Celiac DiseasePhase 2NCT05353985
A Study of TAK-062 in Treatment of Active Celiac Disease in Participants Attempting a Gluten-Free Diet
A Phase 2 study testing TAK-062, Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar and Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free Bar in people with Celiac Disease, run by Takeda at 102 sites in 8 countries.
Trial summary
The main aim is to see how TAK-062 works to reduce celiac-related symptoms and improve small intestinal damage due to gluten exposure, in participants with celiac disease (CeD) attempting to maintain a gluten-free diet (GFD) in treated participants versus placebo controls. Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- Celiac Disease
- What is being tested?
- TAK-062, Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar and Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free Bar
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 153 participants
- Where
- 102 sitesin 8 countries
- Study dates
- 30 Jun 2022to 6 Nov 2024
- 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 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Has an adequate comprehension of a gluten-free diet (GFD) assessed by the site investigator after review of responses to a knowledge test. The final determination of a participant's adequate comprehension of a GFD is at the discretion of the investigator.
- Has at least 1 CeD-related GI symptom of moderate or greater severity, as measured by the CDSD, on at least 3 days out of any consecutive 7-day period during the screening period (Week -8 visit until Week -4 visit), felt by the investigator to be related to gluten exposure. The CeD-related symptom(s) may vary day by day as long as the severity of at least 1 symptom is moderate or greater. The participants must meet symptom criteria to undergo esophagogastroduodenoscopy (EGD)/video capsule endoscopy (VCE).
- Has been attempting to maintain a GFD for at least 12 months as self-reported by the participant.
- Has small intestinal villous atrophy on duodenal biopsy defined as Vh:Cd <2.5 at Week -4.
- The participant is human leukocyte antigen (HLA)-DQ2 and/or HLA-DQ8 positive.
- The participant is in a good general state of health according to clinical history and physical examination, in the opinion of the investigator.
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- Have a body mass index (BMI) between 16 and 45 kilogram per meter square (kg/m^2), inclusive.
- Note: Individuals with BMI of 40 to 45 should be discussed with the medical monitor and confirmed to be appropriate for endoscopy according to local site guidelines.
- The participant is willing and able to continue any current dietary and/or medical regimens (including gastric acid suppression) in effect at the first visit (Visit 1).
- There should be no changes to diet, medications (prescription or over-the-counter) or supplements during study participation.
Who cannot join
- Has the presence of other inflammatory GI disorders or systemic autoimmune diseases that either have the potential to cause persistent GI symptoms similar to CeD or are not well controlled without the use of excluded medication.
- Examples of conditions that are exclusionary include inflammatory bowel disease, eosinophilic esophagitis, gastroenteritis or colitis, microscopic colitis diagnosed at screening or requiring treatment in the 6 months before screening.
- Examples of conditions that may be permissible after discussion with the medical monitor include systemic autoimmune disease such as scleroderma, psoriatic or rheumatoid arthritis, or lupus that is stable and without GI involvement; well controlled autoimmune thyroid disease; well-controlled type 1 diabetes; or proton pump inhibitor (PPI) responsive eosinophilic esophagitis in symptomatic and histologically confirmed remission.
- Has ongoing systemic immunosuppressant, systemic corticosteroid treatment excluding medication given for the endoscopies, or treatment with systemic immunosuppressants or systemic corticosteroids in the 12 weeks before Screening.
- The participant is receiving immunosuppressive doses of corticosteroids: 3 mg per day or more of budesonide for more than 3 consecutive days within 3 months before Screening, more than 20 mg of prednisone given daily or on alternative days for 2 weeks or more within 90 days before the first dose, any dose of oral or intravenous (IV) corticosteroids within 30 days of the first dose, or high-dose inhaled corticosteroids (>960 micrograms per day [μg/day] of beclomethasone dipropionate or equivalent), or other systemic immunosuppressive agents.
- Has ongoing use of over-the-counter digestive enzymes or digestive supplements, other than lactase, including those for gluten digestion. Probiotics are allowable if they were started before Screening and not discontinued or changed in dose or type during the study.
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- Has completed the CDSD on ≤75% of the evaluable days during the run-in period until randomization.
