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

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

15 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 22

Results posted on

2019-11-04

Participant Flow

Participant milestones

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

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

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 22

Population: All participants who received at least one dose of study drug.

Outcome measures

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 22

Population: All participants who received at least one dose of study drug.

Outcome measures

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 22

Population: All participants who received at least one dose of study drug.

Outcome measures

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 22

Population: All participants who received at least one dose of study drug.

Outcome measures

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 22

Population: 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

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 22

Population: 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

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

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

LY3314814

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

LY3314814 + Warfarin

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

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

Phone: 800-545-5079

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60