Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
LY2127399 · 12 trials · 8 indications
ACR20 Responder Index: Composite of clinical, laboratory, and functional measures of rheumatoid arthritis. ACR20 Responder: had \>=20% improvement from baseline in both 68 tender and 66 swollen joint counts and \>=20% improvement in at least 3 of 5 criteria: participant's and physician's global assessment of disease activity, Health Assessment Questionnaire-Disability Index (HAQ-DI) (which measured participants' perceived degree of difficulty performing daily activities), joint pain, and C-reactive protein (CRP). Percentage of participants achieving ACR20 response=(number of ACR20 responders/number of participants treated)\*100. All non-responders at Week 16 as well as all participants who discontinued study treatment at any time, for any reason, were defined as non-responders starting at that timepoint and going forward, including Week 24 endpoint.
Percentage of participants with a ≥ 5 point reduction from baseline in SELENA SLEDAI score, and no worsening (increase of \< 0.30 points from baseline) in PGA, and no new BILAG A organ domain score or 2 new BILAG B organ domain scores compared with baseline. SELENA SLEDAI is calculated from 24 individual descriptors across 9 organ systems; 0 indicates inactive disease and the maximum theoretical score is 105; scores \> 20 are rare. PGA is a visual analog scale scored from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe). BILAG uses a single score for each of the 9 organ domains; range is from severe (A) to no disease (E). Participants who were unable to comply with allowed concomitant medications requirements were considered non-responders, as were participants who dropped out or were missing Week 52 data.
The PRA value is calculated and expressed as a percentage, which can range from 0 % to 100%. The value represents a summation of the total HLA antibody burden that the participant has and how frequently those HLA antigens appear in organ donor population. A calculated PRA of 20% means the participant has antibodies that represent an antigen frequency that exists in approximately 20% of the population.
The PRA value is calculated and expressed as a percentage, which can range from 0% to 100%. The value represents a summation of the total HLA antibody burden that the participant has and how frequently those HLA antigens appear in organ donor population. A calculated PRA of 20% means the participant has antibodies that represent an antigen frequency that exists in approximately 20% of the population. PRA scores were transformed using the arcsine function, which enables a skewed distribution of data typically expressed as proportions to achieve properties closer to a normal distribution. The range of possible arcsine transformed PRA scores is 0 (when PRA = 0) to approximately 1.57 (when PRA =100). Higher scores indicate the participant has antibodies against HLA antigens that appear frequently in the organ donor population.
Lesions were measured using Gd-enhancing T1-weighted MRI scans. The number of T1-weighted lesions per scan was obtained from the number of T1-weighted lesions observed during a specified week divided by the number of scans performed that same week. To obtain the number of T1-weighted lesions per scan averaged during Weeks 12, 16, 20, and 24, the number of lesions per scan at each week was summed and then divided by the number of visits with non-missing lesion counts.
A TEAE started on or after the date and time of the first dose of study drug administered in this study, or started prior to the study drug administration but worsened after the study drug started. Clinically significant events were defined as SAEs and other non-serious adverse events (AEs). A summary of SAEs and other non-serious AEs is located in the Reported Adverse Events module. Participants were on treatment up to 48 weeks. If a participant completed 48 weeks of treatment, the post-study treatment follow-up started at the next visit, 4 weeks later (Week 52). If a participant discontinued treatment early \[early discontinuation (ED)\], the post-study treatment follow-up started immediately afterwards. Baseline was defined as Week 0 in this study \[which is equivalent to Week 24 of the participant's prior study: Study H9B-MC-BCDG (NCT00689728) or Study H9B-MC-BCDH (NCT00785928)\].
For each planned laboratory evaluation, the range of values to be reported as AEs, regardless of causality, was pre-specified. A summary of SAEs and other non-serious AEs regardless of causality is located in the Reported Adverse Events module. Baseline was defined as Week 0 in this study \[which is equivalent to Week 24 of the participant's prior study: Study H9B-MC-BCDG (NCT00689728) or Study H9B-MC-BCDH (NCT00785928)\].
ACR50 Responder Index is a composite of clinical, laboratory, and functional measures in rheumatoid arthritis. An ACR50 Responder is defined as a participant with \>50% improvement from baseline in both tender and swollen joint counts and in at least 3 of the following 5 criteria: physician global assessment, participant global assessment, functional ability measure (Health Assessment Questionnaire-Disability Index which measures participants' perceived degree of difficulty when performing various daily activities), visual analog pain scale, and erythrocyte sedimentation rate or C-reactive protein.
ACR50 Responder Index is a composite of clinical, laboratory, and functional measures in rheumatoid arthritis. ACR50 Responder is defined as a participant with greater than 50% improvement from baseline in both tender and swollen joint counts and in at least 3 of the following 5 criteria: physician global assessment, patient global assessment, functional ability measure (Health Assessment Questionnaire-Disability Index which measures participants' perceived degree of difficulty when performing various daily activities), visual analog pain scale, and erythrocyte sedimentation rate or C-reactive protein.
ACR Responder Index is a Composite of clinical, laboratory, and functional measures of rheumatoid arthritis (RA). ACR20 Responders: had ≥20% improvement from baseline in both tender and swollen joint counts and ≥20% improvement in at least 3 of 5 criteria: participant's and physician's global assessment of disease activity, Health Assessment Questionnaire-Disability Index (HAQ-DI) (which measured participants' perceived degree of difficulty performing daily activities), visual analog pain scale, and erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP).
Included are the number of participants who experienced SAEs and treatment-emergent other non-SAEs. A summary of SAEs and other non-SAEs, regardless of causality, is located in the Reported Adverse Events (AEs) module.
Clinically significant effects are defined as serious AEs (SAEs) and other non-serious AEs regardless of causality. A summary of SAEs and other non-serious AEs regardless of causality is located in the Reported Adverse Events module.
| Arm | Type | Description |
|---|---|---|
| 120 mg LY2127399 | EXPERIMENTAL | LY2127399: 120 milligrams (mg), subcutaneous (SC) injection, every 4 weeks for 24 weeks. Participants received a 240-mg (2 SC injections of 120 mg each) loading dose of LY2127399 when initiating treatment. During the Treatment Period, for blinding purposes, participants alternated injections of LY2127399 and injections of Placebo every 2 weeks. After 16 weeks, non-responders received 90 mg of LY2127399 every 2 weeks for the rest of the 24-week Treatment Period. |
| 90 mg LY2127399 | EXPERIMENTAL | LY2127399: 90 milligrams (mg), subcutaneous (SC) injection, every 2 weeks for 24 weeks. Participants received a 180-mg (2 SC injections of 90 mg each) loading dose of LY2127399 when initiating treatment. After 16 weeks, non-responders continued to receive 90 mg of LY2127399 every 2 weeks for the rest of the 24-week Treatment Period. |
| Placebo | PLACEBO_COMPARATOR | Placebo: subcutaneous (SC) injection, every 2 weeks for 24 weeks. Participants received a loading dose of 2 SC injections of Placebo when initiating treatment. After 16 weeks, non-responders received 90 milligrams (mg) of LY2127399 every 2 weeks for the rest of the 24-week Treatment Period. |
| LY2127399 every 2 weeks | EXPERIMENTAL | - |
| LY2127399 every 4 weeks | EXPERIMENTAL | During the Treatment Period, for blinding purposes, participants will alternate injections of LY2127399 and injections of placebo every 2 weeks. |
| LY2127399 every 4 wks | EXPERIMENTAL | During the Treatment Period, for blinding purposes, patients will alternate injections of LY2127399 and injections of placebo every 2 weeks. |
| LY2127399 | EXPERIMENTAL | - |
| 4 mg LY2127399 / 4 weeks | EXPERIMENTAL | Injection: 6 doses, one every 4 weeks for 24 weeks. |
| 40 mg LY2127399 / 4 weeks | EXPERIMENTAL | Injection: 6 doses, one every 4 weeks for 24 weeks. |
| 120 mg LY2127399 / 4 weeks | EXPERIMENTAL | Injection: 6 doses, one every 4 weeks for 24 weeks. |
| 4 mg LY2127399 / 12 weeks | EXPERIMENTAL | Drug: LY2127399 Injection: 2 doses, one every 12 weeks for 24 weeks. Drug: Placebo Injection: Every 4 weeks for 24 weeks (except Week 0 and Week 12). |
| 120 mg LY2127399 / 12 weeks | EXPERIMENTAL | Drug: LY2127399 Injection: 2 doses, one every 12 weeks for 24 weeks. Drug: Placebo Injection: Every 4 weeks for 24 weeks (except Week 0 and Week 12). |
| 12 mg LY2127399 / 4 weeks | EXPERIMENTAL | Injection: 6 doses, one every 4 weeks for 24 weeks. |
| 1 mg LY2127399 | EXPERIMENTAL | - |
| 3 mg LY2127399 | EXPERIMENTAL | - |
| 10 mg LY2127399 | EXPERIMENTAL | - |
| 30 mg LY2127399 | EXPERIMENTAL | - |
| 60 mg LY2127399 | EXPERIMENTAL | - |
| 30 milligram (mg) LY2127399 | EXPERIMENTAL | Double-blind Treatment: 30 mg LY2127399 administered as a single intravenous (IV) infusion over 30 minutes at 0, 3, and 6 weeks. Rescue: At Week 16 primary endpoint, participants without at least 20% improvement in either tender or swollen joint counts based on 28 joints, could receive an additional (unblinded) 30 minute infusion of LY2127399 80 mg or remain on initial randomized treatment up to Week 24. Follow-up: Optional visits beyond Week 24, if needed, to assess safety including B cell count recovery. |
