Trial Outcomes & Findings for A Study to Evaluate the Effect of the Potent CYP3A4 Inhibitor Itraconazole on the Pharmacokinetics (PK) of TAK-906 in Healthy Participants (NCT NCT03161405)

NCT ID: NCT03161405

Last Updated: 2019-01-11

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

12 participants

Primary outcome timeframe

TAK-906 maleate 25mg: Day 1 pre-dose and at multiple time points (up to 48 hours) post-TAK-906 maleate-dose; Itraconazole 200 mg + TAK-906 maleate 25mg: Day 4 pre-dose and at multiple time points (up to 48 hours) post- TAK-906 maleate-dose

Results posted on

2019-01-11

Participant Flow

Participants took part in the study at 1 investigative site in the United States from 05 June 2017 to 10 July 2017.

Healthy participants were enrolled in single sequence 2-period crossover study to receive TAK-906 maleate 25 milligram (mg) in First Intervention Period followed by Itraconazole 200 mg along with TAK-906 maleate 25 mg in Second Intervention Period.

Participant milestones

Participant milestones
Measure
TAK-906 Maleate 25mg;Itraconazole 200mg + TAK-906 Maleate 25mg
TAK-906 maleate 25 mg, capsule, orally, once on Day 1 of First Intervention Period, followed by a minimum of 4-day washout period, further followed by Itraconazole 200 mg, solution, orally, once daily on Days 1 to 5 along with TAK-906 maleate 25 mg, capsule, orally on Day 4 of Second Intervention Period.
First Intervention Period (3 Days)
STARTED
12
First Intervention Period (3 Days)
COMPLETED
12
First Intervention Period (3 Days)
NOT COMPLETED
0
Washout Period (at Least 4 Days)
STARTED
12
Washout Period (at Least 4 Days)
COMPLETED
12
Washout Period (at Least 4 Days)
NOT COMPLETED
0
Second Intervention Period (6 Days)
STARTED
12
Second Intervention Period (6 Days)
COMPLETED
11
Second Intervention Period (6 Days)
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
TAK-906 Maleate 25mg;Itraconazole 200mg + TAK-906 Maleate 25mg
TAK-906 maleate 25 mg, capsule, orally, once on Day 1 of First Intervention Period, followed by a minimum of 4-day washout period, further followed by Itraconazole 200 mg, solution, orally, once daily on Days 1 to 5 along with TAK-906 maleate 25 mg, capsule, orally on Day 4 of Second Intervention Period.
Second Intervention Period (6 Days)
Positive urine drug screen
1

Baseline Characteristics

A Study to Evaluate the Effect of the Potent CYP3A4 Inhibitor Itraconazole on the Pharmacokinetics (PK) of TAK-906 in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TAK-906 Maleate 25mg;Itraconazole 200mg + TAK-906 Maleate 25mg
n=12 Participants
TAK-906 maleate 25 mg, capsule, orally, once on Day 1 of First Intervention Period, followed by a minimum of 4-day washout period, further followed by Itraconazole 200 mg, solution, orally, once daily on Days 1 to 5 along with TAK-906 maleate 25 mg, capsule, orally on Day 4 of Second Intervention Period.
Age, Continuous
32.3 years
STANDARD_DEVIATION 7.25 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
12 Participants
n=5 Participants
Weight
85.4 kilogram (kg)
STANDARD_DEVIATION 10.59 • n=5 Participants
Height
180.8 centimeter (cm)
STANDARD_DEVIATION 6.79 • n=5 Participants
Body Mass Index (BMI)
26.2 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 2.52 • n=5 Participants

PRIMARY outcome

Timeframe: TAK-906 maleate 25mg: Day 1 pre-dose and at multiple time points (up to 48 hours) post-TAK-906 maleate-dose; Itraconazole 200 mg + TAK-906 maleate 25mg: Day 4 pre-dose and at multiple time points (up to 48 hours) post- TAK-906 maleate-dose

Population: The pharmacokinetic (PK) analysis set included all participants from the safety set who had at least 1 measurable post-dose TAK-906 plasma concentration.

