RAjuvenate: A Study of LY3337641 in Rheumatoid Arthritis

Sponsor
Eli Lilly and Company (Industry)
Overall Status
Terminated
CT.gov ID
NCT02628028
Collaborator
(none)
286
71
8
23.8
4
0.2

Study Details

Study Description

Brief Summary

The main purpose of this study is to evaluate the safety and effectiveness of LY3337641 in adults with rheumatoid arthritis (RA).

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
286 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-Blind, Placebo-Controlled, 2-Part Phase 2 Study to Evaluate the Safety and Efficacy of LY3337641 in Adult Subjects With Rheumatoid Arthritis: The RAjuvenate Study
Actual Study Start Date :
Aug 22, 2016
Actual Primary Completion Date :
Apr 25, 2018
Actual Study Completion Date :
Aug 15, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: Part A 5 mg LY3337641

Given once a day for 4 weeks.

Drug: LY3337641
Administered orally

Experimental: Part A 10 mg LY3337641

Given once a day for 4 weeks.

Drug: LY3337641
Administered orally

Experimental: Part A 30 mg LY3337641

Given once a day for 4 weeks.

Drug: LY3337641
Administered orally

Placebo Comparator: Part A Placebo

Given once a day for 4 weeks.

Drug: Placebo
Administered orally

Experimental: Part B 5 mg LY3337641

Given once a day for 12 weeks and an additional 52 weeks for Long-term extension (LTE) period.

Drug: LY3337641
Administered orally

Experimental: Part B 10 mg LY3337641

Given once a day for 12 weeks and an additional 52 weeks for Long-term extension (LTE) period.

Drug: LY3337641
Administered orally

Experimental: Part B 30 mg LY3337641

Given once a day for 12 weeks and an additional 52 weeks for Long-term extension (LTE) period.

Drug: LY3337641
Administered orally

Placebo Comparator: Part B Placebo

Given once a day for 12 weeks.

Drug: Placebo
Administered orally

Outcome Measures

Primary Outcome Measures

  1. Number of Participants With One or More Treatment-Emergent Adverse Events (TEAEs) or Adverse Events of Special Interest (AESIs) or Any Serious AEs (SAEs) in Part A [Up to 6 Weeks]

    TEAEs are any untoward medical occurrence that either occurs or worsens at any time after treatment baseline, and in the opinion of the investigators is possibly related to study drug. Skin Rash was the only event that was considered an AESI. A serious AE is defined as an event that results in death, initial or prolonged hospitalization, is life-threatening, leads to persistent or significant disability/incapacity, is associated with congenital anomaly/birth defect, or is considered significant by the investigator for any other reason. A summary of SAEs and other non-serious AEs, regardless of whether or not they were possibly related to study drug, is located in the Reported Adverse Event section.

  2. Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response in Part B [Week 12]

    ACR20 Responder Index is a composite of clinical, laboratory, and functional measures in rheumatoid arthritis (RA). "ACR20 Responder" is a participant who has at least 20% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using visual analog scale (VAS), Health Assessment Questionnaire - Disability Index (HAQ-DI) and high-sensitivity C-reactive protein (hsCRP). Participants with missing responses and /or participants who discontinue study or drug before analysis timepoint are deemed non-responders.

Secondary Outcome Measures

  1. Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response in Part B [Week 12]

    ACR50 Responder Index is composite of clinical, laboratory, and functional measures in RA. "ACR50 Responder" is a participant who has at least 50% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using VAS, HAQ-DI and hsCRP. Participants with missing responses and/or participants who discontinue study or drug before analysis timepoint are deemed non-responders.

  2. Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response in Part B [Week 12]

    ACR70 Responder Index is composite of clinical, laboratory, and functional measures in RA. "ACR70 Responder" is a participant who has at least 70% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using VAS, HAQ-DI and hsCRP. Participants with missing responses and/or participants who discontinue study or drug before analysis timepoint are deemed non-responders.

  3. Change From Baseline in the Disease Activity Score (DAS) 28-high-sensitivity C-reactive Protein (hsCRP) in Part B [Baseline, Week 12]

    Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using VAS. DAS28 was calculated using following formula: DAS28-CRP=0.56*square root (sqrt)(TJC28)+0.28*sqrt(SJC28)+0.36*natural log(CRP+1)+0.014*Patient's Global VAS+0.96. Scores ranged 1.0-9.4, where lower scores indicated less disease activity.

  4. Percentage of Participants Who Achieve Low Disease Activity Using DAS28-hsCRP in Part B [Week 12]

    Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using VAS. DAS28 was calculated using following formula: DAS28-CRP=0.56*square root (sqrt)(TJC28)+0.28*sqrt(SJC28)+0.36*natural log(CRP+1)+0.014*Patient's Global VAS+0.96. Scores ranged 1.0-9.4, where lower scores indicated less disease activity.

