Trial Outcomes & Findings for A Study of Lasmiditan on the Heart in Healthy Participants (NCT NCT03465436)

NCT ID: NCT03465436

Last Updated: 2020-01-31

Results Overview

The QT interval is a measure of the time between the start of the Q wave and the end of the T wave and was calculated from electrocardiogram (ECG) data using Fridericia's formula: QTcF = QT/RR\^0.33. Corrected QT (QTc) is the QT interval corrected for heart rate and R-R wave (RR), which is the interval between two R waves. PR is the interval between the P wave and the ventricular depolarization wave (QRS) complex.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

56 participants

Primary outcome timeframe

Day 1: Predose, 30 minutes postdose, 1 hour (hr), 1.5 hr, 2 hr, 2.5 hr, 3 hr, 3.5 hr, 4 hr, 6 hr, 8, hr, 12 hr and 24 hr postdose

Results posted on

2020-01-31

Participant Flow

All randomized participants who received at least 1 dose of study drug.

Participant milestones

Participant milestones
Measure
Sequence 1 ABDC
Day 1 of each treatment period with a washout period of 7-14 days. A. 100 mg lasmiditan PO B. 400 mg lasmiditan PO D. 400 mg moxifloxacin PO (plus placebo) C. Placebo matched
Sequence 2 BCAD
Day 1 of each treatment period with a washout period of 7-14 days. B. 400 mg lasmiditan PO C. Placebo matched A. 100 mg lasmiditan PO D. 400 mg moxifloxacin PO (plus placebo)
Sequence 3 CDBA
Day 1 of each treatment period with a washout period of 7-14 days. C. Placebo matched D. 400 mg moxifloxacin PO (plus placebo) B. 400 mg lasmiditan PO A. 100 mg lasmiditan PO
Sequence 4 DACB
Day 1 of each treatment period with a washout period of 7-14 days. D. 400 mg moxifloxacin PO (plus placebo) A. 100 mg lasmiditan PO C. Placebo matched B. 400 mg lasmiditan PO
Period 1
STARTED
14
14
14
14
Period 1
Received at Least 1 Dose of Study Drug
14
14
14
14
Period 1
COMPLETED
14
14
13
14
Period 1
NOT COMPLETED
0
0
1
0
Period 2
STARTED
14
14
13
14
Period 2
Received at Least 1 Dose of Study Drug
14
13
13
14
Period 2
COMPLETED
14
13
13
14
Period 2
NOT COMPLETED
0
1
0
0
Period 3
STARTED
14
13
13
14
Period 3
Received at Least One Dose of Study Drug
13
12
13
14
Period 3
COMPLETED
13
12
13
14
Period 3
NOT COMPLETED
1
1
0
0
Period 4
STARTED
13
12
13
14
Period 4
Received at Least 1 Dose of Study Drug
13
12
13
14
Period 4
COMPLETED
13
12
12
14
Period 4
NOT COMPLETED
0
0
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequence 1 ABDC
Day 1 of each treatment period with a washout period of 7-14 days. A. 100 mg lasmiditan PO B. 400 mg lasmiditan PO D. 400 mg moxifloxacin PO (plus placebo) C. Placebo matched
Sequence 2 BCAD
Day 1 of each treatment period with a washout period of 7-14 days. B. 400 mg lasmiditan PO C. Placebo matched A. 100 mg lasmiditan PO D. 400 mg moxifloxacin PO (plus placebo)
Sequence 3 CDBA
Day 1 of each treatment period with a washout period of 7-14 days. C. Placebo matched D. 400 mg moxifloxacin PO (plus placebo) B. 400 mg lasmiditan PO A. 100 mg lasmiditan PO
Sequence 4 DACB
Day 1 of each treatment period with a washout period of 7-14 days. D. 400 mg moxifloxacin PO (plus placebo) A. 100 mg lasmiditan PO C. Placebo matched B. 400 mg lasmiditan PO
Period 1
Protocol Violation
0
0
1
0
Period 2
Protocol Violation
0
1
0
0
Period 3
Protocol Violation
1
1
0
0
Period 4
Protocol Violation
0
0
1
0

