A Study of LY3337641 in Rheumatoid Arthritis | NCT02628028 | Trialant
NCT02628028
Sponsor
Eli Lilly and Company
Status
Terminated
Last Update Posted
Oct 9, 2019Actual
Enrollment
286Actual
Phase
Phase 2
Conditions
Rheumatoid Arthritis
Interventions
LY3337641
Placebo
Countries
United States
Argentina
Australia
Austria
Italy
Japan
Mexico
Poland
Puerto Rico
Slovakia
South Africa
South Korea
Spain
Protocol Section
Identification Module
NCT ID
NCT02628028
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
16173
Secondary IDs
ID
Type
Description
Link
I8K-MC-JPDA
Other Identifier
Eli Lilly and Company
2015-003289-97
EudraCT Number
Brief Title
A Study of LY3337641 in Rheumatoid Arthritis
Official Title
A Randomized, Double-Blind, Placebo-Controlled, 2-Part Phase 2 Study to Evaluate the Safety and Efficacy of LY3337641 in Adult Subjects With Rheumatoid Arthritis: The RAjuvenate Study
Acronym
RAjuvenate
Organization
Eli Lilly and CompanyINDUSTRY
Status Module
Record Verification Date
Sep 2019
Overall Recruitment Status or Expanded Access Status
Terminated
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
The trial was terminated after an interim analysis of efficacy and safety data did not warrant continuation of the trial.
Expanded Access Info
No
Start Date
Aug 22, 2016Actual
Primary Completion Date
Apr 25, 2018Actual
Completion Date
Aug 15, 2018Actual
First Submitted Date
Dec 9, 2015
First Submission Date that Met QC Criteria
Dec 9, 2015
First Posted Date
Dec 11, 2015Estimated
Results Waived
Not provided
Results First Submitted Date
Aug 9, 2019
Results First Submitted that Met QC Criteria
Sep 19, 2019
Results First Posted Date
Oct 9, 2019Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Apr 24, 2019
Certification/Extension First Submitted that Passed QC Review
Apr 24, 2019
Certification/Extension First Posted Date
Apr 30, 2019Actual
Last Update Submitted Date
Sep 19, 2019
Last Update Posted Date
Oct 9, 2019Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Eli Lilly and CompanyINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The main purpose of this study is to evaluate the safety and effectiveness of LY3337641 in adults with rheumatoid arthritis (RA).
Detailed Description
Not provided
Conditions Module
Conditions
Rheumatoid Arthritis
Keywords
Not provided
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
286Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Part A 5 mg LY3337641
Experimental
Given once a day for 4 weeks.
Drug: LY3337641
Part A 10 mg LY3337641
Experimental
Given once a day for 4 weeks.
Drug: LY3337641
Part A 30 mg LY3337641
Experimental
Given once a day for 4 weeks.
Drug: LY3337641
Part A Placebo
Placebo Comparator
Given once a day for 4 weeks.
Drug: Placebo
Part B 5 mg LY3337641
Experimental
Given once a day for 12 weeks and an additional 52 weeks for Long-term extension (LTE) period.
Drug: LY3337641
Part B 10 mg LY3337641
Experimental
Given once a day for 12 weeks and an additional 52 weeks for Long-term extension (LTE) period.
Interventions
Name
Type
Description
Arm Group Labels
Other Names
LY3337641
Drug
Administered orally
Part A 10 mg LY3337641
Part A 30 mg LY3337641
Part A 5 mg LY3337641
Part B 10 mg LY3337641
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Number of Participants With One or More Treatment-Emergent Adverse Events (TEAEs) or Adverse Events of Special Interest (AESIs) or Any Serious AEs (SAEs) in Part A
TEAEs are any untoward medical occurrence that either occurs or worsens at any time after treatment baseline, and in the opinion of the investigators is possibly related to study drug. Skin Rash was the only event that was considered an AESI. A serious AE is defined as an event that results in death, initial or prolonged hospitalization, is life-threatening, leads to persistent or significant disability/incapacity, is associated with congenital anomaly/birth defect, or is considered significant by the investigator for any other reason. A summary of SAEs and other non-serious AEs, regardless of whether or not they were possibly related to study drug, is located in the Reported Adverse Event section.