- Has active microscopic colitis requiring treatment in the 6 months before Screening.
- Microscopic colitis detected at screening if sigmoidoscopy is performed would exclude the participant.
- Has known or suspected type 2 refractory CeD or ulcerative jejunitis.
- Has ongoing chronic use (defined as >7 days continuous use) of a nonsteroidal anti-inflammatory drug aside from <100 mg aspirin, daily, for prophylactic use.
- Has ongoing use, or use in the 3 months before screening, of medications known to cause villous abnormalities (e.g., mycophenolate mofetil, angiotensin receptor blockers, colchicine).
- Has used treatments for GI symptoms including antiemetics, antidiarrheals, antispasmodics, medical marijuana, (use of medical marijuana indicated for non-GI conditions is not exclusionary) within 2 weeks of Screening and during the run-in period. Participants on stable dose (i.e., more than 4 weeks) of an osmotic, bulking-forming or emollient (surface active agent) laxative are eligible, provided symptoms are considered not related to CeD in the opinion of the investigator.
- Has a known or suspected severe enteric infection (viral, bacterial, or parasitic) within 6 months before randomization. Severe enteric infection is defined as requiring emergency room visit or hospitalization or treatment with antibiotics or anti-infectives due to infection. Non enteric viral infections, either resolved or well-controlled are not exclusionary.
- Has a contraindication to endoscopy with duodenal biopsy.
- --Contraindication to VCE (strictures, anastomoses, etc) is not an exclusion if the participant is able to complete the other aspects of the study.
- Has additional food allergies (tapioca syrup, oats, almonds, rice crisp, chocolate, almond, butter, wheat gluten, cocoa butter, oat flour, glycerin, sunflower lecithin, salt, and natural flavors) to nongluten ingredients in the SIGE bar study food or significant symptoms upon ingestion of the gluten-free SIGE bar during screening.
- Has a history of intolerance, hypersensitivity, or idiosyncratic reaction to an aminoglycoside.
- Has a known human immunodeficiency virus (HIV) infection or positive tests for hepatitis B or C. The participant has a known clinically significant chronically active hepatopathy of any origin, including cirrhosis, and participants with persistent positive hepatitis B virus surface antigen and quantitative hepatitis B virus polymerase chain reaction (PCR), or positive serology for hepatitis C virus (HCV) and quantitative HCV PCR within 6 months before the screening visit.
- Is positive for severe acute respiratory syndrome coronavirus 2 at the time of screening and exhibits symptoms that, in the opinion of the investigator, may interfere with study compliance, completion, or accurate assessment of study outcomes or safety.
- Has a known hypersensitivity reaction and/or allergy, including anaphylaxis, to wheat and/or gluten.
- Has known history of hypersensitivity, idiosyncratic reaction, or intolerance to any ingredients or excipients in TAK-062 and/or placebo.
- The participant has a current diagnosis of active malignancy or is receiving treatment for active malignancy (hormone therapy alone is not exclusionary). Participants with fully resected Stage 0 (carcinoma in situ) or Stage 1 tumor without signs of recurrence may participate. All other individuals with malignancies diagnosed in the 5 years prior to screening are excluded.
- Region-specific Exclusion Criteria:
- 18. Participant enrolling in a study in France is not affiliated to a social security scheme or a beneficiary of such a scheme.
- 19. Participant enrolling in a study in France is deprived of their liberty by a judicial or administrative decision.
Trial locations and contacts
102 sites in 8 countries.
