Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1171-4650 | Registry Identifier | WHO | |
| 2015-002635-18 | EudraCT Number | ||
| 16/WA/0012 | Registry Identifier | NRES |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to assess the relative bioavailability of solid oral formulations of TAK-020 in comparison with single dose of TAK-020 oral solution formulation and to evaluate the food effect and potentially the dose proportionality of the optimal oral solid formulation.
TAK-020 is being developed for the potential treatment of autoimmune diseases including rheumatoid arthritis. Currently TAK-020 is available as an oral solution. This study is to develop an oral tablet formulation. There are three parts to this study. Part 1 will compare different tablet formulations of TAK-020 compared to a reference oral solution to identify the best tablet formulation to use in Parts 2 and 3. Part 2 will look at the effect food has on TAK-020. Part 3 is optional; its implementation will be decided upon using data from Part 2. It will evaluate whether increased doses of TAK-020 produce an expected proportional increase in the plasma concentration of TAK-020.
In Part 1 participants will receive a single dose of the following:
Period 1: TAK-020 Oral Solution Period 2: TAK-020 Co-Crystal Tablet Period 3: TAK-020 Solid Dispersion Tablet Period 4: TAK-020 Immediate Release Tablet
In Part 2 participants will be split into two groups; one will receive the chosen formulation of TAK-020 in the fasted state followed by the fed state and the other group will receive it in the fed state followed by the fasted state. The dose used in Part 2 will be based upon data from Part 1 and previous studies.
Participants in Part 3 of the study will be split into 2 cohorts. Each cohort will be administered, in the fasted state, a single dose of the tablet selected as optimal from previous study parts. The dose used will be based upon data from Parts 1 and 2 and previous studies.
Part 1 will assess the relative bioavailability of TAK-020 by using analysis of variance (ANOVA) on tmax, and the natural logarithms of AUCs, and Cmax. Part 2 will assess the food effect of TAK-020, also using ANOVA on tmax, and the natural logarithms of AUCs, and Cmax. The power model will be used to assess dose proportionality of single doses of the solid formulations in the fasted state from Parts 2 and 3.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part-1, Period 1: TAK-020 17.5 mg Oral Solution | Experimental | Single dose 17.5 milligram (mg), on Day 1, followed by 7 days of washout. Dose will be determined from TAK-020 single rising dose (SRD) trial. |
|
| Part-1, Period 2: TAK-020 17.5 mg Co-crystal Tablet (CCT) | Experimental | Single oral dose 17.5 mg, on Day 1, followed by 7 days of washout. Dose will be the same as Part 1, Period 1. |
|
| Part-1, Period 3:TAK-020 17.5 mg Solid Dispersion Tablet (SDT) | Experimental | Single oral dose 17.5 mg, on Day 1, followed by 7 days of washout. Dose will be the same as Part 1, Period 1. |
|
| Part-1, Period 4:TAK-020 17.5 mg Immediate Release Tablet(IRT) | Experimental | Single oral dose 17.5 mg, on Day 1, followed by 7 days of washout. Dose will be the same as Part 1, Period 1. |
|
| Part 2, Period 1: TAK-020 25 mg CCT | Experimental | Participants will be randomized to AB or BA crossover where A= Fasted, B =Fed. Sequence I: Single oral dose TAK-020 25 mg, Fasted (A), 7 days washout, single oral dose TAK-020 Fed (B) Sequence II: Single oral dose TAK-020 25 mg, Fed (B), 7 days washout, single oral dose TAK-020 Fasted (A) Dose will be determined from SRD trial and Part 1. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TAK-020 Captisol Oral Solution | Drug | TAK-020 solution. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax: Maximum Observed Plasma Concentration for TAK-020 | Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose | |
| Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-020 | Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose | |
| AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-020 | Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose | |
| Terminal Disposition Phase Half-life (T1/2z) in Plasma for TAK-020 | Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Experience at Least One or More Treatment-emergent Adverse Event (TEAE) | Baseline up to 30 days after last dose of study drug (Day 58 in Part 1), (Day 40 in Part 2) | |
| Number of Participants Who Meet the Takeda Markedly Abnormal Criteria for Clinical Laboratory Tests at Least Once Post Dose |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Has received any investigational compound within 30 days prior to Screening.
Is an immediate family member, study site employee, or is in a dependent relationship with a study site employee who is involved in the conduct of this study (example, spouse, parent, child, sibling) or may consent under duress.
Has a known hypersensitivity to any component of the formulation of TAK-020, Captisol, or related compounds.
Has a positive urine drug result for drugs of abuse or a positive breath alcohol screen at Screening or Check-in (Day -1).
