Trial Outcomes & Findings for A Multicenter, Open-label, Pilot Study of Soticlestat (TAK-935/OV935) in Participants With 15Q Duplication Syndrome (Dup 15q) or Cyclin-Dependent Kinase-Like 5 (CDKL5) Deficiency Disorder (ARCADE STUDY) (NCT NCT03694275)

NCT ID: NCT03694275

Last Updated: 2022-05-26

Results Overview

Seizure frequency per 28 days is defined as total number of Seizures reported during the period divided by number of days with no missing seizure count during the period multiplied by 28. Percent Change from Baseline is defined as (frequency of seizures per 28 days during maintenance period - frequency of seizures per 28 days at Baseline) divided by frequency of seizures per 28 days at Baseline multiplied by 100. Positive percent change from Baseline indicates seizure increase and negative percent change from Baseline indicates seizure decrease.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

20 participants

Primary outcome timeframe

Maintenance Period: Weeks 9 to 20

Results posted on

2022-05-26

Participant Flow

Participants took part in the study at 8 investigative sites in the United States from 10 September 2018 to 31 July 2020.

Participants with a diagnosis of 15q duplication syndrome (Dup15q) or CDKL5 deficiency disorder (CDD) were enrolled in 2 cohorts to receive treatment with TAK-935 for up to 20 weeks Treatment Period (8-week Dose Optimization Period and 12-week Maintenance Period).

Participant milestones

Participant milestones
Measure
Soticlestat Dup15q
Soticlestat tablets twice daily (BID) orally or via gastrostomy tube (G-tube)/ percutaneous endoscopic gastrostomy (PEG) tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Overall Study
STARTED
8
12
Overall Study
COMPLETED
8
10
Overall Study
NOT COMPLETED
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Soticlestat Dup15q
Soticlestat tablets twice daily (BID) orally or via gastrostomy tube (G-tube)/ percutaneous endoscopic gastrostomy (PEG) tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Overall Study
Adverse Event
0
1
Overall Study
Reason not Specified
0
1

Baseline Characteristics

A Multicenter, Open-label, Pilot Study of Soticlestat (TAK-935/OV935) in Participants With 15Q Duplication Syndrome (Dup 15q) or Cyclin-Dependent Kinase-Like 5 (CDKL5) Deficiency Disorder (ARCADE STUDY)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Soticlestat Dup15q
n=8 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
n=12 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
15.4 years
STANDARD_DEVIATION 6.00 • n=5 Participants
7.6 years
STANDARD_DEVIATION 5.30 • n=7 Participants
10.7 years
STANDARD_DEVIATION 6.70 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
9 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
12 Participants
n=7 Participants
20 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
11 Participants
n=7 Participants
19 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
8 Participants
n=5 Participants
12 Participants
n=7 Participants
20 Participants
n=5 Participants
Height
148.54 cm
STANDARD_DEVIATION 14.965 • n=5 Participants
124.59 cm
STANDARD_DEVIATION 26.882 • n=7 Participants
134.17 cm
STANDARD_DEVIATION 25.412 • n=5 Participants
Weight
43.40 kg
STANDARD_DEVIATION 13.678 • n=5 Participants
26.28 kg
STANDARD_DEVIATION 12.511 • n=7 Participants
33.13 kg
STANDARD_DEVIATION 15.283 • n=5 Participants
Body Mass Index (BMI)
19.21 kg/m^2
STANDARD_DEVIATION 4.149 • n=5 Participants
16.00 kg/m^2
STANDARD_DEVIATION 1.874 • n=7 Participants
17.28 kg/m^2
STANDARD_DEVIATION 3.314 • n=5 Participants

PRIMARY outcome

Timeframe: Maintenance Period: Weeks 9 to 20

Population: Modified Intent-to-Treat (mITT) Analysis Set included all participants who have received at least 1 dose of study drug and have been assessed for at least 1 day in the Treatment Period. Overall number analyzed are the number of participants with data available for analyses.

Seizure frequency per 28 days is defined as total number of Seizures reported during the period divided by number of days with no missing seizure count during the period multiplied by 28. Percent Change from Baseline is defined as (frequency of seizures per 28 days during maintenance period - frequency of seizures per 28 days at Baseline) divided by frequency of seizures per 28 days at Baseline multiplied by 100. Positive percent change from Baseline indicates seizure increase and negative percent change from Baseline indicates seizure decrease.

