Trial Outcomes & Findings for Study of Evacetrapib (LY2484595) and Warfarin in Healthy Participants (NCT NCT02161731)

NCT ID: NCT02161731

Last Updated: 2018-10-03

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

Days 1 and 17: 0, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours following warfarin dose

Results posted on

2018-10-03

Participant Flow

Participant milestones

Participant milestones
Measure
Warfarin
15 milligram (mg) warfarin administered as a single oral dose on Day 1.
Evacetrapib + Warfarin
Evacetrapib administered once daily (QD), orally, for 16 days on Days 7 - 22 with 15 mg warfarin co-administered once orally on Day 17.
Period 1 (Day -1 to Day 7 Predose)
STARTED
24
0
Period 1 (Day -1 to Day 7 Predose)
Received 1 Dose of Study Drug
24
0
Period 1 (Day -1 to Day 7 Predose)
COMPLETED
24
0
Period 1 (Day -1 to Day 7 Predose)
NOT COMPLETED
0
0
Period 2 (Day 7 Dosing to Day 23)
STARTED
0
24
Period 2 (Day 7 Dosing to Day 23)
Received 1 Dose of Study Drug
0
24
Period 2 (Day 7 Dosing to Day 23)
COMPLETED
0
22
Period 2 (Day 7 Dosing to Day 23)
NOT COMPLETED
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Warfarin
15 milligram (mg) warfarin administered as a single oral dose on Day 1.
Evacetrapib + Warfarin
Evacetrapib administered once daily (QD), orally, for 16 days on Days 7 - 22 with 15 mg warfarin co-administered once orally on Day 17.
Period 2 (Day 7 Dosing to Day 23)
Withdrawal by Subject
0
1
Period 2 (Day 7 Dosing to Day 23)
Adverse Event
0
1

Baseline Characteristics

Study of Evacetrapib (LY2484595) and Warfarin in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Warfarin Then Evacetrapib + Warfarin
n=24 Participants
15 mg warfarin administered as a single oral dose on Day 1. Evacetrapib administered QD, orally, for 16 days, Days 7- 22 with 15 mg warfarin co-administered once orally on Day 17.
Age, Continuous
36.0 years
STANDARD_DEVIATION 9.4 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
24 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 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
3 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
11 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
24 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Days 1 and 17: 0, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours following warfarin dose

Population: All participants who received a dose of study drug and had evaluable data for AUC \[0-∞\].

Outcome measures

Outcome measures
Measure
Warfarin
n=24 Participants
15 mg warfarin administered as a single oral dose on Day 1.
Evacetrapib + Warfarin
n=23 Participants
Evacetrapib administered QD, orally, for 16 days, Days 7 - 22 with 15 mg warfarin co-administered once orally on Day 17.
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞]) of S-Warfarin
128 nanogram*hour/milliliter (ng*h/mL)
Geometric Coefficient of Variation 23
114 nanogram*hour/milliliter (ng*h/mL)
Geometric Coefficient of Variation 19

PRIMARY outcome

Timeframe: Days 1 and 17: 0, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours following warfarin dose

Population: All participants who received a dose of study drug and had evaluable data for Cmax.

Outcome measures

Outcome measures
Measure
Warfarin
n=24 Participants
15 mg warfarin administered as a single oral dose on Day 1.
Evacetrapib + Warfarin
n=23 Participants
Evacetrapib administered QD, orally, for 16 days, Days 7 - 22 with 15 mg warfarin co-administered once orally on Day 17.
PK: Maximum Observed Concentration (Cmax) of S-warfarin
4.20 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 21
4.34 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 29

SECONDARY outcome

Timeframe: Days 1 and 17: 0, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours following warfarin dose

Population: All participants who received a dose of study drug and had evaluable data for AUC\[0-∞\].

Outcome measures

Outcome measures
Measure
Warfarin
n=24 Participants
15 mg warfarin administered as a single oral dose on Day 1.
Evacetrapib + Warfarin
n=23 Participants
Evacetrapib administered QD, orally, for 16 days, Days 7 - 22 with 15 mg warfarin co-administered once orally on Day 17.
PK: AUC[0-∞] of R-warfarin
287 ng*h/mL
Geometric Coefficient of Variation 16
271 ng*h/mL
Geometric Coefficient of Variation 17

SECONDARY outcome

Timeframe: Days 1 and 17: 0, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours following warfarin dose

Population: All participants who received a dose of study drug and had evaluable data for Cmax of R- enantiomers of Warfarin.

Outcome measures

Outcome measures
Measure
Warfarin
n=24 Participants
15 mg warfarin administered as a single oral dose on Day 1.
Evacetrapib + Warfarin
n=23 Participants
Evacetrapib administered QD, orally, for 16 days, Days 7 - 22 with 15 mg warfarin co-administered once orally on Day 17.
PK: Cmax of R-warfarin
5.03 ng/mL
Geometric Coefficient of Variation 21
5.27 ng/mL
Geometric Coefficient of Variation 27

SECONDARY outcome

Timeframe: Days 1 and 17: 0, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours following warfarin dose

Population: All participants who received a dose of study drug and had evaluable data for AUC\[INR\].

The INR is a standardized ratio of the prothrombin time (PT), time it takes for blood to clot. AUC\[INR\] is the time curve used to measure change in INR over time.

Outcome measures

Outcome measures
Measure
Warfarin
n=24 Participants
15 mg warfarin administered as a single oral dose on Day 1.
Evacetrapib + Warfarin
n=23 Participants
Evacetrapib administered QD, orally, for 16 days, Days 7 - 22 with 15 mg warfarin co-administered once orally on Day 17.
Pharmacodynamics (PD): Area Under the International Normalized Ratio Curve (AUC[INR]) of Warfarin
174 ratio times hour (ratio*h)
Geometric Coefficient of Variation 7.0
165 ratio times hour (ratio*h)
Geometric Coefficient of Variation 5.0

SECONDARY outcome

Timeframe: Days 1 and 17: 0, 6, 12, 24, 36, 48, 72, 96, 120, and 144 hours following warfarin dose

Population: All participants who received a dose of study drug and had evaluable date for INRmax.

Outcome measures

Outcome measures
Measure
Warfarin
n=24 Participants
15 mg warfarin administered as a single oral dose on Day 1.
Evacetrapib + Warfarin
n=23 Participants
Evacetrapib administered QD, orally, for 16 days, Days 7 - 22 with 15 mg warfarin co-administered once orally on Day 17.
PD: Maximum Observed International Normalized Ratio Response (INRmax) of Warfarin
1.47 ratio
Geometric Coefficient of Variation 18
1.34 ratio
Geometric Coefficient of Variation 11

Adverse Events

15 mg Warfarin

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

130 mg Evacetrapib

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

15 mg Warfarin + 130 mg Evacetrapib

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
15 mg Warfarin
n=24 participants at risk
15 milligram (mg) warfarin administered as a single oral dose on Day 1.
130 mg Evacetrapib
n=24 participants at risk
130 mg Evacetrapib administered once daily (QD), orally, for 16 days, Days 7 - 22.
15 mg Warfarin + 130 mg Evacetrapib
n=23 participants at risk
Evacetrapib administered once daily (QD), orally, for 16 days, Days 7 - 22 with 15 milligram (mg) warfarin co-administered once orally on Day 17.
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/24
8.3%
2/24 • Number of events 3
0.00%
0/23

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