Phase 1
Completed N=114
Phase 1 TAK-041 First-in-Human Safety, Tolerability, and Pharmacokinetics Study
Healthy Volunteers · Schizophrenia
Source: ClinicalTrials.gov NCT02748694 ↗
Enrolled (actual)
114
Serious AEs
0.0%
Results posted
Mar 2021
Primary outcomePrimary: Percentage of Participants Who Experienced at Least One Treatment-Emergent Adverse Event (TEAE) — 40.0; 0; 0; 0 percentage of participants
Summary
The purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics (PK) of TAK-041:
1. Following oral single and multiple doses in healthy participants.
2. As add-on therapy to antipsychotics in stable schizophrenia participants.
3. To determine the oral bioavailability of the TAK-041 tablet formulation compared to the oral suspension formulation in the fasted state.
4. To assess the effect of food on the PK of TAK-041 in healthy participants.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants Who Experienced at Least One Treatment-Emergent Adverse Event (TEAE) |
40.0; 0; 0; 0; 0; 33.3 | — |
| PRIMARY Percentage of Participants Who Discontinued Study Drug Due to an Adverse Event (AE) |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Percentage of Participants With Markedly Abnormal Value (MAV) Criteria for Safety Laboratory Tests At Least Once Post-dose |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Percentage of Participants With Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post-dose |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Percentage of Participants With Markedly Abnormal Criteria for 12-Lead Electrocardiogram (ECG) Parameters at Least Once Post-dose |
20.0; 16.7; 33.3; 50.0; 33.3; 0 | — |
| PRIMARY Part 2: Percentage of Participants Who Experienced Clinically Significant Abnormal Changes in Continuous 12-Lead Holter ECG Measurements at Least Once Post-Dose |
0; 0; 0; 50.0; 16.7; 25.0 | — |
| PRIMARY Part 3: Cmax: Maximum Observed Plasma Concentration for TAK-041 in RBA/Food Effect Participants [Day 1] |
715.4; 838.3; 648.4 | — |
| PRIMARY Part 3: AUC96: Area Under the Plasma Concentration-Time Curve From Time 0 to 96 Hours (AUC96) for TAK-041 in RBA/Food Effect Participants [Day 1] |
41564.5; 45499.1; 37795.2 | — |
| SECONDARY Part 1: Cmax: Maximum Observed Plasma Concentration for TAK-041 in SRD Participants [Day 1] |
139.8; 193.3; 909.5; 1200.0; 1121.7 | — |
| SECONDARY Part 1: Cmax: Maximum Observed Plasma Concentration for TAK-041 in SRD Participants [Day 8], Cohorts 1 (20 mg) and 2 (40 mg) Only |
450.5; 747.2 | — |
| SECONDARY Parts 2 and 4: Cmax: Maximum Observed Plasma Concentration for TAK-041 in MRD Participants [Day 1] |
549.7; 879.7; 1260.8; 1760.0; 1266.5 | — |
| SECONDARY Part 1: Tmax: Time to Reach the Cmax for TAK-041 in SRD Participants [Day 1] |
0.992; 1.742; 3.000; 13.017; 13.517 | — |
| SECONDARY Part 1: Tmax: Time to Reach the Cmax for TAK-041 in SRD Participants [Day 8], Cohorts 1 (20 mg) and 2 (40 mg) Only |
1.992; 1.583 | — |
| SECONDARY Parts 2 and 4: Tmax: Time to Reach the Cmax for TAK-041 in MRD Participants [Day 1] |
2.517; 1.525; 2.500; 3.000; 2.000 | — |
| SECONDARY Part 3: Tmax: Time to Reach the Cmax for TAK-041 in RBA/Food Effect Participants [Day 1] |
2.000; 2.000; 1.817 | — |
| SECONDARY Part 1: AUC24: Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours for TAK-041 in SRD Participants [Day 1] |
1662.3; 2844.6; 15594.9; 22471.2; 21426.6 | — |
| SECONDARY Part 1: AUC24: Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours for TAK-041 in SRD Participants [Day 8], Cohorts 1 (20 mg) and 2 (40 mg) Only |
6399.5; 11955.2 | — |
| SECONDARY Parts 2 and 4: AUC24: Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours for TAK-041 in MRD Participants [Day 1] |
9188.0; 14556.7; 22450.3; 28014.6; 20400.8 | — |
| SECONDARY Part 3: AUC24: Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours for TAK-041 in RBA/Food Effect Participants [Day 1] |
11940.8; 13827.9; 10571.6 | — |
| SECONDARY Part 1: AUC96: Area Under the Plasma Concentration-Time Curve From Time 0 to 96 Hours for TAK-041 in SRD Participants [Day 1] |
5237.2; 9746.9; 59514.3; 92784.6; 90585.1 | — |
| SECONDARY Part 1: AUC96: Area Under the Plasma Concentration-Time Curve From Time 0 to 96 Hours for TAK-041 in SRD Participants [Day 8], Cohorts 1 (20 mg) and 2 (40 mg) Only |
21180.0; 40487.8 | — |
| SECONDARY Parts 2 and 4: AUC96: Area Under the Plasma Concentration-Time Curve From Time 0 to 96 Hours for TAK-041 in MRD Participants [Day 1] |
35102.6; 60770.4; 91712.9; 123645.0; 90372.3 | — |
| SECONDARY Part 1: AUCt: Area Under the Plasma Concentration-Time Curve From Time 0 to Time t for TAK-041 in SRD Participants [Day 1] |
18038.1; 44649.4; 251124.1; 344075.1; 361251.2 | — |
| SECONDARY Part 1: AUCt: Area Under the Plasma Concentration-Time Curve From Time 0 to Time t for TAK-041 in SRD Participants [Day 8], Cohorts 1 (20 mg) and 2 (40 mg) Only |
104692.7; 202185.0 | — |
| SECONDARY Parts 2 and 4: AUCt: Area Under the Plasma Concentration-Time Curve From Time 0 to Time t for TAK-041 in MRD Participants [Day 1] |
55530.5; 99401.9; 147300.0; 203506.2; 148889.0 | — |
