A Phase 1 interventional study of LY3316531 - IV and LY3316531 - SC in Psoriasis, sponsored by Eli Lilly and Company. Completed at 2 sites in United States. Open to participants aged 18 Years to 64 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-09-21.
Sponsored by Eli Lilly and Company · Phase 1, Interventional, and Basic science
The purpose of this study is to evaluate how well LY3316531 is tolerated and what side effects may occur in healthy participants and participants with psoriasis. The study drug will be administered either subcutaneously (SC) (under the skin) or intravenously (IV) (into a vein in the arm).
This is a three-part study. Participants will enroll in only one part. Parts A and B are for healthy participants and Part C is for participants with psoriasis. Participation could last between 16 and 57 weeks.
Healthy Participants
Psoriasis Participants:
Exclusion Criteria:
Healthy and Psoriasis Participants
Psoriasis Participants Only:
Participants received single doses of 3 milligrams (mg), 15 mg, 75 mg, 300 mg, 900 mg, or 2000 mg LY3316531 administered Intravenously (IV), or 300 mg LY3316531 administered Subcutaneously (SC).
Drug: LY3316531 - IV · Drug: LY3316531 - SC
Placebo matching LY3316531 administered IV.
Drug: Placebo - IV
Participants received 3 doses of 2000 mg LY3316531 administered IV (1 dose every 4 weeks).
Drug: LY3316531 - IV
Placebo matching LY3316531 administered IV.
Drug: Placebo - IV
Participants with psoriasis received single doses of 300 mg LY3316531 administered IV.
Drug: LY3316531 - IV
Administered IV.
Administered SC.
Administered IV.
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 is reported in the Reported Adverse Events module. An SAE is any adverse event from this study that results in 1 of the following: 1. Death 2. Initial or prolonged inpatient hospitalization 3. A life-threatening experience (that is, immediate risk of dying) 4. Persistent or significant disability/incapacity 5. Congenital anomaly/birth defect 6. Important medical events that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the subject or may require intervention to prevent 1 of the other outcomes listed in the definition above.
Time frame: Pre-dose up to 1 year after administration of study drug
Part A: Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY3316531
PK: Cmax of LY3316531. Under time frame, hours was abbreviated as "hrs."
Time frame: Pre-dose, Days 1 (End of infusion [IV], 2 hrs after start of infusion [IV], 6 hrs after start of infusion [IV] or injection [SC]), 2 (24 hrs after start of infusion [IV] or injection [SC]), 4, 8, 11 (SC only), 15, 22, 29, 43, 57, 71, 85 post- dose
Part B: Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY3316531
PK: Cmax of LY3316531 following the Day 57 dose.
Time frame: Days 57 (Pre-dose, end of infusion), 58, 60, 64, 67, 71, 78, and 85
Part C: Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY3316531
PK: Cmax of LY3316531.
Time frame: Pre-dose, Days 1 (End of infusion, 2 hrs after start of infusion, 6 hrs after start of infusion), 2 (24 hrs after start of infusion), 4, 8, 15, 22, 29, 43, 57, 71, 85, and 113 post-dose
Part A: PK: Area Under the Concentration Versus Time Curve (AUC) of LY3316531 From Time Zero to Infinity - AUC(0-∞)
Area Under the Concentration Versus Time Curve (AUC) of LY3316531 From Time Zero to Infinity - AUC(0-∞).
Time frame: Pre-dose, Days 1 (End of infusion [IV], 2 hrs after start of infusion [IV], 6 hrs after start of infusion [IV] or injection [SC]), 2 (24 hrs after start of infusion [IV] or injection [SC]), 4, 8, 11 (SC only), 15, 22, 29, 43, 57, 71, 85 post- dose
Part B: PK: Area Under the Concentration Versus Time Curve (AUC) of LY3316531 Over the Dosing Interval (Tau) - AUCtau
AUC of LY3316531 over the dosing interval (tau = 672 h = 28 days) following the Day 57 dose.
Time frame: Days 57 (Pre-dose, end of infusion), 58, 60, 64, 67, 71, 78, and 85
Part C: PK: Area Under the Concentration Versus Time Curve (AUC) of LY3316531 From Time Zero to Infinity - AUC(0-∞)
Area Under the Concentration Versus Time Curve (AUC) of LY3316531 From Time Zero to Infinity - AUC(0-∞).
