A Study of LY3819469 in Participants With Elevated Lipopr... | NCT05565742 | Trialant
NCT05565742
Sponsor
Eli Lilly and Company
Status
Completed
Last Update Posted
May 28, 2025Actual
Enrollment
320Actual
Phase
Phase 2
Conditions
Lipoprotein Disorder
Interventions
LY3819469
Placebo
Countries
United States
Argentina
China
Denmark
Germany
Japan
Mexico
Netherlands
Romania
Spain
Protocol Section
Identification Module
NCT ID
NCT05565742
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
18547
Secondary IDs
ID
Type
Description
Link
J3L-MC-EZEB
Other Identifier
Eli Lilly and Company
2022-501426-38-00
EU Trial (CTIS) Number
Brief Title
A Study of LY3819469 in Participants With Elevated Lipoprotein(a) [Lp(a)]
Official Title
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Investigate the Efficacy and Safety of LY3819469 in Adults With Elevated Lipoprotein(a)
Acronym
Not provided
Organization
Eli Lilly and CompanyINDUSTRY
Status Module
Record Verification Date
May 2025
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Oct 20, 2022Actual
Primary Completion Date
Oct 23, 2023Actual
Completion Date
Oct 17, 2024Actual
First Submitted Date
Oct 3, 2022
First Submission Date that Met QC Criteria
Oct 3, 2022
First Posted Date
Oct 4, 2022Actual
Results Waived
Not provided
Results First Submitted Date
Apr 17, 2025
Results First Submitted that Met QC Criteria
May 12, 2025
Results First Posted Date
May 28, 2025Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Apr 4, 2024
Certification/Extension First Submitted that Passed QC Review
Not provided
Certification/Extension First Posted Date
May 28, 2025Actual
Last Update Submitted Date
May 12, 2025
Last Update Posted Date
May 28, 2025Actual
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
Yes
Is FDA Regulated Device
No
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 determine the efficacy and safety of LY3819469 in adults with elevated lipoprotein(a). The study will lasts about 20 months.
Detailed Description
Not provided
Conditions Module
Conditions
Lipoprotein Disorder
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
320Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
16 mg LY3819469
Experimental
Participants received 16 milligrams (mg) of LY3819469 on day 1 and day 180, administered as a subcutaneous (SC) injection.
Drug: LY3819469
96 mg LY3819469
Experimental
Participants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
Drug: LY3819469
400 mg LY3819469
Experimental
Participants received 400 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
Drug: LY3819469
400 mg LY3819469 + Placebo
Experimental
Participants received 400 mg of LY3819469 on day 1 and placebo on day 180, administered as a SC injection.
Drug: LY3819469
Drug: Placebo
Placebo
Placebo Comparator
Participants received placebo on day 1 and day 180, administered as a SC injection.
Drug: Placebo
Interventions
Name
Type
Description
Arm Group Labels
Other Names
LY3819469
Drug
Administered SC
16 mg LY3819469
400 mg LY3819469
400 mg LY3819469 + Placebo
96 mg LY3819469
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Percent Change From Baseline in Time Averaged Lipoprotein(a) [Lp(a)] Over Days 60-180
LPa levels were assessed using Immuno turbidimetric method. Percent change is calculated as: Percent Change=[(Lp(a) at Time Point-Lp(a) at Baseline)/Lp(a) at Baseline]×100 Least squares (LS) mean was determined using mixed model repeated measures (MMRM) model with log(Lp(a)) - log(Baseline) = log(Baseline) + Treatment + Time + Treatment*Time (Type III sum of squares) as post-baseline measures. Result presented is after back-transformation. Variance-Covariance structure = Unstructured. Analyses included all participants having non-missing baseline and at least one non-missing post-baseline value of the response variable.