  5. Percentage of Participants Who Achieve Clinical Remission Using DAS28-hsCRP in Part B [Week 12]

    Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using visual analog scale (VAS) (participant global VAS). DAS28 was calculated using following formula: DAS28-CRP=0.56*square root (sqrt)(TJC28)+0.28*sqrt(SJC28)+0.36*natural log(CRP+1)+0.014*Patient's Global VAS+0.96. Clinical remission is defined as DAS28-hsCRP <2.6.

  6. Pharmacokinetics (PK): Clearance Parameter of LY3337641 [Part A: Weeks 1, 2, and 4, Day 1 (0.5 to 2 hours postdose); Part B: Weeks 2, 4, 8, and 12, Day 1 (0.5 to 2 hours postdose)]

    Apparent total body clearance of drug after oral administration based on population PK analysis was evaluated. As prespecified per protocol, an overall population estimate of clearance is generated and data from Part A and B were combined for the analysis. The sparse data was then analyzed using population PK methods in Non linear Mixed Effects Model (NONMEM) to generate an overall population estimate of clearance.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 65 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Female subjects of childbearing potential test negative for pregnancy at screening and agree not to breastfeed

  • Female subjects: agree to use a reliable method of birth control from the start of screening until 28 days after the last dose of study drug or be of nonchildbearing potential

  • Male subjects: agree to use a reliable method of birth control from the start of screening until 2 weeks after the last dose of study drug or have undergone vasectomy

  • Have a diagnosis of RA based on the 2010 American College of Rheumatology (ACR)/European League against Rheumatism criteria

  • Have at least 1 of the following:

  • rheumatoid factor or anti-citrullinated peptide antibodies (ACPA) at screening OR

  • radiographs documenting bony erosions

  • Have active RA, defined as:

  • Part A: ≥3 swollen joints (based on 66-joint counts)

  • Part B:

  • ≥6 swollen joints (based on 66-joint counts)

  • ≥6 tender joints (based on 68-joint counts)

  • hsCRP levels greater than the upper limit of normal (ULN) OR positive for ACPA

  • Part B only: Have had inadequate response, loss of response, or intolerance to at least 1 synthetic OR biologic disease-modifying antirheumatic drug (DMARD)

Exclusion Criteria:
  • Have received any of the following:

  • Part B only: any prior treatment with a product directly targeting Bruton's tyrosine kinase (BTK) (marketed or investigational)

  • belimumab, natalizumab, or vedolizumab within 6 months prior to baseline

  • B-cell-depleting agents (such as rituximab) or other cell-depleting biologics (eg, anti-cluster of differentiation 3 (CD3) antibody) within 12 months prior to screening for Part A or at any time prior to screening for Part B

  • Have known hypogammaglobulinemia

  • Have hepatitis C virus, hepatitis B virus or human immunodeficiency virus

  • Have active tuberculosis (TB)

  • Are at high risk of infection or have recent evidence of clinically significant infection

  • Have had lymphoma, leukemia, or any malignancy within the previous 5 years except for treated basal cell or squamous epithelial carcinomas of the skin

  • Have received a live (attenuated) vaccine within 28 days prior to baseline or plan to receive one during the study

Contacts and Locations

Locations

Site City State Country Postal Code
1 Desert Medical Advances Palm Desert California United States 92260
2 Stanford University Hospital Palo Alto California United States 94304
3 Denver Arthritis Center Denver Colorado United States 80230
4 Innovative Research of West Florida Clearwater Florida United States 33756
5 Jeffrey Alper MD Research Naples Florida United States 34102
6 Sun Coast Clinical Research, Inc New Port Richey Florida United States 34652
7 Lovelace Scientific Resources Venice Florida United States 34292
8 Center for Arthritis & Osteoporosis Elizabethtown Kentucky United States 42701
9 Clayton Medical Research Saint Louis Missouri United States 63117
10 Rowan Regional Medical Center Salisbury North Carolina United States 28144
11 PMG Research of Wilmington, LLC Wilmington North Carolina United States 28401
12 Articularis Healthcare d/b/a/ Low Country Rheumatology, PA North Charleston South Carolina United States 29406
13 Accurate Clinical Research League City Texas United States 77573
14 Accurate Clinical Research Nassau Bay Texas United States 77058
15 Rheumatology and Immunotherapy Center Franklin Wisconsin United States 53132
16 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Buenos Aires Argentina C1430EGF
17 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Ciudad Autonoma de Buenos Aire Argentina C1015ABO
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61 Office: Perez-De Jesus, Amarilis Caguas Puerto Rico 00725
62 Mindful Medical Research San Juan Puerto Rico 00918
63 Latin Clinical Trial Center Santurce Puerto Rico 00909
64 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Bratislava Slovakia 85101
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Sponsors and Collaborators

  • Eli Lilly and Company

Investigators

  • Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company

Study Documents (Full-Text)