Up to 6 Weeks
Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response in Part B
ACR20 Responder Index is a composite of clinical, laboratory, and functional measures in rheumatoid arthritis (RA). "ACR20 Responder" is a participant who has at least 20% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using visual analog scale (VAS), Health Assessment Questionnaire - Disability Index (HAQ-DI) and high-sensitivity C-reactive protein (hsCRP). Participants with missing responses and /or participants who discontinue study or drug before analysis timepoint are deemed non-responders.
Week 12
Secondary Outcomes
Measure
Description
Time Frame
Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response in Part B
ACR50 Responder Index is composite of clinical, laboratory, and functional measures in RA. "ACR50 Responder" is a participant who has at least 50% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria:
Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using VAS, HAQ-DI and hsCRP. Participants with missing responses and/or participants who discontinue study or drug before analysis timepoint are deemed non-responders.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Female subjects of childbearing potential test negative for pregnancy at screening and agree not to breastfeed
Female subjects: agree to use a reliable method of birth control from the start of screening until 28 days after the last dose of study drug or be of nonchildbearing potential
Male subjects: agree to use a reliable method of birth control from the start of screening until 2 weeks after the last dose of study drug or have undergone vasectomy
Have a diagnosis of RA based on the 2010 American College of Rheumatology (ACR)/European League against Rheumatism criteria
Have at least 1 of the following:
rheumatoid factor or anti-citrullinated peptide antibodies (ACPA) at screening OR
radiographs documenting bony erosions
Have active RA, defined as:
Part A: ≥3 swollen joints (based on 66-joint counts)
Part B:
≥6 swollen joints (based on 66-joint counts)
≥6 tender joints (based on 68-joint counts)
hsCRP levels greater than the upper limit of normal (ULN) OR positive for ACPA
Part B only: Have had inadequate response, loss of response, or intolerance to at least 1 synthetic OR biologic disease-modifying antirheumatic drug (DMARD)
Exclusion Criteria:
Have received any of the following:
Part B only: any prior treatment with a product directly targeting Bruton's tyrosine kinase (BTK) (marketed or investigational)
belimumab, natalizumab, or vedolizumab within 6 months prior to baseline
B-cell-depleting agents (such as rituximab) or other cell-depleting biologics (eg, anti-cluster of differentiation 3 (CD3) antibody) within 12 months prior to screening for Part A or at any time prior to screening for Part B
Have known hypogammaglobulinemia
Have hepatitis C virus, hepatitis B virus or human immunodeficiency virus
Have active tuberculosis (TB)
Are at high risk of infection or have recent evidence of clinically significant infection
Have had lymphoma, leukemia, or any malignancy within the previous 5 years except for treated basal cell or squamous epithelial carcinomas of the skin
Have received a live (attenuated) vaccine within 28 days prior to baseline or plan to receive one during the study
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
65 Years
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Genovese MC, Spindler A, Sagawa A, Park W, Dudek A, Kivitz A, Chao J, Chan LSM, Witcher J, Barchuk W, Nirula A. Safety and Efficacy of Poseltinib, Bruton's Tyrosine Kinase Inhibitor, in Patients With Rheumatoid Arthritis: A Randomized, Double-blind, Placebo-controlled, 2-part Phase II Study. J Rheumatol. 2021 Jul;48(7):969-976. doi: 10.3899/jrheum.200893. Epub 2020 Dec 15.
See Also Links
Not provided
Available IPD Information
Not provided
IPD Sharing Statement Module
Plan to Share IPD
Yes
Description
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Types
Study Protocol
Statistical Analysis Plan (SAP)
Clinical Study Report (CSR)
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and European union (EU), whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
The study consist of 2-parts. Part A included participants with at least mildly active rheumatoid arthritis (RA) and Part B included participants with moderately to severely active RA. Long-term extension (LTE) period allowed eligible participants who completed Part B of study to receive LY3337641 up to an additional 52 weeks.
Recruitment Details
Not provided
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Part A: Placebo
Participants received oral dose of placebo once daily (QD) for 4 weeks.
FG001
Part A: 5 mg LY3337641
Participants received oral dose of 5 mg LY3337641 QD for 4 weeks.
Periods
Title
Milestones
Reasons Not Completed
Dosing Period
Type
Comment
Milestone Data
STARTED
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
Jul 5, 2017
Sep 18, 2019
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Germany
Submission Tracking
No data available
No data is available for this block.
