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A Drug-drug Interaction Study Evaluating the Perpetrator Potential of LY4100511 (DC-853) on Midazolam, Repaglinide, Digoxin, Rosuvastatin in Healthy Participants

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: LY4100511 (DC-853) Dose 1
Drug: LY4100511 (DC-853) Dose 2
Drug: LY4100511 (DC-853) Dose 3
Registration Number
NCT06503679
Lead Sponsor
DICE Therapeutics, Inc., a wholly owned subsidiary of Eli Lilly and Company
Brief Summary

The main purpose of this study is to assess the safety and tolerability and pharmacokinetics of LY4100511 (DC-853) when administered alone or in the presence of cytochrome P450 substrates in healthy participants.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
49
Inclusion Criteria
  • Females must be of childbearing potential
  • Males must agree to use contraception
  • Have body mass index (BMI) between 18.0 and 32.0 kilogram/square meter (kg/m²), inclusive, and a body weight of greater than or equal to 50 kg.
  • In good health, as determined by no clinically significant findings from medical history, 12-lead ECG and vital signs measurements, and clincial laboratory evaluations (congentical nonhemolytic hyperbilirubinemia) at screening and check-in, and from the physical examination at check-in as assessed by the investigator.
Exclusion Criteria
  • Have a 12-lead ECG abnormality that, in the opinion of the investigator,

    • increases the risks associated with participating in the study

    • may confound ECG data analysis

    • a QTCF >450 msec for males, or >470 msec for females

      • short PR interval <120 msec or PR interval >220 msec
      • second or third degree atrioventricular block
      • intraventricular conduction delay with QRS >120 msec
      • complete right bundle branch block
      • left bundle branch block, or
      • Wolff Parkinson-White syndrome.
  • Have had current or recent acute infection

  • Show evidence of active or latent tuberculosis (TB)

  • Had any surgical procedures within 12 weeks prior to screening or any planned surgical procedure scheduled to occur during the study.

  • Have a history or presence of multiple or severe allergies, or an anaphylactic reaction to prescription or non prescription drugs.

  • Are immunocompromised

  • Presence of active suicidal ideation or positive suicide behavior using baseline/screening version of the C-SSRS

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
LY4100511 Dose 3 + Digoxin and Rosuvastatin (Cohort 3)DigoxinParticipants will recive an oral dose 3 of LY4100511 and single dose of digoxin and rosuvastatin.
LY4100511 Dose 3 + Digoxin and Rosuvastatin (Cohort 3)RosuvastatinParticipants will recive an oral dose 3 of LY4100511 and single dose of digoxin and rosuvastatin.
LY4100511 Dose 1 + Midazolam + Repaglinide (Cohort 1)LY4100511 (DC-853) Dose 1Participants will receive an oral dose 1 of LY4100511 and single dose of midazolam and repaglinide.
LY4100511 Dose 2 + Midazolam + Repaglinide (Cohort 2)LY4100511 (DC-853) Dose 2Participants will receive up to an oral dose 2 of LY4100511 and single dose of midazolam and repaglinide. Dosing will not proceed until a satisfactory review of the safety and tolerability data from lower dose level is performed.
LY4100511 Dose 3 + Digoxin and Rosuvastatin (Cohort 3)LY4100511 (DC-853) Dose 3Participants will recive an oral dose 3 of LY4100511 and single dose of digoxin and rosuvastatin.
LY4100511 Dose 1 + Midazolam + Repaglinide (Cohort 1)MidazolamParticipants will receive an oral dose 1 of LY4100511 and single dose of midazolam and repaglinide.
LY4100511 Dose 1 + Midazolam + Repaglinide (Cohort 1)RepaglinideParticipants will receive an oral dose 1 of LY4100511 and single dose of midazolam and repaglinide.
LY4100511 Dose 2 + Midazolam + Repaglinide (Cohort 2)RepaglinideParticipants will receive up to an oral dose 2 of LY4100511 and single dose of midazolam and repaglinide. Dosing will not proceed until a satisfactory review of the safety and tolerability data from lower dose level is performed.
LY4100511 Dose 2 + Midazolam + Repaglinide (Cohort 2)MidazolamParticipants will receive up to an oral dose 2 of LY4100511 and single dose of midazolam and repaglinide. Dosing will not proceed until a satisfactory review of the safety and tolerability data from lower dose level is performed.
Primary Outcome Measures
NameTimeMethod
Pharmacokinetics (PK): Area Under the Concentration-Time Curve from Time Zero to Infinity (AUC [0-∞]) of Midazolam, in the absence or presence of steady-state LY4100511Day 1 and Day 9: Predose, Up to 48 Hours Post Dose
Pharmacokinetics (PK): Area Under the Concentration-Time Curve from Time Zero to Infinity (AUC [0-∞]) of 1-Hydroxymidazolam, in the absence or presence of steady-state LY4100511Day 1 and Day 9: Predose, Up to 48 Hours Post Dose
Pharmacokinetics (PK): Area Under the Concentration-Time Curve from Time Zero to Infinity (AUC [0-∞]) of Repaglinide, in the absence or presence of steady-state LY4100511Day 1 and Day 9: Predose, Up to 48 Hours Post Dose
Pharmacokinetics (PK): Area Under the Concentration-Time Curve from Time Zero to Infinity (AUC [0-∞]) of Digoxin, in the absence or presence of steady-state LY4100511Day 1 and Day 9: Predose, Up to 48 Hours Post Dose
PK: Area Under the Concentration-Time Curve from Time Zero to Last Quantifiable Concentration (AUC[0-tlast]) of Midazolam, in the absence or presence of steady-state LY4100511Day 1 and Day 9: Predose, Up to 48 Hours Post Dose
PK: Area Under the Concentration-Time Curve from Time Zero to Last Quantifiable Concentration (AUC[0-tlast]) of 1-Hydroxymidazolam, in the absence or presence of steady-state LY4100511Day 1 and Day 9: Predose, Up to 48 Hours Post Dose
PK: Area Under the Concentration-Time Curve from Time Zero to Last Quantifiable Concentration (AUC[0-tlast]) of Repaglinide,in the absence or presence of steady-state LY4100511Day 1 and Day 9: Predose, Up to 48 Hours Post Dose
PK: Area Under the Concentration-Time Curve from Time Zero to Last Quantifiable Concentration (AUC[0-tlast]) of Digoxin, in the absence or presence of steady-state LY4100511Day 1 and Day 9: Predose, Up to 48 Hours Post Dose
PK: Maximum Observed Concentration (Cmax) of Midazolam, in the absence or presence of steady-state LY4100511Day 1 and Day 9: Predose, Up to 48 Hours Post Dose
PK: Maximum Observed Concentration (Cmax) of 1-Hydroxymidazolam, in the absence or presence of steady-state LY4100511Day 1 and Day 9: Predose, Up to 48 Hours Post Dose
PK: Maximum Observed Concentration (Cmax) of Repaglinide, in the absence or presence of steady-state LY4100511Day 1 and Day 9: Predose, Up to 48 Hours Post Dose
PK: Maximum Observed Concentration (Cmax) of Digoxin, in the absence or presence of steady-state LY4100511Day 1 and Day 9: Predose, Up to 48 Hours Post Dose
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Fortrea Clinical Research Unit

🇺🇸

Dallas, Texas, United States

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