Recent Updates
Recently added Catalysts

TAK-536

Phase 4FDA approved 1999

Hypertension | Small molecule | Cardiovascular |Takeda Pharmaceutical Company Limited|Trials Updated: Dec 9, 2024

TAK-536 development status

FDA approval Jul 15, 1999 as Actos
Approval holderTakeda Pharms Usa
ApplicationNDA021073
Highest phase Phase 4 (NCT02763007)
Phase scored for TAKPhase 3
Registered trials 119 across 40 sponsors since Jul 2004

Label indication Monotherapy and Combination Therapy ACTOS is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus in multiple clinical settings [see Clinical Studies (14) ] . Important Limitations of Use ACTOS exerts its antihyperglycemic effect only in the presence of endogenous insulin. FDA label

TAK-536 target and mechanism

ModalitySmall molecule

Also known as TAK-536 Tablet, ACTOS®, AD4833, Pioglitazone-Azilsartan, Pioglitazone, Azilsartan, AZILVA ®

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

UNCONTROLLED
Total Trials25
Total Enrollment14,507

FDA Designations

No designations recorded

TAK-536 clinical trials

TAK-536 · 25 trials · 20 indications

Phase 3 14Phase 2 11
NCT00091949Insulin Resistance Intervention After Stroke TrialStroke
COMPLETED3,876 Analytics
NCT04668157A Study of TAK-536 in Children From 2 to Less Than 6 Years Old With High Blood PressureHypertension
COMPLETED10 Analytics
NCT02791438A Phase 3 Long-term Study of TAK-536 in Pediatric Patients 6 to Less Than 16 Years With HypertensionPediatric Hypertension
COMPLETED27 Analytics
NCT02451150A Phase 3 Pharmacokinetic Study of TAK-536 (Azilsartan) in Pediatric Patients 6 to Less Than 16 Years With HypertensionPediatric Hypertension
COMPLETED6 Analytics
NCT01156597Effects of Pioglitazone on High-density Lipoprotein (HDL) Function in Persons With DiabetesType 2 Diabetes Mellitus
COMPLETED30 Analytics
NCT00727857Efficacy and Safety of Pioglitazone and Metformin Combination Therapy in Treating Type 2 Diabetes Mellitus.Diabetes Mellitus
COMPLETED600 Analytics
NCT00770653Efficacy of Pioglitazone/Metformin Combination Therapy in Subjects With Type 2 Diabetes Mellitus and Dyslipidemia.Diabetes Mellitus
COMPLETED305 Analytics
NCT00772174Efficacy and Safety Study of Pioglitazone Combined With Metformin on Metabolic Syndrome in Subjects With Type 2 DiabetesDiabetes Mellitus
COMPLETED418 Analytics
NCT00770952Efficacy of Pioglitazone and Glimepiride Combination Therapy in Treating Subjects With Type 2 Diabetes Mellitus.Diabetes Mellitus
COMPLETED91 Analytics
NCT00225264Efficacy Study of Pioglitazone and Glimepiride on the Rate of Progression of Atherosclerotic Disease.Diabetes Mellitus
COMPLETED458 Analytics
PHASE3COMPLETED
Insulin Resistance Intervention After Stroke Trial
StrokeUnlock trial analytics
PHASE3COMPLETED
A Study of TAK-536 in Children From 2 to Less Than 6 Years Old With High Blood Pressure
HypertensionUnlock trial analytics
PHASE3COMPLETED
A Phase 3 Long-term Study of TAK-536 in Pediatric Patients 6 to Less Than 16 Years With Hypertension
Pediatric HypertensionUnlock trial analytics
PHASE3COMPLETED
A Phase 3 Pharmacokinetic Study of TAK-536 (Azilsartan) in Pediatric Patients 6 to Less Than 16 Years With Hypertension
Pediatric HypertensionUnlock trial analytics
PHASE3COMPLETED
Effects of Pioglitazone on High-density Lipoprotein (HDL) Function in Persons With Diabetes
Type 2 Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Pioglitazone and Metformin Combination Therapy in Treating Type 2 Diabetes Mellitus.
Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Efficacy of Pioglitazone/Metformin Combination Therapy in Subjects With Type 2 Diabetes Mellitus and Dyslipidemia.
Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Pioglitazone Combined With Metformin on Metabolic Syndrome in Subjects With Type 2 Diabetes
Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Efficacy of Pioglitazone and Glimepiride Combination Therapy in Treating Subjects With Type 2 Diabetes Mellitus.
Diabetes MellitusUnlock trial analytics
PHASE3COMPLETED
Efficacy Study of Pioglitazone and Glimepiride on the Rate of Progression of Atherosclerotic Disease.
Diabetes MellitusUnlock trial analytics

