A Phase 1 interventional study of Probe Drug Cocktail and Lasmiditan in Healthy, sponsored by Eli Lilly and Company. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-01-10.
Sponsored by Eli Lilly and Company · Phase 1, Interventional, and Basic science
The purpose of this study is to look at how much lasmiditan, study drug, gets into the blood stream and how long it takes the body to get rid of it.
When drugs are taken together, one or all of the drugs used in combination may be affected. This study will also evaluate the concentrations in the blood of a probe drug cocktail taken alone and in combination with lasmiditan. Information about any side effects that may occur will also be collected.
The study has two parts. Participants will only enroll in one part. This study will last about 25 days for group 1 and 22 days for group 2, not including screening. Screening is required within 28 days prior to the start of the study.
This study is for research purposes only and is not intended to treat any medical condition.
Exclusion Criteria:
Probe Drug Cocktail administered orally on Day -3.
Drug: Probe Drug Cocktail
200 mg lasmiditan administered alone, orally, on Days 1-6 and concurrently with probe drug cocktail on Day 7.
Drug: Probe Drug Cocktail · Drug: Lasmiditan
Placebo administered alone, orally, on Days 1-6 and concurrently with probe drug cocktail on Day 7.
Drug: Probe Drug Cocktail · Drug: Placebo
400 mg lasmiditan administered orally for 7 days.
Drug: Lasmiditan
Placebo administered orally for 7 days.
Drug: Placebo
Administered orally
Administered orally
Also known as: LY573144
Administered orally
Number of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration
A summary of SAEs and other non-serious adverse events (AEs), regardless of causality, will be reported in the Reported Adverse Events module. Adverse events for this outcome measure are reported by arm. SAEs are reported by study drug in the Adverse Events module.
Time frame: Baseline through 14 days after last administration of study drug
Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Lasmiditan on Day 1
PK: Cmax of lasmiditan
Time frame: Lasmiditan PK: Day 1:0.5 hour (hr), 1hr , 1.5hr, 2hr, 2.5hr, 3hr, 4hr, 6hr, 8hr, 12hr, 24hr and 48 hr postdose
Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Lasmiditan on Day 7
PK: Cmax of lasmiditan Day 7
Time frame: Lasmiditan PK: Day 7: 0.5hour(hr), 1hr, 1.5hr, 2hr, 2.5hr, 3hr, 4hr, 6hr, 8hr, 12hr, 24hr postdose
Pharmacokinetics (PK): Area Under the Concentration Curve to the End of the Dosing Period (AUC[Tau]) Lasmiditan on Day 1
PK: AUCtau of lasmiditan
Time frame: Day 1:0.5 hour (hr), 1hr , 1.5hr, 2hr, 2.5hr, 3hr, 4hr, 6hr, 8hr, 12hr, and 24hr postdose
Pharmacokinetics (PK): Area Under the Concentration Curve to the End of the Dosing Period (AUC[Tau]) Lasmiditan on Day 7
PK AUCtau of lasmiditan
Time frame: Lasmiditan PK: Day 7: 0.5hour(hr), 1hr, 1.5hr, 2hr, 2.5hr, 3hr, 4hr, 6hr, 8hr, 12hr,and 24hr postdose
Benzodiazepine Withdrawal Symptom Questionnaire (BWSQ) Total Score
BWSQ is a 20 item, self administered withdrawal symptom questionnaire. Each question is scored by a 0 representing no withdrawal symptoms, 1 for moderate symptoms, 2 for severe symptoms. Total score at each time point will be averaged for each treatment in each cohort.
Time frame: PreDose Day 7 and Day 21
Physician Withdrawal Checklist (PWC)Total Score
Physician Withdrawal Checklist (PWC) : 20 item physician rated interview measuring anxiolytic drug withdrawal-related signs and symptoms (gastrointestinal, mood, sleep, motor, somatic, perception and cognition); range 0 (not present) to 3 (severe); total score range: 0 to 60; higher score = more affected.
Time frame: Day 7 and Day 21 at anytime
Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Metabolite M8 on Day 1
Cmax of M8 on Day 1 following a single and repeated oral daily dosing of 200 and 400 mg lasmiditan. M8 is a metabolite of lasmiditan.