Baseline, Days 60 - 180
Secondary Outcomes
Measure
Description
Time Frame
Percent Change From Baseline in Time Averaged Lp(a) Over Days 240-360
LPa levels were assessed using Immuno turbidimetric method. LS mean was determined using MMRM model with log(Lp(a)) - log(Baseline) = log(Baseline) + Treatment + Time + Treatment*Time (Type III sum of squares) as post-baseline measures.. Result presented is after back-transformation. Variance-Covariance structure = Unstructured. Analyses included all participants having non-missing baseline and at least one non-missing post-baseline value of the response variable.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Participants must be at least 40 years old at the time of signing the informed consent.
Participants with Lp(a) ≥175 nmol/L at screening, measured at the central laboratory
Participants on the following medications according to local practice must be on a stable regimen for at least 4 weeks prior to screening and randomization and expected to remain on a stable regimen through the end of the Treatment and Assessment Period:
Have a body mass index within the range 18.5 to 40 kilogram/square meter (kg/m²), inclusive.
Male and/or Female
Males who agree to use highly effective/effective methods of contraception may participate in this trial.
Women not of childbearing potential (WNOCBP) may participate in this trial.
Exclusion Criteria:
Have a history or presence of an underlying disease, or surgical, physical, medical, or psychiatric condition that, in the opinion of the investigator, would potentially affect participant safety within the study or interfere with participating in or completing the study or with the interpretation of data.
Any of the following, or other events indicating unstable medical condition in the opinion of the investigator, within 3 months of randomization:
major surgery
coronary, carotid, or peripheral arterial revascularization
stroke or transient ischemic attack
myocardial infarction or unstable angina
acute limb ischemia
Have, in the 6 months prior to day 1, uncontrolled Type 1 or Type 2 diabetes.
Have uncontrolled hypertension
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
40 Years
Maximum Age
Not provided
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)
Nissen SE, Ni W, Shen X, Wang Q, Navar AM, Nicholls SJ, Wolski K, Michael L, Haupt A, Krege JH; ALPACA Trial Investigators. Lepodisiran - A Long-Duration Small Interfering RNA Targeting Lipoprotein(a). N Engl J Med. 2025 May 1;392(17):1673-1683. doi: 10.1056/NEJMoa2415818. Epub 2025 Mar 30.
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.
Participants received 16 milligrams (mg) of LY3819469 on day 1 and day 180, administered as a subcutaneous (SC) injection.
FG001
96 mg LY3819469
Participants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
Periods
Title
Milestones
Reasons Not Completed
Overall Study
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
Not provided
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 19, 2022
Mar 28, 2025
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
Estimated Results First Submitted Date
Not provided
Condition Browse Module
No data available
No data is available for this block.
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
Double
Masking Description
Not provided
Who Masked
ParticipantInvestigator
Placebo
Drug
Administered SC
400 mg LY3819469 + Placebo
Placebo
Baseline, Days 240 - 360
Percentage of Participants Achieving Lp(a) <125 and <75 Nanomole/Liter (Nmol/L) at Days 60, 180
Percentage of Participants Achieving Lp(a) <125 and <75 Nanomole/Liter (nmol/L) at Days 60, 180 is reported.
Days 60, 180
Percentage of Participants Achieving Lp(a) <125 and <75 Nanomole/Liter (Nmol/L) at Days 240, 360, and 540
Percentage of Participants Achieving Lp(a) <125 and <75 Nanomole/Liter (Nmol/L) at Days 240, 360, and 540 is reported.
Days 240, 360, and 540
Percent Change From Baseline in Lp(a)
LS mean was determined using MMRM model with log(Actual Measurement/Baseline) = log (Baseline) + High Risk CV Stratum (yes/no) + Treatment + Time + Treatment*Time (Type III sum of squares) as post-baseline measures. Variance-Covariance structure (Change from Baseline) = Unstructured. Analyses included all participants having non-missing baseline and at least one non-missing post-baseline value of the response variable.
Baseline, Days 60, 180, 240, 360, and 540
Percent Change From Baseline in Apolipoprotein B (ApoB)
LS mean was determined using MMRM model with log (Actual Measurement/Baseline) = log(Baseline) + Baseline Lp(a) stratum (<275 nmol/L vs. >=275 nmol/L) + High Risk CV Stratum (yes/no) + Treatment + Time + Treatment*Time (Type III sum of squares as post-baseline measures. Variance-Covariance structure (Change from Baseline) = Unstructured. Analyses included all participants having non-missing baseline and at least one non-missing post-baseline value of the response variable.
