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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1168-6634 | Registry Identifier | WHO |
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The purpose of this study is to assess the safety, tolerability and pharmacokinetics (PK) of multiple rising doses of TAK-935 in healthy participants.
The drug being tested in this study is called TAK-935. This study will look at the pharmacokinetics, safety and tolerability of TAK-935 in healthy participants. The study will enroll approximately 56 participants. Participants will be randomly assigned (by chance, like flipping a coin) to 1 of the 5 cohorts in Part 1, which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need):
This single center trial will be conducted in the United States. The overall time to participate in this study will be approximately 30 days. Participants will be admitted in the clinic for the first 14 days, and will be contacted by telephone on Day 28 for a follow-up assessment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1, Cohort 1: TAK-935 100 mg QD | Experimental | TAK-935 100 milligram (mg), solution, orally, once daily (QD) or TAK-935 placebo-matching solution, orally, QD for up to 14 days. |
|
| Part 1, Cohort 2: TAK-935 300 mg QD | Experimental | TAK-935 300 mg, solution, orally, QD or TAK-935 placebo-matching solution, orally, QD for up to 14 days. |
|
| Part 1, Cohort 3: TAK-935 300 mg BID | Experimental | TAK-935 300 mg, solution, orally, twice daily (BID) or TAK-935 placebo-matching solution, orally, BID for up to 10 days. |
|
| Part 1, Cohort 4: TAK-935 600 mg QD | Experimental | TAK-935 600 mg, solution, orally, QD or TAK-935 placebo-matching solution, orally, QD for up to 10 days. |
|
| Part 1, Cohort 5: TAK-935 400 mg QD | Experimental | TAK-935 400 mg, solution, orally, QD or TAK-935 placebo-matching solution, orally, QD for up to 14 days. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TAK-935 | Drug | TAK-935 oral solution |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Who Experience at Least One Treatment-emergent Adverse Event (TEAE) | Day 1 up to Day 28 | |
| Percentage of Participants Who Meet the Takeda Markedly Abnormal Criteria for Safety Laboratory Tests at Least Once Post Dose | Baseline up to Day 15 | |
| Percentage of Participants Who Meet the Takeda Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post Dose | Baseline up to Day 15 | |
| Percentage of Participants Who Meet the Takeda Markedly Abnormal Criteria for Safety 12-lead Electrocardiogram (ECG) Parameters at Least Once Post Dose | Baseline up to Day 15 |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax: Maximum Observed Plasma Concentration for TAK-935 | Day 1 and Day 14: Pre-dose and at multiple time points (up to 24 hours for Cohorts 1, 2, 4, and 5; up to 12 hours for Cohort 3) post-dose | |
| AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-935 |
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Inclusion Criteria:
All Cohorts
Is capable of understanding and complying with protocol requirements.
Signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures including requesting that a participant fast for any laboratory evaluations.
Is a healthy male or female aged 18 to 55 years inclusive, at the time of informed consent and first study medication dose.
Weighs at least 45 kilogram (kg) and has a body mass index (BMI) from 18.0 to 30.0 kilogram per square meter (kg/m^2), inclusive at Screening and Day -1.
Male participant who is non-sterilized and sexually active with a female partner of childbearing potential agrees to use adequate contraception from signing of informed consent throughout the duration of the study and for 30 days after last dose.
Female participant of childbearing potential who is sexually active with a non-sterilized male partner agrees to use routinely adequate contraception from signing of informed consent and throughout the duration of the study, and for 30 days after the last dose.
Can complete the CogState Battery at Screening.
Additional Inclusion Criteria for Participants undergoing cerebrospinal fluid (CSF) Sampling (Part 2 only):
Agrees to spinal tap procedures for CSF collection.
Exclusion Criteria:
All Cohorts
Has received any investigational compound within 30 days prior to randomization.
Has received TAK-935 in a previous clinical study or as a therapeutic agent.
Has a significant history of uncontrolled, clinically significant neurologic (including seizure disorders), cardiovascular, pulmonary, hepatic, renal, metabolic, gastrointestinal, urologic, immunologic, endocrine disease or psychiatric disorder or endocrine disease or other abnormality or any significant results from physical examinations, or clinical laboratory results which may impact the ability of the participant to participate or potentially confound the study results. It is the responsibility of the investigator to assess the clinical significance; however, consultation with the Takeda Medical Monitor may be warranted.
Has a known hypersensitivity to any component of the formulation of TAK-935.
Has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse within 1 year prior to the screening visit or is unwilling to agree to abstain from alcohol and drugs throughout the study. One unit is equivalent to a half-pint of beer or a single measure of spirits or 1 small glass of wine.
