Trial Outcomes & Findings for A Study of Soticlestat in Adults With Liver Failure Compared to Those With Normal Liver Function (NCT NCT05098054)

NCT ID: NCT05098054

Last Updated: 2024-02-02

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

36 participants

Primary outcome timeframe

Day 1 pre-dose and at multiple time points (up to 144 hours) post-dose

Results posted on

2024-02-02

Participant Flow

Participants took part in the study at 4 investigative sites in the United States from 29 October 2021 to 07 June 2022.

Participants diagnosed with moderate/mild hepatic impairment (HI) compared to matched healthy participants with normal hepatic function received single dose of soticlestat. 1 with severe HI, 8 with moderate HI, 8 with mild HI and overall 19 participants with normal hepatic function (12 matched to moderate HI and 12 matched to mild HI participants) were enrolled. Five of same participants with normal hepatic function served as matched to moderate and mild HI.

Participant milestones

Participant milestones
Measure
Severe HI: Soticlestat 300 mg
Soticlestat 300 milligrams (mg), tablets, orally, once on Day 1 to participants with severe HI.
Moderate HI: Soticlestat 300 mg
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with moderate HI.
Mild HI: Soticlestat 300 mg
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with mild HI.
Normal Hepatic Function: Soticlestat 300 mg
Soticlestat 300 mg, tablets, orally, once on Day 1 to healthy participants.
Overall Study
STARTED
1
8
8
19
Overall Study
COMPLETED
1
8
8
19
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Here 'number analyzed' signifies that participant who were evaluable for this baseline measure.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Severe HI: Soticlestat 300 mg
n=1 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participants with severe HI.
Moderate HI: Soticlestat 300 mg
n=8 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with moderate HI.
Mild HI: Soticlestat 300 mg
n=8 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with mild HI.
Normal Hepatic Function: Soticlestat 300 mg
n=19 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to healthy participants.
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
66.0 years
STANDARD_DEVIATION NA • n=1 Participants
59.4 years
STANDARD_DEVIATION 8.52 • n=8 Participants
56.4 years
STANDARD_DEVIATION 10.03 • n=8 Participants
58.2 years
STANDARD_DEVIATION 6.60 • n=19 Participants
58.3 years
STANDARD_DEVIATION 7.74 • n=36 Participants
Sex: Female, Male
Female
0 Participants
n=1 Participants
3 Participants
n=8 Participants
2 Participants
n=8 Participants
11 Participants
n=19 Participants
16 Participants
n=36 Participants
Sex: Female, Male
Male
1 Participants
n=1 Participants
5 Participants
n=8 Participants
6 Participants
n=8 Participants
8 Participants
n=19 Participants
20 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=1 Participants
6 Participants
n=8 Participants
5 Participants
n=8 Participants
11 Participants
n=19 Participants
23 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=1 Participants
2 Participants
n=8 Participants
3 Participants
n=8 Participants
8 Participants
n=19 Participants
13 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=1 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=19 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=1 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=19 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Asian
0 Participants
n=1 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=19 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=1 Participants
1 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=19 Participants
1 Participants
n=36 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=1 Participants
0 Participants
n=8 Participants
1 Participants
n=8 Participants
5 Participants
n=19 Participants
6 Participants
n=36 Participants
Race (NIH/OMB)
White
1 Participants
n=1 Participants
7 Participants
n=8 Participants
7 Participants
n=8 Participants
14 Participants
n=19 Participants
29 Participants
n=36 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=1 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=19 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=1 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
0 Participants
n=19 Participants
0 Participants
n=36 Participants
Region of Enrollment
United States
1 Participants
n=1 Participants
8 Participants
n=8 Participants
8 Participants
n=8 Participants
19 Participants
n=19 Participants
36 Participants
n=36 Participants
Body Mass Index (BMI)
26.460 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION NA • n=1 Participants
30.344 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 4.0131 • n=8 Participants
30.595 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 4.9193 • n=8 Participants
29.849 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 1.7734 • n=19 Participants
30.031 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 3.1868 • n=36 Participants
Height
159.0 centimeter (cm)
STANDARD_DEVIATION NA • n=1 Participants
166.1 centimeter (cm)
STANDARD_DEVIATION 11.72 • n=8 Participants
169.4 centimeter (cm)
STANDARD_DEVIATION 13.39 • n=8 Participants
167.5 centimeter (cm)
STANDARD_DEVIATION 9.02 • n=19 Participants
167.4 centimeter (cm)
STANDARD_DEVIATION 10.41 • n=36 Participants
Weight
66.90 kilogram (kg)
STANDARD_DEVIATION NA • n=1 Participants
83.80 kilogram (kg)
STANDARD_DEVIATION 14.289 • n=8 Participants
88.51 kilogram (kg)
STANDARD_DEVIATION 22.709 • n=8 Participants
84.07 kilogram (kg)
STANDARD_DEVIATION 11.124 • n=19 Participants
84.52 kilogram (kg)
STANDARD_DEVIATION 14.844 • n=36 Participants
Child-Pugh Score
10.00 score on scale
STANDARD_DEVIATION NA • n=1 Participants • Here 'number analyzed' signifies that participant who were evaluable for this baseline measure.
8.00 score on scale
STANDARD_DEVIATION 0.926 • n=8 Participants • Here 'number analyzed' signifies that participant who were evaluable for this baseline measure.
5.50 score on scale
STANDARD_DEVIATION 0.535 • n=8 Participants • Here 'number analyzed' signifies that participant who were evaluable for this baseline measure.
6.94 score on scale
STANDARD_DEVIATION 1.64 • n=17 Participants • Here 'number analyzed' signifies that participant who were evaluable for this baseline measure.

