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TAK-272

Phase 2

Type 2 Diabetes Mellitus and Microalbuminuria | Small molecule | Metabolic |Takeda Pharmaceutical Company Limited|Trials Updated: Aug 13, 2018

TAK-272 development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since Jan 2015

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment463

FDA Designations

No designations recorded

TAK-272 clinical trials

TAK-272 · 2 trials · 3 indications

Phase 2 1Phase 1 1
NCT02332824A Phase 2 Dose-finding Study of TAK-272 in Participants With Type 2 Diabetes Mellitus and MicroalbuminuriaType 2 Diabetes Mellitus and Microalbuminuria
COMPLETED415 Analytics
PHASE2COMPLETED
A Phase 2 Dose-finding Study of TAK-272 in Participants With Type 2 Diabetes Mellitus and Microalbuminuria
Type 2 Diabetes Mellitus and MicroalbuminuriaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From End of Pre-treatment Period (Week 0) in Log-transformed Urine Albumin/Creatinine Ratio (UACR) at the End of Treatment Period (Week 12)
Week 0 and Week 12

The first morning void urine (the first urine immediately after rising prior to activities in standing position in the morning) samples on the day of each visit, and 1 day and 2 days before the day of each visit (3 consecutive days) were collected to calculate UACR.

AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Free Form of TAK-272 (TAK-272F) and Its Metabolite M-I
Day 1: Pre-dose and at multiple time points (0.5, 1, 1.5, 2, 3, 4, 5, 8, 10, 12, 14, 24, 36, 48, 72, 96, 120 hours post dose; up to 120 hours) post-dose
Cmax: Maximum Observed Plasma Concentration for TAK-272F and Its Metabolite M-I
Day 1: Pre-dose and at multiple time points (0.5, 1, 1.5, 2, 3, 4, 5, 8, 10, 12, 14, 24, 36, 48, 72, 96, 120 hours post dose; up to 120 hours) post-dose
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-272F and Its Metabolite M-I
Day 1: Pre-dose and at multiple time points (0.5, 1, 1.5, 2, 3, 4, 5, 8, 10, 12, 14, 24, 36, 48, 72, 96, 120 hours post dose; up to 120 hours) post-dose
AUClast,u: Area Under the Unbound Plasma Concentration-time Curve From Time 0 to Time of Last Quantifiable Concentration for TAK-272F
Day 1: Pre-dose and at multiple time points (0.5, 1, 1.5, 2, 3, 4, 5, 8, 10, 12, 14, 24, 36, 48, 72, 96, 120 hours post dose; up to 120 hours) post-dose

AUClast,u is the area under the concentration-time curve of the unbound drug in plasma over the time interval from 0 to time of last quantifiable post-dose of TAK-272.

Cmax,u: Maximum Unbound Plasma Concentration for TAK-272F
Day 1: Pre-dose and at multiple time points (0.5, 1, 1.5, 2, 3, 4, 5, 8, 10, 12, 14, 24, 36, 48, 72, 96, 120 hours post dose; up to 120 hours) post-dose

Cmax,u is the peak unbound plasma concentration of a drug after administration, obtained directly from the unbound plasma concentration-time curve.

AUC∞,u: Area Under the Unbound Plasma Concentration-time Curve From Time 0 to Infinity for TAK-272F
Day 1: Pre-dose and at multiple time points (0.5, 1, 1.5, 2, 3, 4, 5, 8, 10, 12, 14, 24, 36, 48, 72, 96, 120 hours post dose; up to 120 hours) post-dose

AUC∞,u is the area under the concentration-time curve of the unbound drug in plasma over the time interval from 0 to infinity of TAK-272.

Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-272F and Its Metabolite M-I
Day 1: Pre-dose and at multiple time points (0.5, 1, 1.5, 2, 3, 4, 5, 8, 10, 12, 14, 24, 36, 48, 72, 96, 120 hours post dose; up to 120 hours) post-dose
Apparent Clearance (CL/F) for TAK-272F
Day 1: Pre-dose and at multiple time points (0.5, 1, 1.5, 2, 3, 4, 5, 8, 10, 12, 14, 24, 36, 48, 72, 96, 120 hours post dose; up to 120 hours) post-dose
CLu/F: Apparent Clearance for Unbound Drug After Extravascular Administration for TAK-272F
Day 1: Pre-dose and at multiple time points (0.5, 1, 1.5, 2, 3, 4, 5, 8, 10, 12, 14, 24, 36, 48, 72, 96, 120 hours post dose; up to 120 hours) post-dose

CLu/F is the apparent clearance for unbound drug after extravascular administration of TAK-272.

Cumulative Urinary Excretion Ratio of TAK-272F and Its Metabolite M-I From 0 to 72 Hours Post-dose in Cohorts 1R, 2R, 3R, 4R, 1H, 2H and 3H
Day 1: Pre-dose and at multiple time points (4, 8, 12, 24, 36, 48, 72 hours post dose; up to 72 hours) post-dose

Urinary excretion ratio (percentage \[%\] of dose) of TAK-272 and its metabolite M-I in urine was calculated for each participant.

Plasma Protein Binding Rate of TAK-272F in Cohorts 1R, 2R, 3R, 4R, 5R, 1H, 2H and 3H
Baseline

Plasma protein binding rate was the percentage of unbound fraction of TAK-272F in plasma protein.

Excretion Ratio of TAK-272F in Dialysate in Cohort 5R
Day 1: Pre-dose, up to 6 hours post-dose

Excretion ratio (% of dose) of TAK-272F in dialysis fluid was calculated for each participant.

Secondary Endpoints

Urine Albumin/Creatinine Ratio (UACR) at Each Assessment Point
Weeks 2, 4, 8, 12, follow-up (Week 14) and End of Treatment
Remission Rate From Early-Stage Nephropathy (Stage 2) to Pre-Nephropathy Stage (Stage 1) at the End of Treatment (Week 12)
Week 12
Progression Rate From Early-Stage Nephropathy (Stage 2) to Overt Nephropathy (Stage 3) During the Treatment Period (Week 12)
Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORTAK-272 placebo 4 tablets and Candesartan cilexetil placebo one tablet orally, once daily for up to 12 weeks. Participants were administered TAK-272 placebo 4 tablets and Candesartan cilexetil placebo one tablet for 4 weeks (Week -4 to 0) in placebo run-in period and follow-up period (Week 12-14).
TAK-272 5 mgEXPERIMENTALTAK-272 5 mg one tablet, TAK-272 placebo 3 tablets and Candesartan cilexetil placebo one tablet, orally, once daily for up to 12 weeks. Participants were administered TAK-272 placebo 4 tablets and Candesartan cilexetil placebo one tablet for 4 weeks (Week -4 to 0) in placebo run-in period and follow-up period (Week 12-14).
TAK-272 20 mgEXPERIMENTALTAK-272 20 mg one tablet, TAK-272 placebo 3 tablets and Candesartan cilexetil placebo one tablet, orally, once daily for up to 12 weeks. Participants were administered TAK-272 placebo 4 tablets and Candesartan cilexetil placebo one tablet for 4 weeks (Week -4 to 0) in placebo run-in period and follow-up period (Week 12-14).
TAK-272 40 mgEXPERIMENTALTAK-272 20 mg 2 tablets, TAK-272 placebo 2 tablets, and Candesartan cilexetil placebo one tablet, orally, once daily for up to 12 weeks. Participants were administered TAK-272 placebo 4 tablets and Candesartan cilexetil placebo one tablet for 4 weeks (Week -4 to 0) in placebo run-in period and follow-up period (Week 12-14).
TAK-272 80 mgEXPERIMENTALTAK-272 20 mg 4 tablets and Candesartan cilexetil placebo one tablet, orally, once daily for up to 12 weeks. Participants were administered TAK-272 placebo 4 tablets and Candesartan cilexetil placebo one tablet for 4 weeks (Week -4 to 0) in placebo run-in period and follow-up period (Week 12-14).
Candesartan cilexetil 8 mgACTIVE_COMPARATORTAK-272 placebo 4 tablets and Candesartan cilexetil 8 mg one tablet, orally, once daily for up to 12 weeks. Participants were administered TAK-272 placebo 4 tablets and Candesartan cilexetil placebo one tablet for 4 weeks (Week -4 to 0) in placebo run-in period and follow-up period (Week 12-14).
Participants with normal renal function: TAK-272 40 mgACTIVE_COMPARATORFasted single oral administration of TAK-272 40 milligram (mg)
Participants with mild renal impairment: TAK-272 40 mgEXPERIMENTALFasted single oral administration of TAK-272 40 mg
Participants with moderate renal impairment: TAK-272 40 mgEXPERIMENTALFasted single oral administration of TAK-272 40 mg
Participants with severe renal impairment: TAK-272 40 mgEXPERIMENTALFasted single oral administration of TAK-272 40 mg
Hemodialysis participants: TAK-272 40 mgEXPERIMENTALFasted single oral administration of TAK-272 40 mg
Participants with normal hepatic function: TAK-272 40 mgACTIVE_COMPARATORFasted single oral administration of TAK-272 40 mg
Participants with mild hepatic impairment: TAK-272 40 mgEXPERIMENTALFasted single oral administration of TAK-272 40 mg
Participants with moderate hepatic impairment: TAK-272 40 mgEXPERIMENTALFasted single oral administration of TAK-272 40 mg