102 sites in 8 countries
United States61 sites
Eastern Pennsylvania Gastroeneterology and Liver Specialists
Allentown, Pennsylvania, 18104
Agile Clinical Research Trials
Alpharetta, Georgia, 30022
University of Michigan
Ann Arbor, Michigan, 48109
University of Alabama at Birmingham
Birmingham, Alabama, 35233
Massachusetts General Hospital
Boston, Massachusetts, 02114
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Lahey Hospital and Medical
Burlington, Massachusetts, 01805
Tryon Medical Partners
Charlotte, North Carolina, 28210
University of Virginia Medical Center
Charlottesville, Virginia, 22903
Clinical Research Institute of Michigan, LLC
Chesterfield, Michigan, 48047
Gastro Health Research
Cincinnati, Ohio, 45219
Cleveland Clinic - Gastroenterology and Hepatology
Cleveland, Ohio, 44195
Asthma and Allergy Associates, PC
Colorado Springs, Colorado, 80907
Dayton Gastroenterology, Inc
Englewood, Ohio, 45415
Gastroenterology and Liver Institute
Escondido, California, 92025
Revive Research Institute, Inc
Farmington Hills, Michigan, 48334
Carolina Digestive Diseases
Greenville, North Carolina, 27834
Gastroenterology Associates, PA
Greenville, South Carolina, 29607
Medical Research Center of Connecticut, LLC 300143562
Hamden, Connecticut, 06518
The Methodist Hospital 150520246
Houston, Texas, 77030
Biopharma Informatic, LLC
Houston, Texas, 77084
Spring Clinical Research
Houston, Texas, 77090
Indiana University -GI
Indianapolis, Indiana, 46202
Nature Coast Clinical Research, LLC
Inverness, Florida, 34452
University of Iowa Hospital and Clinics
Iowa City, Iowa, 52242
Om Research LLC
Lancaster, California, 93534
Research Solutions of Arizona, PC
Litchfield Park, Arizona, 85340
So. California Research Institute Med Group Inc./West Gastroenterology Med Group
Los Angeles, California, 90045
UCLA
Los Angeles, California, 90404
Blue Ridge Medical Research
Lynchburg, Virginia, 24502
Manhattan Clinical Research, LLC
Manhattan, New York, 10016
Biopharma Informatic, LLC
McAllen, Texas, 78503
University of Miami Medical Center
Miami, Florida, 33136
Wellness Clinical Research
Miami Lakes, Florida, 33016
Providence Facey Medical Foundation
Mission Hills, California, 91345
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
University Medical Center New Orleans
New Orleans, Louisiana, 70112
New York University Medical Center PRIME
New York, New York, 10016
Blair S Lewis MD
New York, New York, 10032
Lemah Creek Clinical Research
Oakbrook Terrace, Illinois, 60181
One of a Kind Clinical Research Center LLC
Paradise Valley, Arizona, 85253
Gastroenterology Associates of Pensacola, PA
Pensacola, Florida, 32503
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
Central Connecticut Endoscopy Center
Plainville, Connecticut, 06062
Rapid City Medical Center, LLC
Rapid City, South Dakota, 57701
Stanford University School of Medicine
Redwood City, California, 94063
Clinical Research Partners, LLC
Richmond, Virginia, 23220
Mayo Clinic - Rochester
Rochester, Minnesota, 55905
Rochester Clinical Research
Rochester, New York, 14618
St. Johns Center for Clinical Research
Saint Augustine, Florida, 32086
Medical Associates Research Group, Inc.
San Diego, California, 92123
Mayo Clinic- Arizona
Scottsdale, Arizona, 85259
Swedish Gastroenterology
Seattle, Washington, 98104
University of Washington Division of Gastroenterology
Seattle, Washington, 98195
Hawthorn Medical Associates LLC
South Dartmouth, Massachusetts, 02747
Velocity Clinical Research
Spokane, Washington, 99218
Washington University, School of Medicine
St Louis, Missouri, 63110
GI Alliance- Sun City
Sun City, Arizona, 85351
GCP Clinical Research, LLC
Tampa, Florida, 33609
Adobe Clinical Research LLC
Tucson, Arizona, 85712
Victoria Gastroenterology
Victoria, Texas, 77904
Italy10 sites
Azienda Ospedaliero Universitaria Ospedali Riuniti- Ospedale Pediatrico UOC Pediatria - G. Salesi
Ancona, 60123
Ospedale Valduce 300205849
Como, 22100
Azienda Ospedaliero Universitaria di Ferrara
Cona, Ferrara, 44124
Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico
Milan, Milano, 20122
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone Internal Medicine
Palermo, 90127
Fondazione IRCCS Policlinico San Matteo Sezione di Medicina Interna
Pavia, 27100
Azienda Ospedaliero Universitaria Pisana (Presidio di Cisanello) U.O. Gastroenterologia
Pisa, 56124
Fondazione Policlinico Universitario Agostino Gemelli IRCCS UOC Medicina Interna e Gastroenterologia
Roma, 168
Azienda Ospedaliera Universitaria OO. RR. S. Giovanni di Dio e Ruggi D'Aragona
Salerno, 84131
Ospedale Umberto I di Torino S.C. Gastroenterologia
Torino, 10128
Poland8 sites
FutureMeds Krakow prev. Krakowskie Centrum Medyczne Sp. z o.o.
