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Multiple Dose Study of the Safety, Tolerability, Pharmacokinetics and Effect on Renal Potassium Clearance

Primary Purpose

Chronic Kidney Disease

Status
Completed
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
LY2623091
Placebo
Eplerenone
Sponsored by
Eli Lilly and Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Chronic Kidney Disease focused on measuring Kidney, Renal

Eligibility Criteria

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

Inclusion Criteria:

  • Are healthy men and women of non-childbearing potential as determined by medical history and physical examination.

    • Male subjects: Non-vasectomized male subjects must agree to use 2 medically accepted methods of contraception with all sexual partners during the study and for 90 days following the final dosing.
    • Female subjects: Female subjects must be of non-childbearing potential due to surgical sterilization (hysterectomy, bilateral oophorectomy or tubal ligation) or menopause. They should be a minimum of 12 months without a menstrual period. Peri-menopausal women who are 6 months without a menstrual period.
  • Have given written informed consent prior to any study-specific procedures.
  • Are reliable and willing to make themselves available for the duration of the study and are willing to follow site-specific study procedures.
  • Have a body mass index (BMI) of between 19 and 32.5 kilograms per square meter (kg/m^2).
  • Have clinical laboratory test results within the normal reference range for the population or study site, or test results with acceptable deviations that are judged by the Investigator not to be clinically significant.
  • Have venous access sufficient to allow blood sampling per the protocol.
  • Have serum potassium levels within the normal range.
  • Are nonsmokers or smokers of less than or equal to 10 cigarettes per day.

Exclusion Criteria:

  • Are currently enrolled in, or have discontinued, within 60 days inclusive, a clinical trial involving an investigational drug, device or an off-label use of an approved drug, or are concurrently enrolled in any other type of medical research judged to be scientifically or medically incompatible with this study. Subjects who meet any of these criteria may be enrolled in this study but they cannot be dosed until at least 60 days following the last day of the previous investigational trial.
  • Have previously completed or withdrawn from this study or any other study investigating LY2623091.
  • Have a history or presence of medical illness including but not limited to any cardiovascular, hepatic, respiratory, hematological, endocrine or neurological disease, or any clinically significant laboratory abnormality that is of a serious medical problem that would preclude study participation.
  • Have an abnormality in the 12-lead electrocardiogram (ECG), which increases the risks associated with participation in the study.
  • Are unwilling or unable to comply with the use of an electronic data capture system.
  • Show evidence of human immunodeficiency virus (HIV) and/or positive human HIV antibodies, hepatitis C and/or positive hepatitis C antibody or hepatitis B and/or positive hepatitis B surface antigen.
  • Use and/or intend to use any medication for a medical condition that is not compatible with Inclusion Criterion. For medications that may be used in "healthy" subjects (example given: preventative and/or naturopathic agents, temporary symptom-relieving medications, and so forth) the following constraints must be observed:

    • No use of vasoactive drugs (example given: diuretics, antihypertensive agents, phosphodiesterase inhibitors, erectile dysfunction medications, nasal decongestants, et cetera) or systemic glucocorticoids within 7 days of first dosing and/or anticipated use during the study.
    • No use of acetaminophen/paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs) within 24 hours of first dosing and/or anticipated use during the study. Aspirin may not be used at doses greater than 100 milligrams per day (mg/day) within 7days of first dosing and/or anticipated use during the study.
    • No use of herbal or nutritional products within 7 days of first dosing and/or anticipated use during the study.
  • Have donated blood of more than 50 milliliters (mL) within the last 60 days.
  • Have an average weekly alcohol intake that exceeds 21 units per week and/or subjects unwilling to stop alcohol within 48 hours of study enrollment and for the duration of the study.
  • Have an abnormally high blood pressure (supine or standing) defined as diastolic blood pressure greater than 95 millimeters of mercury (mmHg) and /or systolic blood pressure greater than 150 mmHg, confirmed by at least 1 repeat measurement.
  • Have serum potassium greater than the upper limit of normal.
  • Regularly use known drugs of abuse or show positive findings for such use on urinary drug screening.
  • Consumption of natural licorice and/or natural licorice-containing products and/or grapefruit and/or grapefruit juice within 7 days of first dosing and/or anticipated consumption during the study.
  • Consumption of methylxanthine-containing beverages and/or foods (example: coffee, tea, caffeinated soft drinks, chocolate) within 4 days of first dosing and/or anticipated consumption during the study.
  • Are unwilling to abstain from salt-substitutes containing potassium for the duration of the study.

