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Hypogonadotropic HypogonadismPhase 2NCT02369796

A Phase 2a Pharmacodynamic Study of TAK-448 in Participants With Hypogonadotropic Hypogonadism

A Phase 2 study testing TAK-448 in people with Hypogonadotropic Hypogonadism, run by Takeda at 1 site in United Kingdom.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to evaluate the effects on serum testosterone after 4 weeks of subcutaneous (SC) dose administration, with different doses and dosing frequencies of TAK-448 to overweight/obese males with hypogonadotropic hypogonadism. Read more about this study

Who is it for?
Ages 18 to 60 years, men only
Conditions the study is for
Hypogonadotropic Hypogonadism
What is being tested?
TAK-448
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
1 siteUnited Kingdom
Study dates
Feb 2015to Nov 2015
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • Men only
  • No healthy volunteers
  • Adult

Who may be able to join

  • In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements.
  • The participant or, when applicable, the participant's legally acceptable representative signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.
  • The participant has two morning total serum testosterone (ST) concentrations ≤12.0 nmol/L (≤3.46 ng/mL) taken during the Screening period.
  • Is male and aged 18 to 60 years, inclusive.
  • Has a body mass index (BMI) between 25.0 and 50.0 kg/m^2, inclusive.
  • If diagnosed with type II diabetes mellitus (T2DM), has a glycosylated hemoglobin (HbA1c) concentration <12% at Screening and is on a stable dose of up to 4 diabetes therapies (including insulin and/or glucagon-like peptide-1 therapies).
  • Has a luteinizing hormone (LH) concentration <8 IU/L at Screening.
  • A male participant who is nonsterilized 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 12 weeks after last dose.

Who cannot join

  • Has received any investigational compound within 30 days prior to Screening.
  • Has received TAK-448 in a previous clinical study, or previous cohort.
  • Is an immediate family member, study site employee, or is in a dependant relationship with a study site employee who is involved in conduct of this study (eg, spouse, parent, child, sibling) or may consent under duress.
  • Has uncontrolled, clinically significant neurologic, cardiovascular, pulmonary, hepatic, renal, metabolic, gastrointestinal, or endocrine disease or other abnormality (other than T2DM, its complications and associated conditions), which may impact the ability of the participant to participate or potentially confound the study results.
  • Has a recent history or clinical manifestations of significant cardiovascular disease (CVD) - such as a history of myocardial infarction or stroke in the 6 months preceding the Screening visit or has untreated peripheral arterial disease.
  • Has a history of hypersensitivity or allergies to any component of the formulation of TAK-448.
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  • Has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse within 5 years prior to Screening.
  • Is required to take excluded medications, supplements, or food products.
  • Intends to donate sperm during the course of this study or for 12 weeks after the last dose of study drug.
  • Has clinical evidence of anatomic or pathological hypothalamic/pituitary disease.
  • Is any finding in the participant's medical history, physical examination, or safety laboratory tests giving reasonable suspicion of a disease that would contraindicate taking TAK-448, or a similar drug in the same class that might interfere with the conduct of the study.
  • Has a history of cancer (including prostate cancer), with the exception of basal cell carcinoma which has been in remission for at least 5 years prior to Screening.
  • Has a history of or present prostate disease (including benign prostatic hyperplasia) or prostate-specific antigen (PSA) is >4 ng/mL at Screening.
  • Has a known history of human immunodeficiency virus infection at Screening.
  • Is deemed by the study team to have poor peripheral venous access.
  • Has donated or lost 450 mL or more of his blood volume (including plasmapheresis), or had a transfusion of any blood product within 45 days prior to Screening, or is planning to donate blood for 12 weeks after the last dose of study medication.
  • Has a Screening or Day -1 abnormal (clinically significant) electrocardiogram (ECG). Entry of any participant with an abnormal (not clinically significant) ECG must be approved, and documented by signature of the principal investigator or medically qualified subinvestigator.
  • Has abnormal Screening or Day -1 laboratory values that suggest a clinically significant underlying disease or participant with the following lab abnormalities: alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) >2× the upper limits of normal (ULN).
  • The participant, in the opinion of the investigator, is unlikely to comply with the protocol or is unsuitable for any other reason.
  • Has had more than two severe hypoglycemic events (requiring third party assistance) within 6 months prior to the Screening Visit.
  • Has a diagnosis of type 1 diabetes mellitus.
  • Has a history of diabetic ketoacidosis.