Time frame: Pre-dose, Days 1 (End of infusion, 2 hrs after start of infusion, 6 hrs after start of infusion), 2 (24 hrs after start of infusion), 4, 8, 15, 22, 29, 43, 57, 71, 85, and 113 post-dose
Study consists of three parts: * Part A (Single-Ascending Dose (SAD) in healthy participants) * Part B (Multiple-dose in healthy participants) and * Part C (Single dose in psoriasis participants)
| Milestone | Placebo - Part A | 3 mg LY3316531 IV - Part A | 15 mg LY3316531 IV - Part A | 75 mg LY3316531 IV - Part A | 300 mg LY3316531 IV - Part A | 300 mg LY3316531 SC- Part A | 900 mg LY3316531 IV - Part A | 2000 mg LY3316531 IV - Part A | Placebo - Part B | 2000 mg LY3316531 IV - Part B | 300 mg LY3316531 IV - Part C |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 11 | 3 | 3 | 6 | 6 | 6 | 6 | 6 | 2 | 6 | 8 |
| Completed | 10 | 3 | 3 | 6 | 6 | 6 | 6 | 6 | 2 | 5 | 8 |
| Not completed | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
| Withdrew: Adverse event | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Protocol violation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
A summary of SAEs and other non-serious adverse events (AEs), regardless of causality is reported in the Reported Adverse Events module. An SAE is any adverse event from this study that results in 1 of the following: 1. Death 2. Initial or prolonged inpatient hospitalization 3. A life-threatening experience (that is, immediate risk of dying) 4. Persistent or significant disability/incapacity 5. Congenital anomaly/birth defect 6. Important medical events that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the subject or may require intervention to prevent 1 of the other outcomes listed in the definition above.
| Participants | Placebo - Part A | 3 mg LY3316531 IV - Part A | 15 mg LY3316531 IV - Part A | 75 mg LY3316531 IV - Part A | 300 mg LY3316531 IV - Part A | 300 mg LY3316531 SC- Part A | 900 mg LY3316531 IV - Part A | 2000 mg LY3316531 IV - Part A | Placebo - Part B | 2000 mg LY3316531 IV - Part B | 300 mg LY3316531 IV - Part C |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
PK: Cmax of LY3316531. Under time frame, hours was abbreviated as "hrs."
| micrograms per milliliter (μg/mL) | 3 mg LY3316531 IV - Part A | 15 mg LY3316531 IV - Part A | 75 mg LY3316531 IV - Part A | 300 mg LY3316531 IV - Part A | 300 mg LY3316531 SC- Part A | 900 mg LY3316531 IV - Part A | 2000 mg LY3316531 IV - Part A |
|---|---|---|---|---|---|---|---|
| Part A: Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY3316531 | 1.27 ± 18 | 9.94 ± 26 | 32.7 ± 22 | 115 ± 11 | 27.2 ± 30 | 453 ± 14 | 808 ± 15 |
PK: Cmax of LY3316531 following the Day 57 dose.
| μg/mL | 2000 mg LY3316531 IV - Part B |
|---|---|
| Part B: Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY3316531 | 876 ± 14 |
PK: Cmax of LY3316531.
| μg/mL | 300 mg LY3316531 IV - Part C |
|---|---|
| Part C: Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY3316531 | 124 ± 19 |
Area Under the Concentration Versus Time Curve (AUC) of LY3316531 From Time Zero to Infinity - AUC(0-∞).
| micrograms*hours per milliliter(μg*h/mL) | 3 mg LY3316531 IV - Part A | 15 mg LY3316531 IV - Part A | 75 mg LY3316531 IV - Part A | 300 mg LY3316531 IV - Part A | 300 mg LY3316531 SC- Part A | 900 mg LY3316531 IV - Part A | 2000 mg LY3316531 IV - Part A |
|---|---|---|---|---|---|---|---|
| Part A: PK: Area Under the Concentration Versus Time Curve (AUC) of LY3316531 From Time Zero to Infinity - AUC(0-∞) | 401 ± 7 | 3050 ± 23 | 12,700 ± 19 | 46,900 ± 10 | 25,800 ± 27 | 181,000 ± 25 | 319,000 ± 31 |
AUC of LY3316531 over the dosing interval (tau = 672 h = 28 days) following the Day 57 dose.