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 Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Active Comparator

Arm Label

1 mg LY2623091

10 mg LY2623091

25 mg LY2623091

0.3 mg LY2623091

Placebo

50 mg Eplerenone

Arm Description

Daily by mouth for 7 days.

Daily by mouth for 7 days.

The anticipated dose of LY2623091 was revised down from the original proposed dose level of 100 mg based on safety and tolerability data. The 25 mg LY2623091 was administered daily by mouth for 7 days.

The anticipated dose of LY2623091 was revised down from the original proposed dose level of up to 200 mg. The 0.3 mg LY2623091 was determined based on an interim analysis after the third dose level and was administered daily by mouth for 7 days.

Daily by mouth for 7 days.

Daily by mouth for 7 days.

Outcomes

Primary Outcome Measures

Number of Participants With Clinically Significant Effects (Adverse Events)
A summary of serious adverse events and other nonserious adverse events are located in the Reported Adverse Event section.

Secondary Outcome Measures

Pharmacodynamics: Serum to Urine Potassium Area Under the Concentration-Time Curve (AUC) Standardized for Urinary Excretion at Day 7
A measure of the renal clearance of the potassium ion (K+). The Least Squares (LS) Mean value was adjusted for pre-challenge renal K+ clearance.
Pharmacokinetics of LY2623091: Maximal Concentration (Cmax) at Day 6
Cmax estimated for LY2623091.
Pharmacokinetics LY2623091: Area Under the Concentration-Time Curve (AUC) at Day 6
AUC from time 0, extrapolated to infinity, estimated for LY2623091.

Full Information

First Posted
November 8, 2010
Last Updated
February 15, 2019
Sponsor
Eli Lilly and Company
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1. Study Identification

Unique Protocol Identification Number
NCT01237899
Brief Title
Multiple Dose Study of the Safety, Tolerability, Pharmacokinetics and Effect on Renal Potassium Clearance
Official Title
Study of the Safety, Tolerability, Pharmacokinetics and Effect on Renal Potassium Clearance After Multiple Oral Dosing of LY2623091 in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
February 2019
Overall Recruitment Status
Completed
Study Start Date
October 2010 (undefined)
Primary Completion Date
January 2011 (Actual)
Study Completion Date
January 2011 (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
The purpose of this study is to investigate the safety and tolerability of LY2623091 after multiple oral dosing in healthy men and women of non-childbearing potential. Two cohorts of 16 subjects will participate in 2 dosing periods. Treatment assignment will be double-blind for LY2623091 and placebo (negative control), and open label for eplerenone (positive control).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Kidney Disease
Keywords
Kidney, Renal

