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A Study of LY2979165 in Healthy Subjects

Primary Purpose

Bipolar Disorder

Status
Completed
Phase
Phase 1
Locations
Singapore
Study Type
Interventional
Intervention
LY2979165
placebo
Sponsored by
Eli Lilly and Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bipolar Disorder

Eligibility Criteria

21 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Are overtly healthy males or females, as determined by medical history and physical examination. Female subjects for Part B (if performed) are at the site's discretion.
  • Male subjects: Agree to use a reliable method of birth control during the study
  • Female subjects: Women not of child-bearing potential due to surgical sterilisation(hysterectomy or bilateral oophorectomy or tubal ligation) or postmenopausal as defined by age greater than or equal to 45 years, with an intact uterus, not taken hormones or oral contraceptives for > 1 year, and either: Spontaneous amenorrhoea of >12 months, or Spontaneous amenorrhoea of 6-12 months with a follicle-stimulating hormone (FSH) level of >40 mIU/mL
  • Are between the body mass index (BMI) of 18.5 and 29.9 kg/m^2, inclusive
  • Have clinical laboratory test results within normal reference range for the population or investigator site, or results with acceptable deviations that are judged to be not clinically significant by the investigator
  • Have venous access sufficient to allow blood sampling as per the protocol
  • Are reliable and willing to make themselves available for the duration of the study and are willing to follow study procedures
  • Have given written informed consent approved by Lilly and the ethical review board (ERB) governing the site

Exclusion Criteria:

  • Are currently enrolled in, have completed or discontinued within the last 30 days from, a clinical trial involving an investigational product other than the investigational product used in this study; or are concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study
  • History of clinically significant adverse drug reactions or "drug allergy" to more than 3 different types of systemically administered medications (all penicillins and cephalosporins may be considered 1 type of medication for this purpose) or known allergies to LY2979165 or it's constituents
  • Are persons who have previously completed or withdrawn from this study or any other study investigating LY2979165
  • Have a Bazett's corrected QT (QTcB) interval value of >450 msec (males) or >470 msec (females) or any abnormality in the screening 12-lead ECG that, in the opinion of the investigator, increases the risks associated with participating in the study
  • Have an abnormal blood pressure (at least 5 minutes in supine position) as determined by the investigator
  • Have a history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, haematological, immunological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; of constituting a risk when taking the study medication; or of interfering with the interpretation of data
  • Show evidence of significant active neuropsychiatric disease
  • Have increased risk of seizures as evidenced by a history of: greater than or equal to one (1) seizure (except childhood febrile seizure), history of electroencephalogram with epileptiform activity, history of stroke; surgery to the cerebral cortex; or head trauma with loss of consciousness
  • Have a history of alcohol or drug abuse
  • Show evidence of human immunodeficiency virus (HIV) and/or positive human HIV antibodies
  • Show evidence of hepatitis B and/or positive hepatitis B surface antigen
  • Intended use of over-the-counter medication within 7 days prior to dosing or during the study with the exception of vitamins and mineral supplements (not providing >100% of the recommended dietary allowance [RDA]), or occasional paracetamol or acetaminophen. If this situation arises, inclusion of an otherwise suitable subject may be at the discretion of the sponsor.
  • Intended use of herbal supplements or prescription medications, other than stable doses of thyroid or estrogen hormone replacement, within 14 days prior to dosing or during the study. If this situation arises, inclusion of an otherwise suitable subject may be at the discretion of the sponsor.
  • Have donated blood of more than 450 mL within the last 3 months
  • Subjects who meet at least 1 of the following criteria (1 unit = 12 oz or 360 mL of beer; 5 oz or 150 mL of wine; 1.5 oz or 45 mL of distilled spirits): a) subjects who have an average weekly alcohol intake that exceeds 21 units per week (males) and 14 units per week (females), b) subjects unwilling to stop alcohol consumption 48 hours prior to dosing until the completion of the 14-day dosing period, or c) subjects unwilling to limit alcohol intake to no more than 3 units per day at other times during the study.
  • Cigarette consumption of more than 10 cigarettes per day or unable/unwilling to abide by CRU smoking restrictions during admissions
  • Any other condition, which in the opinion of the investigator, would preclude participation in the study

Additional criteria for Part B:

  • Abnormalities in lumbar spine previously known or determined by screening lumbar x-ray (if conducted).
  • History of clinically significant back pain, back pathology and/or back injury (for example, degenerative disease, spinal deformity or spinal surgery) that may predispose to complications or technical difficulty with lumbar puncture
  • Have evidence or history of significant active bleeding or coagulation disorder or have taken non-steroidal anti inflammatory drugs or other drugs that affect coagulation or platelet function within 14 days prior to lumbar catheter insertion
  • Have an allergy to lidocaine (Xylocaine®) or its derivatives
  • Have medical or surgical conditions in which lumbar puncture is contraindicated