| μg*h/mL | 2000 mg LY3316531 IV - Part B |
|---|---|
| Part B: PK: Area Under the Concentration Versus Time Curve (AUC) of LY3316531 Over the Dosing Interval (Tau) - AUCtau | 258,000 ± 2 |
Area Under the Concentration Versus Time Curve (AUC) of LY3316531 From Time Zero to Infinity - AUC(0-∞).
| μg*h/mL | 300 mg LY3316531 IV - Part C |
|---|---|
| Part C: PK: Area Under the Concentration Versus Time Curve (AUC) of LY3316531 From Time Zero to Infinity - AUC(0-∞) | 39,500 ± 28 |
Collected over Up To 1 Year. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo - Part A | 0/11 (0%) | 0/11 (0%) | 5/11 (45.5%) |
| 3 mg LY3316531 IV - Part A | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) |
| 15 mg LY3316531 IV - Part A | 0/3 (0%) | 0/3 (0%) | 1/3 (33.3%) |
| 75 mg LY3316531 IV - Part A | 0/6 (0%) | 0/6 (0%) | 1/6 (16.7%) |
| 300 mg LY3316531 IV - Part A | 0/6 (0%) | 0/6 (0%) | 1/6 (16.7%) |
| 300 mg LY3316531 SC- Part A | 0/6 (0%) | 0/6 (0%) | 5/6 (83.3%) |
| 900 mg LY3316531 IV - Part A | 0/6 (0%) | 0/6 (0%) | 2/6 (33.3%) |
| 2000 mg LY3316531 IV - Part A | 0/6 (0%) | 0/6 (0%) | 1/6 (16.7%) |
| Placebo - Part B | 0/2 (0%) | 0/2 (0%) | 1/2 (50%) |
| 2000 mg LY3316531 IV - Part B | 0/6 (0%) | 1/6 (16.7%) | 4/6 (66.7%) |
| 300 mg LY3316531 IV - Part C | 0/8 (0%) | 0/8 (0%) | 7/8 (87.5%) |
| Event | Placebo - Part A | 3 mg LY3316531 IV - Part A | 15 mg LY3316531 IV - Part A | 75 mg LY3316531 IV - Part A | 300 mg LY3316531 IV - Part A | 300 mg LY3316531 SC- Part A | 900 mg LY3316531 IV - Part A | 2000 mg LY3316531 IV - Part A | Placebo - Part B | 2000 mg LY3316531 IV - Part B | 300 mg LY3316531 IV - Part C |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Abscess limbInfections and infestations | 0/11 | 0/3 | 0/3 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/2 | 1/6 | 0/8 |
| Event | Placebo - Part A | 3 mg LY3316531 IV - Part A | 15 mg LY3316531 IV - Part A | 75 mg LY3316531 IV - Part A | 300 mg LY3316531 IV - Part A | 300 mg LY3316531 SC- Part A | 900 mg LY3316531 IV - Part A | 2000 mg LY3316531 IV - Part A | Placebo - Part B | 2000 mg LY3316531 IV - Part B | 300 mg LY3316531 IV - Part C |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ConstipationGastrointestinal disorders | 0/11 | 0/3 | 0/3 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 1/2 | 0/6 | 0/8 |
| Upper respiratory tract infectionInfections and infestations | 0/11 | 1/3 | 0/3 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 1/2 | 0/6 | 1/8 |
| Injection site erythemaGeneral disorders | 0/11 | 0/3 | 0/3 | 0/6 | 0/6 | 2/6 | 0/6 | 0/6 | 0/2 | 0/6 | 0/8 |
| LacerationInjury, poisoning and procedural complications | 0/11 | 0/3 | 1/3 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/2 | 0/6 | 0/8 |
| Musculoskeletal stiffnessMusculoskeletal and connective tissue disorders | 0/11 | 1/3 | 0/3 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/2 | 1/6 | 0/8 |
| HeadacheNervous system disorders | 2/11 | 0/3 | 0/3 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/2 | 0/6 | 0/8 |
| Chapped lipsGastrointestinal disorders | 0/11 | 0/3 | 0/3 | 1/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/2 | 0/6 | 0/8 |
| Chest painGeneral disorders | 0/11 | 0/3 | 0/3 | 0/6 | 0/6 | 0/6 | 1/6 | 0/6 | 0/2 | 0/6 | 0/8 |
| Infusion site bruisingGeneral disorders | 0/11 | 0/3 | 0/3 | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/2 | 1/6 | 0/8 |
| Injection site bruisingGeneral disorders | 0/11 | 0/3 | 0/3 | 0/6 | 0/6 | 1/6 | 0/6 | 0/6 | 0/2 | 0/6 | 0/8 |
All randomized participants.
