Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as TAK-041
NBI-1065846 · 3 trials · 5 indications
The DARS is a dynamic scale that measured desire, motivation, effort and consummatory pleasure across hedonic domains. The DARS is a self-report questionnaire that measured anhedonia across 4 domains: hobbies/past-times, food/drinks, social activities, and sensory experiences. The DARs was rated on a five-point Likert scale from 0 (not at all) to 4 (very much), higher values indicating less anhedonia. All items were summed up to a total score in the range of 0 to 68.
BACS is a reliable and sensitive measure of cognitive function in schizophrenia. The BACS consists of items across six subtests: Verbal Memory, Digit Sequencing, Token Motor, Verbal Fluency, Symbol Coding, and Tower of London. The subtest scale scores were used to compute a composite BACS t-score of 50 (20) is the mean (standard deviation) of a relevant index population. Higher values indicate better performance. Bayesian normal linear model was used for analysis.
Blood-oxygen-level-dependent imaging, or BOLD-contrast imaging, is a method used in functional magnetic resonance imaging (fMRI) to observe different areas of the brain or other organs, which are found to be active at any given time. The MID task is a reward anticipation paradigm that robustly engages the VS, a key area associated with coding incentive reward. Dysfunctional processing of reward information is associated with motivational impairments in schizophrenia. Motivational impairment is a key aspect of negative symptoms, and has been associated with reduced activity in the VS. Any change in BOLD signal that comes in fMRI is reported.
An AE was defined as any untoward medical occurrence in a clinical investigation participant administered a drug or due to a study procedure; it did not necessarily have to have a causal relationship with this treatment. A TEAE was defined as an AE that occurred or worsened after receiving the first dose of study drug and within 6 weeks after the last dose of study drug. A TEAE may also have been a pre-treatment AE or a concurrent medical condition diagnosed before the date of first dose of study drug that increased in severity after the start of dosing.
An AE was defined as any untoward medical occurrence in a clinical investigation participant administered a drug or due to a study procedure; it did not necessarily have to have a causal relationship with this treatment.
Clinical laboratory tests included serum chemistry, hematology and urinalysis. MAV criteria:Alanine aminotransferase(U/L) \>3 x upper limit of normal(ULN);albumin\<2.5g/dL,\<25g/L;alkaline phosphatase (U/L)\>3 x ULN; aspartate aminotransferase (U/L)\>3 x ULN;bicarbonate\<8.0 mmol/L; bilirubin\>2.0mg/dL, \>34.2 μmol/L;blood urea nitrogen\>30 mg/dL,\>10.7mmol/L;calcium\<7.0 mg/dL,\<1.75 mmol/L, \>11.5 mg/dL,\>2.88 mmol/L;chloride\<75 mmol/L,\>126 mmol/L;creatine kinase(U/L) \>5 xULN; creatinine\>2.0 mg/dL,\>177μmol/L;direct bilirubin\>2 x ULN;gamma glutamyl transferase (U/L)\>3 x ULN;glucose\<50 mg/dL,\<2.8 mmol/L,\>350 mg/dL,\>19.4 mmol/L;potassium\<3.0 mmol/L \>6.0 mmol/L; protein(g/L)\<0.8 x LLN \>1.2 x ULN;sodium\<130mmol/L \>150mmol/L;erythrocytes(10\^12erythrocytes/L) \<0.8 x LLN,\>1.2 x ULN;hematocrit(fraction of 1)\<0.8 x LLN,\>1.2xULN;hemoglobin(g/L)\<0.8 x LLN\>1.2 x ULN;leukocytes(10\^9 leukocytes/L)\<0.5 x LLN \>1.5 x ULN;platelets(10\^9 platelets/L)\<75-\>600. Categories with at least one participant are reported.
Vital signs included oral body temperature measurement, supine and standing blood pressure, respiration rate, and pulse. Pulse and blood pressure was measured after 5 minutes supine and again at 1 and 3 minutes after standing. The markedly abnormal value (MAV) criteria for vital signs included systolic blood pressure \< 85 mmHg, \> 180 mmHg; diastolic blood pressure \< 50 mmHg, \> 110 mmHg; pulse \< 50 beats/min, \> 120 beats/min; temperature \< 35.6 C \> 37.7 C. Categories with data in at least one arm group are reported.