More Information

Publications

None provided.
Responsible Party:
Eli Lilly and Company
ClinicalTrials.gov Identifier:
NCT02628028
Other Study ID Numbers:
  • 16173
  • I8K-MC-JPDA
  • 2015-003289-97
First Posted:
Dec 11, 2015
Last Update Posted:
Oct 9, 2019
Last Verified:
Sep 1, 2019
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail The study consist of 2-parts. Part A included participants with at least mildly active rheumatoid arthritis (RA) and Part B included participants with moderately to severely active RA. Long-term extension (LTE) period allowed eligible participants who completed Part B of study to receive LY3337641 up to an additional 52 weeks.
Arm/Group Title Part A: Placebo Part A: 5 mg LY3337641 Part A: 10 mg LY3337641 Part A: 30 mg LY3337641 Part B: Placebo Part B: 5 mg LY3337641 Part B: 10 mg LY3337641 Part B: 30 mg LY3337641
Arm/Group Description Participants received oral dose of placebo once daily (QD) for 4 weeks. Participants received oral dose of 5 mg LY3337641 QD for 4 weeks. Participants received oral dose of 10 mg LY3337641 QD for 4 weeks. Participants received oral dose of 30 mg LY3337641 QD for 4 weeks. Participants received oral dose of placebo QD for 12 weeks. Part B Dosing period: Participants received oral dose of 5 mg LY3337641 tablet QD for 12 weeks. Long-term extension (LTE) period: Participants who completed Part B of study received oral dose of 5 mg LY3337641 QD for an additional 52 weeks. Participants received oral dose of 10 mg LY3337641 tablet QD for 12 weeks. Long-term extension (LTE) period: Participants who completed Part B of study received oral dose of 10 mg LY3337641 QD for an additional 52 weeks. Participants received oral dose of 30 mg LY3337641 QD for 12 weeks. Long-term extension (LTE) period: Participants who completed Part B of study received oral dose of 30 mg LY3337641 QD for an additional 52 weeks.
Period Title: Dosing Period
STARTED 9 9 10 8 62 63 62 63
Received at Least 1dose of Study Drug 9 9 10 8 62 63 62 63
COMPLETED 9 9 9 8 46 49 46 48
NOT COMPLETED 0 0 1 0 16 14 16 15
Period Title: Dosing Period
STARTED 0 0 0 0 0 61 58 61
Placebo Re-randomized in LTE 0 0 0 0 0 14 14 14
COMPLETED 0 0 0 0 0 1 0 0
NOT COMPLETED 0 0 0 0 0 60 58 61

Baseline Characteristics

Arm/Group Title Part A: Placebo Part A: 5 mg LY3337641 Part A: 10 mg LY3337641 Part A: 30 mg LY3337641 Part B: Placebo Part B: 5 mg LY3337641 Part B: 10 mg LY3337641 Part B: 30 mg LY3337641 Total
Arm/Group Description Participants received oral dose of placebo once daily (QD) for 4 weeks. Participants received oral dose of 5 mg LY3337641 QD for 4 weeks. Participants received oral dose of 10 mg LY3337641 QD for 4 weeks. Participants received oral dose of 30 mg LY3337641 QD for 4 weeks. Participants received oral dose of placebo QD for 12 weeks. Participants received oral dose of 5 mg LY3337641 QD for 12 weeks. Participants received oral dose of 10 mg LY3337641 QD for 12 weeks. Participants received oral dose of 30 mg LY3337641 QD for 12 weeks. Total of all reporting groups
Overall Participants 9 9 10 8 62 63 62 63 286
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
54.3
(11.43)
54.0
(11.75)
56.9
(6.44)
51.9
(5.72)
50.5
(8.75)
50.1
(9.20)
51.7
(9.36)
51.9
(8.91)
51.5
(9.09)
Sex: Female, Male (Count of Participants)
Female
8
88.9%
8
88.9%
9
90%
5
62.5%
54
87.1%
53
84.1%
56
90.3%
53
84.1%
246
86%
Male
1
11.1%
1
11.1%
1
10%
3
37.5%
8
12.9%
10
15.9%
6
9.7%
10
15.9%
40
14%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
4
44.4%
3
33.3%
3
30%
2
25%
34
54.8%
26
41.3%
23
37.1%
21
33.3%
116
40.6%
Not Hispanic or Latino
5
55.6%
6
66.7%
7
70%
6
75%
24
38.7%
29
46%
26
41.9%
23
36.5%
126
44.1%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
4
6.5%
8
12.7%
13
21%
19
30.2%
44
15.4%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
2
22.2%
1
11.1%
1
10%
0
0%
1
1.6%
1
1.6%
0
0%
0
0%
6
2.1%
Asian
0
0%
0
0%
0
0%
0
0%
7
11.3%
14
22.2%
9
14.5%
10
15.9%
40
14%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Black or African American
1
11.1%
1
11.1%
0
0%
1
12.5%
1
1.6%
2
3.2%
2
3.2%
2
3.2%
10
3.5%
White
6
66.7%
7
77.8%
9
90%
7
87.5%
53
85.5%
46
73%
50
80.6%
51
81%
229
80.1%
More than one race
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
1
1.6%
0
0%
1
0.3%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Region of Enrollment (Count of Participants)
Puerto Rico
0
0%
0
0%
0
0%
0
0%
4
6.5%
2
3.2%
3
4.8%
5
7.9%
14
4.9%
Argentina
0
0%
0
0%
0
0%
0
0%
15
24.2%
13
20.6%
15
24.2%
14
22.2%
57
19.9%
United States
6
66.7%
6
66.7%
6
60%
7
87.5%
12
19.4%
13
20.6%
15
24.2%
6
9.5%
71
24.8%
Japan
0
0%
0
0%
0
0%
0
0%
6
9.7%
6
9.5%
6
9.7%
7
11.1%
25
8.7%
Spain
0
0%
0
0%
0
0%
0
0%
1
1.6%
3
4.8%
3
4.8%
6
9.5%
13
4.5%
South Korea
0
0%
0
0%
0
0%
0
0%
0
0%
5
7.9%
0
0%
3
4.8%
8
2.8%
Austria
0
0%
0
0%
0
0%
0
0%
1
1.6%
0
0%
0
0%
0
0%
1
0.3%
Poland
0
0%
0
0%
2
20%
1
12.5%
9
14.5%
9
14.3%
4
6.5%
7
11.1%
32
11.2%
Italy
0
0%
0
0%
0
0%
0
0%
1
1.6%
2
3.2%
2
3.2%
5
7.9%
10
3.5%
Mexico
3
33.3%
3
33.3%
2
20%
0
0%
10
16.1%
6
9.5%
7
11.3%
4
6.3%
35
12.2%
South Africa
0
0%
0
0%
0
0%
0
0%
2
3.2%
3
4.8%
5
8.1%
3
4.8%
13
4.5%
Slovakia
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
2
3.2%
2
3.2%
4
1.4%
Australia
0
0%
0
0%
0
0%
0
0%
1
1.6%
1
1.6%
0
0%
1
1.6%
3
1%