Outcome measures

Outcome measures
Measure
TAK-906 Maleate 25 mg
n=12 Participants
TAK-906 maleate 25 mg, capsule, orally, once on Day 1 of First Intervention Period.
Itraconazole 200 mg + TAK-906 Maleate 25 mg
n=11 Participants
Itraconazole 200 mg, solution, orally, once daily on Days 1 to 5 along with TAK-906 maleate 25 mg, capsule, orally on Day 4 of Second Intervention Period.
Cmax: Maximum Observed Plasma Concentration for TAK-906
9.532 nanogram per milliliter (ng/mL)
Standard Deviation 4.6337
17.999 nanogram per milliliter (ng/mL)
Standard Deviation 4.8780

PRIMARY outcome

Timeframe: TAK-906 maleate 25mg: Day 1 pre-dose and at multiple time points (up to 48 hours) post-TAK-906 maleate-dose; Itraconazole 200 mg + TAK-906 maleate 25mg: Day 4 pre-dose and at multiple time points (up to 48 hours) post- TAK-906 maleate-dose

Population: The PK analysis set included all participants from the safety set who had at least 1 measurable post-dose TAK-906 plasma concentration.

Outcome measures

Outcome measures
Measure
TAK-906 Maleate 25 mg
n=12 Participants
TAK-906 maleate 25 mg, capsule, orally, once on Day 1 of First Intervention Period.
Itraconazole 200 mg + TAK-906 Maleate 25 mg
n=11 Participants
Itraconazole 200 mg, solution, orally, once daily on Days 1 to 5 along with TAK-906 maleate 25 mg, capsule, orally on Day 4 of Second Intervention Period.
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-906
24.10 hour*nanogram per milliliter (h*ng/mL)
Standard Deviation 8.173
30.73 hour*nanogram per milliliter (h*ng/mL)
Standard Deviation 8.521

PRIMARY outcome

Timeframe: TAK-906 maleate 25mg: Day 1 pre-dose and at multiple time points (up to 48 hours) post-TAK-906 maleate-dose; Itraconazole 200 mg + TAK-906 maleate 25mg: Day 4 pre-dose and at multiple time points (up to 48 hours) post- TAK-906 maleate-dose

Population: The PK analysis set included all participants from the safety set who had at least 1 measurable post-dose TAK-906 plasma concentration. PK analysis set where Day 1 and 4 assessments were available.

Outcome measures

Outcome measures
Measure
TAK-906 Maleate 25 mg
n=12 Participants
TAK-906 maleate 25 mg, capsule, orally, once on Day 1 of First Intervention Period.
Itraconazole 200 mg + TAK-906 Maleate 25 mg
n=11 Participants
Itraconazole 200 mg, solution, orally, once daily on Days 1 to 5 along with TAK-906 maleate 25 mg, capsule, orally on Day 4 of Second Intervention Period.
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-906
24.41 h*ng/mL
Standard Deviation 8.136
31.45 h*ng/mL
Standard Deviation 8.995

Adverse Events

TAK-906 Maleate 25 mg

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

Itraconazole 200 mg

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Itraconazole 200 mg + TAK-906 Maleate 25 mg

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
TAK-906 Maleate 25 mg
n=12 participants at risk
TAK-906 maleate 25 mg, capsule, orally, once on Day 1 of First Intervention Period.
Itraconazole 200 mg
n=11 participants at risk
Itraconazole 200 mg, solution, orally, once daily on Days 1 to 3 of Second Intervention Period.
Itraconazole 200 mg + TAK-906 Maleate 25 mg
n=11 participants at risk
Itraconazole 200 mg, solution, orally, once daily on Days 4 and 5 along with TAK-906 maleate 25 mg, capsule, orally on Day 4 of Second Intervention Period.
Gastrointestinal disorders
Constipation
0.00%
0/12 • Treatment-emergent adverse events are adverse events that started after the first dose study drug up to 30 days after the last dose of study (approximately Day 36)
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%
0/11 • Treatment-emergent adverse events are adverse events that started after the first dose study drug up to 30 days after the last dose of study (approximately Day 36)
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.
9.1%
1/11 • Treatment-emergent adverse events are adverse events that started after the first dose study drug up to 30 days after the last dose of study (approximately Day 36)
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.
Skin and subcutaneous tissue disorders
Swelling face
0.00%
0/12 • Treatment-emergent adverse events are adverse events that started after the first dose study drug up to 30 days after the last dose of study (approximately Day 36)
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.
9.1%
1/11 • Treatment-emergent adverse events are adverse events that started after the first dose study drug up to 30 days after the last dose of study (approximately Day 36)
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%
0/11 • Treatment-emergent adverse events are adverse events that started after the first dose study drug up to 30 days after the last dose of study (approximately Day 36)
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 Research Organization shall not publish any articles or papers nor make any presentations, nor assist any other person in publishing any articles or papers or in making any presentations relating or referring to the Study or any results, data or insights from or any data, information or materials obtained or generated in the performance of its obligations without the prior written consent of Takeda, which consent may be granted or withheld in Takeda's sole discretion.
  • Publication restrictions are in place

Restriction type: OTHER