Outcome measures

Outcome measures
Measure
Soticlestat Dup15q
n=8 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
n=11 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Percent Change From Baseline in Motor Seizure Frequency Per 28 Days During the Maintenance Period
11.7 percent change
Interval -90.0 to 39.0
-23.6 percent change
Interval -100.0 to 107.0

SECONDARY outcome

Timeframe: Treatment Period: Weeks 0 to 20

Population: mITT Analysis Set included all participants who have received at least 1 dose of study drug and have been assessed for at least 1 day in the Treatment Period.

Seizure frequency per 28 days is defined as total number of Seizures reported during the period divided by number of days with no missing seizure count during the period multiplied by 28. Percent Change from Baseline is defined as (frequency of seizures per 28 days during the treatment period - frequency of seizures per 28 days at Baseline) divided by frequency of seizures per 28 days at Baseline multiplied by 100. Positive percent change from Baseline indicates seizure increase and negative percent change from Baseline indicates seizure decrease.

Outcome measures

Outcome measures
Measure
Soticlestat Dup15q
n=8 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
n=12 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Percent Change From Baseline in Motor Seizure Frequency Per 28 Days During the Treatment Period
13.4 percent change
Interval -89.0 to 30.0
-13.6 percent change
Interval -93.0 to 48.0

SECONDARY outcome

Timeframe: Maintenance Period: Weeks 9 to 20

Population: mITT Analysis Set included all participants who have received at least 1 dose of study drug and have been assessed for at least 1 day in the Treatment Period. Overall number analyzed is the number of participants with data available for analyses.

Responders are defined as having over 50% motor seizure reduction compared to Baseline. Percent reduction from Baseline (%) is defined as \[(Maintenance Period motor Seizure Frequency - Baseline Period motor Seizure Frequency) divided by Baseline motor Seizure Frequency\] multiplied by 100. Data is reported as reduction of 25%, 50%, 75% and 100% or more in motor seizures from Baseline.

Outcome measures

Outcome measures
Measure
Soticlestat Dup15q
n=8 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
n=11 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Percentage of Participants Considered as Treatment Responders During the Maintenance Period
<=0% Reduction
62.5 percentage of participants
27.3 percentage of participants
Percentage of Participants Considered as Treatment Responders During the Maintenance Period
>0% to <25% Reduction
12.5 percentage of participants
27.3 percentage of participants
Percentage of Participants Considered as Treatment Responders During the Maintenance Period
>=25% to <50% Reduction
12.5 percentage of participants
18.2 percentage of participants
Percentage of Participants Considered as Treatment Responders During the Maintenance Period
>=50% to <75% Reduction
0 percentage of participants
18.2 percentage of participants
Percentage of Participants Considered as Treatment Responders During the Maintenance Period
>=75% to 100% Reduction
12.5 percentage of participants
9.1 percentage of participants

SECONDARY outcome

Timeframe: Treatment Period: Weeks 0 to 20

Population: mITT Analysis Set included all participants who have received at least 1 dose of study drug and have been assessed for at least 1 day in the Treatment Period. Overall number analyzed are all participants whose analyses were conducted using observed values and no imputation was done for missing data.

Seizure frequency is defined as total number of Seizures reported during the period divided by number of days with no missing seizure count during the period. Percent Change from Baseline is defined as (frequency of seizures during Treatment period - frequency of seizures at Baseline) divided by frequency of seizures at Baseline multiplied by 100. Positive percent change from Baseline indicates seizure increase and negative percent change from Baseline indicates seizure decrease. The data is reported only for CDD participants.

Outcome measures

Outcome measures
Measure
Soticlestat Dup15q
n=6 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Percent Change From Baseline in Frequency of Motor Seizures Longer Than 5 Minutes in Participants With CDD
-54.0 percent change
Interval -86.0 to 11.0

SECONDARY outcome

Timeframe: Maintenance Period: Weeks 9 to 20

Population: mITT Analysis Set included all participants who have received at least 1 dose of study drug and have been assessed for at least 1 day in the Treatment Period. Overall number analyzed is the number of participants with data available for analyses.

Seizure-free days is defined as number of days with zero motor seizure during the period the Maintenance Period divided by number of days participant was in the Maintenance Period.

Outcome measures

Outcome measures
Measure
Soticlestat Dup15q
n=8 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
n=11 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Proportion of Motor Seizure-free Days in Participants During the Maintenance Period
0.1 days/28 days
Interval 0.0 to 1.0
0.1 days/28 days
Interval 0.0 to 1.0

SECONDARY outcome

Timeframe: Baseline to Week 20

Population: mITT Analysis Set included all participants who have received at least 1 dose of study drug and have been assessed for at least 1 day in the Treatment Period. Number analyzed is the number of participants with data available for analyses at the given timepoint.

