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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1195-7777 | Registry Identifier | WHO |
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The purpose of this study is to evaluate the safety and tolerability of TAK-418 following single oral doses in healthy participants.
The drug being tested in this study is called TAK-418. TAK-418 is being tested in healthy participants in order to evaluate the safety, tolerability, and pharmacokinetics (PK) of single oral doses.
The study will enroll approximately 40 healthy participants. The study consists of equally divided 5 sequential cohorts of 8 participants each. In each of the following cohorts, 6 participants will be randomized to receive TAK-418 and 2 participants will receive matching placebo-which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need):
All participants will be asked to take TAK-418 or placebo-matching capsule once on Day 1 in each cohort. A washout period of 28-days will be maintained between the doses in Cohort 3.
This single center trial will be conducted in the United States. Participants in this study will be assigned to one of 5 possible dose cohorts. Male participants will return for additional outpatient visits on Days 91 and 93 (+/- 7 days) and may return for outpatient visits on Days 182 and 184 (+/- 7 days) (depending on results from the Day 93 Visit).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1: TAK-418 5 mg | Experimental | TAK-418 5 milligram (mg), capsule, orally, once on Day 1. |
|
| Cohort 2: TAK-418 15 mg | Experimental | TAK-418 15 mg, capsule, orally, once on Day 1. Actual dose of TAK-418 may vary based on safety, tolerability and PK data from previous Cohorts. |
|
| Cohort 3: TAK-418 30 mg Fasted + TAK-418 30 mg Fed | Experimental | TAK-418 30 mg, capsule, in fasted state, orally, once on Day 1, followed by a 28-day washout period, further followed by TAK-418 30 mg, capsule, in fed state, orally, once on Day 1. Actual dose of TAK-418 may vary based on safety, tolerability and PK data from previous Cohorts. |
|
| Cohort 4: TAK-418 40 mg | Experimental | TAK-418 40 mg, capsule, orally, once on Day 1. Actual dose of TAK-418 may vary based on safety, tolerability and PK data from previous Cohorts. |
|
| Cohort 5: TAK-418 60 mg | Experimental | TAK-418 60 mg, capsule, orally, once on Day 1. Actual dose of TAK-418 may vary based on safety, tolerability and PK data from previous Cohorts. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TAK-418 | Drug | TAK-418 Capsule. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) | Baseline Up to Day 184 | |
| Number of Participants Who Discontinued Due to an Adverse Event (AE) | Baseline Up to Day 184 | |
| Number of Participants Who Meet the Markedly Abnormal Criteria for Neurological Assessment Measurements at Least Once Post Dose | Baseline Up to Day 184 | |
| Number of Participants Who Meet the Markedly Abnormal Criteria for Safety Laboratory Tests at Least Once Post Dose | Baseline Up to Day 184 | |
| Number of Participants Who Meet the Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post Dose | Baseline Up to day 184 | |
| Number of Participants Who Meet the Markedly Abnormal Criteria for Safety 12-lead Electrocardiogram (ECG) Parameters at Least Once Post Dose | Baseline Up to Day 14 |
| Measure | Description | Time Frame |
|---|---|---|
| AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration of TAK-418F (TAK-418 Free Base) | Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose | |
| AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-418F |
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Inclusion Criteria:
Is a male or female participants with a body mass index (BMI) within the range of 18.5 -30.0 kilogram per square meter (kg/m^2) at the Screening Visit.
Is a nonsmoker who has not used tobacco or nicotine-containing products (example, nicotine patch) for at least 6 months before trial drug administration of the initial dose of trial drug or invasive procedure.
Must be judged to be in good health by the investigator, based on clinical evaluations including laboratory safety tests, medical history, physical examination, 12-lead ECG, and vital sign measurements performed at the Screening Visit and before administration of the initial dose of trial drug or invasive procedure as per principal investigator's judgment.
Female subjects with no childbearing potential, defined by at least 1 of the following criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PAREXEL International | Glendale | California | 91206 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33990969 | Derived | Yin W, Arkilo D, Khudyakov P, Hazel J, Gupta S, Quinton MS, Lin J, Hartman DS, Bednar MM, Rosen L, Wendland JR. Safety, pharmacokinetics and pharmacodynamics of TAK-418, a novel inhibitor of the epigenetic modulator lysine-specific demethylase 1A. Br J Clin Pharmacol. 2021 Dec;87(12):4756-4768. doi: 10.1111/bcp.14912. Epub 2021 Jun 10. |
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Takeda makes patient-level, de-identified data sets and associated documents available after applicable marketing approvals and commercial availability have been received, an opportunity for the primary publication of the research has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com/Approach for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.
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Healthy participants were randomized to receive TAK-418 or matching placebo in Cohorts 1 to 5.
Participants took part in the study at single site in the United States from 21 July 2017 to 12 May 2018.
