Trial Outcomes & Findings for A Study to Evaluate the Effect of Single-Dose Intravenous Rifampin as a Prototypic Inhibitor of Organic Anion Transporting Polypeptide (OATP) 1B1 and OATP1B3 on the Single-Dose Pharmacokinetics (PK) of Oral TAK-906 in Healthy Adult Participants (NCT NCT04121078)

NCT ID: NCT04121078

Last Updated: 2020-12-09

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

12 participants

Primary outcome timeframe

Day 1: time zero and at multiple time points (up to 48 hours) post dose

Results posted on

2020-12-09

Participant Flow

Participants took part in the study at 1 investigative site in the United States from 15 October 2019 to 16 November 2019.

Healthy participants were enrolled in 1 of the 2 treatment sequences of this 2-period crossover study to receive TAK-906 25 milligram (mg) alone (Treatment A) and TAK-906 25 mg along with rifampin 600 mg (Treatment B).

Participant milestones

Participant milestones
Measure
Sequence AB: TAK-906 25 mg + TAK-906 25 mg and Rifampin 600 mg
TAK-906 25 mg (Treatment A), capsule, orally, once on Day 1 of Study Period 1, followed by a washout period of at least 7 days, further followed by rifampin 600 mg, infusion, intravenously along with TAK-906 25 mg (Treatment B), capsule, orally, once immediately after the end of infusion on Day 1 of Study Period 2.
Sequence BA: TAK-906 25 mg and Rifampin 600 mg + TAK-906 25 mg
Rifampin 600 mg, infusion, intravenously along with TAK-906 25 mg (Treatment B), capsule, orally, once immediately after the end of infusion on Day 1 of Study Period 1, followed by a washout period of at least 7 days, further followed by TAK-906 25 mg (Treatment A), capsule, orally, once on Day 1 of Study Period 2.
Study Period 1 (1 Day)
STARTED
6
6
Study Period 1 (1 Day)
COMPLETED
6
6
Study Period 1 (1 Day)
NOT COMPLETED
0
0
Washout Period (at Least 7 Days)
STARTED
6
6
Washout Period (at Least 7 Days)
COMPLETED
6
6
Washout Period (at Least 7 Days)
NOT COMPLETED
0
0
Study Period 2 (1 Day)
STARTED
6
6
Study Period 2 (1 Day)
COMPLETED
6
6
Study Period 2 (1 Day)
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Evaluate the Effect of Single-Dose Intravenous Rifampin as a Prototypic Inhibitor of Organic Anion Transporting Polypeptide (OATP) 1B1 and OATP1B3 on the Single-Dose Pharmacokinetics (PK) of Oral TAK-906 in Healthy Adult Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sequence AB: TAK-906 25 mg + TAK-906 25 mg and Rifampin 600 mg
n=6 Participants
TAK-906 25 mg (Treatment A), capsule, orally, once on Day 1 of Study Period 1, followed by a washout period of at least 7 days, further followed by rifampin 600 mg, infusion, intravenously along with TAK-906 25 mg (Treatment B), capsule, orally, once immediately after the end of infusion on Day 1 of Study Period 2.
Sequence BA: TAK-906 25 mg and Rifampin 600 mg + TAK-906 25 mg
n=6 Participants
Rifampin 600 mg, infusion, intravenously along with TAK-906 25 mg (Treatment B), capsule, orally, once immediately after the end of infusion on Day 1 of Study Period 1, followed by a washout period of at least 7 days, further followed by TAK-906 25 mg (Treatment A), capsule, orally, once on Day 1 of Study Period 2.
Total
n=12 Participants
Total of all reporting groups
Age, Continuous
36.7 years
STANDARD_DEVIATION 13.47 • n=5 Participants
38.0 years
STANDARD_DEVIATION 8.12 • n=7 Participants
37.3 years
STANDARD_DEVIATION 10.63 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 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
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 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/Ethnicity, Customized
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American, White
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
White
3 Participants
n=5 Participants
6 Participants
n=7 Participants
9 Participants
n=5 Participants
Region of Enrollment
United States
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 Participants
n=5 Participants
Weight
74.73 kilogram (kg)
STANDARD_DEVIATION 9.943 • n=5 Participants
84.25 kilogram (kg)
STANDARD_DEVIATION 13.581 • n=7 Participants
79.49 kilogram (kg)
STANDARD_DEVIATION 12.389 • n=5 Participants
Height
172.3 centimeter (cm)
STANDARD_DEVIATION 11.74 • n=5 Participants
177.0 centimeter (cm)
STANDARD_DEVIATION 9.38 • n=7 Participants
174.7 centimeter (cm)
STANDARD_DEVIATION 10.42 • n=5 Participants
Body Mass Index (BMI)
25.168 kilogram per square meter (kg/m˄2)
STANDARD_DEVIATION 2.3720 • n=5 Participants
26.770 kilogram per square meter (kg/m˄2)
STANDARD_DEVIATION 1.8285 • n=7 Participants
25.969 kilogram per square meter (kg/m˄2)
STANDARD_DEVIATION 2.1856 • n=5 Participants

PRIMARY outcome

Timeframe: Day 1: time zero and at multiple time points (up to 48 hours) post dose

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

Outcome measures

Outcome measures
Measure
Treatment A: TAK-906 25 mg
n=12 Participants
TAK-906 25 mg, capsule, orally, once on Day 1 of either Study Period 1 or 2.
Treatment B: Rifampin 600 mg and TAK-906 25 mg
n=12 Participants
Rifampin 600 mg, infusion, intravenously along with TAK-906 25 mg, capsule, orally, once immediately after the end of infusion on Day 1 of either Study Period 1 or 2.
Cmax: Maximum Observed Plasma Concentration for TAK-906
14.37 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 38.7
89.62 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 68.6

PRIMARY outcome

Timeframe: Day 1: time zero and at multiple time points (up to 48 hours) post dose

Population: The PK set consisted of all participants who received study drug and had at least 1 measurable plasma concentration.