Baseline, Days 60, 180, 240, 360, and 540
Percent Change From Baseline in High-sensitivity C-reactive Protein (hsCRP)
hsCRP is a laboratory analyte that is an indicator of inflammation. Decreases in hsCRP represent reductions in inflammation. LS mean was determined using MMRM model with log (Actual Measurement/Baseline) = log(Baseline) + Baseline Lp(a) stratum (<275 nmol/L vs. >=275 nmol/L) + High Risk CV Stratum (yes/no) + Treatment + Time + Treatment*Time (Type III sum of squares as post-baseline measures. Variance-Covariance structure (Change from Baseline) = Unstructured. Analyses included all participants having non-missing baseline and at least one non-missing post-baseline value of the response variable.
Baseline, Days 60, 180, 240, 360, and 540
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-inf]) of LY3819469
AUC was computed using the population PK model. Therefore, the concentrations are simulated from time 0 to infinity to estimate AUC for each participant. The timeframe reflects the PK timepoints that were collected to develop the population PK. Although this is a multiple dose study, the plasma PK is very short, so AUC0-180days is equivalent to AUC0-infinity.
Day 1: 0.5 hours, 4-9 hours post-dose; Day 180: 24-36 hours post-dose
Pasadena
California
91105
United States
Care Access - Santa Clarita
Santa Clarita
California
91321
United States
Care Access - Spring Hill
Spring Hill
Florida
34609
United States
Care Access - Pebble Beach Boulevard, Tampa
Sun City
Florida
33573
United States
Care Access - Tamarac
Tamarac
Florida
33321
United States
Care Access - Tampa
Tampa
Florida
33625
United States
Care Access - Lake Charles
Lake Charles
Louisiana
70601
United States
Care Access - Baltimore
Baltimore
Maryland
21213
United States
Care Access - Dorchester
Dorchester
Massachusetts
02124
United States
Aventiv Research Inc
Columbus
Ohio
43213
United States
Care Access - Lima
Lima
Ohio
45805
United States
Capital Area Research, LLC
Camp Hill
Pennsylvania
17011
United States
Lancaster General Hospital
Lancaster
Pennsylvania
17602
United States
Cardiology Consultants of Philadelphia Yardley
Yardley
Pennsylvania
19067
United States
Care Access - Rapid City
Rapid City
South Dakota
57701
United States
Care Access - Georgetown
Georgetown
Texas
78633
United States
Care Access - Katy
Katy
Texas
77450
United States
Virginia Heart
Falls Church
Virginia
22042
United States
Mautalen Salud e Investigación
Buenos Aires
Buenos Aires F.D.
C1128AAF
Argentina
Centro de Investigaciones Metabólicas (CINME)
Ciudad Autónoma de Buenos Aire
Buenos Air
C1027AAP
Argentina
Glenny Corp. S.A.