Study Endpoints

Primary Endpoints

Recurrent Fatal or Non-fatal Stroke, or Fatal or Non-fatal Myocardial Infarction
Up to 5 years
Number of Participants Who Experienced At Least One Treatment-Emergent Adverse Event (TEAE)
From first dose of study drug up to end of follow-up period (Week 54)

An Adverse event (AE) was defined as any untoward medical occurrence in a clinical investigation participant whose parent or legal guardian had signed informed consent form to participate in a study; it did not necessarily have to have a causal relationship with this treatment or study participation. An AE could therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the study participation whether or not it was considered related to the drug or study procedures. A TEAE was defined as any AE occurring after the start of TAK-536 administration, and until the end of follow-up period of 2 weeks.

Number of Participants With TEAE Related to Resting 12-lead Electrocardiogram (ECG)
From first dose of study drug up to Week 52

The relatedness of TEAEs with resting 12-lead ECG was based upon investigator discretion.

Number of Participants With TEAE Related to Anthropometric Measurement
From first dose of study drug up to Week 52

The anthropometric measurements included weight, height and body mass index (BMI). The relatedness of TEAEs to anthropometric measurements was based upon investigator discretion.

Number of Participants With TEAE Related to Clinical Laboratory Parameters
From first dose of study drug up to Week 52

The laboratory values outside the range (triglycerides greater than \[\>\] 2.5\*upper limit of normal \[ULN\], blood urea nitrogen \[BUN\] \>30 milligram per deciliter \[mg/dL\], estimated glomerular filtration rate \[eGFR\] less than \[\<\] 30 milliliter per minute per 1.73 square meter \[mL/min/1.73m\^2\], and glucose \<50 mg/dL were considered markedly abnormal for TEAEs. The relatedness of TEAEs to clinical laboratory parameters was based upon investigator discretion.

Number of Participants With TEAE Related to Vital Sign Values
From first dose of study drug up to end of follow-up period (Week 54)

Vital signs included home sitting blood pressure (diastolic and systolic) and office sitting pulse rate (pulse rate per 1 minute). The pulse rate measured at the last measurement of the sitting blood pressure was used as the sitting pulse rate value. The relatedness of TEAEs to vital signs was based upon investigator discretion.

Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)
Up to Week 54

An Adverse Event (AE) is 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 treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs or worsens after receiving study drug.

Number of Participants With TEAEs Related to Anthropometric Measurement (Weight, Height and Body Mass Index (BMI))
Up to Week 54

An Adverse Event (AE) is 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 treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs or worsens after receiving study drug.

Number Of Participants With Markedly Abnormal Values of Laboratory Parameters
Up to Week 54

The laboratory values outside the range (Blood Urea Nitrogen (BUN) (mg/dL) \>30, Creatinine (mg/dL) \>2.0, eGFR (mL/min/1.73m\^2) \<30, Creatine Kinase (U/L) \>5×ULN) are considered markedly abnormal.

Number Of Participants With TEAEs Related To Resting 12-Lead Electrocardiogram (ECG)
Up to Week 54

A standard 12-lead ECG was performed while the participant was at rest. Any abnormal ECG findings determined by the investigator to be clinically significant were reported as adverse events.

