A Rheumatoid Arthritis Study in Participants
FLEX O
A Phase 3, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety and Efficacy of LY2127399 in Patients With Rheumatoid Arthritis (RA) With or Without Background Disease-Modifying Anti-rheumatic Drug (DMARD) Therapy (FLEX O)
3 other identifiers
interventional
1,004
22 countries
213
Brief Summary
The primary purpose of this study is to help answer if LY2127399 is safe and effective in the treatment of rheumatoid arthritis with or without background disease-modifying anti-rheumatic drug (DMARD) therapy. This study is comprised of 2 periods: Period 1 - 24-week blinded treatment Period 2 - 48-week post-treatment follow-up
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3 rheumatoid-arthritis
Started Jan 2011
213 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 14, 2010
CompletedFirst Posted
Study publicly available on registry
September 16, 2010
CompletedStudy Start
First participant enrolled
January 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2013
CompletedResults Posted
Study results publicly available
April 25, 2018
CompletedApril 25, 2018
March 1, 2018
1.9 years
September 14, 2010
March 24, 2018
March 24, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With American College of Rheumatology 20% (ACR20) Response
ACR20 Responder Index: Composite of clinical, laboratory, and functional measures of rheumatoid arthritis. ACR20 Responder: had \>=20% improvement from baseline in both 68 tender and 66 swollen joint counts and \>=20% improvement in at least 3 of 5 criteria: participant's and physician's global assessment of disease activity, Health Assessment Questionnaire-Disability Index (HAQ-DI) (which measured participants' perceived degree of difficulty performing daily activities), joint pain, and C-reactive protein (CRP). Percentage of participants achieving ACR20 response=(number of ACR20 responders/number of participants treated)\*100. All non-responders at Week 16 as well as all participants who discontinued study treatment at any time, for any reason, were defined as non-responders starting at that timepoint and going forward, including Week 24 endpoint.
Up to 24 weeks
Secondary Outcomes (18)
Percentage of Participants With American College of Rheumatology 50% (ACR50) and 70% (ACR70) Responses
Up to 24 weeks
Mean Percent Improvement in American College of Rheumatology Percent Improvement (ACR-N)
Up to 24 weeks
Change From Baseline to 24 Weeks in Tender Joint Count (68 Joint Count)
Baseline, up to 24 weeks
Change From Baseline to 24 Weeks in Swollen Joint Count (66 Joint Count)
Baseline, up to 24 weeks
Change From Baseline to 24 Weeks in Participant's Assessment of Pain (Visual Analog Scale)
Baseline, up to 24 weeks
- +13 more secondary outcomes
Study Arms (3)
120 mg LY2127399
EXPERIMENTALLY2127399: 120 milligrams (mg), subcutaneous (SC) injection, every 4 weeks for 24 weeks. Participants received a 240-mg (2 SC injections of 120 mg each) loading dose of LY2127399 when initiating treatment. During the Treatment Period, for blinding purposes, participants alternated injections of LY2127399 and injections of Placebo every 2 weeks. After 16 weeks, non-responders received 90 mg of LY2127399 every 2 weeks for the rest of the 24-week Treatment Period.
90 mg LY2127399
EXPERIMENTALLY2127399: 90 milligrams (mg), subcutaneous (SC) injection, every 2 weeks for 24 weeks. Participants received a 180-mg (2 SC injections of 90 mg each) loading dose of LY2127399 when initiating treatment. After 16 weeks, non-responders continued to receive 90 mg of LY2127399 every 2 weeks for the rest of the 24-week Treatment Period.
Placebo
PLACEBO COMPARATORPlacebo: subcutaneous (SC) injection, every 2 weeks for 24 weeks. Participants received a loading dose of 2 SC injections of Placebo when initiating treatment. After 16 weeks, non-responders received 90 milligrams (mg) of LY2127399 every 2 weeks for the rest of the 24-week Treatment Period.
Interventions
Eligibility Criteria
You may qualify if:
- Diagnosis of Rheumatoid Arthritis (RA) of more than 6 months and less than 15 years
- Global Assessment of Disease Activity visual analog scale (VAS) greater than or equal to 20/100 millimeters (mm)
- If on one or more conventional disease-modifying anti-rheumatic Drugs (DMARDs) at randomization, must have been on a stable dose for at least 8 weeks prior to study start.
