Phase 3
N=16
A Study of TAK-771 in Japanese People With Primary Immunodeficiency Diseases (PID)
Primary Immunodeficiency Diseases (PID)
Bottom Line
View on ClinicalTrials.gov: NCT05150340 ↗Enrolled (actual)
16
Serious AEs
6.3%
Results posted
Nov 2024
Primary outcome: Primary: Epoch 2: Serum Trough Levels of Total IgG Antibodies After Administration of TAK-771 — 9.372; 8.741; 8.929; 9.150 grams/Liter (g/L)
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- TAK-771 (Drug)
- Age
- Pediatric, Adult, Older Adult · 2+ yrs
- Sex
- All
- Sponsor
- Takeda
- Primary completion
- Aug 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Epoch 2: Serum Trough Levels of Total IgG Antibodies After Administration of TAK-771 |
9.372; 8.741; 8.929; 9.150; 8.944; 9.006 | — |
| SECONDARY Epoch 2: Maximum Concentration (Cmax) of Total Serum Levels of IgG and IgG Subclasses |
12.72; 7.694; 4.140; 0.2396; 0.3200 | — |
| SECONDARY Epoch 2: Time to Maximum Concentration (Tmax) of Total Serum Levels of IgG and IgG Subclasses (IgG1, IgG2, IgG3, and IgG4) |
6.94; 3.92; 3.92; 2.99; 3.88 | — |
| SECONDARY Epoch 2: Area Under the Curve (AUC) of Total Serum Levels of IgG and IgG Subclasses (IgG1, IgG2, IgG3, and IgG4) |
767.9; 625.6; 432.4; 370.7; 230.4; 197.4 | — |
| SECONDARY Epoch 2: Half-life of Total Serum Levels of IgG and IgG Subclasses (IgG1, IgG2, IgG3, and IgG4) |
NA; 59.7; 49.6; NA; 35.9 | — |
| SECONDARY Epoch 2: Apparent Total Clearance (CL/F) of Total Serum Levels of IgG and IgG Subclasses (IgG1, IgG2, IgG3, and IgG4) |
76.84; 117.0; 219.6; 6392; 3234 | — |
| SECONDARY Epoch 2: Apparent Volume of Distribution (Vz/F) of Total Serum Levels of IgG and IgG Subclasses (IgG1, IgG2, IgG3, and IgG4) |
NA; 8193; 14650; NA; 165900 | — |
| SECONDARY Epoch 2: Minimum Concentration (Cmin) of Total Serum Levels of IgG and IgG Subclasses (IgG1, IgG2, IgG3, and IgG4) |
9.347; 5.479; 2.941; NA; 0.2255 | — |
| SECONDARY Epoch 2: Serum Trough Levels of IgG Subclasses (IgG1, IgG2, IgG3, and IgG4) After Administration of TAK-771 |
5.478; 5.106; 4.987; 5.063; 4.873; 5.066 | — |
| SECONDARY Epoch 1 and 2: Trough Levels of Anti-Clostridium Tetani Toxoid Antibody After Administration of TAK-771 |
1.334; 1.578 | — |
| SECONDARY Epoch 1 and 2: Trough Levels of Anti-HBV Antibody After Administration of TAK-771 |
278.38; 383.37 | — |
| SECONDARY Epoch 1 and 2: Trough Levels of Anti-HIB Antibody After Administration of TAK-771 |
1.958; 1.519 | — |
| SECONDARY Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs) |
81.3; 93.8 | — |
| SECONDARY Percentage of Participants With TAK-771-Related and TAK-771-Non-Related TEAEs |
56.3; 68.8; 62.5; 81.3 | — |
| SECONDARY Percentage of Participants With Serious and Non-serious TEAEs |
6.3; 6.3; 81.3; 93.8 | — |
| SECONDARY Percentage of Participants With Severe TEAEs |
0; 6.3 | — |
| SECONDARY Percentage of Participants With Local and Systemic TEAEs |
43.8; 43.8; 75.0; 87.5 | — |
| SECONDARY Percentage of Participants With TEAEs Leading to Premature Discontinuation From Study |
0; 0 | — |
| SECONDARY Percentage of Participants With Infusion-associated TEAEs |
37.5; 50.0 | — |
| SECONDARY Percentage of Participants With Clinically Significant Changes in Clinical Laboratory Parameters Recorded as TEAEs |
0; 0 | — |