The CGI-S focuses on clinician's observations of the participant's cognitive, functional, and behavioral performance since the beginning of the study. The CGI-S is rated on a 7-point scale, with the severity of illness scale using a range of responses where, 1= normal, not at all ill, 2= borderline mentally ill, 3= mildly ill, 4= moderately ill, 5= markedly ill, 6= severely ill and 7=amongst the most extremely ill participants. Negative change from Baseline indicates improvement.

Outcome measures

Outcome measures
Measure
Soticlestat Dup15q
n=8 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
n=12 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Change From Baseline in Clinician's Global Impression of Severity (CGI-S) Responses of Investigator
Baseline
5.0 score on scale
Interval 4.0 to 6.0
5.0 score on scale
Interval 4.0 to 6.0
Change From Baseline in Clinician's Global Impression of Severity (CGI-S) Responses of Investigator
Change From Baseline at Week 20
0.0 score on scale
Interval -2.0 to 0.0
0.0 score on scale
Interval -1.0 to 1.0

SECONDARY outcome

Timeframe: Week 20

Population: mITT Analysis Set included all participants who have received at least 1 dose of study drug and have been assessed for at least 1 day in the Treatment Period. Overall number analyzed is the number of participants with data available for analyses at given timepoint.

CGI-Change (CGI-C) treatment response ratings should take account of both therapeutic efficacy and treatment-related AEs. Each component of the CGI is rated separately; the instrument does not yield a global score. The CGI-C is rated on a 5-point scale, where, 0 = marked improvement and no side-effects, 1 = marked improvement and minimal side-effects, 2 = no change, 3 = minimal improvement and marked side-effects and 4 = unchanged or worse and side-effects outweigh the therapeutic effect. Lower scores indicated improvement.

Outcome measures

Outcome measures
Measure
Soticlestat Dup15q
n=6 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
n=12 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Percentage of Participants With Clinical Global Impression of Change (CGI-C) Responses as Per the Investigator Reported Impression
Week 20, Score 0
33.3 percentage of participants
33.3 percentage of participants
Percentage of Participants With Clinical Global Impression of Change (CGI-C) Responses as Per the Investigator Reported Impression
Week 20, Score 1
0 percentage of participants
33.3 percentage of participants
Percentage of Participants With Clinical Global Impression of Change (CGI-C) Responses as Per the Investigator Reported Impression
Week 20, Score 2
50.0 percentage of participants
33.3 percentage of participants
Percentage of Participants With Clinical Global Impression of Change (CGI-C) Responses as Per the Investigator Reported Impression
Week 20, Score 3
16.7 percentage of participants
0 percentage of participants
Percentage of Participants With Clinical Global Impression of Change (CGI-C) Responses as Per the Investigator Reported Impression
Week 20, Score 4
0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Week 20

Population: mITT Analysis Set included all participants who have received at least 1 dose of study drug and have been assessed for at least 1 day in the Treatment Period. Overall number analyzed is the number of participants with data available for analyses at the given timepoint.

CGI-Change (CGI-C) treatment response ratings should take account of both therapeutic efficacy and treatment-related AEs. Each component of the CGI is rated separately; the instrument does not yield a global score. The CGI-C is rated on a 7-point scale where, 1 = very much improved, 2 = much improved, 3 = slightly improved, 4= no change, 5= slightly worse, 6= much worse and 7= very much worse and marked side-effects. Lower scores indicated improvement.

Outcome measures

Outcome measures
Measure
Soticlestat Dup15q
n=6 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
n=12 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Percentage of Participants With Care Clinical Global Impression of Change (CGI-C) Responses of Parent/Family
Week 20, Score 1
0 percentage of participants
16.7 percentage of participants
Percentage of Participants With Care Clinical Global Impression of Change (CGI-C) Responses of Parent/Family
Week 20, Score 2
16.7 percentage of participants
25.0 percentage of participants
Percentage of Participants With Care Clinical Global Impression of Change (CGI-C) Responses of Parent/Family
Week 20, Score 3
33.3 percentage of participants
50.0 percentage of participants
Percentage of Participants With Care Clinical Global Impression of Change (CGI-C) Responses of Parent/Family
Week 20, Score 4
50.0 percentage of participants
0 percentage of participants
Percentage of Participants With Care Clinical Global Impression of Change (CGI-C) Responses of Parent/Family
Week 20, Score 5
0 percentage of participants
8.3 percentage of participants
Percentage of Participants With Care Clinical Global Impression of Change (CGI-C) Responses of Parent/Family
Week 20, Score 6
0 percentage of participants
0 percentage of participants
Percentage of Participants With Care Clinical Global Impression of Change (CGI-C) Responses of Parent/Family
Week 20, Score 7
0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Baseline to Week 20

Population: mITT Analysis Set included all participants who have received at least 1 dose of study drug and have been assessed for at least 1 day in the Treatment Period. Overall number analyzed is the number of participants with data available for analyses. Number analyzed is the number of participants with data available for analyses at the given timepoint.

