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LY2624803

Phase 2

Primary Insomnia | Small molecule | Psychiatry |Eli Lilly and Company|Trials Updated: Jan 28, 2016

LY2624803 development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since Nov 2008

LY2624803 target and mechanism

Molecular targetHRH1
Target classAntagonist
ModalitySmall molecule

Also known as LY2624803 - Solution, LY2624803 - Capsules

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials4
Total Enrollment720

FDA Designations

No designations recorded

LY2624803 clinical trials

LY2624803 · 4 trials · 5 indications

Phase 2 1Phase 1 3
NCT00784875An Efficacy Study of Compound LY2624803 in the Treatment of Patients With Chronic InsomniaPrimary Insomnia
COMPLETED643 Analytics
PHASE2COMPLETED
An Efficacy Study of Compound LY2624803 in the Treatment of Patients With Chronic Insomnia
Primary InsomniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Average Nightly Total Sleep Time at Week 4 (Week 2 of Period B) Endpoint
Baseline, 2 weeks

Total Sleep Time is defined as time in bed minus total time awake. Minimum would be 0; no defined maximum (except if as defined as time in bed). The higher the number, the more time asleep. Calculated in minutes from participant-reported daily sleep questionnaire averaged across study Period B (2 weeks). Change score subtracts Period B average from Period A average (baseline). Analysis of covariance (ANCOVA) Model with dependent variable being change from baseline scores and independent variables being treatment, baseline, age group (\<65 or ≥65), and insomnia type (primary vs. secondary).

Area Under the Concentration-Time Curve (AUC) for LY2624803 and the Metabolite LSN2797276
Predose and up to Day 4

AUC from time 0, extrapolated to infinity, estimated for both LY2624803 and the metabolite LSN2797276.

Maximum Concentration (Cmax) for LY2624803 and the Metabolite, LSN2797276,
Predose and up to Day 4

Cmax estimated for both LY2624803 and the metabolite LSN2797276.

Wake After Sleep Onset (WASO) With LY2624803 Compared to Placebo
8 hours in Periods 1, 2 and 3

WASO was calculated as total time in awake epochs between sleep onset time (first stage 2 epoch) and the end of the primary recording period (8 hours after lights -off). Data presented are Geometric Least Squares (LS) means. Geometric LS mean was calculated using mixed models analysis. The model included factors for treatment, treatment sequence, period and participants.

Change in Wake After Sleep Onset (WASO) With LY2624803 Compared to Placebo
Baseline up to Day 60

Secondary Endpoints

Change From Baseline in Unwanted Time Awake at Week 4 (Week 2 of Period B) Endpoint
Baseline, 2 weeks
Change From Baseline in Number of Awakenings During Sleep at Week 4 (Week 2 of Period B) Endpoint
Baseline, 2 weeks
Change From Baseline in Total Time Awake at Week 4 (Week 2 of Period B) Endpoint
Baseline, 2 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Period AEXPERIMENTAL2-week double-blind placebo lead-in period. Period A is the first of four 2-week treatment periods.
Period BEXPERIMENTALPatients will receive LY2624803, zolpidem or placebo in a sequence of four 2-week treatment periods. Period B is the second of four 2-week treatment periods.
Period CEXPERIMENTALPatients will receive LY2624803, zolpidem or placebo in a sequence of four 2-week treatment periods. Period C is the third of four 2-week treatment periods.
Period DEXPERIMENTALPatients will receive LY2624803, zolpidem or placebo in a sequence of four 2-week treatment periods. Period D is the fourth of four 2-week treatment periods.
6 mg LY2624803 Alone Morning DosingEXPERIMENTALParticipants received 6 milligrams (mg) LY2624803 alone orally (po) at approximately 0800 hours following an overnight fast.
6 mg LY2624803 Morning Dosing + Activated CharcoalEXPERIMENTALParticipants received 6 mg LY2624803 po at approximately 0800 hours following an overnight fast, followed 1 hour later by a single po dose of 1 gram per kilogram (g/kg) body weight of activated charcoal, mixed with caffeine-free diet cola.
6 mg LY2624803 Alone Evening DosingEXPERIMENTALParticipants received 6 mg LY2624803 alone po at approximately 2200 hours following a 4-hour fast.
0.1 milligrams (mg) LY2624803EXPERIMENTALSingle dose of 0.1 mg LY2624803 administered orally in up to 2 of 4 treatment periods
1.0 mg LY2624803EXPERIMENTALSingle dose of 1.0 mg LY2624803 administered orally in up to 2 of 4 treatment periods
3.0 mg LY2624803EXPERIMENTALSingle dose of 3.0 mg LY2624803 administered orally in up to 2 of 4 treatment periods
6.0 mg LY2624803EXPERIMENTALSingle dose of 6.0 mg LY2624803 administered orally in up to 2 of 4 treatment periods
PlaceboPLACEBO_COMPARATORSingle dose of placebo administered orally in up to 1 of 4 treatment periods
0.3 mg LY2624803EXPERIMENTALSingle dose of 0.3 mg LY2624803 administered orally in up to 2 of 4 treatment periods.
10 mg ZolpidemACTIVE_COMPARATORSingle dose of 10 mg zolpidem administered orally in up to 1 of 4 treatment periods.

