Trial Outcomes & Findings for A Study of LY110140 in Healthy Japanese Male Participants (NCT NCT01569126)

NCT ID: NCT01569126

Last Updated: 2014-02-10

Results Overview

A drug-related AE was an AE that occurred postdose or was present predose and became more severe postdose and was considered to be related to study treatment. A summary of AEs, regardless of causality, is located in the Reported Adverse Events module.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

56 participants

Primary outcome timeframe

Baseline up to Day 43

Results posted on

2014-02-10

Participant Flow

The study consisted of 2 parts: the open-label, single-dose (SD) period which included 3 cohorts (Cohorts 1 to 3) and the placebo-controlled, multiple-dose (MD) period which included 2 cohorts (Cohorts 4 and 5).

Participant milestones

Participant milestones
Measure
5 mg LY110140 (SD)
Cohort 1: 5-milligram (mg) LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
20 mg LY110140 (SD)
Cohort 2: 20-mg LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
40 mg LY110140 (SD)
Cohort 3: 40-mg LY110140 (fluoxetine hydrochloride) dose (two 20-mg LY110140 capsules) orally administered once, in a fasted state, during the SD period.
Placebo (MD)
Participants, in Cohorts 4 and 5, who received a placebo capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28 participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
20 mg LY110140 (MD)
Participants, in Cohort 4, who received 20-mg LY110140 (fluoxetine hydrochloride) capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
40 mg LY110140 (MD)
Participants, in Cohort 5, who received two 20-mg LY110140 (fluoxetine hydrochloride) capsules, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
Overall Study
STARTED
8
8
8
8
12
12
Overall Study
Received at Least 1 Dose of Study Drug
8
8
8
8
12
12
Overall Study
COMPLETED
8
8
8
8
12
12
Overall Study
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of LY110140 in Healthy Japanese Male Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
5 mg LY110140 (SD)
n=8 Participants
Cohort 1: 5-milligram (mg) LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
20 mg LY110140 (SD)
n=8 Participants
Cohort 2: 20-mg LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
40 mg LY110140 (SD)
n=8 Participants
Cohort 3: 40-mg LY110140 (fluoxetine hydrochloride) dose (two 20-mg LY110140 capsules) orally administered once, in a fasted state, during the SD period.
Placebo (MD)
n=8 Participants
Participants, in Cohorts 4 and 5, who received a placebo capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28 participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
20 mg LY110140 (MD)
n=12 Participants
Participants, in Cohort 4, who received 20-mg LY110140 (fluoxetine hydrochloride) capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
40 mg LY110140 (MD)
n=12 Participants
Participants, in Cohort 5, who received two 20-mg LY110140 (fluoxetine hydrochloride) capsules, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
Total
n=56 Participants
Total of all reporting groups
Age, Continuous
27.1 years
STANDARD_DEVIATION 4.4 • n=99 Participants
25.8 years
STANDARD_DEVIATION 2.4 • n=107 Participants
24.6 years
STANDARD_DEVIATION 2.4 • n=206 Participants
27.1 years
STANDARD_DEVIATION 4.4 • n=7 Participants
25.8 years
STANDARD_DEVIATION 6.3 • n=31 Participants
28.7 years
STANDARD_DEVIATION 6.2 • n=30 Participants
26.6 years
STANDARD_DEVIATION 4.9 • n=3 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
0 Participants
n=30 Participants
0 Participants
n=3 Participants
Sex: Female, Male
Male
8 Participants
n=99 Participants
8 Participants
n=107 Participants
8 Participants
n=206 Participants
8 Participants
n=7 Participants
12 Participants
n=31 Participants
12 Participants
n=30 Participants
56 Participants
n=3 Participants
Race/Ethnicity, Customized
Japanese
8 participants
n=99 Participants
8 participants
n=107 Participants
8 participants
n=206 Participants
8 participants
n=7 Participants
12 participants
n=31 Participants
12 participants
n=30 Participants
56 participants
n=3 Participants
Region of Enrollment
Japan
8 participants
n=99 Participants
8 participants
n=107 Participants
8 participants
n=206 Participants
8 participants
n=7 Participants
12 participants
n=31 Participants
12 participants
n=30 Participants
56 participants
n=3 Participants
Cytochrome P450 2D6 (CYP2D6) intermediate and extensive metabolizers
CYP2D6 extensive metabolizers
4 participants
n=99 Participants
4 participants
n=107 Participants
4 participants
n=206 Participants
4 participants
n=7 Participants
6 participants
n=31 Participants
6 participants
n=30 Participants
28 participants
n=3 Participants
Cytochrome P450 2D6 (CYP2D6) intermediate and extensive metabolizers
CYP2D6 intermediate metabolizers
4 participants
n=99 Participants
4 participants
n=107 Participants
4 participants
n=206 Participants
4 participants
n=7 Participants
6 participants
n=31 Participants
6 participants
n=30 Participants
28 participants
n=3 Participants

