A Study in Older Participants Who Have Fallen and Have Muscle Weakness
Condition: Muscle Weakness
MeSH terms: Muscle Weakness; Paresis; Asthenia
Intervention: LY2495655; Placebo
Intervention description: Administered SC; Administered SC
Phase: Phase 2
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Investigator)
Enrollment: 201.0
Sex: All
Minimum age: 75 Years
Healthy volunteers: No

Summary:

      LY2495655 is an investigational drug being tested for muscle wasting.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Sustained at least 1 fall within 1 calendar year before study screening.

          -  Requires ≥12 seconds to perform a repeated chair stands test or is unable to complete
             this test at screening.

          -  Hand grip strength is ≤37 kilograms (kg) for men (81.4 pounds) or ≤21 kg for women
             (46.2 pounds) at screening.

          -  Can stand up from a chair and walk ≥10 meters without human assistance (gait aids such
             as cane[s], crutches, or walkers are acceptable) at screening.

          -  Able to climb at least 1 step on a staircase without human assistance according to the
             participant at screening (using handrails is allowed).

          -  Have screening clinical laboratory test results within normal reference range for the
             population, or have results with acceptable deviations that are judged to be not
             clinically significant by the investigator.

        Exclusion Criteria:

          -  Major lower limb pain or neurologic impairment or vestibular vertigo or visual
             impairment that could severely confound measures of physical performance.

          -  Recent lower limb fracture and/or major lower limb surgery.

          -  Planned major surgical procedure within 6 months following study drug dosing.

          -  Have had a lower extremity amputation of the foot, leg, and/or thigh.

          -  Have a body mass index (BMI) ≥35 kilogram per meter squared (kg/m2).

          -  Severe vitamin D deficiency.

          -  Underlying muscle disease other than age-associated muscle waste or disuse atrophy.

          -  Current use or previous use of any drugs known to influence muscle mass or
             performance.

          -  Have had a recent neurologic injury (<6 months before study drug dosing), such as
             stroke or spinal cord injury.

          -  History of a malignant neoplasm in the 18 months before first study drug dosing.

          -  Have a history or presence of unstable cardiovascular or pulmonary comorbidities.

          -  Have a positive fecal occult blood (FOB) test at screening, or the participant cannot
             provide a stool sample for FOB testing before first study drug dosing.

          -  Have either severe ongoing liver disease or aspartate aminotransferase (AST) or
             alanine aminotransferase (ALT) >2 times upper limit of normal (ULN), alkaline
             phosphatase (ALP) >1.5 times ULN, or total bilirubin >1.5 times ULN at screening.

          -  Have an estimated creatinine clearance <20 milliliters per minute (mL/minute).

          -  Have a history of severe allergic reaction to a monoclonal antibody.

          -  Are males with a female partner of childbearing potential who do not agree to use
             contraception during the treatment period of the study and up to 15 weeks after the
             last dose of investigational product (study drug).

          -  Have known allergies to LY2495655, its constituents, or related compounds.

          -  Have severe active psychiatric disease or cognitive impairment as assessed by the
             Mini-Mental State Examination (MMSE) score <22 (for a participant who went to school
             up to age 15 years or less) or <24 (for a participant who went to school up to at
             least age 16), making the participant unlikely to understand the informed consent form
             or comply with protocol procedures.

          -  Exhibit excessive consumption of alcohol or abuse of drugs.

          -  Have uncontrolled diabetes mellitus.

          -  Have had ocular trauma, ophthalmologic surgery, or eye laser treatment within 6 months
             before study drug dosing.

          -  Have hyponatremia (serum sodium levels <135 millimoles/liter ([mmol/L]) at screening
             unless a retest shows normonatremia before study drug dosing.