A Placebo- and Positive-Controlled Study of the Electrophysiological Effects of a Supratherapeutic Dose of LY2409021 in Healthy Subjects
Overview
- Phase
- Phase 1
- Intervention
- LY2409021
- Conditions
- Diabetes Mellitus, Type 2
- Sponsor
- Eli Lilly and Company
- Enrollment
- 67
- Locations
- 1
- Primary Endpoint
- Part B: Mean Change From Baseline in 12-lead Electrocardiogram (ECG) Corrected QT Intervals (LY2409021)
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Part A: The purpose of Part A of the study is to look at the electrocardiogram (ECG) effects due to blood sugar changes after a meal compared to when LY2409021 is also given with a meal.
Part B: The purpose of Part B is to evaluate the effect of LY2409021, when given at a dose level much higher than what would normally be given, on the electrical activity of the heart as measured by ECG in relation to placebo and moxifloxacin.
Detailed Description
This is a 2 part study. Part A is a single-dose study to compare the effects of a meal on glucose, insulin and QT in healthy participants with and without LY2409021. Part B of this study is a randomized, 3-period, crossover design, in which participants and investigators are blinded to placebo and LY2409021, and will assess the electrophysiological effects of a single supratherapeutic dose of LY2409021 compared to a positive control (moxifloxacin) and placebo.
Investigators
Eligibility Criteria
Inclusion Criteria
- •are overtly healthy males or females, as determined by medical history and physical examination
- •female participants: women not of child-bearing potential due to surgical sterilization (hysterectomy alone or at least 6 weeks postsurgical bilateral oophorectomy with or without hysterectomy or tubal ligation) confirmed by medical history, or menopause Women with an intact uterus are deemed postmenopausal if they are \>=45 years old, have not taken hormones or oral contraceptives within the last year, had cessation of menses for at least 1 year, or have had 6 to 12 months of amenorrhea with follicle-stimulating hormone levels consistent with postmenopausal state
- •have a body mass index (BMI) of 18.5 to 32 kilograms per meter squared (kg/m\^2), inclusive, at screening
- •have a fasting blood glucose between 54 to 110 milligrams per deciliter (mg/dL) (3.0 to 6.1 millimoles per liter \[mmol/L\])
- •have a clinically normal screening electrocardiogram (ECG) with a measurable QT interval as judged by central reader, which allows accurate measurements of QT interval
- •have clinical laboratory test results within normal reference range for the population or investigator site, or results with acceptable deviations that are judged to be not clinically significant by the investigator
- •have venous access sufficient to allow for blood sampling
- •are reliable and willing to make themselves available for the duration of the study and are willing to follow study procedures
- •have normal blood pressure and pulse rate (supine) at screening, or with minor deviations judged to be acceptable by the investigator
- •have given written informed consent approved by Lilly and the ethical review board (ERB) governing the site
Exclusion Criteria
- •are currently enrolled in or have completed or discontinued within the last 30 days (from screening) from a clinical trial involving an investigational product; 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 LY2409021, related compounds or any components of the formulations, or to moxifloxacin
- •are persons who have previously received the investigational product in this study, have completed or withdrawn from this study or any other study investigating LY2409021
- •personal or family history of long QT syndrome
- •family history of sudden unexplained death or cardiac death in a family member under 60 years of age
- •personal history of unexplained syncope within the last year
- •have a history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; of constituting a risk when taking the study medication; or of interfering with the interpretation of data
- •regularly use known drugs of abuse and/or show positive findings on urinary drug screening
- •show evidence of human immunodeficiency virus (HIV) infection and/or positive human HIV antibodies
- •show evidence of hepatitis C and/or positive hepatitis C antibody
Arms & Interventions
Part A: LY2409021
Participants will receive 2 standard meals; one alone without LY2409021, and one along with a single dose of 300 milligrams (mg) LY2409021 administered orally. Participants enrolled in Part A will not be allowed to participate in Part B.
Intervention: LY2409021
Part B: LY2409021
300 milligrams (mg) LY2409021 administered orally as a single dose on Day 1 of the relevant treatment period. The treatment and washout period was a total of 15 days in length.
Intervention: LY2409021
Part B: Placebo
Administered orally as a single dose on Day 1 of the relevant treatment period. The treatment and washout period was a total of 15 days in length.
Intervention: Placebo
Part B: Moxifloxacin
400 milligrams (mg) Moxifloxacin administered orally as a single dose on Day 1 of the relevant treatment period. The treatment and washout period was a total of 15 days in length.
Intervention: Moxifloxacin
Outcomes
Primary Outcomes
Part B: Mean Change From Baseline in 12-lead Electrocardiogram (ECG) Corrected QT Intervals (LY2409021)
Time Frame: Baseline, 2, 4, 6, 8, 12, and 24 hours
The QT interval is a measure of the time between the start of the Q wave and the end of the T wave and was calculated from electrocardiogram (ECG) data using Fridericia's formula: QTc = QT/RR\^0.33. Corrected QT (QTc) is the QT interval corrected for heart rate and RR, which is the interval between two R waves. Least Squares (LS) means were calculated using mixed effects model with fixed effects for treatment, time, period, sequence, and the time-by-treatment interaction, random effects for participant, the participant-by-treatment interaction, and participant-by-time interaction.
Secondary Outcomes
- Part B: Mean Change From Baseline in 12-lead Electrocardiogram (ECG) Corrected QT Intervals (Moxifloxacin)(Baseline, 2 and 4 hours)