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LY2439821

Phase 2

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

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 Trials3
Total Enrollment508
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00966875A Study in Patients With Rheumatoid ArthritisPHASE2 COMPLETED 448Aug 1, 2009Jun 1, 2012May 26, 201675 United States, Argentina +9
NCT01236118A Study of LY2439821 in Rheumatoid ArthritisPHASE1 COMPLETED 28Dec 1, 2010Jan 1, 2013May 26, 20166 Japan
NCT01253265A Study in Rheumatoid ArthritisPHASE1 COMPLETED 32May 1, 2010Dec 1, 2011May 26, 20168 Japan
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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 — 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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