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TAK-906

Phase 2

Diabetes Mellitus and Gastroparesis, Idiopathic Gastroparesis | Small molecule | Metabolic |Takeda Pharmaceutical Company Limited|Trials Updated: Nov 16, 2022

TAK-906 development status

Highest phase Phase 2
Registered trials 4 across 2 sponsors since Aug 2017

TAK-906 target and mechanism

ModalitySmall molecule

Also known as TAK-906 Oral Capsule, TAK-906 Maleate

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment293

FDA Designations

No designations recorded

TAK-906 clinical trials

TAK-906 · 2 trials · 3 indications

Phase 2 2
NCT03268941A Study to Evaluate the Safety, Pharmacokinetics (PK) and Pharmacodynamics (PD) for TAK-906 in Participants With Diabetes Mellitus and Gastroparesis (DG) or With Idiopathic Gastroparesis (IG)Diabetes Mellitus and Gastroparesis, Idiopathic Gastroparesis
COMPLETED51 Analytics
NCT03544229A Study to Evaluate the Efficacy and Safety of TAK-906 in Adult Participants With Symptomatic Idiopathic or Diabetic GastroparesisDiabetic Gastroparesis
COMPLETED242 Analytics
PHASE2COMPLETED
A Study to Evaluate the Safety, Pharmacokinetics (PK) and Pharmacodynamics (PD) for TAK-906 in Participants With Diabetes Mellitus and Gastroparesis (DG) or With Idiopathic Gastroparesis (IG)
Diabetes Mellitus and Gastroparesis, Idiopathic GastroparesisUnlock trial analytics
PHASE2COMPLETED
A Study to Evaluate the Efficacy and Safety of TAK-906 in Adult Participants With Symptomatic Idiopathic or Diabetic Gastroparesis
Diabetic GastroparesisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants Who Experienced At Least One or More Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From Baseline to 14 days after the last dose of study drug (Up to approximately 39 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 (e.g., 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 SAE is an AE resulting in any of the following outcomes or deemed significant for any following 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.

Number of Participants With Markedly Abnormal Laboratory Parameters Values
From Baseline to 14 days after the last dose of study drug in Part 1 (Up to approximately 23 days)

Clinical Laboratory parameters included tests for chemistry, hematology and urinalysis. Markedly abnormal values during treatment period were categorized as:alanine aminotransferase (ALT)\>3.0 U/L\*upper limit of normal(ULN),albumin\<25 g/L\*lower limit of normal(LLN),alkaline phosphatase \>3.0 U/L\*ULN,aspartate aminotransferase \>3.0 U/L\*ULN,bilirubin \>2 umol/L\*ULN,blood urea nitrogen(BUN) \>10.7 mmol/L,calcium \<1.75 mmol/L, \>2.88 mmol/L,chloride \<75 mmol/L, \>126 mmol/L,creatinine \>177umol/L,gamma glutamyl transferase (GGT) \>3 U/L\*ULN,glucose \<2.8 mmol/L, \>19.4 mmol/L,phosphate \<0.52 mmol/L, \>2.10 mmol/L,potassium\<3 mmol/L, \>6 mmol/L,sodium \<130 mmol/L, \>150 mmol/L,hematocrit (%) \<0.8\*LLN, \>1.2\*ULN,hemoglobin \<0.8 g/L\*LLN, \>1.2 g/L\*ULN,leukocytes \<0.5 (10\^9/L)\*LLN, \>1.5 (10\^9/L)\*ULN,erythrocytes\<0.8 (10\^12/L)\*LLN, \>1.2(10\^12/L)\*ULN,platelets \<75(10\^9/L), \>600(10\^9/L). Participants with at least 1 markedly abnormal laboratory parameter value is reported.

Number of Participants With Markedly Abnormal Vital Signs
From Baseline to 14 days after the last dose of study drug (Up to approximately 39 days)

Vital signs included body temperature, diastolic and systolic blood pressure (mmHg), and heart rate (beats per minute \[bpm\]). Heart rate\<50 bpm and systolic blood pressure \<85 mmHg were considered markedly abnormal.

Number of Participants With Markedly Abnormal Electrocardiogram (ECG) Values
From Baseline to 14 days after the last dose of study drug (Up to approximately 39 days)

The 12-lead electrocardiogram (ECG) values outside the range Heart Rate \<50 (beats/min), PR Interval ≤120 (msec), PR Interval ≥200 (msec), QRS Duration ≥120 (msec), QT Interval ≥460 (msec) were considered markedly abnormal.

Change From Baseline in the American Neurogastroenterology and Motility Society Gastroparesis Cardinal Symptom Index-Daily Diary (ANMS GCSI-DD) Composite Score at Week 12 of the Treatment Period
Baseline and Week 12

ANMS GCSI-DD is a patient-reported outcome instrument for a symptom-based clinical trial endpoint in gastroparesis. The ANMS GCSI-DD composite score included score of nausea, early satiety, upper abdominal pain, and postprandial fullness. The severity scores of these symptoms range from 0 (none) to 4 (very severe). The daily composite score was calculated by summing the scores on the 4 symptom items (nausea, early satiety, postprandial fullness, and upper abdominal pain) and then dividing by 4, that is the number of items within the composite score. Thus, the maximum daily composite score was (4 symptoms × maximum score 4 divided by 4) = 16/4 = 4. The ANMS GCSI-DD daily composite score ranged from 0 to 4 with higher scores reflecting greater symptom severity. The negative change from baseline indicates improvement. Mixed-effects Model for Repeated Measures (MMRM) was used for the analysis.