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 144 hours) post-dose

Population: Pharmacokinetic (PK) Analysis Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (example, exposure to treatment, availability of measurements and absence of major protocol violations) and were included in the statistical analyses. Five of the same participants with normal hepatic function served as matched to moderate and mild HI arms.

Outcome measures

Outcome measures
Measure
Severe HI: Soticlestat 300 mg
n=1 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participants with severe HI.
Moderate HI: Soticlestat 300 mg
n=8 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with moderate HI.
Mild HI: Soticlestat 300 mg
n=8 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with mild HI.
Normal Hepatic Function (Matched to Moderate HI): Soticlestat 300 mg
n=12 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to healthy participants with normal hepatic function matched to moderate HI.
Normal Hepatic Function (Matched to Mild HI): Soticlestat 300 mg
n=12 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to healthy participants with normal hepatic function matched to mild HI.
Cmax: Maximum Observed Plasma Concentration for Soticlestat
3230 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation NA
SD could not be calculated since only one participant was analyzed.
3666 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 130.9
1435 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 109.9
1705 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 81.9
986.9 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 58.0

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 144 hours) post-dose

Population: PK Analysis Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (example, exposure to treatment, availability of measurements and absence of major protocol violations) and were included in the statistical analyses. Five of the same participants with normal hepatic function served as matched to moderate and mild HI arms. Here, overall number of participants analyzed signifies participants who were evaluable for this outcome measure.

Outcome measures

Outcome measures
Measure
Severe HI: Soticlestat 300 mg
n=1 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participants with severe HI.
Moderate HI: Soticlestat 300 mg
n=8 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with moderate HI.
Mild HI: Soticlestat 300 mg
n=6 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with mild HI.
Normal Hepatic Function (Matched to Moderate HI): Soticlestat 300 mg
n=10 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to healthy participants with normal hepatic function matched to moderate HI.
Normal Hepatic Function (Matched to Mild HI): Soticlestat 300 mg
n=11 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to healthy participants with normal hepatic function matched to mild HI.
AUCinf: Area Under the Plasma Concentration-time Curve From Time 0 to Time of Infinity for Soticlestat
2980 nanogram*hour per milliliter (ng•hr/mL)
Geometric Coefficient of Variation NA
SD could not be calculated since only one participant was analyzed.
5760 nanogram*hour per milliliter (ng•hr/mL)
Geometric Coefficient of Variation 263.0
1539 nanogram*hour per milliliter (ng•hr/mL)
Geometric Coefficient of Variation 67.1
1925 nanogram*hour per milliliter (ng•hr/mL)
Geometric Coefficient of Variation 53.3
1182 nanogram*hour per milliliter (ng•hr/mL)
Geometric Coefficient of Variation 46.3

PRIMARY outcome

Timeframe: Day 1 pre-dose and at multiple time points (up to 144 hours) post-dose

Population: PK Analysis Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile (example, exposure to treatment, availability of measurements and absence of major protocol violations) and were included in the statistical analyses. Five of the same participants with normal hepatic function served as matched to moderate and mild HI arms.