Number Of Participants With TEAEs Related To Vital Signs (Hypotension)
Up to Week 54

A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. Vital signs included office standing blood pressure, office sitting pulse rate, office standing pulse rate, and home sitting blood pressure. Any abnormal vital signs findings determined by the investigator to be clinically significant were reported as adverse events.

AUC(0-24): Area Under the Plasma Concentration-Time Curve From Time 0 to Time 24 Hours of TAK-536 (Azilsartan)
Pre-dose and at multiple time points (up to 24 hours) post-dose

AUC(0-24) is a measure of total plasma exposure to the drug from time 0 to 24 hours post-dose, calculated using the linear trapezoidal rule.

Cmax: Maximum Observed Plasma Concentration of TAK-536 (Azilsartan)
Pre-dose and at multiple time points (up to 24 hours) post-dose

Cmax is the maximum observed plasma concentration (actual measurement value) of a drug after administration, obtained directly from the plasma concentration-time curve.

AUC(0-inf): Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity of TAK-536 (Azilsartan)
Pre-dose and at multiple time points (up to 24 hours) post-dose

AUC(0-inf) is a measure of total plasma exposure to the drug from time zero extrapolated to infinity, calculated as AUC(0-inf)=AUC(0-tlqc)+lqc/λz

Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) of TAK-536 (Azilsartan)
Pre-dose and at multiple time points (up to 24 hours) post-dose

Tmax is the time to reach Cmax (actual measurement value), equal to time (hours) to Cmax.

T1/2: Terminal Elimination Half-Life of TAK-536 (Azilsartan)
Pre-dose and at multiple time points (up to 24 hours) post-dose

T1/2 is the terminal elimination half-life (time required for half of the drug to be eliminated from the plasma), calculated as T1/2=ln(2)/λz.

AUC(0-24): Area Under the Plasma Concentration-Time Curve From Time 0 to Time 24 Hours of TAK-536 (Azilsartan) Metabolite M-I
Pre-dose and at multiple time points (up to 24 hours) post-dose

AUC(0-24) is a measure of total plasma exposure to the drug from time 0 to 24 hours post-dose, calculated using the linear trapezoidal rule.

Cmax: Maximum Observed Plasma Concentration of TAK-536 (Azilsartan) Metabolite M-I
Pre-dose and at multiple time points (up to 24 hours) post-dose

Cmax is the maximum observed plasma concentration (actual measurement value) of a drug after administration, obtained directly from the plasma concentration-time curve.

AUC(0-inf) Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity of TAK-536 (Azilsartan) Metabolite M-I
Pre-dose and at multiple time points (up to 24 hours) post-dose

AUC(0-inf) is a measure of total plasma exposure to the drug from time zero extrapolated to infinity, calculated as AUC(0-inf)=AUC(0-tlqc)+lqc/λz.

Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) of TAK-536 (Azilsartan) Metabolite M-I
Pre-dose and at multiple time points (up to 24 hours) post-dose

Tmax is the time to reach Cmax (actual measurement value), equal to time (hours) to Cmax.

T1/2: Terminal Elimination Half-Life of TAK-536 (Azilsartan) Metabolite M-I
Pre-dose and at multiple time points (up to 24 hours) post-dose

T1/2 is the terminal elimination half-life (time required for half of the drug to be eliminated from the plasma), calculated as T1/2=ln(2)/λz.

AUC(0-24): Area Under the Plasma Concentration-Time Curve From Time 0 to Time 24 Hours of TAK-536 (Azilsartan) Metabolite M-II
Pre-dose and at multiple time points (up to 24 hours) post-dose

AUC(0-24) is a measure of total plasma exposure to the drug from time 0 to 24 hours post-dose, calculated using the linear trapezoidal rule.

Cmax: Maximum Observed Plasma Concentration of TAK-536 (Azilsartan) Metabolite M-II
Pre-dose and at multiple time points (up to 24 hours) post-dose

Cmax is the maximum observed plasma concentration (actual measurement value) of a drug after administration, obtained directly from the plasma concentration-time curve.