Has taken any excluded medication, supplements, or food products during the time periods listed in the Excluded Medications and Dietary Products table.
Additional Exclusion Criteria for Participants undergoing CSF sampling (Part 2)
Has CSF collection performed within 30 days prior to check-in (Day -3).
Has a known hypersensitivity to the anesthetic or its derivatives used during CSF collection, or any medication used to prepare the area of lumbar puncture.
Has significant vertebral deformities (scoliosis or kyphosis) which, in the opinion of the investigator, may interfere with lumbar puncture procedure.
Has a history of clinically significant back pain and/or injury.
Has local infection at the puncture site.
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Austin | Texas | United States |
Healthy participants received TAK-935 or placebo in Cohorts 1-5: 100 milligram(mg) once daily(QD), 300mg QD, 300mg twice daily(BID), 600mg QD, and 400mg QD respectively in Part 1. Study Part 2 (optional) was not conducted after review of initial data of TAK-935-1003(NCT02497235) along with safety and tolerability data from Cohorts 1 to 4 of Part 1.
Participants took part in the study at 1 investigative site in the United States from 02 September 2015 to 19 April 2016.
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| ID | Title | Description |
|---|---|---|
| FG000 | Cohorts 1-5: Placebo | TAK-935 placebo-matching solution, orally, QD for up to 14 days in Cohorts 1, 2, and 5; BID for up to 10 days in Cohort 3 and QD for up to 10 days in Cohort 4. |
| FG001 | Cohort 1: TAK-935 100 mg QD | TAK-935 100 mg, solution, orally, QD for up to 14 days in Cohort 1. |
| FG002 | Cohort 2: TAK-935 300 mg QD | TAK-935 300 mg, solution, orally, QD for up to 14 days in Cohort 2. |
| FG003 | Cohort 3: TAK-935 300 mg BID | TAK-935 300 mg, solution, orally, BID for up to 10 days in Cohort 3. |
| FG004 | Cohort 5: TAK-935 400 mg QD | TAK-935 400 mg, solution, orally, QD for up to 14 days in Cohort 5. |
| FG005 | Cohort 4: TAK-935 600 mg QD | TAK-935 600 mg, solution, orally, QD for up to 10 days in Cohort 4. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
The safety analysis set included all participants who were enrolled and received study drug.
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| ID | Title | Description |
|---|---|---|
| BG000 | Cohorts 1-5: Placebo | TAK-935 placebo-matching solution, orally, QD for up to 14 days in Cohorts 1, 2, and 5; BID for up to 10 days in Cohort 3 and QD for up to 10 days in Cohort 4. |
| BG001 | Cohort 1: TAK-935 100 mg QD |
| Units | Counts |
|---|---|
| Participants |
|
| 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 | Percentage of Participants Who Experience at Least One Treatment-emergent Adverse Event (TEAE) | The safety analysis set included all participants who were enrolled and received study drug. | Posted | Number | percentage of participants | Day 1 up to Day 28 |
|
Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days after the last dose of double-blind study drug (Day 28)
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 | Cohorts 1-5: Placebo | TAK-935 placebo-matching solution, orally, QD for up to 14 days in Cohorts 1, 2, and 5; BID for up to 10 days in Cohort 3 and QD for up to 10 days in Cohort 4. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Lacrimation increased | Eye disorders | MedDRA (18.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Takeda | +1-877-825-3327 | trialdisclosures@takeda.com |
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| ID | Term |
|---|---|
| D004827 | Epilepsy |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Part 2, Cohort 6: TAK-935 Dose 1 | Experimental | TAK-935 first decided dose as determined from other TAK-935 trials and Cohorts 1 to 4 of Part 1, solution, orally, QD or TAK-935 placebo-matching solution, orally, QD for up to 14 days. |
|
| Part 2, Cohort 7: TAK-935 Dose 2 | Experimental | TAK-935 second decided dose as determined from other TAK-935 trials and Cohorts 1 to 4 of Part 1, solution, orally, QD or TAK-935 placebo-matching solution, orally, QD for up to 14 days. |
|
| Placebo | Drug | TAK-935 placebo-matching oral solution |
|
| Day 1 and Day 14: Pre-dose and at multiple time points (up to 24 hours for Cohorts 1, 2, 4, and 5; up to 12 hours for Cohort 3) post-dose |
| AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-935 | Day 1: Pre-dose and at multiple time points (up to 24 hours for Cohorts 1, 2, 4, and 5; up to 12 hours for Cohort 3) post-dose |
| AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to Over the Dosing Interval for TAK-935 | Day 14: Pre-dose and at multiple time points (up to 24 hours for Cohorts 1, 2, 4, and 5; up to 12 hours for Cohort 3) post-dose |
TAK-935 100 mg, solution, orally, QD for up to 14 days in Cohort 1.
| BG002 | Cohort 2: TAK-935 300 mg QD | TAK-935 300 mg, solution, orally, QD for up to 14 days in Cohort 2. |
| BG003 | Cohort 3: TAK-935 300 mg BID | TAK-935 300 mg, solution, orally, BID for up to 10 days in Cohort 3. |
| BG004 | Cohort 5: TAK-935 400 mg QD | TAK-935 400 mg, solution, orally, QD for up to 14 days in Cohort 5. |
| BG005 | Cohort 4: TAK-935 600 mg QD | TAK-935 600 mg, solution, orally, QD for up to 10 days in Cohort 4. |
| BG006 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Ethnicity | Number | participants |
|
| Race | Number | participants |
|
| Height | Mean | Standard Deviation | centimeter (cm) |
|
| Weight | Mean | Standard Deviation | kilogram (kg) |
|
| Body Mass Index | Mean | Standard Deviation | kilogram per square meter (kg/m^2) |
|
| Smoking Classification | Number | participants |
|
| Alcohol Classification | Number | participants |
|
| Xanthine/Caffeine Consumption | Number | participants |
|
| Female Reproductive Status | Number | participants |
|
| Cohort 2: TAK-935 300 mg QD |
TAK-935 300 mg, solution, orally, QD for up to 14 days in Cohort 2. |
| OG003 | Cohort 3: TAK-935 300 mg BID | TAK-935 300 mg, solution, orally, BID for up to 10 days in Cohort 3. |
| OG004 | Cohort 5: TAK-935 400 mg QD | TAK-935 400 mg, solution, orally, QD for up to 14 days in Cohort 5. |
| OG005 | Cohort 4: TAK-935 600 mg QD | TAK-935 600 mg, solution, orally, QD for up to 10 days in Cohort 4. |
|
|
| Primary | Percentage of Participants Who Meet the Takeda Markedly Abnormal Criteria for Safety Laboratory Tests at Least Once Post Dose | The safety analysis set included all participants who were enrolled and received study drug. | Posted | Number | percentage of participants | Baseline up to Day 15 |
|
|
|
| Primary | Percentage of Participants Who Meet the Takeda Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post Dose | The safety analysis set included all participants who were enrolled and received study drug. | Posted | Number | percentage of participants | Baseline up to Day 15 |
|
|
|
| Primary | Percentage of Participants Who Meet the Takeda Markedly Abnormal Criteria for Safety 12-lead Electrocardiogram (ECG) Parameters at Least Once Post Dose | The safety analysis set included all participants who were enrolled and received study drug. | Posted | Number | percentage of participants | Baseline up to Day 15 |
|
|
|
| Secondary | Cmax: Maximum Observed Plasma Concentration for TAK-935 | The pharmacokinetic (PK) set included all participants in the safety set who had at least 1 measurable plasma or urine concentration. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanogram per milliliter (ng/mL) | Day 1 and Day 14: Pre-dose and at multiple time points (up to 24 hours for Cohorts 1, 2, 4, and 5; up to 12 hours for Cohort 3) post-dose |
|
|
|
|
| Secondary | AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-935 | The PK set included all participants in the safety set who had at least 1 measurable plasma or urine concentration. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanogram*hour per milliliter (ng*hr/mL) | Day 1 and Day 14: Pre-dose and at multiple time points (up to 24 hours for Cohorts 1, 2, 4, and 5; up to 12 hours for Cohort 3) post-dose |
|
|
|
|
| Secondary | AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-935 | The PK set where Day 1 assessment for AUC∞ was available. The PK set included all participants in the safety set who had at least 1 measurable plasma or urine concentration. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*hr/mL | Day 1: Pre-dose and at multiple time points (up to 24 hours for Cohorts 1, 2, 4, and 5; up to 12 hours for Cohort 3) post-dose |
|
|
|
|
| Secondary | AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to Over the Dosing Interval for TAK-935 | The PK set included all participants in the safety set who had at least 1 measurable plasma or urine concentration. No data was reported for Cohorts 3 and 4 since dosing was discontinued after Day 10. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*hr/mL | Day 14: Pre-dose and at multiple time points (up to 24 hours for Cohorts 1, 2, 4, and 5; up to 12 hours for Cohort 3) post-dose |
|
|
|
|
| 0 |
| 10 |
| 4 |
| 10 |
| EG001 | Cohort 1: TAK-935 100 mg QD | TAK-935 100 mg, solution, orally, QD for up to 14 days in Cohort 1. | 0 | 6 | 0 | 6 |
