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TAK-831

Phase 2

Friedreich Ataxia | Small molecule | Rare Disease |Neurocrine Biosciences, Inc.|Trials Updated: Feb 28, 2024

TAK-831 development status

Highest phase Phase 2
Registered trials 7 across 1 sponsor since Mar 2016

TAK-831 target and mechanism

Molecular targetD-Amino Acid Oxidase
Target classEnzyme
ModalitySmall molecule

Also known as TAK-831 Suspension, TAK-831 Oral Tablet, Luvadaxistat, NBI-1065844

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment354

FDA Designations

No designations recorded

TAK-831 clinical trials

TAK-831 · 3 trials · 2 indications

Phase 2 3
NCT03359785A Study to Evaluate Multiple Oral Doses of Luvadaxistat in Adults With SchizophreniaSchizophrenia
COMPLETED31 Analytics
NCT03382639A Study to Evaluate 3 Dose Levels of Luvadaxistat of Adults With Negative Symptoms of SchizophreniaSchizophrenia
COMPLETED256 Analytics
NCT03214588Efficacy, Tolerability, and Pharmacokinetics of Multiple Doses of Oral TAK-831 in Adults With Friedreich AtaxiaFriedreich Ataxia
COMPLETED67 Analytics
PHASE2COMPLETED
A Study to Evaluate Multiple Oral Doses of Luvadaxistat in Adults With Schizophrenia
SchizophreniaUnlock trial analytics
PHASE2COMPLETED
A Study to Evaluate 3 Dose Levels of Luvadaxistat of Adults With Negative Symptoms of Schizophrenia
SchizophreniaUnlock trial analytics
PHASE2COMPLETED
Efficacy, Tolerability, and Pharmacokinetics of Multiple Doses of Oral TAK-831 in Adults With Friedreich Ataxia
Friedreich AtaxiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Average Percent of Conditioned Responses During the Eye Blink Conditioning (EBC) Test at Day 8
Baseline, Day 8 of each treatment period

EBC is a method used to investigate cerebellar-dependent learning. In EBC, a conditioned stimulus, a tone precedes but co-terminates with an unconditioned stimulus, an airpuff to the eyelid. Learning is demonstrated when an eyeblink (the conditioned response) occurs prior to the onset of the unconditioned stimulus. The percentage can range from 0% (no conditioned learning has occurred) to 100% (all responses are conditioned). Results are reported as least squares (LS) means at Day 8, determined using an analysis of variance (ANOVA).

Change From Baseline on the PANSS NSFS at Week 12
Baseline and Week 12

PANSS assesses the positive symptoms, negative symptoms and general psychopathology associated with schizophrenia. The scale consists of 30 items. Each item is rated on a scale from 1 (symptom not present) to 7 (symptoms extremely severe). Here, the PANSS NSFS subscale consists of 7 items which assess the negative symptoms with subscale score ranging from 7 to 49, where a higher score indicates greater severity. Baseline was defined as the last observed value before the first dose of study treatment. Results are reported as least squares (LS) mean change from baseline at Week 12, determined using a mixed model for repeated measures (MMRM). A negative change from baseline indicates improvement.

Change From Baseline in the Inverse Time to Complete the 9-Hole Peg Test (9-HPT-1)
Baseline and Week 12

The 9-HPT-1 is a measure of timed upper extremity (arm and hand) function and manual dexterity. The participant picks up pegs 1 at a time (9 in total), using 1 hand only, and places them into holes on the board as quickly as possible, in any order until all holes are filled. Then, without pausing, the participant removes the pegs 1 at a time and returns them as quickly as possible. Each participant performs this task twice with each hand separately. Results on both tests are then averaged for an overall task completion time and the inverse transform is performed. A positive change from Baseline indicates improvement. Change from Baseline in 9-HPT-1 was analyzed using mixed model for repeated measures (MMRM) analysis of covariance (ANCOVA) with Baseline 9-HPT-1 as a covariate; pooled site, visit, treatment, and ambulation status (randomization factor) as fixed factors; and treatment-by-visit and Baseline 9-HPT-1-by-visit interactions.

