Trial Outcomes & Findings for A Study of Treprostinil and a New Formulation of LY900014 in Healthy Japanese Participants (NCT NCT02770521)

NCT ID: NCT02770521

Last Updated: 2020-06-04

Results Overview

A summary of SAEs and other non-serious adverse events (AEs), regardless of causality, are reported in the Adverse Events module.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

23 participants

Primary outcome timeframe

Part A: Baseline through Study Completion (up to 14 Days after Last Dose)

Results posted on

2020-06-04

Participant Flow

This study had two parts: Part A was a two-period crossover. Part B was a three-period crossover with dose escalation. Healthy Japanese participants were eligible to enroll in one part. One randomized participant discontinued prior to study completion and was replaced. The replacement adopted the original participant's randomization scheme.

Participant milestones

Participant milestones
Measure
Placebo/Treprostinil (Part A)
Placebo given subcutaneously (SC) once in first study period. 1,000 nanograms (ng) of treprostinil given SC once in second study period. There was a minimum three day washout between doses.
Treprostinil/Placebo (Part A)
1,000 ng of treprostinil given SC once in first study period. Matching placebo given SC once in second study period. There was a minimum three day washout between doses.
15 U Insulin Lispro/15 U LY900014/30 U LY900014 (Part B)
15 units (U) insulin lispro given SC once in first study period. 15 U LY900014 given SC once in second study period. 30 U LY900014 given SC once in third study period. There was a minimum three day washout between doses.
7.5 U LY900014/15 U Insulin Lispro/30 U LY900014 (Part B)
7.5 U LY900014 given SC once in first study period. 15 U insulin lispro given SC once in second study period. 30 U LY900014 given SC once in third study period. There was a minimum three day washout between doses.
7.5 U LY900014/15 U LY900014/15 U Insulin Lispro (Part B)
7.5 U LY900014 given SC once in first study period. 15 U LY900014 given SC once in second study period. 15 U insulin lispro given SC once in third study period. There was a minimum three day washout between doses.
7.5 U LY900014/15 U LY900014/30 U LY900014 (Part B)
7.5 U LY900014 given SC once in first study period. 15 U LY900014 given SC once in second study period. 30 U LY900014 given SC once in third study period. There was a minimum three day washout between doses.
Period One
STARTED
4
4
2
2
2
9
Period One
Received Study Drug
4
4
2
2
2
9
Period One
COMPLETED
4
4
2
2
2
9
Period One
NOT COMPLETED
0
0
0
0
0
0
Period Two
STARTED
4
4
2
2
2
9
Period Two
Received Study Drug
4
4
2
2
2
9
Period Two
COMPLETED
4
4
2
2
2
9
Period Two
NOT COMPLETED
0
0
0
0
0
0
Period Three
STARTED
0
0
2
2
2
9
Period Three
Received Study Drug
0
0
2
2
2
9
Period Three
COMPLETED
0
0
2
2
2
9
Period Three
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of Treprostinil and a New Formulation of LY900014 in Healthy Japanese Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treprostinil or Placebo (Part A)
n=8 Participants
Participants received either 1000 ng of treprostinil or matching placebo as a SC injection once in each of two study periods.
LY900014 or Insulin Lispro (Part B)
n=15 Participants
Participants received each of three doses of LY900014 (7.5 U, 15 U, 30 U) or 15 U of insulin lispro as a SC injection once in each of three study periods.
Total
n=23 Participants
Total of all reporting groups
Age, Continuous
26.3 years
STANDARD_DEVIATION 4.4 • n=93 Participants
26.1 years
STANDARD_DEVIATION 5.4 • n=4 Participants
26.2 years
STANDARD_DEVIATION 5.0 • n=27 Participants
Sex: Female, Male
Female
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Sex: Female, Male
Male
8 Participants
n=93 Participants
15 Participants
n=4 Participants
23 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=93 Participants
15 Participants
n=4 Participants
23 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
8 Participants
n=93 Participants
15 Participants
n=4 Participants
23 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
White
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
Japan
8 Participants
n=93 Participants
15 Participants
n=4 Participants
23 Participants
n=27 Participants
Body Mass Index (BMI)
22.57 kilograms per meter squared (kg/m²)
STANDARD_DEVIATION 2.00 • n=93 Participants
21.93 kilograms per meter squared (kg/m²)
STANDARD_DEVIATION 2.19 • n=4 Participants
22.15 kilograms per meter squared (kg/m²)
STANDARD_DEVIATION 2.10 • n=27 Participants

PRIMARY outcome

Timeframe: Part A: Baseline through Study Completion (up to 14 Days after Last Dose)

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

A summary of SAEs and other non-serious adverse events (AEs), regardless of causality, are reported in the Adverse Events module.

