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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-000714-37 | EudraCT Number | ||
| U1111-1196-9190 | Registry Identifier | WHO |
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The purpose of this study is to evaluate the effect of varying degrees of hepatic function on the single dose PK of IV TAK-954.
The drug being tested in this study is called TAK-954. This study will evaluate the safety and tolerability of single intravenous doses of TAK-954 in participants with varying degrees of hepatic function.
The study will enroll approximately up to 32 participants. Participants will be enrolled in one of the 4 treatment groups based on their degree of hepatic impairment which will be determined based on Child-Pugh Score as follow:
The Child-Pugh classification will assess the severity of 5 hepatic parameters (total serum bilirubin, serum albumin, prothrombin time, ascites and encephalopathy grade) on a scale of 1 (none) to 3 (moderate). Total hepatic impairment score ranges from 5 (mild) to 15 (severe) where higher score indicates more severity.
All participants will receive a single dose of TAK-954 0.2 mg on Day 1.
This study may have a full study design, where Group 1 to Group 4 will enroll approximately 8 participants in each group or a reduced study design, where no participants will be enrolled in Group 1 and approximately 8 participants will be enrolled in Group 2 to Group 4.
This multi-center trial will be conducted in Czech Republic and Slovakia. The overall time to participate in this study is approximately 7 weeks. Participants will remain confined to the clinic for 4 days, with 2 further out-patient visits, and will make a final visit to the clinic 10-14 days after receiving their last dose of TAK-954 for a follow-up assessment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 Mild Hepatic Impairment: TAK-954 0.2 mg | Experimental | TAK-954 0.2 milligram (mg), intravenous, administered as 60-minute infusion, once on Day 1. |
|
| Group 2 Moderate Hepatic Impairment: TAK-954 0.2 mg | Experimental | TAK-954 0.2 mg, intravenous, administered as 60-minute infusion, once on Day 1. |
|
| Group 3 Severe Hepatic Impairment: TAK-954 0.2 mg | Experimental | TAK-954 0.2 mg, intravenous, administered as 60-minute infusion, once on Day 1. |
|
| Group 4 Healthy Participants: TAK-954 0.2 mg | Experimental | TAK-954 0.2 mg, intravenous, administered as 60-minute infusion, once on Day 1. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TAK-954 | Drug | TAK-954 intravenous infusion. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cmax: Maximum Observed Plasma Concentration for TAK-954 (Total and Free) | Day 1 pre-infusion and at multiple time points (up to 96 hours) post-infusion | |
| AUClast: Area Under the Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-954 (Total and Free) | Day 1 pre-infusion and at multiple time points (up to 96 hours) post-infusion | |
| AUC∞: Area Under the Concentration-time Curve From Time 0 to Infinity for TAK-954 (Total and Free) | Day 1 pre-infusion and at multiple time points (up to 96 hours) post-infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Clinically Significant Physical Examination Findings | Up to 14 days after the last dose of study drug (Day 15) | |
| Number of Participants With Markedly Abnormal Electrocardiograms (ECGs) | Up to 14 days after the last dose of study drug (Day 15) |
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Inclusion Criteria:
Exclusion Criteria:
Participants who have:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Takeda | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PRA CZ, s.r.o | Prague | Prague | 170 00 | Czechia | ||
| Summit Center of Clinical Research |
Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com 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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Participants with normal hepatic function and hepatic impairment were enrolled in 1 of the groups:B(moderate), C(severe) or D(healthy) to receive TAK-954 0.2mg. Based on available safety and PK data from Group B, participants were enrolled in reduced study design and were not enrolled in GroupA(mild). Groups A-D are equal to Groups 1-4 in protocol.
Participants took part in the study at 2 investigative sites in Czech Republic and Slovakia from 09 November 2017 to 10 September 2018.
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| ID | Title | Description |
|---|---|---|
| FG000 | Healthy Participants: TAK-954 0.2 mg | TAK-954 0.2 milligram (mg), infusion, intravenously, once on Day 1. |
| FG001 | Group B, Moderate Hepatic Impairment: TAK-954 0.2 mg | TAK-954 0.2 mg, infusion, intravenously, once on Day 1. |
| FG002 | Group C, Severe Hepatic Impairment: TAK-954 0.2 mg | TAK-954 0.2 mg, infusion, intravenously, once on Day 1. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
The safety set consisted of all participants who were enrolled and received the study drug.