Buenos Aires
Ciudad Aut
C1430CKE
Argentina
Investigaciones Medicas Imoba Srl
Balvanera
Ciudad Autónoma de Buenos Aire
C1056ABH
Argentina
CIPREC
Buenos Aires
Ciudad Autónoma de Buenos Aire
C1061AAS
Argentina
Centro Modelo de Cardiología
San Miguel de Tucumán
Tucumán Province
4000
Argentina
Investigaciones Clínicas Tucumán
San Miguel de Tucumán
Tucumán Province
4000
Argentina
CEMEDIC
Buenos Aires
1407
Argentina
Hospital San Roque
Córdoba
5000
Argentina
Centro Cardiovascular Salta
Salta
4406
Argentina
Centro de Investigaciones Clinicas del Litoral
Santa Fe
3000
Argentina
Third People's Hospital of Hainan Province
Sanya
Hainan
572000
China
The Second Affiliated Hospital of Nanjing Medical University
Nanjing
Jiangsu
210011
China
The Third Hospital of Nanchang
Nanchang
Jiangxi
330009
China
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an
Shaanxi
710061
China
Sanos Clinic
Herlev
Capital Region
2730
Denmark
Sanos Clinic - Nordjylland
Gandrup
North Denmark
9362
Denmark
Sanos Clinic - Syddanmark
Vejle
Region Syddanmark
7100
Denmark
Kardiologische Praxis Dr. med. univ. Wolfgang Jungmair
Bad Homburg
Hesse
61348
Germany
Cardioangiologisches Centrum Bethanien
Frankfurt am Main
Hesse
60389
Germany
Klinikum Bielefeld Mitte
Bielefeld
North Rhine-Westphalia
33604
Germany
SMO.MD GmbH
Magdeburg
Saxony-Anhalt
39120
Germany
Medizinisches Versorgungszentrum am Bahnhof Spandau
Spandau
State of Berlin
13597
Germany
Kardiologische Praxen im Spreebogen
Berlin
10559
Germany
Cardiologicum Hamburg
Hamburg
22041
Germany
Diabeteszentrum Hamburg West
Hamburg
22607
Germany
Sapporo Medical University Hospital
Sapporo
Hokkaido
060-8543
Japan
Hyogo Medical University Hospital
Nishinomiya
Hyōgo
663-8501
Japan
Kitasato University Hospital
Sagamihara
Kanagawa
252-0375
Japan
Rinku General Medical Center
Izumisano
Osaka
598-8577
Japan
Tokyo-Eki Center-building Clinic
Chuo-ku
Tokyo
103-0027
Japan
Clinical Research Hospital Tokyo
Shinjuku-ku
Tokyo
160-0004
Japan
Heishinkai Medical Group ToCROM Clinic
Shinjuku-ku
Tokyo
160-0008
Japan
Miyazaki Medical Association Hospital
Miyazaki
880-2102
Japan
AMC Nishiumeda Clinic
Osaka
530-0001
Japan
Centro de Investigacion Cardiovascular y Metabólica
Tijuana
Estado de Baja California
22500
Mexico
Virgen Cardiovascular Research SC
Guadalajara
Jalisco
44670
Mexico
Centro Para El Desarrollo de La Medicina Y de Asistencia Medica Especializada S.C.
Culiacán
Sinaloa
80230
Mexico
Fundación Cardiovascular de Aguascalientes A.C.
Aguascalientes
20230
Mexico
Centro de Estudios Clínicos de Querétaro (CECLIQ)
Querétaro
76000
Mexico
Amphia Ziekenhuis, locatie Breda Molengracht
Breda
North Brabant
4818 CK
Netherlands
Medisch Spectrum Twente
Enschede
Overijssel
7512 KZ
Netherlands
Saxenburgh Medisch Centrum
Hardenberg
Overijssel
7772 SE
Netherlands
Groene Hart Ziekenhuis
Gouda
South Holland
2803HH
Netherlands
Reinier de Graaf Ziekenhuis, locatie Delft
Delft
Zuid-Holla
2625 AD
Netherlands
Antonius Ziekenhuis, locatie D&A Research and Genetics
Sneek
8601 ZR
Netherlands
Sal Med Srl
Piteşti
Argeş
110437
Romania
C.M.D.T.A. Neomed
Brasov
Brașov County
500283
Romania
Hightech Medical Services SRL-Centrul pentru Studiul Metabolismului
Bucharest
Bucharest
011053
Romania
Centrul Medical Endocrinologie si Diabet Dr. Paveliu
Bucharest
Bucharest
50538
Romania
Private Practice - Dr. Mercea Corina Delia
Baia Mare
Maramureş
430123
Romania
Cardiomed
Târgu Mureş
Mureș County
540124
Romania
Private Practice - Dr. Cristian Podoleanu
Târgu Mureş
Mureș County
540143
Romania
Centrul Medical Medicalis
Timișoara
Timiș County
300462
Romania
Cardiomed Iași
Iași
700687
Romania
Hospital Universitario Reina Sofia
Córdoba
Andalusia
14004
Spain
Hospital Germans Trias i Pujol
Badalona
Barcelona [Barcelona]
08916
Spain
Hospital Universitari de Bellvitge
L'Hospitalet de Llobregat
Catalunya [Cataluña]
08907
Spain
Hospital Unviersitario Virgen Nieves
Granada
18014
Spain
Hospital Universitario Virgen Del Rocio
Seville
41013
Spain
Hospital Universitario Miguel Servet
Zaragoza
50009
Spain
Makhmudova U, Steinhagen-Thiessen E, Volpe M, Landmesser U. Advances in nucleic acid-targeted therapies for cardiovascular disease prevention. Cardiovasc Res. 2024 Sep 2;120(10):1107-1125. doi: 10.1093/cvr/cvae136.