Baseline Characteristics

A Study of Lasmiditan on the Heart in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sequence 1 ABDC
n=14 Participants
Day 1 of each treatment period with a washout period of 7-14 days. A. 100 mg lasmiditan PO B. 400 mg lasmiditan PO D. 400 mg moxifloxacin PO (plus placebo) C. Placebo matched
Sequence 2 BCAD
n=14 Participants
Day 1 of each treatment period with a washout period of 7-14 days. B. 400 mg lasmiditan PO C. Placebo matched A. 100 mg lasmiditan PO D. 400 mg moxifloxacin PO (plus placebo)
Sequence 3 CDBA
n=14 Participants
Day 1 of each treatment period with a washout period of 7-14 days. C. Placebo matched D. 400 mg moxifloxacin PO (plus placebo) B. 400 mg lasmiditan PO A. 100 mg lasmiditan PO
Sequence 4 DACB
n=14 Participants
Day 1 of each treatment period with a washout period of 7-14 days. D. 400 mg moxifloxacin PO (plus placebo) A. 100 mg lasmiditan PO C. Placebo matched B. 400 mg lasmiditan PO
Total
n=56 Participants
Total of all reporting groups
Age, Continuous
40.6 years
STANDARD_DEVIATION 12.3 • n=5 Participants
38.4 years
STANDARD_DEVIATION 11.7 • n=7 Participants
37.5 years
STANDARD_DEVIATION 10.8 • n=5 Participants
40.7 years
STANDARD_DEVIATION 9.1 • n=4 Participants
39.3 years
STANDARD_DEVIATION 10.8 • n=21 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
7 Participants
n=7 Participants
5 Participants
n=5 Participants
6 Participants
n=4 Participants
27 Participants
n=21 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
7 Participants
n=7 Participants
9 Participants
n=5 Participants
8 Participants
n=4 Participants
29 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants
n=5 Participants
14 Participants
n=7 Participants
14 Participants
n=5 Participants
14 Participants
n=4 Participants
56 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 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
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
13 Participants
n=7 Participants
14 Participants
n=5 Participants
13 Participants
n=4 Participants
53 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
2 Participants
n=21 Participants
Region of Enrollment
Germany
14 Participants
n=5 Participants
14 Participants
n=7 Participants
14 Participants
n=5 Participants
14 Participants
n=4 Participants
56 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Day 1: Predose, 30 minutes postdose, 1 hour (hr), 1.5 hr, 2 hr, 2.5 hr, 3 hr, 3.5 hr, 4 hr, 6 hr, 8, hr, 12 hr and 24 hr postdose

Population: All randomized participants who received at least 1 dose of study drug and have evaluable QTcF data.

The QT interval is a measure of the time between the start of the Q wave and the end of the T wave and was calculated from electrocardiogram (ECG) data using Fridericia's formula: QTcF = QT/RR\^0.33. Corrected QT (QTc) is the QT interval corrected for heart rate and R-R wave (RR), which is the interval between two R waves. PR is the interval between the P wave and the ventricular depolarization wave (QRS) complex.

Outcome measures

Outcome measures
Measure
100 mg Lasmiditan
n=52 Participants
100 mg lasmiditan administered PO in 1 of 4 treatment periods
400 mg Lasmiditan
n=55 Participants
400 mg lasmiditan administered PO in 1 of 4 treatment periods
Placebo
n=54 Participants
Placebo administered PO in 1 of 4 treatment periods.
Moxifloxacin
n=52 Participants
Moxifloxacin administered PO in 1 of 4 treatment periods.
Change From Time Matched Baseline in Mean Fridericia-Corrected QT (QTcF) Values of Lasmiditan and Moxifloxacin
3.5 hours postdose
-2.39 milliseconds
Standard Deviation 7.63
3.58 milliseconds
Standard Deviation 6.88
-1.85 milliseconds
Standard Deviation 4.59
10.37 milliseconds
Standard Deviation 7.09
Change From Time Matched Baseline in Mean Fridericia-Corrected QT (QTcF) Values of Lasmiditan and Moxifloxacin
4 hours postdose
-2.12 milliseconds
Standard Deviation 6.89
4.77 milliseconds
Standard Deviation 7.49
-2.34 milliseconds
Standard Deviation 5.65
9.39 milliseconds
Standard Deviation 5.85
Change From Time Matched Baseline in Mean Fridericia-Corrected QT (QTcF) Values of Lasmiditan and Moxifloxacin
6 hours postdose
-4.33 milliseconds
Standard Deviation 7.32
-0.18 milliseconds
Standard Deviation 7.38
-3.39 milliseconds
Standard Deviation 6.59
4.91 milliseconds
Standard Deviation 7.05
Change From Time Matched Baseline in Mean Fridericia-Corrected QT (QTcF) Values of Lasmiditan and Moxifloxacin
8 hours postdose
-6.74 milliseconds
Standard Deviation 7.16
-1.84 milliseconds
Standard Deviation 7.82
-3.99 milliseconds
Standard Deviation 7.11
3.90 milliseconds
Standard Deviation 7.13
Change From Time Matched Baseline in Mean Fridericia-Corrected QT (QTcF) Values of Lasmiditan and Moxifloxacin
12 hours postdose
-3.73 milliseconds
Standard Deviation 5.72
-0.41 milliseconds
Standard Deviation 6.99
-1.79 milliseconds
Standard Deviation 5.91
4.63 milliseconds
Standard Deviation 7.12
Change From Time Matched Baseline in Mean Fridericia-Corrected QT (QTcF) Values of Lasmiditan and Moxifloxacin
24 hours postdose
0.74 milliseconds
Standard Deviation 7.51
0.38 milliseconds
Standard Deviation 7.06
0.45 milliseconds
Standard Deviation 6.18
6.61 milliseconds
Standard Deviation 7.91
Change From Time Matched Baseline in Mean Fridericia-Corrected QT (QTcF) Values of Lasmiditan and Moxifloxacin
30 minutes postdose
-8.90 milliseconds
Standard Deviation 7.20
-9.27 milliseconds
Standard Deviation 6.29
-5.49 milliseconds
Standard Deviation 5.52
1.90 milliseconds
Standard Deviation 8.69
Change From Time Matched Baseline in Mean Fridericia-Corrected QT (QTcF) Values of Lasmiditan and Moxifloxacin
1 hour postdose
-7.42 milliseconds
Standard Deviation 5.83
-4.58 milliseconds
Standard Deviation 8.13
-3.94 milliseconds
Standard Deviation 5.15
8.36 milliseconds
Standard Deviation 6.51
Change From Time Matched Baseline in Mean Fridericia-Corrected QT (QTcF) Values of Lasmiditan and Moxifloxacin
1.5 hours postdose
-7.63 milliseconds
Standard Deviation 5.98
-3.07 milliseconds
Standard Deviation 7.91
-3.68 milliseconds
Standard Deviation 4.66
7.63 milliseconds
Standard Deviation 6.32
Change From Time Matched Baseline in Mean Fridericia-Corrected QT (QTcF) Values of Lasmiditan and Moxifloxacin
2 hours postdose
-6.96 milliseconds
Standard Deviation 7.08
-1.12 milliseconds
Standard Deviation 8.10
-3.83 milliseconds
Standard Deviation 5.28
8.16 milliseconds
Standard Deviation 7.21
Change From Time Matched Baseline in Mean Fridericia-Corrected QT (QTcF) Values of Lasmiditan and Moxifloxacin
2.5 hours postdose
-5.26 milliseconds
Standard Deviation 7.36
0.15 milliseconds
Standard Deviation 8.67
-2.89 milliseconds
Standard Deviation 4.99
8.12 milliseconds
Standard Deviation 7.15
Change From Time Matched Baseline in Mean Fridericia-Corrected QT (QTcF) Values of Lasmiditan and Moxifloxacin
3 hours postdose
-2.81 milliseconds
Standard Deviation 6.95
2.06 milliseconds
Standard Deviation 8.18
-2.04 milliseconds
Standard Deviation 5.71
10.01 milliseconds
Standard Deviation 6.42

