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Phase 2 Completed N=165 Randomized Quadruple-blind Treatment

A Study of LY2484595 in Japanese Subjects

Dyslipidemias
Source: ClinicalTrials.gov NCT01375075 ↗
Enrolled (actual)
165
Serious AEs
1.2%
Results posted
Oct 2018
Primary outcomePrimary: Percent Change From Baseline to 12 Weeks in High Density Lipoprotein Cholesterol (HDL-C) and Low Density Lipoprotein Cholesterol (LDL-C) With LY2484595 and Placebo — 82.22; 123.35; 143.56; 8.00 percent change — p=<0.001

Summary

The purpose of this study is to determine if 12 weeks of treatment with LY2484595 administered as a monotherapy will significantly increase high-density lipoprotein cholesterol (HDL-C) and decrease low-density lipoprotein cholesterol (LDL-C) in Japanese participants.

Outcome Measures

OutcomeResultp-value
PRIMARY
Percent Change From Baseline to 12 Weeks in High Density Lipoprotein Cholesterol (HDL-C) and Low Density Lipoprotein Cholesterol (LDL-C) With LY2484595 and Placebo
82.22; 123.35; 143.56; 8.00; 17.35; 120.60 <0.001 sig
SECONDARY
Percent Change From Baseline in High Density Lipoprotein Cholesterol (HDL-C) and Low Density Lipoprotein Cholesterol (LDL-C) With LY2484595 in Combination With Atorvastatin
75.30; 108.21; 122.60; -0.73; 8.85; 101.45 <0.001 sig
SECONDARY
Pharmacokinetics - Area Under the Curve (AUC) of LY2484595 and Atorvastatin
3110; 8690; 29400; 8080
SECONDARY
The Number and Severity of Episodes of Rashes at Any Time From Baseline Through Week 12
0; 0; 1; 0; 0; 1
SECONDARY
Change From Baseline to 12 Weeks in Blood Pressure
2.35; 1.44; 4.51; -1.39; 2.59; 2.04 0.136
SECONDARY
Change From Baseline to 12 Weeks in Aldosterone
-0.40; 0.37; 0.59; 0.33; 0.95; 0.62 0.513
SECONDARY
Change From Baseline to 12 Weeks in Plasma Renin Activity
-0.32; 0.01; -0.21; -0.21; -0.01; -0.43 0.735
SECONDARY
Change From Baseline to 12 Weeks in Serum Sodium
-0.18; -0.32; -0.07; -0.32; 0.35; 0.53 0.756
SECONDARY
Change From Baseline to 12 Weeks in Serum Bicarbonate
0.63; 0.62; 0.62; 0.52; 0.62; 1.23 0.856
SECONDARY
Number of Myopathy and Liver Injury Events
0; 1; 0; 0; 1; 0
SECONDARY
Change From Baseline to 12 Week Endpoint in Highly-Sensitive C-Reactive Protein (hsCRP)
-0.03; 0.00; 0.13; -0.01; -0.03; 0.15 0.888
SECONDARY
Percent Change From Baseline in Plasma Cholesteryl Ester Transfer Protein (CETP) Activity
-41.62; -75.26; -89.14; 1.67; -1.33; -68.58 <0.001 sig
SECONDARY
Change From Baseline in Plasma CETP Mass
1.88; 3.14; 3.54; 0.08; -0.28; 1.94 <0.001 sig

Eligibility Criteria

Inclusion Criteria

Have Low HDL-C or High LDL-C criteria as follows:

Low HDL lipid criteria:

  • HDL-C 140 millimeters of mercury (mm Hg) or diastolic blood pressure (DBP) >90 mm Hg as determined by the mean of 3 standardized measurements in the sitting position at randomization
  • Have or have had documented hyperaldosteronism
  • Have symptoms consistent with moderate or severe heart failure or are receiving treatment for symptomatic congestive heart failure (CHF) or known left ventricular ejection fraction (LVEF) 450 msec in male subjects or >470 msec in female subjects, or abnormally wide QRS complexes (resulting from bundle branch blocks, intraventricular conduction delays, or pacemakers) or atrial fibrillation on screening electrocardiogram (ECG), previous history of QTc prolongation with another medication that required discontinuation, congenital long QT syndrome, previous history of ventricular tachycardia or unexplained syncope
  • Have family history of long QT syndrome or sudden death likely secondary to ventricular arrhythmia
  • Have active hepatobiliary disease, serologic evidence of past or active hepatitis B or C, or past or active gallbladder disease. Subjects who have been diagnosed with Gilbert syndrome or had a cholecystectomy greater than 90 days prior to screening can be included
  • Have aspartate aminotransferase (AST/SGOT), alanine aminotransferase (ALT/SGPT), alkaline phosphatase (ALP), or total bilirubin >1.5 times the upper limit of normal (ULN)
  • Have a history or presence of a chronic muscular or neuromuscular disease including prior rhabdomyolysis or drug-induced myopathy or an unexplained/documented elevation in creatine kinase (CK) ≥3 times the ULN
  • Have a history of discontinuation from statin, change of statin, or a dose reduction of statin due to history of hypersensitivity, intolerance or adverse effect. Have a history of increased hepatic enzymes associated with use of an hydroxymethylglutaryl-coenzyme A (HMG-CoA) reductase inhibitor (statin)
  • Have a history of hypersensitivity or intolerance to drug preparations containing cholesteryl ester transfer protein (CETP) inhibitors, including but not limited to torcetrapib, anacetrapib, or dalcetrapib
  • Have a hemoglobin A1c ≥8.0%; or use, plan to use, or are likely to require insulin during the course of the study. Diabetic subjects on an antidiabetic agent with lipid modifying effects must be on a stable dose for at least 30 days prior to screening
  • Have a serum creatinine ≥2 mg/dL, or nephrotic syndrome, end stage renal disease and use renal replacement therapy such as hemodialysis or peritoneal dialysis
  • Have hemoglobin <10 grams per deciliter (g/dL) in women and <11 g/dL in men
  • Have current uncontrolled active inflammatory condition or infection which in the opinion of the investigator would influence a subject's ability to complete the study
  • Have thyroid-stimulating hormone (TSH) levels outside normal reference range. Subjects who are clinically euthyroid, on stable thyroid replacement therapy for 60 days prior to screening, and are anticipated to remain on this dose throughout the trial period are acceptable exceptions to this criterion
  • Are women who are lactating
  • Have planned or are likely to require major surgery requiring anesthesia or hospitalization during the course of the study
  • Have chronic alcohol or drug abuse or dependency
  • Are currently under suspicion of having cancer or have had a history of cancer in the past 2 years, with the exception of excised superficial lesions such as basal cell carcinoma and squamous cell carcinoma of the skin
  • Have history of human immunodeficiency virus (HIV) infection
  • Have any other condition or abnormal laboratory value, which in the opinion of the investigator precludes the subject from providing informed consent
  • Plan to use, are likely to require, or unwilling or unable to stop with adequate washout any prescription or over-the-counter (OTC) medication or health foods with the int
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01375075). 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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