Krakow, 31-501
ALLMEDICA sp. z o. o.
Nowy Targ, 34-400
Gabinet Lekarski Bartosz Korczowski
Rzeszów, 35-302
Centrum Medyczne Medyk
Rzeszów, 35-326
Warsaw IBD Point Profesor Kierkus
Warsaw, 00-728
Komisja Bioetyczna przy Okregowej Izbie Lekarskiej w Warszawie
Warsaw, 02-172
Melita Medical SP . Z O. O.
Wroclaw, 50-449
ETG Zamosc
Zamość, 22-400
United Kingdom6 sites
The Ulster Hospital Department of Gastroenterology
Belfast, BT16 1RH
Bradford Teaching Hospitals NHS Foundation Trust
Bradford, West Yorkshire, BD9 6RJ
Royal London Hospital Dept of Gastroenterology
London, Greater London, E1 1FR
King's College Hospital Dept of Gastroenterology
London, Greater London, SE5 9RS
John Radcliffe Hospital Dept of Gastroenterology
Oxford, Oxfordshire, OX3 9DU
Royal Hallamshire Hospital Dept of Gastroenterology
Sheffield, South Yorkshire, S10 2JF
France5 sites
CHU Lille - Hopital Claude Huriez Service des maladies de I'appareil digestif
Lille, Nord, 59037
Institut des MICI
Neuilly, Hauts De Seine, 92200
Hopital Europeen Georges Pompidou Gastro Enterologie et Oncologie Digestive
Paris, 75015
CHU Saint Etienne - Hopital Nord Service de Gastro-Enterologie et Hepatologie
Saint-Étienne-de-Montluc, Pays de la Loire Region, 42055
Hopital Rangueil Service de Gastro Enterologie et Nutrition
Toulouse, Haute Garonne, 31059
Spain5 sites
Vall d'Hebron Research Institute
Barcelona, 8035
Hospital Universitario Ramon y Cajal Servicio de Gastroenterologia
Madrid, 28034
Hospital Clinico Universitario Virgen de la Victoria Digestive Service
Málaga, 29010
Hospital Universitario Virgen Macarena Digestive Service
Seville, 41009
Hospital Universitario Miguel Servet Servicio de Aparato Digestivo
Zaragoza, 50009
Canada4 sites
Gastroenterology and Internal Medicine Research Institute (GIRI)
Edmonton, Alberta, T5R 1W2
McGill University Health Center McGill University
Montreal, Quebec, H3A 1A1
Kensington Screening Clinic
Toronto, Ontario, M5T 3A9
St. Boniface Hospital Inc. Section of Nephrology BG 007
Winnipeg, Manitoba, R2H 2A6
Belgium3 sites
AZ Sint-Lucas
Bruges, 8310
AZ Maria Middelares
Ghent, 9000
Vitaz
Sint-Niklaas, 9100
About this study
Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate the Efficacy and Safety of TAK-062 for the Treatment of Active Celiac Disease in Subjects Attempting a Gluten-Free Diet
The main aim is to see how TAK-062 works to reduce celiac-related symptoms and improve small intestinal damage due to gluten exposure, in participants with celiac disease (CeD) attempting to maintain a gluten-free diet (GFD) in treated participants versus placebo controls.
Read the detailed description
The drug being tested in this study is called TAK-062. TAK-062 is designed to break down gluten in the stomach and is being tested to treat people who have active CeD, attempting to maintain a GFD.
