Trial Outcomes & Findings for A Study to Evaluate the Effect of the Potent Cytochrome P-450 3A4 (CYP3A4) Inhibitor Itraconazole on the Pharmacokinetics (PK) of TAK-954 in Healthy Adult Participants (NCT NCT03173170)

NCT ID: NCT03173170

Last Updated: 2019-01-15

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

10 participants

Primary outcome timeframe

TAK-954 0.2 mg: Day 1 pre-dose and at multiple time points (up to 120 hours) post-dose; Itraconazole 200 mg and TAK-954 0.2 mg: Day 4 pre-dose and at multiple time points (up to 120 hours) post-dose

Results posted on

2019-01-15

Participant Flow

Participants took part in the study at 1 investigative site in United States from 31 May 2017 to 24 July 2017.

Healthy participants were enrolled in this single sequence 2-period crossover study to receive TAK-954 0.2 milligram (mg) in Intervention Period 1 followed by itraconazole 200 mg + TAK-954 0.2 mg in Intervention Period 2.

Participant milestones

Participant milestones
Measure
TAK-954 0.2 mg + Itraconazole 200 mg and TAK-954 0.2mg
TAK-954 0.2 mg, infusion, intravenously, once on Day 1 of First Intervention Period, followed by a minimum of 7-day washout period, further followed by itraconazole 200 mg, capsule, orally, once daily on Days 1 to 8 along with TAK-954 0.2 mg, infusion, intravenously on Day 4 of Second Intervention Period.
First Intervention Period (6 Days)
STARTED
10
First Intervention Period (6 Days)
COMPLETED
10
First Intervention Period (6 Days)
NOT COMPLETED
0
Washout Period (at Least 7 Days)
STARTED
10
Washout Period (at Least 7 Days)
COMPLETED
10
Washout Period (at Least 7 Days)
NOT COMPLETED
0
Intervention Period 2 (9 Days)
STARTED
10
Intervention Period 2 (9 Days)
COMPLETED
10
Intervention Period 2 (9 Days)
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Evaluate the Effect of the Potent Cytochrome P-450 3A4 (CYP3A4) Inhibitor Itraconazole on the Pharmacokinetics (PK) of TAK-954 in Healthy Adult Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TAK-954 0.2 mg + Itraconazole 200 mg and TAK-954 0.2mg
n=10 Participants
TAK-954 0.2 mg, infusion, intravenously, once on Day 1 of First Intervention Period, followed by a minimum of 7-day washout period, further followed by itraconazole 200 mg, capsule, orally, once daily on Days 1 to 8 along with TAK-954 0.2 mg, infusion, intravenously on Day 4 of Second Intervention Period.
Age, Continuous
34.7 years
STANDARD_DEVIATION 10.34 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 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
2 Participants
n=5 Participants
Race (NIH/OMB)
White
8 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
10 Participants
n=5 Participants
Weight
73.72 kilogram (kg)
STANDARD_DEVIATION 11.534 • n=5 Participants
Height
174.4 centimeter (cm)
STANDARD_DEVIATION 10.17 • n=5 Participants
Body mass index (BMI)
24.2 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 2.90 • n=5 Participants

PRIMARY outcome

Timeframe: TAK-954 0.2 mg: Day 1 pre-dose and at multiple time points (up to 120 hours) post-dose; Itraconazole 200 mg and TAK-954 0.2 mg: Day 4 pre-dose and at multiple time points (up to 120 hours) post-dose

Population: The pharmacokinetic (PK) set included all participants who received at least 1 dose of study drug and had at least 1 measurable plasma concentration.

Outcome measures

Outcome measures
Measure
TAK-954 0.2 mg
n=10 Participants
TAK-954 0.2 mg, infusion, intravenously, once on Day 1 of First Intervention Period.
Itraconazole 200 mg and TAK-954 0.2 mg
n=10 Participants
Itraconazole 200 mg, capsule, orally, once daily on Days 1 to 8 along with TAK-954 0.2 mg, infusion, intravenously on Day 4 of Second Intervention Period.
Cmax: Maximum Observed Plasma Concentration for TAK-954
2.642 nanogram/milliliter (ng/mL)
Standard Deviation 0.4426
2.840 nanogram/milliliter (ng/mL)
Standard Deviation 0.6497

PRIMARY outcome

Timeframe: TAK-954 0.2 mg: Day 1 pre-dose and at multiple time points (up to 120 hours) post-dose; Itraconazole 200 mg and TAK-954 0.2mg: Day 1 pre-dose and at multiple time points (up to 120 hours) post-dose

Population: The PK set included all participants who received at least 1 dose of study drug and had at least 1 measurable plasma concentration. PK analysis set where Day 1 and 4 assessments were available.

Outcome measures

Outcome measures
Measure
TAK-954 0.2 mg
n=10 Participants
TAK-954 0.2 mg, infusion, intravenously, once on Day 1 of First Intervention Period.
Itraconazole 200 mg and TAK-954 0.2 mg
n=10 Participants
Itraconazole 200 mg, capsule, orally, once daily on Days 1 to 8 along with TAK-954 0.2 mg, infusion, intravenously on Day 4 of Second Intervention Period.
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-954
28.59 hour*nanogram per milliliter (hr*ng/mL)
Standard Deviation 6.550
43.15 hour*nanogram per milliliter (hr*ng/mL)
Standard Deviation 10.265

Adverse Events

TAK-954 0.2 mg

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Itraconazole 200 mg

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

Itraconazole 200 mg and TAK-954 0.2 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-954 0.2 mg
n=10 participants at risk
TAK-954 0.2 mg, infusion, intravenously, once on Day 1 of First Intervention Period.
Itraconazole 200 mg
n=10 participants at risk
Itraconazole 200 mg, capsule, orally, once daily on Days 1 to 3 of Second Intervention Period.
Itraconazole 200 mg and TAK-954 0.2 mg
n=10 participants at risk
Itraconazole 200 mg, capsule, orally, once daily on Days 4 to 8 along with TAK-954 0.2 mg, infusion, intravenously on Day 4 of Second Intervention Period.
Gastrointestinal disorders
Anal incontinence
10.0%
1/10 • Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 9 of Second Intervention Period
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%
0/10 • Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 9 of Second Intervention Period
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%
0/10 • Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 9 of Second Intervention Period
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.
Gastrointestinal disorders
Diarrhoea
10.0%
1/10 • Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 9 of Second Intervention Period
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%
0/10 • Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 9 of Second Intervention Period
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%
0/10 • Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 9 of Second Intervention Period
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
Headache
30.0%
3/10 • Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 9 of Second Intervention Period
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%
0/10 • Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 9 of Second Intervention Period
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.
10.0%
1/10 • Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 9 of Second Intervention Period
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
Presyncope
10.0%
1/10 • Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 9 of Second Intervention Period
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%
0/10 • Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 9 of Second Intervention Period
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%
0/10 • Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 9 of Second Intervention Period
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