The main purpose of this study is to evaluate the safety and tolerability of a study drug known as LY3471851 in participants with SLE. The study will last about 79 days for each participant.
LY3471851 is a potential first-in-class therapeutic that may address an underlying immune system imbalance in people with many autoimmune conditions. It targets the interleukin (IL-2) receptor complex in the body in order to stimulate proliferation of inhibitory immune cells known as regulatory T cells. By activating these cells, LY3471851 may act to bring the immune system back into balance. This study will evaluate the safety, tolerability, pharmacokinetics (PK), and immunologic effects of multiple doses of LY3471851 in participants with minimal to moderate SLE. The effects on SLE disease activity will also be evaluated. SLE participants will be randomized to receive multiple subcutaneous (SC) doses of LY3471851 or receive placebo. After receiving the last dose of LY3471851 or placebo, participants will be followed for an additional 50 days to evaluate safety, PK, pharmacodynamics (PD), and preliminary efficacy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
48
Investigator Site - Anniston
Anniston, Alabama, United States
Investigator Site - La Jolla
La Jolla, California, United States
Investigator Site - Clearwater
Safety and Tolerability of LY3471851 - Number of Participants Experiencing Adverse Events
Safety and tolerability of LY3471851 as assessed through collection of adverse events, serious adverse events, change in vital signs (body temperature, blood pressure, heart rate, rate of breathing and oxygen in blood); electrocardiograms (ECG); laboratory evaluations (hematology, chemistry, liver function and urine analysis).
Time frame: Informed consent until last study visit (approximately 79 days after first dose of study drug)
Pharmacokinetics (PK): Area Under the Drug Concentration - Time Curve from Zero to the End of Dosing Interval (i.e, 14 days past each dose) (AUC[0-Day 14]) of LY3471851
PK measurement of AUC 0-Day 14
Time frame: Baseline until 14 days after last dose (approximately 43 days after first dose of study drug)
PK: Maximum Observed Drug Concentration (Cmax) of LY3471851 After First and Last Dose
PK: Measurement of Cmax
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
PK: Time to Maximum Plasma Concentration (Tmax) of LY3471851
PK: Measurement of Tmax
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
PK: Time to Decrease in Concentration of LY3471851 by Half (T1/2) Due to Elimination
PK: Measurement of T1/2
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
Pharmacodynamics (PD): Measurement of Change in Number of Regulatory T Cells (Tregs) and Subsets of Tregs in Blood
PD: Measurement of Change in Number of Regulatory T Cells (Tregs) and Subsets of Tregs in Blood
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Clearwater, Florida, United States
Investigator Site - Orlando
Orlando, Florida, United States
Investigator Site-Tampa
Tampa, Florida, United States
Investigator Site - Great Neck
Great Neck, New York, United States
Investigator Site- Wilmington
Wilmington, North Carolina, United States
Investigator Site - Middleburg Heights
Middleburg Heights, Ohio, United States
Investigator Site - Duncansville
Duncansville, Pennsylvania, United States
Investigator Site - Jackson
Jackson, Tennessee, United States
...and 4 more locations
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
PD: Measurement Activity of Tregs
PD: Measurement Activity of Tregs
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
PD: Measurement of Change in Number of Subsets of Conventional T Cells (Tcons) in Blood
PD: Measurement of Change in Number of Subsets of Conventional T Cells
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
PD: Measurement of Change in Number of Natural Killer Cells (NK Cells) in Blood
PD: Measurement of Change in Number of Natural Killer Cells (NK Cells) in Blood
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
PD: Measurement of Cytokines in Blood
PD: Measurement of Cytokines in Blood
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
Change in Disease Activity (SLEDAI): Urine; Measurement of Hematuria, Pyuria, Urinary Casts, Creatinine, Protein
Change in Disease Activity (SLEDAI): Urine; Measurement of Hematuria, Pyuria, Urinary Casts, Creatinine, Protein
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
Change in Disease Activity (SLEDAI): Blood: Measurement of Anti-dsDNA, Complement, White Blood Cells and Platelets
Change in Disease Activity (SLEDAI): Blood: Measurement of Anti-dsDNA, Complement, White Blood Cells and Platelets
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
Change in Disease Activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): Physical Examination
Change in Disease Activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): Physical Examination
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
Change in Disease Activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): Urine Analysis
Change in Disease Activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): Urine Analysis
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
Change in Disease Activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): Blood Analysis
Change in Disease Activity (Systemic Lupus Erythematosus Disease Activity Index (SLEDAI): Blood Analysis
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Skin on the Body
Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Skin on the Body
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Mucous Membrane
Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Mucous Membrane
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Scalp
Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Scalp
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Hair Loss
Change in Disease Activity (Cutaneous Lupus Erythematosus Disease Area Severity Index (CLASI): Evaluation of Hair Loss
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
Change in Disease Activity (Joint score): Evaluation of Tender Joints in the Body
Change in Disease Activity (Joint score): Evaluation of Tender Joints in the Body
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)
Change in Disease Activity (Joint Score): Evaluation of Swollen Joints in the Body
Change in Disease Activity (Joint Score): Evaluation of Swollen Joints in the Body
Time frame: Baseline until last study visit (approximately 79 days after first dose of study drug)