Outcome measures

Outcome measures
Measure
Severe HI: Soticlestat 300 mg
n=1 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participants with severe HI.
Moderate HI: Soticlestat 300 mg
n=8 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with moderate HI.
Mild HI: Soticlestat 300 mg
n=8 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with mild HI.
Normal Hepatic Function (Matched to Moderate HI): Soticlestat 300 mg
n=12 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to healthy participants with normal hepatic function matched to moderate HI.
Normal Hepatic Function (Matched to Mild HI): Soticlestat 300 mg
n=12 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to healthy participants with normal hepatic function matched to mild HI.
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to Time of the Last Quantifiable Concentration for Soticlestat
2960 ng*hr/mL
Geometric Coefficient of Variation NA
SD could not be calculated since only one participant was analyzed.
5732 ng*hr/mL
Geometric Coefficient of Variation 266.1
1522 ng*hr/mL
Geometric Coefficient of Variation 55.5
1812 ng*hr/mL
Geometric Coefficient of Variation 58.1
1126 ng*hr/mL
Geometric Coefficient of Variation 46.2

SECONDARY outcome

Timeframe: From Day 1 up to 16 days after the last dose of study drug (up to Day 17)

Population: Safety analysis set included all participants who received the dose of soticlestat.

An Adverse Event (AE) was defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A TEAE was defined as an AE that started or worsened at the time of or after dosing of study drug.

Outcome measures

Outcome measures
Measure
Severe HI: Soticlestat 300 mg
n=1 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participants with severe HI.
Moderate HI: Soticlestat 300 mg
n=8 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with moderate HI.
Mild HI: Soticlestat 300 mg
n=8 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with mild HI.
Normal Hepatic Function (Matched to Moderate HI): Soticlestat 300 mg
n=19 Participants
Soticlestat 300 mg, tablets, orally, once on Day 1 to healthy participants with normal hepatic function matched to moderate HI.
Normal Hepatic Function (Matched to Mild HI): Soticlestat 300 mg
Soticlestat 300 mg, tablets, orally, once on Day 1 to healthy participants with normal hepatic function matched to mild HI.
Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)
1 Participants
1 Participants
1 Participants
2 Participants

Adverse Events

Severe HI: Soticlestat 300 mg

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

Moderate HI: Soticlestat 300 mg

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

Mild HI: Soticlestat 300 mg

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

Normal Hepatic Function: Soticlestat 300 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
Severe HI: Soticlestat 300 mg
n=1 participants at risk
Soticlestat 300 mg, tablets, orally, once on Day 1 to participants with severe HI.
Moderate HI: Soticlestat 300 mg
n=8 participants at risk
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with moderate HI.
Mild HI: Soticlestat 300 mg
n=8 participants at risk
Soticlestat 300 mg, tablets, orally, once on Day 1 to participant with mild HI.
Normal Hepatic Function: Soticlestat 300 mg
n=19 participants at risk
Soticlestat 300 mg, tablets, orally, once on Day 1 to healthy participants.
Investigations
Alpha-1 acid glycoprotein increased
0.00%
0/1 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/8 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/8 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.3%
1/19 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/1 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/8 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/8 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.3%
1/19 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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
Cough
100.0%
1/1 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/8 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/8 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/19 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Dizziness
0.00%
0/1 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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.
12.5%
1/8 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/8 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/19 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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
Epistaxis
0.00%
0/1 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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.
12.5%
1/8 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/8 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/19 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Headache
0.00%
0/1 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/8 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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.
12.5%
1/8 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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%
0/19 • TEAEs were adverse events that started from Day 1 up to 16 days after the last dose of study drug (up to Day 17)
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

Study 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