Sites / Locations

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Arm Label

LY2979165 Part A, Cohort 1

LY2979165 Part A, Cohort 2

LY2979165 Part A, Cohort 3

LY2979165 Part A, Cohort 4

LY2979165 Part B, Cohort 5

Placebo

LY2979165 Part A, Cohort 6

LY2979165 Part A, Cohort 7

Arm Description

20 mg LY2979165 administered orally, daily for 14 days

60 mg LY2979165 administered orally, daily for 14 days

100 mg LY2979165 administered, orally daily for 14 days

150 mg LY2979165 administered orally, daily for 14 days

Dose to be determined by safety review of doses administered in Part A, administered, orally daily for 14 days

Administered orally, daily for 14 days in a ratio of 3:1 in each Cohort of Part A

250 mg LY2979165 administered orally, daily for 14 days

400 mg LY2979165 administered orally, daily for 14 days

Outcomes

Primary Outcome Measures

Number of participants with clinically significant effects

Secondary Outcome Measures

Pharmacokinetics, area under the concentration curve (AUC): Part A
Pharmacokinetics, maximum concentration (Cmax): Part A
Pharmacokinetics, area under the concentration curve (AUC): Part B
Pharmacokinetics, maximum concentration (Cmax): Part B
Pharmacokinetics; maximum concentration (Cmax) for Cerebrospinal Fluid (CSF): Part B
Pharmacodynamics; maximum concentration (Cmax) for CSF: Part B

Full Information

First Posted
June 27, 2011
Last Updated
June 13, 2012
Sponsor
Eli Lilly and Company
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1. Study Identification

Unique Protocol Identification Number
NCT01383967
Brief Title
A Study of LY2979165 in Healthy Subjects
Official Title
Safety, Tolerability, Pharmacokinetic, and Pharmacodynamic Study of Multiple-Ascending Doses of LY2979165 in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
June 2012
Overall Recruitment Status
Completed
Study Start Date
July 2011 (undefined)
Primary Completion Date
June 2012 (Actual)
Study Completion Date
June 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eli Lilly and Company

