ClinicalTrials.gg
TerminatedNCT02628028RAjuvenateUpdated Oct 9, 2019Results posted

A Study of LY3337641 in Rheumatoid Arthritis

A Phase 2 interventional study of LY3337641 and Placebo in Rheumatoid Arthritis, sponsored by Eli Lilly and Company. Terminated at 71 sites in 13 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-10-09.

Sponsored by Eli Lilly and Company · Phase 2, Interventional, and Treatment

Why this study was terminated
The trial was terminated after an interim analysis of efficacy and safety data did not warrant continuation of the trial.
Phase
Phase 2
Study type
Interventional
Enrollment
286
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

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

02

Conditions studied

  • Rheumatoid Arthritis
03

In context

Arthritis, Rheumatoid

2,962 studies on the registry are indexed under Arthritis, Rheumatoid; 396 are open to participants now.

This study's enrollment of 286 is above the median of 94 across 2,027 interventional studies indexed under Arthritis, Rheumatoid.

Browse Arthritis, Rheumatoid studies →

Lead sponsor

Eli Lilly and Company is the lead sponsor of 2,095 studies on the registry; 142 are open to participants now.

Of its 535 completed or terminated interventional studies of FDA-regulated products, 356 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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

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
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
286 participants (actual)

Study arms

  • Experimental
    Part A 5 mg LY3337641

    Given once a day for 4 weeks.

    Drug: LY3337641

  • Experimental
    Part A 10 mg LY3337641

    Given once a day for 4 weeks.

    Drug: LY3337641

  • Experimental
    Part A 30 mg LY3337641

    Given once a day for 4 weeks.

    Drug: LY3337641

  • Placebo comparator
    Part A Placebo

    Given once a day for 4 weeks.

    Drug: Placebo

  • 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

  • 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

  • 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

  • Placebo comparator
    Part B Placebo

    Given once a day for 12 weeks.

    Drug: Placebo

Interventions

  • Administered orally

  • DrugPlacebo

    Administered orally

06

What researchers measure

Primary outcomes

  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

    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

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

    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

Secondary outcomes

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

    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

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

    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

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

    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

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

    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

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

    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

  6. Pharmacokinetics (PK): Clearance Parameter of LY3337641

    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)

07

Results

Posted Oct 9, 2019
Limitations and caveats
The trial was terminated after an interim analysis of efficacy and safety data did not warrant continuation of the trial.

Participant flow

Dosing Period
Participant flow — Dosing Period
MilestonePart A: PlaceboPart A: 5 mg LY3337641Part A: 10 mg LY3337641Part A: 30 mg LY3337641Part B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641
Started9910862636263
Received at least 1dose of study drug9910862636263
Completed999846494648
Not completed001016141615
Withdrew: Withdrawal by subject00102411
Withdrew: Adverse event00002132
Withdrew: Death00000001
Withdrew: Lack of efficacy00003010
Withdrew: Study terminated by sponsor00007677
Withdrew: Physician decision00000100
Withdrew: Site terminated by sponsor00000110
Withdrew: Lost to follow-up00000010
Withdrew: Other00002124
Long-term Extension (LTE) Period
Participant flow — Long-term Extension (LTE) Period
MilestonePart A: PlaceboPart A: 5 mg LY3337641Part A: 10 mg LY3337641Part A: 30 mg LY3337641Part B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641
Started00000615861
Placebo re-randomized in lte00000141414
Completed00000100
Not completed00000605861
Withdrew: Adverse event00000103
Withdrew: Lack of efficacy00000201
Withdrew: Study terminated by sponsor00000525151
Withdrew: Withdrawal by subject00000233
Withdrew: Other00000343

Outcome measures

PrimaryNumber 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

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
Reported as:
Count of participants · Participants
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
ParticipantsPart A: PlaceboPart A: 5 mg LY3337641Part A: 10 mg LY3337641Part A: 30 mg LY3337641
TEAEs3162
AESIs0000
SAEs0000
PrimaryPercentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response in Part B

