A Phase 1 interventional study of Abemaciclib and Placebo in Healthy, sponsored by Eli Lilly and Company. Completed at 2 sites in United States. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-01-04.
Sponsored by Eli Lilly and Company · Phase 1, Interventional, and Basic science
The purposes of this study are to determine:
Information about any side effects that occur will be collected. The study will enroll two groups (cohorts) of participants. Each group will complete 4 study periods. This study is expected to last about 3 months. Screening may occur up to 28 days prior to enrollment. All participants will undergo a follow-up assessment approximately 21 days after administration of their final dose of study drug.
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Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.
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Overtly healthy males or females, as determined by medical history and physical examination
Exclusion Criteria:
Additional Exclusion Criterion for Participants Enrolled in Cohort 2:
200 - 600 mg single increasing oral dose of abemaciclib on Day 1 of up to 3 study periods.
Drug: Abemaciclib
Single oral dose of placebo on Day 1 of 1 study period.
Drug: Placebo
Cohort 2, only. 8 mg Loperamide given orally once in 1 of 4 study periods.
Drug: Loperamide
Cohort 2, only. 8 mg Loperamide co-administered with abemaciclib given orally once in up to 1 of 4 study periods.
Drug: Abemaciclib · Drug: Loperamide
Cohort 2, only. 8 mg Loperamide co-administered with placebo given orally once in up to 1 of 4 study periods.
Drug: Placebo · Drug: Loperamide
Administered orally
Also known as: LY2835219
Administered orally
Administered orally
Mean Time Matched Placebo-Adjusted Changes From Baseline For Fridericia's Corrected QT Interval (ΔΔQTcF)
QT interval is a measure of the time between the start of the Q wave and the end of the T wave and was calculated from electrocardiogram (ECG) data. ECG monitoring was conducted using a 12-lead digital Holter recorder from approximately 2 hours predose through 24 hours postdose on Day 1 of each period using 12-lead digital Holter recorder. Fridericia-corrected QT interval (QTcF): QTcF = QT/RR1/3, where RR is the interval between two R waves.
Time frame: Day 1: 2hr,4hr,6hr,8hr,10hr,12hr,14hr,24hr Post Dose
Pharmacokinetics (PK): Maximum Concentration (Cmax) of Abemaciclib
Blood samples were collected from participants in Cohort 1(all periods) and Cohort 2 (Periods 5, 6, and 7) to determine the plasma concentrations of Abemaciclib.
Time frame: Day 1: 2, 4, 6, 8, 10, 12, 14, 24, 48, 72, 96, and 120 hours Post Dose
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time 0 to Last Time Point With Measurable Concentration AUC(0-tlast) of Abemaciclib
Blood samples were collected from participants in Cohort 1(all periods) and Cohort 2 (Periods 5, 6, and 7) to determine the plasma concentrations of Abemaciclib 0-tlast.
Time frame: Day 1: 2, 4, 6, 8, 10, 12, 14, 24, 48, 72, 96, and 120 hours Post Dose
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Last Time Point With Measurable Concentration [AUC(0-tlast)] of Loperamide
Blood samples were collected from participants in Cohort 2 Period 4 (DDI) to determine plasma concentrations of Loperamide.
Time frame: Day -3: Predose, 1, 2, 4, 6, 8, 12, 14, 24, and 48 hours postdose;Day 1 predose, (-0.25 hours), and Day1: 1, 2, 4, 6, 8, 10, 12, 14, 24, 48, and 72 hours Post Dose
Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) of Loperamide
Blood samples were collected from participants in Cohort 2 Period 4 (DDI) to determine plasma concentrations of Loperamide.