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a two part study. Part A is a multiple-ascending dose study in up to 6 different groups of healthy subjects, with approximately 12 subjects in each of the groups. Part A will allow investigation of up to 6 different doses of LY2979165. The drug will be administered for a total of 14 days. Subjects will be resident in the clinical research unit (CRU) from Day -1 (the day before dosing) until Day 15. Part B will investigate a dose of LY2979165 previously administered in Part A in up to 12 subjects. The drug will be administered for a total of 14 days. In addition to the same assessments as would have been completed in Part A, subjects in Part B will also have cerebrospinal fluid samples taken from the lower lumbar region of their spine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bipolar Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
102 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LY2979165 Part A, Cohort 1
Arm Type
Experimental
Arm Description
20 mg LY2979165 administered orally, daily for 14 days
Arm Title
LY2979165 Part A, Cohort 2
Arm Type
Experimental
Arm Description
60 mg LY2979165 administered orally, daily for 14 days
Arm Title
LY2979165 Part A, Cohort 3
Arm Type
Experimental
Arm Description
100 mg LY2979165 administered, orally daily for 14 days
Arm Title
LY2979165 Part A, Cohort 4
Arm Type
Experimental
Arm Description
150 mg LY2979165 administered orally, daily for 14 days
Arm Title
LY2979165 Part B, Cohort 5
Arm Type
Experimental
Arm Description
Dose to be determined by safety review of doses administered in Part A, administered, orally daily for 14 days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Administered orally, daily for 14 days in a ratio of 3:1 in each Cohort of Part A
Arm Title
LY2979165 Part A, Cohort 6
Arm Type
Experimental
Arm Description
250 mg LY2979165 administered orally, daily for 14 days
Arm Title
LY2979165 Part A, Cohort 7
Arm Type
Experimental
Arm Description
400 mg LY2979165 administered orally, daily for 14 days
Intervention Type
Drug
Intervention Name(s)
LY2979165
Intervention Description
Administered orally
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
Administered orally
Primary Outcome Measure Information:
Title
Number of participants with clinically significant effects
Time Frame
Baseline to study completion (estimate of 5 months, study ran for 11 months)
Secondary Outcome Measure Information:
Title
Pharmacokinetics, area under the concentration curve (AUC): Part A
Time Frame
predose, up to 24 hours on day 1, predose and 4 hours on day 3, predose, up to 24 hours on day 7, predose day 8, predose and 4 hours on day 10, predose day 12 and 13 and predose,up to 48 hours on and after day 14
Title
Pharmacokinetics, maximum concentration (Cmax): Part A
Time Frame
predose, up 24 hours on day 1, predose and 4 hours on day 3, predose, up to 24 hours on day 7, predose day 8, predose and 4 hours on day 10, predose day 12 and 13 and predose, up to 48 hours on and after day 14
Title
Pharmacokinetics, area under the concentration curve (AUC): Part B
Time Frame
predose, up to 24 hours on day 1, predose and 4 hours on day 3, predose day 8, predose and 4 hours on day 10, predose day 12 and 13 and predose, up to 48 hours on and after day 14
Title
Pharmacokinetics, maximum concentration (Cmax): Part B
Time Frame
predose, up to 24 hours on day 1, predose and 4 hours on day 3, predose day 8, predose and 4 hours on day 10, predose day 12 and 13 and predose, up to 48 hours on and after day 14
Title
Pharmacokinetics; maximum concentration (Cmax) for Cerebrospinal Fluid (CSF): Part B
Time Frame
Pre dose (baseline) and 9 hours post dose
Title
Pharmacodynamics; maximum concentration (Cmax) for CSF: Part B
Time Frame
Pre dose (baseline) and 9 hours post dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Are overtly healthy males or females, as determined by medical history and physical examination. Female subjects for Part B (if performed) are at the site's discretion. Male subjects: Agree to use a reliable method of birth control during the study Female subjects: Women not of child-bearing potential due to surgical sterilisation(hysterectomy or bilateral oophorectomy or tubal ligation) or postmenopausal as defined by age greater than or equal to 45 years, with an intact uterus, not taken hormones or oral contraceptives for > 1 year, and either: Spontaneous amenorrhoea of >12 months, or Spontaneous amenorrhoea of 6-12 months with a follicle-stimulating hormone (FSH) level of >40 mIU/mL Are between the body mass index (BMI) of 18.5 and 29.9 kg/m^2, inclusive Have clinical laboratory test results within normal reference range for the population or investigator site, or results with acceptable deviations that are judged to be not clinically significant by the investigator Have venous access sufficient to allow blood sampling as per the protocol Are reliable and willing to make themselves available for the duration of the study and are willing to follow study procedures Have given written informed consent approved by Lilly and the ethical review board (ERB) governing the site Exclusion Criteria: Are currently enrolled in, have completed or discontinued within the last 30 days from, a clinical trial involving an investigational product other than the investigational product used in this study; or are concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study History of clinically significant adverse drug reactions or "drug allergy" to more than 3 different types of systemically administered medications (all penicillins and cephalosporins may be considered 1 type of medication for this purpose) or known allergies to LY2979165 or it's constituents Are persons who have previously completed or withdrawn from this study or any other study investigating LY2979165 Have a Bazett's corrected QT (QTcB) interval value of >450 msec (males) or >470 msec (females) or any abnormality in the screening 12-lead ECG that, in the opinion of the investigator, increases the risks associated with participating in the study Have an abnormal blood pressure (at least 5 minutes in supine position) as determined by the investigator Have a history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, haematological, immunological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; of constituting a risk when taking the study medication; or of interfering with the interpretation of data Show evidence of significant active neuropsychiatric disease Have increased risk of seizures as evidenced by a history of: greater than or equal to one (1) seizure (except childhood febrile seizure), history of electroencephalogram with epileptiform activity, history of stroke; surgery to the cerebral cortex; or head trauma with loss of consciousness Have a history of alcohol or drug abuse Show evidence of human immunodeficiency virus (HIV) and/or positive human HIV antibodies Show evidence of hepatitis B and/or positive hepatitis B surface antigen Intended use of over-the-counter medication within 7 days prior to dosing or during the study with the exception of vitamins and mineral supplements (not providing >100% of the recommended dietary allowance [RDA]), or occasional paracetamol or acetaminophen. If this situation arises, inclusion of an otherwise suitable subject may be at the discretion of the sponsor. Intended use of herbal supplements or prescription medications, other than stable doses of thyroid or estrogen hormone replacement, within 14 days prior to dosing or during the study. If this situation arises, inclusion of an otherwise suitable subject may be at the discretion of the sponsor. Have donated blood of more than 450 mL within the last 3 months Subjects who meet at least 1 of the following criteria (1 unit = 12 oz or 360 mL of beer; 5 oz or 150 mL of wine; 1.5 oz or 45 mL of distilled spirits): a) subjects who have an average weekly alcohol intake that exceeds 21 units per week (males) and 14 units per week (females), b) subjects unwilling to stop alcohol consumption 48 hours prior to dosing until the completion of the 14-day dosing period, or c) subjects unwilling to limit alcohol intake to no more than 3 units per day at other times during the study. Cigarette consumption of more than 10 cigarettes per day or unable/unwilling to abide by CRU smoking restrictions during admissions Any other condition, which in the opinion of the investigator, would preclude participation in the study Additional criteria for Part B: Abnormalities in lumbar spine previously known or determined by screening lumbar x-ray (if conducted). History of clinically significant back pain, back pathology and/or back injury (for example, degenerative disease, spinal deformity or spinal surgery) that may predispose to complications or technical difficulty with lumbar puncture Have evidence or history of significant active bleeding or coagulation disorder or have taken non-steroidal anti inflammatory drugs or other drugs that affect coagulation or platelet function within 14 days prior to lumbar catheter insertion Have an allergy to lidocaine (Xylocaine®) or its derivatives Have medical or surgical conditions in which lumbar puncture is contraindicated
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Organizational Affiliation
Eli Lilly and Company
Official's Role
Study Director
Facility Information:
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Singapore
Country
Singapore

12. IPD Sharing Statement

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A Study of LY2979165 in Healthy Subjects

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