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
Reported as:
Number · Percentage of Participants
Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response in Part B
Percentage of ParticipantsPart B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641
Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response in Part B48.1 (34.8 to 61.5)55.4 (42.3 to 68.4)44.2 (30.7 to 57.7)50.9 (37.7 to 64.1)
Statistical analysis
  • Part B: Placebo vs Part B: 5 mg LY3337641 · Regression, Logistic · p = 0.473
  • Part B: Placebo vs Part B: 10 mg LY3337641 · Regression, Logistic · p = 0.670
  • Part B: Placebo vs Part B: 30 mg LY3337641 · Regression, Logistic · p = 0.823
SecondaryPercentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response in Part B

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
Reported as:
Number · Percentage of Participants
Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response in Part B
Percentage of ParticipantsPart B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641
Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response in Part B27.8 (15.8 to 39.7)25.0 (13.7 to 36.3)15.4 (5.6 to 25.2)29.1 (17.1 to 41.1)
Statistical analysis
  • Part B: Placebo vs Part B: 5 mg LY3337641 · Regression, Logistic · p = 0.743
  • Part B: Placebo vs Part B: 10 mg LY3337641 · Regression, Logistic · p = 0.124
  • Part B: Placebo vs Part B: 30 mg LY3337641 · Regression, Logistic · p = 0.858
SecondaryPercentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response in Part B

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
Reported as:
Number · Percentage of Participants
Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response in Part B
Percentage of ParticipantsPart B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641
Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response in Part B16.7 (6.7 to 26.6)8.9 (1.5 to 16.4)1.9 (0.0 to 5.7)16.4 (6.6 to 26.1)
Statistical analysis
  • Part B: Placebo vs Part B: 5 mg LY3337641 · Regression, Logistic · p = 0.199
  • Part B: Placebo vs Part B: 10 mg LY3337641 · Regression, Logistic · p = 0.028
  • Part B: Placebo vs Part B: 30 mg LY3337641 · Regression, Logistic · p = 0.863
SecondaryChange From Baseline in the Disease Activity Score (DAS) 28-high-sensitivity C-reactive Protein (hsCRP) in Part B

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
Reported as:
Mean · units on a scale
Change From Baseline in the Disease Activity Score (DAS) 28-high-sensitivity C-reactive Protein (hsCRP) in Part B
units on a scalePart B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641
Change From Baseline in the Disease Activity Score (DAS) 28-high-sensitivity C-reactive Protein (hsCRP) in Part B-1.62 ± 1.447-1.55 ± 1.182-1.24 ± 1.146-1.80 ± 1.453
Statistical analysis
  • Part B: Placebo vs Part B: 5 mg LY3337641 · Mixed-effects Model for Repeated Measure · p = 0.863 · Mean difference (final values): -0.04 · 95% CI -0.53 to 0.44
  • Part B: Placebo vs Part B: 10 mg LY3337641 · Mixed-effects Model for Repeated Measure · p = 0.503 · Mean difference (final values): 0.17 · 95% CI -0.32 to 0.65
  • Part B: Placebo vs Part B: 30 mg LY3337641 · Mixed-effects Model for Repeated Measure · p = 0.289 · Mean difference (final values): -0.27 · 95% CI -0.77 to 0.23
SecondaryPercentage of Participants Who Achieve Low Disease Activity Using DAS28-hsCRP in Part B

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
Reported as:
Number · Percentage of Participants
Percentage of Participants Who Achieve Low Disease Activity Using DAS28-hsCRP in Part B
Percentage of ParticipantsPart B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641
Percentage of Participants Who Achieve Low Disease Activity Using DAS28-hsCRP in Part B27.8 (15.8 to 39.7)32.1 (19.9 to 44.4)21.2 (10.1 to 32.3)29.1 (17.1 to 41.1)
Statistical analysis
  • Part B: Placebo vs Part B: 5 mg LY3337641 · Regression, Logistic · p = 0.626
  • Part B: Placebo vs Part B: 10 mg LY3337641 · Regression, Logistic · p = 0.418
  • Part B: Placebo vs Part B: 30 mg LY3337641 · Regression, Logistic · p = 0.951
SecondaryPercentage of Participants Who Achieve Clinical Remission Using DAS28-hsCRP in Part B

