A Study of LY2409021 in Participants With Different Levels of Kidney Function

Study Overview
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Brief Summary
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The purpose of this study was to measure how much of the study drug, LY2409021, gets into the blood stream and how long it takes the body to get rid of it when given to participants with different levels of kidney function. There were five study groups. Each participant only enrolled in one group. Participants in groups 1 through 4 were healthy or have mild, moderate, or severe kidney disease. They completed one study period lasting about 29 days. Study group 5 enrolled participants with kidney disease who were on dialysis. They have completed two study periods which together last about 59 days. Screening was required within 21 days prior to the start of the study for all participants.

Official Title
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Pharmacokinetics of LY2409021 Following Administration to Subjects With Varying Degrees of Renal Function

Conditions
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Kidney Failure, Chronic, Renal Insufficiency, Chronic

Intervention / Treatment
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* Drug: LY2409021


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Inclusion Criteria for ALL Participants Male participants must agree to use a reliable method of birth control in addition to having their partner use another method for the duration of the study and for 3 months after the last dose of LY2409021 Female participants must not be of child-bearing potential Participants have a body mass index (BMI) of 18 to 40 kilogram per meter square (kg/m^2), inclusive, at screening Additional Inclusion Criteria for Control (Healthy) Participants - Control participants must have normal renal function, assessed by mean estimated creatinine clearance (CLcr) greater than or equal to (≥)90 milliliter per minute (mL/min) at screening and day before dosing Additional Inclusion Criteria for Participants with Mild-to-Severe Renal Impairment or End Stage Renal Disease (ESRD) - Males or females with stable mild-to-severe renal impairment, assessed by estimated CLcr, or with ESRD requiring hemodialysis (or hemodiafiltration) for at least 3 months Additional Inclusion Criteria for Participants with Type 2 Diabetes Mellitus (T2DM) - Participants with T2DM that are being treated with diet or exercise alone or receive treatment with insulin Exclusion Criteria: Exclusion Criteria for ALL Participants Participants that require peritoneal dialysis Participants that have a current, functioning, organ transplant Participants who show evidence of significant active uncontrolled endocrine or autoimmune abnormalities (for example, thyroid disease, pernicious anemia) as judged by the screening physician Participants who had a febrile illness within 3 days prior to screening Participants with an abnormality in the 12-lead Electrocardiogram (ECG) that, in the opinion of the investigator, increases the risks associated with participating in the study. [Participants with a QT interval corrected using Fridericia's (QTcF) formula >450 millisecond (msec) or a PR interval >0.22 sec on the screening ECG, or who have risk factors for Torsades de Pointes] Participants who show evidence of significant active neuropsychiatric disease Participants that are currently using or intend to use potent inhibitors of cytochrome P450 (CYP)3A, which include but are not limited to atazanavir, indinavir, nelfinavir, ritonavir, clarithromycin, itraconazole, ketoconazole, nefazodone, saquinavir, and telithromycin Participants who are currently using drugs with a narrow therapeutic index (for example, digoxin,lithium, phenytoin, theophylline, and warfarin) Participants that are currently using drugs that are known to prolong the QT interval Additional Exclusion Criteria for Participants with Mild, Moderate or Severe Renal Impairment or ESRD: Participants that have used any drug indicated for medical care of the participant's renal impairment, which is not established in dose and administered for at least 7 days before LY2409021 administration Participants with poorly controlled hypertension (systolic blood pressure (BP) less than (>)160, diastolic BP >95 mm Hg) and/or evidence of labile blood pressure including symptomatic postural hypotension Participants with hemoglobin <9 grams per deciliter (g/dL) or significant active hematologic disease from causes other than underlying renal disease Additional Exclusion Criteria for Participants with T2DM: Participants who use an oral or injectable antihyperglycemic agent, except for insulin, within 1 month prior to dosing (Day 1) Participants who have experienced a ketoacidotic episode (pH <7.3) requiring hospitalization in the last 6 months

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Basic Science
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: LY2409021 Control<br>Healthy participants received a single 80 mg dose of LY2409021 orally on Day 1 of the study. | Drug: LY2409021<br>* Administered orally<br>|
| Experimental: LY2409021 Mild Renal Impairment<br>Participants received a single 80 mg dose of LY2409021 orally on Day 1 of the study. | Drug: LY2409021<br>* Administered orally<br>|
| Experimental: LY2409021 Moderate Renal Impairment<br>Participants received a single 80 mg dose of LY2409021 orally on Day 1 of the study. | Drug: LY2409021<br>* Administered orally<br>|
| Experimental: LY2409021 Severe Renal Impairment<br>Participants received a single 80 mg dose of LY2409021 orally on Day 1 of the study. | Drug: LY2409021<br>* Administered orally<br>|
| Experimental: LY2409021 End Stage Renal Disease<br>Participants received a single 80 mg dose of LY2409021 orally on Day 1 of Period 1 of the study and a single 80 mg dose of LY2409021 orally on Day 1 of Period 2 of the study. | Drug: LY2409021<br>* Administered orally<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY2409021 |  | Predose, 0.5, 1, 2, 4, 6, 7, 8, 9, 10, 12, 24, 48, 72, 96, 144, 192, 264, 336 hours postdose | 
| Pharmacokinetics (PK): Area Under the Concentration Curve From Time Zero to Infinity (AUC 0-∞) of LY2409021 |  | Predose, 0.5, 1, 2, 4, 6, 7, 8, 9, 10, 12, 24, 48, 72, 96, 144, 192, 264, 336 hours postdose | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY2409021 in Participants With End Stage Renal Disease (ESRD) Before and After Dialysis |  | Period 1 (Dialysis) and Period 2 (Non Dialysis) Predose, 0.5, 1, 2, 4, 6, 7, 8, 9, 10, 12, 24, 48, 72, 96, 144, 192, 264, 336 hours postdose | 
| Pharmacokinetics (PK): Area Under the Concentration Curve (AUC) (0-∞) of LY2409021 In Participants With ESRD Before and After Dialysis |  | Period 1 (Dialysis) and Period 2 (Non Dialysis)- Predose, 0.5, 1, 2, 4, 6, 7, 8, 9, 10, 12, 24, 48, 72, 96, 144, 192, 264, 336 hours postdose |