Condition Browse Module
MeSH Terms
Intervention Browse Module
No data available
No data is available for this block.
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Triple
Masking Description
Not provided
Who Masked
ParticipantCare ProviderInvestigator
Drug: LY3337641
Part B 30 mg LY3337641
Experimental
Given once a day for 12 weeks and an additional 52 weeks for Long-term extension (LTE) period.
Drug: LY3337641
Part B Placebo
Placebo Comparator
Given once a day for 12 weeks.
Drug: Placebo
Part B 30 mg LY3337641
Part B 5 mg LY3337641
Placebo
Drug
Administered orally
Part A Placebo
Part B Placebo
Week 12
Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response in Part B
ACR70 Responder Index is composite of clinical, laboratory, and functional measures in RA. "ACR70 Responder" is a participant who has at least 70% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria:
Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using VAS, HAQ-DI and hsCRP. Participants with missing responses and/or participants who discontinue study or drug before analysis timepoint are deemed non-responders.
Week 12
Change From Baseline in the Disease Activity Score (DAS) 28-high-sensitivity C-reactive Protein (hsCRP) in Part B
Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using VAS. DAS28 was calculated using following formula: DAS28-CRP=0.56*square root (sqrt)(TJC28)+0.28*sqrt(SJC28)+0.36*natural log(CRP+1)+0.014*Patient's Global VAS+0.96. Scores ranged 1.0-9.4, where lower scores indicated less disease activity.
Baseline, Week 12
Percentage of Participants Who Achieve Low Disease Activity Using DAS28-hsCRP in Part B
Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using VAS. DAS28 was calculated using following formula: DAS28-CRP=0.56*square root (sqrt)(TJC28)+0.28*sqrt(SJC28)+0.36*natural log(CRP+1)+0.014*Patient's Global VAS+0.96. Scores ranged 1.0-9.4, where lower scores indicated less disease activity.
Week 12
Percentage of Participants Who Achieve Clinical Remission Using DAS28-hsCRP in Part B
Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using visual analog scale (VAS) (participant global VAS). DAS28 was calculated using following formula: DAS28-CRP=0.56*square root (sqrt)(TJC28)+0.28*sqrt(SJC28)+0.36*natural log(CRP+1)+0.014*Patient's Global VAS+0.96. Clinical remission is defined as DAS28-hsCRP <2.6.
Week 12
Pharmacokinetics (PK): Clearance Parameter of LY3337641
Apparent total body clearance of drug after oral administration based on population PK analysis was evaluated. As prespecified per protocol, an overall population estimate of clearance is generated and data from Part A and B were combined for the analysis. The sparse data was then analyzed using population PK methods in Non linear Mixed Effects Model (NONMEM) to generate an overall population estimate of clearance.
Part A: Weeks 1, 2, and 4, Day 1 (0.5 to 2 hours postdose); Part B: Weeks 2, 4, 8, and 12, Day 1 (0.5 to 2 hours postdose)
Palo Alto
California
94304
United States
Denver Arthritis Center
Denver
Colorado
80230
United States
Innovative Research of West Florida
Clearwater
Florida
33756
United States
Jeffrey Alper MD Research
Naples
Florida
34102
United States
Sun Coast Clinical Research, Inc
New Port Richey
Florida
34652
United States
Lovelace Scientific Resources
Venice
Florida
34292
United States
Center for Arthritis & Osteoporosis
Elizabethtown
Kentucky
42701
United States
Clayton Medical Research
St Louis
Missouri
63117
United States
Rowan Regional Medical Center
Salisbury
North Carolina
28144
United States
PMG Research of Wilmington, LLC
Wilmington
North Carolina
28401
United States
Articularis Healthcare d/b/a/ Low Country Rheumatology, PA
North Charleston
South Carolina
29406
United States
Accurate Clinical Research
League City
Texas
77573
United States
Accurate Clinical Research
Nassau Bay
Texas
77058
United States
Rheumatology and Immunotherapy Center
Franklin
Wisconsin
53132
United States
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Buenos Aires
C1430EGF
Argentina
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Ciudad Autonoma de Buenos Aire
C1015ABO
Argentina
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Ciudad Autonoma de Buenos Aire
C1128AAF
Argentina
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Ciudad Autonoma de Buenos Aire
C1204AAD
Argentina
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Ciudad Autonoma de Buenos Aire
C1426AAL
Argentina
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Ciudad Autonoma de Buenos Aire
c1440AAD
Argentina
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Córdoba
X5000EDC
Argentina
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Rosario
S2000CFJ
Argentina
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Rosario
S2000PBJ
Argentina