Time frame: Day 1: 0.5 hr, 1hr, 1.5hr, 2 hr, 2.5hr, 3hr, 4hr, 6hr, 8hr, 12hr, 24 hr adn 48 hr postdose
Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Metabolite M8 on Day 7
Cmax of M8 on Day 7 following a single and repeated oral daily dosing of 200 and 400 mg lasmiditan. M8 is a metabolite of lasmiditan.
Time frame: Day 7: Predose, 0.5hr, 1hr, 1.5hr, 2hr, 2.5hr, 3hr, 4hr, 6hr, 8hr, 12hr, 24 hr and 48 hr postdose
Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Midazolam
PK: Cmax of midazolam.
Time frame: Day -3: Predose, 0.5 hour(hr), 1hr, 1.5hr. 2hr, 2.5hr, 3hr, 4hr, 6hr, 8hr, and 12 hr postdose,
Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Midazolam on Day 7
PK of midazolam.
Time frame: Day 7:Predose, 0,5hr,1hr, 1.5hr. 2hr, 2.5hr, 3hr, 4hr, 6hr, 8hr, and 12 hr postdose
| Milestone | Cohort 1a (Placebo+Probe Drug Cocktail) | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) | Cohort 2a (Placebo) | Cohort 2b (400 mg Lasmiditan) |
|---|---|---|---|---|
| Started | 12 | 28 | 15 | 15 |
| Received at least 1 dose of study drug | 12 | 28 | 15 | 15 |
| Completed | 11 | 27 | 14 | 14 |
| Not completed | 1 | 1 | 1 | 1 |
| Withdrew: Withdrawal by subject | 0 | 1 | 1 | 0 |
| Withdrew: Adverse event | 1 | 0 | 0 | 1 |
A summary of SAEs and other non-serious adverse events (AEs), regardless of causality, will be reported in the Reported Adverse Events module. Adverse events for this outcome measure are reported by arm. SAEs are reported by study drug in the Adverse Events module.
| Participants | Cohort 1a (Placebo+Probe Drug Cocktail) | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) | Cohort 2a (Placebo) | Cohort 2b (400 mg Lasmiditan) |
|---|---|---|---|---|
| Number of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration | 0 | 0 | 0 | 0 |
PK: Cmax of lasmiditan
| nanograms per milliliter (ng/mL) | 200 mg Lasmiditan | 400 mg Lasmiditan |
|---|---|---|
| Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Lasmiditan on Day 1 | 349 ± 32 | 750 ± 44 |
PK: Cmax of lasmiditan Day 7
| ng/mL | 200 mg Lasmiditan | 400 mg Lasmiditan |
|---|---|---|
| Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Lasmiditan on Day 7 | 353 ± 29 | 808 ± 41 |
PK: AUCtau of lasmiditan
| nanograms times hour per milliLiter | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) | Cohort 2b (400 mg Lasmiditan) |
|---|---|---|
| Pharmacokinetics (PK): Area Under the Concentration Curve to the End of the Dosing Period (AUC[Tau]) Lasmiditan on Day 1 | 2070 ± 32 | 4530 ± 39 |
PK AUCtau of lasmiditan
| nanograms time hours per milliLiter | 200 mg Lasmiditan+Probe Drug Cocktail (Cohort 1) | 400 mg Lasmiditan (Cohort 2) |
|---|---|---|
| Pharmacokinetics (PK): Area Under the Concentration Curve to the End of the Dosing Period (AUC[Tau]) Lasmiditan on Day 7 | 2160 ± 29 | 4690 ± 36 |
BWSQ is a 20 item, self administered withdrawal symptom questionnaire. Each question is scored by a 0 representing no withdrawal symptoms, 1 for moderate symptoms, 2 for severe symptoms. Total score at each time point will be averaged for each treatment in each cohort.
