A Phase 1 interventional study of Repaglinide and Selpercatinib in Healthy, sponsored by Eli Lilly and Company. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-11.
Sponsored by Eli Lilly and Company · Phase 1, Interventional, and Basic science
The main purpose of this study is to assess the effect of selpercatinib on how fast repaglinide gets into the blood stream and how long it takes the body to remove it when administered in healthy participants. Information about safety and tolerability will be collected. The study will last up to 12 days.
Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.
Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
* Day 1: Participants received single dose of 0.5 mg repaglinide tablet.
Drug: Repaglinide
* Day 1 to Day 9: Participants received 160 mg Selpercatinib capsule twice daily (BID). * Day 10: Participant received 160 mg Selpercatinib capsules BID co-administered with a single oral dose of 0.5 mg Repaglinide tablet on the morning of Day 10.
Drug: Repaglinide · Drug: Selpercatinib
Administered orally.
Administered orally.
Also known as: LY3527723, LOXO-292
Pharmacokinetics (PK): Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of Repaglinide
Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of Repaglinide
Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Percent of AUC0-inf Extrapolated (AUC%Extrap) of Repaglinide
Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Maximum Observed Concentration (Cmax) of Repaglinide
Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Time to Reach Maximum Observed Concentration (Tmax) of Repaglinide
Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Apparent Terminal Elimination Rate Constant (Kel) of Repaglindide
Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Apparent First-order Terminal Elimination Half-life (t½) of Repaglinide
Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Apparent Total Plasma Clearance After Oral (Extravascular) Administration (CL/F) of Repaglinide
PK: CL/F of Repaglinide
Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of Repaglinide
Time frame: Period 1: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose); Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 16 hours post dose)
PK: Area Under the Concentration-time Curve, From Time 0 to the 12 Hour (AUC0-12) of Selpercatinib
Time frame: Period 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of Selpercatinib
Time frame: Period 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Maximum Observed Concentration (Cmax) of Selpercatinib
Time frame: Period 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Time to Reach Maximum Observed Concentration (Tmax) of Selpercatinib
Time frame: Period 2: Day 1 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Area Under the Concentration-time Curve During a Dosing Interval (Tau) at Steady State (AUCtau) of Selpercatinib
Time frame: Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Maximum Observed Concentration at Steady-state (Cmax,ss) of Selpertcatinib
Time frame: Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Concentration Observed at the End of the Dosing Interval (Ctrough) of Selpercatinib
Time frame: Period 2: Predose at Day 1, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7, Day 8, Day 9
PK: Time to Reach Maximum Observed Concentration at Steady-state (Tmax,ss) of Selpercatinib
Time frame: Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
PK: Apparent Total Plasma Clearance at Steady State After Oral/Extravascular Administration (CL,ss/F) of Selpercatinib
Time frame: Period 2: Day 10 (Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 hours post dose)
| Milestone | Period 1: Repaglinide | Period 2: Selpercatinib + Repaglinide |
|---|---|---|
| Started | 16 | 0 |
| Safety analysis population (received at least one dose of study drug) | 16 | 0 |
| Completed | 16 | 0 |
| Not completed | 0 | 0 |
| Milestone | Period 1: Repaglinide | Period 2: Selpercatinib + Repaglinide |
|---|---|---|
| Started | 0 | 16 |
| Safety analysis population (received at least one dose of study drug) | 0 | 16 |
| Completed | 0 | 13 |
| Not completed | 0 | 3 |
| Withdrew: Adverse event | 0 | 3 |
| nanogram*hour per milliliter (ng*h/mL) | Period 1: Repaglinide | Period 2: Selpercatinib + Repaglinide |
|---|---|---|
| Pharmacokinetics (PK): Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of Repaglinide | 9.409 ± 57.1 | 26.87 ± 53.2 |
| nanogram*hour per milliliter (ng*h/mL) | Period 1: Repaglinide | Period 2: Selpercatinib + Repaglinide |
|---|---|---|
| PK: Area Under the Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC0-inf) of Repaglinide | 10.15 ± 51.3 | 27.31 ± 53.6 |
| percent AUC extrapolation | Period 1: Repaglinide | Period 2: Selpercatinib + Repaglinide |
|---|---|---|
| PK: Percent of AUC0-inf Extrapolated (AUC%Extrap) of Repaglinide | 1.256 ± 43.8 | 1.258 ± 85.8 |