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| ID | Title | Description |
|---|---|---|
| FG000 | Cohorts 1-5: Placebo | TAK-418 placebo-matching, capsule, orally, once on Day 1. |
| FG001 | Cohort 1: TAK-418 5 mg | TAK-418 5 milligram (mg), capsule, orally, once on Day 1. |
| FG002 | Cohort 2: TAK-418 15 mg | TAK-418 15 mg, capsule, orally, once on Day 1. |
| FG003 | Cohort 3: TAK-418 30 mg Fasted + TAK-418 30 mg Fed | TAK-418 30 mg, capsule, in fasted state, orally, once on Day 1, followed by a 28-day washout period, further followed by TAK-418 30 mg, capsule, in fed state, orally, once on Day 1. |
| FG004 | Cohort 4: TAK-418 40 mg | TAK-418 40 mg, capsule, orally, once on Day 1. |
| FG005 | Cohort 5: TAK-418 60 mg | TAK-418 60 mg, capsule, orally, once on Day 1. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
The safety analysis set included all randomized participants who received at least 1 dose of study drug.
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| ID | Title | Description |
|---|---|---|
| BG000 | Cohorts 1-5: Placebo | TAK-418 placebo-matching, capsule, orally, once on Day 1. |
| BG001 | Cohort 1: TAK-418 5 mg | TAK-418 5 mg, capsule, orally, once on Day 1. |
| 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 | Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) | The safety analysis set included all randomized participants who received at least 1 dose of study drug. | Posted | Number | participants | Baseline Up to Day 184 |
|
Treatment-emergent adverse events are adverse events that started after the first dose of the study drug up to Day 184
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-418 placebo-matching, capsule, orally, once on Day 1. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Eye irritation | Eye disorders | MedDRA (21.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Takeda | +1-877-825-3327 | trialdisclosures@takeda.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 7, 2017 | May 8, 2019 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 7, 2017 | May 8, 2019 | SAP_001.pdf |
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| ID | Term |
|---|---|
| C000723826 | TAK-418 |
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|
| Cohorts 1-5: Placebo | Placebo Comparator | TAK-418 placebo-matching, capsule, orally, once on Day 1. |
|
| TAK-418 Placebo | Drug | TAK-418 placebo-matching capsules. |
|
| Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose |
| Cmax: Maximum Observed Plasma Concentration for TAK-418F | Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose |
| Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-418F | The pharmacokinetic analysis set included all participants who received at least 1 dose of study drug and had at least one measurable plasma concentration or amount of drug in urine for TAK-418-F. | Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose |
| Positive alcohol test |
|
| BG002 | Cohort 2: TAK-418 15 mg | TAK-418 15 mg, capsule, orally, once on Day 1. |
| BG003 | Cohort 3: TAK-418 30 mg Fasted + TAK-418 30 mg Fed | TAK-418 30 mg, capsule, in fasted state, orally, once on Day 1, followed by a 28-day washout period, further followed by TAK-418 30 mg, capsule, in fed state, orally, once on Day 1. |
| BG004 | Cohort 4: TAK-418 40 mg | TAK-418 40 mg, capsule, orally, once on Day 1. |
| BG005 | Cohort 5: TAK-418 60 mg | TAK-418 60 mg, capsule, orally, once on Day 1. |
| BG006 | 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 |
|
| Weight | Mean | Standard Deviation | kilogram (kg) |
|
| Height | Mean | Standard Deviation | centimeter (cm) |
|
| Body mass index (BMI) | Mean | Standard Deviation | kilogram per square meter (kg/m^2) |
|
TAK-418 15 mg, capsule, orally, once on Day 1.
| OG003 | Cohort 3A: TAK-418 30 mg Fasted | TAK-418 30 mg, capsule, in fasted state, orally, once on Day 1. |
| OG004 | Cohort 3B: TAK-418 30 mg Fed | TAK-418 30 mg, capsule, in fed state, orally, once on Day 1. |
| OG005 | Cohort 4: TAK-418 40 mg | TAK-418 40 mg, capsule, orally, once on Day 1. |
| OG006 | Cohort 5: TAK-418 60 mg | TAK-418 60 mg, capsule, orally, once on Day 1. |
|
|
| Primary | Number of Participants Who Discontinued Due to an Adverse Event (AE) | The safety analysis set included all randomized participants who received at least 1 dose of study drug. | Posted | Number | participants | Baseline Up to Day 184 |
|
|
|
| Primary | Number of Participants Who Meet the Markedly Abnormal Criteria for Neurological Assessment Measurements at Least Once Post Dose | The safety analysis set included all randomized participants who received at least 1 dose of study drug. | Posted | Number | participants | Baseline Up to Day 184 |
|
|
|
| Primary | Number of Participants Who Meet the Markedly Abnormal Criteria for Safety Laboratory Tests at Least Once Post Dose | The safety analysis set included all randomized participants who received at least 1 dose of study drug. | Posted | Number | participants | Baseline Up to Day 184 |
|
|
|
| Primary | Number of Participants Who Meet the Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post Dose | The safety analysis set included all randomized participants who received at least 1 dose of study drug. | Posted | Number | participants | Baseline Up to day 184 |
