Phase 1
N=6
Study to Assess Absolute Bioavailability of TAK-935 (OV935) and to Characterize Mass Balance, Pharmacokinetics, Metabolism, and Excretion of [14C]TAK-935 (OV935) in Healthy Male Participants
Healthy Volunteers
Bottom Line
View on ClinicalTrials.gov: NCT04992442 ↗Enrolled (actual)
6
Serious AEs
0.0%
Results posted
Oct 2021
Primary outcome: Primary: Period 1: Percent Absolute Bioavailability (%F) for TAK-935 — 12.57 percent absolute bioavailability
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- TAK-935 Oral Tablet (Drug); [14C]TAK-935 IV Infusion (Drug); [14C]TAK-935 Oral Solution (Drug)
- Age
- Adult · 19+ yrs
- Sex
- Male
- Sponsor
- Takeda
- Primary completion
- Aug 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Period 1: Percent Absolute Bioavailability (%F) for TAK-935 |
12.57 | — |
| PRIMARY Period 2: Total Radioactivity Expressed as Cumulative Percentage of Dose of [14C]TAK-935 Excreted in Urine and Feces Combined [Combined Cum%Dose] |
97.55 | — |
| PRIMARY Period 2: Total Radioactivity Expressed as Amount of [14C]TAK-935 Excreted in Urine (CumAe[u]) |
292.3 | — |
| PRIMARY Period 2: Total Radioactivity Expressed as Amount of [14C]TAK-935 Excreted in Feces (CumAe[f]) |
9.429 | — |
| PRIMARY Period 2: Total Radioactivity Expressed as Amount of [14C]TAK-935 Excreted in Urine and Feces Combined (Combined CumAe) |
300.7 | — |
| PRIMARY Period 2: Percentage of Administered Radioactive Dose of [14C]TAK-935 Excreted in Urine (Cum%Dose[u]) |
94.81 | — |
| PRIMARY Period 2: Percentage of Administered Radioactive Dose of [14C]TAK-935 Excreted in Feces (Cum%Dose[f]) |
3.058 | — |
| PRIMARY Period 2: Cmax: Maximum Observed Plasma Concentration of TAK-935 |
1352 | — |
| PRIMARY Period 2: Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) of TAK-935 |
0.42 | — |
| PRIMARY Period 2: t(1/2)z: Terminal Disposition Phase Half-life of TAK-935 in Plasma |
4.374 | — |
| PRIMARY Period 2: AUC0-inf: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity of TAK-935 |
1805 | — |
| PRIMARY Period 2: AUC0-t: Area Under the Plasma Concentration-time Curve From Time 0 to Time t for TAK-935 |
1547 | — |
| PRIMARY Period 2: AUC0-last: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration of TAK-935 |
1638 | — |
| PRIMARY Period 2: Cmax: Maximum Observed Plasma Radioactivity Concentration |
17220 | — |
| PRIMARY Period 2: Tmax: Time to Reach the Maximum Plasma Radioactivity Concentration (Cmax) |
0.599 | — |
| PRIMARY Period 2: t(1/2)z: Terminal Disposition Phase Half-life of Plasma Radioactivity Concentration |
3.655 | — |
| PRIMARY Period 2: AUC0-inf: Area Under the Plasma Radioactivity Concentration-time Curve From Time 0 to Infinity |
42890 | — |
| PRIMARY Period 2: AUC0-t: Area Under the Plasma Radioactivity Concentration-time Curve From Time 0 to Time t |
39580 | — |
| PRIMARY Period 2: AUC0-last: Area Under the Plasma Radioactivity Concentration-time Curve From Time 0 to Last Quantifiable Concentration |
40650 | — |
| PRIMARY Period 2: Cmax: Maximum Observed Whole Blood Radioactivity Concentration |
9157 | — |
| PRIMARY Period 2: Tmax: Time to Reach the Maximum Whole Blood Radioactivity Concentration (Cmax) |
0.440 | — |
| PRIMARY Period 2: t(1/2)z: Terminal Disposition Phase Half-life of Whole Blood Radioactivity Concentration |
3.678 | — |
| PRIMARY Period 2: AUC0-inf: Area Under the Whole Blood Radioactivity Concentration-time Curve From Time 0 to Infinity |
24420 | — |
| PRIMARY Period 2: AUC0-t: Area Under the Whole Blood Radioactivity Concentration-time Curve From Time 0 to t |
— | — |
| PRIMARY Period 2: AUC0-last: Area Under the Whole Blood Radioactivity Concentration-time Curve From Time 0 to Last Quantifiable Concentration |
22280 | — |
| PRIMARY Period 2: CLR: Renal Clearance for TAK-935 in Urine |
6.792 | — |
| PRIMARY Period 2: Aet1-t2: Amount of TAK-935 Excreted in the Urine in Each Collection Interval |