| EG002 | Cohort 2: TAK-935 300 mg QD | TAK-935 300 mg, solution, orally, QD for up to 14 days in Cohort 2. | 0 | 6 | 1 | 6 |
| EG003 | Cohort 3: TAK-935 300 mg BID | TAK-935 300 mg, solution, orally, BID for up to 10 days in Cohort 3. | 0 | 6 | 5 | 6 |
| EG004 | Cohort 5: TAK-935 400 mg QD | TAK-935 400 mg, solution, orally, QD for up to 14 days in Cohort 5. | 0 | 6 | 5 | 6 |
| EG005 | Cohort 4: TAK-935 600 mg QD | TAK-935 600 mg, solution, orally, QD for up to 10 days in Cohort 4. | 0 | 6 | 3 | 6 |
| Vision blurred | Eye disorders | MedDRA (18.0) | Systematic Assessment |
|
| Application site irritation | General disorders | MedDRA (18.0) | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA (18.0) | Systematic Assessment |
|
| Feeling of relaxation | General disorders | MedDRA (18.0) | Systematic Assessment |
|
| Laceration | Injury, poisoning and procedural complications | MedDRA (18.0) | Systematic Assessment |
|
| Mouth injury | Injury, poisoning and procedural complications | MedDRA (18.0) | Systematic Assessment |
|
| Disturbance in attention | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
|
| Aphasia | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
|
| Agraphia | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
|
| Memory impairment | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
|
| Myoclonus | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
|
| Visual perseveration | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA (18.0) | Systematic Assessment |
|
| Euphoric mood | Psychiatric disorders | MedDRA (18.0) | Systematic Assessment |
|
| Hypervigilance | Psychiatric disorders | MedDRA (18.0) | Systematic Assessment |
|
| Abnormal dreams | Psychiatric disorders | MedDRA (18.0) | Systematic Assessment |
|
| Acute psychosis | Psychiatric disorders | MedDRA (18.0) | Systematic Assessment |
|
| Confusional state | Psychiatric disorders | MedDRA (18.0) | Systematic Assessment |
|
| Distractibility | Psychiatric disorders | MedDRA (18.0) | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA (18.0) | Systematic Assessment |
|
| Tachyphrenia | Psychiatric disorders | MedDRA (18.0) | Systematic Assessment |
|
| Thinking abnormal | Psychiatric disorders | MedDRA (18.0) | Systematic Assessment |
|
| Disorientation | Psychiatric disorders | MedDRA (18.0) | Systematic Assessment |
|
| Nightmare | Psychiatric disorders | MedDRA (18.0) | Systematic Assessment |
|
| Paranasal sinus discomfort | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Systematic Assessment |
|
| Sneezing | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Systematic Assessment |
|
| Abdominal discomfort | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
|
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA (18.0) | Systematic Assessment |
|
| Lip dry | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
|
| Metrorrhagia | Reproductive system and breast disorders | MedDRA (18.0) | Systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA (18.0) | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (18.0) | Systematic Assessment |
|
| Infrequent bowel movements | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
|
Research Organization shall not publish any articles or papers nor make any presentations, nor assist any other person in publishing any articles or papers or in making any presentations relating or referring to the Study or any results, data or insights from or any data, information or materials obtained or generated in the performance of its obligations without the prior written consent of Takeda, which consent may be granted or withheld in Takeda's sole discretion.
| Day 14 |
|
Day 14: For groups with QD dosing, dose proportionality for TAK-935 plasma exposure on Day 14 was assessed using the power model. For Day 14, the criteria for dose proportionality was the 90% CI for the slope within (0.839, 1.161) for the dose range of 100 mg to 400 mg. |
| Power model |
| 0.042 |
| Slope |
| 1.37 |
| 2-Sided |
| 90 |
| 1.078 |
| 1.664 |
| Superiority or Other |
| Day 14 |
|
Day 14: For groups with QD dosing, dose proportionality for TAK-935 plasma exposure on Day 14 was assessed using the power model. For Day 14, the criteria for dose proportionality was the 90% CI for the slope within (0.839, 1.161) for the dose range of 100 mg to 400 mg. |
| Power model |
| 0.036 |
| Slope |
| 1.37 |
| 2-Sided |
| 90 |
| 1.089 |
| 1.657 |
| Superiority or Other |