Trial Outcomes & Findings for A Drug Interaction Study of Lanabecestat (LY3314814) and Warfarin in Healthy Participants (NCT NCT02540668)
NCT ID: NCT02540668
Last Updated: 2019-11-04
Results Overview
COMPLETED
PHASE1
15 participants
Predose, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours after administration of warfarin on Days 1 and 22
2019-11-04
Participant Flow
Participant milestones
| Measure |
Warfarin
Single oral dose of 15 milligram (mg) warfarin on Day 1.
|
LY3314814 + Warfarin
LY3314814 administered orally once daily on Days 8 to 27, with a single oral dose of 15 mg warfarin co-administered on Day 22.
|
|---|---|---|
|
Period 1 - Warfarin Single Dose
STARTED
|
15
|
0
|
|
Period 1 - Warfarin Single Dose
Received at Least One Dose of Study Drug
|
15
|
0
|
|
Period 1 - Warfarin Single Dose
COMPLETED
|
15
|
0
|
|
Period 1 - Warfarin Single Dose
NOT COMPLETED
|
0
|
0
|
|
Period 2 - LY3314814 and Warfarin
STARTED
|
0
|
15
|
|
Period 2 - LY3314814 and Warfarin
COMPLETED
|
0
|
14
|
|
Period 2 - LY3314814 and Warfarin
NOT COMPLETED
|
0
|
1
|
Reasons for withdrawal
| Measure |
Warfarin
Single oral dose of 15 milligram (mg) warfarin on Day 1.
|
LY3314814 + Warfarin
LY3314814 administered orally once daily on Days 8 to 27, with a single oral dose of 15 mg warfarin co-administered on Day 22.
|
|---|---|---|
|
Period 2 - LY3314814 and Warfarin
Physician Decision
|
0
|
1
|
Baseline Characteristics
A Drug Interaction Study of Lanabecestat (LY3314814) and Warfarin in Healthy Participants
Baseline characteristics by cohort
| Measure |
Overall
n=15 Participants
Overall study population.
|
|---|---|
|
Age, Continuous
|
42.9 years
STANDARD_DEVIATION 10.3 • n=5 Participants
|
|
Sex: Female, Male
Female
|
0 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
15 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
1 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
14 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
|
0 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
|
5 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
|
15 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Predose, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours after administration of warfarin on Days 1 and 22Population: All participants who received at least one dose of study drug.
Outcome measures
| Measure |
Warfarin
n=15 Participants
Single oral dose of 15 mg warfarin on Day 1. Warfarin: Administered orally
|
LY3314814 + Warfarin
n=15 Participants
LY3314814 administered orally once daily on Days 8 to 27, with a single oral dose of 15 mg warfarin co-administered on Day 22. LY3314814: Administered orally Warfarin: Administered orally
|
|---|---|---|
|
Pharmacokinetics (PK): Maximum Concentration (Cmax) of Unbound S-Warfarin
|
3.50 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 12
|
3.73 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 14
|
PRIMARY outcome
Timeframe: Predose, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours after administration of warfarin on Days 1 and 22Population: All participants who received at least one dose of study drug.
Outcome measures
| Measure |
Warfarin
n=15 Participants
Single oral dose of 15 mg warfarin on Day 1. Warfarin: Administered orally
|
LY3314814 + Warfarin
n=15 Participants
LY3314814 administered orally once daily on Days 8 to 27, with a single oral dose of 15 mg warfarin co-administered on Day 22. LY3314814: Administered orally Warfarin: Administered orally
|
|---|---|---|
|
Pharmacokinetics (PK): Area Under the Concentration Curve 0-∞ (AUC) of Unbound S-Warfarin
|
108 nanogram * hour per milliliter(ng*h/mL)
Geometric Coefficient of Variation 18
|
123 nanogram * hour per milliliter(ng*h/mL)
Geometric Coefficient of Variation 19
|
SECONDARY outcome
Timeframe: Predose, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours after administration of warfarin on Days 1 and 22Population: All participants who received at least one dose of study drug.