Has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse (defined as 4 or more alcoholic units per day) within 1 year prior to the Screening visit or is unwilling to agree to abstain from alcohol and drugs throughout the study.
Has taken any excluded medication, supplements, or food products listed in Prohibited Medications and Foods table.
If female, is pregnant or lactating or intending to become pregnant before, during or within 3 months after exit from this study (90 days post last dose); or intending to donate ova during such time period.
If male, the participant intends to donate sperm during the course of this study or for 90 days after the last dose of study drug.
Has evidence of current cardiovascular, central nervous system, hepatic, hematopoietic disease, renal dysfunction, metabolic or endocrine dysfunction, serious allergy, asthma hypoxemia, hypertension, seizures, or allergic skin rash.
Has current or recent (within 6 months) gastrointestinal disease that would be expected to influence the absorption of drugs (that is, a history of malabsorption, esophageal reflux, peptic ulcer disease, erosive esophagitis, frequent [more than once per week] occurrence of heartburn, or any surgical intervention [example, cholecystectomy]).
Has a history of cancer, except basal cell carcinoma which has been in remission for at least 5 years prior to Day 1.
Has used nicotine-containing products (including but not limited to cigarettes, pipes, cigars, chewing tobacco, nicotine patch or nicotine gum) within 28 days prior to Check-in Day -1. Cotinine test is positive at Screening or Check-in (Day -1).
Has poor peripheral venous access.
Has donated or lost 450 mililiter (mL) or more of his or her blood volume (including plasmapheresis), or had a transfusion of any blood product within 30 days prior to Day 1.
Has a Screening or Check-in (Day -1) abnormal (clinically significant) ECG. Entry of any participant with an abnormal (not clinically significant) ECG must be approved, and documented by signature by the principal investigator or medically qualified subinvestigator.
Has QT interval with Fridericia correction method (QTcF) greater than (>) 430 millisecond (msec) for men and >450 msec for women or PR outside the range of 120 to 220 msec confirmed upon repeat testing within a maximum of 30 minutes, at the Screening Visit or Check-in (Day -1).
Has abnormal Screening or Day -1 laboratory values that suggest a clinically significant underlying disease or participant with the following lab abnormalities:
Vaccination with any live vaccine within 4 weeks of study drug administration.
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nottingham | United Kingdom |
Healthy participants were enrolled in 3 part study to receive TAK-020. Part-1: relative bio-availability of solid formulations, Part-2: effect of food on co-crystal tablet(CCT) and Part-3: dose linearity of CCT. Part-3 was not conducted, as relative bioavailability of solid formulation was greater than(>) 50% compared with oral solution of TAK-020.
Participants took part in the study at 1 investigative site in the United Kingdom from 28 April 2016 to 24 August 2016.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Part 1- TAK-020 17.5 mg: OS + CCT + SDT + IRT | TAK-020 17.5 milligram (mg), oral solution (OS), under fasted state, once on Day 1 of first intervention period; followed by 7 days washout period, followed by TAK-020 17.5 mg, CCT, orally, under fasted state, once on Day 1 of second intervention period; followed by 7 days washout period, followed by TAK-020 17.5 mg, solid dispersion tablets (SDT), orally, under fasted state, once on Day 1 of third intervention period; followed by 7 days washout period, followed by TAK-020 17.5 mg, immediate release tablets (IRT), orally, under fasted state, once on Day 1 of fourth intervention period. |
| FG001 | Part 2- TAK-020 25 mg CCT: Fasted + Fed | TAK-020 25 mg, CCT, orally, under fasted state, once on Day 1 of first intervention period, followed by 7 days of washout period, further followed by TAK-020 25 mg, CCT, orally, under fed, once on Day 1 of second intervention period. |
| FG002 | Part 2- TAK-020 25 mg CCT: Fed + Fasted | TAK-020 25 mg, CCT, orally, under fed state, once on Day 1 of first intervention period, followed by 7 days of washout period, further followed by TAK-020 25 mg, CCT, orally, under fasted state, once on Day 1 of second intervention period. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| First Intervention Period |
| |||||||||||||
| Washout Period 1 |
| |||||||||||||
| Second Intervention Period |
| |||||||||||||
| Washout Period 2 |
| |||||||||||||
| Third Intervention Period |
| |||||||||||||
| Washout Period 3 |
| |||||||||||||
| Fourth Intervention Period |
|
