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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in Netherlands

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).

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 groups in NCT01237899
Study groupRoleWhat they receive
1 mg LY2623091ExperimentalDaily by mouth for 7 days.
Receives: Drug: LY2623091
10 mg LY2623091ExperimentalDaily by mouth for 7 days.
Receives: Drug: LY2623091
25 mg LY2623091ExperimentalThe 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 LY2623091ExperimentalThe 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
PlaceboPlacebo comparatorDaily by mouth for 7 days.
Receives: Drug: Placebo
50 mg EplerenoneActive comparatorDaily 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.

  1. 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)
  1. 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

  2. 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

  3. 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.

  1. First posted10 Nov 2010 (estimated)
  2. Study startOct 2010
  3. Primary completionJan 2011
  4. Study completionJan 2011

Resources

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)
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
Data monitoring committee
No

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.

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