Trial Outcomes & Findings for Drug-Drug Interaction Study Between TAK-272 and Itraconazole, Digoxin or Midazolam (NCT NCT02370615)

NCT ID: NCT02370615

Last Updated: 2016-05-23

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

34 participants

Primary outcome timeframe

Day 1 and Day 10: pre-dose and at multiple time-points (upto 72 hours) postdose; Day 1 for Cohort 1: TAK-272 and Day 10 for Cohort 1: TAK-272 + Itraconazole

Results posted on

2016-05-23

Participant Flow

Participants took part in the study at 1 investigative site in Japan from 25-February-2015 to 16-April-2015.

Healthy Japanese adult male participants were enrolled to receive TAK-272 and itraconazole in cohort 1 or TAK-272 and digoxin/midazolam in cohort 2.

Participant milestones

Participant milestones
Measure
Cohort 1: TAK-272 + Itraconazole
TAK-272 40 milligram (mg), tablet, orally, once on Day 1 and 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Cohort 2: Midazolam + Digoxin + TAK-272
Midazolam 2 mg, syrup, and Digoxin 0.25 mg, tablet, orally, once on Day 1 and 7, followed by TAK-272 80 mg, tablet, orally, once from Day 3 to 8.
Overall Study
STARTED
16
18
Overall Study
COMPLETED
15
18
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1: TAK-272 + Itraconazole
TAK-272 40 milligram (mg), tablet, orally, once on Day 1 and 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Cohort 2: Midazolam + Digoxin + TAK-272
Midazolam 2 mg, syrup, and Digoxin 0.25 mg, tablet, orally, once on Day 1 and 7, followed by TAK-272 80 mg, tablet, orally, once from Day 3 to 8.
Overall Study
Adverse Event
1
0

Baseline Characteristics

Drug-Drug Interaction Study Between TAK-272 and Itraconazole, Digoxin or Midazolam

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1: TAK-272 + Itraconazole
n=15 Participants
TAK-272 40 milligram (mg), tablet, orally, once on Day 1 and 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Cohort 2: Midazolam + Digoxin + TAK-272
n=18 Participants
Midazolam 2 mg, syrup, and Digoxin 0.25 mg, tablet, orally, once on Day 1 and 7, followed by TAK-272 80 mg, tablet, orally, once on Day 3 to 8.
Total
n=33 Participants
Total of all reporting groups
Age, Continuous
26.8 years
STANDARD_DEVIATION 4.11 • n=93 Participants
25.3 years
STANDARD_DEVIATION 4.44 • n=4 Participants
26.0 years
STANDARD_DEVIATION 4.30 • n=27 Participants
Sex/Gender, Customized
Male
15 participants
n=93 Participants
18 participants
n=4 Participants
33 participants
n=27 Participants
Smoking Classification
Never smoked
12 participants
n=93 Participants
12 participants
n=4 Participants
24 participants
n=27 Participants
Smoking Classification
Current smoker
1 participants
n=93 Participants
1 participants
n=4 Participants
2 participants
n=27 Participants
Smoking Classification
Ex-smoker
2 participants
n=93 Participants
5 participants
n=4 Participants
7 participants
n=27 Participants
Alcohol Classification
Drinks a few days per week
5 participants
n=93 Participants
2 participants
n=4 Participants
7 participants
n=27 Participants
Alcohol Classification
Drinks a few days per month
5 participants
n=93 Participants
5 participants
n=4 Participants
10 participants
n=27 Participants
Alcohol Classification
Does not drink
5 participants
n=93 Participants
11 participants
n=4 Participants
16 participants
n=27 Participants
Caffeine Classification
Caffeine consumption
7 participants
n=93 Participants
6 participants
n=4 Participants
13 participants
n=27 Participants
Caffeine Classification
No caffeine consumption
8 participants
n=93 Participants
12 participants
n=4 Participants
20 participants
n=27 Participants

PRIMARY outcome

Timeframe: Day 1 and Day 10: pre-dose and at multiple time-points (upto 72 hours) postdose; Day 1 for Cohort 1: TAK-272 and Day 10 for Cohort 1: TAK-272 + Itraconazole

Population: The pharmacokinetic analysis set was defined as the set of participants treated with the study drug that had no significant protocol deviation, satisfied the minimum protocol provisions, and could be evaluated for pharmacokinetics.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=15 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=15 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Cmax: Maximum Observed Plasma Concentration for TAK 272F and TAK 272-Metabolite (M-I) in Cohort 1
TAK 272
387.8 nanogram per milliliter (ng/mL)
Standard Deviation 286.18
780.3 nanogram per milliliter (ng/mL)
Standard Deviation 258.45
Cmax: Maximum Observed Plasma Concentration for TAK 272F and TAK 272-Metabolite (M-I) in Cohort 1
TAK 272-M-I
10.02 nanogram per milliliter (ng/mL)
Standard Deviation 7.1545
0.9550 nanogram per milliliter (ng/mL)
Standard Deviation 0.55302