268.1; 18.28; 3.829; 0.3126; 0.1946; 0.2296 | — |
| PRIMARY Period 2: Whole Blood to Plasma Partitioning Ratio: Change From Baseline in Percentage of [14C]TAK-935 Radioactivity in Whole Blood Relative to Plasma |
0.5881; 0.5440; 0.5561; 0.5361; 0.5934; 0.5823 | — |
| SECONDARY Period 1: Ceoi: Plasma Concentration at the End of Infusion for [14C]TAK-935 |
2472 | — |
| SECONDARY Period 1: Cmax: Maximum Observed Plasma Concentration for TAK-935 After Oral Administration |
822.8 | — |
| SECONDARY Period 1: Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-935 After Oral Administration |
1.129 | — |
| SECONDARY Period 1: AUC0-inf: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-935 After Oral Administration |
1304 | — |
| SECONDARY Period 1: AUC0-inf: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for [14C]TAK-935 After IV Administration |
1742 | — |
| SECONDARY Period 1: AUC0-t: Area Under the Plasma Concentration-time Curve From Time 0 to t After Oral Administration |
1250 | — |
| SECONDARY Period 1: AUC0-t: Area Under the Plasma Concentration-time Curve From Time 0 to Time t for TAK-935 After IV Administration |
1691 | — |
| SECONDARY Period 1: AUC0-last: Area Under the Plasma Concentration-time Curve From Time 0 to Last Quantifiable Concentration for TAK-935 After Oral Administration |
1268 | — |
| SECONDARY Period 1: AUC0-last: Area Under the Plasma Concentration-time Curve From Time 0 to Last Quantifiable Concentration for [14C]TAK-935 After IV Administration |
1713 | — |
| SECONDARY Period 1: t(1/2)z: Terminal Disposition Half-life for TAK-935 After Oral Administration in Plasma |
4.249 | — |
| SECONDARY Period 1: t(1/2)z: Terminal Disposition Half-life for [14C]TAK-935 After IV Administration in Plasma |
1.358 | — |
| SECONDARY Period 1: Total Radioactivity Expressed as Amount of [14C]TAK-935 Excreted in Urine (CumAe[u]) After IV Administration |
48.14 | — |
| SECONDARY Period 1: Total Radioactivity Expressed as Amount of [14C]TAK-935 Excreted in Feces (CumAe[f]) After IV Administration |
0.7988 | — |
| SECONDARY Period 1: Total Radioactivity Expressed as Amount of [14C]TAK-935 Excreted in Urine and Feces Combined (Combined CumAe) After IV Administration |
48.82 | — |
| SECONDARY Period 1: Percentage of Administered Radioactive Dose of [14C]TAK-935 Excreted in Urine (Cum%Dose[u]) After IV Administration |
95.17 | — |
| SECONDARY Period 1: Percentage of Administered Radioactive Dose of [14C]TAK-935 Excreted in Feces (%Dose[f]) After IV Administration |
1.587 | — |
| SECONDARY Period 2: Metabolic Profile of TAK-935 in Plasma After Oral Administration of [14C]TAK-935 |
1; 1; 0; 1; 1; 0 | — |
| SECONDARY Period 2: Metabolic Profile of TAK-935 in Urine and Feces After Oral Administration of [14C]TAK-935 |
1; 1; 1; 0; 1; 1 | — |
| SECONDARY Percentage of Participants Reporting One or More Treatment Emergent Adverse Events (TEAEs) |
0; 16.7 | — |
| SECONDARY Percentage of Participants With Treatment Emergent Clinically Relevant Changes in Electrocardiogram (ECG) Parameters |
0; 0 | — |
| SECONDARY Percentage of Participants With Treatment Emergent Clinically Relevant Changes in Vital Sign Parameters |
0; 0 | — |
| SECONDARY Percentage of Participants With Treatment Emergent Clinically Relevant Changes in Laboratory Parameters |
0; 0 | — |
Summary
The purpose of this study is to determine absolute bioavailability (ABA) of TAK-935 (F) following a single microdose intravenous (IV) administration of 50 microgram (μg) (approximately 1 microcurie [μCi]) [14C]TAK-935 and a single oral administration of 3×100 mg milligram (mg) TAK-935 tablets in Treatment Period 1, and to assess the mass balance, characterize the pharmacokinetics (PK) of TAK-935 and metabolite [M-I (N-oxide)] in plasma and urine, and total radioactivity concentration equivalents in plasma and whole blood following a single oral administration of 300 mg (approximately 100 μCi) [14C]TAK-935 in Treatment Period 2.