PRIMARY outcome

Timeframe: Baseline up to Day 43

Population: Randomized participants, in Cohorts 1, 2, and 3, who received at least 1 dose of study drug and had at least 1 postdose safety assessment.

A drug-related AE was an AE that occurred postdose or was present predose and became more severe postdose and was considered to be related to study treatment. A summary of AEs, regardless of causality, is located in the Reported Adverse Events module.

Outcome measures

Outcome measures
Measure
5 mg LY110140 (SD)
n=8 Participants
Cohort 1: 5-milligram (mg) LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
20 mg LY110140 (SD)
n=8 Participants
Cohort 2: 20-mg LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
40 mg LY110140 (SD)
n=8 Participants
Cohort 3: 40-mg LY110140 (fluoxetine hydrochloride) dose (two 20-mg LY110140 capsules) orally administered once, in a fasted state, during the SD period.
Placebo (MD)
Participants, in Cohorts 4 and 5, who received a placebo capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
20 mg LY110140 (MD)
Participants, in Cohort 4, who received 20-mg LY110140 (fluoxetine hydrochloride) capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
40 mg LY110140 (MD)
Participants, in Cohort 5, who received two 20-mg LY110140 (fluoxetine hydrochloride) capsules, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
Number of Participants With One or More Drug-Related Adverse Events (AEs) or Any Serious AEs During the Single-Dose (SD) Period
Drug-Related AE
0 participants
0 participants
0 participants
Number of Participants With One or More Drug-Related Adverse Events (AEs) or Any Serious AEs During the Single-Dose (SD) Period
Any Serious AE
0 participants
0 participants
0 participants

PRIMARY outcome

Timeframe: Baseline up to Day 70

Population: Randomized participants, in Cohorts 4 and 5, who received at least 1 dose of study drug or placebo and had at least 1 postdose safety assessment.

A drug-related AE was an AE that occurred postdose or was present predose and became more severe postdose and was considered to be related to study treatment. A summary of AEs, regardless of causality, is located in the Reported Adverse Events module.

Outcome measures

Outcome measures
Measure
5 mg LY110140 (SD)
n=8 Participants
Cohort 1: 5-milligram (mg) LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
20 mg LY110140 (SD)
n=12 Participants
Cohort 2: 20-mg LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
40 mg LY110140 (SD)
n=12 Participants
Cohort 3: 40-mg LY110140 (fluoxetine hydrochloride) dose (two 20-mg LY110140 capsules) orally administered once, in a fasted state, during the SD period.
Placebo (MD)
Participants, in Cohorts 4 and 5, who received a placebo capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
20 mg LY110140 (MD)
Participants, in Cohort 4, who received 20-mg LY110140 (fluoxetine hydrochloride) capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
40 mg LY110140 (MD)
Participants, in Cohort 5, who received two 20-mg LY110140 (fluoxetine hydrochloride) capsules, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
Number of Participants With One or More Drug-Related Adverse Events (AEs) or Any Serious AEs During the Multiple-Dose (MD) Period
Drug-Related AE
1 participants
0 participants
2 participants
Number of Participants With One or More Drug-Related Adverse Events (AEs) or Any Serious AEs During the Multiple-Dose (MD) Period
Any Serious AE
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Predose up to Day 43

Population: Randomized participants, in Cohorts 1, 2, and 3, who received at least 1 dose of study drug and had evaluable pharmacokinetic data.

Study drug was administered as LY110140 (fluoxetine hydrochloride) and its active portion, fluoxetine, was metabolized to norfluoxetine in the body. The Cmax of plasma total fluoxetine and norfluoxetine during the SD period is reported.