AUC(0-inf) Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity of TAK-536 (Azilsartan) Metabolite M-II
Pre-dose and at multiple time points (up to 24 hours) post-dose

AUC(0-inf) is a measure of total plasma exposure to the drug from time zero extrapolated to infinity, calculated as AUC(0-inf)=AUC(0-tlqc)+lqc/λz.

Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) of TAK-536 (Azilsartan) Metabolite M-II
Pre-dose and at multiple time points (up to 24 hours) post-dose

Tmax is the time to reach Cmax (actual measurement value), equal to time (hours) to Cmax.

T1/2: Terminal Elimination Half-Life of TAK-536 (Azilsartan) Metabolite M-II
Pre-dose and at multiple time points (up to 24 hours) post-dose

T1/2 is the terminal elimination half-life (time required for half of the drug to be eliminated from the plasma), calculated as T1/2=ln(2)/λz.

Cumulative Urinary Excretion Ratio of TAK-536 (Azilsartan)
Day 1 from 0 to 24 hours post-dose

The cumulative urinary excretion ratio (% of dose \[TAK-536-equivalent\]) of TAK-536 will be calculated from the urinary concentration and volume of each participant.

Cumulative Urinary Excretion Ratio of TAK-536 (Azilsartan) Metabolite M-I
Day 1 from 0 to 24 hours post-dose

The cumulative urinary excretion ratio (% of dose \[TAK-536-equivalent\]) of TAK-536 metabolite M-I will be calculated from the urinary concentration and volume of each participant.

Cumulative Urinary Excretion Ratio of TAK-536 (Azilsartan) Metabolite M-II
Day 1 from 0 to 24 hours post-dose

The cumulative urinary excretion ratio (% of dose \[TAK-536-equivalent\]) of TAK-536 metabolite M-II will be calculated from the urinary concentration and volume of each participant.

Number of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
Up to 15 Days

An Adverse Event (AE) is 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. Treatment emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; or congenital anomaly; or a medically important event.

Percentage of Participants With Remarkable Findings of Clinical Concern From Baseline in Vital Signs
Baseline and Day 2

Vital signs are defined as sitting blood pressure, sitting pulse rate and temperature.

Percentage of Participants With Remarkable Findings of Clinical Concern From Baseline in Body Weight
Baseline and Day 2
Percentage of Participants With Remarkable Findings of Clinical Concern From Baseline in Resting 12-Lead Electrocardiogram (ECG)
Baseline and Day 2

A resting 12-lead ECG was recorded. The investigator or subinvestigator (or a qualified physician at the study site) interpreted the ECG results.

Percentage of Participants With Remarkable Findings of Clinical Concern From Baseline in Laboratory Test Results
Baseline and Day 2

Laboratory test results are defined as serum chemistry, hematology and urinalysis.

Increased HDL-Cholesterol and Decreased Triglycerides
24 weeks

The primary endpoint will be increased high density lipoprotein cholesterol and decreased triglycerides measured as the difference after 12 or 24 weeks of treatment from baseline levels. The data are expressed as the percent change from the baseline value and calculated using he equation: * Change=\[100%\*(Endpoint value - Baseline Value)/Baseline Value\]

Percent Change From Baseline in Glycosylated Hemoglobin
Baseline and Week 24

The change between the value of Glycosylated Hemoglobin (the concentration of glucose bound to hemoglobin as a percent of the absolute maximum that can be bound) collected at final visit or week 24 and Glycosylated Hemoglobin collected at baseline.

The Mean Increase From Baseline in High-Density Lipoprotein Cholesterol.
Baseline and Week 24.

The increase in High-Density Lipoprotein (HDL) Cholesterol collected at week 24 or final visit and HDL-Cholesterol collected at baseline.

Increase in High-Density Lipoprotein cholesterol levels.
Final Visit.
Change from Baseline in Homeostatic Model Assessment - Beta cell.
Week: 24 or Final Visit beyond week 12.
Absolute change from Baseline in carotid intima-media thickness.
Weeks 24, 48 and Final Visit.
Nominal Change From Baseline in Percent Atheroma Volume
Baseline and Final Visit (up to 72 weeks)

The nominal change from baseline in percent atheroma volume for all slices of anatomically comparable segments of the target coronary artery. Assessment completed at the Week 72 visit or Final Visit if treatment was prematurely discontinued.