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Study site

    Oxford, Oxfordshire, OX3 7LJ

Other trials in United Kingdom

About this study

Official title: An Open-Label, Phase 2a Study to Evaluate the Pharmacodynamics of Different Dosing Regimens of TAK-448, a Kisspeptin Agonist, in Male Overweight/Obese Participants With Hypogonadotropic Hypogonadism

The purpose of this study is to evaluate the effects on serum testosterone after 4 weeks of subcutaneous (SC) dose administration, with different doses and dosing frequencies of TAK-448 to overweight/obese males with hypogonadotropic hypogonadism.

Read the detailed description

The drug being tested in this study is called TAK-448. TAK-448 is being tested to treat overweight/obese males with hypogonadotropic hypogonadism. This study will look at the effects of TAK-448 on serum testosterone at different doses and different dosing frequencies.

The study will enroll 15 patients. There will be 5 cohorts and participants will be assigned to cohorts in sequential order. Cohorts will be assigned to the following treatment groups:

  • TAK-448 3 µg once weekly
  • TAK-448 1 µg once weekly
  • TAK-448 0.3 µg once weekly
  • TAK-448 0.3 µg twice weekly
  • TAK-448 0.1 µg twice weekly

All participants will be administered study drug via SC injection once or twice a week depending on their assigned cohort for four weeks.

This single-center trial will be conducted in the United Kingdom. The overall time to participate in this study is up to 32 days. Participants will make multiple visits to the clinic (depending once-weekly or twice-weekly dosing), and will be contacted by telephone 1 week after last dose of study drug for a follow-up assessment.

Being tested
TAK-448
Keywords
Drug therapy
Medical subject headings
Hypogonadism

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TAK-448Drug

    TAK-448 solution for subcutaneous injection

Study groups in NCT02369796
Study groupRoleWhat they receive
TAK-448 3 µg once weeklyExperimentalTAK-448 3 µg, subcutaneous injection, once weekly on Days 1, 8, 15 and 22.
Receives: Drug: TAK-448
TAK-448 1 µg once weeklyExperimentalTAK-448 1 µg, subcutaneous injection, once weekly on Days 1, 8, 15 and 22.
Receives: Drug: TAK-448
TAK-448 0.3 µg once weeklyExperimentalTAK-448 0.3 µg, subcutaneous injection, once weekly on Days 1, 8, 15 and 22.
Receives: Drug: TAK-448
TAK-448 0.3 µg twice weeklyExperimentalTAK-448 0.3 µg, subcutaneous injection, twice weekly on Days 1, 4, 8, 11, 15, 18, 22, and 25.
Receives: Drug: TAK-448
TAK-448 0.1 µg twice weeklyExperimentalTAK-448 0.1 µg, subcutaneous injection, twice weekly on Days 1, 4, 8, 11, 15, 18, 22, and 25.
Receives: Drug: TAK-448

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent Change From Baseline in Mean Area Under the Effect Curve From Time 0 to 72 Hours (AUEC72) of Total Serum Testosterone for Once Weekly Dosing Groups

    Area under the pharmacodynamic (PD) total serum testosterone (ST) concentration-time curve from the time 0 to 72 hours, calculated using the linear trapezoidal rule for baseline profile and those obtained after first and last dose.

    Measured: Baseline and Day 22 pre-dose and multiple time points (up to 72 hours) post dose

  2. Percent Change From Baseline in Mean Area Under the Effect Curve From Time 0 to 72 Hours (AUEC72) of Total Serum Testosterone for Twice Weekly Dosing Groups

    Area under the PD total ST concentration-time curve from the time 0 to 72 hours, calculated using the linear trapezoidal rule for baseline profile and those obtained after first and last dose.

