Trial Outcomes & Findings for A Study to Determine the Effect Food Has on TAK-721 (Budesonide Oral Suspension) in the Body of Healthy Adults (NCT NCT06268301)

NCT ID: NCT06268301

Last Updated: 2024-12-02

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

20 participants

Primary outcome timeframe

Periods 1 and 2: Pre-dose and at multiple timepoints (up to 24 hours) post-dose on Day 1

Results posted on

2024-12-02

Participant Flow

Participants took part in the study at 1 investigative site in the United States from 6 February 2023 to 20 February 2023.

Healthy participants were enrolled to receive budesonide oral suspension (BOS) in either of the 2 treatment sequences Fasted-Fed or Fed-Fasted.

Participant milestones

Participant milestones
Measure
Sequence 1: BOS 2 mg Fasted, Then Fed
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 under fasted condition (Treatment A). After a washout of at least 2 days participants then received 2 mg BOS single dose, orally on Day 1 of Period 2 under fed condition (Treatment B).
Sequence 2: BOS 2 mg Fed, Then Fasted
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 under fed condition (Treatment B). After a washout of at least 2 days participants received 2 mg BOS single dose, orally on Day 1 of Period 2 under fasted condition (Treatment A).
Period 1
STARTED
10
10
Period 1
COMPLETED
10
10
Period 1
NOT COMPLETED
0
0
Period 2
STARTED
10
10
Period 2
COMPLETED
10
10
Period 2
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Determine the Effect Food Has on TAK-721 (Budesonide Oral Suspension) in the Body of Healthy Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sequence 1: BOS 2 mg Fasted, Then Fed
n=10 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 under fasted condition (Treatment A). After a washout of at least 2 days participants then received 2 mg BOS single dose, orally on Day 1 of Period 2 under fed condition (Treatment B).
Sequence 2: BOS 2 mg Fed, Then Fasted
n=10 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 under fed condition (Treatment B). After a washout of at least 2 days participants received 2 mg BOS single dose, orally on Day 1 of Period 2 under fasted condition (Treatment A).
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
38.6 years
STANDARD_DEVIATION 9.50 • n=5 Participants
32.7 years
STANDARD_DEVIATION 9.97 • n=7 Participants
35.7 years
STANDARD_DEVIATION 9.95 • n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
5 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 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
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 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
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Body Mass Index (BMI)
27.52 kilograms per metre square (kg/m^2)
STANDARD_DEVIATION 2.910 • n=5 Participants
27.59 kilograms per metre square (kg/m^2)
STANDARD_DEVIATION 2.706 • n=7 Participants
27.56 kilograms per metre square (kg/m^2)
STANDARD_DEVIATION 2.735 • n=5 Participants
Height
165.4 centimetres (cm)
STANDARD_DEVIATION 10.71 • n=5 Participants
169.0 centimetres (cm)
STANDARD_DEVIATION 11.52 • n=7 Participants
167.2 centimetres (cm)
STANDARD_DEVIATION 10.98 • n=5 Participants
Weight
75.99 kilograms (kg)
STANDARD_DEVIATION 15.39 • n=5 Participants
79.51 kilograms (kg)
STANDARD_DEVIATION 14.53 • n=7 Participants
77.75 kilograms (kg)
STANDARD_DEVIATION 14.68 • n=5 Participants

PRIMARY outcome

Timeframe: Periods 1 and 2: Pre-dose and at multiple timepoints (up to 24 hours) post-dose on Day 1

Population: Pharmacokinetic (PK) Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Maximum Observed Concentration (Cmax) of BOS
692.9 picograms per milliliter (pg/mL)
Geometric Coefficient of Variation 54.4
604.1 picograms per milliliter (pg/mL)
Geometric Coefficient of Variation 46.6

PRIMARY outcome

Timeframe: Periods 1 and 2: Pre-dose and at multiple timepoints (up to 24 hours) post-dose on Day 1

Population: PK Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Area Under the Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of BOS
2811 picograms*hours per milliliter (pg*h/mL)
Geometric Coefficient of Variation 57.5
3529 picograms*hours per milliliter (pg*h/mL)
Geometric Coefficient of Variation 52.1

PRIMARY outcome

Timeframe: Periods 1 and 2: Pre-dose and at multiple timepoints (up to 24 hours) post-dose on Day 1

Population: PK Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Area Under the Concentration-time Curve From Time 0 to Infinity (AUC∞) of BOS
3075 pg*h/mL
Geometric Coefficient of Variation 57.0
3892 pg*h/mL
Geometric Coefficient of Variation 47.1

SECONDARY outcome

Timeframe: From first dose of study drug up to the end of study (EOS) (Up to 15 days)

Population: Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.

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 (eg, 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 adverse event with an onset that occurs after receiving study drug. An SAE was defined as any untoward medical occurrence that at any dose results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, is an important medical event that may require an intervention to prevent above items and expose the participant to danger.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Number of Participants Who Experience at Least One Treatment Emergent Adverse Event (TEAE), Serious Adverse Events (SAE), and Death
TEAEs
2 Participants
5 Participants
Number of Participants Who Experience at Least One Treatment Emergent Adverse Event (TEAE), Serious Adverse Events (SAE), and Death
SAEs
0 Participants
0 Participants
Number of Participants Who Experience at Least One Treatment Emergent Adverse Event (TEAE), Serious Adverse Events (SAE), and Death
Deaths
0 Participants
0 Participants

SECONDARY outcome

Timeframe: From first dose of study drug up to EOS (Up to 15 days)

Population: Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.