Time to the Composite of All Cause Mortality, Non-Fatal Myocardial Infarction, Stroke, Acute Coronary Syndrome, Major Leg Amputation, Cardiac Intervention, Bypass Surgery or Leg Revascularization.
At First Occurrence
Change in the walking distance during a standardized 6-minute walk test.
Weeks 2, 16, 24, 40, and 52 or Final Visit
Change in fasting triglyceride level
Final Visit
Airway Reactivity
12 weeks

Presence and degree of airway hyperresponsiveness assessed by methacholine challenge test. PC20= Methacholine dose at wich the FEV1 deops by \> 20% from pre-methacholine baseline values.

Glucose Tolerance at 24 Weeks
24 weeks

1. Normal = normal plasma glucose and normal glucose tolerance (OGTT). 2. Impaired category includes all non-diabetic participants with either a) Impaired fasting glucose = fasting plasma glucose \>110 mg/dl and \<126 mg/dl; or b) Impaired glucose intolerance = 2-hour plasma glucose (OGTT) \>140 mg/dl and \<200 mg/dl. 3. Diabetes = fasting plasma glucose \>126 mg/dl 2-hour (OGTT) plasma glucose \>200 mg/dl.

Glucose Tolerance at 48 Weeks
48 weeks

1. Normal = normal plasma glucose and normal glucose tolerance (OGTT). 2. Impaired category includes all non-diabetic participants with either a) Impaired fasting glucose = fasting plasma glucose \>110 mg/dl and \<126 mg/dl; or b) Impaired glucose intolerance = 2-hour plasma glucose (OGTT) \>140 mg/dl and \<200 mg/dl. 3. Diabetes = fasting plasma glucose \>126 mg/dl 2-hour (OGTT) plasma glucose \>200 mg/dl.

Insulin Sensitivity Index for Glycemia at 24 Weeks
24 weeks

Insulin Sensitivity = Index for Glycemia (ISI gly) = 2 / (\[INSp x GLYp\] + 1). GLYp = Glycemic 0-2 hr area = sum of normalized (based on institutional values) 0 \& 2 hr glucose. INSp = Insulinemic 0-2 hr area = sum of normalized (based on institutional values) 0 \& 2 hr insulin.

Insulin Sensitivity Index for Glycemia at 48 Weeks.
48 weeks

Insulin Sensitivity = Index for Glycemia (ISI gly) = 2 / (\[INSp x GLYp\] + 1). GLYp = Glycemic 0-2 hr area = sum of normalized (based on institutional values) 0 \& 2 hr glucose. INSp = Insulinemic 0-2 hr area = sum of normalized (based on institutional values) 0 \& 2 hr insulin.

Change of total daily Insulin Dose.
Week 24 or Final Visit.
Change in Depression Symptom Severity From Baseline to Study Endpoint
Week 0 - Week 12

Inventory of Depressive Symptoms-Clinician rated, 30 item (IDS-C30) score change from baseline to study endpoint. IDS-C30 total scores can range from 0 to 84, with higher scores indicating a worse outcome

Change from Baseline in Sitting Trough Diastolic Blood Pressure (Week 12).
Baseline and Week 12.

The change between sitting trough clinic diastolic blood pressure measured at week 12 or final visit from diastolic blood pressure measured at baseline. Trough is a time point immediately before the next administration where drug blood concentration is lowest. Mean calculated by using the average (arithmetic mean) of 3 measurements performed at each visit.