The study will enroll approximately 357 patients. Participants will be randomly assigned (by chance, like flipping a coin) to one of the two treatment groups in Cohort 1:
- Cohort 1 (Age 18 and older): TAK-062 Placebo + SIGE Gluten-Bar
- Cohort 1 (Age 18 and older): TAK-062 Dose 1 + SIGE Gluten-Bar
After the interim analysis (IA), Cohort 1 data will be reviewed by an external independent data monitoring committee (DMC), and based on the Sponsor's decision, adolescent participants will be enrolled in Cohort 2. Adult participants, 18 years and older will be enrolled into Cohort 2 once Cohort 1 has completed enrolment. Adult participants will be randomly assigned to one of the five study drug and SIGE treatment groups (Groups a-e), and approximately 21 adolescent participants will be enrolled and randomly assigned to Groups d, e, and f (adolescents only). Adolescents in Cohort 2 will receive only gluten-free SIGE bars.
- Cohort 2 (Age 18 and older): TAK-062 Placebo + SIGE Gluten-Bar
- Cohort 2 (Age 18 and older): TAK-062 Dose 2 + SIGE Gluten-Bar
- Cohort 2 (Age 18 and older): TAK-062 Dose 3 + SIGE Gluten-Bar
- Cohort 2 (Age 12 and older): TAK-062 Placebo + Gluten-free SIGE Bar
- Cohort 2 (Age 12 and older): TAK-062 Dose 1 + Gluten-free SIGE Bar
- Cohort 2 (Age 12-17): TAK-062 Dose 2 + Gluten-free SIGE Bar
This multi-center trial will be conducted in the United States (US), Canada, United Kingdom and the European Union. The overall time to participate in this study is approximately 36 weeks.
- Conditions
- Celiac Disease
- Being tested
- TAK-062, Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar, TAK-062 Placebo, Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free Bar
- Keywords
- Drug Therapy
- Medical subject headings
- Celiac Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TAK-062Drug
TAK-062 tablets.
Simulated Inadvertent Gluten Exposure (SIGE) Gluten-BarDietary supplement
SIGE gluten bars.
TAK-062 PlaceboDrug
TAK-062 placebo-matching tablets.
Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free BarDietary supplement
SIGE gluten-free bars.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1: TAK-062 Placebo + SIGE Gluten-Bar | Placebo comparator | TAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. Receives: Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar; Drug: TAK-062 Placebo |
| Cohort 1: TAK-062 Dose 1 + SIGE Gluten-Bar | Experimental | TAK-062 Dose 1, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. Receives: Drug: TAK-062; Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar |
| Cohort 2: TAK-062 Placebo + SIGE Gluten-Bar | Placebo comparator | TAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. Receives: Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar; Drug: TAK-062 Placebo |
| Cohort 2: TAK-062 Dose 2 + SIGE Gluten-Bar | Experimental | TAK-062 Dose 2, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. Receives: Drug: TAK-062; Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar |
| Cohort 2: TAK-062 Dose 3 + SIGE Gluten-Bar | Experimental | TAK-062 Dose 3, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. Receives: Drug: TAK-062; Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar |
| Cohort 2: TAK-062 Placebo + Gluten-free SIGE Bar | Placebo comparator | TAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. Receives: Drug: TAK-062 Placebo; Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free Bar |
| Cohort 2: TAK-062 Dose 1 + Gluten-free SIGE Bar | Experimental | TAK-062 Dose 1, 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. Receives: Drug: TAK-062; Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free Bar |
| Cohort 2: TAK-062 Dose 2 + Gluten-free SIGE Bar | Experimental | TAK-062 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. Receives: Drug: TAK-062; Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free Bar |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Weekly Celiac Disease Symptom Diary (CDSD) Gastrointestinal (GI) Symptom Severity Score From Baseline to Week 12
CDSD GI symptom severity score is an average of the daily GI symptom severity scores during the week. The daily GI symptom severity score is the average of the severity score for diarrhea, abdominal pain, bloating and nausea, ranging from 0 to 4. Symptom severity is evaluated using 5-point Likert-type scales (none, mild, moderate, severe, and very severe). Higher scores indicate more severe symptoms. Results are reported as least squares (LS) mean change from baseline at Week 12, determined using a mixed-effect model for repeated measures (MMRM). A negative change from baseline indicates improvement.
