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LY2439821

Phase 2

Rheumatoid Arthritis | Small molecule | Immunology |Eli Lilly and Company|Last Updated: May 26, 2016

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment508

FDA Designations

No designations recorded

Clinical trial landscape

LY2439821 · 3 trials · 1 indication

Phase 2 1Phase 1 2
NCT00966875A Study in Patients With Rheumatoid ArthritisRheumatoid Arthritis
COMPLETED448 Analytics
PHASE2COMPLETED
A Study in Patients With Rheumatoid Arthritis
Rheumatoid ArthritisUnlock trial analytics

Study Endpoints

Primary Endpoints

Dose-Response Relationship Measured by the Percentage of Participants With American College of Rheumatology (ACR) 20 Response in bDMARD-Naive Population
Week 12

ACR20 responders are participants with at least 20% improvement from baseline for tender joint count (TJC), swollen joint count (SJC), and at least 3 of the 5 remaining core set measures: Health Assessment Questionnaire-Disability Index (HAQ-DI) which measured participants perceived degree of difficulty performing daily activities, C-reactive Protein (CRP), Patient's Assessment of Arthritis Pain-Visual Analog Scale (PAAP-VAS), Patient's Global Assessment of Disease Activity-VAS(PtGADA-VAS), and Physician's Global Assessment of Disease Activity-VAS (PhGA-VAS). Missing values were imputed using Non-Responder Imputation (NRI). Percentage of participants achieving ACR20 response was calculated as: (number of ACR20 responders / number of participants treated) \* 100.

Number of Participants With Adverse Events (AEs) [Clinically Significant Events]
Baseline through study completion (up to Week 56)

Data presented are the number of participants who experienced 1 or more AEs (all causalities and drug-related) and serious AEs (SAEs). A summary of SAEs and other non-serious AEs, regardless of causality is located in the Reported Adverse Events section of this report.

Number of Participants With Clinically Significant Effects
Baseline up to 26 weeks

Clinically significant events were defined as serious and other non-serious adverse events. A summary of serious and all other non-serious adverse events is located in the Reported Adverse Event module.