Vital signs included body temperature, respiratory rate, blood pressure, and pulse rate evaluations.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Number of Participants With Clinically Significant Abnormal Vital Sign Values Reported as Adverse Events
0 Participants
0 Participants

SECONDARY outcome

Timeframe: From first dose of study drug up to EOS (Up to 15 days)

Population: Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.

Clinical laboratory parameters included hematology, clinical chemistry, serum immunoglobulin and urinalysis tests.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Number of Participants With Clinically Significant Abnormal Clinical Laboratory Values Reported as Adverse Events
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Periods 1 and 2: Pre-dose and at multiple timepoints (up to 12 hours) post-dose on Day 1

Population: PK Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Area Under the Concentration-time Curve From Time 0 to 12 Hours (AUC0-12) of BOS
2728 pg*h/mL
Geometric Coefficient of Variation 53.0
3208 pg*h/mL
Geometric Coefficient of Variation 42.2

SECONDARY outcome

Timeframe: Periods 1 and 2: Pre-dose and at multiple timepoints (up to 24 hours) post-dose on Day 1

Population: PK Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Area Under the Curve From the Last Quantifiable Concentration to Infinity Expressed as a Percentage of AUC∞ (AUCextrap%) of BOS
7.275 percentage of AUC
Geometric Coefficient of Variation 61.7
7.126 percentage of AUC
Geometric Coefficient of Variation 75.6

SECONDARY outcome

Timeframe: Periods 1 and 2: Pre-dose and at multiple timepoints (up to 24 hours) post-dose on Day 1

Population: PK Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Time to First Occurrence of Cmax (Tmax) of BOS
1.286 hours (h)
Interval 0.55 to 2.57
2.516 hours (h)
Interval 1.01 to 6.03

SECONDARY outcome

Timeframe: Periods 1 and 2: Pre-dose and at multiple timepoints (up to 24 hours) post-dose on Day 1

Population: PK Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Lag Time to First Quantifiable Concentration (Tlag) of BOS
0.328 hours
Interval 0.26 to 0.56
0.308 hours
Interval 0.25 to 0.53

SECONDARY outcome

Timeframe: Periods 1 and 2: Pre-dose and at multiple timepoints (up to 24 hours) post-dose on Day 1

Population: PK Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Terminal Disposition Phase Half-life (t1/2z) of BOS
4.270 hours
Interval 2.13 to 6.98
5.096 hours
Interval 2.78 to 7.35

SECONDARY outcome

Timeframe: Periods 1 and 2: Pre-dose and at multiple timepoints (up to 24 hours) post-dose on Day 1

Population: PK Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Terminal Disposition Phase Rate Constant (λz) of BOS
0.1627 1/hour
Interval 0.0994 to 0.325
0.1362 1/hour
Interval 0.0943 to 0.249

SECONDARY outcome

Timeframe: Periods 1 and 2: Pre-dose and at multiple timepoints (up to 24 hours) post-dose on Day 1

Population: PK Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Apparent Clearance (CL/F) of BOS Calculated Using the Observed Value of the Last Quantifiable Concentration of BOS
650.4 liters per hour (L/h)
Geometric Coefficient of Variation 57.0
513.9 liters per hour (L/h)
Geometric Coefficient of Variation 47.1

SECONDARY outcome

Timeframe: Periods 1 and 2: Pre-dose and at multiple timepoints (up to 24 hours) post-dose on Day 1

Population: PK Set included all participants who complied sufficiently with the protocol and displayed an evaluable PK profile.

Outcome measures

Outcome measures
Measure
Treatment A: BOS 2 mg Fasted
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 Participants
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Apparent Volume of Distribution During the Terminal Disposition Phase (Vz/F) of BOS Calculated Using the Observed Value of the Last Quantifiable Concentration of BOS
3967 liters (L)
Geometric Coefficient of Variation 45.0
3513 liters (L)
Geometric Coefficient of Variation 32.9

Adverse Events

Treatment A: BOS 2 mg Fasted

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

Treatment B: BOS 2 mg Fed

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment A: BOS 2 mg Fasted
n=20 participants at risk
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fasted condition.
Treatment B: BOS 2 mg Fed
n=20 participants at risk
Participants received 2 mg BOS, single dose, orally on Day 1 of Period 1 or Period 2 under fed condition.
Nervous system disorders
Headache
10.0%
2/20 • From first dose of study drug up to the EOS (15 days)
Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.
5.0%
1/20 • From first dose of study drug up to the EOS (15 days)
Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.
General disorders
Vessel puncture site bruise
0.00%
0/20 • From first dose of study drug up to the EOS (15 days)
Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.
5.0%
1/20 • From first dose of study drug up to the EOS (15 days)
Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.
General disorders
Vessel puncture site swelling
0.00%
0/20 • From first dose of study drug up to the EOS (15 days)
Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.
5.0%
1/20 • From first dose of study drug up to the EOS (15 days)
Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
5.0%
1/20 • From first dose of study drug up to the EOS (15 days)
Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.
0.00%
0/20 • From first dose of study drug up to the EOS (15 days)
Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.
Gastrointestinal disorders
Diarrhoea
0.00%
0/20 • From first dose of study drug up to the EOS (15 days)
Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.
5.0%
1/20 • From first dose of study drug up to the EOS (15 days)
Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.
General disorders
Vessel puncture site pain
0.00%
0/20 • From first dose of study drug up to the EOS (15 days)
Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.
10.0%
2/20 • From first dose of study drug up to the EOS (15 days)
Safety Set included all participants who received any study drug. Data is presented per fed or fasted condition.

Additional Information

Study 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