Outcome measures

Outcome measures
Measure
5 mg LY110140 (SD)
n=8 Participants
Cohort 1: 5-milligram (mg) LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
20 mg LY110140 (SD)
n=8 Participants
Cohort 2: 20-mg LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
40 mg LY110140 (SD)
n=8 Participants
Cohort 3: 40-mg LY110140 (fluoxetine hydrochloride) dose (two 20-mg LY110140 capsules) orally administered once, in a fasted state, during the SD period.
Placebo (MD)
Participants, in Cohorts 4 and 5, who received a placebo capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
20 mg LY110140 (MD)
Participants, in Cohort 4, who received 20-mg LY110140 (fluoxetine hydrochloride) capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
40 mg LY110140 (MD)
Participants, in Cohort 5, who received two 20-mg LY110140 (fluoxetine hydrochloride) capsules, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
Pharmacokinetics: Maximum Observed Drug Concentration (Cmax) of Single Dose (SD) of LY110140
Fluoxetine
NA nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation NA
The fluoxetine concentrations following a single administration of 5 mg LY110140 were below the quantifiable lower limit.
15.5 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 18
38.7 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 17
Pharmacokinetics: Maximum Observed Drug Concentration (Cmax) of Single Dose (SD) of LY110140
Norfluoxetine
2.44 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 33
13.0 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 10
22.8 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 30

SECONDARY outcome

Timeframe: Predose up to Day 43

Population: Randomized participants, in Cohorts 1, 2, and 3, who received at least 1 dose of study drug and had evaluable pharmacokinetic data.

Study drug was administered as LY110140 (fluoxetine hydrochloride) and its active portion, fluoxetine, was metabolized to norfluoxetine in the body. The AUC(0-tlast) of plasma total fluoxetine and norfluoxetine during the SD period is reported.

Outcome measures

Outcome measures
Measure
5 mg LY110140 (SD)
n=8 Participants
Cohort 1: 5-milligram (mg) LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
20 mg LY110140 (SD)
n=8 Participants
Cohort 2: 20-mg LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
40 mg LY110140 (SD)
n=8 Participants
Cohort 3: 40-mg LY110140 (fluoxetine hydrochloride) dose (two 20-mg LY110140 capsules) orally administered once, in a fasted state, during the SD period.
Placebo (MD)
Participants, in Cohorts 4 and 5, who received a placebo capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
20 mg LY110140 (MD)
Participants, in Cohort 4, who received 20-mg LY110140 (fluoxetine hydrochloride) capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
40 mg LY110140 (MD)
Participants, in Cohort 5, who received two 20-mg LY110140 (fluoxetine hydrochloride) capsules, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
Pharmacokinetics: Area Under the Concentration-Time Curve From Zero to Last Time Point [AUC(0-tlast)] of Single Dose (SD) of LY110140
Fluoxetine
NA nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation NA
The fluoxetine concentrations following a single administration of 5 mg LY110140 were below the quantifiable lower limit.
371 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 27
1360 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 46
Pharmacokinetics: Area Under the Concentration-Time Curve From Zero to Last Time Point [AUC(0-tlast)] of Single Dose (SD) of LY110140
Norfluoxetine
195 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 74
3000 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 20
5850 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 30

SECONDARY outcome

Timeframe: Predose up to Day 43

Population: Randomized participants, in Cohorts 1, 2, and 3, who received at least 1 dose of study drug and had evaluable pharmacokinetic data.

Study drug was administered as LY110140 (fluoxetine hydrochloride) and its active portion, fluoxetine, was metabolized to norfluoxetine in the body. The AUC(0-infinity) of plasma total fluoxetine and norfluoxetine during the SD period is reported.