Interventions

NameTypeDescription
LY2624803DRUG1 mg, oral capsule, once nightly before bedtime
PlaceboDRUGmatching placebo (capsule or tablet), once nightly before bedtime
zolpidemDRUG5 or 10 mg, oral tablet, once nightly before bedtime
Activated CharcoalOTHERAdministered po
LY2624803 - SolutionDRUGAdministered orally as reconstituted solution
LY2624803 - CapsuleDRUGAdministered orally as a capsule
Placebo - SolutionDRUGAdministered orally as solution
Placebo - CapsuleDRUGAdministered orally as a capsule
LY2624803 - CapsulesDRUGAdministered orally as capsules.
Zolpidem - TabletsDRUGAdministered orally as tablets.
Placebo - CapsulesDRUGAdministered orally as capsules.
Placebo - TabletsDRUGAdministered orally as tablets.
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Eligibility Criteria

Age Range18 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites49

Inclusion Criteria: * Patients must be between 18 and 85 years of age, with a stable living situation * Clinical diagnosis of either primary insomnia or "secondary" insomnia (comorbid with depression, anxiety, and/or medical illness) * Insomnia systems must be at least moderate in severity within t...

Countries:United StatesUnited KingdomJapanFrance
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Frequently asked questions about LY2624803

What is LY2624803 used for?

LY2624803 was studied for the treatment of insomnia, including transient insomnia, primary insomnia, and sleep initiation and maintenance disorders. It is an investigational small molecule that was developed by Eli Lilly and Company. It has not been approved for any indication and remains in clinical development.

What does LY2624803 target?

LY2624803 targets the histamine H1 receptor, also known as HRH1. It acts as an antagonist at this receptor. By blocking HRH1, the compound was designed to promote sleep in people with insomnia. This mechanism is consistent with its development as a small molecule for sleep disorders.

Who is developing LY2624803?

LY2624803 is being developed by Eli Lilly and Company, which trades on the New York Stock Exchange under the ticker LLY. Lilly sponsored the clinical trials of LY2624803, including Phase 1 and Phase 2 studies in insomnia. The drug remains an investigational asset.

What phase is LY2624803 in?

LY2624803 is in Phase 1 development. Although a Phase 2 efficacy study was completed, the drug has not advanced beyond early clinical testing and is not approved. It remains an investigational compound for insomnia.

What clinical trials is LY2624803 in?

LY2624803 has been evaluated in completed clinical trials. These include NCT01784614 in Japanese participants with transient insomnia, NCT01779830 in participants with transient insomnia in France, NCT01236105 on pharmacokinetics in healthy subjects, and NCT00784875, a Phase 2 efficacy study in chronic insomnia.

Is LY2624803 the same as LY2624803 Solution or LY2624803 Capsules?

Yes, LY2624803 Solution and LY2624803 Capsules refer to the same investigational drug, LY2624803. These names describe different formulations of the compound. The drug was developed by Eli Lilly and Company for insomnia and related sleep disorders.