Outcome measures

Outcome measures
Measure
Placebo (Part A)
n=8 Participants
Placebo given subcutaneously (SC) once in one of two study periods. There was a minimum three day washout between doses.
Treprostinil (Part A)
n=8 Participants
1,000 ng of treprostinil given SC once in one of two study periods. There was a minimum three day washout between doses.
15 U Insulin Lispro (Part B)
n=6 Participants
15 units (U) insulin lispro given SC once in up to one of three study periods. There was a minimum three day washout between doses.
7.5 U LY900014 (Part B)
n=13 Participants
7.5 U LY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
15 U LY900014 (Part B)
n=13 Participants
15 U LY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
30 U LY900014 (Part B)
n=13 Participants
30 ULY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
Number of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants

PRIMARY outcome

Timeframe: Predose, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 70, 90, 120, 150, 180, 240, 300, 360, and 420 Minutes Postdose

Population: All participants who received at least one dose of study drug LY900014 in Part B and had evaluable pharmacokinetic data. Per protocol, PK in Part B was not analyzed for 15 U Insulin Lispro (Humalog). This arm was included for only safety analysis.

PK: Insulin Lispro Cmax (Part B)

Outcome measures

Outcome measures
Measure
Placebo (Part A)
n=13 Participants
Placebo given subcutaneously (SC) once in one of two study periods. There was a minimum three day washout between doses.
Treprostinil (Part A)
n=13 Participants
1,000 ng of treprostinil given SC once in one of two study periods. There was a minimum three day washout between doses.
15 U Insulin Lispro (Part B)
n=13 Participants
15 units (U) insulin lispro given SC once in up to one of three study periods. There was a minimum three day washout between doses.
7.5 U LY900014 (Part B)
7.5 U LY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
15 U LY900014 (Part B)
15 U LY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
30 U LY900014 (Part B)
30 ULY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
Pharmacokinetics (PK): Insulin Lispro Maximum Concentration (Cmax) (Part B)
582 picomoles/liter (pmol/L)
Geometric Coefficient of Variation 42
956 picomoles/liter (pmol/L)
Geometric Coefficient of Variation 41
2170 picomoles/liter (pmol/L)
Geometric Coefficient of Variation 30

PRIMARY outcome

Timeframe: Predose, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 70, 90, 120, 150, 180, 240, 300, 360, and 420 Minutes Postdose

Population: All participants who received at least one dose of study drug LY900014 in Part B and had evaluable pharmacokinetic data. Per protocol, PK in Part B was not analyzed for 15 U Insulin Lispro (Humalog). This arm was included for only safety analysis.

PK: Insulin Lispro AUC(0-30min) (Part B)

Outcome measures

Outcome measures
Measure
Placebo (Part A)
n=13 Participants
Placebo given subcutaneously (SC) once in one of two study periods. There was a minimum three day washout between doses.
Treprostinil (Part A)
n=13 Participants
1,000 ng of treprostinil given SC once in one of two study periods. There was a minimum three day washout between doses.
15 U Insulin Lispro (Part B)
n=13 Participants
15 units (U) insulin lispro given SC once in up to one of three study periods. There was a minimum three day washout between doses.
7.5 U LY900014 (Part B)
7.5 U LY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
15 U LY900014 (Part B)
15 U LY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
30 U LY900014 (Part B)
30 ULY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
PK: Insulin Lispro Area Under the Concentration-Time Curve From Time Zero to 30 Minutes (AUC[0-30min]) (Part B)
174 pmol*hour/L (pmol*hr/L)
Geometric Coefficient of Variation 57
273 pmol*hour/L (pmol*hr/L)
Geometric Coefficient of Variation 51
585 pmol*hour/L (pmol*hr/L)
Geometric Coefficient of Variation 31

SECONDARY outcome

Timeframe: 15, 30, 60 and 120 Minutes Postdose

Population: All participants in Part A who received study drug and had evaluable pharmacokinetic data.