| SECONDARY Percentage of Participants With Clinically Significant Changes in Vital Signs and Body Weight Recorded as TEAEs |
0; 0 | — |
| SECONDARY Epoch 2: Percentage of Participants Who Develop Anti-rHuPH20 Binding Antibody Titers of Greater Than or Equal to 1:160 |
— | — |
| SECONDARY Epoch 2: Percentage of Participants Who Develop Neutralizing Antibodies to rHuPH20 |
— | — |
| SECONDARY Percentage of Participants Who Experienced Tolerability Events Related to the Infusion of TAK-771 |
0; 0 | — |
| SECONDARY Epoch 1: Number of Weeks to Reach Final Dose Interval (3 Weeks or 4 Weeks) |
6.00 | — |
| SECONDARY Epoch 2: Percentage of Participants Who Achieve a Treatment Interval of 3 or 4 Weeks |
100.0 | — |
| SECONDARY Epoch 2: Percentage of Participants Who Maintain a Treatment Interval of 3 or 4 Weeks |
100.0 | — |
| SECONDARY Annual Rate of Validated Acute Serious Bacterial Infections (ASBIs) Per Participant Per Year |
0.00 | — |
| SECONDARY Annual Rate of All Infections Per Participant Per Year |
2.69 | — |
| SECONDARY Healthcare Resource Utilization: Days Not Able To Attend School/Work or To Perform Normal Daily Activities Due to Illness/Infection |
— | — |
| SECONDARY Healthcare Resource Utilization: Days on Antibiotics |
— | — |
| SECONDARY Healthcare Resource Utilization: Number of Hospitalizations Due to Illness/Infection Per Year |
0.22 | — |
| SECONDARY Healthcare Resource Utilization: Length of Stay in Days of Hospitalizations Due to Illness/Infection Per Participant Per Year |
— | — |
| SECONDARY Healthcare Resource Utilization: Number of Acute (Urgent or Unscheduled) Physician Visits Due to Illness/Infection |
1.74 | — |
| SECONDARY Infusion Parameters in Epoch 2: Number of Infusion Sites Per Infusion |
1.77 | — |
| SECONDARY Infusion Parameters in Epoch 2: Number of Infusion Sites Per Month |
2.02 | — |
| SECONDARY Infusion Parameters in Epoch 2: Duration of Individual Infusions |
74.0 | — |
| SECONDARY Infusion Parameters in Epoch 2: Maximum Infusion Rate Per Site |
222.3 | — |
| SECONDARY Infusion Parameters in Epoch 2: Infusion Volume Per Site |
117.3 | — |
| SECONDARY Quality of Life (QOL): Pediatric Quality of Life Inventory (PEDS-QL) |
93.48; 76.09; 77.17; 2.17; 11.96; 11.41 | — |
| SECONDARY QOL: Short Form-36 Health Survey Version 2 (SF-36 v2) |
51.85; 53.30; 51.38; 59.90; 49.67; 53.50 | — |
| SECONDARY QOL: EuroQoL (Quality of Life)-5 Dimensions 3 Levels (EQ-5D-3L) Health Questionnaire Index Score |
1.0000; 0.6750; 0.9271; 1; 0.0000; 0.3250 | — |
| SECONDARY QOL: EuroQoL (Quality of Life)-5 Dimensions 3 Levels (EQ-5D-3L) Health Questionnaire Visual Analogue Scale (VAS) Score |
95.0; 100.0; 76.3; 85.0; -5.0; -10 | — |
| SECONDARY Treatment Preference |
4; 2; 2; 1; 2; 3 | — |
| SECONDARY Treatment Satisfaction: Questionnaire for Medication-9 (TSQM-9) |
64.81; 94.44; 44.44; 38.89; 59.52; 100.00 | — |
Summary
The main aim of the study is to check how much TAK-771 stays in their blood over time, side effect from the study treatment or TAK-771, how much TAK-771 participants can receive without getting side effects from it, and if TAK-771 improves symptoms of primary immunodeficiency diseases (PID). This will help the study sponsor (Takeda) to work out the best dose to give people in the future.