Outcome Measures

1. Primary Outcome
Title Number of Participants With One or More Treatment-Emergent Adverse Events (TEAEs) or Adverse Events of Special Interest (AESIs) or Any Serious AEs (SAEs) in Part A
Description TEAEs are any untoward medical occurrence that either occurs or worsens at any time after treatment baseline, and in the opinion of the investigators is possibly related to study drug. Skin Rash was the only event that was considered an AESI. A serious AE is defined as an event that results in death, initial or prolonged hospitalization, is life-threatening, leads to persistent or significant disability/incapacity, is associated with congenital anomaly/birth defect, or is considered significant by the investigator for any other reason. A summary of SAEs and other non-serious AEs, regardless of whether or not they were possibly related to study drug, is located in the Reported Adverse Event section.
Time Frame Up to 6 Weeks

Outcome Measure Data

Analysis Population Description
All randomized participants who received at least 1 dose of the study drug in Part A.
Arm/Group Title Part A: Placebo Part A: 5 mg LY3337641 Part A: 10 mg LY3337641 Part A: 30 mg LY3337641
Arm/Group Description Participants received oral dose of placebo once daily (QD) for 4 weeks. Participants received oral dose of 5 mg LY3337641 QD for 4 weeks. Participants received oral dose of 10 mg LY3337641 QD for 4 weeks. Participants received oral dose of 30 mg LY3337641 QD for 4 weeks.
Measure Participants 9 9 10 8
TEAEs
3
33.3%
1
11.1%
6
60%
2
25%
AESIs
0
0%
0
0%
0
0%
0
0%
SAEs
0
0%
0
0%
0
0%
0
0%
2. Primary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response in Part B
Description ACR20 Responder Index is a composite of clinical, laboratory, and functional measures in rheumatoid arthritis (RA). "ACR20 Responder" is a participant who has at least 20% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using visual analog scale (VAS), Health Assessment Questionnaire - Disability Index (HAQ-DI) and high-sensitivity C-reactive protein (hsCRP). Participants with missing responses and /or participants who discontinue study or drug before analysis timepoint are deemed non-responders.
Time Frame Week 12

Outcome Measure Data

Analysis Population Description
All randomized participants who received at least 1 dose of the study drug, for participants who completed or early discontinued dosing treatment period before the study was terminated in Part B. Missing values due to discontinuation of study or drug, or missing data were imputed using non-responder imputation (NRI).
Arm/Group Title Part B: Placebo Part B: 5 mg LY3337641 Part B: 10 mg LY3337641 Part B: 30 mg LY3337641
Arm/Group Description Participants received oral dose of placebo QD for 12 weeks. Participants received oral dose of 5 mg LY3337641 QD for 12 weeks. Participants received oral dose of 10 mg LY3337641 QD for 12 weeks. Participants received oral dose of 30 mg LY3337641 QD for 12 weeks.
Measure Participants 54 56 52 55
Number (95% Confidence Interval) [Percentage of Participants]
48.1
534.4%
55.4
615.6%
44.2
442%
50.9
636.3%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 5 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.473
Comments
Method Regression, Logistic
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 10 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.670
Comments
Method Regression, Logistic
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 30 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.823
Comments
Method Regression, Logistic
Comments
3. Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response in Part B
Description ACR50 Responder Index is composite of clinical, laboratory, and functional measures in RA. "ACR50 Responder" is a participant who has at least 50% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using VAS, HAQ-DI and hsCRP. Participants with missing responses and/or participants who discontinue study or drug before analysis timepoint are deemed non-responders.
Time Frame Week 12