Karp A, Jacobs M, Barris B, Labkowsky A, Frishman WH. Lipoprotein(a): A Review of Risk Factors, Measurements, and Novel Treatment Modalities. Cardiol Rev. 2025 Jul-Aug 01;33(4):352-358. doi: 10.1097/CRD.0000000000000667. Epub 2024 Feb 28.
FG002
400 mg LY3819469
Participants received 400 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
FG003
400 mg LY3819469 + Placebo
Participants received 400 mg of LY3819469 on day 1 and placebo on day 180, administered as a SC injection.
FG004
Placebo
Participants received placebo on day 1 and day 180, administered as a SC injection.
FG00036 subjects
FG00174 subjects
FG00269 subjects
FG00372 subjects
FG00469 subjects
Received at Least One Dose of Study Drug
FG00036 subjects
FG00174 subjects
FG00269 subjects
FG00372 subjects
FG00469 subjects
Full Analysis Set (FAS)
All randomized participants who received at least one dose of study drug and are not discontinued due to inadvertent enrollment. Participants were analyzed according to the treatment they were assigned
FG00036 subjects
FG00174 subjects
FG00269 subjects
FG00372 subjects
FG00469 subjects
Efficacy Analysis Set (EAS)
All randomized participants who received at least one dose of study drug and are not discontinued due to inadvertent enrollment. Excludes data after permanent discontinuation of study drug (for analysis post-day 180 participants were analyzed according to the treatment they were assigned) or after new initiation of medications that are known to impact Lp(a) levels.
FG00036 subjects
FG00174 subjects
FG00269 subjects
FG00372 subjects
FG00469 subjects
COMPLETED
FG00035 subjects
FG00174 subjects
FG00267 subjects
FG00370 subjects
FG00466 subjects
NOT COMPLETED
FG0001 subjects
FG0010 subjects
FG0022 subjects
FG0032 subjects
FG0043 subjects
Type
Comment
Reasons
Withdrawal by Subject
FG0000 subjects
FG0010 subjects
FG0022 subjects
FG0032 subjects
FG0042 subjects
Death
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Participant Travelled Abroad
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
All randomized participants.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
16 mg LY3819469
Participants received 16 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
BG001
96 mg LY3819469
Participants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
BG002
400 mg LY3819469
Participants received 400 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
BG003
400 mg LY3819469 + Placebo
Participants received 400 mg of LY3819469 on day 1 and placebo on day 180, administered as a SC injection.
BG004
Placebo
Participants received placebo on day 1 and day 180, administered as a SC injection.
BG005
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00036
BG00174
BG00269
BG00372
BG00469
BG005320
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
BG00062.6± 10.55
BG00163.8± 9.9
BG00261.4± 10.93
BG003
Sex: Female, Male
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
Female
BG0009
BG00135
BG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG0007
BG0018
BG002
Race (NIH/OMB)
Count of Participants
Participants
No
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0002
BG0010
BG002
Region of Enrollment
Count of Participants
Participants
No
Title
Denominators
Categories
Argentina
Title
Measurements
BG0005
BG0016
BG002
Lipoprotein(a) [Lp(a)] level
LPa levels were assessed using Immuno turbidimetric method.