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San Fernando
B1646DBM
Argentina
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San Juan
J5402DIL
Argentina
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San Miguel de Tucumán
4000
Argentina
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San Miguel de Tucumán
T4000AXL
Argentina
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Maroochydore
4558
Australia
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Woodville South
5011
Australia
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Innsbruck
6020
Austria
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Vienna
1090
Austria
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Florence
50139
Italy
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Milan
20157
Italy
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Torino
10154
Italy
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Asahikawa
070-8644
Japan
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Chiba
275-8580
Japan
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Fukuoka
810-8539
Japan
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Fukuoka
810-8563
Japan
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Hokkaido
060-0001
Japan
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Kitakyushu
807-8556
Japan
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Nagano
380-8582
Japan
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ÅŒmura
856-8562
Japan
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Sapporo
060-0004
Japan
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Sapporo
060-8648
Japan
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Sasebo
857-1195
Japan
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Sendai
980-8574
Japan
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Colonia Roma
6700
Mexico
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Distrito Federal
3100
Mexico
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Mexicali
21100
Mexico
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Mexico City
06700
Mexico
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Elblag
82-300
Poland
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Gdansk
80-546
Poland
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Nadarzyn
05-830
Poland
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Warsaw
03-291
Poland
Office: Perez-De Jesus, Amarilis
Caguas
PR
00725
Puerto Rico
Mindful Medical Research
San Juan
PR
00918
Puerto Rico
Latin Clinical Trial Center
Santurce
00909
Puerto Rico
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Bratislava
85101
Slovakia
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Zvolen
96001
Slovakia
For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.
Pinelands
7405
South Africa
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Stellenbosch
7600
South Africa
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Umhlanga
4319
South Africa
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Junggu
22332
South Korea
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Seoul
04763
South Korea
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Seoul
05030
South Korea
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Seoul
06591
South Korea
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Seoul
07345
South Korea
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Alicante
03570
Spain
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Bilbao
48013
Spain
For additional information regarding investigative sites for this trial, contact 1-888-545-5972 Mon - Fri, 9 AM to 4 PM or 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri, 9 AM to 5 PM Eastern Time or speak with your personal physician.
Seville
41010
Spain
FG002
Part A: 10 mg LY3337641
Participants received oral dose of 10 mg LY3337641 QD for 4 weeks.
FG003
Part A: 30 mg LY3337641
Participants received oral dose of 30 mg LY3337641 QD for 4 weeks.
FG004
Part B: Placebo
Participants received oral dose of placebo QD for 12 weeks.
FG005
Part B: 5 mg LY3337641
Part B Dosing period: Participants received oral dose of 5 mg LY3337641 tablet QD for 12 weeks.
Long-term extension (LTE) period: Participants who completed Part B of study received oral dose of 5 mg LY3337641 QD for an additional 52 weeks.
FG006
Part B: 10 mg LY3337641
Participants received oral dose of 10 mg LY3337641 tablet QD for 12 weeks.
Long-term extension (LTE) period: Participants who completed Part B of study received oral dose of 10 mg LY3337641 QD for an additional 52 weeks.
FG007
Part B: 30 mg LY3337641
Participants received oral dose of 30 mg LY3337641 QD for 12 weeks.
Long-term extension (LTE) period: Participants who completed Part B of study received oral dose of 30 mg LY3337641 QD for an additional 52 weeks.
