Clinical Trials

Multiple Phase 1 and Phase 2 clinical trials sponsored by Eli Lilly and Company have evaluated adomeglivant (LY2409021) in healthy volunteers, patients with type 2 diabetes mellitus, and individuals with chronic kidney failure or renal impairment. These studies assessed single-dose pharmacokinetics, formulation transitions, and cardiovascular parameters, including blood pressure and pulse rate. Across these trials, recruitment statuses encompass both completed and terminated studies.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02385084 Terminated
Healthy
Eli Lilly and Company
2015-03 Phase 1
NCT02217618 Completed
Healthy Participants
Eli Lilly and Company
2014-08 Phase 1
NCT02091362 Completed
Type 2 Diabetes Mellitus
Eli Lilly and Company
2014-03 Phase 2
NCT01929109 Completed
Kidney Failure Chronic|Renal Insufficiency Chronic
Eli Lilly and Company
2013-08 Phase 1

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the Adomeglivant product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Adomeglivant acts as a potent and selective antagonist of the glucagon receptor, competitively inhibiting glucagon binding to suppress hepatic adenylate cyclase activation and subsequent intracellular cyclic AMP signaling. This downstream attenuation of glycogenolysis and gluconeogenesis reduces hepatic glucose output, thereby lowering elevated fasting blood glucose levels in clinical contexts such as type 2 diabetes mellitus.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.