PRIMARY outcome

Timeframe: Day 1 and Day 10: pre-dose and at multiple time-points (upto 72 hours) postdose; Day 1 for Cohort 1: TAK-272 and Day 10 for Cohort 1: TAK-272 + Itraconazole

Population: The pharmacokinetic analysis set was defined as the set of participants treated with the study drug that had no significant protocol deviation, satisfied the minimum protocol provisions, and could be evaluated for pharmacokinetics.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=15 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=15 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK 272F and TAK 272-M-I in Cohort 1
TAK 272
1861 nanogram hours per milliliter (ng*hr/mL)
Standard Deviation 731.14
9098 nanogram hours per milliliter (ng*hr/mL)
Standard Deviation 2809.8
AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK 272F and TAK 272-M-I in Cohort 1
TAK 272-M-I
46.53 nanogram hours per milliliter (ng*hr/mL)
Standard Deviation 19.347
9.373 nanogram hours per milliliter (ng*hr/mL)
Standard Deviation 8.9682

PRIMARY outcome

Timeframe: Day 1 and Day 10: pre-dose and at multiple time-points (upto 72 hours) postdose; Day 1 for Cohort 1: TAK-272 and Day 10 for Cohort 1: TAK-272 + Itraconazole

Population: The pharmacokinetic analysis set was defined as the set of participants treated with the study drug that had no significant protocol deviation, satisfied the minimum protocol provisions, and could be evaluated for pharmacokinetics.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=15 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=15 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK 272F and TAK 272-M-I in Cohort 1
TAK 272
1842 ng*hr/mL
Standard Deviation 728.15
8659 ng*hr/mL
Standard Deviation 2596.7
AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK 272F and TAK 272-M-I in Cohort 1
TAK 272-M-I
38.34 ng*hr/mL
Standard Deviation 16.944
0.9092 ng*hr/mL
Standard Deviation 1.5900

PRIMARY outcome

Timeframe: Day 1 and Day 10: pre-dose and at multiple time-points (upto 72 hours) postdose; Day 1 for Cohort 1: TAK-272 and Day 10 for Cohort 1: TAK-272 + Itraconazole

Population: The pharmacokinetic analysis set was defined as the set of participants treated with the study drug that had no significant protocol deviation, satisfied the minimum protocol provisions, and could be evaluated for pharmacokinetics.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=15 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=15 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Cumulative Urinary Excretion Ratio of TAK 272F and TAK 272-M-I From 0 to 72 Hours Postdose in Cohort 1
TAK 272
11.523 percentage of dose
Standard Deviation 2.6615
37.803 percentage of dose
Standard Deviation 5.4878
Cumulative Urinary Excretion Ratio of TAK 272F and TAK 272-M-I From 0 to 72 Hours Postdose in Cohort 1
TAK 272-M-I
0.556 percentage of dose
Standard Deviation 0.1534
0.071 percentage of dose
Standard Deviation 0.0467

PRIMARY outcome

Timeframe: Day 1 and Day 7: pre-dose and at multiple time-points (upto 48 hours) postdose; Day 1 for Cohort 2: Digoxin and Day 7 for Cohort 2: Digoxin + TAK-272

Population: The pharmacokinetic analysis set was defined as the set of participants treated with the study drug that had no significant protocol deviation, satisfied the minimum protocol provisions, and could be evaluated for pharmacokinetics.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Cmax: Maximum Observed Plasma Concentration for Digoxin in Cohort 2
1.212 ng/mL
Standard Deviation 0.58104
1.635 ng/mL
Standard Deviation 0.70089

PRIMARY outcome

Timeframe: Day 1 and Day 7: pre-dose and at multiple time-points (upto 48 hours) postdose; Day 1 for Cohort 2: Digoxin and Day 7 for Cohort 2: Digoxin + TAK-272

Population: The pharmacokinetic analysis set was defined as the set of participants treated with the study drug that had no significant protocol deviation, satisfied the minimum protocol provisions, and could be evaluated for pharmacokinetics.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Digoxin in Cohort 2
15.49 ng*hr/mL
Standard Deviation 4.4007
15.79 ng*hr/mL
Standard Deviation 4.2495