Mean
Standard Deviation
Nanomole/Liter (nmol/L)
Title
Denominators
Categories
Title
Measurements
BG000267.63± 81.80
BG001278.86± 79.53
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
Percent Change From Baseline in Time Averaged Lipoprotein(a) [Lp(a)] Over Days 60-180
LPa levels were assessed using Immuno turbidimetric method. Percent change is calculated as: Percent Change=[(Lp(a) at Time Point-Lp(a) at Baseline)/Lp(a) at Baseline]×100 Least squares (LS) mean was determined using mixed model repeated measures (MMRM) model with log(Lp(a)) - log(Baseline) = log(Baseline) + Treatment + Time + Treatment*Time (Type III sum of squares) as post-baseline measures. Result presented is after back-transformation. Variance-Covariance structure = Unstructured. Analyses included all participants having non-missing baseline and at least one non-missing post-baseline value of the response variable.
Full Analysis Set. As specified in the Protocol and statistical analysis plan (SAP), for the primary analysis up to Day 180, the two LY3819469 treatment groups assigned to 400 mg (400 mg LY3819469, 400 mg LY3819469 + placebo) were pooled into one treatment group (400 mg LY3819469 pooled) because participants received the same study intervention in the first 180 days
Posted
Least Squares Mean
Standard Error
percent change
Baseline, Days 60 - 180
ID
Title
Description
OG000
16 mg LY3819469
Participants received 16 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG001
96 mg LY3819469
Participants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
Participants received 400 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
Participants received 400 mg of LY3819469 on day 1 and placebo on day 180, administered as a SC injection.
OG003
Placebo
Participants received placebo on day 1 and day 180, administered as a SC injection.
Units
Counts
Participants
OG00036
OG00174
OG002141
OG003
Title
Denominators
Categories
Title
Measurements
OG000-39.0± 7.37
OG001-74.4± 2.16
OG002-93.7± 0.38
OG003
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG003
Mixed Models Analysis
<0.001
LS Mean difference (Final Values)
-40.8
Standard Error of the Mean
8.82
2-Sided
95
-55.8
-20.6
Superiority
OG001
OG003
Mixed Models Analysis
Secondary
Percent Change From Baseline in Time Averaged Lp(a) Over Days 240-360
LPa levels were assessed using Immuno turbidimetric method. LS mean was determined using MMRM model with log(Lp(a)) - log(Baseline) = log(Baseline) + Treatment + Time + Treatment*Time (Type III sum of squares) as post-baseline measures.. Result presented is after back-transformation. Variance-Covariance structure = Unstructured. Analyses included all participants having non-missing baseline and at least one non-missing post-baseline value of the response variable.
Efficacy Analysis Set.
Posted
Least Squares Mean
Standard Error
percent change
Baseline, Days 240 - 360
ID
Title
Description
OG000
16 mg LY3819469
Participants received 16 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG001
96 mg LY3819469
Participants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG002
400 mg LY3819469
Participants received 400 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG003
400 mg LY3819469 + Placebo
Secondary
Percentage of Participants Achieving Lp(a) <125 and <75 Nanomole/Liter (Nmol/L) at Days 60, 180
Percentage of Participants Achieving Lp(a) <125 and <75 Nanomole/Liter (nmol/L) at Days 60, 180 is reported.
Efficacy Analysis Set. Overall Number of Participants Analyzed = number of participants in each group. Number Analyzed = participants with available data at specified time points.
As specified in the protocol and SAP, for the primary analysis up to Day 180, two LY3819469 treatment groups assigned to 400 mg (400 mg LY3819469,400 mg LY3819469 + placebo) were pooled into one treatment group (400 mg LY3819469 pooled) because participants are receiving same study intervention in the first 180 days.
Posted
Number
percentage of participants
Days 60, 180
ID
Title
Description
OG000
16 mg LY3819469
Participants received 16 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG001
96 mg LY3819469
Participants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
Participants received 400 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
Participants received 400 mg of LY3819469 on day 1 and placebo on day 180, administered as a SC injection.
Secondary
Percentage of Participants Achieving Lp(a) <125 and <75 Nanomole/Liter (Nmol/L) at Days 240, 360, and 540
Percentage of Participants Achieving Lp(a) <125 and <75 Nanomole/Liter (Nmol/L) at Days 240, 360, and 540 is reported.
Efficacy Analysis Set. Overall Number of Participants Analyzed = number of participants in each group. Number Analyzed = participants with available data at specified time points.
Posted
Number
percentage of participants
Days 240, 360, and 540
ID
Title
Description
OG000
16 mg LY3819469
Participants received 16 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG001
96 mg LY3819469
Participants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG002
400 mg LY3819469
Participants received 400 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG003
400 mg LY3819469 + Placebo
Participants received 400 mg of LY3819469 on day 1 and placebo on day 180, administered as a SC injection.
Secondary
Percent Change From Baseline in Lp(a)
LS mean was determined using MMRM model with log(Actual Measurement/Baseline) = log (Baseline) + High Risk CV Stratum (yes/no) + Treatment + Time + Treatment*Time (Type III sum of squares) as post-baseline measures. Variance-Covariance structure (Change from Baseline) = Unstructured. Analyses included all participants having non-missing baseline and at least one non-missing post-baseline value of the response variable.
Efficacy Analysis Set. Overall Number of Participants Analyzed = number of participants in each group. Number Analyzed = participants with available data at specified time points.
Posted
Least Squares Mean
Standard Error
percent change
Baseline, Days 60, 180, 240, 360, and 540
ID
Title
Description
OG000
16 mg LY3819469
Participants received 16 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG001
96 mg LY3819469
Participants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG002
400 mg LY3819469
Participants received 400 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
Secondary
Percent Change From Baseline in Apolipoprotein B (ApoB)
LS mean was determined using MMRM model with log (Actual Measurement/Baseline) = log(Baseline) + Baseline Lp(a) stratum (<275 nmol/L vs. >=275 nmol/L) + High Risk CV Stratum (yes/no) + Treatment + Time + Treatment*Time (Type III sum of squares as post-baseline measures. Variance-Covariance structure (Change from Baseline) = Unstructured. Analyses included all participants having non-missing baseline and at least one non-missing post-baseline value of the response variable.
Efficacy Analysis Set. Overall Number of Participants Analyzed = number of participants in each group. Number Analyzed = participants with available data at specified time points.
Posted
Least Squares Mean
Standard Error
percent change
Baseline, Days 60, 180, 240, 360, and 540
ID
Title
Description
OG000
16 mg LY3819469
Participants received 16 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG001
96 mg LY3819469
Participants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG002
400 mg LY3819469
Participants received 400 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
Secondary
Percent Change From Baseline in High-sensitivity C-reactive Protein (hsCRP)
hsCRP is a laboratory analyte that is an indicator of inflammation. Decreases in hsCRP represent reductions in inflammation. LS mean was determined using MMRM model with log (Actual Measurement/Baseline) = log(Baseline) + Baseline Lp(a) stratum (<275 nmol/L vs. >=275 nmol/L) + High Risk CV Stratum (yes/no) + Treatment + Time + Treatment*Time (Type III sum of squares as post-baseline measures. Variance-Covariance structure (Change from Baseline) = Unstructured. Analyses included all participants having non-missing baseline and at least one non-missing post-baseline value of the response variable.
Efficacy Analysis Set. Overall Number of Participants Analyzed = number of participants in each group. Number Analyzed = participants with available data at specified time points.
Posted
Least Squares Mean
Standard Error
percent change
Baseline, Days 60, 180, 240, 360, and 540
ID
Title
Description
OG000
16 mg LY3819469
Participants received 16 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG001
96 mg LY3819469
Participants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG002
400 mg LY3819469
Secondary
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-inf]) of LY3819469
AUC was computed using the population PK model. Therefore, the concentrations are simulated from time 0 to infinity to estimate AUC for each participant. The timeframe reflects the PK timepoints that were collected to develop the population PK. Although this is a multiple dose study, the plasma PK is very short, so AUC0-180days is equivalent to AUC0-infinity.
