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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1165-5595 | Registry Identifier | WHO | |
| JapicCTI-152777 | Registry Identifier | JapicCTI |
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This is a phase 1, randomized, open-label, crossover study to evaluate the food-effect of single oral dose of TAK-536TCH final formulation tablet in healthy adult male participants.
The purpose of this study is to evaluate the food effect on the pharmacokinetics and safety of a single oral dose of TAK-536TCH under fasted and fed conditions in the morning in healthy adult male participants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fasted dosing followed by fed dosing | Other | Dosing in the fasted state followed by fed dosing |
|
| Fed dosing followed by fasted dosing | Other | Dosing in the fed state followed by fasted dosing |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TAK-536TCH | Drug | TAK-536TCH tablets |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cmax: Maximum Plasma Concentration for TAK-536, Its Metabolites (M-I and M-II) and Hydrochlorothiazide (HCTZ) | Day 1: predose and at multiple time points (up to 48 hours) postdose in each period | |
| Cmax: Maximum Plasma Concentration for Amlodipine Besilate (AML) | Day 1: predose and at multiple time points (up to 120 hours) postdose in each period | |
| AUC(0-48): Area Under the Plasma Concentration-Time Curve From Time 0 to 48 Hours Postdose in Each Period for TAK-536, Its Metabolites (M-I and M-II) and HCTZ | AUC(0-48) is a measure of the area under the plasma concentration time-curve from time 0 to 48 hours postdose. | Day 1: predose and at multiple time points (up to 48 hours) postdose in each period |
| AUC(0-120): Area Under the Plasma Concentration-Time Curve From Time 0 to 120 Hours Postdose in Each Period for AML | AUC(0-120) is a measure of the area under the plasma concentration time-curve from time 0 to 120 hours postdose. | Day 1: predose and at multiple time points (up to 120 hours) postdose in each period |
| AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration in Each Period for TAK-536, Its Metabolites (M-I and M-II) and HCTZ | AUC(0-tlqc) is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration (AUC[0-tlqc]). | Day 1: predose and at multiple time points (up to 48 hours) postdose in each period |
| AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration in Each Period for AML | AUC(0-tlqc) is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration (AUC[0-tlqc]). |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) | Baseline up to 14 days after last dose of study drug (14 days after Day 1 of Period 2 ) | |
| Number of Participants With TEAEs Related to Vital Signs | Baseline up to 14 days after last dose of study drug (14 days after Day 1 of Period 2 ) |
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Inclusion Criteria:
1. In the opinion of the investigator and subinvestigator, the participant is capable of understanding and complying with protocol requirements.
2. The participant signs and dates a written, informed consent form prior to the initiation of any study procedures.
3. The participant is a healthy Japanese adult male. 4. The participant is aged 20 to 35 years, inclusive at the time of informed consent.
5. The participant weighs at least 50.0 kg and has a body mass index (BMI) from 18.5 to 25.0 kilograms per square meter (kg/m^2), inclusive at Screening.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Study Manager | Takeda | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fukuoka | Fukuoka | Japan |
Healthy adult male participants were enrolled in 1 of 2 treatment sequences in either of the Periods 1 or 2: Sequence A: TAK-536TCH (combination drug of TAK-536 [azilsartan], amlodipine besilate [AML], hydrochlorothiazide [HTZ]) Fasted in Period 1+ TAK-536TCH Fed in period 2; Sequence B: TAK-536TCH Fed in Period 1+ TAK-536TCH Fasted in Period 2.
Participants took part in the study at 1 investigative site in Japan from 29 January 2015 to 11 March 2015.
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| ID | Title | Description |
|---|---|---|
| FG000 | TAK-536TCH Fasted + TAK-536TCH Fed | TAK-536TCH (20 milligram [mg]/5 mg/12.5 mg), tablet, in fasted condition, orally, once on Day 1 in Period 1, followed by 22 days washout period, followed by TAK-536TCH (20 mg/5 mg/12.5 mg), tablet, in fed condition, orally, once on Day 1 in Period 2. |
| FG001 | TAK-536TCH Fed + TAK-536TCH Fasted | TAK-536TCH (20 mg/5 mg/12.5 mg), tablet, in fed condition, orally, once on Day 1 in Period 1, followed by 22 days washout period, followed by TAK-536TCH (20 mg/5 mg/12.5 mg), tablet, in fasted condition, orally, once on Day 1 in Period 2. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period 1 (7 Days) |
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| Washout Period (22 Days) |
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| Period 2 (7 Days) |
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Pharmacokinetic (PK) analysis set included all participants who received the study drug, completed the minimum protocol-specified procedures without any major protocol deviations, and who were evaluable for the food-effect.