The participants will be treated with TAK-771 for totally 27 or 30 weeks. Treatment period is consist of two periods called Epoch 1 and Epoch 2. In Epoch 1, different groups of participants will receive lower to higher doses of TAK-771 for 3 to 6 weeks. The study doctors will check for side effects from each dose of TAK-771. In Epoch 2, participants will receive TAK-771 once a 3 or 4 weeks until the end of 24 weeks.
There will be many clinic visits. The number of visits will depend on the infusion cycles of study drug (every 3, or 4 weeks).
Eligibility Criteria
Inclusion Criteria
- Be a Japanese person.
- Participant must have a documented diagnosis of a form of primary humoral immunodeficiency involving antibody formation and requiring gammaglobulin replacement, as defined according to the International Union of Immunological Societies(IUIS) Committee 2017. The diagnosis must be confirmed by the Medical Director prior to TAK-771 treatment.
- Participant has been receiving a stable clinical dose of intravenous immunoglobulin (IVIG) or conventional subcutaneous immunoglobulin (cSCIG), which is equivalent to approximately 200 to 600 mg/kg body weight per 3 to 4 week period for IVIG and approximately 50 to 200 mg/kg body weight per week for cSCIG based on the description in the package insert, consistently over a period of at least 3 months prior to screening, or Participant has been receiving of TAK-664 with fixed dose and dosing frequency at least 3 months prior to enrollment. That is, participant is about to complete Study TAK-664-3001 or participating in Study TAK-664-3002.
- Participant who has been receiving IVIG or cSCIG had all serum trough levels of total immunoglobulin G (IgG) >=5 g/L within 1 month prior to the screening/enrollment.
- Serum trough levels at screening/enrollment meet one of the following:
- IVIG-treated or cSCIG-treated participants Participant who had serum trough levels of IgG >=5 g/L at the last 2 points in screening procedure before the first administration of TAK-771.
- TAK-664-treated participants Participant who had serum trough levels of IgG >=5 g/L at the last 2 points in TAK-664 studies before the first administration of TAK-771.
- Participant is willing and able to comply with use of digital tools and applications.
Exclusion Criteria
- Participant has a known history of or is positive at screening/enrollment for one or more of the following: hepatitis B surface antigen (HBsAg), polymerase chain reaction (PCR) for hepatitis C virus (HCV), PCR for human immunodeficiency virus (HIV) Type 1/2 For participants who are switching from TAK-664 studies, the eligibility will be reconfirmed after result of the specialty test conducted at Week 1 become available.
- Abnormal laboratory values at screening/enrollment meeting any one of the following criteria (abnormal tests may be repeated once to determine if they are persistent):
- Persistent alanine aminotransferase (ALT) and aspartate aminotransferase (AST) >2.5 times the upper limit of normal (ULN) for the testing laboratory
- Persistent severe neutropenia (defined as an absolute neutrophil count [ANC] = 9 g/dL or myeloma, or macroglobulinemia (IgM) or paraproteinemia.
- Participant has a known allergy to hyaluronidase
- Participant has severe dermatitis that would preclude adequate sites for safe product administration.
Data sourced from ClinicalTrials.gov (NCT05150340). 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.