).
General disorders
Influenza like illness
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.9%
1/17 • Number of events 1 • Baseline through study completion (up to Day 23).
General disorders
Pain
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Injury, poisoning and procedural complications
Tooth injury
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.9%
1/17 • Number of events 1 • Baseline through study completion (up to Day 23).
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
5.9%
1/17 • Number of events 1 • Baseline through study completion (up to Day 23).
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.9%
1/17 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Nervous system disorders
Dizziness
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Nervous system disorders
Headache
16.7%
3/18 • Number of events 3 • Baseline through study completion (up to Day 23).
33.3%
6/18 • Number of events 7 • Baseline through study completion (up to Day 23).
11.8%
2/17 • Number of events 3 • Baseline through study completion (up to Day 23).
5.6%
1/18 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.9%
1/17 • Number of events 1 • Baseline through study completion (up to Day 23).
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.9%
1/17 • Number of events 1 • Baseline through study completion (up to Day 23).
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.9%
1/17 • Number of events 2 • Baseline through study completion (up to Day 23).
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.9%
1/17 • Number of events 1 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/17 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
0.00%
0/18 • Baseline through study completion (up to Day 23).
5.9%
1/17 • Number of events 1 • Baseline through study completion (up to Day 23).

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