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Phase 1 N=16 Basic Science

Study of Oral Lasmiditan in Participants With Normal and Impaired Renal Function

Migraine

Enrolled (actual)
16
Serious AEs
0.0%
Results posted
Dec 2019
Primary outcome: Primary: Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) — 259; 293 nanogram per milliliter (ng/mL)

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Lasmiditan (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Eli Lilly and Company
Primary completion
Jun 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax)
259; 293
PRIMARY
Pharmacokinetics: Time of Maximum Observed Plasma Concentration (Tmax)
2.50; 1.78
PRIMARY
Pharmacokinetics: Area Under the Concentration Versus Time Curve From Zero to Tlast (AUC[0-tlast])
1580; 1870
PRIMARY
Pharmacokinetics: Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC[0-inf])
1600; 1890
PRIMARY
Pharmacokinetics: Amount Excreted in Urine as Unchanged Drug or Metabolite (Ae [0-t])
4.64; 1.85
PRIMARY
Pharmacokinetics: Fraction of Dose Excreted in Urine (fe)
2.32; 0.93
PRIMARY
Pharmacokinetics: Renal Clearance (CLr)
2.93; 0.992
SECONDARY
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
6; 6; 0; 0

Summary

This is a multi-center, open-label, non-randomized, parallel-group, adaptive, single dose study. This study will enroll up to 32 participants using an adaptive design that can include up to 3 groups of 8 participants with different degree of renal impairment and one group of 8 control participants with normal renal function. Screening data will be reviewed to determine participant eligibility. Participants who meet all inclusion criteria and none of the exclusion criteria will be entered in the study. First, approximately 16 participants will be enrolled with severe renal impairment and matched participants with normal renal function. There will be 8 participants in each of the following groups based on renal function at screening: * Group 1: Healthy participants with normal renal function (estimated glomerular filtration rate [eGFR] ≥ 90 milliliters per minute per 1.73 meters squared [mL/min/1.73m²]) * Group 2: Severe renal impairment participants (eGFR < 30 mL/min/1.73m²) Based on safety and pharmacokinetic (PK) results from participants with severe renal impairment (Group 2), Group 3 (Moderate Renal Impairment) and Group 4 (Mild Renal Impairment) will be enrolled if substantial change in the exposure of lasmiditan is observed in participants with severe renal impairment.

Eligibility Criteria

Inclusion Criteria

  • Motivated participant and absence of intellectual problems likely to limit the validity of consent to participate in the study or the compliance with protocol requirements; ability to cooperate adequately; ability to understand and observe the instructions of the physician or designee
  • Male or female participant
  • A female participant if of childbearing potential - must be willing to use accepted contraceptive regimens from at least 28 days prior to the drug administration, during the study and for at least 60 days after the dose.
  • A male participant with sexual partners who are of child bearing potential must be willing to use accepted contraceptive regimens.
  • A male participant agrees to refrain from sperm donation from drug administration until 3 months after the drug administration
  • Participant aged of at least 18 years
  • Participant with a body mass index (BMI) ≥18.50 kilogram per meter squared (kg/m²) and 3 units of alcohol per day, intake of excessive alcohol, acute or chronic)
  • Use of any enzyme-modifying drugs, including strong inhibitors of cytochrome P450 (CYP) enzymes (such as cimetidine, fluoxetine, quinidine, erythromycin, ciprofloxacin, fluconazole, ketoconazole, diltiazem and HIV antivirals) and strong inducers of CYP enzymes (such as barbiturates, carbamazepine, glucocorticoids, phenytoin, rifampin and St John's Wort), in the previous 28 days before Day 1 of this study
  • Females who are pregnant according to a positive pregnancy test
  • Participants who took lasmiditan in the previous 28 days before Day 1 of this study
  • Participants who took an Investigational Product (in another clinical trial) in the previous 28 days before Day 1 of this study
  • Participants who have already participated in this clinical study
  • Participants who donated 50 mL or more of blood in the previous 28 days before Day 1 of this study
  • Donation of 500 mL or more of blood (Canadian Blood Services, Hema-Quebec, clinical studies, etc.) in the previous 56 days before Day 1 of this study

Participants with Normal Renal Function:

  • Seated pulse rate less than or equal 40 Beats per Minute (bpm) or more than - Seated blood pressure below 90/60 millimeters of mercury (mmHg) or higher than 140/90 mmHg at screening
  • Presence of significant gastrointestinal, liver, or kidney disease, or any other conditions known to interfere with the absorption, distribution, metabolism, or excretion of drugs or known to potentiate or predispose to undesired effects
  • History of significant gastrointestinal, liver or kidney disease that may affect drug bioavailability, including but not limited to cholecystectomy
  • Presence of significant cardiovascular, pulmonary, hematologic, neurological, psychiatric, endocrine, immunologic or dermatologic disease
  • Presence of out-of-range cardiac interval (PR 220 msec, QRS 119 msec and correct QT interval (QTc) > 450 msec for males and > 460 msec for females) on the screening ECG or other clinically significant ECG abnormalities
  • Positive screening of alcohol and/or drugs of abuse
  • Any clinically significant illness in the previous 28 days before Day 1 of this study

Renal Impaired Participants:

  • Seated pulse rate less than 50 bpm or more than 110 bpm at screening
  • Seated blood pressure below 90/50 mmHg or higher than 180/110 mmHg at screening
  • Currently undergoing any method of dialysis
  • History of renal transplant
  • History or presence, in the opinion of the Investigator, of significant clinically unstable respiratory, cardiovascular, pulmonary, hepatic, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, or psychiatric disease,
  • Have poorly controlled Type 1 or Type 2 diabetes as defined by Hemoglobin A1c >10%
  • Require immunosuppressive medications for treatment of immune-mediated renal disease or kidney transplant recipients
  • Evidence of renal carcinoma present at the time of screening
  • Have relevant clinical laboratory abnormalities, including any
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03009162). 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.

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