| nanogram per milliliter (ng/mL) | Period 1: Repaglinide | Period 2: Selpercatinib + Repaglinide |
|---|---|---|
| PK: Maximum Observed Concentration (Cmax) of Repaglinide | 6.600 ± 77.4 | 12.11 ± 42.7 |
| hours | Period 1: Repaglinide | Period 2: Selpercatinib + Repaglinide |
|---|---|---|
| PK: Time to Reach Maximum Observed Concentration (Tmax) of Repaglinide | 0.623 ± 47.3 | 0.854 ± 42.5 |
| One per hour (1/h) | Period 1: Repaglinide | Period 2: Selpercatinib + Repaglinide |
|---|---|---|
| PK: Apparent Terminal Elimination Rate Constant (Kel) of Repaglindide | 0.2406 ± 27.9 | 0.2036 ± 36.2 |
| hours | Period 1: Repaglinide | Period 2: Selpercatinib + Repaglinide |
|---|---|---|
| PK: Apparent First-order Terminal Elimination Half-life (t½) of Repaglinide | 2.881 ± 27.9 | 3.405 ± 36.2 |
PK: CL/F of Repaglinide
| Liter per Hour (L/h) | Period 1: Repaglinide | Period 2: Selpercatinib + Repaglinide |
|---|---|---|
| PK: Apparent Total Plasma Clearance After Oral (Extravascular) Administration (CL/F) of Repaglinide | 49.26 ± 51.3 | 18.31 ± 53.6 |
| Liter (L) | Period 1: Repaglinide | Period 2: Selpercatinib + Repaglinide |
|---|---|---|
| PK: Apparent Volume of Distribution During the Terminal Elimination Phase (Vz/F) of Repaglinide | 204.8 ± 53.6 | 89.92 ± 64.9 |
| ng*h/mL | Period 2: Selpercatinib + Repaglinide |
|---|---|
| PK: Area Under the Concentration-time Curve, From Time 0 to the 12 Hour (AUC0-12) of Selpercatinib | 8424 ± 56.6 |
| ng*h/mL | Period 2: Selpercatinib + Repaglinide |
|---|---|
| PK: Area Under the Concentration-time Curve, From Time 0 to the Last Observed Non-zero Concentration (AUC0-t) of Selpercatinib | 8396 ± 56.7 |
| ng/mL | Period 2: Selpercatinib + Repaglinide |
|---|---|
| PK: Maximum Observed Concentration (Cmax) of Selpercatinib | 1476 ± 66.3 |
| hours | Period 2: Selpercatinib + Repaglinide |
|---|---|
| PK: Time to Reach Maximum Observed Concentration (Tmax) of Selpercatinib | 1.553 ± 25.9 |
| ng*h/mL | Period 2: Selpercatinib + Repaglinide |
|---|---|
| PK: Area Under the Concentration-time Curve During a Dosing Interval (Tau) at Steady State (AUCtau) of Selpercatinib | 33960 ± 45.0 |
| ng/mL | Period 2: Selpercatinib + Repaglinide |
|---|---|
| PK: Maximum Observed Concentration at Steady-state (Cmax,ss) of Selpertcatinib | 4082 ± 40.8 |
| ng/mL | Period 2: Selpercatinib + Repaglinide |
|---|---|
| Day 1 | 983.2 ± 225.43 |
| Day 2 | 1509 ± 362.03 |
| Day 3 | 1664 ± 529.60 |
| Day 4 | 1842 ± 657.65 |
| Day 5 | 1971 ± 642.36 |
| Day 6 | 2039 ± 780.35 |
| Day 7 | 2160 ± 771.22 |
| Day 8 | 2034 ± 635.04 |
| Day 9 | 2085 ± 762.09 |
| hours | Period 2: Selpercatinib + Repaglinide |
|---|---|
| PK: Time to Reach Maximum Observed Concentration at Steady-state (Tmax,ss) of Selpercatinib | 1.888 ± 29.6 |
| Liter per Hours (L/h) | Period 2: Selpercatinib + Repaglinide |
|---|---|
| PK: Apparent Total Plasma Clearance at Steady State After Oral/Extravascular Administration (CL,ss/F) of Selpercatinib | 4.711 ± 45.0 |
Collected over Baseline to Follow-up (up to Day 2 for Period 1; up to Day 11 for Period 2). Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Period 1: Repaglinide (Day 1) | 0/16 (0%) | 0/16 (0%) | 7/16 (43.8%) |
| Period 2: Selpercatinib (Day 1 to Day 9) | 0/16 (0%) | 0/16 (0%) | 7/16 (43.8%) |
| Period 2: Selpercatinib + Repaglinide (Day 10) | 0/13 (0%) | 0/13 (0%) | 11/13 (84.6%) |
| Event | Period 1: Repaglinide (Day 1) | Period 2: Selpercatinib (Day 1 to Day 9) | Period 2: Selpercatinib + Repaglinide (Day 10) |
|---|---|---|---|
| Blood glucose decreasedInvestigations | 5/16 | 0/16 | 8/13 |
| HypoglycaemiaMetabolism and nutrition disorders | 1/16 | 0/16 | 3/13 |
| HeadacheNervous system disorders | 0/16 | 2/16 | 2/13 |
| PainGeneral disorders | 0/16 | 0/16 | 1/13 |
| NauseaGastrointestinal disorders | 0/16 | 0/16 | 1/13 |
| CoughRespiratory, thoracic and mediastinal disorders | 0/16 | 0/16 | 1/13 |
| Electrocardiogram QT prolongedInvestigations | 0/16 | 1/16 | 0/13 |
| DizzinessNervous system disorders | 0/16 | 1/16 | 0/13 |
| TremorNervous system disorders | 1/16 | 0/16 | 0/13 |
| FatigueGeneral disorders | 0/16 | 1/16 | 0/13 |
All participants who received at least one dose of study drug.
| Age, Continuous(years) | All Participants |
|---|---|
| Mean | 37.2 ± 10.62 |
| Sex: Female, Male(Participants) | All Participants |
|---|---|
| Female | 3 |
| Male | 13 |
| Ethnicity (NIH/OMB)(Participants) | All Participants |
|---|---|
| Hispanic or Latino | 9 |
| Not Hispanic or Latino | 7 |
| Unknown or Not Reported | 0 |
| Race (NIH/OMB)(Participants) | All Participants |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 0 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 1 |
| White | 15 |
| More than one race | 0 |
| Unknown or Not Reported | 0 |
| Region of Enrollment(Participants) | All Participants |
|---|---|
| United States | 16 |
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