PRIMARY outcome

Timeframe: Day 1 and Day 7: pre-dose and at multiple time-points (upto 48 hours) postdose; Day 1 for Cohort 2: Digoxin and Day 7 for Cohort 2: Digoxin + TAK-272

Population: The pharmacokinetic analysis set was defined as the set of participants treated with the study drug that had no significant protocol deviation, satisfied the minimum protocol provisions, and could be evaluated for pharmacokinetics.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Digoxin in Cohort 2
9.191 ng*hr/mL
Standard Deviation 2.6150
10.61 ng*hr/mL
Standard Deviation 2.6705

PRIMARY outcome

Timeframe: Day 1 and Day 7: pre-dose and at multiple time-points (upto 48 hours) postdose; Day 1 for Cohort 2: Digoxin and Day 7 for Cohort 2: Digoxin + TAK-272

Population: The pharmacokinetic analysis set was defined as the set of participants treated with the study drug that had no significant protocol deviation, satisfied the minimum protocol provisions, and could be evaluated for pharmacokinetics.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Urinary Excretion Ratio of Digoxin From 0 to 48 Hours Postdose in Cohort 2
31.391 percentage of dose
Standard Deviation 8.4376
35.983 percentage of dose
Standard Deviation 7.7691

PRIMARY outcome

Timeframe: Day 1 and Day 7: pre-dose and at multiple time-points (upto 24 hours) postdose; Day 1 for Cohort 2: Midazolam and Day 7 for Cohort 2: Midazolam + TAK-272

Population: The pharmacokinetic analysis set was defined as the set of participants treated with the study drug that had no significant protocol deviation, satisfied the minimum protocol provisions, and could be evaluated for pharmacokinetics.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Cmax: Maximum Observed Plasma Concentration for Midazolam and 1'Hydroxymidazolam in Cohort 2
Midazolam
10.02 ng/mL
Standard Deviation 3.6198
12.37 ng/mL
Standard Deviation 5.0127
Cmax: Maximum Observed Plasma Concentration for Midazolam and 1'Hydroxymidazolam in Cohort 2
1'hydroxymidazolam
4.813 ng/mL
Standard Deviation 1.8090
4.270 ng/mL
Standard Deviation 1.1195

PRIMARY outcome

Timeframe: Day 1 and Day 7: pre-dose and at multiple time-points (upto 24 hours) postdose; Day 1 for Cohort 2: Midazolam and Day 7 for Cohort 2: Midazolam + TAK-272

Population: The pharmacokinetic analysis set was defined as the set of participants treated with the study drug that had no significant protocol deviation, satisfied the minimum protocol provisions, and could be evaluated for pharmacokinetics.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Midazolam and 1'Hydroxymidazolam in Cohort 2
Midazolam
27.11 ng*hr/mL
Standard Deviation 11.362
38.55 ng*hr/mL
Standard Deviation 18.588
AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Midazolam and 1'Hydroxymidazolam in Cohort 2
1'hydroxymidazolam
13.00 ng*hr/mL
Standard Deviation 4.0705
14.06 ng*hr/mL
Standard Deviation 4.5131

PRIMARY outcome

Timeframe: Day 1 and Day 7: pre-dose and at multiple time-points (upto 24 hours) postdose; Day 1 for Cohort 2: Midazolam and Day 7 for Cohort 2: Midazolam + TAK-272

Population: The pharmacokinetic analysis set was defined as the set of participants treated with the study drug that had no significant protocol deviation, satisfied the minimum protocol provisions, and could be evaluated for pharmacokinetics.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Midazolam and 1'Hydroxymidazolam in Cohort 2
Midazolam
26.77 ng*hr/mL
Standard Deviation 11.343
38.16 ng*hr/mL
Standard Deviation 18.205
AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Midazolam and 1'Hydroxymidazolam in Cohort 2
1'hydroxymidazolam
12.49 ng*hr/mL
Standard Deviation 3.7079
13.25 ng*hr/mL
Standard Deviation 3.3695

PRIMARY outcome

Timeframe: Cohort 1: Baseline up to Day 19; Cohort 2: Baseline up to Day 15

Population: The safety analysis set was defined as all participants who received at least one dose of study drug.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=16 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)
10 participants
7 participants

PRIMARY outcome

Timeframe: Cohort 1: Baseline up to Day 19; Cohort 2: Baseline up to Day 15

Population: The safety analysis set was defined as all participants who received at least one dose of study drug.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=16 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Number of Participants With TEAEs Related to Vital Signs
Blood pressure decreased
1 participants
0 participants
Number of Participants With TEAEs Related to Vital Signs
Hypotension
2 participants
0 participants
Number of Participants With TEAEs Related to Vital Signs
Heart rate increased
0 participants
1 participants

PRIMARY outcome

Timeframe: Cohort 1: Baseline up to Day 19; Cohort 2: Baseline up to Day 15

Population: The safety analysis set was defined as all participants who received at least one dose of study drug.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=16 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Number of Participants With TEAEs Related to Body Weight
0 participants
0 participants

PRIMARY outcome

Timeframe: Cohort 1: Baseline up to Day 19; Cohort 2: Baseline up to Day 15

Population: The safety analysis set was defined as all participants who received at least one dose of study drug.