SECONDARY outcome

Timeframe: Day 1: Predose, 30 minutes postdose, 1 hour (hr), 1.5 hr, 2 hr, 2.5 hr, 3 hr, 3.5 hr, 4 hr, 6 hr, 8, hr, 12 hr and 24 hr postdose

Population: All randomized participants who received at least 1 dose of study drug and have evaluable QTcI data.

The corrected QT interval, individualized (QTcI) is a measurement of the electrical impulses through the largest part of the heart muscle individualized for participant pre-dose values. A negative change is a shortening of the QTc interval, a positive change is a lengthening of the QTc interval.

Outcome measures

Outcome measures
Measure
100 mg Lasmiditan
n=52 Participants
100 mg lasmiditan administered PO in 1 of 4 treatment periods
400 mg Lasmiditan
n=55 Participants
400 mg lasmiditan administered PO in 1 of 4 treatment periods
Placebo
n=54 Participants
Placebo administered PO in 1 of 4 treatment periods.
Moxifloxacin
n=52 Participants
Moxifloxacin administered PO in 1 of 4 treatment periods.
Change From Time Matched Baseline in Mean Individually-Corrected QT (QTcI) Values of Lasmiditan and Moxifloxacin
30 minutes postdose
-9.92 milliseconds
Standard Deviation 7.62
-10.56 milliseconds
Standard Deviation 8.00
-5.27 milliseconds
Standard Deviation 6.04
2.24 milliseconds
Standard Deviation 8.88
Change From Time Matched Baseline in Mean Individually-Corrected QT (QTcI) Values of Lasmiditan and Moxifloxacin
1 hour postdose
-9.50 milliseconds
Standard Deviation 7.74
-6.90 milliseconds
Standard Deviation 8.98
-3.35 milliseconds
Standard Deviation 5.52
8.96 milliseconds
Standard Deviation 7.14
Change From Time Matched Baseline in Mean Individually-Corrected QT (QTcI) Values of Lasmiditan and Moxifloxacin
1.5 hours postdose
-9.39 milliseconds
Standard Deviation 6.93
-4.73 milliseconds
Standard Deviation 8.29
-2.81 milliseconds
Standard Deviation 5.58
8.61 milliseconds
Standard Deviation 6.42
Change From Time Matched Baseline in Mean Individually-Corrected QT (QTcI) Values of Lasmiditan and Moxifloxacin
2 hours postdose
-8.74 milliseconds
Standard Deviation 8.34
-2.65 milliseconds
Standard Deviation 8.56
-3.49 milliseconds
Standard Deviation 5.82
8.29 milliseconds
Standard Deviation 7.03
Change From Time Matched Baseline in Mean Individually-Corrected QT (QTcI) Values of Lasmiditan and Moxifloxacin
2.5 hours postdose
-7.90 milliseconds
Standard Deviation 9.42
-1.80 milliseconds
Standard Deviation 8.84
-2.44 milliseconds
Standard Deviation 5.61
8.40 milliseconds
Standard Deviation 7.53
Change From Time Matched Baseline in Mean Individually-Corrected QT (QTcI) Values of Lasmiditan and Moxifloxacin
3.5 hours postdose
-3.86 milliseconds
Standard Deviation 8.72
1.90 milliseconds
Standard Deviation 7.48
-1.67 milliseconds
Standard Deviation 5.01
11.43 milliseconds
Standard Deviation 7.38
Change From Time Matched Baseline in Mean Individually-Corrected QT (QTcI) Values of Lasmiditan and Moxifloxacin
4 hours postdose
-3.25 milliseconds
Standard Deviation 8.07
3.27 milliseconds
Standard Deviation 8.44
-1.19 milliseconds
Standard Deviation 6.37
10.28 milliseconds
Standard Deviation 6.50
Change From Time Matched Baseline in Mean Individually-Corrected QT (QTcI) Values of Lasmiditan and Moxifloxacin
6 hours postdose
-4.84 milliseconds
Standard Deviation 7.00
-1.27 milliseconds
Standard Deviation 6.65
-3.13 milliseconds
Standard Deviation 6.61
4.85 milliseconds
Standard Deviation 7.37
Change From Time Matched Baseline in Mean Individually-Corrected QT (QTcI) Values of Lasmiditan and Moxifloxacin
8 hours postdose
-7.10 milliseconds
Standard Deviation 7.76
-3.08 milliseconds
Standard Deviation 8.23
-3.89 milliseconds
Standard Deviation 6.77
4.04 milliseconds
Standard Deviation 7.01
Change From Time Matched Baseline in Mean Individually-Corrected QT (QTcI) Values of Lasmiditan and Moxifloxacin
12 hours postdose
-4.08 milliseconds
Standard Deviation 5.88
-0.64 milliseconds
Standard Deviation 6.86
-1.65 milliseconds
Standard Deviation 6.09
4.87 milliseconds
Standard Deviation 7.14
Change From Time Matched Baseline in Mean Individually-Corrected QT (QTcI) Values of Lasmiditan and Moxifloxacin
24 hours postdose
1.60 milliseconds
Standard Deviation 6.84
0.45 milliseconds
Standard Deviation 6.85
0.81 milliseconds
Standard Deviation 6.22
6.74 milliseconds
Standard Deviation 8.14
Change From Time Matched Baseline in Mean Individually-Corrected QT (QTcI) Values of Lasmiditan and Moxifloxacin
3 hours postdose
-5.08 milliseconds
Standard Deviation 8.29
-0.13 milliseconds
Standard Deviation 8.63
-1.70 milliseconds
Standard Deviation 6.10
11.01 milliseconds
Standard Deviation 6.89

SECONDARY outcome

Timeframe: Day 1: Predose, 30 minutes postdose, 1 hour (hr), 1.5 hr, 2 hr, 2.5 hr, 3 hr, 3.5 hr, 4 hr, 6 hr, 8, hr, 12 hr and 24 hr postdose

Population: All randomized participants who received at least 1 dose of study drug and have evaluable RR interval data.

ECGs were used to calculate cardiac intervals. The RR interval is the time between two R waves.

Outcome measures

Outcome measures
Measure
100 mg Lasmiditan
n=52 Participants
100 mg lasmiditan administered PO in 1 of 4 treatment periods
400 mg Lasmiditan
n=55 Participants
400 mg lasmiditan administered PO in 1 of 4 treatment periods
Placebo
n=54 Participants
Placebo administered PO in 1 of 4 treatment periods.
Moxifloxacin
n=52 Participants
Moxifloxacin administered PO in 1 of 4 treatment periods.
Change From Baseline in Mean Cardiac Intervals: RR Interval of Lasmiditan and Moxifloxacin
30 minutes postdose
74.40 milliseconds
Standard Deviation 76.26
98.52 milliseconds
Standard Deviation 72.99
42.13 milliseconds
Standard Deviation 56.00
18.66 milliseconds
Standard Deviation 61.84
Change From Baseline in Mean Cardiac Intervals: RR Interval of Lasmiditan and Moxifloxacin
1 hour postdose
149.22 milliseconds
Standard Deviation 77.73
153.15 milliseconds
Standard Deviation 65.13
49.87 milliseconds
Standard Deviation 62.40
9.63 milliseconds
Standard Deviation 63.32
Change From Baseline in Mean Cardiac Intervals: RR Interval of Lasmiditan and Moxifloxacin
1.5 hours postdose
143.29 milliseconds
Standard Deviation 80.63
130.79 milliseconds
Standard Deviation 55.91
36.84 milliseconds
Standard Deviation 66.52
13.44 milliseconds
Standard Deviation 61.66
Change From Baseline in Mean Cardiac Intervals: RR Interval of Lasmiditan and Moxifloxacin
2 hours postdose
118.39 milliseconds
Standard Deviation 60.84
128.10 milliseconds
Standard Deviation 48.50
44.69 milliseconds
Standard Deviation 53.70
26.01 milliseconds
Standard Deviation 54.44
Change From Baseline in Mean Cardiac Intervals: RR Interval of Lasmiditan and Moxifloxacin
2.5 hours postdose
117.90 milliseconds
Standard Deviation 73.85
132.86 milliseconds
Standard Deviation 54.35
29.28 milliseconds
Standard Deviation 51.39
26.90 milliseconds
Standard Deviation 68.18
Change From Baseline in Mean Cardiac Intervals: RR Interval of Lasmiditan and Moxifloxacin
3 hours postdose
105.56 milliseconds
Standard Deviation 63.82
119.52 milliseconds
Standard Deviation 60.66
30.84 milliseconds
Standard Deviation 57.28
24.87 milliseconds
Standard Deviation 66.41
Change From Baseline in Mean Cardiac Intervals: RR Interval of Lasmiditan and Moxifloxacin
3.5 hours postdose
89.85 milliseconds
Standard Deviation 56.54
101.86 milliseconds
Standard Deviation 59.04
36.77 milliseconds
Standard Deviation 50.34
19.01 milliseconds
Standard Deviation 65.56
Change From Baseline in Mean Cardiac Intervals: RR Interval of Lasmiditan and Moxifloxacin
4 hours postdose
72.22 milliseconds
Standard Deviation 57.19
83.00 milliseconds
Standard Deviation 56.84
30.32 milliseconds
Standard Deviation 51.11
13.64 milliseconds
Standard Deviation 68.55
Change From Baseline in Mean Cardiac Intervals: RR Interval of Lasmiditan and Moxifloxacin
6 hours postdose
-26.01 milliseconds
Standard Deviation 69.03
-3.07 milliseconds
Standard Deviation 63.34
-88.95 milliseconds
Standard Deviation 60.15
-84.12 milliseconds
Standard Deviation 63.34
Change From Baseline in Mean Cardiac Intervals: RR Interval of Lasmiditan and Moxifloxacin
8 hours postdose
5.63 milliseconds
Standard Deviation 73.58
29.01 milliseconds
Standard Deviation 66.89
-50.89 milliseconds
Standard Deviation 75.72
-49.70 milliseconds
Standard Deviation 52.21
Change From Baseline in Mean Cardiac Intervals: RR Interval of Lasmiditan and Moxifloxacin
12 hours postdose
-26.70 milliseconds
Standard Deviation 77.94
5.19 milliseconds
Standard Deviation 73.16
-61.53 milliseconds
Standard Deviation 76.51
-74.80 milliseconds
Standard Deviation 70.71
Change From Baseline in Mean Cardiac Intervals: RR Interval of Lasmiditan and Moxifloxacin
24 hours postdose
-16.37 milliseconds
Standard Deviation 68.00
-5.64 milliseconds
Standard Deviation 63.34
-11.66 milliseconds
Standard Deviation 60.48
-13.02 milliseconds
Standard Deviation 52.97

SECONDARY outcome

Timeframe: Day 1: Predose, 30 minutes postdose, 1 hour (hr), 1.5 hr, 2 hr, 2.5 hr, 3 hr, 3.5 hr, 4 hr, 6 hr, 8, hr, 12 hr and 24 hr postdose

Population: All randomized participants who received at least 1 dose of study drug and have evaluable QRS data.

ECGs were used to calculate cardiac intervals. The QRS interval is the time the segment of the ECG that corresponds to depolarization of the ventricles.

Outcome measures

Outcome measures
Measure
100 mg Lasmiditan
n=52 Participants
100 mg lasmiditan administered PO in 1 of 4 treatment periods
400 mg Lasmiditan
n=55 Participants
400 mg lasmiditan administered PO in 1 of 4 treatment periods
Placebo
n=54 Participants
Placebo administered PO in 1 of 4 treatment periods.
Moxifloxacin
n=52 Participants
Moxifloxacin administered PO in 1 of 4 treatment periods.
Change From Baseline in Mean Cardiac Intervals:QRS of Lasmiditan and Moxifloxacin
30 minutes postdose
0.11 milliseconds
Standard Deviation 1.12
-0.10 milliseconds
Standard Deviation 1.23
0.09 milliseconds
Standard Deviation 1.28
-0.00 milliseconds
Standard Deviation 0.97
Change From Baseline in Mean Cardiac Intervals:QRS of Lasmiditan and Moxifloxacin
1 hours postdose
-0.24 milliseconds
Standard Deviation 1.21
0.45 milliseconds
Standard Deviation 1.35
-0.02 milliseconds
Standard Deviation 1.20
-0.12 milliseconds
Standard Deviation 1.07
Change From Baseline in Mean Cardiac Intervals:QRS of Lasmiditan and Moxifloxacin
3.5 hours postdose
-0.58 milliseconds
Standard Deviation 1.00
0.15 milliseconds
Standard Deviation 1.15
-0.17 milliseconds
Standard Deviation 0.98
-0.57 milliseconds
Standard Deviation 1.34
Change From Baseline in Mean Cardiac Intervals:QRS of Lasmiditan and Moxifloxacin
4 hours postdose
-0.54 milliseconds
Standard Deviation 1.03
0.29 milliseconds
Standard Deviation 1.17
-0.20 milliseconds
Standard Deviation 0.95
-0.58 milliseconds
Standard Deviation 1.25
Change From Baseline in Mean Cardiac Intervals:QRS of Lasmiditan and Moxifloxacin
6 hours postdose
0.20 milliseconds
Standard Deviation 1.43
0.64 milliseconds
Standard Deviation 1.50
0.73 milliseconds
Standard Deviation 1.34
0.13 milliseconds
Standard Deviation 1.39
Change From Baseline in Mean Cardiac Intervals:QRS of Lasmiditan and Moxifloxacin
8 hours postdose
-0.41 milliseconds
Standard Deviation 1.36
-0.39 milliseconds
Standard Deviation 1.43
-0.28 milliseconds
Standard Deviation 1.38
-0.67 milliseconds
Standard Deviation 1.34
Change From Baseline in Mean Cardiac Intervals:QRS of Lasmiditan and Moxifloxacin
12 hours postdose
0.34 milliseconds
Standard Deviation 1.46
0.24 milliseconds
Standard Deviation 1.67
0.63 milliseconds
Standard Deviation 1.05
0.32 milliseconds
Standard Deviation 1.52
Change From Baseline in Mean Cardiac Intervals:QRS of Lasmiditan and Moxifloxacin
24 hours postdose
0.33 milliseconds
Standard Deviation 1.22
-0.07 milliseconds
Standard Deviation 1.22
-0.10 milliseconds
Standard Deviation 1.32
0.09 milliseconds
Standard Deviation 1.28
Change From Baseline in Mean Cardiac Intervals:QRS of Lasmiditan and Moxifloxacin
1.5 hours postdose
-0.48 milliseconds
Standard Deviation 1.13
0.19 milliseconds
Standard Deviation 1.24
-0.37 milliseconds
Standard Deviation 1.06
-0.12 milliseconds
Standard Deviation 1.09
Change From Baseline in Mean Cardiac Intervals:QRS of Lasmiditan and Moxifloxacin
2 hours postdose
-0.73 milliseconds
Standard Deviation 1.12
0.10 milliseconds
Standard Deviation 1.08
-0.30 milliseconds
Standard Deviation 1.22
-0.29 milliseconds
Standard Deviation 1.14
Change From Baseline in Mean Cardiac Intervals:QRS of Lasmiditan and Moxifloxacin
2.5 hours postdose
-0.75 milliseconds
Standard Deviation 1.41
0.30 milliseconds
Standard Deviation 1.22
-0.21 milliseconds
Standard Deviation 1.08
-0.20 milliseconds
Standard Deviation 1.11
Change From Baseline in Mean Cardiac Intervals:QRS of Lasmiditan and Moxifloxacin
3 hours postdose
-0.63 milliseconds
Standard Deviation 1.21
0.08 milliseconds
Standard Deviation 1.19
-0.26 milliseconds
Standard Deviation 1.19
-0.35 milliseconds
Standard Deviation 0.93