FG0009 subjects
FG0019 subjects
FG00210 subjects
FG0038 subjects
FG00462 subjects
FG00563 subjects
FG00662 subjects
FG00763 subjects
Received at Least 1dose of Study Drug
FG0009 subjects
FG0019 subjects
FG00210 subjects
FG0038 subjects
FG00462 subjects
FG00563 subjects
FG00662 subjects
FG00763 subjects
COMPLETED
FG0009 subjects
FG0019 subjects
FG0029 subjects
FG0038 subjects
FG00446 subjects
FG00549 subjects
FG00646 subjects
FG00748 subjects
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0030 subjects
FG00416 subjects
FG00514 subjects
FG00616 subjects
FG00715 subjects
Type
Comment
Reasons
Withdrawal by Subject
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0030 subjects
FG0042 subjects
FG0054 subjects
FG0061 subjects
FG0071 subjects
Adverse Event
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Death
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Lack of Efficacy
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Study Terminated by Sponsor
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Physician Decision
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Site Terminated by Sponsor
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Lost to Follow-up
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Other
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Long-term Extension (LTE) Period
Type
Comment
Milestone Data
STARTED
FG0000 subjectsLTE period included participants who completed Part B of the study.
FG0010 subjectsLTE period included participants who completed Part B of the study.
FG0020 subjectsLTE period included participants who completed Part B of the study.
FG0030 subjectsLTE period included participants who completed Part B of the study.
FG0040 subjectsPart B LTE was optional;42 participants completed part B placebo period,re-randomized to LTE period.
FG00561 subjectsPart B LTE was optional;14 participants completed part B placebo period,re-randomized to LTE period.
FG00658 subjectsPart B LTE was optional;14 participants completed part B placebo period,re-randomized to LTE period.
FG00761 subjectsPart B LTE was optional;14 participants completed part B placebo period,re-randomized to LTE period.
Placebo Re-randomized in LTE
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Adverse Event
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG003
All randomized participants who received at least 1 dose of the study drug.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Part A: Placebo
Participants received oral dose of placebo once daily (QD) for 4 weeks.
BG001
Part A: 5 mg LY3337641
Participants received oral dose of 5 mg LY3337641 QD for 4 weeks.
BG002
Part A: 10 mg LY3337641
Participants received oral dose of 10 mg LY3337641 QD for 4 weeks.
BG003
Part A: 30 mg LY3337641
Participants received oral dose of 30 mg LY3337641 QD for 4 weeks.
BG004
Part B: Placebo
Participants received oral dose of placebo QD for 12 weeks.
BG005
Part B: 5 mg LY3337641
Participants received oral dose of 5 mg LY3337641 QD for 12 weeks.
BG006
Part B: 10 mg LY3337641
Participants received oral dose of 10 mg LY3337641 QD for 12 weeks.
BG007
Part B: 30 mg LY3337641
Participants received oral dose of 30 mg LY3337641 QD for 12 weeks.
BG008
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG0009
BG0019
BG00210
BG0038
BG00462
BG00563
BG00662
BG00763
BG008286
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00054.3± 11.43
BG00154.0± 11.75
BG00256.9± 6.44
BG003
Sex: Female, Male
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
Female
BG0008
BG0018
BG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG0004
BG0013
BG002
Race (NIH/OMB)
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0002
BG0011
BG002
Region of Enrollment
Count of Participants
Participants
No
Title
Denominators
Categories
Puerto Rico
Title
Measurements
BG0000
BG0010
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Number of Participants With One or More Treatment-Emergent Adverse Events (TEAEs) or Adverse Events of Special Interest (AESIs) or Any Serious AEs (SAEs) in Part A
TEAEs are any untoward medical occurrence that either occurs or worsens at any time after treatment baseline, and in the opinion of the investigators is possibly related to study drug. Skin Rash was the only event that was considered an AESI. A serious AE is defined as an event that results in death, initial or prolonged hospitalization, is life-threatening, leads to persistent or significant disability/incapacity, is associated with congenital anomaly/birth defect, or is considered significant by the investigator for any other reason. A summary of SAEs and other non-serious AEs, regardless of whether or not they were possibly related to study drug, is located in the Reported Adverse Event section.
All randomized participants who received at least 1 dose of the study drug in Part A.
Posted
Count of Participants
Participants
No
Up to 6 Weeks
ID
Title
Description
OG000
Part A: Placebo
Participants received oral dose of placebo once daily (QD) for 4 weeks.
OG001
Part A: 5 mg LY3337641
Participants received oral dose of 5 mg LY3337641 QD for 4 weeks.
OG002
Part A: 10 mg LY3337641
Participants received oral dose of 10 mg LY3337641 QD for 4 weeks.
OG003
Part A: 30 mg LY3337641
Participants received oral dose of 30 mg LY3337641 QD for 4 weeks.
