Chronic Kidney DiseasePhase 1NCT01237899
Multiple Dose Study of the Safety, Tolerability, Pharmacokinetics and Effect on Renal Potassium Clearance
A Phase 1 study testing LY2623091 and Eplerenone in people with Chronic Kidney Disease, run by Eli Lilly and Company at 1 site in Netherlands.
Trial 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. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Chronic Kidney Disease
- What is being tested?
- LY2623091 and Eplerenone
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 32 participants
- Where
- 1 siteNetherlands
- Study dates
- Oct 2010to Jan 2011
- Phase
- Phase 1
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- 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).
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- 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.
Who cannot join
- 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.
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- 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.
Trial locations and contacts
1 site in 1 country.
Netherlands1 site
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.
Zuidlaren, 9471 GP
About this study
Official title: Study of the Safety, Tolerability, Pharmacokinetics and Effect on Renal Potassium Clearance After Multiple Oral Dosing of LY2623091 in Healthy Volunteers
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).
- Conditions
- Chronic Kidney Disease
- Being tested
- LY2623091, Placebo, Eplerenone
- Keywords
- Kidney, Renal
- Medical subject headings
- Renal Insufficiency, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LY2623091Drug
Administered orally.
PlaceboDrug
Administered orally.
EplerenoneDrug
Administered orally.
| Study group | Role | What they receive |
|---|---|---|
| 1 mg LY2623091 | Experimental | Daily by mouth for 7 days. Receives: Drug: LY2623091 |
| 10 mg LY2623091 | Experimental | Daily by mouth for 7 days. Receives: Drug: LY2623091 |
| 25 mg LY2623091 | Experimental | 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. Receives: Drug: LY2623091 |
| 0.3 mg LY2623091 | Experimental | 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. Receives: Drug: LY2623091 |
| Placebo | Placebo comparator | Daily by mouth for 7 days. Receives: Drug: Placebo |
| 50 mg Eplerenone | Active comparator | Daily by mouth for 7 days. Receives: Drug: Eplerenone |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: Baseline through 7 days for each treatment period
Secondary outcomes (3)
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.
Measured: Day 7: 24 Hour (hr), 48hr and 72hr Postdose
Pharmacokinetics of LY2623091: Maximal Concentration (Cmax) at Day 6
Cmax estimated for LY2623091.
Measured: Day 6: Predose,1hr, 2hr, 3hr, 4hr, 8hr and 12 hr Postdose
Pharmacokinetics LY2623091: Area Under the Concentration-Time Curve (AUC) at Day 6
AUC from time 0, extrapolated to infinity, estimated for LY2623091.
Measured: Day 6: Predose,1hr, 2hr, 3hr, 4hr, 8hr and 12 hr Postdose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Nov 2010 (estimated)
- Study startOct 2010
- Primary completionJan 2011
- Study completionJan 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Chronic Kidney DiseaseStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 32 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- 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), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01237899
- Sponsor's protocol ID
- 14121
- Other IDs
- I4M-MC-MRAB
- Status last verified
- Feb 2019
- First submitted
- 8 Nov 2010
- Last updated
- 3 Jun 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Jun 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Study of the Safety, Tolerability, Pharmacokinetics and Effect on Renal Potassium Clearance After Multiple Oral Dosing of LY2623091 in Healthy Volunteers
- ClinicalTrials.gov ID
- NCT01237899
- Acronym / sponsor ID
- 14121
- Conditions
- Chronic Kidney Disease
- Keywords
- Kidney, Renal
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 32 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- Oct 2010
- Primary completion
- Jan 2011 (actual)
- Study completion
- Jan 2011 (actual)
- First posted
- 10 Nov 2010 (estimated)
- Results
- Posted 3 Jun 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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).
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Double blind (participant, investigator)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| 1 mg LY2623091 | Experimental | Drug: LY2623091Daily by mouth for 7 days. |
| 10 mg LY2623091 | Experimental | Drug: LY2623091Daily by mouth for 7 days. |
| 25 mg LY2623091 | Experimental | Drug: LY2623091The 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. |
| 0.3 mg LY2623091 | Experimental | Drug: LY2623091The 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. |
| Placebo | Placebo comparator | Drug: PlaceboDaily by mouth for 7 days. |
| 50 mg Eplerenone | Active comparator | Drug: EplerenoneDaily by mouth for 7 days. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Are healthy men and women of non-childbearing potential as determined by medical history and physical examination.
- 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.
Key exclusion criteria (18 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LY2623091Administered orally. | Drug | 0.3 mg LY2623091, 1 mg LY2623091, 10 mg LY2623091, 25 mg LY2623091 |
| PlaceboAdministered orally. | Drug | Placebo |
| EplerenoneAdministered orally. | Drug | 50 mg Eplerenone |
Primary outcome
Number of Participants With Clinically Significant Effects (Adverse Events)
Time frame: Baseline through 7 days for each treatment period
A summary of serious adverse events and other nonserious adverse events are located in the Reported Adverse Event section.
3 secondary outcomes
Pharmacodynamics: Serum to Urine Potassium Area Under the Concentration-Time Curve (AUC) Standardized for Urinary Excretion at Day 7
Time frame: Day 7: 24 Hour (hr), 48hr and 72hr Postdose
Pharmacokinetics of LY2623091: Maximal Concentration (Cmax) at Day 6
Time frame: Day 6: Predose,1hr, 2hr, 3hr, 4hr, 8hr and 12 hr Postdose
Pharmacokinetics LY2623091: Area Under the Concentration-Time Curve (AUC) at Day 6
Time frame: Day 6: Predose,1hr, 2hr, 3hr, 4hr, 8hr and 12 hr Postdose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jun 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
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) study director
Eli Lilly and Company
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing LY2623091 and Eplerenone in people with Chronic Kidney Disease, run by Eli Lilly and Company at 1 site in Netherlands.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 3 Jun 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With Clinically Significant Effects (Adverse Events) (time frame: Baseline through 7 days for each treatment period). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jun 2019.