Change in the high-sensitivity C-reactive Protein value.
Week: 12.
Incidence of Cardiac Troponin I elevation (greater than 1 upper limit of normal) post-percutaneous coronary intervention with stent implantation.
24 hours post stent implantation.
Change in the intima-media thickness of the common carotid artery.
Week 24.
Change from Baseline in sitting clinic diastolic blood pressure.
Week 8 or Final Visit
Change from Baseline in glycosylated hemoglobin.
Week 24 or Final Visit
Capillary filtration capacity.
Final Visit

Secondary Endpoints

Fatal or Non-fatal Stroke Alone
5 years
Acute Coronary Syndrome
5 years
Development of Overt Diabetes
5 years
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PioglitazoneACTIVE_COMPARATORpioglitazone
PlaceboPLACEBO_COMPARATORinactive substance
TAK-536EXPERIMENTALTAK-536 granule formulation, orally once daily before or after breakfast. The initial dose of TAK-536 will be 0.1 mg/kg (not exceeding 2.5 mg/day). After the initial dose, TAK-536 will be titrated to 0.2 mg/kg (not exceeding 5 mg/day), 0.4 mg/kg (not exceeding 10 mg/day), and 0.8 mg/kg (not exceeding 20 mg/day) if the subjects do not achieve the target blood pressure and no concerns are found in safety and tolerability.
Azilsartan 2.5 - 20 mg (Weight < 50 kg)EXPERIMENTALFollowing a 2-week placebo run-in period, azilsartan 2.5 mg (titrated as needed to the highest dose of 20 mg) was administered orally once daily before or after breakfast, for the participants weighing \< 50 kg.
Azilsartan 5 - 40 mg (Weight ≥ 50 kg)EXPERIMENTALFollowing a 2-week placebo run-in period, azilsartan 5 mg (titrated as needed to the highest dose of 40 mg) was administered orally once daily before or after breakfast, for the participants weighing ≥ 50 kg.
Azilsartan 5 mgEXPERIMENTALWeight \<50 kg: azilsartan 5 mg, tablets, orally, once, after breakfast on Day 1.
Azilsartan 10 mgEXPERIMENTALWeight ≥50 kg: azilsartan 10 mg, tablets, orally, once, after breakfast on Day 1.
Pioglitazone GroupACTIVE_COMPARATORThis is a baseline versus treatment study comparing subjects on pioglitazone to a matched group of subjects treated with either metformin or sulfonylurea with the intent of controlling blood sugar to a comparable level
Comparator GroupNO_INTERVENTIONThis group of subjects will be maintained on standard treatment with either metformin or sulfonylurea with the intent of controlling blood sugar to a comparable level as group treated with pioglitazone.
Pioglitazone 15 mg /Metformin 850 mg BIDEXPERIMENTAL -
Pioglitazone 15 mg BIDACTIVE_COMPARATOR -
Metformin 850 mg BIDACTIVE_COMPARATOR -
Pioglitazone 15 mg and Metformin 850 mg BIDEXPERIMENTAL -
Glimepiride 2 mg and Metformin 850 mg BIDACTIVE_COMPARATOR -
Pioglitazone + MetforminEXPERIMENTAL -
MetforminACTIVE_COMPARATOR -
Pioglitazone 30 mg to 45 mg QD + Glimepiride 2 mg to 4 mg QDEXPERIMENTAL -
Glimepiride 4 mg to 6 mg QDACTIVE_COMPARATOR -
Pioglitazone QDEXPERIMENTAL -
Glimepiride QDACTIVE_COMPARATOR -
Placebo QDPLACEBO_COMPARATOR -
Pioglitazone 15 mg to 45 mg QDEXPERIMENTAL -
Glyburide 2.5 mg to 15 mg, QDACTIVE_COMPARATOR -
Pioglitazone 15 mg or 30 mg QDEXPERIMENTAL -
Glyburide 5 mg or 10 mg, QDACTIVE_COMPARATOR -
Rosiglitazone QDACTIVE_COMPARATOR -
1ACTIVE_COMPARATOR -
2PLACEBO_COMPARATOR -
sugar pill (placebo)PLACEBO_COMPARATOR1 sugar pill (placebo) taken once daily for 48 weeks.
Pioglitazone 30mg QDEXPERIMENTAL(and variable insulin therapy)
Azilsartan 5 mg QDEXPERIMENTAL -
Azilsartan 10 mg QDEXPERIMENTAL -
Azilsartan 20 mg QDEXPERIMENTAL -
Azilsartan 40 mg QDEXPERIMENTAL -
Azilsartan 80 mg QDEXPERIMENTAL -
Candesartan Cilexetil 8 mg titrated to12 mg QDACTIVE_COMPARATOR -
Pioglitazone 15 mg to 30 mg QDEXPERIMENTAL -
Pioglitazone 15 mg to 30 mg QD + Ramipril 2.5 mg to 5 mg QDACTIVE_COMPARATOR -
Ramipril 2.5 mg to 5 mg QDACTIVE_COMPARATOR -
Pioglitazone 30 mg to 45 mg QDEXPERIMENTAL -
Pioglitazone 30mg to 45 mg QD + Atorvastatin 20 mg to 40 mg QDEXPERIMENTAL -
Atorvastatin 20mg to 40 mg QDACTIVE_COMPARATOR -
Azilsartan 2.5 mg QDEXPERIMENTAL -
Olmesartan 20 mg QDACTIVE_COMPARATOR -
Pioglitazone 15 mg QD + Azilsartan 5 mg QDEXPERIMENTAL -
Pioglitazone 15 mg QD + Azilsartan 40 mg QDEXPERIMENTAL -
Pioglitazone 15 mg QDACTIVE_COMPARATOR -
Pioglitazone 45 mg QD + Azilsartan 5 mg QDEXPERIMENTAL -
Pioglitazone 45 mg QD + Azilsartan 40 mg QDEXPERIMENTAL -
Pioglitazone 45 mg QDACTIVE_COMPARATOR -