Outcome Measure Data

Analysis Population Description
All randomized participants who received at least 1 dose of the study drug, for participants who completed or early discontinued dosing treatment period before the study was terminated in Part B. Missing values due to discontinuation of study or drug, or missing data were imputed using non-responder imputation (NRI).
Arm/Group Title Part B: Placebo Part B: 5 mg LY3337641 Part B: 10 mg LY3337641 Part B: 30 mg LY3337641
Arm/Group Description Participants received oral dose of placebo QD for 12 weeks. Participants received oral dose of 5 mg LY3337641 QD for 12 weeks. Participants received oral dose of 10 mg LY3337641 QD for 12 weeks. Participants received oral dose of 30 mg LY3337641 QD for 12 weeks.
Measure Participants 54 56 52 55
Number (95% Confidence Interval) [Percentage of Participants]
27.8
308.9%
25.0
277.8%
15.4
154%
29.1
363.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 5 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.743
Comments
Method Regression, Logistic
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 10 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.124
Comments
Method Regression, Logistic
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 30 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.858
Comments
Method Regression, Logistic
Comments
4. Secondary Outcome
Title Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response in Part B
Description ACR70 Responder Index is composite of clinical, laboratory, and functional measures in RA. "ACR70 Responder" is a participant who has at least 70% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using VAS, HAQ-DI and hsCRP. Participants with missing responses and/or participants who discontinue study or drug before analysis timepoint are deemed non-responders.
Time Frame Week 12

Outcome Measure Data

Analysis Population Description
All randomized participants who received at least 1 dose of the study drug, for participants who completed or early discontinued dosing treatment period before the study was terminated in Part B. Missing values due to discontinuation of study or drug, or missing data were imputed using non-responder imputation (NRI).
Arm/Group Title Part B: Placebo Part B: 5 mg LY3337641 Part B: 10 mg LY3337641 Part B: 30 mg LY3337641
Arm/Group Description Participants received oral dose of placebo QD for 12 weeks. Participants received oral dose of 5 mg LY3337641 QD for 12 weeks. Participants received oral dose of 10 mg LY3337641 QD for 12 weeks. Participants received oral dose of 30 mg LY3337641 QD for 12 weeks.
Measure Participants 54 56 52 55
Number (95% Confidence Interval) [Percentage of Participants]
16.7
185.6%
8.9
98.9%
1.9
19%
16.4
205%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 5 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.199
Comments
Method Regression, Logistic
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 10 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.028
Comments
Method Regression, Logistic
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 30 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.863
Comments
Method Regression, Logistic
Comments
5. Secondary Outcome
Title Change From Baseline in the Disease Activity Score (DAS) 28-high-sensitivity C-reactive Protein (hsCRP) in Part B
Description Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using VAS. DAS28 was calculated using following formula: DAS28-CRP=0.56*square root (sqrt)(TJC28)+0.28*sqrt(SJC28)+0.36*natural log(CRP+1)+0.014*Patient's Global VAS+0.96. Scores ranged 1.0-9.4, where lower scores indicated less disease activity.
Time Frame Baseline, Week 12

Outcome Measure Data

Analysis Population Description
All randomized participants who received at least 1 dose of the study drug, for participants who completed or early discontinued dosing treatment period before the study was terminated in Part B. Missing values due to discontinuation of study or drug, or missing data were imputed using non-responder imputation (NRI).
Arm/Group Title Part B: Placebo Part B: 5 mg LY3337641 Part B: 10 mg LY3337641 Part B: 30 mg LY3337641
Arm/Group Description Participants received oral dose of placebo QD for 12 weeks. Participants received oral dose of 5 mg LY3337641 QD for 12 weeks. Participants received oral dose of 10 mg LY3337641 QD for 12 weeks. Participants received oral dose of 30 mg LY3337641 QD for 12 weeks.
Measure Participants 62 63 62 63
Mean (Standard Deviation) [units on a scale]
-1.62
(1.447)
-1.55
(1.182)
-1.24
(1.146)
-1.80
(1.453)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 5 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.863
Comments
Method Mixed-effects Model for Repeated Measure
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.04
Confidence Interval (2-Sided) 95%
-0.53 to 0.44
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.25
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 10 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.503
Comments
Method Mixed-effects Model for Repeated Measure
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 0.17
Confidence Interval (2-Sided) 95%
-0.32 to 0.65
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.25
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 30 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.289
Comments
Method Mixed-effects Model for Repeated Measure
Comments
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.27
Confidence Interval (2-Sided) 95%
-0.77 to 0.23
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.25
Estimation Comments
6. Secondary Outcome
Title Percentage of Participants Who Achieve Low Disease Activity Using DAS28-hsCRP in Part B
Description Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using VAS. DAS28 was calculated using following formula: DAS28-CRP=0.56*square root (sqrt)(TJC28)+0.28*sqrt(SJC28)+0.36*natural log(CRP+1)+0.014*Patient's Global VAS+0.96. Scores ranged 1.0-9.4, where lower scores indicated less disease activity.
Time Frame Week 12