The safety analysis set included all participants who were enrolled and received 1 dose of study drug.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Part 1: TAK-020 17.5 mg | TAK-020 17.5 mg, OS, under fasted state, once on Day 1 of first intervention period; followed by 7 days washout period, followed by TAK-020 17.5 mg, CCT, orally, under fasted state, once on Day 1 of second intervention period; followed by 7 days washout period, followed by TAK-020 17.5 mg, SDT, orally, under fasted state, once on Day 1 of third intervention period; followed by 7 days washout period, followed by TAK-020 17.5 mg, IRT, orally, under fasted state, once on Day 1 of fourth intervention period. |
| 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 | Cmax: Maximum Observed Plasma Concentration for TAK-020 | The pharmacokinetic (PK) set where Day 1 assessment were available. The PK set included all participants who received study drug and had at least 1 measurable plasma concentration. | Posted | Mean | Standard Deviation | nanogram per milliliter (ng/mL) | Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose |
|
Treatment-emergent adverse events are adverse events that started after the first dose of study drug and up to 30 days after last dose of study drug (Day 58 in Part 1), (Day 40 in Part 2)
At each visit, investigator had to document any occurrence of adverse events and abnormal laboratory findings.Any event spontaneously reported by participant/observed by investigator was recorded,irrespective of relation to study treatment.Number at risk included those participants who have actually received the mentioned intervention during study.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Part 1: TAK-020 17.5 mg OS | TAK-020 17.5 mg, OS, once under fasted state on Day 1 of first intervention period. A washout period of 7 day was maintained between each intervention period. |
Not provided
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA (19.0) | Systematic Assessment |
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Takeda | Medical Director | +1-877-825-3327 | trialdisclosures@takeda.com |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| Part- 3 Cohort 1: TAK-020 Solid Formulation | Experimental | Single oral dose on Day 1. Dose will be determined from SRD trial and Parts 1 and 2 |
|
| Part 3 Cohort 2: TAK-020 Solid Formulation | Experimental | Single oral dose on Day 1. Dose will be determined from SRD trial and Parts 1 and 2 |
|
| TAK-020 CCT |
| Drug |
TAK-020 co-crystal tablet |
|
| TAK-020 SDT | Drug | TAK-020 Solid dispersion tablet. |
|
| TAK-020 IRT | Drug | TAK-020 immediate release tablet. |
|
| TAK-020 CCT | Drug | TAK-020 co-crystal tablet. |
|
| TAK-020 Solid Formulation | Drug | TAK-020 solid formulation |
|
| Baseline up to Day 2 |
| Number of Participants Who Meet the Takeda Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post Dose | Baseline up to Day 2 |
| Number 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 2 |
| NOT COMPLETED |
|
| NOT COMPLETED |
|
|
| NOT COMPLETED |
|
| NOT COMPLETED |
|
| NOT COMPLETED |
|
| NOT COMPLETED |
|
| BG001 | Part 2- TAK-020 25 mg CCT: Fasted + Fed | TAK-020 25 mg, CCT, orally, under fasted state, once on Day 1 of first intervention period, followed by 7 days of washout period, further followed by TAK-020 25 mg, CCT, orally, under fed, once on Day 1 of second intervention period. |
| BG002 | Part 2- TAK-020 25 mg CCT: Fed + Fasted | TAK-020 25 mg, CCT, orally, under fed state, once on Day 1 of first intervention period, followed by 7 days of washout period, further followed by TAK-020 25 mg, CCT, orally, under fasted state, once on Day 1 of second intervention period. |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| Height | Mean | Standard Deviation | centimeter (cm) |
|
| Weight | Mean | Standard Deviation | kilogram (kg) |
|
| Body Mass Index (BMI) | Mean | Standard Deviation | kilogram per square meter (kg/m^2) |
|
| Smoking Classification | Count of Participants | Participants |
|
| Alcohol Classification | Count of Participants | Participants |
|
| Caffeine/Xanthine Classification | Count of Participants | Participants |
|
| Female Reproductive Status | Count of Participants | Participants |
|
| Amount of Alcohol Consumed by Participant | Baseline measure was analyzed only for those participants who were current drinker and had alcohol consumption. | Count of Participants | Participants |
|
| OG002 | Part 1: TAK-020 17.5 mg SDT | TAK-020 17.5 mg, SDT, orally under fasted state, once on Day 1 of third intervention period. A washout period of 7 day was maintained between each intervention period. |
| OG003 | Part 1: TAK-020 17.5 mg IRT | TAK-020 17.5 mg, IRT, orally under fasted state, once on Day 1 of fourth intervention period. |
| OG004 | Part 2: TAK-020 25 mg CCT Fasted | TAK-020 25 mg, CCT, orally under fasted state, once on Day 1 of either first intervention period or second intervention period. |