| units on a scale | Cohort 1a (Placebo+Probe Drug Cocktail) | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) | Cohort 2a (Placebo) | Cohort 2b (400 mg Lasmiditan) |
|---|---|---|---|---|
| Day 7 | 0.0 ± 0.0 | 0.2 ± 0.6 | 0.0 ± 0.0 | 0.1 ± 0.3 |
| Day 21 | 0.0 ± 0.0 | 0.0 ± 0.0 | 0.0 ± 0.0 | 0.0 ± 0.0 |
Physician Withdrawal Checklist (PWC) : 20 item physician rated interview measuring anxiolytic drug withdrawal-related signs and symptoms (gastrointestinal, mood, sleep, motor, somatic, perception and cognition); range 0 (not present) to 3 (severe); total score range: 0 to 60; higher score = more affected.
| units on a scale | Cohort 1a (Placebo+Probe Drug Cocktail) | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) | Cohort 2a (Placebo) | Cohort 2b (400 mg Lasmiditan) |
|---|---|---|---|---|
| Day 7 Predose | 0.2 ± 0.4 | 0.0 ± 0.2 | 0.0 ± 0.0 | 0.1 ± 0.3 |
| Day 21 | 0.0 ± 0.0 | 0.1 ± 0.4 | 0.0 ± 0.0 | 0.0 ± 0.0 |
Cmax of M8 on Day 1 following a single and repeated oral daily dosing of 200 and 400 mg lasmiditan. M8 is a metabolite of lasmiditan.
| mg/mL | 200 mg Lasmiditan | 400 mg Lasmiditan |
|---|---|---|
| Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Metabolite M8 on Day 1 | 407 ± 24 | 964 ± 18 |
Cmax of M8 on Day 7 following a single and repeated oral daily dosing of 200 and 400 mg lasmiditan. M8 is a metabolite of lasmiditan.
| ng/mL | 200 mg Lasmiditan+Probe Drug Cocktail (Cohort 1) | 400 mg Lasmiditan (Cohort 2) |
|---|---|---|
| Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Metabolite M8 on Day 7 | 641 ± 20 | 1500 ± 20 |
PK: Cmax of midazolam.
| nanograms per milliLiter | Participants Who Received Probe Drug Cocktail |
|---|---|
| Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Midazolam | 10. ± 39 |
PK of midazolam.
| nanograms per milliliter | Cohort 1a (Placebo+Probe Drug Cocktail) | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) |
|---|---|---|
| Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Midazolam on Day 7 | 10.1 ± 40 | 9.45 ± 34 |
Collected over Baseline through 28 days. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Probe Drug Cocktail (Cohort 1) | 0/40 (0%) | 0/40 (0%) | 0/40 (0%) |
| 200 mg Lasmiditan QD (Cohort 1) | 0/28 (0%) | 0/28 (0%) | 13/28 (46.4%) |
| 200 mg Lasmiditan QD + Probe Drug Cocktail (Cohort 1) | 0/27 (0%) | 0/27 (0%) | 4/27 (14.8%) |
| Placebo QD (Cohort 1) | 0/12 (0%) | 0/12 (0%) | 5/12 (41.7%) |
| Placebo QD + Probe Drug Cocktail (Cohort 1) | 0/11 (0%) | 0/11 (0%) | 1/11 (9.1%) |
| 400 mg Lasmiditan QD (Cohort 2) | 0/15 (0%) | 0/15 (0%) | 5/15 (33.3%) |
| Placebo QD (Cohort 2) | 0/15 (0%) | 0/15 (0%) | 4/15 (26.7%) |
| Event | Probe Drug Cocktail (Cohort 1) | 200 mg Lasmiditan QD (Cohort 1) | 200 mg Lasmiditan QD + Probe Drug Cocktail (Cohort 1) | Placebo QD (Cohort 1) | Placebo QD + Probe Drug Cocktail (Cohort 1) | 400 mg Lasmiditan QD (Cohort 2) | Placebo QD (Cohort 2) |
|---|---|---|---|---|---|---|---|
| DizzinessNervous system disorders | 0/40 | 6/28 | 2/27 | 0/12 | 0/11 | 3/15 | 0/15 |
| FatigueGeneral disorders | 0/40 | 4/28 | 0/27 | 0/12 | 0/11 | 0/15 | 0/15 |