Outcome Measure Data

Analysis Population Description
All randomized participants who received at least 1 dose of the study drug, for participants who completed or early discontinued dosing treatment period before the study was terminated in Part B. Missing values due to discontinuation of study or drug, or missing data were imputed using non-responder imputation (NRI).
Arm/Group Title Part B: Placebo Part B: 5 mg LY3337641 Part B: 10 mg LY3337641 Part B: 30 mg LY3337641
Arm/Group Description Participants received oral dose of placebo QD for 12 weeks. Participants received oral dose of 5 mg LY3337641 QD for 12 weeks. Participants received oral dose of 10 mg LY3337641 QD for 12 weeks. Participants received oral dose of 30 mg LY3337641 QD for 12 weeks.
Measure Participants 54 56 52 55
Number (95% Confidence Interval) [Percentage of Participants]
27.8
308.9%
32.1
356.7%
21.2
212%
29.1
363.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 5 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.626
Comments
Method Regression, Logistic
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 10 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.418
Comments
Method Regression, Logistic
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 30 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.951
Comments
Method Regression, Logistic
Comments
7. Secondary Outcome
Title Percentage of Participants Who Achieve Clinical Remission Using DAS28-hsCRP in Part B
Description Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using visual analog scale (VAS) (participant global VAS). DAS28 was calculated using following formula: DAS28-CRP=0.56*square root (sqrt)(TJC28)+0.28*sqrt(SJC28)+0.36*natural log(CRP+1)+0.014*Patient's Global VAS+0.96. Clinical remission is defined as DAS28-hsCRP <2.6.
Time Frame Week 12

Outcome Measure Data

Analysis Population Description
All randomized participants who received at least 1 dose of the study drug, for participants who completed or early discontinued dosing treatment period before the study was terminated in Part B. Missing values due to discontinuation of study or drug, or missing data were imputed using non-responder imputation (NRI).
Arm/Group Title Part B: Placebo Part B: 5 mg LY3337641 Part B: 10 mg LY3337641 Part B: 30 mg LY3337641
Arm/Group Description Participants received oral dose of placebo QD for 12 weeks. Participants received oral dose of 5 mg LY3337641 QD for 12 weeks. Participants received oral dose of 10 mg LY3337641 QD for 12 weeks. Participants received oral dose of 30 mg LY3337641 QD for 12 weeks.
Measure Participants 54 56 52 55
Number (95% Confidence Interval) [Percentage of Participants]
20.4
226.7%
19.6
217.8%
7.7
77%
25.5
318.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 5 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.905
Comments
Method Regression, Logistic
Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 10 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.069
Comments
Method Regression, Logistic
Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Part A: Placebo, Part A: 30 mg LY3337641
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.547
Comments
Method Regression, Logistic
Comments
8. Secondary Outcome
Title Pharmacokinetics (PK): Clearance Parameter of LY3337641
Description Apparent total body clearance of drug after oral administration based on population PK analysis was evaluated. As prespecified per protocol, an overall population estimate of clearance is generated and data from Part A and B were combined for the analysis. The sparse data was then analyzed using population PK methods in Non linear Mixed Effects Model (NONMEM) to generate an overall population estimate of clearance.
Time Frame Part A: Weeks 1, 2, and 4, Day 1 (0.5 to 2 hours postdose); Part B: Weeks 2, 4, 8, and 12, Day 1 (0.5 to 2 hours postdose)

Outcome Measure Data

Analysis Population Description
All randomized participants who received at least 1 dose of the study drug and have evaluable PK data in in Part A and Part B.
Arm/Group Title LY3337641
Arm/Group Description Participants received oral doses of 5 mg, 10 mg and 30 mg LY3337641 QD for 4 weeks in Part A and 12 weeks in Part B.
Measure Participants 209
Mean (Standard Error) [Liter per hour (L/hr)]
29.1
(5.9)