| 80 mg LY2127399 | EXPERIMENTAL | Double-blind Treatment: 80 mg LY2127399 administered as a single IV infusion over 30 minutes at 0, 3, and 6 weeks. Rescue: At Week 16 primary endpoint, participants without at least 20% improvement in either tender or swollen joint counts based on 28 joints, could receive an additional (unblinded) 30 minute infusion of LY2127399 80 mg or remain on initial randomized treatment up to Week 24. Follow-up: Optional visits beyond Week 24, if needed, to assess safety including B cell count recovery. |
| A | EXPERIMENTAL | - |
| B | PLACEBO_COMPARATOR | - |
| Dose Escalation Phase(Part A): | EXPERIMENTAL | 1,10, 30, 100 or 300 mg of LY2127399 IV on day 1 of specific 21 day cycles and 1.3 mg/m2 Bortezomib IV on days 1, 4, 8, and 11 of each 21 day cycle |
| Dose Confirmation Phase (Part B1): | EXPERIMENTAL | Dose determined by PK/PD modeling, LY2127399 IV on day 2 of Cycle 1 and on day 1 of specific cycles and 1.3 mg/m2 Bortezomib IV on days 1, 4, 8, and 11 of each cycle |
| Dose Confirmation Phase (Part B2): | EXPERIMENTAL | Dose determined by PK/PD modeling, LY2127399 IV on day 1 of specific cycles and 1.3 mg/m2 Bortezomib IV on days 1, 4, 8, and 11 of specific cycles |
| 30mg/120 mg LY2127399 | EXPERIMENTAL | Participants in the 30 milligrams (mg) every 4 weeks arm of the lead-in study will receive 30 mg every 4 weeks until the safety of the 120 mg every 4 weeks dose is confirmed in the lead-in study. |
| 30 milligrams (mg) Tabalumab | EXPERIMENTAL | 30 mg tabalumab every 4 weeks (Q4W) for 20 weeks (6 doses of study drug) |
| 60 mg Tabalumab | EXPERIMENTAL | 60 mg tabalumab Q4W for 20 weeks (6 doses of study drug) |
| 120 mg Tabalumab | EXPERIMENTAL | 120 mg tabalumab Q4W for 20 weeks (6 doses of study drug) |
| Placebo Q4W | PLACEBO_COMPARATOR | Q4W for 20 weeks |
| 120 mg once every 2 weeks (Q2W) Tabalumab | EXPERIMENTAL | Initial loading dose of 240 mg tabalumab followed by 120 mg Q2W for 20 weeks (10 doses of study drug) |
| Placebo Q2W | PLACEBO_COMPARATOR | Q2W for 20 weeks |
| Name | Type | Description |
|---|---|---|
| LY2127399 | DRUG | - |
| Placebo | DRUG | - |
| Placebo every 2 weeks | DRUG | Administered via subcutaneous injection for 52 weeks. A matching loading dose will also be administered at the first dose. |
| Placebo every 4 weeks | DRUG | Administered via subcutaneous injection for 52 weeks. |
| Standard of Care | DRUG | - |
| LY2127399 (Tabalumab) | DRUG | Administered subcutaneously |
Inclusion Criteria: * Diagnosis of Rheumatoid Arthritis (RA) of more than 6 months and less than 15 years * Global Assessment of Disease Activity visual analog scale (VAS) greater than or equal to 20/100 millimeters (mm) * If on one or more conventional disease-modifying anti-rheumatic Drugs (DMARD...
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LY2127399 is an investigational monoclonal antibody being studied for multiple autoimmune and inflammatory conditions, including rheumatoid arthritis, systemic lupus erythematosus, relapsing-remitting multiple sclerosis, chronic kidney failure, and multiple myeloma. It is developed by Eli Lilly and Company and is currently in Phase 2 clinical development.
LY2127399 is a monoclonal antibody that targets B-cell activating factor (BAFF), a cytokine involved in the survival and maturation of B cells. By inhibiting BAFF, LY2127399 aims to reduce abnormal B-cell activity implicated in autoimmune diseases like systemic lupus erythematosus and rheumatoid arthritis.
LY2127399 is developed by Eli Lilly and Company, a pharmaceutical company traded on the New York Stock Exchange under the ticker symbol LLY. The drug is an investigational monoclonal antibody in Phase 2 clinical development for multiple indications, including systemic lupus erythematosus and rheumatoid arthritis.
LY2127399 is in Phase 2 clinical development. It has completed five clinical trials, including two Phase 3 studies in systemic lupus erythematosus, but it is not yet approved by the FDA. The drug remains investigational and is being studied for conditions such as rheumatoid arthritis and lupus.
LY2127399 has been studied in several completed clinical trials, including NCT00308282 and NCT00689728 for rheumatoid arthritis, and NCT01196091 and NCT01205438 for systemic lupus erythematosus. These trials were placebo-controlled and double-blind, with a total enrollment of over 2,200 participants across multiple countries.
LY2127399 is also known as tabalumab, a monoclonal antibody targeting BAFF. It is being developed by Eli Lilly and Company for autoimmune diseases. In clinical trials, it has been evaluated for rheumatoid arthritis and systemic lupus erythematosus, among other conditions, but it is not yet approved.