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TAK-788

Phase 3

Advanced/Metastatic Non-Small Cell Lung Cancer (NSCLC) | Small molecule | Oncology |Takeda Pharmaceutical Company Limited|Last Updated: Mar 30, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment354
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04129502TAK-788 as First-Line Treatment Versus Platinum-Based Chemotherapy for Non-Small Cell Lung Cancer (NSCLC) With EGFR Exon 20 Insertion MutationsPHASE3 ACTIVE NOT_RECRUITING 354Jan 10, 2020Oct 31, 2026Mar 30, 2026134 United States, Australia +22
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Study Endpoints
Primary Endpoints
Progression Free Survival (PFS) as Assessed by Blinded Independent Review Committee (IRC) per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
Up to approximately 40 months after the first participant is randomized

PFS is defined as the time interval from the date of randomization until the first date at which the criteria for progressive disease (PD) according to RECIST Version 1.1 are met or death, whichever occurs first.

Secondary Endpoints
Confirmed Objective Response Rate (ORR) as Assessed by Blinded Independent Review Committee (IRC) per RECIST Version 1.1
Up to approximately 40 months after the first participant is randomized
Overall Survival (OS)
Up to approximately 40 months after the first participant is randomized
Progression Free Survival (PFS) as Assessed by the Investigator
Up to approximately 40 months after the first participant is randomized
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TAK-788 Group (Arm A)EXPERIMENTALTAK-788 160 milligram (mg) with or without food, capsules, orally, once daily until the participants experience PD as assessed by blinded IRC, intolerable toxicity, or another discontinuation criteria.
Platinum-based Chemotherapy Group (Arm B)ACTIVE_COMPARATORPemetrexed 500 milligram per meter square (mg/m\^2) plus cisplatin 75 mg/m\^2, infusion, IV, once on Day 1 of 21-day cycle pemetrexed 500 mg/m\^2 plus carboplatin, infusion, IV, once at a dose calculated to produce area under curve (AUC) of 5 milligram\*minute per milliliter (mg\*min/mL) on Day 1 of 21-day cycle until the participants experience PD as assessed by blinded IRC, intolerable toxicity, or another discontinuation criteria. Pemetrexed/cisplatin or pemetrexed/carboplatin will be repeated every 3 weeks for 4 cycles, followed by maintenance treatment with pemetrexed 500 mg/m\^2, on Day 1 of a 21-day cycle thereafter.
Interventions
NameTypeDescription
TAK-788DRUGTAK-788 capsule
PemetrexedDRUGPemetrexed IV infusion
CisplatinDRUGCisplatin IV infusion
CarboplatinDRUGCarboplatin IV infusion
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites134

Inclusion Criteria: * Male or female adult patients (aged 18 years or older) * Histologically or cytologically confirmed nonsquamous cell locally advanced not suitable for definitive therapy, recurrent, or metastatic (Stage IV) NSCLC * Documented epidermal growth factor receptor (EGFR) in-frame exo...

Countries:United StatesAustraliaAustriaBelgiumCanadaChinaFranceGermanyGreeceHong KongIsraelItalyJapanNetherlandsPortugalRussiaSingaporeSouth KoreaSpainSwedenTaiwanTurkey (Türkiye)UkraineUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04129502primaryCompletionDate: changed
LOWMay 24, 2026NCT04129502studyFirstPostDate: changed