Units
Counts
Participants
OG0009
OG0019
OG00210
OG003
Title
Denominators
Categories
TEAEs
Title
Measurements
OG0003
OG0011
OG0026
OG003
Primary
Percentage of Participants Achieving American College of Rheumatology 20% (ACR20) Response in Part B
ACR20 Responder Index is a composite of clinical, laboratory, and functional measures in rheumatoid arthritis (RA). "ACR20 Responder" is a participant who has at least 20% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria: Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using visual analog scale (VAS), Health Assessment Questionnaire - Disability Index (HAQ-DI) and high-sensitivity C-reactive protein (hsCRP). Participants with missing responses and /or participants who discontinue study or drug before analysis timepoint are deemed non-responders.
All randomized participants who received at least 1 dose of the study drug, for participants who completed or early discontinued dosing treatment period before the study was terminated in Part B. Missing values due to discontinuation of study or drug, or missing data were imputed using non-responder imputation (NRI).
Posted
Number
95% Confidence Interval
Percentage of Participants
Week 12
ID
Title
Description
OG000
Part B: Placebo
Participants received oral dose of placebo QD for 12 weeks.
OG001
Part B: 5 mg LY3337641
Participants received oral dose of 5 mg LY3337641 QD for 12 weeks.
Secondary
Percentage of Participants Achieving American College of Rheumatology 50% (ACR50) Response in Part B
ACR50 Responder Index is composite of clinical, laboratory, and functional measures in RA. "ACR50 Responder" is a participant who has at least 50% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria:
Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using VAS, HAQ-DI and hsCRP. Participants with missing responses and/or participants who discontinue study or drug before analysis timepoint are deemed non-responders.
All randomized participants who received at least 1 dose of the study drug, for participants who completed or early discontinued dosing treatment period before the study was terminated in Part B. Missing values due to discontinuation of study or drug, or missing data were imputed using non-responder imputation (NRI).
Posted
Number
95% Confidence Interval
Percentage of Participants
Week 12
ID
Title
Description
OG000
Part B: Placebo
Participants received oral dose of placebo QD for 12 weeks.
OG001
Part B: 5 mg LY3337641
Participants received oral dose of 5 mg LY3337641 QD for 12 weeks.
OG002
Part B: 10 mg LY3337641
Secondary
Percentage of Participants Achieving American College of Rheumatology 70% (ACR70) Response in Part B
ACR70 Responder Index is composite of clinical, laboratory, and functional measures in RA. "ACR70 Responder" is a participant who has at least 70% improvement in both tender and swollen joint counts and in at least 3 of the following 5 criteria:
Physician's Global Assessment of Disease Activity, Patient's Global Assessment of Disease Activity, Patient's Global Assessment of Arthritis Pain using VAS, HAQ-DI and hsCRP. Participants with missing responses and/or participants who discontinue study or drug before analysis timepoint are deemed non-responders.
All randomized participants who received at least 1 dose of the study drug, for participants who completed or early discontinued dosing treatment period before the study was terminated in Part B. Missing values due to discontinuation of study or drug, or missing data were imputed using non-responder imputation (NRI).
Posted
Number
95% Confidence Interval
Percentage of Participants
Week 12
ID
Title
Description
OG000
Part B: Placebo
Participants received oral dose of placebo QD for 12 weeks.
OG001
Part B: 5 mg LY3337641
Participants received oral dose of 5 mg LY3337641 QD for 12 weeks.
OG002
Part B: 10 mg LY3337641
Secondary
Change From Baseline in the Disease Activity Score (DAS) 28-high-sensitivity C-reactive Protein (hsCRP) in Part B
Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using VAS. DAS28 was calculated using following formula: DAS28-CRP=0.56*square root (sqrt)(TJC28)+0.28*sqrt(SJC28)+0.36*natural log(CRP+1)+0.014*Patient's Global VAS+0.96. Scores ranged 1.0-9.4, where lower scores indicated less disease activity.
All randomized participants who received at least 1 dose of the study drug, for participants who completed or early discontinued dosing treatment period before the study was terminated in Part B. Missing values due to discontinuation of study or drug, or missing data were imputed using non-responder imputation (NRI).