- Women must not be pregnant, breastfeeding, or become pregnant during the study
You may not qualify if:
- Use of unstable doses of non-steroidal inflammatory drugs (NSAIDS) in the past 6 weeks
- Steroid injection or intravenous (IV) infusion in the last 6 weeks
- Use of more than 10 milligrams per day (mg/day) of oral steroids in the last 6 weeks
- Use of biologic DMARD concurrently or recently
- History of a serious reaction to other biological DMARDs
- Use of an oral calcineurin inhibitor (for example, cyclosporin or tacrolimus) in the last 8 weeks
- Surgery on a joint or other major surgery less than 2 months prior to study start, or plans to have joint surgery or major surgery during the study
- Active fibromyalgia, juvenile chronic arthritis, spondyloarthropathy, Crohn's disease, ulcerative colitis, psoriatic arthritis, or other systemic inflammatory condition except RA
- Cervical cancer or squamous skin cancer within the past 3 years, or other cancer within the past 5 years
- Received a live vaccine within the past 12 weeks (for example, vaccines for measles, mumps, rubella, and chicken pox, and nasal-spray flu vaccines)
- Hepatitis or human immunodeficiency virus (HIV)
- A serious bacterial infection (for example, pneumonia or cellulitis) within 3 months or a serious bone or joint infection within 6 months
- Symptoms of herpes zoster or herpes simplex within the last month
- Active or latent tuberculosis (TB)
- Current symptoms of a serious disorder or illness
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (213)
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Birmingham, Alabama, 35216, United States
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Paradise Valley, Arizona, 85253, United States
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Peoria, Arizona, 85381, United States
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Phoenix, Arizona, 85018, United States
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Scottsdale, Arizona, 85251, United States
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Tucson, Arizona, 85704, United States
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Hot Springs, Arkansas, 71913, United States
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Little Rock, Arkansas, 72205, United States
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San Diego, California, 92103, United States
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Torrance, California, 90505, United States
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Tustin, California, 92780, United States
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Whittier, California, 90606, United States
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Wildomar, California, 92595, United States
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Colorado Springs, Colorado, 80910, United States
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Lewes, Delaware, 19958, United States
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Aventura, Florida, 33180, United States
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DeBary, Florida, 32713, United States
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Palm Harbor, Florida, 34684, United States
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Pinellas Park, Florida, 33781, United States
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St. Petersburg, Florida, 33716, United States
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Tamarac, Florida, 33321, United States
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Venice, Florida, 34292, United States
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Zephyrhills, Florida, 33542, United States
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Decatur, Georgia, 30033, United States
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Gainesville, Georgia, 30501, United States
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Lawrenceville, Georgia, 30045, United States
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Marietta, Georgia, 30060, United States
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Savannah, Georgia, 31405, United States
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Eagle, Idaho, 83616, United States
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Morton Grove, Illinois, 60053, United States
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Rockford, Illinois, 61103, United States
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Indianapolis, Indiana, 46227, United States
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Wichita, Kansas, 67208, United States
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Cumberland, Maryland, 21502, United States
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Hyannis, Massachusetts, 02601, United States
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Worcester, Massachusetts, 01605, United States
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Bingham Farms, Michigan, 48025, United States
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Saint Clair Shores, Michigan, 48081, United States
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Flowood, Mississippi, 39232, United States
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Jackson, Mississippi, 39202, United States
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St Louis, Missouri, 63131, United States
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Lincoln, Nebraska, 68516, United States
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Omaha, Nebraska, 68134, United States
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Las Vegas, Nevada, 89123, United States
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Albuquerque, New Mexico, 87108, United States
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Brooklyn, New York, 11201, United States
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Roslyn, New York, 11576, United States
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Syracuse, New York, 13210, United States
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Charlotte, North Carolina, 28210, United States
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Hickory, North Carolina, 28601, United States
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Raleigh, North Carolina, 27609, United States
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Cincinnati, Ohio, 45242, United States
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Oklahoma City, Oklahoma, 73103, United States
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Tulsa, Oklahoma, 74135, United States
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Bend, Oregon, 97701, United States
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Bethlehem, Pennsylvania, 18017, United States
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Limerick, Pennsylvania, 19468, United States
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Philadelphia, Pennsylvania, 19152, United States
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Pottstown, Pennsylvania, 19464, United States
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Columbia, South Carolina, 29204, United States
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Greenville, South Carolina, 29601, United States
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Greer, South Carolina, 29650, United States
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Myrtle Beach, South Carolina, 29572, United States
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North Charleston, South Carolina, 29406, United States
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Knoxville, Tennessee, 37909, United States
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Memphis, Tennessee, 38119, United States
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Nashville, Tennessee, 37205, United States
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Austin, Texas, 78731, United States
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Dallas, Texas, 75231, United States
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Lake Jackson, Texas, 77566, United States
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Lubbock, Texas, 79424, United States
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Mesquite, Texas, 75150, United States
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Nassau Bay, Texas, 77058, United States
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North Richland Hills, Texas, 76180, United States
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San Antonio, Texas, 78217, United States
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Sugar Land, Texas, 77478, United States
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Spokane, Washington, 99204, United States
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Buenos Aires, C1280AEB, Argentina
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Córdoba, X5016KEH, Argentina
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Mar del Plata, B7600FZN, Argentina
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Rosario, 2000, Argentina
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San Juan, 5400, Argentina
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San Miguel de Tucumán, 4000, Argentina
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Kogarah, New South Wales, 04266-010, Australia
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Herston, Queensland, 4029, Australia
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Malvern East, 3145, Australia
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Burgas, 8000, Bulgaria
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Pleven, 5800, Bulgaria
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Plovdiv, 4003, Bulgaria