Secondary Endpoints

Change From Baseline in the Mean Mismatch Negativity (MMN) at Day 8
Baseline, Day 8 of each treatment period
Change From Baseline in the Mean P300 Amplitude at Day 8
Baseline, Day 8 of each treatment period
Change From Baseline in the Mean Auditory Steady State Response (ASSR) at Day 8
Baseline, Day 8 of each treatment period
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Luvadaxistat 500 mg, then PlaceboEXPERIMENTALParticipants first received luvadaxistat 500 mg orally once daily (QD) for 8 days during treatment period 1. After a washout of 14 to 21 days, participants then received matching placebo orally QD for 8 days during treatment period 2.
Placebo, then Luvadaxistat 500 mgEXPERIMENTALParticipants first received matching placebo orally QD for 8 days during treatment period 1. After a washout of 14 to 21 days, participants then received luvadaxistat 500 mg orally QD for 8 days during treatment period 2.
Luvadaxistat 50 mg, then PlaceboEXPERIMENTALParticipants first received luvadaxistat 50 mg orally QD for 8 days during treatment period 1. After a washout of 14 to 21 days, participants then received matching placebo orally QD for 8 days during treatment period 2.
Placebo, then Luvadaxistat 50 mgEXPERIMENTALParticipants first received matching placebo orally QD for 8 days during treatment period 1. After a washout of 14 to 21 days, participants then received luvadaxistat 50 mg orally QD for 8 days during treatment period 2.
Luvadaxistat 50 milligrams (mg)EXPERIMENTALParticipants received luvadaxistat 50 mg orally once daily (QD) for 12 weeks (Days 1 to 84).
Luvadaxistat 125 mgEXPERIMENTALParticipants received luvadaxistat 125 mg orally QD for 12 weeks (Days 1 to 84).
Luvadaxistat 500 mgEXPERIMENTALParticipants received luvadaxistat 500 mg orally QD for 12 weeks (Days 1 to 84).
PlaceboPLACEBO_COMPARATORParticipants received placebo (matching luvadaxistat) orally QD for 12 weeks (Days 1 to 84).
TAK-831 75 mgEXPERIMENTALTAK-831 75 mg, tablets, orally, twice daily for up to 12 weeks.
TAK-831 300 mgEXPERIMENTALTAK-831 300 mg, tablets, orally, twice daily for up to 12 weeks.

Interventions

NameTypeDescription
LuvadaxistatDRUGTAK-831 Tablets.
Matching PlaceboDRUGMatching Placebo Tablets.
PlaceboDRUGLuvadaxistat placebo-matching tablets.
TAK-831DRUGTAK-831 tablets
TAK-831 PlaceboDRUGTAK-831 placebo matching tablets
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Eligibility Criteria

Age Range18 Years to 60 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Have a body mass index (BMI) greater than or equal to (\>=) 18.5 and less than or equal to (\<=) 40.0 (kilogram per square meter \[kg/m\^2\]) at the Screening Visit. * With a current Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnosis of schi...

Countries:United StatesBulgariaCzechiaGermanyItalyPolandSpainUkraine
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Frequently asked questions about TAK-831

What is TAK-831 used for?

TAK-831 is an investigational small molecule being studied for the treatment of Friedreich Ataxia, a rare inherited neurodegenerative disorder. It is being developed by Neurocrine Biosciences, Inc. and has been evaluated in a Phase 2 clinical trial in adults with Friedreich Ataxia. It is not approved for any indication.

What does TAK-831 target?

TAK-831 targets D-Amino Acid Oxidase, an enzyme that regulates levels of D-serine in the brain. By inhibiting this enzyme, TAK-831 is designed to modulate NMDA receptor signaling. This mechanism is being explored as a potential therapeutic approach for Friedreich Ataxia.

Who is developing TAK-831?

TAK-831 is being developed by Neurocrine Biosciences, Inc., which trades on the Nasdaq under the ticker symbol NBIX. The company is responsible for the clinical development of TAK-831 for Friedreich Ataxia.

What phase is TAK-831 in?

TAK-831 is in Phase 2 clinical development for Friedreich Ataxia. A Phase 2 trial has been completed, and the drug remains investigational. It has not been approved by the FDA or any other regulatory agency for any indication.

What clinical trials is TAK-831 in?

TAK-831 has been evaluated in a Phase 2 clinical trial, NCT03214588, titled "Efficacy, Tolerability, and Pharmacokinetics of Multiple Doses of Oral TAK-831 in Adults With Friedreich Ataxia." The trial was completed and enrolled 67 participants in the United States. It was randomized, double-blind, and placebo-controlled.

Is TAK-831 the same as TAK-831 Suspension or TAK-831 Oral Tablet?

Yes, TAK-831 Suspension and TAK-831 Oral Tablet are alternative names for TAK-831, referring to different oral formulations of the same investigational drug. TAK-831 is the base name used in clinical development for Friedreich Ataxia.