The markedly abnormal value (MAV) criteria for 12-lead ECG parameters included ECG Mean Heart Rate \< 50 beats/min, \> 120 beats/min; PR Interval, Aggregate \<= 80 msec, \>= 200 msec; QRS Duration, Aggregate \<= 80 msec, \>= 180 msec; QTcB Interval, Aggregate \<= 300 msec, \>= 500 msec OR (\>= 30 msec change from baseline and \>= 450 msec); QTcF Interval, Aggregate \<= 300 msec, \>= 500 msec OR (\>= 30 msec change from baseline and \>= 450 msec). Categories with data in at least one arm group are reported.
The markedly abnormal value (MAV) criteria for continuous 12-lead Holter ECG parameters included ECG Mean Heart Rate \< 50 beats/min, \> 120 beats/min; PR Interval, Aggregate \<= 80 msec, \>= 200 msec; QRS Duration, Aggregate \<= 80 msec, \>= 180 msec; QTcB Interval, Aggregate \<= 300 msec, \>= 500 msec OR (\>= 30 msec change from baseline and \>= 450 msec); QTcF Interval, Aggregate \<= 300 msec, \>= 500 msec OR (\>= 30 msec change from baseline and \>= 450 msec). Categories with data in at least one arm group are reported.
| Arm | Type | Description |
|---|---|---|
| Placebo | PLACEBO_COMPARATOR | Participant follows Placebo schedule (57 days) |
| Antidepressant | EXPERIMENTAL | Participant follows NBI-1065846 schedule (57 days) |
| Treatment Sequence 1: TAK-041 40 mg/Placebo + Antipsychotics | EXPERIMENTAL | TAK-041 40 milligram (mg), suspension, orally on Day 1 of Treatment Period 1, followed by 35 day Wash-out Period, followed by TAK-041 placebo-matching, suspension, orally on Day 1 of Treatment Period 2. All participants received a stable dose of antipsychotics as per standard of care throughout the duration of the Treatment Period. |
| Treatment Sequence 2: Placebo/TAK-041 40 mg + Antipsychotics | EXPERIMENTAL | TAK-041 placebo-matching, suspension, orally on Day 1 of Treatment Period 1, followed by 35 days Wash-out Period, followed by TAK-041 40 mg, suspension, orally on Day 1 of Treatment Period 2. All participants received a stable dose of antipsychotics as per standard of care throughout the duration of the Treatment Period. |
| Treatment Sequence 3: TAK-041 160 mg/Placebo + Antipsychotics | EXPERIMENTAL | TAK-041 160 mg, suspension, orally on Day 1 of Treatment Period 1, followed by 35 days Wash-out Period, followed by TAK-041 placebo-matching, suspension, orally on Day 1 of Treatment Period 2. All participants received stable dose of antipsychotics as per standard of care throughout the duration of the Treatment Period. |
| Treatment Sequence 4: Placebo/TAK-041 160 mg + Antipsychotics | EXPERIMENTAL | TAK-041 placebo-matching, suspension, orally on Day 1 of Treatment Period 1, followed by 35 days Wash-out Period, followed by TAK-041 160 mg, suspension, orally on Day 1 of Treatment Period 2. All participants received stable dose of antipsychotics as per standard of care throughout the duration of the Treatment Period. |
| Part 1 (SRD): Placebo Cohorts 1-5 | PLACEBO_COMPARATOR | TAK-041 placebo-matching suspension, orally, once on Day 1 in fasted healthy participants in the SRD period. |
| Part 1 (SRD): Cohort 1: TAK-041 5/20 mg | EXPERIMENTAL | TAK-041 5 mg, suspension, orally, once on Day 1 in fasted healthy participants in the SRD period. Participants also received 20 mg, suspension, orally, once on Day 8 in the SRD period. |
| Part 1 (SRD): Cohort 2: TAK-041 10/40 mg | EXPERIMENTAL | TAK-041 10 mg, suspension, orally, once on Day 1 in fasted healthy participants in the SRD period. Participants also received 40 mg, suspension, orally, once on Day 8 in the SRD period. |
| Part 1 (SRD): Cohort 3: TAK-041 80 mg | EXPERIMENTAL | TAK-041 80 mg, suspension, orally, once on Day 1 in fasted healthy participants in the SRD period. |
| Part 1 (SRD): Cohort 4: TAK-041 120 mg | EXPERIMENTAL | TAK-041 120 mg, suspension, orally, once on Day 1 in fasted healthy participants in the SRD period. |
| Part 1 (SRD): Cohort 5: TAK-041 160 mg | EXPERIMENTAL | TAK-041 160 mg, suspension, orally, once on Day 1 in fasted healthy participants in the SRD period. |
