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Phase 2 N=67 Randomized Quadruple-blind Treatment

Efficacy, Tolerability, and Pharmacokinetics of Multiple Doses of Oral TAK-831 in Adults With Friedreich Ataxia

Friedreich Ataxia

Enrolled (actual)
67
Serious AEs
0.0%
Results posted
Dec 2019
Primary outcome: Primary: Change From Baseline in the Inverse Time to Complete the 9-Hole Peg Test (9-HPT-1) — 0.00038; -0.00017; -0.00032 1/seconds — p=>0.999

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
TAK-831 (Drug); TAK-831 Placebo (Drug)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Neurocrine Biosciences
Primary completion
Dec 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in the Inverse Time to Complete the 9-Hole Peg Test (9-HPT-1)
0.00038; -0.00017; -0.00032 >0.999
SECONDARY
Change From Baseline in the Activities of Daily Living (ADL) Component Score of the Friedreich Ataxia Rating Scale (FARS)
-0.25; -1.12; 0.34; -0.33; -0.15; 0.03 0.135
SECONDARY
Change From Baseline in the Inverse Time to Complete the 9-HPT-1
0.00087; 0.00048; -0.00006; 0.00040; 0.00026; -0.00004 0.741
SECONDARY
Change From Baseline in the ADL Component Individual Item Scores
0.07; -0.15; -0.06; 0.06; -0.08; -0.15 0.571
SECONDARY
Change From Baseline in the Modified Friedreich Ataxia Rating Scale Neurological Examination (mFARS-neuro) Total Score
-3.36; -0.70; -0.58; -2.41; -2.01; -1.35 0.992
SECONDARY
Change From Baseline in the mFARS-neuro Subscales Scores
0.08; 0.15; 0.14; 0.01; -0.08; 0.17
SECONDARY
Change From Baseline in the mFARS-neuro Individual Item Scores
0.06; 0.07; 0.06; 0.01; -0.05; 0.11
SECONDARY
Change From Baseline in the Timed 25-Foot Walk (T25FW)
0.61; 0.84; 1.95; 1.67; 1.77; 1.37 0.599
SECONDARY
Change From Baseline in the 9-HPT and T25FW Composite Score
0.1369; 0.1819; -0.1911; -0.1112; 0.0336; -0.0998 0.426
SECONDARY
Change From Baseline in Low-Contrast Letter Acuity (LCLA) Test Score
1.8; -0.9; 5.1; 4.6; -2.3; 6.0 0.735
SECONDARY
Number of Participants by Clinical Global Impression-Improvement (CGI-I) (Global Change) Score Categories
1; 0; 2; 14; 3; 6 0.974
SECONDARY
Number of Participants by Patient Global Impression-Improvement (PGI-I) (Global Change) Score Categories
2; 0; 0; 6; 3; 8 0.840
SECONDARY
Number of Participants by CGI-I (Upper Extremity Functional Change) Score Categories
1; 0; 2; 13; 2; 7 0.987
SECONDARY
Number of Participants by PGI-I (Upper Extremity Functional Change) Score Categories
5; 0; 0; 6; 3; 7 0.966
SECONDARY
Number of Participants by Clinical Global Impression-Severity (CGI-S) (Global Severity) Score Categories Relative to Baseline
0; 0; 0; 2; 2; 1 0.666
SECONDARY
Number of Participants by Patient Global Impression-Severity (PGI-S) (Global Severity) Score Categories Relative to Baseline
0; 0; 0; 5; 1; 2 0.032 sig
SECONDARY
Number of Participants by CGI-S (Upper Extremity Functional Severity) Score Categories Relative to Baseline
0; 0; 0; 13; 3; 11 0.406
SECONDARY
Number of Participants by PGI-S (Upper Extremity Functional Severity) Score Categories
0; 0; 0; 0; 1; 0 0.422
SECONDARY
Change From Baseline in the ADL Component Score for Upper Limb Function Items of the FARS
-0.21; -0.40; 0.34; -0.17; -0.14; 0.16 0.299
SECONDARY
Number of Participants With at Least a 15 Percent (%) or at Least a 20% Reduction in 9-HPT Completion Time From Baseline
3; 0; 0; 2; 0; 0 >0.999

Summary

The purpose of this study is to evaluate the efficacy of TAK-831 versus placebo on upper extremity (arm and hands) motor function and manual dexterity. This study will also evaluate the efficacy of TAK-831 versus placebo on activities of daily living (ADL) and other secondary assessments.

Eligibility Criteria

Key Inclusion Criteria

  • Has a genetically-confirmed diagnosis (homozygous for guanine-adenine-adenine [GAA] repeat expansions in the frataxin gene [FXN] in the affected range of Friedreich ataxia [FRDA] or a compound heterozygous expansion with a point mutation or deletion), with an established disease stage of 2 to 5, inclusive, as determined by the Functional Staging for Ataxia, at Screening.

Key Exclusion Criteria

  • Received a diagnosis of ataxic syndromes other than FRDA.
  • Has a history of cancer, except basal cell carcinoma or in situ cervical cancer that has been in remission for greater than or equal to (>=5) years prior to first dose of study drug.
  • Known to be currently infected or has been infected with human immunodeficiency virus (HIV), hepatitis B virus, or hepatitis C virus.
  • Has a known hypersensitivity to any component of the formulation of TAK-831.
  • Has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse.
  • Has taken any excluded medication, or has had insufficient washout of medications or is unable or unwilling to discontinue medications as required by the protocol.
  • If male, the participant intends to donate sperm during the course of this study or for 95 days after the last dose of study drug.
  • If female, the participant is of childbearing potential and lactating, pregnant (positive prerandomization serum pregnancy test), or plans to become pregnant before participating in the study, during the study, or within 35 days after last dose of the study drug, or intending to donate ova during such time period.
  • Has a history of neuroleptic malignant syndrome, water intoxication, or paralytic ileus or other conditions that may interfere with absorption of study medication.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03214588). 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.

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