Outcome measures

Outcome measures
Measure
Soticlestat Dup15q
n=8 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
n=11 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Change From Baseline of Plasma 24S-hydroxycholesterol (24HC) Levels
Baseline
57.08 ng/mL
Standard Deviation 24.195
115.29 ng/mL
Standard Deviation 73.587
Change From Baseline of Plasma 24S-hydroxycholesterol (24HC) Levels
Change from Baseline at Week 20
-34.71 ng/mL
Standard Deviation 16.578
-75.64 ng/mL
Standard Deviation 29.284

SECONDARY outcome

Timeframe: Baseline to Week 20

Population: mITT Analysis Set included all participants who have received at least 1 dose of study drug and have been assessed for at least 1 day in the Treatment Period.

Seizure Frequency per 28 days is defined as total number of Seizures reported during the period divided by number of days with no missing seizure during the period seizures were assessed multiplied by 28. Positive change from Baseline indicates seizure increase and negative change from Baseline indicates seizure decrease.

Outcome measures

Outcome measures
Measure
Soticlestat Dup15q
n=8 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
n=12 Participants
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Change From Baseline in Seizure Frequency in Participants Treated With TAK-935 as an Adjunctive Therapy
Baseline
128.4 seizures per 28 days
Interval 35.0 to 224.0
77.8 seizures per 28 days
Interval 10.0 to 374.0
Change From Baseline in Seizure Frequency in Participants Treated With TAK-935 as an Adjunctive Therapy
Change From Baseline
13.2 seizures per 28 days
Interval -31.0 to 67.0
-3.4 seizures per 28 days
Interval -210.0 to 28.0

Adverse Events

Soticlestat Dup15q

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Soticlestat CDD

Serious events: 2 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Soticlestat Dup15q
n=8 participants at risk
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
n=12 participants at risk
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Immune system disorders
Anaphylactic reaction
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Infections and infestations
Respiratory syncytial virus bronchiolitis
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Acute respiratory failure
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.

Other adverse events

Other adverse events
Measure
Soticlestat Dup15q
n=8 participants at risk
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with Dup15q weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Soticlestat CDD
n=12 participants at risk
Soticlestat tablets BID orally or via G-tube/ PEG tube, BID. Participants with CDD weighing \<60 kg at Baseline received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Nervous system disorders
Somnolence
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Blood and lymphatic system disorders
Eosinophilia
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Constipation
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
33.3%
4/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Frequent bowel movements
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
General disorders
Fatigue
25.0%
2/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
General disorders
Asthenia
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
General disorders
Peripheral swelling
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
General disorders
Pain
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Immune system disorders
Seasonal allergy
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Infections and infestations
Ear infection
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
16.7%
2/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Infections and infestations
Nasopharyngitis
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Infections and infestations
Respiratory tract infection
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Infections and infestations
Sinusitis
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Infections and infestations
Upper respiratory tract infection
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Infections and infestations
Urinary tract infection
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Face injury
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Fall
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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 bicarbonate decreased
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
16.7%
2/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Activated partial thromboplastin time prolonged
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Anticonvulsant drug level increased
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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 cholesterol increased
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
C-reactive protein increased
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Electrocardiogram QT prolonged
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Electrocardiogram ST-T change
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Haematocrit increased
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
International normalised ratio increased
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Low density lipoprotein increased
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Neutrophil count decreased
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Oxygen saturation decreased
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Platelet count increased
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
White blood cell count increased
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Seizure
25.0%
2/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Lethargy
25.0%
2/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Partial seizures
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
16.7%
2/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Tonic convulsion
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
16.7%
2/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Atonic seizures
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Balance disorder
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Drooling
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Hypersomnia
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Hypotonia
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Tremor
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Psychiatric disorders
Agitation
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Psychiatric disorders
Initial insomnia
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Psychiatric disorders
Irritability
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Psychiatric disorders
Sleep disorder
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Renal and urinary disorders
Neurogenic bladder
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
Renal and urinary disorders
Urinary retentio
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Apnoea
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Hyperventilation
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Pneumonia aspiration
0.00%
0/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
8.3%
1/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Rash
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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.
16.7%
2/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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
Pruritus
12.5%
1/8 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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%
0/12 • From the first dose to 30 days post-last dose of study treatment (Up to 24 weeks)
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 The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER