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Healthy ParticipantsPhase 1NCT03933488

A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of TAK-994 in Healthy Participants

A Phase 1 study testing TAK-994 in people with Healthy Participants, run by Takeda at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess the safety and tolerability of TAK-994 following single and multiple oral doses in healthy non-Japanese and Japanese adult participants and healthy elderly participants. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Healthy Participants
What is being tested?
TAK-994
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
121 participants
Where
2 sitesUnited States
Study dates
1 May 2019to 29 Mar 2020
Phase
Phase 1
Are there results?
None posted in the registry

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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Be normotensive, with no history of hypertension or use of antihypertensive medication. Blood pressure (BP) must be less than (<) 140 millimeter of mercury (mmHg) (systolic) and <90 mmHg (diastolic).
  • Healthy Adult and Elderly Participants (Parts A through D and Part F)
  • Must have a body mass index (BMI) greater than or equal to (>=) 18.0 and less than or equal to (<=) 30.0 kilogram per square meter (kg/m^2) at the screening visit (non-Japanese only).
  • Healthy Adult Participants (Parts A, B, C, and F)
  • Must be aged 18 to 55 years, inclusive, at the screening visit.
  • Must have a body weight >=50 kilogram (kg) at the screening visit.
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  • HE Participants (Part D)
  • Must be aged >=65 years, inclusive, at the time of informed consent.
  • Must have a body weight >=40 kg at the screening visit.
  • Healthy Japanese Adult Participants (Part E)
  • Must be aged 18 to 55 years, inclusive, at the screening visit.
  • Must have a BMI >=18.0 and <=26.0 kg/m^2 at the screening visit.
  • Must have been born in Japan to a Japanese mother and father and have maternal and paternal Japanese grandparents.
  • Must have not been away from Japan for more than 10 years at the screening visit.
  • In the opinion of the investigator, must have a lifestyle that has not changed significantly since relocation from Japan.

Who cannot join

  • Has a known hypersensitivity to any component of the formulation of TAK-994 or related compounds.
  • Has a risk of suicide according to endorsement of Item 4 or 5 of the screening/baseline visit Columbia Suicide Severity Rating Scale (C-SSRS) or has made a suicide attempt in the previous 6 months.
  • Has a lifetime history of major psychiatric disorder, such as bipolar disorder or schizophrenia. Participant who have history of major depressive disorder (MDD) may be included, but participants who have current active MDD or who have had active MDD in the past 6 months are excluded.
  • Has a clinically significant history of head injury or head trauma.
  • Has a history of cerebral ischemia, transient ischemic attack, intracranial aneurysm, or arteriovenous malformation.
  • Screening electrocardiogram (ECG) reveals a QT interval with the Fridericia's correction method (QTcF) greater than (>) 450 millisecond (ms) (men) or >470 ms (women).
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  • Has a resting heart rate outside of the range of 45 to 100 beats per minute, confirmed on repeat testing within a maximum of 30 minutes).
  • Healthy Non-Japanese Adult Participants (Part C and Part F)
  • Has undergone CSF collection within 30 days before check-in (Day -2 [Part C] or Day -1 [Part F]).
  • Has a known hypersensitivity to anesthesia or its derivatives used during CSF collection or to any medication used to prepare the area of lumbar puncture.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Parexel International

    Glendale, California, 91206

  • PRA Health Sciences

    Salt Lake City, Utah, 84125

Other trials in United States

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Single and Multiple Rising Oral Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of TAK-994 in Healthy Subjects

The purpose of this study is to assess the safety and tolerability of TAK-994 following single and multiple oral doses in healthy non-Japanese and Japanese adult participants and healthy elderly participants.

Read the detailed description

The drug being tested in this study is called TAK-994. TAK-994 is being tested to find a safe and well-tolerated dose in healthy participants (non-Japanese and Japanese) and healthy elderly participants. The study will enroll up to approximately 160 healthy participants. The study consists of 6 parts and up to 20 cohorts as mentioned below.

  • TAK-994: Part A: Single-rising dose (SRD) design to assess the safety, tolerability, and PK of TAK-994 and effect of food on the PK of the TAK-994
  • TAK-994: Part B: MRD design to assess the safety, tolerability, PK and PD of TAK-994
  • TAK-994: Part C: MRD design to assess the safety, tolerability, PK and PD of TAK-994 and also central nervous system penetration relative to plasma concentrations of TAK-994
  • TAK-994: Part D: MRD design to assess the safety, tolerability, PK and PD of TAK-994 for HE participants
  • TAK-994: Part E: SRD and MRD design to assess the safety, tolerability, PK and PD of TAK-994 for Japanese origin participants
  • TAK-994: Part F (Optional Cohort): Nonrandomized design to assess orexin (OX) levels in the cerebrospinal fluid (CSF) of untreated healthy adult participants.

Participants in each cohort will be randomized to receive treatment with TAK-994 or matching placebo which will remain undisclosed to the participant and study doctor during the study (unless there is an urgent medical need). Participants in optional Part F will receive no study drug.

This multi-center trial will be conducted in the United States. The overall duration of the study is approximately 10 months. Participants will be followed up for 7 days after the last dose of study drug for a follow-up assessment.

Being tested
TAK-994, TAK-994 Placebo
Keywords
Drug therapy

What participants receive

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

  • TAK-994Drug

    TAK-994 tablets.

