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LY2409021

Phase 2

Diabetes Mellitus, Type 2 | Small molecule | Metabolic |Eli Lilly and Company|Last Updated: Mar 7, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials6
Total Enrollment529
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01241448A Study of LY2409021 in Patients With Type 2 DiabetesPHASE2 COMPLETED 263Jan 1, 2011Mar 1, 2012Apr 24, 201840 United States, Germany +5
NCT00871572A Study for Participants With Type 2 Diabetes MellitusPHASE2 COMPLETED 87Mar 1, 2009Feb 1, 2010Apr 24, 201819 United States, Germany +1
NCT01588366The Effects of LY2409021 on the LiverPHASE1 COMPLETED 30Apr 1, 2012Sep 1, 2013Mar 7, 20191 Singapore
NCT01460368A Study on the Effects of LY2409021 on the Electrical Impulses of the HeartPHASE1 COMPLETED 67Oct 1, 2011Mar 1, 2012Jan 7, 20191 United States
NCT01606397A Study of Multiple Increasing Doses of LY2409021 in Participants With Type 2 DiabetesPHASE1 COMPLETED 50Mar 1, 2008Nov 1, 2008May 25, 20122 Singapore, United Kingdom
NCT01606371A First-in-Human Study of LY2409021 in Healthy Participants and Participants With Type 2 DiabetesPHASE1 COMPLETED 32May 1, 2007Oct 1, 2007May 25, 20121 Singapore
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Study Endpoints
Primary Endpoints
Change From Baseline to 24 Week Endpoint in Hemoglobin A1c (HbA1c)
Baseline, 24 weeks

Least squares means of the change from baseline is from a mixed-model repeated measures analysis (MMRM). The model included terms for treatment group, baseline HbA1c, metformin use, visit, and visit-by-treatment interaction.

Mean Change in Glycosylated Hemoglobin A1c (HbA1c)
Baseline, Week 12

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. Least Squares (LS) mean was calculated using a mixed-model repeated measures analysis (MMRM) that included terms for treatment group, baseline HbA1c, metformin use, visit, and visit-by-treatment interaction.

Change From Baseline to Day 28 in Liver Fat Average Percent (%)
Baseline, Day 28 (Pre-meal)

Measured by magnetic resonance (MR) scanning.

Change From Baseline to Day 28 in Hepatic Glycogen Content
Baseline, Day 28 (Pre-meal)

Measured by MR scanning.

Part B: Mean Change From Baseline in 12-lead Electrocardiogram (ECG) Corrected QT Intervals (LY2409021)
Baseline, 2, 4, 6, 8, 12, and 24 hours

The QT interval is a measure of the time between the start of the Q wave and the end of the T wave and was calculated from electrocardiogram (ECG) data using Fridericia's formula: QTc = QT/RR\^0.33. Corrected QT (QTc) is the QT interval corrected for heart rate and RR, which is the interval between two R waves. Least Squares (LS) means were calculated using mixed effects model with fixed effects for treatment, time, period, sequence, and the time-by-treatment interaction, random effects for participant, the participant-by-treatment interaction, and participant-by-time interaction.

Number of participants with one or more drug related adverse events (AEs) or any serious AEs
From first dose of study drug up to discharge (at least 28 days after last dose)
Secondary Endpoints
Change From Baseline to 24 Week Endpoint in Fasting Blood Glucose (FBG)
Baseline, 24 weeks
Change From Baseline to 24 Week Endpoint in 7-point Self Monitored Glucose (SMBG) Profile
Baseline, 24 weeks
Change From Baseline to 24 Week Endpoint in Plasma Glucose
Baseline, 24 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORTaken orally once daily for 24 weeks. Participants who entered the study on stable metformin therapy were to continue at the dose prescribed by their physician.
2.5 mg LY2409021EXPERIMENTALTaken orally once daily for 24 weeks. Participants who entered the study on stable metformin therapy were to continue at the dose prescribed by their physician.
10 mg LY2409021EXPERIMENTALTaken orally once daily for 24 weeks. Participants who entered the study on stable metformin therapy were to continue at the dose prescribed by their physician.
20 mg LY2409021EXPERIMENTALTaken orally once daily for 24 weeks. Participants who entered the study on stable metformin therapy were to continue at the dose prescribed by their physician.
LY2409021 10 milligrams (mg)EXPERIMENTAL -
LY2409021 30 mgEXPERIMENTAL -
LY2409021 60 mgEXPERIMENTAL -
15 mg LY2409021EXPERIMENTALPart B - 1 capsule of 15 mg LY2409021 orally once a day for 28 days. (Arm added in September, 2012, per protocol amendment.)
60 mg LY2409021EXPERIMENTALPart A - 4 capsules of 15 mg LY2409021 administered orally once a day for 28 days.
Part A: LY2409021EXPERIMENTALParticipants will receive 2 standard meals; one alone without LY2409021, and one along with a single dose of 300 milligrams (mg) LY2409021 administered orally. Participants enrolled in Part A will not be allowed to participate in Part B.
Part B: LY2409021EXPERIMENTAL300 milligrams (mg) LY2409021 administered orally as a single dose on Day 1 of the relevant treatment period. The treatment and washout period was a total of 15 days in length.
Part B: PlaceboPLACEBO_COMPARATORAdministered orally as a single dose on Day 1 of the relevant treatment period. The treatment and washout period was a total of 15 days in length.
Part B: MoxifloxacinACTIVE_COMPARATOR400 milligrams (mg) Moxifloxacin administered orally as a single dose on Day 1 of the relevant treatment period. The treatment and washout period was a total of 15 days in length.
5 mg LY2409021EXPERIMENTAL5 mg LY2409021 administered orally once daily for 4 weeks
30 mg LY2409021EXPERIMENTAL30 mg LY2409021 administered orally once daily for 4 weeks
90 mg LY2409021EXPERIMENTAL90 mg LY2409021 administered orally once daily for 4 weeks
Healthy-PlaceboPLACEBO_COMPARATORPlacebo (capsule) administered once, orally
Healthy-2.5 mg LY2409021EXPERIMENTAL2.5 mg LY2409021 administered once, orally
Healthy-10 mg LY2409021EXPERIMENTAL10 mg LY2409021 administered once, orally
Healthy-30 mg LY2409021EXPERIMENTAL30 mg LY2409021 administered once, orally
Healthy-100 mg LY2409021EXPERIMENTAL100 mg LY2409021 administered once, orally
Healthy-250 mg LY2409021EXPERIMENTAL250 mg LY2409021 administered once, orally
Healthy-500 mg LY2409021EXPERIMENTAL500 mg LY2409021 administered once, orally
Diabetic-PlaceboPLACEBO_COMPARATORPlacebo (capsule) administered once, orally
Diabetic-75 mg LY2409021EXPERIMENTAL75 mg LY2409021 administered once, orally
Diabetic-200 mg LY2409021EXPERIMENTAL200 mg LY2409021 administered once, orally
Diabetic-500 mg LY2409021EXPERIMENTAL500 mg LY2409021 administered once, orally
Interventions
NameTypeDescription
LY2409021DRUGAdministered Orally
PlaceboDRUGAdministered Orally
MoxifloxacinDRUGAdministered orally
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites40

Inclusion Criteria: * Have a diagnosis of Type 2 diabetes mellitus according to the World Health Organization (WHO) diagnostic criteria * Are women not of child-bearing potential due to surgical sterilization (hysterectomy or bilateral oophorectomy or tubal ligation) or menopause. * Are male patien...

Countries:United StatesGermanyItalyPuerto RicoRomaniaSlovakiaSpainLithuaniaSingaporeUnited Kingdom
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