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
Reported as:
Number · Percentage of Participants
Percentage of Participants Who Achieve Clinical Remission Using DAS28-hsCRP in Part B
Percentage of ParticipantsPart B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641
Percentage of Participants Who Achieve Clinical Remission Using DAS28-hsCRP in Part B20.4 (9.6 to 31.1)19.6 (9.2 to 30.0)7.7 (0.4 to 14.9)25.5 (13.9 to 37.0)
Statistical analysis
  • Part B: Placebo vs Part B: 5 mg LY3337641 · Regression, Logistic · p = 0.905
  • Part B: Placebo vs Part B: 10 mg LY3337641 · Regression, Logistic · p = 0.069
  • Part B: Placebo vs Part B: 30 mg LY3337641 · Regression, Logistic · p = 0.547
SecondaryPharmacokinetics (PK): Clearance Parameter of LY3337641

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)
Reported as:
Mean · Liter per hour (L/hr)
Pharmacokinetics (PK): Clearance Parameter of LY3337641
Liter per hour (L/hr)LY3337641
Pharmacokinetics (PK): Clearance Parameter of LY333764129.1 ± 5.9

Adverse events

Collected over Up to 88 Weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Part A: Placebo0/9 (0%)0/9 (0%)3/9 (33.3%)
Part A: 5 mg LY33376410/9 (0%)0/9 (0%)1/9 (11.1%)
Part A: 10 mg LY33376410/10 (0%)0/10 (0%)6/10 (60%)
Part A: 30 mg LY33376410/8 (0%)0/8 (0%)2/8 (25%)
Part B: Placebo0/62 (0%)2/62 (3.2%)7/62 (11.3%)
Part B: 5 mg LY33376410/63 (0%)0/63 (0%)10/63 (15.9%)
Part B: 10 mg LY33376410/62 (0%)0/62 (0%)12/62 (19.4%)
Part B: 30 mg LY33376411/63 (1.6%)3/63 (4.8%)19/63 (30.2%)
Long-Term Extension: 5 mg LY33376410/61 (0%)1/61 (1.6%)11/61 (18%)
Long-Term Extension: 10 mg LY33376410/58 (0%)3/58 (5.2%)12/58 (20.7%)
Long-Term Extension: 30 mg LY33376410/61 (0%)1/61 (1.6%)10/61 (16.4%)
Most frequent serious events
Showing 10 of 13
Most frequent serious events
EventPart A: PlaceboPart A: 5 mg LY3337641Part A: 10 mg LY3337641Part A: 30 mg LY3337641Part B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641Long-Term Extension: 5 mg LY3337641Long-Term Extension: 10 mg LY3337641Long-Term Extension: 30 mg LY3337641
Ankle fractureInjury, poisoning and procedural complications0/90/90/100/80/620/630/620/630/611/580/61
Hand fractureInjury, poisoning and procedural complications0/90/90/100/80/620/630/620/630/611/580/61
Patella fractureInjury, poisoning and procedural complications0/90/90/100/80/620/630/620/630/611/580/61
Pubis fractureInjury, poisoning and procedural complications0/90/90/100/80/620/630/620/630/611/580/61
Wrist fractureInjury, poisoning and procedural complications0/90/90/100/80/620/630/620/630/611/580/61
NephrolithiasisRenal and urinary disorders0/90/90/100/80/620/630/620/630/611/580/61
PneumoniaInfections and infestations0/90/90/100/80/620/630/620/630/610/581/61
Alanine aminotransferase increasedInvestigations0/90/90/100/80/620/630/620/631/610/580/61
Cholecystitis acuteHepatobiliary disorders0/90/90/100/81/620/630/620/630/610/580/61
Joint dislocationInjury, poisoning and procedural complications0/90/90/100/81/620/630/620/630/610/580/61
Most frequent other events
Showing 10 of 22
Most frequent other events
EventPart A: PlaceboPart A: 5 mg LY3337641Part A: 10 mg LY3337641Part A: 30 mg LY3337641Part B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641Long-Term Extension: 5 mg LY3337641Long-Term Extension: 10 mg LY3337641Long-Term Extension: 30 mg LY3337641
HeadacheNervous system disorders0/90/92/101/80/621/631/621/630/610/580/61
ConstipationGastrointestinal disorders0/90/90/101/80/620/631/620/630/610/580/61
BronchitisInfections and infestations0/90/90/101/80/620/630/622/631/613/581/61
Benign prostatic hyperplasiaReproductive system and breast disorders0/10/10/10/31/80/100/60/100/90/40/10
DiarrhoeaGastrointestinal disorders1/90/90/100/80/621/630/622/630/610/580/61
Dry mouthGastrointestinal disorders0/91/90/100/80/620/630/620/630/610/580/61
PharyngitisInfections and infestations1/90/90/100/82/620/631/623/630/612/581/61
SinusitisInfections and infestations1/90/90/100/80/621/631/621/630/612/582/61
HypokalaemiaMetabolism and nutrition disorders1/90/90/100/80/620/630/622/630/611/580/61
OsteopeniaMusculoskeletal and connective tissue disorders0/91/90/100/80/620/630/620/630/610/580/61