Outcome measures

Outcome measures
Measure
5 mg LY110140 (SD)
n=8 Participants
Cohort 1: 5-milligram (mg) LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
20 mg LY110140 (SD)
n=8 Participants
Cohort 2: 20-mg LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
40 mg LY110140 (SD)
n=8 Participants
Cohort 3: 40-mg LY110140 (fluoxetine hydrochloride) dose (two 20-mg LY110140 capsules) orally administered once, in a fasted state, during the SD period.
Placebo (MD)
Participants, in Cohorts 4 and 5, who received a placebo capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
20 mg LY110140 (MD)
Participants, in Cohort 4, who received 20-mg LY110140 (fluoxetine hydrochloride) capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
40 mg LY110140 (MD)
Participants, in Cohort 5, who received two 20-mg LY110140 (fluoxetine hydrochloride) capsules, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
Pharmacokinetics: Area Under the Concentration-Time Curve From Zero to Infinity [AUC(0-infinity)] of Single Dose (SD) of LY110140
Fluoxetine
NA nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation NA
The fluoxetine concentrations following a single administration of 5 mg LY110140 were below the quantifiable lower limit.
424 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 27
1430 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 46
Pharmacokinetics: Area Under the Concentration-Time Curve From Zero to Infinity [AUC(0-infinity)] of Single Dose (SD) of LY110140
Norfluoxetine
407 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 67
3360 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 22
6360 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 32

SECONDARY outcome

Timeframe: Days 1 and 28

Population: Randomized participants, in Cohorts 4 and 5, who received at least 1 dose of study drug (excluding placebo) and had evaluable pharmacokinetic data.

Study drug was administered as LY110140 (fluoxetine hydrochloride) and its active portion, fluoxetine, was metabolized to norfluoxetine in the body. The Cmax of plasma total fluoxetine and norfluoxetine on Day 1 and Day 28 of the MD period is reported.

Outcome measures

Outcome measures
Measure
5 mg LY110140 (SD)
n=12 Participants
Cohort 1: 5-milligram (mg) LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
20 mg LY110140 (SD)
n=12 Participants
Cohort 2: 20-mg LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
40 mg LY110140 (SD)
Cohort 3: 40-mg LY110140 (fluoxetine hydrochloride) dose (two 20-mg LY110140 capsules) orally administered once, in a fasted state, during the SD period.
Placebo (MD)
Participants, in Cohorts 4 and 5, who received a placebo capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
20 mg LY110140 (MD)
Participants, in Cohort 4, who received 20-mg LY110140 (fluoxetine hydrochloride) capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
40 mg LY110140 (MD)
Participants, in Cohort 5, who received two 20-mg LY110140 (fluoxetine hydrochloride) capsules, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
Pharmacokinetics: Maximum Observed Drug Concentration (Cmax) of Multiple Doses (MD) of LY110140
Day 1, Fluoxetine
16.9 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 21
39.9 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 21
Pharmacokinetics: Maximum Observed Drug Concentration (Cmax) of Multiple Doses (MD) of LY110140
Day 28, Fluoxetine
92.9 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 43
284 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 24
Pharmacokinetics: Maximum Observed Drug Concentration (Cmax) of Multiple Doses (MD) of LY110140
Day 1, Norfluoxetine
10.6 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 38
18.3 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 22
Pharmacokinetics: Maximum Observed Drug Concentration (Cmax) of Multiple Doses (MD) of LY110140
Day 28, Norfluoxetine
136 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 28
222 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 17

SECONDARY outcome

Timeframe: Day 1

Population: Randomized participants, in Cohorts 4 and 5, who received at least 1 dose of study drug (excluding placebo) and had evaluable pharmacokinetic data.

Study drug was administered as LY110140 (fluoxetine hydrochloride) and its active portion, fluoxetine, was metabolized to norfluoxetine in the body. The AUC(0-24) of plasma total fluoxetine and norfluoxetine on Day 1 of the MD period is reported.

Outcome measures

Outcome measures
Measure
5 mg LY110140 (SD)
n=12 Participants
Cohort 1: 5-milligram (mg) LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
20 mg LY110140 (SD)
n=12 Participants
Cohort 2: 20-mg LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
40 mg LY110140 (SD)
Cohort 3: 40-mg LY110140 (fluoxetine hydrochloride) dose (two 20-mg LY110140 capsules) orally administered once, in a fasted state, during the SD period.
Placebo (MD)
Participants, in Cohorts 4 and 5, who received a placebo capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
20 mg LY110140 (MD)
Participants, in Cohort 4, who received 20-mg LY110140 (fluoxetine hydrochloride) capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
40 mg LY110140 (MD)
Participants, in Cohort 5, who received two 20-mg LY110140 (fluoxetine hydrochloride) capsules, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
Pharmacokinetics: Area Under the Concentration-Time Curve From Zero to 24 Hours [AUC(0-24)] of Multiple Doses (MD) of LY110140
Fluoxetine
228 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 29
574 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 24
Pharmacokinetics: Area Under the Concentration-Time Curve From Zero to 24 Hours [AUC(0-24)] of Multiple Doses (MD) of LY110140
Norfluoxetine
199 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 41
337 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 24

SECONDARY outcome

Timeframe: Predose up to Day 28

Population: Randomized participants, in Cohorts 4 and 5, who received at least 1 dose of study drug (excluding placebo) and had evaluable pharmacokinetic data.