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| ID | Title | Description |
|---|---|---|
| BG000 | All Participants | All participants who received either 1 of the two treatment sequences: Sequence 1: TAK-536TCH (20 mg/5 mg/12.5 mg), tablet, in fasted condition, orally, once on Day 1 in Period 1, followed by 22 days washout period, followed by TAK-536TCH (20 mg/5 mg/12.5 mg), tablet, in fed condition, orally, once on Day 1 in Period 2 or Sequence 2: TAK-536TCH (20 mg/5 mg/12.5 mg), tablet, in fed condition, orally, once on Day 1 in Period 1, followed by 22 days washout period, followed by TAK-536TCH (20 mg/5 mg/12.5 mg), tablet, in fasted condition, orally, once on Day 1 in Period 2. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Cmax: Maximum Plasma Concentration for TAK-536, Its Metabolites (M-I and M-II) and Hydrochlorothiazide (HCTZ) | Pharmacokinetic (PK) analysis set included all participants who received the study drug, completed the minimum protocol-specified procedures without any major protocol deviations, and who were evaluable for the food-effect. | Posted | Mean | Standard Deviation | nanogram per milliliter (ng/mL) | Day 1: predose and at multiple time points (up to 48 hours) postdose in each period |
|
Treatment-emergent adverse events are adverse events that started after the first dose of study drug and no more than 14 days for a serious adverse event after the last dose of study drug (14 days after Day 1 of Period 2).
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | TAK-536TCH Fasted | TAK-536TCH (20 mg/5 mg/12.5 mg), tablet, in fasted condition, orally, once on Day 1 in either Period 1 or Period 2. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Faeces soft | Gastrointestinal disorders | MedDRA (v18.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Takeda | +1-877-825-3327 | clinicaltrialregistry@tpna.com |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| Day 1: predose and at multiple time points (up to 120 hours) postdose in each period |
| AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity in Each Period for TAK-536, Its Metabolites (M-I and M-II) and HCTZ | AUC (0-inf) is a measure of total plasma exposure to the drug from time zero extrapolated to infinity. | Day 1: predose and at multiple time points (up to 48 hours) postdose in each period |
| AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for AML | AUC (0-inf) is a measure of total plasma exposure to the drug from time zero extrapolated to infinity. | Day 1: predose and at multiple time points (up to 120 hours) postdose in each period |
| Urinary Excretion Ratio of TAK-536, Its Metabolites (M-I and M-II) and HCTZ | Urinary excretion ratio (percent [%] of dose) of TAK-536, its metabolite M-I, M-II and HCTZ in urine were calculated for each participant. Ratio was calculated from the urine concentrations of each analyte and the volume of urine collected in each pooling period. | Day 1: predose and at multiple time-points (up to 48 hours) postdose in each period |
| Urinary Excretion Ratio of AML | Urinary excretion ratio (% of dose) of AML in urine were calculated for each participant. Ratio was calculated from the urine concentrations of each analyte and the volume of urine collected in each pooling period. | Day 1: predose and at multiple time-points (up to 120 hours) postdose in each period |
| Number of Participants With TEAEs Related to Body Weight | Baseline up to 14 days after last dose of study drug (14 days after Day 1 of Period 2 ) |
| Number of Participants With TEAEs Categorized Into Investigations System Organ Class (SOC) Related to Laboratory Values | Baseline up to 14 days after last dose of study drug (14 days after Day 1 of Period 2 ) |
| Number of Participants With Clinical Significant Findings in Electrocardiograms After Study Drug Administration | Participants whose results of electrocardiograms were judged as abnormal and clinically significant by investigator after study drug administration were counted in this measurement. | Baseline up to 14 days after last dose of study drug (14 days after Day 1 of Period 2 ) |
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| years |
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| Sex/Gender, Customized | Number | participants |
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| Region of Enrollment | Number | participants |
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| Height | Mean | Standard Deviation | centimeter (cm) |
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| Weight | Mean | Standard Deviation | kilogram (kg) |
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| Body Mass Index (BMI) | Mean | Standard Deviation | kilogram per square meter (kg/m^2) |
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| Smoking Classification | Number | participants |
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| Alcohol Classification | Number | participants |
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| Caffeine Classification | Number | participants |
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| Primary | Cmax: Maximum Plasma Concentration for Amlodipine Besilate (AML) | PK analysis set included all participants who received the study drug, completed the minimum protocol-specified procedures without any major protocol deviations, and who were evaluable for the food-effect. | Posted | Mean | Standard Deviation | ng/mL | Day 1: predose and at multiple time points (up to 120 hours) postdose in each period |
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| Primary | AUC(0-48): Area Under the Plasma Concentration-Time Curve From Time 0 to 48 Hours Postdose in Each Period for TAK-536, Its Metabolites (M-I and M-II) and HCTZ | AUC(0-48) is a measure of the area under the plasma concentration time-curve from time 0 to 48 hours postdose. | PK analysis set included all participants who received the study drug, completed the minimum protocol-specified procedures without any major protocol deviations, and who were evaluable for the food-effect. | Posted | Mean | Standard Deviation | nanogram*hour per milliliter (ng*hr/mL) | Day 1: predose and at multiple time points (up to 48 hours) postdose in each period |
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| Primary | AUC(0-120): Area Under the Plasma Concentration-Time Curve From Time 0 to 120 Hours Postdose in Each Period for AML | AUC(0-120) is a measure of the area under the plasma concentration time-curve from time 0 to 120 hours postdose. | PK analysis set included all participants who received the study drug, completed the minimum protocol-specified procedures without any major protocol deviations, and who were evaluable for the food-effect. | Posted | Mean | Standard Deviation | ng*hr/mL | Day 1: predose and at multiple time points (up to 120 hours) postdose in each period |