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1 mg LY2623091
Arm Type
Experimental
Arm Description
Daily by mouth for 7 days.
Arm Title
10 mg LY2623091
Arm Type
Experimental
Arm Description
Daily by mouth for 7 days.
Arm Title
25 mg LY2623091
Arm Type
Experimental
Arm Description
The anticipated dose of LY2623091 was revised down from the original proposed dose level of 100 mg based on safety and tolerability data. The 25 mg LY2623091 was administered daily by mouth for 7 days.
Arm Title
0.3 mg LY2623091
Arm Type
Experimental
Arm Description
The anticipated dose of LY2623091 was revised down from the original proposed dose level of up to 200 mg. The 0.3 mg LY2623091 was determined based on an interim analysis after the third dose level and was administered daily by mouth for 7 days.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Daily by mouth for 7 days.
Arm Title
50 mg Eplerenone
Arm Type
Active Comparator
Arm Description
Daily by mouth for 7 days.
Intervention Type
Drug
Intervention Name(s)
LY2623091
Intervention Description
Administered orally.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Administered orally.
Intervention Type
Drug
Intervention Name(s)
Eplerenone
Intervention Description
Administered orally.
Primary Outcome Measure Information:
Title
Number of Participants With Clinically Significant Effects (Adverse Events)
Description
A summary of serious adverse events and other nonserious adverse events are located in the Reported Adverse Event section.
Time Frame
Baseline through 7 days for each treatment period
Secondary Outcome Measure Information:
Title
Pharmacodynamics: Serum to Urine Potassium Area Under the Concentration-Time Curve (AUC) Standardized for Urinary Excretion at Day 7
Description
A measure of the renal clearance of the potassium ion (K+). The Least Squares (LS) Mean value was adjusted for pre-challenge renal K+ clearance.
Time Frame
Day 7: 24 Hour (hr), 48hr and 72hr Postdose
Title
Pharmacokinetics of LY2623091: Maximal Concentration (Cmax) at Day 6
Description
Cmax estimated for LY2623091.
Time Frame
Day 6: Predose,1hr, 2hr, 3hr, 4hr, 8hr and 12 hr Postdose
Title
Pharmacokinetics LY2623091: Area Under the Concentration-Time Curve (AUC) at Day 6
Description
AUC from time 0, extrapolated to infinity, estimated for LY2623091.
Time Frame
Day 6: Predose,1hr, 2hr, 3hr, 4hr, 8hr and 12 hr Postdose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Are healthy men and women of non-childbearing potential as determined by medical history and physical examination. Male subjects: Non-vasectomized male subjects must agree to use 2 medically accepted methods of contraception with all sexual partners during the study and for 90 days following the final dosing. Female subjects: Female subjects must be of non-childbearing potential due to surgical sterilization (hysterectomy, bilateral oophorectomy or tubal ligation) or menopause. They should be a minimum of 12 months without a menstrual period. Peri-menopausal women who are 6 months without a menstrual period. Have given written informed consent prior to any study-specific procedures. Are reliable and willing to make themselves available for the duration of the study and are willing to follow site-specific study procedures. Have a body mass index (BMI) of between 19 and 32.5 kilograms per square meter (kg/m^2). Have clinical laboratory test results within the normal reference range for the population or study site, or test results with acceptable deviations that are judged by the Investigator not to be clinically significant. Have venous access sufficient to allow blood sampling per the protocol. Have serum potassium levels within the normal range. Are nonsmokers or smokers of less than or equal to 10 cigarettes per day. Exclusion Criteria: Are currently enrolled in, or have discontinued, within 60 days inclusive, a clinical trial involving an investigational drug, device or an off-label use of an approved drug, or are concurrently enrolled in any other type of medical research judged to be scientifically or medically incompatible with this study. Subjects who meet any of these criteria may be enrolled in this study but they cannot be dosed until at least 60 days following the last day of the previous investigational trial. Have previously completed or withdrawn from this study or any other study investigating LY2623091. Have a history or presence of medical illness including but not limited to any cardiovascular, hepatic, respiratory, hematological, endocrine or neurological disease, or any clinically significant laboratory abnormality that is of a serious medical problem that would preclude study participation. Have an abnormality in the 12-lead electrocardiogram (ECG), which increases the risks associated with participation in the study. Are unwilling or unable to comply with the use of an electronic data capture system. Show evidence of human immunodeficiency virus (HIV) and/or positive human HIV antibodies, hepatitis C and/or positive hepatitis C antibody or hepatitis B and/or positive hepatitis B surface antigen. Use and/or intend to use any medication for a medical condition that is not compatible with Inclusion Criterion. For medications that may be used in "healthy" subjects (example given: preventative and/or naturopathic agents, temporary symptom-relieving medications, and so forth) the following constraints must be observed: No use of vasoactive drugs (example given: diuretics, antihypertensive agents, phosphodiesterase inhibitors, erectile dysfunction medications, nasal decongestants, et cetera) or systemic glucocorticoids within 7 days of first dosing and/or anticipated use during the study. No use of acetaminophen/paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs) within 24 hours of first dosing and/or anticipated use during the study. Aspirin may not be used at doses greater than 100 milligrams per day (mg/day) within 7days of first dosing and/or anticipated use during the study. No use of herbal or nutritional products within 7 days of first dosing and/or anticipated use during the study. Have donated blood of more than 50 milliliters (mL) within the last 60 days. Have an average weekly alcohol intake that exceeds 21 units per week and/or subjects unwilling to stop alcohol within 48 hours of study enrollment and for the duration of the study. Have an abnormally high blood pressure (supine or standing) defined as diastolic blood pressure greater than 95 millimeters of mercury (mmHg) and /or systolic blood pressure greater than 150 mmHg, confirmed by at least 1 repeat measurement. Have serum potassium greater than the upper limit of normal. Regularly use known drugs of abuse or show positive findings for such use on urinary drug screening. Consumption of natural licorice and/or natural licorice-containing products and/or grapefruit and/or grapefruit juice within 7 days of first dosing and/or anticipated consumption during the study. Consumption of methylxanthine-containing beverages and/or foods (example: coffee, tea, caffeinated soft drinks, chocolate) within 4 days of first dosing and/or anticipated consumption during the study. Are unwilling to abstain from salt-substitutes containing potassium for the duration of the study.
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
Zuidlaren
ZIP/Postal Code
9471 GP
Country
Netherlands

12. IPD Sharing Statement

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Multiple Dose Study of the Safety, Tolerability, Pharmacokinetics and Effect on Renal Potassium Clearance

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