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LY2623091

Phase 2

Chronic Kidney Disease | Small molecule | Nephrology |Eli Lilly and Company|Last Updated: Sep 9, 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 Trials2
Total Enrollment74
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01427972A Study of LY2623091 in Male and Females With Chronic Kidney DiseasePHASE2 COMPLETED 42Sep 1, 2011Mar 1, 2013Sep 9, 20194 Bulgaria, South Africa
NCT01237899Multiple Dose Study of the Safety, Tolerability, Pharmacokinetics and Effect on Renal Potassium ClearancePHASE1 COMPLETED 32Oct 1, 2010Jan 1, 2011Jun 3, 20191 Netherlands
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Study Endpoints
Primary Endpoints
Change From Baseline to Day 21 in Proteinuria Based on 24-hours Pooled Urine
Over 24 hours at Baseline and on Day 21

Proteinuria was the presence of excess serum protein in the urine. Proteinuria was calculated for each participant after each treatment period. Change was calculated as (Day 21 post-treatment value) minus (baseline value).

Number of Participants With Clinically Significant Effects (Adverse Events)
Baseline through 7 days for each treatment period

A summary of serious adverse events and other nonserious adverse events are located in the Reported Adverse Event section.

Secondary Endpoints
Change From Baseline to Day 21 in Potassium Clearance Following an Oral Potassium Challenge
Over 0-6 hours at Baseline and on Day 21
Pharmacokinetics (PK): Area Under the Plasma Concentration Time Curve During the Dosing Period of LY2623091 (AUC0-τ)
Predose, 1, 2, 4, 8, 12, and 24 hours postdose on Day 20 of Treatment Periods 1 and 2
PK: Maximum Plasma Concentration (Cmax) of LY2623091
Predose, 1, 2, 4, 8, 12, and 24 hours postdose on Day 20 of Treatment Periods 1 and 2
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
0.2 milligrams (mg) LY2623091EXPERIMENTALDaily by mouth for 21 days. Days 1-20 administered in the fed state. Day 21 administered in the fasted state. Minimum wash-out period of 28 days between dosing in treatment periods
1.5 mg LY2623091EXPERIMENTALDaily by mouth for 21 days. Days 1-20 administered in the fed state. Day 21 administered in the fasted state. Minimum wash-out period of 28 days between dosing in treatment periods
10 mg LY2623091EXPERIMENTALDaily by mouth for 21 days. Days 1-20 administered in the fed state. Day 21 administered in the fasted state. Minimum wash-out period of 28 days between dosing in treatment periods
50 mg EplerenoneACTIVE_COMPARATORDaily by mouth for 21 days. Days 1-20 administered in the fed state. Day 21 administered in the fasted state. Minimum wash-out period of 28 days between dosing in treatment periods
1 mg LY2623091EXPERIMENTALDaily by mouth for 7 days.
25 mg LY2623091EXPERIMENTALThe anticipated dose of LY2623091 was revised down from the original proposed dose level of 100 mg based on safety and tolerability data. The 25 mg LY2623091 was administered daily by mouth for 7 days.
0.3 mg LY2623091EXPERIMENTALThe anticipated dose of LY2623091 was revised down from the original proposed dose level of up to 200 mg. The 0.3 mg LY2623091 was determined based on an interim analysis after the third dose level and was administered daily by mouth for 7 days.
PlaceboPLACEBO_COMPARATORDaily by mouth for 7 days.
Interventions
NameTypeDescription
LY2623091DRUGAdministered orally
EplerenoneDRUGAdministered orally
PlaceboDRUGAdministered orally.
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: * Men and women of non-childbearing potential as determined by medical history and physical examination 1. Male participants: Non-vasectomized male participants must agree to use 2 medically accepted methods of contraception with all sexual partners during the study and for 9...

Countries:BulgariaSouth AfricaNetherlands
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