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| Primary | AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration in Each Period for TAK-536, Its Metabolites (M-I and M-II) and HCTZ | AUC(0-tlqc) is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration (AUC[0-tlqc]). | PK analysis set included all participants who received the study drug, completed the minimum protocol-specified procedures without any major protocol deviations, and who were evaluable for the food-effect. | Posted | Mean | Standard Deviation | ng*hr/mL | Day 1: predose and at multiple time points (up to 48 hours) postdose in each period |
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| Primary | AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration in Each Period for AML | AUC(0-tlqc) is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration (AUC[0-tlqc]). | PK analysis set included all participants who received the study drug, completed the minimum protocol-specified procedures without any major protocol deviations, and who were evaluable for the food-effect. | Posted | Mean | Standard Deviation | ng*hr/mL | Day 1: predose and at multiple time points (up to 120 hours) postdose in each period |
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| Primary | AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity in Each Period for TAK-536, Its Metabolites (M-I and M-II) and HCTZ | AUC (0-inf) is a measure of total plasma exposure to the drug from time zero extrapolated to infinity. | PK analysis set included all participants who received the study drug, completed the minimum protocol-specified procedures without any major protocol deviations, and who were evaluable for the food-effect. | Posted | Mean | Standard Deviation | ng*hr/mL | Day 1: predose and at multiple time points (up to 48 hours) postdose in each period |
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| Primary | AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for AML | AUC (0-inf) is a measure of total plasma exposure to the drug from time zero extrapolated to infinity. | PK analysis set included all participants who received the study drug, completed the minimum protocol-specified procedures without any major protocol deviations, and who were evaluable for the food-effect. | Posted | Mean | Standard Deviation | ng*hr/mL | Day 1: predose and at multiple time points (up to 120 hours) postdose in each period |
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| Primary | Urinary Excretion Ratio of TAK-536, Its Metabolites (M-I and M-II) and HCTZ | Urinary excretion ratio (percent [%] of dose) of TAK-536, its metabolite M-I, M-II and HCTZ in urine were calculated for each participant. Ratio was calculated from the urine concentrations of each analyte and the volume of urine collected in each pooling period. | PK analysis set included all participants who received the study drug, completed the minimum protocol-specified procedures without any major protocol deviations, and who were evaluable for the food-effect. | Posted | Number | percentage of dose | Day 1: predose and at multiple time-points (up to 48 hours) postdose in each period |
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| Primary | Urinary Excretion Ratio of AML | Urinary excretion ratio (% of dose) of AML in urine were calculated for each participant. Ratio was calculated from the urine concentrations of each analyte and the volume of urine collected in each pooling period. | PK analysis set included all participants who received the study drug, completed the minimum protocol-specified procedures without any major protocol deviations, and who were evaluable for the food-effect. | Posted | Number | percentage of dose | Day 1: predose and at multiple time-points (up to 120 hours) postdose in each period |
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| Secondary | Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) | Safety analysis set included all participants who received the study drug. | Posted | Number | participants | Baseline up to 14 days after last dose of study drug (14 days after Day 1 of Period 2 ) |
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| Secondary | Number of Participants With TEAEs Related to Vital Signs | Safety analysis set included all participants who received the study drug. | Posted | Number | participants | Baseline up to 14 days after last dose of study drug (14 days after Day 1 of Period 2 ) |
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| Secondary | Number of Participants With TEAEs Related to Body Weight | Safety analysis set included all participants who received the study drug. | Posted | Number | participants | Baseline up to 14 days after last dose of study drug (14 days after Day 1 of Period 2 ) |
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| Secondary | Number of Participants With TEAEs Categorized Into Investigations System Organ Class (SOC) Related to Laboratory Values | Safety analysis set included all participants who received the study drug. | Posted | Number | participants | Baseline up to 14 days after last dose of study drug (14 days after Day 1 of Period 2 ) |
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| Secondary | Number of Participants With Clinical Significant Findings in Electrocardiograms After Study Drug Administration | Participants whose results of electrocardiograms were judged as abnormal and clinically significant by investigator after study drug administration were counted in this measurement. | Safety analysis set included all participants who received the study drug. | Posted | Number | participants | Baseline up to 14 days after last dose of study drug (14 days after Day 1 of Period 2 ) |
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| 0 |
| 12 |
| 1 |
| 12 |
| EG001 | TAK-536TCH Fed | TAK-536TCH (20 mg/5 mg/12.5 mg), tablet, in fed condition, orally, once on Day 1 in either Period 1 or Period 2. | 0 | 12 | 1 | 12 |
| Blood creatine phosphokinase increased | Investigations | MedDRA (v18.0) | Systematic Assessment |
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The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi-site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
| M-II |
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| HCTZ |
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| M-II |
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| HCTZ |
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| M-II |
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| HCTZ |
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| M-II |
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| HCTZ |
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