Time frame: Day -3: Predose,1, 2, 4, 6, 8, 12, 14, 24, and 48 hours postdose;Day 1 predose, (-0.25 hours), and Day1: 1, 2, 4, 6, 8, 10, 12, 14, 24, 48, and 72 hours Post Dose
Dose escalation study with 2 cohorts, participants in cohort 1 were randomized to 1 of 4 sequences \& participants in cohort 2 were randomized to 1 of 3 sequences. Cohort 1 had periods 1 to 4 with at least 5 days washout between each dose, Cohort 2 had periods 4(DDI) to 7 with at least 8 days washout between each dose.
| Milestone | Cohort 1 Sequence 1 | Cohort 1 Sequence 2 | Cohort 1 Sequence 3 | Cohort 1 Sequence 4 | Cohort 2 Sequence 1 | Cohort 2 Sequence 2 | Cohort 2 Sequence 3 |
|---|---|---|---|---|---|---|---|
| Started | 5 | 5 | 5 | 5 | 0 | 0 | 0 |
| Completed | 5 | 5 | 5 | 5 | 0 | 0 | 0 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Cohort 1 Sequence 1 | Cohort 1 Sequence 2 | Cohort 1 Sequence 3 | Cohort 1 Sequence 4 | Cohort 2 Sequence 1 | Cohort 2 Sequence 2 | Cohort 2 Sequence 3 |
|---|---|---|---|---|---|---|---|
| Started | 5 | 5 | 5 | 5 | 0 | 0 | 0 |
| Completed | 5 | 5 | 5 | 5 | 0 | 0 | 0 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Cohort 1 Sequence 1 | Cohort 1 Sequence 2 | Cohort 1 Sequence 3 | Cohort 1 Sequence 4 | Cohort 2 Sequence 1 | Cohort 2 Sequence 2 | Cohort 2 Sequence 3 |
|---|---|---|---|---|---|---|---|
| Started | 5 | 5 | 5 | 5 | 0 | 0 | 0 |
| Completed | 5 | 5 | 5 | 4 | 0 | 0 | 0 |
| Not completed | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Milestone | Cohort 1 Sequence 1 | Cohort 1 Sequence 2 | Cohort 1 Sequence 3 | Cohort 1 Sequence 4 | Cohort 2 Sequence 1 | Cohort 2 Sequence 2 | Cohort 2 Sequence 3 |
|---|---|---|---|---|---|---|---|
| Started | 5 | 5 | 5 | 4 | 0 | 0 | 0 |
| Completed | 5 | 5 | 5 | 4 | 0 | 0 | 0 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Cohort 1 Sequence 1 | Cohort 1 Sequence 2 | Cohort 1 Sequence 3 | Cohort 1 Sequence 4 | Cohort 2 Sequence 1 | Cohort 2 Sequence 2 | Cohort 2 Sequence 3 |
|---|---|---|---|---|---|---|---|
| Started | 0 | 0 | 0 | 0 | 7 | 4 | 4 |
| Completed | 0 | 0 | 0 | 0 | 7 | 4 | 4 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Cohort 1 Sequence 1 | Cohort 1 Sequence 2 | Cohort 1 Sequence 3 | Cohort 1 Sequence 4 | Cohort 2 Sequence 1 | Cohort 2 Sequence 2 | Cohort 2 Sequence 3 |
|---|---|---|---|---|---|---|---|
| Started | 0 | 0 | 0 | 0 | 7 | 4 | 4 |
| Completed | 0 | 0 | 0 | 0 | 7 | 4 | 4 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Cohort 1 Sequence 1 | Cohort 1 Sequence 2 | Cohort 1 Sequence 3 | Cohort 1 Sequence 4 | Cohort 2 Sequence 1 | Cohort 2 Sequence 2 | Cohort 2 Sequence 3 |
|---|---|---|---|---|---|---|---|
| Started | 0 | 0 | 0 | 0 | 7 | 4 | 4 |
| Completed | 0 | 0 | 0 | 0 | 7 | 4 | 4 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Milestone | Cohort 1 Sequence 1 | Cohort 1 Sequence 2 | Cohort 1 Sequence 3 | Cohort 1 Sequence 4 | Cohort 2 Sequence 1 | Cohort 2 Sequence 2 | Cohort 2 Sequence 3 |
|---|---|---|---|---|---|---|---|
| Started | 0 | 0 | 0 | 0 | 7 | 4 | 4 |
| Completed | 0 | 0 | 0 | 0 | 7 | 4 | 4 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
QT interval is a measure of the time between the start of the Q wave and the end of the T wave and was calculated from electrocardiogram (ECG) data. ECG monitoring was conducted using a 12-lead digital Holter recorder from approximately 2 hours predose through 24 hours postdose on Day 1 of each period using 12-lead digital Holter recorder. Fridericia-corrected QT interval (QTcF): QTcF = QT/RR1/3, where RR is the interval between two R waves.