| Age, Categorical(Participants) | Placebo - Part A | 3 mg LY3316531 IV - Part A | 15 mg LY3316531 IV - Part A | 75 mg LY3316531 IV - Part A | 300 mg LY3316531 IV - Part A | 300 mg LY3316531 SC- Part A | 900 mg LY3316531 IV - Part A | 2000 mg LY3316531 IV - Part A | Placebo - Part B | 2000 mg LY3316531 IV - Part B | 300 mg LY3316531 IV - Part C | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 11 | 3 | 3 | 6 | 6 | 6 | 6 | 6 | 2 | 6 | 8 | 63 |
| >=65 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | Placebo - Part A | 3 mg LY3316531 IV - Part A | 15 mg LY3316531 IV - Part A | 75 mg LY3316531 IV - Part A | 300 mg LY3316531 IV - Part A | 300 mg LY3316531 SC- Part A | 900 mg LY3316531 IV - Part A | 2000 mg LY3316531 IV - Part A | Placebo - Part B | 2000 mg LY3316531 IV - Part B | 300 mg LY3316531 IV - Part C | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Female | 4 | 1 | 1 | 2 | 1 | 0 | 2 | 1 | 1 | 1 | 3 | 17 |
| Male | 7 | 2 | 2 | 4 | 5 | 6 | 4 | 5 | 1 | 5 | 5 | 46 |
| Ethnicity (NIH/OMB)(Participants) | Placebo - Part A | 3 mg LY3316531 IV - Part A | 15 mg LY3316531 IV - Part A | 75 mg LY3316531 IV - Part A | 300 mg LY3316531 IV - Part A | 300 mg LY3316531 SC- Part A | 900 mg LY3316531 IV - Part A | 2000 mg LY3316531 IV - Part A | Placebo - Part B | 2000 mg LY3316531 IV - Part B | 300 mg LY3316531 IV - Part C | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 2 | 1 | 1 | 2 | 4 | 2 | 2 | 2 | 1 | 0 | 0 | 17 |
| Not Hispanic or Latino | 9 | 2 | 2 | 4 | 2 | 4 | 4 | 4 | 1 | 6 | 8 | 46 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Placebo - Part A | 3 mg LY3316531 IV - Part A | 15 mg LY3316531 IV - Part A | 75 mg LY3316531 IV - Part A | 300 mg LY3316531 IV - Part A | 300 mg LY3316531 SC- Part A | 900 mg LY3316531 IV - Part A | 2000 mg LY3316531 IV - Part A | Placebo - Part B | 2000 mg LY3316531 IV - Part B | 300 mg LY3316531 IV - Part C | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Asian | 1 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 3 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| Black or African American | 5 | 2 | 0 | 3 | 1 | 0 | 2 | 2 | 0 | 2 | 4 | 21 |
| White | 5 | 1 | 2 | 3 | 5 | 4 | 3 | 4 | 2 | 2 | 3 | 34 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 1 | 4 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Region of Enrollment(Participants) | Placebo - Part A | 3 mg LY3316531 IV - Part A | 15 mg LY3316531 IV - Part A | 75 mg LY3316531 IV - Part A | 300 mg LY3316531 IV - Part A | 300 mg LY3316531 SC- Part A | 900 mg LY3316531 IV - Part A | 2000 mg LY3316531 IV - Part A | Placebo - Part B | 2000 mg LY3316531 IV - Part B | 300 mg LY3316531 IV - Part C | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| United States | 11 | 3 | 3 | 6 | 6 | 6 | 6 | 6 | 2 | 6 | 8 | 63 |
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Eli Lilly and Company