SECONDARY outcome

Timeframe: Day 1: Predose, 30 minutes postdose, 1 hour (hr), 1.5 hr, 2 hr, 2.5 hr, 3 hr, 3.5 hr, 4 hr, 6 hr, 8, hr, 12 hr and 24 hr postdose

Population: All randomized participants who received at least 1 dose of study drug and have evaluable HR data.

Heart rate was determined during ambulatory blood pressure monitoring (ABPM).

Outcome measures

Outcome measures
Measure
100 mg Lasmiditan
n=52 Participants
100 mg lasmiditan administered PO in 1 of 4 treatment periods
400 mg Lasmiditan
n=55 Participants
400 mg lasmiditan administered PO in 1 of 4 treatment periods
Placebo
n=54 Participants
Placebo administered PO in 1 of 4 treatment periods.
Moxifloxacin
n=52 Participants
Moxifloxacin administered PO in 1 of 4 treatment periods.
Change From Baseline in Mean Heart Rate (HR) of Lasmiditan and Moxifloxacin
1 hour postdose
-7.82 beats per minute
Standard Deviation 3.95
-8.40 beats per minute
Standard Deviation 3.21
-2.77 beats per minute
Standard Deviation 3.55
-0.42 beats per minute
Standard Deviation 4.05
Change From Baseline in Mean Heart Rate (HR) of Lasmiditan and Moxifloxacin
1.5 hours postdose
-7.55 beats per minute
Standard Deviation 4.16
-7.41 beats per minute
Standard Deviation 3.14
-2.01 beats per minute
Standard Deviation 3.53
-0.67 beats per minute
Standard Deviation 3.73
Change From Baseline in Mean Heart Rate (HR) of Lasmiditan and Moxifloxacin
2 hours postdose
-6.62 beats per minute
Standard Deviation 3.22
-7.30 beats per minute
Standard Deviation 2.93
-2.65 beats per minute
Standard Deviation 3.17
-1.52 beats per minute
Standard Deviation 3.19
Change From Baseline in Mean Heart Rate (HR) of Lasmiditan and Moxifloxacin
2.5 hours postdose
-6.49 beats per minute
Standard Deviation 4.07
-7.59 beats per minute
Standard Deviation 3.27
-1.75 beats per minute
Standard Deviation 2.97
-1.48 beats per minute
Standard Deviation 4.07
Change From Baseline in Mean Heart Rate (HR) of Lasmiditan and Moxifloxacin
3 hours postdose
-5.96 beats per minute
Standard Deviation 3.32
-6.82 beats per minute
Standard Deviation 3.53
-1.83 beats per minute
Standard Deviation 3.35
-1.26 beats per minute
Standard Deviation 3.95
Change From Baseline in Mean Heart Rate (HR) of Lasmiditan and Moxifloxacin
8 hours postdose
-0.43 beats per minute
Standard Deviation 4.73
-1.96 beats per minute
Standard Deviation 3.93
3.42 beats per minute
Standard Deviation 5.05
3.10 beats per minute
Standard Deviation 3.42
Change From Baseline in Mean Heart Rate (HR) of Lasmiditan and Moxifloxacin
12 hours postdose
1.58 beats per minute
Standard Deviation 5.31
-0.50 beats per minute
Standard Deviation 4.66
4.17 beats per minute
Standard Deviation 5.46
4.95 beats per minute
Standard Deviation 5.12
Change From Baseline in Mean Heart Rate (HR) of Lasmiditan and Moxifloxacin
30 minutes postdose
-3.90 beats per minute
Standard Deviation 5.05
-5.51 beats per minute
Standard Deviation 3.74
-2.41 beats per minute
Standard Deviation 3.22
-1.02 beats per minute
Standard Deviation 3.75
Change From Baseline in Mean Heart Rate (HR) of Lasmiditan and Moxifloxacin
3.5 hours postdose
-5.26 beats per minute
Standard Deviation 3.02
-6.02 beats per minute
Standard Deviation 3.50
-2.32 beats per minute
Standard Deviation 3.06
-0.91 beats per minute
Standard Deviation 4.23
Change From Baseline in Mean Heart Rate (HR) of Lasmiditan and Moxifloxacin
4 hours postdose
-4.22 beats per minute
Standard Deviation 3.06
-5.02 beats per minute
Standard Deviation 3.42
-1.82 beats per minute
Standard Deviation 3.19
-0.55 beats per minute
Standard Deviation 4.37
Change From Baseline in Mean Heart Rate (HR) of Lasmiditan and Moxifloxacin
6 hours postdose
1.65 beats per minute
Standard Deviation 4.52
-0.10 beats per minute
Standard Deviation 3.77
6.29 beats per minute
Standard Deviation 5.18
5.84 beats per minute
Standard Deviation 4.84
Change From Baseline in Mean Heart Rate (HR) of Lasmiditan and Moxifloxacin
24 hours postdose
1.01 beats per minute
Standard Deviation 4.45
0.42 beats per minute
Standard Deviation 4.09
0.89 beats per minute
Standard Deviation 3.96
0.81 beats per minute
Standard Deviation 3.60