Outcome measures

Outcome measures
Measure
Treatment A: TAK-906 25 mg
n=12 Participants
TAK-906 25 mg, capsule, orally, once on Day 1 of either Study Period 1 or 2.
Treatment B: Rifampin 600 mg and TAK-906 25 mg
n=12 Participants
Rifampin 600 mg, infusion, intravenously along with TAK-906 25 mg, capsule, orally, once immediately after the end of infusion on Day 1 of either Study Period 1 or 2.
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-906
32.68 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 23.9
168.5 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 49.9

PRIMARY outcome

Timeframe: Day 1: time zero and at multiple time points (up to 48 hours) post dose

Population: The PK set consisted of all participants who received study drug and had at least 1 measurable plasma concentration.

Outcome measures

Outcome measures
Measure
Treatment A: TAK-906 25 mg
n=12 Participants
TAK-906 25 mg, capsule, orally, once on Day 1 of either Study Period 1 or 2.
Treatment B: Rifampin 600 mg and TAK-906 25 mg
n=12 Participants
Rifampin 600 mg, infusion, intravenously along with TAK-906 25 mg, capsule, orally, once immediately after the end of infusion on Day 1 of either Study Period 1 or 2.
AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-906
32.32 ng*hr/mL
Geometric Coefficient of Variation 23.8
168.3 ng*hr/mL
Geometric Coefficient of Variation 49.9

SECONDARY outcome

Timeframe: Baseline up to 14 days after the last dose of study drug in Study Period 2 (up to Day 23)

Population: The safety analysis set consisted of all participants who were enrolled and received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Treatment A: TAK-906 25 mg
n=12 Participants
TAK-906 25 mg, capsule, orally, once on Day 1 of either Study Period 1 or 2.
Treatment B: Rifampin 600 mg and TAK-906 25 mg
n=12 Participants
Rifampin 600 mg, infusion, intravenously along with TAK-906 25 mg, capsule, orally, once immediately after the end of infusion on Day 1 of either Study Period 1 or 2.
Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)
6 Participants
2 Participants

SECONDARY outcome

Timeframe: Baseline up to 14 days after the last dose of study drug in Study Period 2 (up to Day 23)

Population: The safety analysis set consisted of all participants who were enrolled and received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Treatment A: TAK-906 25 mg
n=12 Participants
TAK-906 25 mg, capsule, orally, once on Day 1 of either Study Period 1 or 2.
Treatment B: Rifampin 600 mg and TAK-906 25 mg
n=12 Participants
Rifampin 600 mg, infusion, intravenously along with TAK-906 25 mg, capsule, orally, once immediately after the end of infusion on Day 1 of either Study Period 1 or 2.
Number of Participants With Clinically Significant Change From Baseline in Vital Sign Values
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline up to 14 days after the last dose of study drug in Study Period 2 (up to Day 23)

Population: The safety analysis set consisted of all participants who were enrolled and received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Treatment A: TAK-906 25 mg
n=12 Participants
TAK-906 25 mg, capsule, orally, once on Day 1 of either Study Period 1 or 2.
Treatment B: Rifampin 600 mg and TAK-906 25 mg
n=12 Participants
Rifampin 600 mg, infusion, intravenously along with TAK-906 25 mg, capsule, orally, once immediately after the end of infusion on Day 1 of either Study Period 1 or 2.
Number of Participants With Clinically Significant Change From Baseline in 12-lead Electrocardiogram (ECG) Findings
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline up to 14 days after the last dose of study drug in Study Period 2 (up to Day 23)

Population: The safety analysis set consisted of all participants who were enrolled and received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Treatment A: TAK-906 25 mg
n=12 Participants
TAK-906 25 mg, capsule, orally, once on Day 1 of either Study Period 1 or 2.
Treatment B: Rifampin 600 mg and TAK-906 25 mg
n=12 Participants
Rifampin 600 mg, infusion, intravenously along with TAK-906 25 mg, capsule, orally, once immediately after the end of infusion on Day 1 of either Study Period 1 or 2.
Number of Participants With Clinically Significant Change From Baseline in Clinical Laboratory Values
0 Participants
0 Participants

Adverse Events

Treatment A: TAK-906 25 mg

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Treatment B: Rifampin 600 mg and TAK-906 25 mg

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment A: TAK-906 25 mg
n=12 participants at risk
TAK-906 25 mg, capsule, orally, once on Day 1 of either Study Period 1 or 2.
Treatment B: Rifampin 600 mg and TAK-906 25 mg
n=12 participants at risk
Rifampin 600 mg, infusion, intravenously along with TAK-906 25 mg, capsule, orally, once immediately after the end of infusion on Day 1 of either Study Period 1 or 2.
Gastrointestinal disorders
Abdominal pain upper
8.3%
1/12 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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
16.7%
2/12 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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
Sensory disturbance
8.3%
1/12 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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
Cough
0.00%
0/12 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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
Nasal congestion
0.00%
0/12 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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
Sinus congestion
8.3%
1/12 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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
Sneezing
8.3%
1/12 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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
Dermatitis contact
8.3%
1/12 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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 • TEAEs are adverse events (AEs) that started after the first dose of study drug and no more than 14 days after the last dose of study drug in Study Period 2 (up to Day 23)
At each visit the investigator had to document any occurrence of AEs 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