Measured: Baseline (Week -1) to Week 12
Secondary outcomes (3)
Change in Villous Height to Crypt Depth Ratio (Vh:Cd) From Baseline to Week 24
The Vh:Cd ratio represents mucosal architectural changes and a lower Vh:Cd ratio indicates more severe intestinal injury characterized by a flattening of the mucosa. Results are reported as least squares (LS) mean change from baseline at Week 24, determined using an analysis of covariance (ANCOVA) model. A negative change from baseline indicates worsening disease.
Measured: Baseline (Week -4, Run-in Period) to Week 24
Percentage of Participants Experiencing at Least One Treatment-Emergent Adverse Event (TEAE), Serious Treatment-Emergent Adverse Events (Serious TEAEs) and Treatment-Related TEAEs
Adverse event(AE)=any untoward medical occurrence in clinical investigation participant administered a drug; it does not necessarily have to have causal relationship with this treatment.AE can therefore be any unfavorable\&unintended sign(e.g.,clinically significant abnormal laboratory value, electrocardiogram[ECG] value,or vital sign measurement),symptom,or disease temporally associated with use of drug whether or not it is considered related to drug.TEAE=new onset or worsening AEs after first dose of study treatment regardless of relationship to study drug.SAE=any untoward medical occurrence at any dose that results in death,is life threatening,requires inpatient hospitalization/prolongation of existing hospitalization,results in persistent/significant disability/incapacity,leads to a congenital anomaly/birth defect/is important medical event. TEAEs considered related to study drug as assessed by investigator were reported.Percentages were rounded off to nearest single decimal place.
Measured: Up to Week 28
Number of Participants With Positive Antidrug Antibodies (ADA) in Serum for TAK-062
A positive ADA participant was defined as a participant who had at least 1 positive ADA result during the study and was further categorized as: Transiently positive- defined as participants with confirmed positive ADA in at least 1 sample and no consecutive samples; Persistently positive- defined as participants with confirmed positive ADA in 2 or more consecutive positive ADA samples.
Measured: Up to Week 28
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Apr 2022
- Study start30 Jun 2022
- Primary completion6 Nov 2024
- Study completion6 Nov 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Celiac DiseaseStudies of the same condition, open and under way.
- More trials run by TakedaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 153 participants (actual)
Sponsor and investigators
- Lead sponsor
- Takeda
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Takeda
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05353985
- Sponsor's protocol ID
- TAK-062-2001
- Other IDs
- 2020-005438-14
- Status last verified
- Aug 2025
- First submitted
- 26 Apr 2022
- Last updated
- 20 Aug 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
Study at a glance
From the registry record, last updated by the sponsor on 20 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate the Efficacy and Safety of TAK-062 for the Treatment of Active Celiac Disease in Subjects Attempting a Gluten-Free Diet
- ClinicalTrials.gov ID
- NCT05353985
- Acronym / sponsor ID
- TAK-062-2001
- Conditions
- Celiac Disease
- Keywords
- Drug Therapy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 153 participants (actual)
- Lead sponsor
- TakedaIndustry (pharma, biotech, devices)
- Study start
- 30 Jun 2022 (actual)
- Primary completion
- 6 Nov 2024 (actual)
- Study completion
- 6 Nov 2024 (actual)
- First posted
- 29 Apr 2022 (actual)
- Results
- Posted 20 Aug 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main aim is to see how TAK-062 works to reduce celiac-related symptoms and improve small intestinal damage due to gluten exposure, in participants with celiac disease (CeD) attempting to maintain a gluten-free diet (GFD) in treated participants versus placebo controls.
Detailed description
The drug being tested in this study is called TAK-062. TAK-062 is designed to break down gluten in the stomach and is being tested to treat people who have active CeD, attempting to maintain a GFD.