Interventions

NameTypeDescription
pioglitazoneDRUGa thiazolidinedione drug
placeboDRUGan inactive substance
TAK-536DRUGTAK-536 granule formulation
AzilsartanDRUGAzilsartan granules and tablets
Pioglitazone and metforminDRUGPioglitazone 15 mg /metformin 850 mg combination, tablets, orally, twice daily for up to 24 weeks.
MetforminDRUGMetformin 850 mg, tablets, orally, twice daily for up to 24 weeks.
Glimepiride and MetforminDRUGPioglitazone/metformin placebo-matching combination tablets, orally, twice daily and glimepiride 2 mg, tablets, orally, once daily and metformin 850 mg, tablets, orally, twice daily for up to 24 weeks.
Pioglitazone and GlimepirideDRUGPioglitazone 30 mg, tablets, orally, once daily and Glimepiride 2 mg, tablets, orally once daily for two weeks; increased to: Pioglitazone 30 mg, tablets, orally, once daily and Glimepiride 4 mg, tablets, orally, once daily for two weeks; increased to: Pioglitazone 45 mg, tablets, orally, once daily and Glimepiride 4 mg, orally, once daily for up to 20 weeks.
GlimepirideDRUGPioglitazone placebo-matching tablets, orally, once daily and Glimepiride 4 mg, tablets, orally once daily for two weeks; increased to: Pioglitazone placebo-matching tablets, orally, once daily and Glimepiride 5 mg, tablets, orally once daily for two weeks; increased to: Pioglitazone placebo-matching tablets, orally, once daily and Glimepiride 6 mg, tablets, orally once daily for up to 20 weeks.
GlyburideDRUGGlyburide 2.5 mg to 15 mg, capsules, orally, once daily and pioglitazone placebo-matching tablets, orally, once daily for up to 52 weeks.
RosiglitazoneDRUGRosiglitazone 4 mg capsules, orally, once daily and placebo-matching capsules, orally, once daily for up to 12 weeks; increasing to rosiglitazone 4 mg, capsules, orally, twice daily for up to 12 weeks
Pioglitazone and insulinDRUGPioglitazone 30 mg, tablets, orally, once daily and variable insulin therapy for up to 24 weeks.
InsulinDRUGPioglitazone placebo-matching tablets, orally, once daily and variable insulin therapy for up to 24 weeks.
Candesartan cilexetilDRUGCandesartan cilexetil 8 mg, tablets, orally, once daily for 4 weeks; titrated to 12 mg, tablets, orally, once daily for up to 8 weeks.
Pioglitazone and ramiprilDRUGPioglitazone 15 mg, tablets, orally, once daily and ramipril 2.5 mg, tablets, orally, once daily for two weeks; increased to: Pioglitazone 30 mg, tablets, orally, once daily and ramipril 5 mg, tablets, orally, once daily for up to 10 weeks.
RamiprilDRUGPioglitazone placebo-matching tablets, orally, once daily and ramipril 2.5 mg, tablets, orally, once daily for two weeks; increased to: Pioglitazone placebo-matching tablets, orally, once daily and ramipril 5 mg, tablets, orally, once daily for up to 10 weeks.
Pioglitazone and atorvastatinDRUGPioglitazone 30 mg, capsules, orally, once daily and atorvastatin 20 mg, tablets, orally, once daily for 4 weeks; increase to: Pioglitazone 45 mg, capsules, orally, once daily and atorvastatin 40 mg, tablets, orally, once daily for up to 20 weeks.
AtorvastatinDRUGPioglitazone placebo-matching capsules, orally, once daily and atorvastatin 20 mg, tablets, orally, once daily for 4 weeks; increased to Pioglitazone placebo-matching capsules, orally, once daily and atorvastatin 40 mg, tablets, orally, once daily for up to 20 weeks.
OlmesartanDRUGAzilsartan placebo-matching tablets, orally, once daily and olmesartan 20 mg, capsules, orally, once daily for up to 8 weeks.
Pioglitazone and azilsartanDRUGPioglitazone 15 mg, tablets, orally, once daily and azilsartan 5 mg, tablets, orally, once daily for up to 24 weeks.
Unlock Study Design Details