| Millisecond (msec) | 200 mg Abemaciclib | 300 mg Abemaciclib | 400 mg Abemaciclib | 600 mg Abemaciclib |
|---|---|---|---|---|
| 2hr | 1.4 (-0.4 to 4.8) | 3.3 (-2.1 to 4.3) | 0.2 (-3.7 to 1.3) | -2.1 (-7.3 to 0.6) |
| 4hr | -2.0 (-5.1 to 1.6) | 0.8 (-4.5 to 0.8) | -0.7 (-4.9 to 0.6) | -4.2 (-9.9 to 0.9) |
| 6hr | 0.6 (-1.5 to 5.2) | -0.2 (-5.8 to 1.2) | -1.8 (-5.9 to -0.1) | -3.7 (-10.3 to -0.8) |
| 8hr | 2.8 (0.7 to 6.4) | 2.7 (-3.1 to 4.0) | 2.2 (-1.8 to 3.5) | 2.8 (-3.9 to 5.8) |
| 10hr | 2.1 (0.6 to 5.1) | 1.3 (-3.7 to 1.7) | 1.5 (-2.4 to 2.1) | 5.9 (-2.8 to 11) |
| 12hr | -0.3 (-4.7 to 5.6) | -0.7 (-6.6 to 0.8) | -0.5 (-4.4 to 0.1) | 4.4 (-0.9 to 7.2) |
| 14hr | 3.9 (1.4 to 7.9) | 3.3 (-2.1 to 4.1) | 1.0 (-3.9 to 2.6) | 2.3 (-4.4 to 5.4) |
| 24hr | 1.4 (-1.2 to 5.5) | 4.2 (-0.7 to 4.8) | -0.4 (-4.7 to 1.3) | 0.9 (-7.1 to 4.6) |
Blood samples were collected from participants in Cohort 1(all periods) and Cohort 2 (Periods 5, 6, and 7) to determine the plasma concentrations of Abemaciclib.
| Nanogram per Milliliter (ng/mL) | 200 mg Abemaciclib | 300 mg Abemaciclib | 400 mg Abemaciclib | 600 mg Abemaciclib | 400 mg Abemaciclib + Loperamide 8mg |
|---|---|---|---|---|---|
| Pharmacokinetics (PK): Maximum Concentration (Cmax) of Abemaciclib | 102 ± 31 | 130 ± 40 | 182 ± 42 | 308 ± 45 | 199 ± 55 |
Blood samples were collected from participants in Cohort 1(all periods) and Cohort 2 (Periods 5, 6, and 7) to determine the plasma concentrations of Abemaciclib 0-tlast.
| ng*hr/mL | 200 mg Abemaciclib | 300 mg Abemaciclib | 400 mg Abemaciclib | 600 mg Abemaciclib | 400 mg Abemaciclib + 8 mg Loperamide |
|---|---|---|---|---|---|
| Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time 0 to Last Time Point With Measurable Concentration AUC(0-tlast) of Abemaciclib | 3560 ± 38 | 5210 ± 37 | 7610 ± 46 | 14600 ± 42 | 9420 ± 57 |
Blood samples were collected from participants in Cohort 2 Period 4 (DDI) to determine plasma concentrations of Loperamide.
| ng*hr/mL | 8 mg Loperamide | 8 mg Loperamide + 400 mg Abemaciclib |
|---|---|---|
| Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Last Time Point With Measurable Concentration [AUC(0-tlast)] of Loperamide | 46.1 ± 47 | 47.3 ± 53 |
Blood samples were collected from participants in Cohort 2 Period 4 (DDI) to determine plasma concentrations of Loperamide.