Outcome measures
| Measure |
Warfarin
n=15 Participants
Single oral dose of 15 mg warfarin on Day 1. Warfarin: Administered orally
|
LY3314814 + Warfarin
n=15 Participants
LY3314814 administered orally once daily on Days 8 to 27, with a single oral dose of 15 mg warfarin co-administered on Day 22. LY3314814: Administered orally Warfarin: Administered orally
|
|---|---|---|
|
Pharmacokinetics (PK): Maximum Concentration (Cmax) of Unbound R-Warfarin
|
4.45 ng/mL
Geometric Coefficient of Variation 11
|
4.80 ng/mL
Geometric Coefficient of Variation 14
|
SECONDARY outcome
Timeframe: Predose, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96,120, and 144 hours after administration of warfarin on Days 1 and 22Population: All participants who received at least one dose of study drug.
Outcome measures
| Measure |
Warfarin
n=15 Participants
Single oral dose of 15 mg warfarin on Day 1. Warfarin: Administered orally
|
LY3314814 + Warfarin
n=15 Participants
LY3314814 administered orally once daily on Days 8 to 27, with a single oral dose of 15 mg warfarin co-administered on Day 22. LY3314814: Administered orally Warfarin: Administered orally
|
|---|---|---|
|
Pharmacokinetics (PK): Area Under The Concentration Curve 0-∞(AUC) of Unbound R-Warfarin
|
262 ng*h/mL
Geometric Coefficient of Variation 18
|
296 ng*h/mL
Geometric Coefficient of Variation 18
|
SECONDARY outcome
Timeframe: Predose, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours after administration of warfarin on Days 1 and 22Population: All participants who received at least one dose of study drug and had evaluable pharmacodynamic INR data on Day 22 of Period 2.
Outcome measures
| Measure |
Warfarin
n=15 Participants
Single oral dose of 15 mg warfarin on Day 1. Warfarin: Administered orally
|
LY3314814 + Warfarin
n=14 Participants
LY3314814 administered orally once daily on Days 8 to 27, with a single oral dose of 15 mg warfarin co-administered on Day 22. LY3314814: Administered orally Warfarin: Administered orally
|
|---|---|---|
|
Pharmacodynamics (PD): Area Under the International Normalized Ratio (INR) Versus Time Curve (AUCINR) of Warfarin
|
160 ng*h/mL
Geometric Coefficient of Variation 9
|
158 ng*h/mL
Geometric Coefficient of Variation 6
|
SECONDARY outcome
Timeframe: Predose, 6, 8, 12, 24, 36, 48, 72, 96, 120, and 144 hours after administration of warfarin on Days 1 and 22Population: All participants who received at least one dose of study drug and had evaluable pharmacodynamic INR data on Day 22 of Period 2.
Outcome measures
| Measure |
Warfarin
n=15 Participants
Single oral dose of 15 mg warfarin on Day 1. Warfarin: Administered orally
|
LY3314814 + Warfarin
n=14 Participants
LY3314814 administered orally once daily on Days 8 to 27, with a single oral dose of 15 mg warfarin co-administered on Day 22. LY3314814: Administered orally Warfarin: Administered orally
|
|---|---|---|
|
Pharmacodynamics (PD): Maximum Observed INR Response (INRmax) of Warfarin
|
1.29 ng/mL
Geometric Coefficient of Variation 18
|
1.26 ng/mL
Geometric Coefficient of Variation 12
|
Adverse Events
Warfarin
LY3314814
LY3314814 + Warfarin
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Warfarin
n=15 participants at risk
Single oral dose of 15 mg warfarin on Day 1. Warfarin: Administered orally
|
LY3314814
n=15 participants at risk
LY3314814 administered orally once daily on Days 8 to 27 LY3314814: Administered orally
|
LY3314814 + Warfarin
n=15 participants at risk
Single oral dose of 15 mg warfarin co-administered on Day 22. LY3314814: Administered orally Warfarin: Administered orally
|
|---|---|---|---|
|
Eye disorders
Retinal haemorrhage
|
0.00%
0/15
|
0.00%
0/15
|
6.7%
1/15 • Number of events 1
|
|
Gastrointestinal disorders
Abdominal pain upper
|
6.7%
1/15 • Number of events 1
|
0.00%
0/15
|
0.00%
0/15
|
|
Respiratory, thoracic and mediastinal disorders
Epistaxis
|
0.00%
0/15
|
6.7%
1/15 • Number of events 1
|
0.00%
0/15
|
Additional Information
Chief Medical Officer
Eli Lilly and Company
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place
Restriction type: GT60