Eligibility Criteria

Age Range40 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites183

Inclusion Criteria 1. Ages 40 years or greater at the time of randomization. 2. Ischemic stroke or TIA no less than 14 days and no more than 6 months before randomization 3. Documentation of insulin resistance as defined by a value over 3.0 on the Homeostasis Model Assessment of insulin sensitivity...

Countries:United StatesAustraliaCanadaGermanyIsraelItalyPuerto RicoUnited KingdomJapanChileMexicoArgentinaAustriaBelgiumCzechiaDenmarkEstoniaFinlandFranceHungaryLatviaLithuaniaNetherlandsNorwayPolandSlovakiaSwedenSwitzerlandPeru
Unlock Eligibility Criteria

Frequently asked questions about TAK-536

What is TAK-536?

TAK-536 is an investigational small molecule developed by Takeda Pharmaceutical Company Limited for the treatment of hypertension, or high blood pressure. It is being studied in pediatric patients, specifically children from 2 to less than 6 years old. TAK-536 is also known as TAK-536 Tablet.

What is TAK-536 used for in hypertension?

TAK-536 is being developed to treat hypertension, or high blood pressure, in pediatric patients. Its clinical testing has focused on children from 2 to less than 6 years old with high blood pressure. It is an investigational therapy and has not been established as a marketed treatment.

Who makes TAK-536?

TAK-536 is developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. Takeda is the sponsor of the clinical program evaluating TAK-536 in pediatric hypertension.

What phase is TAK-536 in?

TAK-536 is in Phase 3 clinical development for hypertension. One Phase 3 trial has been completed, and no trials are currently listed as active. TAK-536 remains an investigational drug and is not an approved therapy.

What clinical trials is TAK-536 in?

TAK-536 has been evaluated in one Phase 3 trial, NCT04668157, titled A Study of TAK-536 in Children From 2 to Less Than 6 Years Old With High Blood Pressure. The trial was completed, enrolled 10 participants, and was conducted in Japan.

Is TAK-536 the same as TAK-536 Tablet?

Yes, TAK-536 Tablet is an alternative name for TAK-536. Both names refer to the same investigational small molecule developed by Takeda Pharmaceutical Company Limited for hypertension, so readers searching either name are looking at the same drug asset.