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Phase 1 Completed N=26 Treatment

A Single Dose Study of LY2189265 in Subjects With Varying Degrees of Hepatic (Liver) Impairment

Source: ClinicalTrials.gov NCT01253304 ↗
Enrolled (actual)
26
Serious AEs
7.7%
Results posted
Oct 2014
Primary outcomePrimary: Pharmacokinetics: Maximum Observed Concentration (Cmax) — 84.5; 63.0; 58.1; 61.3 nanograms/milliliter (ng/mL)

Summary

The primary purpose of this study is to help answer the following research questions, and not to provide treatment for any condition: * To evaluate how much of the study drug (LY2189265) is in the blood of participants with varying degrees of liver impairment compared to those with normal liver function. * To assess the safety of LY2189265 and any side effects that might be associated with it.

Outcome Measures

OutcomeResultp-value
PRIMARY
Pharmacokinetics: Maximum Observed Concentration (Cmax)
84.5; 63.0; 58.1; 61.3
PRIMARY
Pharmacokinetics: Time of Maximum Concentration (Tmax)
48.00; 48.01; 59.96; 71.93
PRIMARY
Pharmacokinetics: Area Under the Concentration Versus Time Curve From Time Zero to the Last Quantifiable Concentration (AUC[0-tlast])
10200; 7670; 7220; 7660
PRIMARY
Pharmacokinetics: AUC From Time Zero to Infinity (AUC[0-infinity])
16300; 12200; 11200; 12500
PRIMARY
Pharmacokinetics: Apparent Terminal Elimination Half-life (t1/2)
104; 101; 88.2; 99.2
PRIMARY
Pharmacokinetics: Apparent Total Plasma Clearance (CL/F)
0.0920; 0.123; 0.135; 0.120
PRIMARY
Pharmacokinetics: Apparent Volume of Distribution (Vz/F)
13.8; 17.9; 17.1; 17.1

Eligibility Criteria

Inclusion Criteria

All Participants (including participants with type 2 diabetes mellitus [T2DM]):

  • Male participants - Agree to use a reliable method of birth control (for example, barrier methods) during the study and for at least 3 months following dosing of study drug
  • Female participants:
  • Women must be of non-child-bearing potential due to surgical sterilization (hysterectomy, bilateral oophorectomy, or tubal ligation) or menopause
  • Women with an intact uterus are deemed postmenopausal if they are over 45 years old and have had cessation of menses for at least 1 year or have had 6 to 12 months of spontaneous amenorrhea with follicle stimulating hormone (FSH) >40 international units per milliliter (IU/mL) and have not taken hormone replacement therapy or oral contraceptives within 1 year of study start and are otherwise healthy
  • Women who have had cessation of menses for at least 2 years are permitted to take hormone replacement therapy
  • Have a body mass index (BMI) between 19.0 and 40.0 kilograms per meters squared (kg/m^2), inclusive, at screening.
  • Have venous access sufficient to allow blood sampling
  • 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 governing the site

Control Participants:

  • Overtly healthy participants with normal hepatic function
  • Participants with T2DM with normal hepatic function
  • Have normal sitting blood pressure and pulse rate as determined by the investigator or with changes compatible with their age and disease status in case of patients with T2DM
  • Have clinical laboratory test results within normal reference range for the investigator site or results with minor deviations not considered to be clinically significant by the investigator or with changes compatible with their age and disease status in case of T2DM

Hepatic Impaired Participants:

  • Have stable hepatic impairment (such as, post-alcoholic, chronic hepatitis, biliary cirrhosis, or cryptogenic) classified as Child-Pugh Class A, B, or C (mild, moderate, and severe impairment) who are considered by the investigator as acceptable for participation in the study. The hepatic-impaired participant population may include patients with T2DM.
  • Have sitting blood pressure and pulse rate compatible with their disease state [including T2DM, if applicable] as determined by the investigator.

Participants with T2DM (All Study Groups)

  • Have T2DM controlled with diet and exercise alone or T2DM is stable on a single, oral agent antihyperglycemic medication (metformin, sulfonylureas, repaglinide, nateglinide, acarbose [or other disaccharidase inhibitors], or thiazolidinediones) for at least 3 weeks (3 months for thiazolidinediones) prior to admission
  • Have a glycosylated hemoglobin (HbA1C) value at screening (or within 4 weeks prior to screening) of 6.5% to 9.0%
  • Have clinical laboratory test results within normal range or deemed clinically insignificant by the investigator. Abnormalities of serum glucose, serum lipids, urinary glucose, and urinary protein consistent with T2DM are acceptable
  • Have acceptable blood pressure and pulse rate (sitting), as determined by the investigator

Exclusion Criteria

All participants (including participants with T2DM)

  • Are currently enrolled in, discontinued within the last 30 days from a clinical trial involving use of an investigational drug or device other than the study drug, or are concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study
  • Have known allergies to LY2189265 or related compounds
  • Have previously completed or withdrawn from this study or any other study investigating LY2189265
  • Have a current, functioning organ transplant
  • Show evidence of significant active, uncontrolled, endocrine or autoimmune abnormalities (such as, thyroid disease
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01253304). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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