All randomized participants who received at least one dose of study drug and had evaluable PK data.
Posted
Geometric Mean
Geometric Coefficient of Variation
nanogram*hour per milliliter (ng*hr/mL)
Day 1: 0.5 hours, 4-9 hours post-dose; Day 180: 24-36 hours post-dose
ID
Title
Description
OG000
16 mg LY3819469
Participants received 16 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG001
96 mg LY3819469
Participants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
OG002
400 mg LY3819469
Participants received 400 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
Time Frame
Baseline Up to Day 540
Description
FAS: All randomized participants who received at least one dose of study drug and are not discontinued due to inadvertent enrollment. For safety analysis FAS was used based on actual treatment received. Gender specific events occurring only 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
16 mg LY3819469
Participants received 16 mg of LY3819469 on day 1 and day 180, administered as a SC injection
1
36
1
36
14
36
EG001
96 mg LY3819469
Participants received 96 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
0
74
9
74
25
74
EG002
400 mg LY3819469
Participants received 400 mg of LY3819469 on day 1 and day 180, administered as a SC injection.
0
69
11
69
34
69
EG003
400 mg LY3819469 + Placebo
Participants received 400 mg of LY3819469 on day 1 and placebo on day 180, administered as a SC injection.
0
72
8
72
35
72
EG004
Placebo
Participants received placebo on day 1 and day 180, administered as a SC injection.
0
69
6
69
26
69
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Acute myocardial infarction
Cardiac disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0020 events0 affected69 at risk
EG0031 events1 affected72 at risk
EG0040 events0 affected69 at risk
Angina unstable
Cardiac disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0011 events1 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Cardiac failure
Cardiac disorders
MedDRA 27.0
Systematic Assessment
EG0001 events1 affected36 at risk
EG0010 events0 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Coronary artery disease
Cardiac disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Myocardial infarction
Cardiac disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Glaucoma
Eye disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0011 events1 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Oedematous pancreatitis
Gastrointestinal disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Pancreatitis
Gastrointestinal disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Cardiac death
General disorders
MedDRA 27.0
Systematic Assessment
EG0001 events1 affected36 at risk
EG0010 events0 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Non-cardiac chest pain
General disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0011 events1 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Cellulitis
Infections and infestations
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0011 events1 affected74 at risk
EG0021 events1 affected69 at risk
EG003
Complicated appendicitis
Infections and infestations
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0021 events1 affected69 at risk
EG003
Diverticulitis
Infections and infestations
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0021 events1 affected69 at risk
EG003
Pilonidal disease
Infections and infestations
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0021 events1 affected69 at risk
EG003
Sepsis
Infections and infestations
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0021 events1 affected69 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0011 events1 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Vestibular neuronitis
Infections and infestations
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Viral infection
Infections and infestations
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0021 events1 affected69 at risk
EG003
Post procedural haematoma
Injury, poisoning and procedural complications
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0021 events1 affected69 at risk
EG003
Wound
Injury, poisoning and procedural complications
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Hyponatraemia
Metabolism and nutrition disorders
MedDRA 27.0
Systematic Assessment
EG0001 events1 affected36 at risk
EG0010 events0 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Osteoarthritis
Musculoskeletal and connective tissue disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0011 events1 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Spinal ligament ossification
Musculoskeletal and connective tissue disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0021 events1 affected69 at risk
EG003
Spinal stenosis
Musculoskeletal and connective tissue disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0021 events1 affected69 at risk
EG003
Spondylolisthesis
Musculoskeletal and connective tissue disorders
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected36 at risk
EG0010 events0 affected74 at risk
EG0020 events0 affected69 at risk
EG003
Breast cancer female
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 27.0
Systematic Assessment
EG0000 events0 affected9 at risk
EG0011 events1 affected35 at risk
EG0020 events0 affected35 at risk
EG003
Invasive lobular breast carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)