The study will enroll approximately 357 patients. Participants will be randomly assigned (by chance, like flipping a coin) to one of the two treatment groups in Cohort 1:
- Cohort 1 (Age 18 and older): TAK-062 Placebo + SIGE Gluten-Bar
- Cohort 1 (Age 18 and older): TAK-062 Dose 1 + SIGE Gluten-Bar
After the interim analysis (IA), Cohort 1 data will be reviewed by an external independent data monitoring committee (DMC), and based on the Sponsor's decision, adolescent participants will be enrolled in Cohort 2. Adult participants, 18 years and older will be enrolled into Cohort 2 once Cohort 1 has completed enrolment. Adult participants will be randomly assigned to one of the five study drug and SIGE treatment groups (Groups a-e), and approximately 21 adolescent participants will be enrolled and randomly assigned to Groups d, e, and f (adolescents only). Adolescents in Cohort 2 will receive only gluten-free SIGE bars.
- Cohort 2 (Age 18 and older): TAK-062 Placebo + SIGE Gluten-Bar
- Cohort 2 (Age 18 and older): TAK-062 Dose 2 + SIGE Gluten-Bar
- Cohort 2 (Age 18 and older): TAK-062 Dose 3 + SIGE Gluten-Bar
- Cohort 2 (Age 12 and older): TAK-062 Placebo + Gluten-free SIGE Bar
- Cohort 2 (Age 12 and older): TAK-062 Dose 1 + Gluten-free SIGE Bar
- Cohort 2 (Age 12-17): TAK-062 Dose 2 + Gluten-free SIGE Bar
This multi-center trial will be conducted in the United States (US), Canada, United Kingdom and the European Union. The overall time to participate in this study is approximately 36 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| Cohort 1: TAK-062 Placebo + SIGE Gluten-Bar | Placebo comparator | Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar, Drug: TAK-062 PlaceboTAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. |
| Cohort 1: TAK-062 Dose 1 + SIGE Gluten-Bar | Experimental | Drug: TAK-062, Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-BarTAK-062 Dose 1, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. |
| Cohort 2: TAK-062 Placebo + SIGE Gluten-Bar | Placebo comparator | Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar, Drug: TAK-062 PlaceboTAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. |
| Cohort 2: TAK-062 Dose 2 + SIGE Gluten-Bar | Experimental | Drug: TAK-062, Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-BarTAK-062 Dose 2, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. |
| Cohort 2: TAK-062 Dose 3 + SIGE Gluten-Bar | Experimental | Drug: TAK-062, Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-BarTAK-062 Dose 3, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. |
| Cohort 2: TAK-062 Placebo + Gluten-free SIGE Bar | Placebo comparator | Drug: TAK-062 Placebo, Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free BarTAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. |
| Cohort 2: TAK-062 Dose 1 + Gluten-free SIGE Bar | Experimental | Drug: TAK-062, Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free BarTAK-062 Dose 1, 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. |
| Cohort 2: TAK-062 Dose 2 + Gluten-free SIGE Bar | Experimental | Drug: TAK-062, Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free BarTAK-062 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks. |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (10 listed)
- Has an adequate comprehension of a gluten-free diet (GFD) assessed by the site investigator after review of responses to a knowledge test. The final determination of a participant's adequate comprehension of a GFD is at the discretion of the investigator.
- Has at least 1 CeD-related GI symptom of moderate or greater severity, as measured by the CDSD, on at least 3 days out of any consecutive 7-day period during the screening period (Week -8 visit until Week -4 visit), felt by the investigator to be related to gluten exposure. The CeD-related symptom(s) may vary day by day as long as the severity of at least 1 symptom is moderate or greater. The participants must meet symptom criteria to undergo esophagogastroduodenoscopy (EGD)/video capsule endoscopy (VCE).
- Has been attempting to maintain a GFD for at least 12 months as self-reported by the participant.
- Has small intestinal villous atrophy on duodenal biopsy defined as Vh:Cd <2.5 at Week -4.
- The participant is human leukocyte antigen (HLA)-DQ2 and/or HLA-DQ8 positive.
Key exclusion criteria (26 listed)
- Has the presence of other inflammatory GI disorders or systemic autoimmune diseases that either have the potential to cause persistent GI symptoms similar to CeD or are not well controlled without the use of excluded medication.