Number of participants who had ECG findings changed from "within normal limit" or "abnormal, clinically significant" to "abnormal and clinically significant" after study drug administration.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=16 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Number of Participants Who Had Clinically Significant Changes From Baseline in 12-lead Electrocardiograms
0 participants
0 participants

PRIMARY outcome

Timeframe: Cohort 1: Baseline up to Day 19; Cohort 2: Baseline up to Day 15

Population: The safety analysis set was defined as all participants who received at least one dose of study drug.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=16 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Number of Participants With TEAEs Categorized Into Investigations System Organ Class (SOC) Related to Chemistry, Hematology or Urinalysis
Alanine aminotransferase increased
2 participants
1 participants
Number of Participants With TEAEs Categorized Into Investigations System Organ Class (SOC) Related to Chemistry, Hematology or Urinalysis
Blood creatine phosphokinase increased
1 participants
0 participants
Number of Participants With TEAEs Categorized Into Investigations System Organ Class (SOC) Related to Chemistry, Hematology or Urinalysis
Blood triglycerides increased
0 participants
1 participants
Number of Participants With TEAEs Categorized Into Investigations System Organ Class (SOC) Related to Chemistry, Hematology or Urinalysis
Urine ketone body present
0 participants
1 participants

PRIMARY outcome

Timeframe: Cohort 2: Baseline up to Day 15

Population: The safety analysis set was defined as all participants who received at least one dose of study drug.

Outcome measures

Outcome measures
Measure
Cohort 1: TAK-272
n=18 Participants
TAK-272 40 mg, tablet, orally, once on Day 1.
Cohort 1: TAK-272 + Itraconazole
TAK-272 40 mg, tablet, orally, once on Day 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Number of Participants With Clinically Significant Change From Baseline in Continuous Pulse Oximetry (SpO2) in Cohort 2
0 participants

Adverse Events

Cohort 1: TAK-272 + Itraconazole

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Cohort 2: Midazolam + Digoxin + TAK-272

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Cohort 1: TAK-272 + Itraconazole
n=16 participants at risk
TAK-272 40 milligram (mg), tablet, orally, once on Day 1 and 10, followed by Itraconazole 200 mg, solution, orally, twice on Day 4, further followed by Itraconazole 200 mg, solution, orally, once from Day 5 to 12.
Cohort 2: Midazolam + Digoxin + TAK-272
n=18 participants at risk
Midazolam 2 mg, syrup, and Digoxin 0.25 mg, tablet, orally, once on Day 1 and 7, followed by TAK-272 80 mg, tablet, orally, once from Day 3 to 8.
Infections and infestations
Nasopharyngitis
6.2%
1/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.6%
1/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Injury, poisoning and procedural complications
Procedural pain
6.2%
1/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Investigations
Alanine aminotransferase increased
12.5%
2/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.6%
1/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Investigations
Blood creatine phosphokinase increased
6.2%
1/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Investigations
Blood pressure decreased
6.2%
1/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Investigations
Blood triglycerides increased
0.00%
0/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.6%
1/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Investigations
Heart rate increased
0.00%
0/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.6%
1/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Investigations
Urine ketone body present
0.00%
0/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.6%
1/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Dizziness
6.2%
1/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
11.1%
2/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Dizziness postural
6.2%
1/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.6%
1/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Somnolence
0.00%
0/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.6%
1/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
6.2%
1/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Vascular disorders
Hypotension
12.5%
2/16 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/18 • Collection of AEs commenced from the time that the participant was first administered study drug (Day 1) until the follow-up examination (Day 19 for Cohort 1, Day 15 for Cohort 2)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Additional Information

Medical Director

Takeda

Phone: +1-877-825-3327

Results disclosure agreements

  • Principal investigator is a sponsor employee No publication related to study results will be made without Sponsor's prior written approval. Any proposed publication or presentation will be submitted to Sponsor for review 60 days in advance of publication. Institution will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for an additional 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER