Phase 1
Completed N=80
A Study to Evaluate TAK-931 in Participants With Advanced Nonhematologic Tumors
Nonhematologic Neoplasms, Advanced
Source: ClinicalTrials.gov NCT02699749 ↗
Enrolled (actual)
80
Serious AEs
28.7%
Results posted
Feb 2021
Primary outcomePrimary: Number of Participants With Dose Limiting Toxicities (DLTs) Assessed by National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) Version 4.03 — 0; 0; 0; 2 Participants
Summary
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics (PK), and maximum tolerated dose (MTD) of TAK-931 in participants with advanced nonhematologic tumors.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Dose Limiting Toxicities (DLTs) Assessed by National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) Version 4.03 |
0; 0; 0; 2; 0; 2 | — |
| PRIMARY Number of Participants With Reporting One or More Treatment-emergent Adverse Events (TEAEs) |
3; 3; 16; 3; 3; 9 | — |
| SECONDARY Cmax: Maximum Observed Plasma Concentration After First Dose of TAK-931 |
133; 229; 214; 265; 277; 302 | — |
| SECONDARY Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) After First Dose of TAK-931 |
0.97; 1.05; 1.93; 3.88; 1.00; 4.00 | — |
| SECONDARY AUC24: Area Under the Plasma Concentration-time Curve From 0 to 24 Hours After First Dose of TAK-931 |
737; 1250; 1240; 2000; 1470; 2140 | — |
| SECONDARY AUC12: Area Under the Plasma Concentration-time Curve From 0 to 12 Hours After Multiple Doses of TAK-931 |
641; 1110; 1070; 1670; 1270; 1800 | — |
| SECONDARY AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration After First Dose of TAK-931 |
742; 1250; 1250; 2010; 1480; 2160 | — |
| SECONDARY Cmax: Maximum Observed Plasma Concentration After Multiple Doses of TAK-931 |
133; 239; 231; 330; 218; 341 | — |
| SECONDARY Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) After Multiple Doses of TAK-931 |
2.02; 1.00; 1.91; 1.95; 2.00; 2.01 | — |
| SECONDARY AUC24: Area Under the Plasma Concentration-time Curve From 0 to 24 Hours After Multiple Doses of TAK-931 |
799; 1400; 1320; 2210; 1650; 2220 | — |
| SECONDARY AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration After Multiple Doses of TAK-931 |
805; 1410; 1330; 2220; 1650; 2230 | — |
| SECONDARY Schedule A, B and D: Change From Baseline in Phosphorylated Minichromosome Maintenance Complex-2 (pMCM2) (Ser40) Levels in Skin Based on Histological Score Nuclei (H-score) After Multiple Doses Of TAK-931 |
18.467; 19.533; 10.500; 10.933; 4.400; 12.720 | — |
| SECONDARY Schedule A, B and D: Change From Baseline in pMCM2 (Ser40) Levels in Skin Based on Positive Index After Multiple Doses Of TAK-931 |
0.08600; 0.08533; 0.04429; 0.04800; 0.02000; 0.05080 | — |
| SECONDARY Overall Response Rate (ORR) |
33; 0; 7; 33; 0; 0 | — |
| SECONDARY Progression-free Survival (PFS) |
4.2; 2.1; 2.0; 4.8; 3.1; 2.8 | — |
| SECONDARY Duration of Response (DOR) |
2.1; 2.7; 2.2; 4.2; 0.0 | — |
Eligibility Criteria
Inclusion Criteria
- Histologically confirmed diagnosis of an advanced, nonhematologic/solid tumor (with the exception of primary brain tumor).
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 .
- For whom no effective standard therapy is available.
- Life expectancy of greater than or equal to (>=3) months.
- Female participants who:
- Are postmenopausal (natural amenorrhea and not due to other medical reasons) for at least 1 year before the screening visit, OR
- Are surgically sterile, OR
- If they are of childbearing potential, agree to practice 2 effective methods of contraception, at the same time, from the time of signing the informed consent through 30 days after the last dose of study drug, OR
- Agree to practice true abstinence, when this is in line with the preferred and usual lifestyle of the participant. (Periodic abstinence [example, calendar, ovulation, symptothermal, postovulation methods] and withdrawal are not acceptable methods of contraception.)
Male participants, even if surgically sterilized (example, status postvasectomy), who:
- Agree to practice effective barrier contraception during the entire study treatment period and through 120 days after the last dose of study drug, OR
- Agree to practice true abstinence, when this is in line with the preferred and usual lifestyle of the participant. (Periodic abstinence [example, calendar, ovulation, symptothermal, postovulation methods for the female partner] and withdrawal are not acceptable methods of contraception.)
- Agree not to donate sperm during this study and for 120 days after receiving their last dose of study drug.
- Voluntary written consent must be given before performance of any study-related procedure not part of standard medical care, with the understanding that consent may be withdrawn by the participant at any time without prejudice to future medical care.
- Ability to swallow oral medications, willingness to undergo serial skin punch biopsies, and suitable venous access for the study-required PK and pharmacodynamic sampling.
- Clinical laboratory values as specified below within 28 days before the first dose of study drug:
- Bone marrow reserve consistent with absolute neutrophil count (ANC) >=1500 per millimeter cube (/mm˄3), platelet count >=100,000/mm˄3, and hemoglobin >=9 per gram deciliter (g/dL).
- Total bilirubin must be less than ( =3.0 g/dL.
- Serum creatinine =50 milliliter per minute (mL/minute) for participants with serum creatinine concentrations above institutional limits.
- Left ventricular ejection fraction (LVEF) greater than (>) 50 percent (%) as measured by echocardiogram (ECHO) or multiple gated acquisition scan (MUGA) within 4 weeks before receiving the first dose of study drug.
- Recovered (that is, 480 millisecond (msec), or history of congenital, long QT syndrome, or torsades de pointes).
- With any of the following blood pressure conditions:
- History of orthostatic hypotension or syncope that required medical intervention. Orthostatic hypotension is defined as a 20 millimeter of mercury (mmHg) fall in systolic blood pressure and/or a 10 mmHg fall in diastolic blood pressure within 2 to 5 minutes of quiet standing immediately after a 5-minute period of supine rest.
- Postural orthostatic tachycardia syndrome (POTS) or postural tachycardia syndrome (defined as an increase in heart rate of >30 beats per minute over baseline after 10 minutes of quiet standing).
- Hypertension that is unstable or not controlled by medication.
- Seizures requiring antiepileptic treatment.
- History of uncontrolled brain metastasis unless:
- Previously treated with surgery, whole-brain radiation, or stereotactic radiosurgery.
- Stable disease for ≥60 days, without steroid use (or stable steroid dose established for ≥28 days before the first dose of TAK-931).
- Symptomatic and/or progressive central nervous system (CNS) metastases.
- Ongoing medical conditions, such as acute exacerbations of c
Data sourced from ClinicalTrials.gov (NCT02699749). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.