  • TAK-994 PlaceboDrug

    TAK-994 placebo-matching tablets.

Study groups in NCT03933488
Study groupRoleWhat they receive
TAK-994: Part AExperimentalTAK-994 tablet or matching placebo, orally, once on Day 1 to healthy non-Japanese participants. Sentinel dosing will be done in the first 2 cohorts of Part A (Cohorts A1 and A2 [fasted and fed dosing conditions]). Dose escalation in Cohorts A2 to A6 will be based on emerging safety, tolerability, and PK (pharmacokinetic) data from previous cohorts.
Receives: Drug: TAK-994; Drug: TAK-994 Placebo
TAK-994: Part BExperimentalTAK-994 tablet or matching placebo, orally, once daily or twice daily from Day 1 to Day 14 to healthy non-Japanese participants. Dose escalation will be based on review of the emerging safety, PK, and PD (pharmacodynamic) data from Part A. Fixed-dose titration regimens may also be evaluated based on review of the emerging safety, PK, and tolerability data from previous cohorts.
Receives: Drug: TAK-994; Drug: TAK-994 Placebo
TAK-994: Part CExperimentalTAK-994 tablet or matching placebo, orally, once daily or twice daily from Day 1 to Day 7 to healthy non-Japanese participants. Dose will be determined based on previous multiple-rising dose (MRD) cohorts.
Receives: Drug: TAK-994; Drug: TAK-994 Placebo
TAK-994: Part DExperimentalTAK-994 tablet or matching placebo, orally, once daily or twice daily from Day 1 to Day 14 to healthy non-Japanese elderly participants. Dose will be determined based on previous MRD cohorts. Fixed-dose titration regimens may also be evaluated based on review of the emerging safety, PK, and tolerability data from previous cohorts.
Receives: Drug: TAK-994; Drug: TAK-994 Placebo
TAK-994: Part EExperimentalTAK-994 tablet or matching placebo, orally, once or twice on Day 1, followed by a washout period of 2 days and on Day 4 and continue to Day 17 to healthy Japanese participants. Dose will be determined based on previous MRD cohorts. Fixed-dose titration regimens may also be evaluated based on review of the emerging safety, PK, and tolerability data from previous cohorts.
Receives: Drug: TAK-994; Drug: TAK-994 Placebo

What is being measured

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

  1. Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAE)

    Measured: Baseline up to Day 26

  2. Number of Participants With at Least one Markedly Abnormal Laboratory Value

    Measured: Baseline up to Day 26

  3. Number of Participants With at Least one Markedly Abnormal Laboratory Value for Vital Signs

    Measured: Baseline up to Day 26

  4. Number of Participants With at Least one Markedly Abnormal Laboratory Value for Electrocardiogram (ECG)

    Measured: Baseline up to Day 26

Secondary outcomes (9)
  1. Cmax: Maximum Observed Plasma Concentration for TAK-994

    Measured: Day 1 (Parts A-E), Day 7 (Part C), Day 14 (Parts B and D), Day 17 (Part E) pre-dose and at multiple time points (up to 72 hours) post-dose

  2. Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-994

    Measured: Day 1 (Parts A-E), Day 7 (Part C), Day 14 (Parts B and D), Day 17 (Part E) pre-dose and at multiple time points (up to 72 hours) post-dose

  3. AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-994

    Measured: Day 1 (Parts A-E) pre-dose and at multiple time points (up to 72 hours) post-dose

  4. AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-994

    Measured: Day 1 (Parts A-E) pre-dose and at multiple time points (up to 72 hours) post-dose

  5. T1/2z: Terminal Disposition Phase Half-life for TAK-994

    Measured: Day 1 (Parts A-E) pre-dose and at multiple time points (up to 72 hours) post-dose

  6. CLR: Renal Clearance for TAK-994

    Measured: Day 1 (Parts A, B, D and E), Day 14 (Parts B and D), Day 17 (Part E) pre-dose and at multiple time points (up to 72 hours) post-dose

  7. AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to tau over Dosing Interval for TAK-994

    Measured: Day 7 (Part C), Day 14 (Parts B and D), Day 17 (Part E) pre-dose and at multiple time points (up to 72 hours) post-dose

  8. Part C: Ratio of the Cerebrospinal Fluid (CSF) to plasma AUC From time 0 to 24 hours for TAK-994

    Measured: Day 7 (Part C) Pre-dose and at multiple time points (up to 24 hours) post-dose

  9. Rac(AUC): Accumulation ratio based on AUCτ for TAK-994

    Measured: Day 7 (Part C), Day 14 (Parts B and D), Day 17 (Part E) pre-dose and at multiple time points (up to 72 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 posted1 May 2019
  2. Study start1 May 2019
  3. Primary completion29 Mar 2020
  4. Study completion29 Mar 2020

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 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Sequential
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
121 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03933488
Sponsor's protocol ID
TAK-994-1001
Other IDs
U1111-1230-8479
Status last verified
Jun 2020
First submitted
29 Apr 2019
Last updated
24 Jun 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: 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.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TAK-994 in people with Healthy Participants, run by Takeda at 2 sites in United States.

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 15 inclusion and 10 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: finished, as of the sponsor's last update on 24 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAE) (time frame: Baseline up to Day 26). The study lists 4 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 24 Jun 2020.

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