Interventions

NameTypeDescription
TAK-272DRUGTAK-272 tablets
TAK-272 PlaceboDRUGTAK-272 placebo-matching tablets
Candesartan cilexetilDRUGCandesartan cilexetil tablets
Candesartan cilexetil PlaceboDRUGCandesartan cilexetil placebo-matching tablets
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Eligibility Criteria

Age Range20 Years to 74 Years
SexALL
Healthy VolunteersNo
Study Sites68

Inclusion Criteria: * In the opinion of the investigator or the sub-investigator, the participant is capable of understanding and complying with protocol requirements. * The participant signs and dates a written, informed consent form prior to the initiation of any study procedures. * The participa...

Countries:Japan
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Frequently asked questions about TAK-272

What is TAK-272?

TAK-272 is an investigational small molecule developed by Takeda Pharmaceutical Company Limited. It has been studied in clinical trials for renal impairment, type 2 diabetes mellitus, and microalbuminuria. TAK-272 remains in clinical development and is not approved for any indication.

What is TAK-272 used for in type 2 diabetes mellitus and microalbuminuria?

TAK-272 has been evaluated in a Phase 2 dose-finding study for participants with type 2 diabetes mellitus and microalbuminuria. The trial, NCT02332824, enrolled 415 participants in Japan and has been completed. TAK-272 is investigational and has not been approved for treating these conditions.

Who makes TAK-272?

TAK-272 is developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. Takeda sponsored the clinical studies of TAK-272, including a Phase 1 pharmacokinetics trial and a Phase 2 dose-finding trial conducted in Japan.

What phase is TAK-272 in?

TAK-272 is in Phase 1 development. A Phase 2 dose-finding study in type 2 diabetes mellitus and microalbuminuria has also been completed, but the asset is not FDA approved and remains investigational. No active trials of TAK-272 are currently listed.

What clinical trials is TAK-272 in?

TAK-272 has been studied in two completed trials. NCT02367872 was a Phase 1 open-label pharmacokinetics study in participants with renal or hepatic impairment, enrolling 48 people in Japan. NCT02332824 was a Phase 2 dose-finding study in type 2 diabetes mellitus and microalbuminuria, enrolling 415 participants in Japan.