Posted
Mean
Standard Deviation
units on a scale
Baseline, Week 12
ID
Title
Description
OG000
Part B: Placebo
Participants received oral dose of placebo QD for 12 weeks.
OG001
Part B: 5 mg LY3337641
Participants received oral dose of 5 mg LY3337641 QD for 12 weeks.
OG002
Part B: 10 mg LY3337641
Secondary
Percentage of Participants Who Achieve Low Disease Activity Using DAS28-hsCRP in Part B
Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using VAS. DAS28 was calculated using following formula: DAS28-CRP=0.56*square root (sqrt)(TJC28)+0.28*sqrt(SJC28)+0.36*natural log(CRP+1)+0.014*Patient's Global VAS+0.96. Scores ranged 1.0-9.4, where lower scores indicated less disease activity.
All randomized participants who received at least 1 dose of the study drug, for participants who completed or early discontinued dosing treatment period before the study was terminated in Part B. Missing values due to discontinuation of study or drug, or missing data were imputed using non-responder imputation (NRI).
Posted
Number
95% Confidence Interval
Percentage of Participants
Week 12
ID
Title
Description
OG000
Part B: Placebo
Participants received oral dose of placebo QD for 12 weeks.
OG001
Part B: 5 mg LY3337641
Participants received oral dose of 5 mg LY3337641 QD for 12 weeks.
OG002
Part B: 10 mg LY3337641
Secondary
Percentage of Participants Who Achieve Clinical Remission Using DAS28-hsCRP in Part B
Disease Activity Score (DAS) modified to include 28 joint count (DAS28) consisted of composite score of following variables: tender joint count (TJC28), swollen joint count (SJC28), C-reactive protein (CRP) (milligrams per liter), and Patient's Global Assessment of Disease Activity using visual analog scale (VAS) (participant global VAS). DAS28 was calculated using following formula: DAS28-CRP=0.56*square root (sqrt)(TJC28)+0.28*sqrt(SJC28)+0.36*natural log(CRP+1)+0.014*Patient's Global VAS+0.96. Clinical remission is defined as DAS28-hsCRP <2.6.
All randomized participants who received at least 1 dose of the study drug, for participants who completed or early discontinued dosing treatment period before the study was terminated in Part B. Missing values due to discontinuation of study or drug, or missing data were imputed using non-responder imputation (NRI).
Posted
Number
95% Confidence Interval
Percentage of Participants
Week 12
ID
Title
Description
OG000
Part B: Placebo
Participants received oral dose of placebo QD for 12 weeks.
OG001
Part B: 5 mg LY3337641
Participants received oral dose of 5 mg LY3337641 QD for 12 weeks.
OG002
Part B: 10 mg LY3337641
Secondary
Pharmacokinetics (PK): Clearance Parameter of LY3337641
Apparent total body clearance of drug after oral administration based on population PK analysis was evaluated. As prespecified per protocol, an overall population estimate of clearance is generated and data from Part A and B were combined for the analysis. The sparse data was then analyzed using population PK methods in Non linear Mixed Effects Model (NONMEM) to generate an overall population estimate of clearance.
All randomized participants who received at least 1 dose of the study drug and have evaluable PK data in in Part A and Part B.
Posted
Mean
Standard Error
Liter per hour (L/hr)
Part A: Weeks 1, 2, and 4, Day 1 (0.5 to 2 hours postdose); Part B: Weeks 2, 4, 8, and 12, Day 1 (0.5 to 2 hours postdose)
ID
Title
Description
OG000
LY3337641
Participants received oral doses of 5 mg, 10 mg and 30 mg LY3337641 QD for 4 weeks in Part A and 12 weeks in Part B.
Units
Counts
Participants
OG000
Time Frame
Up to 88 Weeks
Description
All randomized participants who received at least 1 dose of the study drug. Gender specific events only occurring in male or female participants have had the number of participants at risk adjusted accordingly.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Part A: Placebo
Participants received oral dose of placebo once daily (QD) for 4 weeks.
0
9
0
9
3
9
EG001
Part A: 5 mg LY3337641
Participants received oral dose of 5 mg LY3337641 QD for 4 weeks.
0
9
0
9
1
9
EG002
Part A: 10 mg LY3337641
Participants received oral dose of 10 mg LY3337641 QD for 4 weeks.