Adverse Events

Time Frame Up to 88 Weeks
Adverse Event Reporting Description All randomized participants who received at least 1 dose of the study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
Arm/Group Title Part A: Placebo Part A: 5 mg LY3337641 Part A: 10 mg LY3337641 Part A: 30 mg LY3337641 Part B: Placebo Part B: 5 mg LY3337641 Part B: 10 mg LY3337641 Part B: 30 mg LY3337641 Long-Term Extension: 5 mg LY3337641 Long-Term Extension: 10 mg LY3337641 Long-Term Extension: 30 mg LY3337641
Arm/Group Description Participants received oral dose of placebo once daily (QD) for 4 weeks. Participants received oral dose of 5 mg LY3337641 QD for 4 weeks. Participants received oral dose of 10 mg LY3337641 QD for 4 weeks. Participants received oral dose of 30 mg LY3337641 QD for 4 weeks. Participants received oral dose of placebo QD for 12 weeks. Participants received oral dose of 5 mg LY3337641 QD for 12 weeks. Participants received oral dose of 10 mg LY3337641 QD for 12 weeks. Participants received oral dose of 30 mg LY3337641 QD for 12 weeks. Participants who completed Part B of study received oral dose of 5 mg LY3337641 QD for an additional 52 weeks. Participants who completed Part B of study received oral dose of 10 mg LY3337641 QD for an additional 52 weeks. Participants who completed Part B of study received oral dose of 30 mg LY3337641 QD for an additional 52 weeks.
All Cause Mortality
Part A: Placebo Part A: 5 mg LY3337641 Part A: 10 mg LY3337641 Part A: 30 mg LY3337641 Part B: Placebo Part B: 5 mg LY3337641 Part B: 10 mg LY3337641 Part B: 30 mg LY3337641 Long-Term Extension: 5 mg LY3337641 Long-Term Extension: 10 mg LY3337641 Long-Term Extension: 30 mg LY3337641
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/9 (0%) 0/9 (0%) 0/10 (0%) 0/8 (0%) 0/62 (0%) 0/63 (0%) 0/62 (0%) 1/63 (1.6%) 0/61 (0%) 0/58 (0%) 0/61 (0%)
Serious Adverse Events
Part A: Placebo Part A: 5 mg LY3337641 Part A: 10 mg LY3337641 Part A: 30 mg LY3337641 Part B: Placebo Part B: 5 mg LY3337641 Part B: 10 mg LY3337641 Part B: 30 mg LY3337641 Long-Term Extension: 5 mg LY3337641 Long-Term Extension: 10 mg LY3337641 Long-Term Extension: 30 mg LY3337641
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/9 (0%) 0/9 (0%) 0/10 (0%) 0/8 (0%) 2/62 (3.2%) 0/63 (0%) 0/62 (0%) 3/63 (4.8%) 1/61 (1.6%) 3/58 (5.2%) 1/61 (1.6%)
Hepatobiliary disorders
Cholecystitis acute 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 1/62 (1.6%) 1 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Infections and infestations
Pneumonia 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 0/58 (0%) 0 1/61 (1.6%) 1
Injury, poisoning and procedural complications
Ankle fracture 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 1/58 (1.7%) 1 0/61 (0%) 0
Foot fracture 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 1/63 (1.6%) 1 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Hand fracture 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 1/58 (1.7%) 1 0/61 (0%) 0
Joint dislocation 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 1/62 (1.6%) 1 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Multiple injuries 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 1/63 (1.6%) 1 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Patella fracture 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 1/58 (1.7%) 1 0/61 (0%) 0
Pubis fracture 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 1/58 (1.7%) 1 0/61 (0%) 0
Wrist fracture 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 1/58 (1.7%) 1 0/61 (0%) 0
Investigations
Alanine aminotransferase increased 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 1/61 (1.6%) 1 0/58 (0%) 0 0/61 (0%) 0
Renal and urinary disorders
Nephrolithiasis 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 1/58 (1.7%) 1 0/61 (0%) 0
Vascular disorders
Venous thrombosis 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 1/63 (1.6%) 1 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Other (Not Including Serious) Adverse Events
Part A: Placebo Part A: 5 mg LY3337641 Part A: 10 mg LY3337641 Part A: 30 mg LY3337641 Part B: Placebo Part B: 5 mg LY3337641 Part B: 10 mg LY3337641 Part B: 30 mg LY3337641 Long-Term Extension: 5 mg LY3337641 Long-Term Extension: 10 mg LY3337641 Long-Term Extension: 30 mg LY3337641
