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TAK-536TCH

Phase 3

Essential Hypertension | Small molecule | Cardiovascular |Takeda Pharmaceutical Company Limited|Last Updated: Aug 2, 2017

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment341

FDA Designations

No designations recorded

Clinical trial landscape

TAK-536TCH · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT02277691A Phase III Long-term Study of TAK-536TCH in Participants With Essential HypertensionEssential Hypertension
COMPLETED341 Analytics
PHASE3COMPLETED
A Phase III Long-term Study of TAK-536TCH in Participants With Essential Hypertension
Essential HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants Who Experience at Least One Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Baseline up to Week 52

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 after receiving study drug. A Serious Adverse Event (SAE) A serious is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant.

Number of Participants With Markedly Abnormal Vital Signs Values
Baseline up to Week 52

Vital signs included supine and standing systolic and diastolic blood pressure (SBP and DBP) respectively and office sitting pulse. Vital signs were considered abnormal if they were beyond the values defined in categories.

Number of Participants With Treatment Emergent Adverse Event (TEAE) Related to Body Weight
Baseline up to Week 52

Reported TEAE is categorized into investigations System Organ Class (SOC) related to body weight.

Number of Participants With Treatment Emergent Adverse Event (TEAE) Related to Electrocardiogram (ECG)
Baseline up to Week 52

Reported TEAE is categorized into cardiac disorders and investigations system organ class (SOC) related to ECG.

Number of Participants With Markedly Abnormal Clinical Laboratory Tests
Baseline up to Week 52

The number of participants with any markedly abnormal clinical laboratory test values collected throughout study. RBC = Red blood cells, ALT = alanine aminotransferase, AST = aspartate aminotransferase, GGT = gamma-glutamyl transferase, LLN = lower limit of normal or lower reference limit, ULN = upper limit of normal or upper reference limit. Laboratory vallues were considered abnormal if they were beyond the values defined in categories.

Cmax: Maximum Plasma Concentration for TAK-536, Its Metabolites (M-I and M-II) and Hydrochlorothiazide (HCTZ)
Day 1: predose and at multiple time points (up to 48 hours) postdose in each period
Cmax: Maximum Plasma Concentration for Amlodipine Besilate (AML)
Day 1: predose and at multiple time points (up to 120 hours) postdose in each period
AUC(0-48): Area Under the Plasma Concentration-Time Curve From Time 0 to 48 Hours Postdose in Each Period for TAK-536, Its Metabolites (M-I and M-II) and HCTZ
Day 1: predose and at multiple time points (up to 48 hours) postdose in each period

AUC(0-48) is a measure of the area under the plasma concentration time-curve from time 0 to 48 hours postdose.

AUC(0-120): Area Under the Plasma Concentration-Time Curve From Time 0 to 120 Hours Postdose in Each Period for AML
Day 1: predose and at multiple time points (up to 120 hours) postdose in each period

AUC(0-120) is a measure of the area under the plasma concentration time-curve from time 0 to 120 hours postdose.

AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration in Each Period for TAK-536, Its Metabolites (M-I and M-II) and HCTZ
Day 1: predose and at multiple time points (up to 48 hours) postdose in each period

AUC(0-tlqc) is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration (AUC\[0-tlqc\]).

AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration in Each Period for AML
Day 1: predose and at multiple time points (up to 120 hours) postdose in each period

AUC(0-tlqc) is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration (AUC\[0-tlqc\]).

AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity in Each Period for TAK-536, Its Metabolites (M-I and M-II) and HCTZ
Day 1: predose and at multiple time points (up to 48 hours) postdose in each period

AUC (0-inf) is a measure of total plasma exposure to the drug from time zero extrapolated to infinity.

AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for AML
Day 1: predose and at multiple time points (up to 120 hours) postdose in each period

AUC (0-inf) is a measure of total plasma exposure to the drug from time zero extrapolated to infinity.

Urinary Excretion Ratio of TAK-536, Its Metabolites (M-I and M-II) and HCTZ
Day 1: predose and at multiple time-points (up to 48 hours) postdose in each period

Urinary excretion ratio (percent \[%\] of dose) of TAK-536, its metabolite M-I, M-II and HCTZ in urine were calculated for each participant. Ratio was calculated from the urine concentrations of each analyte and the volume of urine collected in each pooling period.

Urinary Excretion Ratio of AML
Day 1: predose and at multiple time-points (up to 120 hours) postdose in each period

Urinary excretion ratio (% of dose) of AML in urine were calculated for each participant. Ratio was calculated from the urine concentrations of each analyte and the volume of urine collected in each pooling period.

Secondary Endpoints

Change From Baseline in Office Trough Sitting Clinic Systolic and Diastolic Blood Pressure at Each Visit
Baseline (End of Run-in Period, Week 0) and Weeks 12 (LOCF) and 52 (LOCF)
Change From Baseline in Home Sitting Clinic Systolic and Diastolic Blood Pressure at Each Visit
Baseline (End of Run-in Period, Week 0), End of Week 12 and End of Treatment (Up to Week 52)
Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)
Baseline up to 14 days after last dose of study drug (14 days after Day 1 of Period 2 )
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TAK-536TCHEXPERIMENTALFor 4 weeks during the run-in period, one tablet of TAK-536CCB (as TAK-536/AML, 20 mg/5 mg, respectively) orally, once daily, before or after breakfast. For 48 weeks during 52 weeks of the treatment period, one tablet of TAK-536TCH (as TAK-536/AML/HCTZ, 20 mg/5 mg/12.5 mg, respectively) orally, once daily, before or after breakfast. For the remaining 4 weeks of the treatment period, one tablet each of TAK-536CCB and HCTZ 12.5 mg orally, once daily, before or after breakfast.
Fasted dosing followed by fed dosingOTHERDosing in the fasted state followed by fed dosing
Fed dosing followed by fasted dosingOTHERDosing in the fed state followed by fasted dosing

Interventions

NameTypeDescription
TAK-536TCH tabletDRUGTAK-536TCH tablets
TAK-536CCB tabletDRUGTAK-536CCB tablets
HCTZ 12.5 mg tabletDRUGHCTZ tablets
TAK-536TCHDRUGTAK-536TCH tablets
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites38

Inclusion Criteria: 1. In the opinion of the investigator or subinvestigator, the participant is capable of understanding and complying with protocol requirements. 2. The participant signs and dates a written informed consent form prior to the initiation of any study procedures. 3. The participant ...

Countries:Japan
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Frequently asked questions about TAK-536TCH

What is TAK-536TCH used for?

TAK-536TCH is an investigational small molecule being developed for the treatment of essential hypertension and hypertension. It is a cardiovascular therapeutic that has been studied in clinical trials in Japan, including a Phase 3 long-term study in participants with essential hypertension.

Who makes TAK-536TCH?

TAK-536TCH is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The drug is an investigational small molecule intended for the treatment of hypertension and essential hypertension.

What phase is TAK-536TCH in?

TAK-536TCH has completed a Phase 3 clinical trial, making it an investigational drug that has advanced to late-stage clinical development. It is not approved and remains under investigation for the treatment of essential hypertension and hypertension.

What clinical trials is TAK-536TCH in?

TAK-536TCH has been studied in two completed trials in Japan. NCT02277691 was a Phase 3 long-term study in 341 participants with essential hypertension. NCT02348658 was a Phase 1 food effect study in 12 healthy male participants with hypertension.

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

TAK-536TCH is a distinct drug candidate from TAK-536, as indicated by its separate name. It is being developed by Takeda for hypertension and essential hypertension, and has completed Phase 3 testing.