| SECONDARY Part 3: AUCt: Area Under the Plasma Concentration-Time Curve From Time 0 to Time t for TAK-041 in RBA/Food Effect Participants [Day 1] |
116064.6; 126001.0; 128857.7 | — |
| SECONDARY Part 1: AUCinf: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-041 in SRD Participants [Day 1] |
283461.1; 381403.3; 395932.4 | — |
| SECONDARY Part 1: AUCinf: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-041 in SRD Participants [Day 8], Cohorts 1 (20 mg) and 2 (40 mg) Only |
122801.1; 203288.4 | — |
| SECONDARY Parts 2 and 4: AUCtau: Area Under the Plasma Concentration-Time Curve From Time 0 to Time Tau Over the Dosing Interval for TAK-041 in MRD Participants [Day 1] |
55530.5; 99401.9; 147300.0; 203506.2; 148889.0 | — |
| SECONDARY Part 1: T1/2z: Terminal Disposition Phase Half-Life for TAK-041 in SRD Participants [Day 1] |
284.0; 208.0; 260.6 | — |
| SECONDARY Part 1: T1/2z: Terminal Disposition Phase Half-Life for TAK-041 in SRD Participants [Day 8], Cohorts 1 (20 mg) and 2 (40 mg) Only |
312.4; 306.3 | — |
| SECONDARY Parts 2 and 4: T1/2z: Terminal Disposition Phase Half-Life for TAK-041 in MRD Participants [Day 1] |
196.2; 313.1; 153.5; 263.0; 300.1 | — |
Eligibility Criteria
Inclusion Criteria
Healthy Participants and Participants with Schizophrenia:
- In the opinion of the investigator, the participant is capable of understanding and complying with protocol requirements.
- The participant signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any participant procedures including requesting that a participant fast for any laboratory evaluations.
- The participant is willing to comply with study restrictions described in the protocol.
- The participant is a healthy adult man or woman (of non-childbearing potential as described in the protocol)
- The participant is aged 18 to 55 years, inclusive, at the time of informed consent.
- The participant weighs at least 45 kilogram (kg) (99 pound [lb]) with a body mass index from 18 to 32 kilogram per square meter (kg/m^2) for healthy participants and up to 40.5 kg/m^2 for participants with schizophrenia, inclusive at screening.
- A male participant who is nonsterilized and sexually active with a female partner of childbearing potential agrees to use adequate contraception (as defined in the protocol)from signing of informed consent throughout the duration of the study and for 145 days have elapsed since the last dose of study drug.
Participants with schizophrenia only-:
- Is on a stable dose of an antipsychotic medication for at least 2 months as documented by medical history and assessed by site staff.
- Meets schizophrenia criteria as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) by the Mini International Neuropsychiatric Interview (MINI).
- Has Positive and Negative Syndrome Scale (PANSS) total score less than or equal to ( =) 15 at screening and baseline (Day-1).
- Has stable screening and baseline (Day -1) PANSS and NSFS total scores (less than [ 450 millisecond (ms) or PR outside the range 120 to 220 ms, confirmed on repeat testing within a maximum of 30 minutes, at the Screening Visit or Check-in.
- The participant has abnormal Screening or Check-in laboratory values (> upper limit of normal [ULN] for the respective serum chemistries) of alanine transaminase (ALT), aspartate aminotransferase (AST), total bilirubin (TBILI), ALP, gamma-glutamyl transpeptidase (GGT), 5'nucleotidase (Screening only) and/or abnormal urine osmolality, confirmed upon repeat testing.
- The participant has a clinically significant history of head injury or trauma associated with loss of consciousness for >15 minutes.
- Is considered by the investigator to be at an imminent risk of suicide injury to self, other, property, or participants who within the past year prior to Screening have attempted suicide. Participants having positive answer on item 4 or 5 on Columbia Suicide Severity Rating Scale (C-SSRS) (based on the past year) prior to randomization are excluded.
- The participant has a history of significant skin reactions (hypersensitivity) to adhesives, metals or plastic; this criterion applies only to participants participating in the study of the two wearable digital devices.
Participants with schizophrenia only:
- Has an undetectable level of baseline antipsychotic medication at Screening.
- Has a lifetime diagnosis of schizoaffective disorder; a lifetime diagnosis of bipolar disorder; or a lifetime diagnosis of obsessive compulsive disorder based on the Mini International Neuropsychiatric Interview (MINI) combined with the general psychiatric evaluation. As an exception, participants with a historical prior lifetime diagnosis of schizoaffective disorder may be enrolled in the study with sponsor or designee approval provided that the principal investigator can attest that the participant's overall history and current clinical presentation and history is most consistent with schizophrenia, not schizoaffective disorder.
- Has a recent (within the last 6 months) diagnosis of panic disorder, depressive episode, or other comorbid psychiatri
Data sourced from ClinicalTrials.gov (NCT02748694). 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.