| OG005 | Part 2: TAK-020 25 mg CCT Fed | TAK-020 25 mg, CCT, orally under fed state, once on Day 1 of either first intervention period or second intervention period. |
|
|
|
| Primary | Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-020 | The PK set where Day 1 assessment were available. The PK set included all participants who received study drug and had at least 1 measurable plasma concentration. | Posted | Median | Full Range | hour | Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose |
|
|
|
| Primary | AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-020 | The PK set where Day 1 assessment were available. The PK set included all participants who received study drug and had at least 1 measurable plasma concentration. | Posted | Mean | Standard Deviation | nanogram*hour per milliliter (ng*hr/mL) | Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose |
|
|
|
|
| Primary | Terminal Disposition Phase Half-life (T1/2z) in Plasma for TAK-020 | The PK set where Day 1 assessment were available. The PK set included all participants who received study drug and had at least 1 measurable plasma concentration. | Posted | Mean | Standard Deviation | hour | Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose |
|
|
|
| Secondary | Number of Participants Who Experience at Least One or More Treatment-emergent Adverse Event (TEAE) | The safety analysis set included all participants who were enrolled and received 1 dose of study drug. | Posted | Number | participants | Baseline up to 30 days after last dose of study drug (Day 58 in Part 1), (Day 40 in Part 2) |
|
|
|
| Secondary | Number of Participants Who Meet the Takeda Markedly Abnormal Criteria for Clinical Laboratory Tests at Least Once Post Dose | The safety analysis set included all participants who were enrolled and received 1 dose of study drug. | Posted | Number | participants | Baseline up to Day 2 |
|
|
|
| Secondary | Number 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 1 dose of study drug. | Posted | Number | participants | Baseline up to Day 2 |
|
|
|
| Secondary | Number 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 1 dose of study drug. | Posted | Number | participants | Baseline up to Day 2 |
|
|
|
| 0 |
| 11 |
| 1 |
| 11 |
| EG001 | Part 1: TAK-020 17.5 mg CCT | TAK-020 17.5 mg, CCT, orally under fasted state, once on Day 1 of second intervention period. A washout period of 7 day was maintained between each intervention period. | 0 | 11 | 3 | 11 |
| EG002 | Part 1: TAK-020 17.5 mg SDT | TAK-020 17.5 mg, SDT, orally under fasted state, once on Day 1 of third intervention period. A washout period of 7 day was maintained between each intervention period. | 0 | 9 | 0 | 9 |
| EG003 | Part 1: TAK-020 17.5 mg IRT | TAK-020 17.5 mg, IRT, orally under fasted state, once on Day 1 of fourth intervention period. | 0 | 9 | 0 | 9 |
| EG004 | Part 2: TAK-020 25 mg CCT Fasted | TAK-020 25 mg, CCT, orally under fasted state, once on Day 1 of either first intervention period or second intervention period. | 0 | 14 | 1 | 14 |
| EG005 | Part 2: TAK-020 25 mg CCT Fed | TAK-020 25 mg, CCT, orally under fed state, once on Day 1 of either first intervention period or second intervention period. | 0 | 14 | 0 | 14 |
| Dizziness | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Migraine | Nervous system disorders | MedDRA (19.0) | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (19.0) | 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.
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Current smoker |
|
| Ex-smoker |
|
| Current drinker |
|
| Ex-drinker |
|
| No caffeine/xanthine consumption |
|
| Female of childbearing potential |
|
| Not applicable (male participants) |
|
| 4 or more drinks per day |
|
ANOVA was performed on the natural logarithms of AUC∞ with regimen as the fixed effects and participant as the random effect. The point estimate and 90% CI was obtained by taking the antilog of the difference in the log transformed LS means and its CI, respectively. |
| ANOVA |
| 0.423 |
| LS Mean Difference |
| 1.180 |
| 2-Sided |
| 90 |
| 1.088 |
| 1.279 |
| Superiority or Other |
| ANOVA was performed on the natural logarithms of AUC∞ with regimen as the fixed effects and participant as the random effect. The point estimate and 90% CI was obtained by taking the antilog of the difference in the log transformed LS means and its CI, respectively. | ANOVA | <0.001 | LS Mean Difference | 0.116 | 2-Sided | 90 | 0.077 | 0.176 | Superiority or Other |
| ANOVA was performed on the natural logarithms of AUC∞ with regimen as the fixed effects and participant as the random effect. The point estimate and 90% CI was obtained by taking the antilog of the difference in the log transformed LS means and its CI, respectively. | ANOVA | 0.037 | LS Mean Difference | 0.836 | 2-Sided | 90 | 0.731 | 0.957 | Superiority or Other |
| Chemistry |
|