Study drug was administered as LY110140 (fluoxetine hydrochloride) and its active portion, fluoxetine, was metabolized to norfluoxetine in the body. The AUC(tau,steady state) of plasma total fluoxetine and norfluoxetine during the MD period is reported.

Outcome measures

Outcome measures
Measure
5 mg LY110140 (SD)
n=12 Participants
Cohort 1: 5-milligram (mg) LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
20 mg LY110140 (SD)
n=12 Participants
Cohort 2: 20-mg LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
40 mg LY110140 (SD)
Cohort 3: 40-mg LY110140 (fluoxetine hydrochloride) dose (two 20-mg LY110140 capsules) orally administered once, in a fasted state, during the SD period.
Placebo (MD)
Participants, in Cohorts 4 and 5, who received a placebo capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
20 mg LY110140 (MD)
Participants, in Cohort 4, who received 20-mg LY110140 (fluoxetine hydrochloride) capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
40 mg LY110140 (MD)
Participants, in Cohort 5, who received two 20-mg LY110140 (fluoxetine hydrochloride) capsules, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
Pharmacokinetics: Area Under the Concentration-Time Curve for Dosing Interval (Tau) at Steady State [AUC(Tau,Steady State)] of Multiple Doses (MD) of LY110140
Fluoxetine
1810 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 48
5910 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 25
Pharmacokinetics: Area Under the Concentration-Time Curve for Dosing Interval (Tau) at Steady State [AUC(Tau,Steady State)] of Multiple Doses (MD) of LY110140
Norfluoxetine
3010 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 29
4910 nanograms*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 19

SECONDARY outcome

Timeframe: Baseline, up to Day 43 (SD period) and Baseline, up to Day 70 (MD period)

Population: Randomized participants, in Cohorts 1, 2, and 3, who received at least 1 dose of study drug and had at least 1 postdose safety assessment.

The number of participants with a maximum increase from baseline in 12-lead electrocardiogram (ECG) QTcB and QTcF intervals \>30 milliseconds (ms) and \>60 ms for the single-dose (SD) and multiple-dose (MD) periods is reported.

Outcome measures

Outcome measures
Measure
5 mg LY110140 (SD)
n=8 Participants
Cohort 1: 5-milligram (mg) LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
20 mg LY110140 (SD)
n=8 Participants
Cohort 2: 20-mg LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
40 mg LY110140 (SD)
n=8 Participants
Cohort 3: 40-mg LY110140 (fluoxetine hydrochloride) dose (two 20-mg LY110140 capsules) orally administered once, in a fasted state, during the SD period.
Placebo (MD)
n=8 Participants
Participants, in Cohorts 4 and 5, who received a placebo capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
20 mg LY110140 (MD)
n=12 Participants
Participants, in Cohort 4, who received 20-mg LY110140 (fluoxetine hydrochloride) capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
40 mg LY110140 (MD)
n=12 Participants
Participants, in Cohort 5, who received two 20-mg LY110140 (fluoxetine hydrochloride) capsules, orally administered once daily for 28 days, during the MD period. On Days 1 and 28, participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
Change From Baseline in Bazett's and Fridericia's Corrected QT (QTcB and QTcF) Intervals
QTcF >60 ms
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants
Change From Baseline in Bazett's and Fridericia's Corrected QT (QTcB and QTcF) Intervals
QTcB >30 ms
1 participants
2 participants
2 participants
2 participants
3 participants
6 participants
Change From Baseline in Bazett's and Fridericia's Corrected QT (QTcB and QTcF) Intervals
QTcF >30 ms
1 participants
0 participants
0 participants
0 participants
1 participants
4 participants
Change From Baseline in Bazett's and Fridericia's Corrected QT (QTcB and QTcF) Intervals
QTcB >60 ms
0 participants
0 participants
0 participants
0 participants
0 participants
0 participants