Eligibility Criteria
Inclusion Criteria
- Weighs at least 50 kg and body mass index (BMI) ≥18.0 and ˂32.0 kg/m^2 at Screening Visit.
- Continuous nonsmoker who has not used nicotine-containing products (including vaping) for at least 3 months prior to the first dosing and throughout the study, based on participant self-reporting.
- Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the Investigator or designee.
Exclusion Criteria
- History or presence of cataracts or other clinically significant vision disturbances.
- Abnormal and clinically significant ECG abnormality at Screening visit:
- QT interval with Fridericia's correction method (QTcF) >450 milliseconds (ms) confirmed with one repeat testing.
- History or presence of gastritis, gastrointestinal tract, gastric bypass surgery, or hepatic disorder or other clinical condition which, in the opinion of the Investigator or designee, may affect the absorption, distribution, metabolism, or elimination of study drug.
- Has a risk of suicide according to the Investigator's clinical judgment [e.g., per Columbia-Suicide Severity Rating Scale (C-SSRS)] or has made a suicide attempt in the previous year prior to Screening Visit.
- Positive urine drug or alcohol results at screening or first check-in.
- Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) or novel coronavirus 2019 (COVID-19).
- Seated blood pressure is less than 90/40 millimeter of mercury (mmHg) or greater than 140/90 mmHg at Screening.
- Seated HR is lower than 40 beats per minute (bpm) or higher than 99 bpm at Screening Visit.
- Estimated creatinine clearance <80 mL/min at Screening Visit.
- Has tattoo(s) or scarring at or near the site of IV infusion or any other condition which may interfere with infusion site examination, in the opinion of the Investigator.
- Has infrequent bowel movements (less than approximately once per day) within 30 days prior to first dosing.
- Recent history of abnormal bowel movements, such as diarrhea, loose stools, or constipation, within 2 weeks prior to first dosing.
- Has received radiolabeled substances or has been exposed to radiation sources within 12 months of first dosing or is likely to receive radiation exposure or radioisotopes within 12 months of first dosing such that participation in this study would increase their total exposure beyond the recommended levels considered safe [i.e., weighted annual limit recommended by the International Commission on Radiological Protection (ICRP) of 3000 milli roentgen equivalent man (mrem)].
- Unable to refrain from or anticipates the use of:
- Any drug, including prescription and nonprescription medications, herbal remedies, or vitamin supplements within 14 days prior to the first dosing and throughout the study, including the Follow-up Period. Thyroid hormone replacement medication may be permitted if the participant has been on the same stable dose for the immediate 3 months prior to first study drug administration. After the first dose of study drug, ibuprofen (up to 1.2 g per 24 hours) may be administered at the discretion of the Investigator or designee. Milk of Magnesia (i.e., magnesium hydroxide) (≤60 mL per day) may be administered to ensure defecation, at discretion of the Investigator or designee.
- Any drugs known to be significant inducers of cytochrome P450 (CYP)3A4, CYP2C19 or uridine diphosphate glucuronosyltransferase (UGT), including St. John's Wort, within 28 days prior to the first dosing and throughout the study, including the Follow-up Period. Appropriate sources (e.g., Flockhart Table^TM) will be consulted to confirm lack of PK/pharmacodynamic interaction with study drug(s).
- Alcohol
- Has been on a diet incompatible with the on-study diet, in the opinion of the Investigator or designee, within the 30 days prior to the first dosing a
Data sourced from ClinicalTrials.gov (NCT04992442). 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.