| Part 2 (MRD): Placebo Cohorts 1-4 | PLACEBO_COMPARATOR | TAK-041 placebo-matching suspension, orally, once on Day 1 in fasted healthy participants in the multiple-rising dose (MRD) period. |
| Part 2 (MRD): Cohort 1: TAK-041 40/20 mg | EXPERIMENTAL | TAK-041 40 mg as loading dose, suspension, orally, once on Day 1 in fasted healthy participants followed by 20 mg (half the initial dose) as a maintenance dose on Days 8, 15 and 22 in the MRD period. |
| Part 2 (MRD): Cohort 2: TAK-041 80/40 mg | EXPERIMENTAL | TAK-041 80 mg as loading dose, suspension, orally, once on Day 1 in fasted healthy participants followed by 40 mg (half the initial dose) as a maintenance dose on Days 8, 15 and 22 in the MRD period. |
| Part 2 (MRD): Cohort 3: TAK-041 120/60 mg | EXPERIMENTAL | TAK-041 120 mg as loading dose, suspension, orally, once on Day 1 in fasted healthy participants followed by 60 mg (half the initial dose) as a maintenance dose on Days 8, 15 and 22 in the MRD period. |
| Part 2 (MRD): Cohort 4: TAK-041 160/80 mg | EXPERIMENTAL | TAK-041 160 mg as loading dose, suspension, orally, once on Day 1 in fasted healthy participants followed by 80 mg (half the initial dose) as a maintenance dose on Days 8, 15 and 22 in the MRD period. |
| Part 3: Relative Bioavailability (RBA)/Food Effect: Regimen A | EXPERIMENTAL | TAK-041 40 mg, tablet, orally, once on Day 1 in fasted state (Regimen A) in Cohort 1. |
| Part 3: RBA/Food Effect: Regimen B | EXPERIMENTAL | TAK-041 40 mg, tablet, orally, once on Day 1 in fed state (Regimen B) in Cohort 2. |
| Part 4: MRD: Placebo | PLACEBO_COMPARATOR | TAK-041 placebo-matching, suspension, orally, on Days 1, 8, 15 and 22 in participants with schizophrenia |
| Part 4: MRD: TAK-041 160/80 mg | EXPERIMENTAL | TAK-041 160 mg as loading dose, suspension, orally, once on Day 1 followed by 80 mg (half the initial dose) as a maintenance dose on Days 8, 15 and 22 in participants with schizophrenia. |
| Name | Type | Description |
|---|---|---|
| Placebo | DRUG | Tablets for oral administration |
| NBI-1065846 | DRUG | Tablets for oral administration |
| TAK-041 | DRUG | TAK-041 suspension |
| Second Generation Antipsychotics (SGA) | DRUG | Second generation antipsychotics included risperidone, paliperidone, iloperidone, quetiapine, olanzapine, ziprasidone, asenapine and lurasidone. |
| TAK-041 Placebo | DRUG | TAK-041 placebo-matching suspension or tablet. |
Key Inclusion Criteria: Participants must meet all of the following key inclusion criteria: 1. Completed written informed consent. 2. Aged 18 to 65 years, inclusive, at the time of informed consent. 3. Primary diagnosis of MDD. 4. Participants must meet one of the following criteria: * must ha...
NBI-1065846 is an investigational small molecule being developed for the treatment of anhedonia, a core symptom of major depressive disorder (MDD). It is being studied in patients with anhedonia and MDD. The drug is administered orally once weekly and is currently in Phase 2 clinical development.
NBI-1065846 is being developed by Neurocrine Biosciences, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol NBIX. The company is conducting clinical trials to evaluate the efficacy and safety of this investigational drug for anhedonia in major depressive disorder.
NBI-1065846 is in Phase 2 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities and is still being studied in clinical trials. A Phase 2 study evaluating its efficacy and safety in anhedonia associated with major depressive disorder has been completed.
NBI-1065846 has been studied in one completed Phase 2 clinical trial, identified as NCT05165394. This randomized, double-blind, placebo-controlled study evaluated the efficacy and safety of once-weekly oral NBI-1065846 in the treatment of anhedonia in major depressive disorder. The trial enrolled 93 participants in the United States and Puerto Rico.
NBI-1065846 is the primary name for this investigational drug. No alternative names have been reported for this compound. It is a small molecule being developed by Neurocrine Biosciences for the treatment of anhedonia in major depressive disorder.