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TAK-915

Phase 1

Healthy Volunteers | Small molecule | Other |Takeda Pharmaceutical Company Limited|Last Updated: Feb 15, 2019

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
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment100
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02584569Phase 1 TAK-915 Single-Dose Positron Emission Tomography (PET) Occupancy StudyPHASE1 COMPLETED 12Nov 1, 2015Apr 1, 2016Jul 21, 20161 United States
NCT02461160Phase 1, TAK-915-1001, Single-Rising Dose, Multiple-Rising Dose, Drug-Drug Interaction, Relative Bioavailability, Food Effect, and Effect on Elderly Participants StudyPHASE1 COMPLETED 88May 12, 2015Aug 1, 2016Feb 15, 20191 United States
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Study Endpoints
Primary Endpoints
Phosphodiesterase 2A (PDE2A) Brain Enzyme Occupancy in the Putamen as a Function of TAK-915 Plasma Concentration for each subject
2 PET scans occurring on Day 1 or 1 PET scan on Day 1 and 1 on Day 2.

Assessed for each subject using the PET ligand \[18F\]MNI-794 after single dosing of TAK-915, obtained from non-displaceable binding potential (BPnd).

Percentage of Participants Who Experience at Least One Treatment Emergent Adverse Event (TEAE)
Day 1 up to follow-up (SRD Cohorts: up to Day 13, MRD Cohorts: up to Day 26, DDI Cohort: up to Day 28, BA/FE Cohorts: up to Day 13, ESSD Cohort: up to Day 28)

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 unfavourable 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 TEAE is defined as an adverse event with an onset that occurs after receiving study drug.

Percentage of Participants With Markedly Abnormal Safety Laboratory Tests
Day 1 up to follow-up (SRD Cohorts: up to Day 13, MRD Cohorts: up to Day 26, DDI Cohort: up to Day 28, BA/FE Cohorts: up to Day 13, ESSD Cohort: up to Day 28)

The percentage of participants with any markedly abnormal standard safety laboratory values, including haematology, serum chemistries, or urinalysis, during the treatment period.

Percentage of Participants With Markedly Abnormal Vital Sign Measurements
Day 1 up to follow-up (SRD Cohorts: up to Day 13, MRD Cohorts: up to Day 26, DDI Cohort: up to Day 28, BA/FE Cohorts: up to Day 13, ESSD Cohort: up to Day 28)

The percentage of participants who meet markedly abnormal criteria for vital signs after dosing, including oral body temperature (temp.), respiration rate, pulse rate (PR) Systolic blood pressure (SBP) and Diastolic blood pressure (DBP) for assessment in positions of supine or standing. Vital signs were considered abnormal if they were beyond the values defined in categories.

Percentage of Participants With Markedly Abnormal Values of 12-Lead Electrocardiogram (ECG) Parameters
Day 1 up to follow-up (SRD Cohorts: up to Day 13, MRD Cohorts: up to Day 26, DDI Cohort: up to Day 28, BA/FE Cohorts: up to Day 13, ESSD Cohort: up to Day 28)

The percentage of participants who meet markedly abnormal criteria for ECG parameters as specified by the protocol and statistical analysis plan during the treatment period. ECG parameters were considered abnormal if they were beyond the values defined in categories.

Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-915
SRD and ESSD Cohorts: Day 1 pre-dose and at multiple timepoints (up to 96 hours) post dose; MRD cohorts: Days 1, 8 and 14 pre-dose and at multiple timepoints (up to 96 hours) post dose
Cmax: Maximum Observed Plasma Concentration for TAK-915
SRD and ESSD Cohorts: Day 1 pre-dose and at multiple timepoints (up to 96 hours) post dose; MRD cohorts: Days 1, 8 and 14 pre-dose and at multiple timepoints (up to 96 hours) post dose
AUC(0-24): Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours Postdose for TAK-915
SRD and ESSD Cohorts: Day 1 pre-dose and at multiple timepoints (up to 96 hours) post dose; MRD cohorts: Days 1, 8 and 14 pre-dose and at multiple timepoints (up to 96 hours) post dose
AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-915
SRD and ESSD Cohorts: Day 1 pre-dose and at multiple timepoints (up to 96 hours) post dose; MRD cohorts: Days 1, 8 and 14 pre-dose and at multiple timepoints (up to 96 hours) post dose
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-915
Day 1 pre-dose and at multiple time points (up to 96 hours) post dose
Rac(AUC): Accumulation Ratios Between Day 14 AUC(0-24) and Day 1 AUC(0-24) for TAK-915
Days 1 and 14 pre-dose and at multiple time points (up to 96 hours) post dose
Rac(Cmax): Accumulation Ratios Between Day 14 Cmax and Day 1 Cmax for TAK-915
Days 1 and 14 pre-dose and at multiple time points (up to 96 hours) post dose
Time Dependency Assessment From AUC(0-24) After Last Dose for TAK-915 on Day 14 in MRD Cohorts Compared to AUC(0-inf) After a Single Dose on Day 1
Days 1 and 14 pre-dose and at multiple time points (up to 96 hours) post dose
Cmax: Maximum Observed Plasma Concentration for Midazolam Alone (Day 1) and in the Presence of TAK-915 (Day 16) in DDI Cohort
Days 1 and 16 pre-dose and at multiple timepoints (up to 24 hours) post dose
AUC(0-24): Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours Postdose for Midazolam Alone (Day 1) and in the Presence of TAK-915 (Day 16) in DDI Cohort
Days 1 and 16 pre-dose and at multiple timepoints (up to 24 hours) post dose
AUC(0-24) for Midazolam After Single Dose (Day 1)/AUC(0-24) for Midazolam After 7 Daily Doses of TAK-915 (Day 16) in DDI Cohort
Days 1 and 16 pre-dose and at multiple timepoints (up to 24 hours) post dose
Secondary Endpoints
Plasma PK concentrations for each subject post tracer injection for each PET scan period following TAK-915 dosing
t=0, t=45 min and t=90 min (after tracer injection) during each PET scan period.
Dose and exposure of TAK-915 that correspond to PDE2A occupancy in the putamen of at least 45%.
At multiple time points (up to 90 minutes after tracer injection) during each PET scan period.
Terminal Elimination Half-life (t1/2) for TAK-915
SRD and ESSD Cohorts: Day 1 pre-dose and at multiple timepoints (up to 96 hours) post dose; MRD cohorts: Days 1 and 14 pre-dose and at multiple timepoints (up to 96 hours) post dose
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TAK-915EXPERIMENTALTAK-915 100 mg suspension, orally, once on Day 1. Additional TAK-915 dose levels may be incorporated based on dose level review meetings (DLRMs) following approximately every 2 participants and based on prior occupancy, duration of occupancy, safety, tolerability, and available pharmacokinetic (PK) data.
SRD Cohorts 1-3: PlaceboPLACEBO_COMPARATORTAK-915 placebo-matching suspension, orally, once on Day 1.
SRD Cohort 1 TAK-915 30 mgEXPERIMENTALTAK-915 30 mg suspension, orally, once on Day 1.
SRD Cohort 2: TAK-915 100 mgEXPERIMENTALTAK-915 100 mg suspension, orally, once on Day 1.
SRD Cohort 3: TAK-915 200 mgEXPERIMENTALTAK-915 200 mg suspension, orally, once on Day 1.
MRD Cohorts 4-6PLACEBO_COMPARATORTAK-915 placebo-matching suspension, orally, once on Day 1, followed by a 7-day washout period, followed by TAK-915 placebo-matching suspension, orally, once on Days 8 to 14.
MRD Cohort 4: TAK-915 30 mgEXPERIMENTALTAK-915 30 mg suspension, orally, once on Day 1, followed by a 7-day washout period, followed by TAK-915 30 mg suspension, orally, once on Days 8 to 14.
MRD Cohort 5: TAK-915 100 mgEXPERIMENTALTAK-915 100 mg suspension, orally, once on Day 1, followed by a 7-day washout period, followed by TAK-915 100 mg suspension, orally, once on Days 8 to 14.
MRD Cohort 6: TAK-915 200 mgEXPERIMENTALTAK-915 200 mg suspension, orally, once on Day 1, followed by a 7-day washout period, followed by TAK-915 200 mg suspension, orally, once on Days 8 to 14.
DDI Cohort 7: TAK-915 + Midazolam 2 mgEXPERIMENTALMidazolam 2 mg suspension, orally, once on Day 1, followed by TAK-915 100 mg, suspension, orally, once on Day 3, followed by a 7-day washout period, followed by TAK-915 100 mg, suspension, orally, once, daily on Days 10 to 16 and Midazolam 2 mg solution, orally, once, on Day 16 (within 15 minutes after last dose of TAK-915).
BA/FE Cohort 8 Group 1: A,B,CEXPERIMENTALRegimen A: TAK-915 50 mg, suspension, orally, under fasted conditions once on Day 1 of Period 1, followed by Regimen B: TAK-915 50 mg, tablet, orally, under fasted conditions once on Day 1 of Period 2, followed by Regimen C: TAK-915 50 mg, tablet, orally under fed conditions once on Day 1 of Period 3. Each period was separated out by a 6 to 14-day washout period.
BA/FE Cohort 9 Group 1: B,C,AEXPERIMENTALRegimen B: TAK-915 50 mg, tablet, orally, under fasted conditions once on Day 1 of Period 2, followed by Regimen C: TAK-915 50 mg, tablet, orally under fed conditions once on Day 1 of Period 3 followed by Regimen A: TAK-915 50 mg, suspension, orally, under fasted conditions once on Day 1 of Period 1. Each period was separated out by a 6 to 14-day washout period.
BA/FE Cohort 10 Group 1: C,A,BEXPERIMENTALRegimen C: TAK-915 50 mg, tablet, orally under fed conditions once on Day 1 of Period 3 followed by Regimen A: TAK-915 50 mg, suspension, orally, under fasted conditions once on Day 1 of Period 1 followed by Regimen B: TAK-915 50 mg, tablet, orally, under fasted conditions once on Day 1 of Period 2. Each period was separated out by a 6 to 14-day washout period.
ESSD Cohort 11: TAK-915 50 mgEXPERIMENTALTAK-915 50 mg, suspension, orally, under fasted conditions, once on Day 1 in participants aged 65 to 75 years.
Interventions
NameTypeDescription
TAK-915DRUGTAK-915 oral suspension
TAK-915 suspensionDRUGTAK-915 oral suspension
MidazolamDRUGMidazolam oral solution
PlaceboDRUGPlacebo-matching TAK-915 suspension
TAK-915 tabletDRUGTAK-915 tablet
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Is a healthy male, or female of non-childbearing potential, aged between 18 and 55 years, inclusive. 2. Weighs at least 45 kg and has a body mass index (BMI) between 18.0 and 30.0 kg/m\^2. Exclusion Criteria: 1. Has a known history or evidence of a clinically significant di...

Countries:United States
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