PK: Treprostinil Tmax (Part A)

Outcome measures

Outcome measures
Measure
Placebo (Part A)
n=8 Participants
Placebo given subcutaneously (SC) once in one of two study periods. There was a minimum three day washout between doses.
Treprostinil (Part A)
1,000 ng of treprostinil given SC once in one of two study periods. There was a minimum three day washout between doses.
15 U Insulin Lispro (Part B)
15 units (U) insulin lispro given SC once in up to one of three study periods. There was a minimum three day washout between doses.
7.5 U LY900014 (Part B)
7.5 U LY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
15 U LY900014 (Part B)
15 U LY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
30 U LY900014 (Part B)
30 ULY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
PK: Treprostinil Time to Maximum Concentration (Tmax) (Part A)
0.25 hours
Interval 0.25 to 0.5

SECONDARY outcome

Timeframe: 15, 30, 60 and 120 Minutes Postdose

Population: All participants in Part A who received study drug and had evaluable pharmacokinetic data.

PK: Cmax of Treprostinil (Part A)

Outcome measures

Outcome measures
Measure
Placebo (Part A)
n=8 Participants
Placebo given subcutaneously (SC) once in one of two study periods. There was a minimum three day washout between doses.
Treprostinil (Part A)
1,000 ng of treprostinil given SC once in one of two study periods. There was a minimum three day washout between doses.
15 U Insulin Lispro (Part B)
15 units (U) insulin lispro given SC once in up to one of three study periods. There was a minimum three day washout between doses.
7.5 U LY900014 (Part B)
7.5 U LY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
15 U LY900014 (Part B)
15 U LY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
30 U LY900014 (Part B)
30 ULY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
PK: Maximum Concentration (Cmax) of Treprostinil (Part A)
0.0271 ng/milliliter (mL)
Geometric Coefficient of Variation 36

Adverse Events

Placebo (Part A)

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

Treprostinil (Part A)

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

15 U Insulin Lispro (Part B)

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

7.5 U LY900014 (Part B)

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

15 U LY900014 (Part B)

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

30 U LY900014 (Part B)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo (Part A)
n=8 participants at risk
Placebo given subcutaneously (SC) once in one of two study periods. There was a minimum three day washout between doses.
Treprostinil (Part A)
n=8 participants at risk
1,000 ng of treprostinil given SC once in one of two study periods. There was a minimum three day washout between doses.
15 U Insulin Lispro (Part B)
n=6 participants at risk
15 units (U) insulin lispro given SC once in up to one of three study periods. There was a minimum three day washout between doses.
7.5 U LY900014 (Part B)
n=13 participants at risk
7.5 U LY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
15 U LY900014 (Part B)
n=13 participants at risk
15 U LY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
30 U LY900014 (Part B)
n=13 participants at risk
30 ULY900014 given SC once in up to one of three study periods. There was a minimum three day washout between doses.
General disorders
Infusion site phlebitis
0.00%
0/8 • Baseline through Study Completion (up to 14 Days after Last Dose)
All participants who received at least one dose of study drug.
0.00%
0/8 • Baseline through Study Completion (up to 14 Days after Last Dose)
All participants who received at least one dose of study drug.
0.00%
0/6 • Baseline through Study Completion (up to 14 Days after Last Dose)
All participants who received at least one dose of study drug.
0.00%
0/13 • Baseline through Study Completion (up to 14 Days after Last Dose)
All participants who received at least one dose of study drug.
15.4%
2/13 • Number of events 2 • Baseline through Study Completion (up to 14 Days after Last Dose)
All participants who received at least one dose of study drug.
7.7%
1/13 • Number of events 1 • Baseline through Study Completion (up to 14 Days after Last Dose)
All participants who received at least one dose of study drug.
General disorders
Injection site erythema
0.00%
0/8 • Baseline through Study Completion (up to 14 Days after Last Dose)
All participants who received at least one dose of study drug.
62.5%
5/8 • Number of events 5 • Baseline through Study Completion (up to 14 Days after Last Dose)
All participants who received at least one dose of study drug.
50.0%
3/6 • Number of events 3 • Baseline through Study Completion (up to 14 Days after Last Dose)
All participants who received at least one dose of study drug.
53.8%
7/13 • Number of events 7 • Baseline through Study Completion (up to 14 Days after Last Dose)
All participants who received at least one dose of study drug.
46.2%
6/13 • Number of events 6 • Baseline through Study Completion (up to 14 Days after Last Dose)
All participants who received at least one dose of study drug.
7.7%
1/13 • Number of events 1 • Baseline through Study Completion (up to 14 Days after Last Dose)
All participants who received at least one dose of study drug.

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