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 3/9 (33.3%) 1/9 (11.1%) 6/10 (60%) 2/8 (25%) 7/62 (11.3%) 10/63 (15.9%) 12/62 (19.4%) 19/63 (30.2%) 11/61 (18%) 12/58 (20.7%) 10/61 (16.4%)
Gastrointestinal disorders
Constipation 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 1/8 (12.5%) 1 0/62 (0%) 0 0/63 (0%) 0 1/62 (1.6%) 1 0/63 (0%) 0 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Diarrhoea 1/9 (11.1%) 1 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 1/63 (1.6%) 1 0/62 (0%) 0 2/63 (3.2%) 3 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Dry mouth 0/9 (0%) 0 1/9 (11.1%) 1 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Nausea 0/9 (0%) 0 0/9 (0%) 0 1/10 (10%) 1 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 1/62 (1.6%) 2 1/63 (1.6%) 1 1/61 (1.6%) 1 1/58 (1.7%) 1 0/61 (0%) 0
General disorders
Fatigue 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 4/63 (6.3%) 4 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Non-cardiac chest pain 0/9 (0%) 0 0/9 (0%) 0 1/10 (10%) 1 0/8 (0%) 0 0/62 (0%) 0 1/63 (1.6%) 1 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Infections and infestations
Bronchitis 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 1/8 (12.5%) 1 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 2/63 (3.2%) 2 1/61 (1.6%) 1 3/58 (5.2%) 4 1/61 (1.6%) 1
Laryngitis 0/9 (0%) 0 0/9 (0%) 0 1/10 (10%) 1 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 1/61 (1.6%) 1 0/58 (0%) 0 0/61 (0%) 0
Nasopharyngitis 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 2/62 (3.2%) 2 3/63 (4.8%) 3 1/62 (1.6%) 2 5/63 (7.9%) 5 1/61 (1.6%) 1 0/58 (0%) 0 2/61 (3.3%) 2
Pharyngitis 1/9 (11.1%) 1 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 2/62 (3.2%) 3 0/63 (0%) 0 1/62 (1.6%) 1 3/63 (4.8%) 4 0/61 (0%) 0 2/58 (3.4%) 2 1/61 (1.6%) 1
Sinusitis 1/9 (11.1%) 1 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 1/63 (1.6%) 1 1/62 (1.6%) 1 1/63 (1.6%) 1 0/61 (0%) 0 2/58 (3.4%) 2 2/61 (3.3%) 2
Urinary tract infection 0/9 (0%) 0 0/9 (0%) 0 1/10 (10%) 1 0/8 (0%) 0 0/62 (0%) 0 1/63 (1.6%) 1 1/62 (1.6%) 1 1/63 (1.6%) 1 2/61 (3.3%) 2 3/58 (5.2%) 4 4/61 (6.6%) 4
Metabolism and nutrition disorders
Hypertriglyceridaemia 0/9 (0%) 0 0/9 (0%) 0 1/10 (10%) 1 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 1/62 (1.6%) 1 0/63 (0%) 0 1/61 (1.6%) 1 0/58 (0%) 0 0/61 (0%) 0
Hypokalaemia 1/9 (11.1%) 1 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 2/63 (3.2%) 2 0/61 (0%) 0 1/58 (1.7%) 2 0/61 (0%) 0
Musculoskeletal and connective tissue disorders
Osteopenia 0/9 (0%) 0 1/9 (11.1%) 1 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Rheumatoid arthritis 0/9 (0%) 0 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 1/62 (1.6%) 1 3/63 (4.8%) 4 4/62 (6.5%) 4 2/63 (3.2%) 2 1/61 (1.6%) 1 1/58 (1.7%) 2 2/61 (3.3%) 2
Nervous system disorders
Carotid artery aneurysm 1/9 (11.1%) 1 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Dizziness 1/9 (11.1%) 1 0/9 (0%) 0 0/10 (0%) 0 0/8 (0%) 0 0/62 (0%) 0 0/63 (0%) 0 1/62 (1.6%) 1 0/63 (0%) 0 1/61 (1.6%) 1 0/58 (0%) 0 0/61 (0%) 0
Headache 0/9 (0%) 0 0/9 (0%) 0 2/10 (20%) 2 1/8 (12.5%) 1 0/62 (0%) 0 1/63 (1.6%) 1 1/62 (1.6%) 1 1/63 (1.6%) 1 0/61 (0%) 0 0/58 (0%) 0 0/61 (0%) 0
Reproductive system and breast disorders
Benign prostatic hyperplasia 0/1 (0%) 0 0/1 (0%) 0 0/1 (0%) 0 0/3 (0%) 0 1/8 (12.5%) 1 0/10 (0%) 0 0/6 (0%) 0 0/10 (0%) 0 0/9 (0%) 0 0/4 (0%) 0 0/10 (0%) 0
Erectile dysfunction 0/1 (0%) 0 0/1 (0%) 0 0/1 (0%) 0 0/3 (0%) 0 0/8 (0%) 0 0/10 (0%) 0 0/6 (0%) 0 1/10 (10%) 1 0/9 (0%) 0 0/4 (0%) 0 0/10 (0%) 0
Respiratory, thoracic and mediastinal disorders
Cough 0/9 (0%) 0 0/9 (0%) 0 1/10 (10%) 1 0/8 (0%) 0 1/62 (1.6%) 1 0/63 (0%) 0 1/62 (1.6%) 1 1/63 (1.6%) 1 2/61 (3.3%) 2 1/58 (1.7%) 1 2/61 (3.3%) 2

Limitations/Caveats

The trial was terminated after an interim analysis of efficacy and safety data did not warrant continuation of the trial.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Chief Medical Officer
Organization Eli Lilly and Company
Phone 800-545-5979
Email ClinicalTrials.gov@lilly.com
Responsible Party:
Eli Lilly and Company
ClinicalTrials.gov Identifier:
NCT02628028
Other Study ID Numbers:
  • 16173
  • I8K-MC-JPDA
  • 2015-003289-97
First Posted:
Dec 11, 2015
Last Update Posted:
Oct 9, 2019
Last Verified:
Sep 1, 2019