| ng/mL | 8 mg Loperamide | 8 mg Loperamide + 400 mg Abemaciclib |
|---|---|---|
| Pharmacokinetics (PK): Maximum Observed Drug Concentration (Cmax) of Loperamide | 1.83 ± 56 | 2.17 ± 49 |
Collected over Up to 117 days. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | — | 0/34 (0%) | 9/34 (26.5%) |
| 200 mg Abemaciclib | — | 0/20 (0%) | 4/20 (20%) |
| 300 mg Abemaciclib | — | 0/20 (0%) | 5/20 (25%) |
| 400 mg Abemaciclib | — | 0/35 (0%) | 17/35 (48.6%) |
| 600 mg Abemaciclib | — | 0/15 (0%) | 12/15 (80%) |
| 8 mg Loperamide | — | 0/15 (0%) | 5/15 (33.3%) |
| 8 mg Loperamide + Placebo | — | 0/7 (0%) | 3/7 (42.9%) |
| 8 mg Loperamide + 400 mg Abemaciclib | — | 0/8 (0%) | 3/8 (37.5%) |
| Event | Placebo | 200 mg Abemaciclib | 300 mg Abemaciclib | 400 mg Abemaciclib | 600 mg Abemaciclib | 8 mg Loperamide | 8 mg Loperamide + Placebo | 8 mg Loperamide + 400 mg Abemaciclib |
|---|---|---|---|---|---|---|---|---|
| DiarrhoeaGastrointestinal disorders | 3/34 | 1/20 | 4/20 | 11/35 | 11/15 | 0/15 | 0/7 | 1/8 |
| NauseaGastrointestinal disorders | 0/34 | 3/20 | 0/20 | 6/35 | 8/15 | 0/15 | 1/7 | 2/8 |
| VomitingGastrointestinal disorders | 1/34 | 1/20 | 0/20 | 2/35 | 6/15 | 0/15 | 0/7 | 1/8 |
| ConstipationGastrointestinal disorders | 0/34 | 0/20 | 0/20 | 0/35 | 0/15 | 2/15 | 2/7 | 0/8 |
| Alanine aminotransferase increasedInvestigations | 0/34 | 0/20 | 0/20 | 0/35 | 0/15 | 0/15 | 2/7 | 2/8 |
| Aspartate aminotransferase increasedInvestigations | 0/34 | 0/20 | 0/20 | 0/35 | 0/15 | 0/15 | 2/7 | 2/8 |
| HeadacheNervous system disorders | 3/34 | 1/20 | 0/20 | 3/35 | 4/15 | 0/15 | 0/7 | 0/8 |
| Abdominal painGastrointestinal disorders | 0/34 | 0/20 | 0/20 | 1/35 | 1/15 | 1/15 | 0/7 | 2/8 |
| DizzinessNervous system disorders | 1/34 | 0/20 | 0/20 | 1/35 | 1/15 | 0/15 | 0/7 | 2/8 |
| FlatulenceGastrointestinal disorders | 2/34 | 0/20 | 0/20 | 0/35 | 1/15 | 0/15 | 1/7 | 0/8 |
| Age, Continuous(years) | Cohort 1 | Cohort 2 | Total |
|---|---|---|---|
| Mean | 48.9 ± 7.9 | 58 ± 7.5 | 52.8 ± 8.9 |
| Sex: Female, Male(Participants) | Cohort 1 | Cohort 2 | Total |
|---|---|---|---|
| Female | 15 | 13 | 28 |
| Male | 5 | 2 | 7 |
| Race (NIH/OMB)(Participants) | Cohort 1 | Cohort 2 | Total |
|---|---|---|---|
| American Indian or Alaska Native | 18 | 14 | 32 |
| Asian | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 2 | 1 | 3 |
| White | 0 | 0 | 0 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Region of Enrollment(Participants) | Cohort 1 | Cohort 2 | Total |
|---|---|---|---|
| United States | 20 | 15 | 35 |
| Ethnicity(Participants) | Cohort 1 | Cohort 2 | Total |
|---|---|---|---|
| Hispanic or Latino | 10 | 0 | 10 |
| Not Hispanic or Latino | 10 | 15 | 25 |
| Body Mass Index (BMI)(Kilogram per square meter (Kg/m^2)) | Cohort 1 | Cohort 2 | Total |
|---|---|---|---|
| Mean | 26.80 ± 3.15 | 27.55 ± 2.35 | 27.12 ± 2.82 |
This study is completed, as verified in Dec 2018. You cannot join it, but the record below documents what was studied.
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