- Has ongoing systemic immunosuppressant, systemic corticosteroid treatment excluding medication given for the endoscopies, or treatment with systemic immunosuppressants or systemic corticosteroids in the 12 weeks before Screening.
- Has ongoing use of over-the-counter digestive enzymes or digestive supplements, other than lactase, including those for gluten digestion. Probiotics are allowable if they were started before Screening and not discontinued or changed in dose or type during the study.
- Has completed the CDSD on ≤75% of the evaluable days during the run-in period until randomization.
- Has active microscopic colitis requiring treatment in the 6 months before Screening.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TAK-062TAK-062 tablets. | Drug | Cohort 1: TAK-062 Dose 1 + SIGE Gluten-Bar, Cohort 2: TAK-062 Dose 1 + Gluten-free SIGE Bar, Cohort 2: TAK-062 Dose 2 + Gluten-free SIGE Bar, Cohort 2: TAK-062 Dose 2 + SIGE Gluten-Bar, Cohort 2: TAK-062 Dose 3 + SIGE Gluten-Bar |
| Simulated Inadvertent Gluten Exposure (SIGE) Gluten-BarSIGE gluten bars. | Dietary supplement | Cohort 1: TAK-062 Dose 1 + SIGE Gluten-Bar, Cohort 1: TAK-062 Placebo + SIGE Gluten-Bar, Cohort 2: TAK-062 Dose 2 + SIGE Gluten-Bar, Cohort 2: TAK-062 Dose 3 + SIGE Gluten-Bar, Cohort 2: TAK-062 Placebo + SIGE Gluten-Bar |
| TAK-062 PlaceboTAK-062 placebo-matching tablets. | Drug | Cohort 1: TAK-062 Placebo + SIGE Gluten-Bar, Cohort 2: TAK-062 Placebo + Gluten-free SIGE Bar, Cohort 2: TAK-062 Placebo + SIGE Gluten-Bar |
| Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free BarSIGE gluten-free bars. | Dietary supplement | Cohort 2: TAK-062 Dose 1 + Gluten-free SIGE Bar, Cohort 2: TAK-062 Dose 2 + Gluten-free SIGE Bar, Cohort 2: TAK-062 Placebo + Gluten-free SIGE Bar |
Primary outcome
Change in Weekly Celiac Disease Symptom Diary (CDSD) Gastrointestinal (GI) Symptom Severity Score From Baseline to Week 12
Time frame: Baseline (Week -1) to Week 12
CDSD GI symptom severity score is an average of the daily GI symptom severity scores during the week. The daily GI symptom severity score is the average of the severity score for diarrhea, abdominal pain, bloating and nausea, ranging from 0 to 4. Symptom severity is evaluated using 5-point Likert-type scales (none, mild, moderate, severe, and very severe). Higher scores indicate more severe symptoms. Results are reported as least squares (LS) mean change from baseline at Week 12, determined using a mixed-effect model for repeated measures (MMRM). A negative change from baseline indicates improvement.
3 secondary outcomes
Change in Villous Height to Crypt Depth Ratio (Vh:Cd) From Baseline to Week 24
Time frame: Baseline (Week -4, Run-in Period) to Week 24
Percentage of Participants Experiencing at Least One Treatment-Emergent Adverse Event (TEAE), Serious Treatment-Emergent Adverse Events (Serious TEAEs) and Treatment-Related TEAEs
Time frame: Up to Week 28
Number of Participants With Positive Antidrug Antibodies (ADA) in Serum for TAK-062
Time frame: Up to Week 28
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Aug 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- To obtain more information on the study, click on this linkLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Takeda
102 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing TAK-062, Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar and Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free Bar in people with Celiac Disease, run by Takeda at 102 sites in 8 countries.
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 10 inclusion and 26 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 20 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 102 sites in United States, Italy, Poland, United Kingdom, France and 3 more countries. 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. Some participants in this study may receive a placebo. 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 20 Aug 2025). 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?
Change in Weekly Celiac Disease Symptom Diary (CDSD) Gastrointestinal (GI) Symptom Severity Score From Baseline to Week 12 (time frame: Baseline (Week -1) to Week 12). 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 20 Aug 2025.