SECONDARY outcome

Timeframe: Day 1: Predose, 30 minutes postdose, 1 hour (hr), 1.5 hr, 2 hr, 2.5 hr, 3 hr, 3.5 hr, 4 hr, 6 hr, 8, hr, 12 hr and 24 hr postdose

Population: All randomized participants who received at least 1 dose of study drug.

ECGs were assessed for morphology abnormalities or changes in QTcf interval greater than 450 milliseconds by a board-certified cardiologist

Outcome measures

Outcome measures
Measure
100 mg Lasmiditan
n=52 Participants
100 mg lasmiditan administered PO in 1 of 4 treatment periods
400 mg Lasmiditan
n=55 Participants
400 mg lasmiditan administered PO in 1 of 4 treatment periods
Placebo
n=54 Participants
Placebo administered PO in 1 of 4 treatment periods.
Moxifloxacin
n=52 Participants
Moxifloxacin administered PO in 1 of 4 treatment periods.
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
6 hours postdose
0 Incidents
0 Incidents
0 Incidents
0 Incidents
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
30 minutes postdose
0 Incidents
0 Incidents
0 Incidents
1 Incidents
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
2.5 hours postdose
1 Incidents
1 Incidents
0 Incidents
2 Incidents
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
3 hours postdose
1 Incidents
1 Incidents
0 Incidents
2 Incidents
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
4 hours postdose
1 Incidents
1 Incidents
0 Incidents
3 Incidents
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
Predose
0 Incidents
0 Incidents
0 Incidents
0 Incidents
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
1 hour postdose
2 Incidents
0 Incidents
0 Incidents
2 Incidents
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
1.5 hours postdose
0 Incidents
1 Incidents
0 Incidents
2 Incidents
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
2 hours postdose
1 Incidents
1 Incidents
0 Incidents
3 Incidents
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
3.5 hours postdose
1 Incidents
2 Incidents
0 Incidents
3 Incidents
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
8 hours postdose
0 Incidents
1 Incidents
0 Incidents
0 Incidents
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
12 hours postdose
0 Incidents
0 Incidents
0 Incidents
0 Incidents
Number of Incidents in Electrocardiogram (ECG) Abnormalities in QTcF Interval Greater Than 450 Milliseconds
24 hours postdose
0 Incidents
0 Incidents
0 Incidents
0 Incidents

SECONDARY outcome

Timeframe: Day 1: Predose, 30 minutes postdose, 1 hour (hr), 1.5 hr, 2 hr, 2.5 hr, 3 hr, 3.5 hr, 4 hr, 6 hr, 8, hr, 12 hr and 24 hr postdose

Population: All randomized participants who received at least 1 dose of lasmiditan.

Pharmacokinetics (PK): Maximum Concentration (Cmax) of Lasmiditan.