    Measured: Baseline and Day 25 pre-dose and multiple time points (up to 72 hours) post dose

  3. Percent Change From Baseline in Mean Area Under the Effect Curve From Time 0 to 72 Hours (AUEC72) of Free Serum Testosterone for Once Weekly Dosing Groups

    Area under the PD free ST concentration-time curve from the time 0 to 72 hours, calculated using the linear trapezoidal rule for baseline profile and those obtained after first and last dose.

    Measured: Baseline and Day 22 pre-dose and multiple time points (up to 72 hours) post dose

  4. Percent Change From Baseline in Mean Area Under the Effect Curve From Time 0 to 72 Hours (AUEC72) of Free Serum Testosterone for Twice Weekly Dosing Groups

    Area under the PD free ST concentration-time curve from the time 0 to 72 hours, calculated using the linear trapezoidal rule for baseline profile and those obtained after first and last dose.

    Measured: Baseline and Day 25 pre-dose and multiple time points (up to 72 hours) post dose

  5. Trough Serum Concentration (Ctrough) of Total Serum Testosterone for Once Weekly Dosing Groups

    Trough serum concentration of total ST, defined as lowest baseline concentration compared to pre-dose of the last dose.

    Measured: Day 22 pre-dose

  6. Trough Serum Concentration (Ctrough) of Total Serum Testosterone for Twice Weekly Dosing Group

    Trough serum concentration of total ST, defined as lowest baseline concentration compared to pre-dose of the last dose.

    Measured: Day 25 pre-dose

  7. Trough Serum Concentration (Ctrough) of Free Serum Testosterone for Once Weekly Dosing Groups

    Trough serum concentration of free ST, defined as lowest baseline concentration compared to pre-dose of the last dose.

    Measured: Day 22 pre-dose

  8. Trough Serum Concentration (Ctrough) of Free Serum Testosterone for Twice Weekly Dosing Groups

    Trough serum concentration of free ST, defined as lowest baseline concentration compared to pre-dose of the last dose.

    Measured: Day 25 pre-dose

Secondary outcomes (4)
  1. Cmax: Mean Maximum Observed Plasma Concentration for TAK-448 Free Base Form (TAK-448F)

    Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.

    Measured: Day 1 and Day 22 pre-dose and at multiple time points (up to 8 hours) post-dose

  2. AUC(0-∞): Mean Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-448F

    AUC(0-∞) is a measure of total plasma exposure to the drug from time zero extrapolated to infinity.

    Measured: Day 1 and Day 22 pre-dose and at multiple time points (up to 8 hours) post-dose

  3. AUC(0-tlqc): Mean Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-448F

    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]).

    Measured: Day 1 and Day 22 pre-dose and at multiple time points (up to 8 hours) post-dose

  4. Mean Terminal Phase Elimination Half-life (T1/2) for TAK-448F

    Terminal Phase Elimination Half-life (T1/2) is the time required for half of the drug to be eliminated from the plasma.

    Measured: Day 1 and Day 22 pre-dose and at multiple time points (up to 8 hours) post-dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Feb 2015 (estimated)
  2. Study startFeb 2015
  3. Primary completionOct 2015
  4. Study completionNov 2015

Why it stopped: Sponsor decision to terminate the study because the study did not achieve the primary efficacy objective.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02369796
Sponsor's protocol ID
TAK-448-2001
Other IDs
U1111-1162-4892, 2014-002155-25, 14/LO/1950, 2014
Status last verified
Feb 2017
First submitted
17 Feb 2015
Last updated
31 Mar 2017
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing TAK-448 in people with Hypogonadotropic Hypogonadism, run by Takeda at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 31 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 31 Mar 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent Change From Baseline in Mean Area Under the Effect Curve From Time 0 to 72 Hours (AUEC72) of Total Serum Testosterone for Once Weekly Dosing Groups (time frame: Baseline and Day 22 pre-dose and multiple time points (up to 72 hours) post dose). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Mar 2017.

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