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| ID | Title | Description |
|---|---|---|
| BG000 | Healthy Participants: TAK-954 0.2 mg | TAK-954 0.2 milligram (mg), infusion, intravenously, once on Day 1. |
| BG001 | Group B, Moderate Hepatic Impairment: TAK-954 0.2 mg | TAK-954 0.2 mg, infusion, intravenously, 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 | Cmax: Maximum Observed Plasma Concentration for TAK-954 (Total and Free) | The pharmacokinetic (PK) set consisted of all participants who were enrolled and received the correct dose of study drug and had at least 1 measurable plasma concentration or amount of drug in the urine for TAK-954. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanogram per milliliter (ng/mL) | Day 1 pre-infusion and at multiple time points (up to 96 hours) post-infusion |
|
TEAEs are adverse events that started after the first dose of study drug and no more than 30 days (Day 31) after the last dose of study drug
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 | Healthy Participants: TAK-954 0.2 mg | TAK-954 0.2 milligram (mg), infusion, intravenously, once on Day 1. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal 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 | Oct 6, 2017 | Aug 28, 2019 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Sep 5, 2018 | Aug 28, 2019 | SAP_001.pdf |
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| Number of Participants With Markedly Abnormal Values of Vital Signs | Up to 14 days after the last dose of study drug (Day 15) |
| Number of Participants With Clinically Significant Change From Baseline in Clinical Laboratory Values | Up to 14 days after the last dose of study drug (Day 15) |
| Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) | Baseline up to 30 days after last dose of study drug (Day 31) |
| Bratislava |
| 83101 |
| Slovakia |
| BG002 | Group C, Severe Hepatic Impairment: TAK-954 0.2 mg | TAK-954 0.2 mg, infusion, intravenously, once on Day 1. |
| 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 |
|
| Weight | Mean | Standard Deviation | kilogram (kg) |
|
| Body Mass Index (BMI) | Mean | Standard Deviation | kilogram per square meter (kg/m^2) |
|
| Height | Mean | Standard Deviation | centimeter (cm) |
|
| OG002 | Group C, Severe Hepatic Impairment: TAK-954 0.2 mg | TAK-954 0.2 mg, infusion, intravenously, once on Day 1. |
|
|
|
| Primary | AUClast: Area Under the Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-954 (Total and Free) | The PK set consisted of all participants who were enrolled and received the correct dose of study drug and had at least 1 measurable plasma concentration or amount of drug in the urine for TAK-954. | Posted | Geometric Mean | Geometric Coefficient of Variation | hour*nanogram per milliliter (h*ng/mL) | Day 1 pre-infusion and at multiple time points (up to 96 hours) post-infusion |
|
|
|
|
| Primary | AUC∞: Area Under the Concentration-time Curve From Time 0 to Infinity for TAK-954 (Total and Free) | The PK set consisted of all participants who were enrolled and received the correct dose of study drug and had at least 1 measurable plasma concentration or amount of drug in the urine for TAK-954. | Posted | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | Day 1 pre-infusion and at multiple time points (up to 96 hours) post-infusion |
|
|
|
|
| Secondary | Number of Participants With Clinically Significant Physical Examination Findings | The safety set consisted of all participants who were enrolled and received the study drug. | Posted | Count of Participants | Participants | Up to 14 days after the last dose of study drug (Day 15) |
|
|
|
| Secondary | Number of Participants With Markedly Abnormal Electrocardiograms (ECGs) | The safety set consisted of all participants who were enrolled and received the study drug. | Posted | Count of Participants | Participants | Up to 14 days after the last dose of study drug (Day 15) |
|
|
|
| Secondary | Number of Participants With Markedly Abnormal Values of Vital Signs | The safety set consisted of all participants who were enrolled and received the study drug. | Posted | Count of Participants | Participants | Up to 14 days after the last dose of study drug (Day 15) |
|
|
|
| Secondary | Number of Participants With Clinically Significant Change From Baseline in Clinical Laboratory Values | The safety set consisted of all participants who were enrolled and received the study drug. | Posted | Count of Participants | Participants | Up to 14 days after the last dose of study drug (Day 15) |
|
|
|
| Secondary | Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) | The safety set consisted of all participants who were enrolled and received the study drug. | Posted | Count of Participants | Participants | Baseline up to 30 days after last dose of study drug (Day 31) |
|
|
|
| 0 |
| 8 |
| 0 |
| 8 |
| 2 |
| 8 |
| EG001 | Group B, Moderate Hepatic Impairment: TAK-954 0.2 mg | TAK-954 0.2 mg, infusion, intravenously, once on Day 1. | 0 | 10 | 0 | 10 | 3 | 10 |
| EG002 | Group C, Severe Hepatic Impairment: TAK-954 0.2 mg | TAK-954 0.2 mg, infusion, intravenously, once on Day 1. | 0 | 7 | 0 | 7 | 1 | 7 |
| Flatulence | Gastrointestinal disorders | MedDRA 21.0 | Systematic Assessment |
|
| Headache | Nervous system 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.
|
| 0.017 |
| Other |
TAK-954 (Total): An ANOVA were performed on log transformed AUClast (Total TAK-954) to compare each hepatically impaired group with the normal hepatic function group. |
| ANOVA | 0.129 | Other | TAK-954 (Free): An ANOVA were performed on log transformed AUClast (Free TAK-954) to compare each hepatically impaired group with the normal hepatic function group. |
| ANOVA | 0.023 | Other | TAK-954 (Free): An ANOVA were performed on log transformed AUClast (Free TAK-954) to compare each hepatically impaired group with the normal hepatic function group. |
|
| 0.029 |
| Other |
TAK-954 (Total): An ANOVA were performed on log transformed AUCinf (Total TAK-954) to compare each hepatically impaired group with the normal hepatic function group. |
| ANOVA | 0.201 | Other | TAK-954 (Free): An ANOVA were performed on log transformed AUCinf (Free TAK-954) to compare each hepatically impaired group with the normal hepatic function group. |
| ANOVA | 0.023 | Other | TAK-954 (Free): An ANOVA were performed on log transformed AUCinf (Free TAK-954) to compare each hepatically impaired group with the normal hepatic function group. |