Adverse Events

5 mg LY110140 (SD)

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

20 mg LY110140 (SD)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

40 mg LY110140 (SD)

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Placebo (MD)

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

20 mg LY110140 (MD)

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

40 mg LY110140 (MD)

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
5 mg LY110140 (SD)
n=8 participants at risk
Cohort 1: 5-milligram (mg) LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
20 mg LY110140 (SD)
n=8 participants at risk
Cohort 2: 20-mg LY110140 (fluoxetine hydrochloride) capsule orally administered once, in a fasted state, during the SD period.
40 mg LY110140 (SD)
n=8 participants at risk
Cohort 3: 40-mg LY110140 (fluoxetine hydrochloride) dose (two 20-mg LY110140 capsules) orally administered once, in a fasted state, during the SD period.
Placebo (MD)
n=8 participants at risk
Participants, in Cohorts 4 and 5, who received a placebo capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28 participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
20 mg LY110140 (MD)
n=12 participants at risk
Participants, in Cohort 4, who received 20-mg LY110140 (fluoxetine hydrochloride) capsule, orally administered once daily for 28 days, during the MD period. On Days 1 and 28 participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
40 mg LY110140 (MD)
n=12 participants at risk
Participants, in Cohort 5, who received two 20-mg LY110140 (fluoxetine hydrochloride) capsules, orally administered once daily for 28 days, during the MD period. On Days 1 and 28 participants were required to fast at least 8 hours prior to dosing and 4 hours postdose.
Cardiac disorders
Atrioventricular block first degree
12.5%
1/8 • Number of events 2
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/12
16.7%
2/12 • Number of events 2
Eye disorders
Conjunctivitis allergic
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/12
8.3%
1/12 • Number of events 1
Eye disorders
Eye discharge
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/12
0.00%
0/12
Eye disorders
Ocular hyperaemia
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/12
0.00%
0/12
Gastrointestinal disorders
Diarrhoea
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
8.3%
1/12 • Number of events 1
0.00%
0/12
Gastrointestinal disorders
Haemorrhoids
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/12
8.3%
1/12 • Number of events 1
Gastrointestinal disorders
Proctalgia
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/12
8.3%
1/12 • Number of events 1
Gastrointestinal disorders
Stomatitis
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
8.3%
1/12 • Number of events 1
0.00%
0/12
General disorders
Chills
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/12
0.00%
0/12
General disorders
Pyrexia
0.00%
0/8
0.00%
0/8
0.00%
0/8
25.0%
2/8 • Number of events 2
8.3%
1/12 • Number of events 1
0.00%
0/12
Infections and infestations
Tonsillitis
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/12
0.00%
0/12
Injury, poisoning and procedural complications
Excoriation
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/12
8.3%
1/12 • Number of events 1
Investigations
Alanine aminotransferase increased
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
16.7%
2/12 • Number of events 3
8.3%
1/12 • Number of events 1
Investigations
Aspartate aminotransferase increased
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
8.3%
1/12 • Number of events 1
8.3%
1/12 • Number of events 1
Investigations
Blood triglycerides increased
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/12
8.3%
1/12 • Number of events 1
Investigations
White blood cell count decreased
0.00%
0/8
0.00%
0/8
25.0%
2/8 • Number of events 3
0.00%
0/8
0.00%
0/12
8.3%
1/12 • Number of events 1
Investigations
White blood cell count increased
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/12
8.3%
1/12 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
12.5%
1/8 • Number of events 1
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/12
0.00%
0/12
Nervous system disorders
Dizziness
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/12
8.3%
1/12 • Number of events 1
Nervous system disorders
Headache
0.00%
0/8
0.00%
0/8
0.00%
0/8
37.5%
3/8 • Number of events 3
0.00%
0/12
0.00%
0/12
Psychiatric disorders
Anxiety
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/8
0.00%
0/12
8.3%
1/12 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/12
0.00%
0/12
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/8
0.00%
0/8
0.00%
0/8
25.0%
2/8 • Number of events 2
0.00%
0/12
0.00%
0/12
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/8
0.00%
0/8
0.00%
0/8
12.5%
1/8 • Number of events 1
0.00%
0/12
0.00%
0/12

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60