0
10
0
10
6
10
EG003
Part A: 30 mg LY3337641
Participants received oral dose of 30 mg LY3337641 QD for 4 weeks.
0
8
0
8
2
8
EG004
Part B: Placebo
Participants received oral dose of placebo QD for 12 weeks.
0
62
2
62
7
62
EG005
Part B: 5 mg LY3337641
Participants received oral dose of 5 mg LY3337641 QD for 12 weeks.
0
63
0
63
10
63
EG006
Part B: 10 mg LY3337641
Participants received oral dose of 10 mg LY3337641 QD for 12 weeks.
0
62
0
62
12
62
EG007
Part B: 30 mg LY3337641
Participants received oral dose of 30 mg LY3337641 QD for 12 weeks.
1
63
3
63
19
63
EG008
Long-Term Extension: 5 mg LY3337641
Participants who completed Part B of study received oral dose of 5 mg LY3337641 QD for an additional 52 weeks.
0
61
1
61
11
61
EG009
Long-Term Extension: 10 mg LY3337641
Participants who completed Part B of study received oral dose of 10 mg LY3337641 QD for an additional 52 weeks.
0
58
3
58
12
58
EG010
Long-Term Extension: 30 mg LY3337641
Participants who completed Part B of study received oral dose of 30 mg LY3337641 QD for an additional 52 weeks.
0
61
1
61
10
61
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Cholecystitis acute
Hepatobiliary disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG0030 events0 affected8 at risk
EG0041 events1 affected62 at risk
EG0050 events0 affected63 at risk
EG0060 events0 affected62 at risk
EG0070 events0 affected63 at risk
EG0080 events0 affected61 at risk
EG0090 events0 affected58 at risk
EG0100 events0 affected61 at risk
Pneumonia
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Ankle fracture
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Foot fracture
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Hand fracture
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Joint dislocation
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Multiple injuries
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Patella fracture
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Pubis fracture
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Wrist fracture
Injury, poisoning and procedural complications
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Alanine aminotransferase increased
Investigations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Nephrolithiasis
Renal and urinary disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Venous thrombosis
Vascular disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Constipation
Gastrointestinal disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG0031 events1 affected8 at risk
EG0040 events0 affected62 at risk
EG0050 events0 affected63 at risk
EG0061 events1 affected62 at risk
EG0070 events0 affected63 at risk
EG0080 events0 affected61 at risk
EG0090 events0 affected58 at risk
EG0100 events0 affected61 at risk
Diarrhoea
Gastrointestinal disorders
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Dry mouth
Gastrointestinal disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0011 events1 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0021 events1 affected10 at risk
EG003
Fatigue
General disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Non-cardiac chest pain
General disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0021 events1 affected10 at risk
EG003
Bronchitis
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Laryngitis
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0021 events1 affected10 at risk
EG003
Nasopharyngitis
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Pharyngitis
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Sinusitis
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0021 events1 affected10 at risk
EG003
Hypertriglyceridaemia
Metabolism and nutrition disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0021 events1 affected10 at risk
EG003
Hypokalaemia
Metabolism and nutrition disorders
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Osteopenia
Musculoskeletal and connective tissue disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0011 events1 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Rheumatoid arthritis
Musculoskeletal and connective tissue disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Carotid artery aneurysm
Nervous system disorders
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Dizziness
Nervous system disorders
MedDRA 21.1
Systematic Assessment
EG0001 events1 affected9 at risk
EG0010 events0 affected9 at risk
EG0020 events0 affected10 at risk
EG003
Headache
Nervous system disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0022 events2 affected10 at risk
EG003
Benign prostatic hyperplasia
Reproductive system and breast disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected1 at risk
EG0010 events0 affected1 at risk
EG0020 events0 affected1 at risk
EG003
Erectile dysfunction
Reproductive system and breast disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected1 at risk
EG0010 events0 affected1 at risk
EG0020 events0 affected1 at risk
EG003
Cough
Respiratory, thoracic and mediastinal disorders
MedDRA 21.1
Systematic Assessment
EG0000 events0 affected9 at risk
EG0010 events0 affected9 at risk
EG0021 events1 affected10 at risk
EG003
The trial was terminated after an interim analysis of efficacy and safety data did not warrant continuation of the trial.