Baseline characteristics

All randomized participants who received at least 1 dose of the study drug.

Age, Continuous
Age, Continuous(years)Part A: PlaceboPart A: 5 mg LY3337641Part A: 10 mg LY3337641Part A: 30 mg LY3337641Part B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641Total
Mean54.3 ± 11.4354.0 ± 11.7556.9 ± 6.4451.9 ± 5.7250.5 ± 8.7550.1 ± 9.2051.7 ± 9.3651.9 ± 8.9151.5 ± 9.09
Sex: Female, Male
Sex: Female, Male(Participants)Part A: PlaceboPart A: 5 mg LY3337641Part A: 10 mg LY3337641Part A: 30 mg LY3337641Part B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641Total
Female889554535653246
Male111381061040
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Part A: PlaceboPart A: 5 mg LY3337641Part A: 10 mg LY3337641Part A: 30 mg LY3337641Part B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641Total
Hispanic or Latino433234262321116
Not Hispanic or Latino567624292623126
Unknown or Not Reported000048131944
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Part A: PlaceboPart A: 5 mg LY3337641Part A: 10 mg LY3337641Part A: 30 mg LY3337641Part B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641Total
American Indian or Alaska Native211011006
Asian000071491040
Native Hawaiian or Other Pacific Islander000000000
Black or African American1101122210
White679753465051229
More than one race000000101
Unknown or Not Reported000000000
Region of Enrollment
Region of Enrollment(Participants)Part A: PlaceboPart A: 5 mg LY3337641Part A: 10 mg LY3337641Part A: 30 mg LY3337641Part B: PlaceboPart B: 5 mg LY3337641Part B: 10 mg LY3337641Part B: 30 mg LY3337641Total
Puerto Rico0000423514
Argentina00001513151457
United States6667121315671
Japan0000666725
Spain0000133613
South Korea000005038
Austria000010001
Poland0021994732
Italy0000122510
Mexico33201067435
South Africa0000235313
Slovakia000000224
Australia000011013
08