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Rousse, 7002, Bulgaria
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Sevlievo, 5400, Bulgaria
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Sofia, 1784, Bulgaria
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Varna, 9000, Bulgaria
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Bogotá, Colombia
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Medellín, Colombia
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Opatija, 51410, Croatia
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Rijeka, HR-51000, Croatia
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Split, 21000, Croatia
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Budapest, 1036, Hungary
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Debrecen, 4032, Hungary
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Kiskunhalas, 6400, Hungary
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Nyíregyháza, 4400, Hungary
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Sátoraljaújhely, 3980, Hungary
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Szikszó, 3800, Hungary
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Veszprém, 8200, Hungary
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Ahmedabad, 3800015, India
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Bangalore, 5600092, India
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Chennai, 600100, India
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Hyderabaad, 500033, India
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Jaipur, 302023, India
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Mysore, 570023, India
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Nellore, 524003, India
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New Delhi, 110 076, India
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Secunderabad, 500 003, India
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Surat, 560092, India
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Aichi, 460-0001, Japan
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Fukuoka, 820-8505, Japan
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Gunma, 370-0053, Japan
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Hokkaido, 063-0811, Japan
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Hyōgo, 650-0017, Japan
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Ibaraki, 316-0035, Japan
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Kanagawa, 252-0392, Japan
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Kumamoto, 861-8520, Japan
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Mie, 514-1101, Japan
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Miyagi, 982-0032, Japan
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Nagano, 390-8601, Japan
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Nagasaki, 857-1195, Japan
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Nara, 634-0007, Japan
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Ohita, 874-0011, Japan
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Okayama, 712-8044, Japan
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Osaka, 586-8521, Japan
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Saga, 843-0393, Japan
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Saitama, 337-0012, Japan
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Sapporo, 060-8648, Japan
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Shizuoka, 420-8623, Japan
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Tokyo, 185-0012, Japan
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Tomakomai, 053-8567, Japan
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Alytus, 62114, Lithuania
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Kaunas, 49475, Lithuania
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Klaipedos, 92288, Lithuania
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Šiauliai, 73231, Lithuania
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Vilnius, LT-08661, Lithuania
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Batu Caves, 68100, Malaysia
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Kuantan Pahang, 25100, Malaysia
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Perak, 30990, Malaysia
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Sarawak, 93586, Malaysia
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Aguascalientes, 20203, Mexico
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Chihuahua City, 31000, Mexico
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Guadalajara, 44690, Mexico
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Mexicali, 21100, Mexico
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Mexico City, 06100, Mexico
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Monterrey, 64000, Mexico
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Morelia, 58070, Mexico
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Querétaro, 76000, Mexico
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San Luis Potosí City, 78200, Mexico
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Tijuana, 22010, Mexico
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Tlalpan, 14080, Mexico
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Hamilton, 3204, New Zealand
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Rotorua, 3010, New Zealand
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Tauranga, 3140, New Zealand
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Timaru, New Zealand
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Bydgoszcz, 85-168, Poland
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Elblag, 82-300, Poland
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Gdynia, 81-384, Poland
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Krakow, 30-510, Poland
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Lublin, 20-607, Poland
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Torun, 87-100, Poland
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Warsaw, 01-192, Poland
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Brasov, 500365, Romania
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Cluj-Napoca, 400130, Romania
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Iași, 700656, Romania
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Ploieşti, 100337, Romania
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Barnaul, 656038, Russia
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Kemerovo, 650066, Russia
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Kursk, 305007, Russia
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Moscow, 111539, Russia
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Nizhny Novgorod, 603005, Russia
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Novosibirsk, 630047, Russia
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Ryazan, 390026, Russia
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Saint Petersburg, 197022, Russia
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Stavropol, 355017, Russia
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Bratislava, 84231, Slovakia
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Piešťany, 921 12, Slovakia
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Benoni, 1500, South Africa
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Bloemfontein, 9301, South Africa
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Breyten, 2330, South Africa
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Cape Town, 7925, South Africa
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Durban, 4092, South Africa
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Limpopo, 0380, South Africa
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Pretoria, 0184, South Africa
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Somerset West, 7130, South Africa
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Stellenbosch, 7600, South Africa
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Westville, 3630, South Africa
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Busan, 602-715, South Korea
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Daegu, 700-721, South Korea
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Seoul, 134-727, South Korea
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Colombo, Sri Lanka
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Galle, Sri Lanka
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Kalubowila, Sri Lanka
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Nugegoda, Sri Lanka
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Keelong, 333, Taiwan
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Kuei Shan Hsiang, 33305, Taiwan
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Taichung, 407, Taiwan
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Taipei, 112, Taiwan
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Dnipropetrovsk, 49008, Ukraine
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Donetsk, 83045, Ukraine
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Kharkiv, 61178, Ukraine
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Kiev, 04114, Ukraine
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Kyiv, 03151, Ukraine
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Odesa, 65026, Ukraine
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Poltava, 36038, Ukraine
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Simferopol, 95017, Ukraine
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Vinnytsia, 21018, Ukraine
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 14, 2010
First Posted
September 16, 2010
Study Start
January 1, 2011
Primary Completion
December 1, 2012
Study Completion
July 1, 2013
Last Updated
April 25, 2018
Results First Posted
April 25, 2018
Record last verified: 2018-03