Outcome measures

Outcome measures
Measure
100 mg Lasmiditan
n=52 Participants
100 mg lasmiditan administered PO in 1 of 4 treatment periods
400 mg Lasmiditan
n=55 Participants
400 mg lasmiditan administered PO in 1 of 4 treatment periods
Placebo
Placebo administered PO in 1 of 4 treatment periods.
Moxifloxacin
Moxifloxacin administered PO in 1 of 4 treatment periods.
Pharmacokinetics (PK): Maximum Concentration (Cmax) of Lasmiditan
104.55 nanogram per milliliter
Standard Deviation 41.452
526.15 nanogram per milliliter
Standard Deviation 240.997

SECONDARY outcome

Timeframe: Day 1: Predose, 30 minutes postdose, 1 hour (hr), 1.5 hr, 2 hr, 2.5 hr, 3 hr, 3.5 hr, 4 hr, 6 hr, 8, hr, 12 hr and 24 hr postdose

Population: All randomized participants who received at least 1 dose of lasmiditan.

Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC-t) of Lasmiditan.

Outcome measures

Outcome measures
Measure
100 mg Lasmiditan
n=52 Participants
100 mg lasmiditan administered PO in 1 of 4 treatment periods
400 mg Lasmiditan
n=55 Participants
400 mg lasmiditan administered PO in 1 of 4 treatment periods
Placebo
Placebo administered PO in 1 of 4 treatment periods.
Moxifloxacin
Moxifloxacin administered PO in 1 of 4 treatment periods.
Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC-t) of Lasmiditan
684.66 hours*nanogram per milliliter
Geometric Coefficient of Variation 278.258
3189.08 hours*nanogram per milliliter
Geometric Coefficient of Variation 1152.338

Adverse Events

100 mg Lasmiditan

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

400 mg Lasmiditan

Serious events: 0 serious events
Other events: 33 other events
Deaths: 0 deaths

Placebo

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

Moxifloxacin

Serious events: 1 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
100 mg Lasmiditan
n=52 participants at risk
100 mg lasmiditan administered PO in 1 of 4 treatment periods.
400 mg Lasmiditan
n=55 participants at risk
400 mg lasmiditan administered PO in 1 of 4 treatment periods.
Placebo
n=54 participants at risk
Placebo administered PO in 1 of 4 treatment periods.
Moxifloxacin
n=52 participants at risk
Moxifloxacin administered PO in 1 of 4 treatment periods.
Infections and infestations
Pilonidal cyst
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/55 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/54 • 75 days
All randomized participants who received at least 1 dose of study drug.
1.9%
1/52 • Number of events 1 • 75 days
All randomized participants who received at least 1 dose of study drug.

Other adverse events

Other adverse events
Measure
100 mg Lasmiditan
n=52 participants at risk
100 mg lasmiditan administered PO in 1 of 4 treatment periods.
400 mg Lasmiditan
n=55 participants at risk
400 mg lasmiditan administered PO in 1 of 4 treatment periods.
Placebo
n=54 participants at risk
Placebo administered PO in 1 of 4 treatment periods.
Moxifloxacin
n=52 participants at risk
Moxifloxacin administered PO in 1 of 4 treatment periods.
Gastrointestinal disorders
Nausea
7.7%
4/52 • Number of events 4 • 75 days
All randomized participants who received at least 1 dose of study drug.
3.6%
2/55 • Number of events 2 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/54 • 75 days
All randomized participants who received at least 1 dose of study drug.
7.7%
4/52 • Number of events 4 • 75 days
All randomized participants who received at least 1 dose of study drug.
General disorders
Asthenia
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
7.3%
4/55 • Number of events 4 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/54 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
General disorders
Discomfort
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
5.5%
3/55 • Number of events 3 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/54 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
Infections and infestations
Nasopharyngitis
1.9%
1/52 • Number of events 1 • 75 days
All randomized participants who received at least 1 dose of study drug.
3.6%
2/55 • Number of events 2 • 75 days
All randomized participants who received at least 1 dose of study drug.
3.7%
2/54 • Number of events 2 • 75 days
All randomized participants who received at least 1 dose of study drug.
5.8%
3/52 • Number of events 3 • 75 days
All randomized participants who received at least 1 dose of study drug.
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
5.5%
3/55 • Number of events 3 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/54 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
Nervous system disorders
Dizziness
26.9%
14/52 • Number of events 18 • 75 days
All randomized participants who received at least 1 dose of study drug.
41.8%
23/55 • Number of events 26 • 75 days
All randomized participants who received at least 1 dose of study drug.
5.6%
3/54 • Number of events 4 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
Nervous system disorders
Dysarthria
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
5.5%
3/55 • Number of events 3 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/54 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
Nervous system disorders
Paraesthesia
9.6%
5/52 • Number of events 5 • 75 days
All randomized participants who received at least 1 dose of study drug.
14.5%
8/55 • Number of events 8 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/54 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
Nervous system disorders
Restless legs syndrome
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
5.5%
3/55 • Number of events 3 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/54 • 75 days
All randomized participants who received at least 1 dose of study drug.
0.00%
0/52 • 75 days
All randomized participants who received at least 1 dose of study drug.
Nervous system disorders
Somnolence
25.0%
13/52 • Number of events 13 • 75 days
All randomized participants who received at least 1 dose of study drug.
40.0%
22/55 • Number of events 22 • 75 days
All randomized participants who received at least 1 dose of study drug.
5.6%
3/54 • Number of events 3 • 75 days
All randomized participants who received at least 1 dose of study drug.
7.7%
4/52 • Number of events 4 • 75 days
All randomized participants who received at least 1 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