A Study of LY3981314 in Participants With Autoimmune Hepatitis

November 5, 2026 updated by: Eli Lilly and Company

An Open Label, Single-Dose Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamic Effect of LY3981314 in Patients With Autoimmune Hepatitis

The purpose of the study is to assess if a single dose of LY3981314 is safe in participants with autoimmune hepatitis. Blood tests will be performed to investigate how the body processes the study drug and how the study drug affects the body

The study will last about 30 weeks.

Study Overview

Status

Not yet recruiting

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

12

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
  • Phone Number: 1-317-615-4559
  • Email: LillyTrials@Lilly.com

Study Contact Backup

Study Locations

    • Indiana
      • Indianapolis, Indiana, United States, 46202
        • Indiana University Health
        • Principal Investigator:
          • Craig Lammert
        • Contact:
          • Phone Number: 317-278-9292
    • Texas
      • Dallas, Texas, United States, 75203
        • Methodist Dallas Medical Center
        • Principal Investigator:
          • Parvez Mantry
        • Contact:
          • Phone Number: 214-947-4450

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 70 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Have a confirmed diagnosis of autoimmune hepatitis (AIH) for greater than or equal to (≥) 6 months according to American Association for the Study of Liver Diseases diagnostic criteria (Appendix 8, Section 10.8)

  • Have alanine aminotransferase (ALT) greater than (>) 1.5x upper limit of normal (ULN) to less than (<) 5x ULN

  • Have elevated soluble FAS (sFAS) based on Sponsor predetermined threshold

  • Be on a stable immunosuppressive medication regimen for AIH with no dose changes or weaning of treatment for ≥8 weeks prior to screening, and no anticipated medication adjustments until after the post-treatment liver biopsy at Day 29. The following medications are permitted for the management of AIH:

    • Azathioprine
    • 6-Mercaptopurine
    • Inhibitors of inosine monophosphate dehydrogenase (mycophenolate mofetil, mycophenolate sodium, mycophenolic acid)
    • Tacrolimus
    • Cyclosporine
    • Corticosteroids at a dose equivalent to less than or equal to (≤) 10 mg of prednisone per day

Exclusion Criteria:

  • Have clinical, laboratory, histological, or imaging evidence of cirrhosis

  • Have a controlled attenuation parameter (CAP) score >300 decibel-milliwatt (dB/m) as measured by transient elastography

  • Have clinical evidence of hepatic decompensation as defined by the presence of any of the following abnormalities

    • international normalized ratio >1.3
    • history of esophageal varices, ascites or hepatic encephalopathy
  • Have or had other forms of chronic liver disease per Medical History:

    • alcoholic liver disease
    • hepatitis B
    • hepatitis C
    • history of primary biliary cholangitis or primary sclerosing cholangitis
    • history of celiac disease, or other autoimmune disorders including immune-checkpoint related hepatitis associated with elevated aminotransferases
    • uncontrolled thyroid disease
    • current drug-induced liver disease based on typical exposure and history
    • metabolic dysfunction associated steatohepatitis, Wilson's disease, hemochromatosis, alpha-1-antitrypsin deficiency, or cystic fibrosis-related liver disease
    • suspected or proven liver cancer
    • any other physician confirmed liver disease other than AIH
  • Have any medical condition that, in the opinion of the investigator, may increase the risk of complications related to liver biopsy (for example, a known coagulopathy, inherited disorders of hemostasis, sickle cell disease, amyloidosis)

  • Have any of the following laboratory abnormalities at screening:

    • Platelet count <150,000/cubic millimeter (mm³)

    • Hemoglobin

      • <10 grams per deciliter (g/dL) for individuals assigned female at birth (AFAB)
      • <11 g/dL for individuals assigned male at birth (AMAB)
    • Absolute neutrophil count <1000/mm³

    • Transferrin saturation >50 percentage (%) (except when it has been demonstrated that a diagnosis of hemochromatosis has been excluded by genetic testing or when a previous liver biopsy has demonstrated no evidence of iron overload.)

    • Total bilirubin > ULN unless known Gilbert's syndrome per Medical History.

      • Gilbert's syndrome participant must have normal direct bilirubin; if diagnosis of Gilbert's cannot be confirmed by medical records, participant may not participate in the study
    • Have renal impairment measured as estimated glomerular filtration rate<60 milliliters per minute (mL/min)/1.73 square meter (m²), calculated using the Chronic Kidney Disease Epidemiology Collaboration Creatinine Equation (2021 version), as determined by the local laboratory during screening

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: LY3981314

LY3981314 administered subcutaneously (SC)

Administered SC

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Number of Participants with Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time Frame: Baseline up to Approximately Week 25
Baseline up to Approximately Week 25

Secondary Outcome Measures

Outcome Measure
Time Frame
Pharmacokinetics (PK): Plasma Concentrations of LY3981314
Time Frame: Baseline Up to Approximately Week 25
Baseline Up to Approximately Week 25

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

December 1, 2026

Primary Completion (Estimated)

June 1, 2028

Study Completion (Estimated)

June 1, 2028

Study Registration Dates

First Submitted

November 5, 2026

First Submitted That Met QC Criteria

November 5, 2026

First Posted (Actual)

November 10, 2026

Study Record Updates

Last Update Posted (Actual)

November 10, 2026

Last Update Submitted That Met QC Criteria

November 5, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 27811
  • J6H-MC-KXAB (Other Identifier: Eli Lilly and Company)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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