Secondary Endpoints

Change From Baseline in Serum Prolactin Concentration on Day 1 at Tmax, Time of First Occurrence of Maximum Serum Concentration (Cmax) for TAK-906 Maleate for Part 1
Day 1 predose (Baseline), 1 hour and at multiple timepoints (Up to 8 hours) postdose
Change From Baseline in Gastric Emptying Breath Test (GEBT) Gastric Half-emptying Time as Measured by the 13C Spirulina GEBT Following Multiple Dose Administration of TAK-906 Maleate on Day 7 for Part 1
Baseline and Day 7
Change From Baseline in Gastric Emptying Breath Test (GEBT) Gastric Half-emptying Time Following Single Dose Administration of TAK-906 Maleate as Measured by the 13C Spirulina GEBT on Day 1
Baseline and Day 1 of Part 1
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeOTHER

Treatment Arms

ArmTypeDescription
Part 1: PlaceboPLACEBO_COMPARATORTAK-906 placebo-matching (4x0 mg), capsule, orally, twice daily (BID) on Days 1-8 and once on Day 9 under fasted conditions.
Part 1: TAK 906 Maleate 5 mgEXPERIMENTALTAK-906 maleate 1x5 mg, capsule, orally, BID and TAK-906 maleate placebo-matching (3x0 mg), capsules, orally, BID on Days 1-8, followed by TAK-906 maleate 1x5 mg, capsule, orally once on Day 9 under fasted conditions.
Part 1: TAK 906 Maleate 25 mgEXPERIMENTALTAK-906 maleate 1x25 mg, capsule, orally, BID and TAK-906 maleate placebo-matching (3x0 mg), capsules, orally, BID on Days 1-8 followed by TAK-906 maleate 1x25 mg, capsule, orally, once on Day 9 under fasted conditions.
Part 1: TAK 906 Maleate 100 mgEXPERIMENTALTAK-906 maleate 100 mg (4x25 mg), capsules, orally, BID on Days 1-8 and once a day on Day 9 under fasted conditions.
Part 2: TAK-906 Maleate 25 mg Fed ConditionEXPERIMENTALTAK-906 maleate 1x25 mg, capsule, orally, once on Day 1 of Period 1 under fed conditions (high fat breakfast), followed by a minimum 7- day washout.
Part 2: TAK-906 Maleate 25 mg Fasted ConditionEXPERIMENTALTAK-906 maleate 1x25 mg, capsule, orally, once on Day 1 of Period 2 under fasted conditions.
Part 2: Metoclopramide 10 mgACTIVE_COMPARATORMetaclopramide 10 mg, tablet, orally, once, 1 hour prior to breakfast on Day 1 in Part 2.
PlaceboPLACEBO_COMPARATORTAK-906 maleate placebo-matching capsules, orally, twice daily (BID) for up to 12 weeks.
TAK-906 Maleate 5 mgEXPERIMENTALTAK-906 maleate 5 mg, capsules, orally, BID for up to 12 weeks.
TAK-906 Maleate 25 mgEXPERIMENTALTAK-906 maleate 25 mg, capsules, orally, BID for up to 12 weeks.
TAK-906 Maleate 50 mgEXPERIMENTALTAK-906 maleate 50 mg, capsules, orally, BID for up to 12 weeks.

Interventions

NameTypeDescription
TAK-906 MaleateDRUGTAK-906 Maleate Capsules
MetaclopramideDRUGMetaclopramide Tablets
TAK-906 Maleate PlaceboDRUGTAK-906 placebo-matching Capsules
PlaceboDRUGTAK-906 maleate placebo-matching capsules.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria In order to be eligible for participation in this trial, the participant must: 1. Has a documented diagnosis of diabetes mellitus gastroparesis (DG) or idiopathic gastroparesis (IG). 2. Has a body mass index (BMI) greater than or equal to (\>=) 18 and less than or equal to (\<=)...

Countries:United StatesBelgiumJapanPoland
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Frequently asked questions about TAK-906

What is TAK-906?

TAK-906 is an oral small molecule drug developed by Takeda Pharmaceutical Company Limited for gastroparesis. It has been studied in adults with symptomatic idiopathic gastroparesis and diabetic gastroparesis, conditions in which the stomach empties too slowly. TAK-906 is investigational and has been evaluated in Phase 2 clinical trials.

What is TAK-906 used for?

TAK-906 has been studied for the treatment of symptomatic idiopathic gastroparesis and diabetic gastroparesis in adults. These trials enrolled participants with diabetes mellitus and gastroparesis or with idiopathic gastroparesis. The drug is investigational and is not established as a marketed treatment.

Who makes TAK-906?

TAK-906 is developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. Takeda sponsored the Phase 2 clinical studies of the drug in adults with idiopathic or diabetic gastroparesis.

What phase is TAK-906 in?

TAK-906 is in Phase 2 development. Its clinical program includes completed Phase 2 trials in adults with idiopathic or diabetic gastroparesis. The drug is investigational and is not approved for marketing.

What clinical trials is TAK-906 in?

TAK-906 has been evaluated in two completed Phase 2 trials. NCT03544229 tested the efficacy and safety of TAK-906 in 242 adults with symptomatic idiopathic or diabetic gastroparesis across the United States, Belgium, Japan, and Poland. NCT03268941 assessed safety, pharmacokinetics, and pharmacodynamics in 51 participants with diabetes mellitus and gastroparesis or idiopathic gastroparesis in the United States.

Is TAK-906 the same as TAK-906 Oral Capsule or TAK-906 Maleate?

Yes. TAK-906 Oral Capsule and TAK-906 Maleate are alternative names for the same investigational drug, TAK-906. TAK-906 is an oral small molecule developed by Takeda Pharmaceutical Company Limited for idiopathic and diabetic gastroparesis.