Secondary Endpoints

Percentage of Participants With ACR20 Response in Tumor Necrosis Factor Alpha-Inadequate Responder (TNFα-IR) Population
Week 12
Smallest Doses That Achieve 10%, 50%, and 90% of the Maximum ACR 20 Response in bDMARD-Naive Population
Week 12
Smallest Doses That Achieved 10%, 50%, and 90% of the Maximum Disease Activity Score (DAS) 28 Response in bDMARD-Naive Population
Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
3 mg LY2439821 (bDMARD-naive population)EXPERIMENTAL3 milligrams (mg) LY2439821 at Weeks 0, 1, 2, 4, 6, 8 and 10, followed by 160 mg LY2439821 in Part B (optional) at Weeks 16, 18, 20 and every 4 weeks thereafter through Week 60. \[Biologic Disease Modifying Anti-Rheumatic Drug (bDMARD)\]
10 mg LY2439821 (bDMARD-naive population)EXPERIMENTAL10 mg LY2439821 at Weeks 0, 1, 2, 4, 6, 8 and 10, followed by 160 mg LY2439821 in Part B (optional) at Weeks 16, 18, 20 and every 4 weeks thereafter through Week 60.
30 mg LY2439821 (bDMARD-naive population)EXPERIMENTAL30 mg LY2439821 at Weeks 0, 1, 2, 4, 6, 8 and 10, followed by 160 mg LY2439821 in Part B (optional) at Weeks 16, 18, 20 and every 4 weeks thereafter through Week 60.
80 mg LY2439821 (bDMARD-naive population)EXPERIMENTAL80 mg LY2439821 at Weeks 0, 1, 2, 4, 6, 8 and 10, followed by 160 mg LY2439821 in Part B (optional) at Weeks 16, 18, 20 and every 4 weeks thereafter through Week 60.
180 mg LY2439821 (bDMARD-naive population)EXPERIMENTAL180 mg LY2439821 at Weeks 0, 1, 2, 4, 6, 8 and 10, followed by 160 mg LY2439821 in Part B (optional) at Weeks 16, 18, 20 and every 4 weeks thereafter through Week 60.
80 mg LY2439821 (TNFa-IR population)EXPERIMENTAL80 mg LY2439821 at Weeks 0, 1, 2, 4, 6, 8 and 10, followed by 160 mg LY2439821 in Part B (optional) at Weeks 16, 18, 20 and every 4 weeks thereafter through Week 60. \[Tumor Necrosis Factor Alpha-Inadequate Responder (TNFα-IR)\]
180 mg LY2439821 (TNFa-IR population)EXPERIMENTAL180 mg LY2439821 at Weeks 0, 1, 2, 4, 6, 8 and 10, followed by 160 mg LY2439821 in Part B (optional) at Weeks 16, 18, 20 and every 4 weeks thereafter through Week 60.
Placebo (bDMARD-naive population)PLACEBO_COMPARATORPlacebo at Weeks 0, 1, 2, 4, 6, 8 and 10, followed by 160 mg LY2439821 in Part B (optional) at Weeks 16, 18, 20 and every 4 weeks thereafter through Week 60.
Placebo (TNFa-IR population)PLACEBO_COMPARATORPlacebo at Weeks 0, 1, 2, 4, 6, 8 and 10, followed by 160 mg LY2439821 in Part B (optional) at Weeks 16, 18, 20 and every 4 weeks thereafter through Week 60.
30 milligrams (mg) LY2439821EXPERIMENTALParticipants will start receiving LY2439821 30 mg once every week for the first 3 doses and then once every 2 weeks until week 44. Investigators or its designees will increase the LY2439821 dose to 160 mg at any visit once the safety of LY2439821 180 mg is confirmed by the Data Review Meeting in Study I1F-JE-RHAL (NCT01253265).
80 mg LY2439821EXPERIMENTALParticipants will start receiving LY2439821 80 mg once every week for the first 3 doses and then once every 2 weeks until week 44. Investigators or its designees will increase the LY2439821 dose to 160 mg at any visit once the safety of LY2439821 180 mg is confirmed by the Data Review Meeting in Study I1F-JE-RHAL (NCT01253265).
160 mg LY2439821EXPERIMENTALParticipants will start receiving LY2439821 160 mg once every 2 weeks for the first 3 doses and then once every 4 weeks until Week 44.
30 mg LY2439821EXPERIMENTALAdministered subcutaneously at Week 0, 1, 2, 4, 6, 8 and 10
180 mg LY2439821EXPERIMENTALAdministered subcutaneously at Week 0, 1, 2, 4, 6, 8 and 10
PlaceboPLACEBO_COMPARATORPlacebo is administered subcutaneously in the same manner as active drug in each dose group
120 mg LY2439821EXPERIMENTALAdministered subcutaneously at 240 mg as a single loading dose followed by 120 mg every week

Interventions

NameTypeDescription
LY2439821BIOLOGICALSubcutaneous
PlaceboDRUGSubcutaneous
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites75

Inclusion Criteria: * You must be between the ages of 18 and 75 * You must have active RA Qualifications Specific to the bDMARD-naive Population: You must be regularly using methotrexate (MTX) for at least 12 weeks before your participation in this study Qualifications Specific to the TNFα-IR Po...

Countries:United StatesArgentinaChileGermanyIndiaPeruPolandRomaniaRussiaSouth KoreaTaiwanJapan
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Frequently asked questions about LY2439821

What is LY2439821 used for in rheumatoid arthritis?

LY2439821 is an investigational small molecule being studied for the treatment of rheumatoid arthritis, an autoimmune condition causing joint inflammation and pain. It is developed by Eli Lilly and Company and has completed clinical trials in patients with this condition, though it remains in clinical development and is not yet approved.

Who makes LY2439821?

LY2439821 is being developed by Eli Lilly and Company, a pharmaceutical company traded on the New York Stock Exchange under the ticker LLY. The drug is an investigational small molecule intended for rheumatoid arthritis and is currently in clinical development, with no approved status.

What phase is LY2439821 in?

LY2439821 is in Phase 2 clinical development for rheumatoid arthritis. It has completed three trials, including a Phase 2 study and two Phase 1 studies, all of which are finished. The drug remains investigational and has not received FDA approval.

What clinical trials is LY2439821 in?

LY2439821 has completed three clinical trials for rheumatoid arthritis: NCT00966875, a Phase 2 study with 448 participants; NCT01236118, a Phase 1 study with 28 participants; and NCT01253265, a Phase 1 study with 32 participants. All trials are completed and were conducted in multiple countries, including the United States and Japan.

Is LY2439821 the same as any other drug?

LY2439821 is the primary name for this investigational drug, and no alternative names have been reported. It is a small molecule being studied for rheumatoid arthritis by Eli Lilly and Company, and it is distinct from other drugs in the company's pipeline.