Study locations

71 sites
  • Desert Medical Advances
    Palm Desert, California 92260, United States
  • Stanford University Hospital
    Palo Alto, California 94304, United States
  • Denver Arthritis Center
    Denver, Colorado 80230, United States
  • Innovative Research of West Florida
    Clearwater, Florida 33756, United States
  • Jeffrey Alper MD Research
    Naples, Florida 34102, United States
  • Sun Coast Clinical Research, Inc
    New Port Richey, Florida 34652, United States
  • Lovelace Scientific Resources
    Venice, Florida 34292, United States
  • Center for Arthritis & Osteoporosis
    Elizabethtown, Kentucky 42701, United States
  • Clayton Medical Research
    St Louis, Missouri 63117, United States
  • Rowan Regional Medical Center
    Salisbury, North Carolina 28144, United States
  • PMG Research of Wilmington, LLC
    Wilmington, North Carolina 28401, United States
  • Articularis Healthcare d/b/a/ Low Country Rheumatology, PA
    North Charleston, South Carolina 29406, United States
  • Accurate Clinical Research
    League City, Texas 77573, United States
  • Accurate Clinical Research
    Nassau Bay, Texas 77058, United States
  • Rheumatology and Immunotherapy Center
    Franklin, Wisconsin 53132, United States
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    Buenos Aires, C1430EGF, Argentina
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    Ciudad Autonoma de Buenos Aire, C1015ABO, Argentina
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    Ciudad Autonoma de Buenos Aire, C1128AAF, Argentina
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    Ciudad Autonoma de Buenos Aire, C1204AAD, Argentina
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    Ciudad Autonoma de Buenos Aire, C1426AAL, Argentina
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    Ciudad Autonoma de Buenos Aire, c1440AAD, Argentina
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    Córdoba, X5000EDC, Argentina
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    Rosario, S2000CFJ, Argentina
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    Rosario, S2000PBJ, Argentina
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    San Fernando, B1646DBM, Argentina
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    San Juan, J5402DIL, Argentina
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    San Miguel de Tucumán, 4000, Argentina
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    San Miguel de Tucumán, T4000AXL, Argentina
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    Maroochydore, 4558, Australia
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    Woodville South, 5011, Australia
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    Innsbruck, 6020, Austria
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    Vienna, 1090, Austria
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    Florence, 50139, Italy
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    Milan, 20157, Italy
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    Torino, 10154, Italy
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    Asahikawa, 070-8644, Japan
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    Chiba, 275-8580, Japan
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    Fukuoka, 810-8539, Japan
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    Fukuoka, 810-8563, Japan
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    Hokkaido, 060-0001, Japan
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    Kitakyushu, 807-8556, Japan
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    Nagano, 380-8582, Japan
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    Ōmura, 856-8562, Japan
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    Sapporo, 060-0004, Japan
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    Sapporo, 060-8648, Japan
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    Sasebo, 857-1195, Japan
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    Sendai, 980-8574, Japan
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    Colonia Roma, 6700, Mexico
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    Distrito Federal, 3100, Mexico
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    Mexicali, 21100, Mexico
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    Mexico City, 06700, Mexico
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    Elblag, 82-300, Poland
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    Gdansk, 80-546, Poland
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    Nadarzyn, 05-830, Poland
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    Warsaw, 03-291, Poland
  • Office: Perez-De Jesus, Amarilis
    Caguas, PR 00725, Puerto Rico
  • Mindful Medical Research
    San Juan, PR 00918, Puerto Rico
  • Latin Clinical Trial Center
    Santurce, 00909, Puerto Rico
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    Bratislava, 85101, Slovakia
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    Zvolen, 96001, Slovakia
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    Pinelands, 7405, South Africa
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    Stellenbosch, 7600, South Africa
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    Umhlanga, 4319, South Africa
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    Junggu, 22332, South Korea
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    Seoul, 04763, South Korea
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    Seoul, 05030, South Korea
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    Seoul, 06591, South Korea
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    Seoul, 07345, South Korea
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    Alicante, 03570, Spain
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    Bilbao, 48013, Spain
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    Seville, 41010, Spain
09

References and documents

Publications

  • Genovese MC, Spindler A, Sagawa A, Park W, Dudek A, Kivitz A, Chao J, Chan LSM, Witcher J, Barchuk W, Nirula A. Safety and Efficacy of Poseltinib, Bruton's Tyrosine Kinase Inhibitor, in Patients With Rheumatoid Arthritis: A Randomized, Double-blind, Placebo-controlled, 2-part Phase II Study. J Rheumatol. 2021 Jul;48(7):969-976. doi: 10.3899/jrheum.200893. Epub 2020 Dec 15. PubMed 33323529 ↗

Study documents

  • Study protocol · Jul 5, 2017
  • Statistical analysis plan · Sep 1, 2017

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: Data are available 6 months after the primary publication and approval of the indication studied in the US and European union (EU), whichever is later. Data will be indefinitely available for requesting.

Access criteria: A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.

Data sharing details ↗ · www.clinicalstudydatarequest.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2016 to primary completion in Apr 2018, 20 months.

Results were first posted in Oct 2019, 1 year 5 months after primary completion. A results delay was requested in Apr 2019.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 9, 2015
First posted
Dec 11, 2015
StartActual
Aug 22, 2016
Primary completionActual
Apr 25, 2018
CompletionActual
Aug 15, 2018
Results delay requested
Apr 24, 2019
Results first posted
Oct 9, 2019
Last update
Oct 9, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 9, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02628028
Responsible party
Sponsor
First posted
Dec 11, 2015
Start date
Aug 22, 2016
Primary completion
Apr 25, 2018
Completion
Aug 15, 2018
Results posted
Oct 9, 2019
Last update
Oct 9, 2019

Study contacts

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)
study director · Eli Lilly and Company

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Poseltinib

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