|
|
|
| Primary | Number of Participants Who Meet the Markedly Abnormal Criteria for Safety 12-lead Electrocardiogram (ECG) Parameters at Least Once Post Dose | Posted | Number | participants | Baseline Up to Day 14 |
|
|
|
| Secondary | AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration of TAK-418F (TAK-418 Free Base) | The pharmacokinetic analysis set included all participants who received at least 1 dose of study drug and had at least one measurable plasma concentration or amount of drug in urine for TAK-418-F. | Posted | Geometric Mean | Geometric Coefficient of Variation | hour nanogram per milliliter (h*ng/mL) | Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose |
|
|
|
|
| Secondary | AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-418F | The pharmacokinetic analysis set included all participants who received at least 1 dose of study drug and had at least one measurable plasma concentration or amount of drug in urine for TAK-418-F. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose |
|
|
|
|
| Secondary | Cmax: Maximum Observed Plasma Concentration for TAK-418F | The pharmacokinetic analysis set included all participants who received at least 1 dose of study drug and had at least one measurable plasma concentration or amount of drug in urine for TAK-418-F. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanogram per millilitre (ng/mL) | Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose |
|
|
|
|
| Secondary | Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-418F | The pharmacokinetic analysis set included all participants who received at least 1 dose of study drug and had at least one measurable plasma concentration or amount of drug in urine for TAK-418-F. | Posted | Median | Full Range | hour | Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose |
|
|
|
| 0 |
| 10 |
| 0 |
| 10 |
| 4 |
| 10 |
| EG001 | Cohort 1: TAK-418 5 mg | TAK-418 5 mg, capsule, orally, once on Day 1. | 0 | 6 | 0 | 6 | 2 | 6 |
| EG002 | Cohort 2: TAK-418 15 mg | TAK-418 15 mg, capsule, orally, once on Day 1. | 0 | 6 | 0 | 6 | 2 | 6 |
| EG003 | Cohort 3A: TAK-418 30 mg Fasted | TAK-418 30 mg, capsule, in fasted state, orally, once on Day 1. | 0 | 6 | 0 | 6 | 3 | 6 |
| EG004 | Cohort 3B: TAK-418 30 mg Fed | TAK-418 30 mg, capsule, in fed state, orally, once on Day 1. | 0 | 5 | 0 | 5 | 1 | 5 |
| EG005 | Cohort 4: TAK-418 40 mg | TAK-418 40 mg, capsule, orally, once on Day 1. | 0 | 6 | 0 | 6 | 3 | 6 |
| EG006 | Cohort 5: TAK-418 60 mg | TAK-418 60 mg, capsule, orally, once on Day 1. | 0 | 6 | 0 | 6 | 3 | 6 |
| Nausea | Gastrointestinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Dental caries | Gastrointestinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (21.0) | Systematic Assessment |
|
| Groin pain | Musculoskeletal and connective tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Limb discomfort | Musculoskeletal and connective tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (21.0) | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (21.0) | Systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA (21.0) | Systematic Assessment |
|
| Testicular pain | Reproductive system and breast disorders | MedDRA (21.0) | Systematic Assessment |
|
| Erectile dysfunction | Reproductive system and breast disorders | MedDRA (21.0) | Systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (21.0) | Systematic Assessment |
|
| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Night sweats | Skin and subcutaneous tissue disorders | MedDRA (21.0) | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (21.0) | 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 .
| Systolic blood pressure < 85 mmHg |
|
| Temperature < 35.6 degrees celsius (°C) |
|
| Temperature greater than (>) 37.7 (°C) |
|
| QT interval (Milliseconds) |
|
|
| Slope |
| 1.14 |
| 2-Sided |
| 90 |
| 1.04 |
| 1.25 |
| Equivalence |
A linear regression model (power model), log (ln) (parameter) equal to (=) intercept plus (+) slope*ln (dose), was fit to describe the relationship between each parameter and the corresponding dose levels. Dose Proportionality was declared if the 90% CI of the slope lied entirely within the critical region as defined by 1 - ln(0.8) per (/)l n(r) to 1 + ln(1.25)/ln(r), where r was the ratio of the highest and lowest dose in the study. |
| Slope |
| 1.11 |
| 2-Sided |
| 90 |
| 1.00 |
| 1.22 |
| Equivalence |
A linear regression model (power model), ln (parameter) = intercept + slope*ln (dose), was fit to describe the relationship between each parameter and the corresponding dose levels. Dose Proportionality was declared if the 90% CI of the slope lied entirely within the critical region as defined by 1 - ln (0.8)/l n(r) to 1 + ln (1.25)/ln(r), where r was the ratio of the highest and lowest dose in the study. |
| Slope |
| 1.06 |
| 90 |
| 0.96 |
| 1.17 |
| Equivalence |
A linear regression model (power model), ln (parameter) = intercept + slope*ln (dose), was fit to describe the relationship between each parameter and the corresponding dose levels. Dose Proportionality was declared if the 90% CI of the slope lied entirely within the critical region as defined by 1 - ln (0.8)/l n(r) to 1 + ln (1.25)/ln(r), where r was the ratio of the highest and lowest dose in the study. |