| Euphoric moodPsychiatric disorders | 0/40 | 1/28 | 0/27 | 0/12 | 0/11 | 2/15 | 0/15 |
| ParaesthesiaNervous system disorders | 0/40 | 0/28 | 0/27 | 0/12 | 1/11 | 0/15 | 0/15 |
| Eye painEye disorders | 0/40 | 1/28 | 0/27 | 1/12 | 0/11 | 0/15 | 0/15 |
| FolliculitisInfections and infestations | 0/40 | 0/28 | 0/27 | 1/12 | 0/11 | 0/15 | 0/15 |
| Wrong technique in product usage processInjury, poisoning and procedural complications | 0/40 | 0/28 | 0/27 | 1/12 | 0/11 | 0/15 | 0/15 |
| Decreased appetiteMetabolism and nutrition disorders | 0/40 | 0/28 | 0/27 | 1/12 | 0/11 | 0/15 | 0/15 |
| HeadacheNervous system disorders | 0/40 | 0/28 | 0/27 | 1/12 | 0/11 | 1/15 | 1/15 |
| NervousnessPsychiatric disorders | 0/40 | 0/28 | 0/27 | 1/12 | 0/11 | 0/15 | 0/15 |
All participants who received at least 1 dose of study drug
| Age, Continuous(years) | Cohort 1a (Placebo+Probe Drug Cocktail) | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) | Cohort 2a (Placebo) | Cohort 2b (400 mg Lasmiditan) | Total |
|---|---|---|---|---|---|
| Mean | 42.8 ± 11.9 | 42.9 ± 12.3 | 39.5 ± 11.4 | 36.9 ± 9.7 | 40.9 ± 11.5 |
| Sex: Female, Male(Participants) | Cohort 1a (Placebo+Probe Drug Cocktail) | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) | Cohort 2a (Placebo) | Cohort 2b (400 mg Lasmiditan) | Total |
|---|---|---|---|---|---|
| Female | 6 | 12 | 6 | 6 | 30 |
| Male | 6 | 16 | 9 | 9 | 40 |
| Ethnicity (NIH/OMB)(Participants) | Cohort 1a (Placebo+Probe Drug Cocktail) | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) | Cohort 2a (Placebo) | Cohort 2b (400 mg Lasmiditan) | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 8 | 10 | 5 | 8 | 31 |
| Not Hispanic or Latino | 4 | 18 | 10 | 7 | 39 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Cohort 1a (Placebo+Probe Drug Cocktail) | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) | Cohort 2a (Placebo) | Cohort 2b (400 mg Lasmiditan) | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 4 | 13 | 7 | 7 | 31 |
| White | 8 | 15 | 8 | 7 | 38 |
| More than one race | 0 | 0 | 0 | 1 | 1 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Region of Enrollment(Participants) | Cohort 1a (Placebo+Probe Drug Cocktail) | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) | Cohort 2a (Placebo) | Cohort 2b (400 mg Lasmiditan) | Total |
|---|---|---|---|---|---|
| United States | 12 | 28 | 15 | 15 | 70 |
| Weight(kilograms (kg)) | Cohort 1a (Placebo+Probe Drug Cocktail) | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) | Cohort 2a (Placebo) | Cohort 2b (400 mg Lasmiditan) | Total |
|---|---|---|---|---|---|
| Mean | 74.78 ± 13.14 | 81.92 ± 13.72 | 74.13 ± 11.04 | 78.95 ± 14.67 | 78.39 ± 13.45 |
| Body Mass Index (BMI)(kilograms per meter squared) | Cohort 1a (Placebo+Probe Drug Cocktail) | Cohort 1b (200 mg Lasmiditan+Probe Drug Cocktail) | Cohort 2a (Placebo) | Cohort 2b (400 mg Lasmiditan) | Total |
|---|---|---|---|---|---|
| Mean | 27.17 ± 2.54 | 28.18 ± 3.51 | 25.87 ± 3.32 | 27.14 ± 3.88 | 27.29 ± 3.45 |
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Eli Lilly and Company