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TAK-925

Phase 2

Narcolepsy | Small molecule | Neurology |Takeda Pharmaceutical Company Limited|Trials Updated: Dec 2, 2022

TAK-925 development status

Highest phase Phase 2 (NCT05814016)
Phase scored for TAKPhase 1
Registered trials 7 across 2 sponsors since Nov 2017

TAK-925 target and mechanism

ModalitySmall molecule

Also known as Danavorexton

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment95

FDA Designations

No designations recorded

TAK-925 clinical trials

TAK-925 · 3 trials · 4 indications

Phase 1 3
NCT05180890A Study of Danavorexton (TAK-925) in Adults With Obstructive Sleep ApneaSleep Apnea
COMPLETED13 Analytics
NCT04091425Study of TAK-925 in Participants With Obstructive Sleep Apnea (OSA) Who Are Experiencing Excessive Daytime Sleepiness (EDS) Despite Adequate Use of Continuous Positive Airway Pressure (CPAP)Obstructive Sleep Apnea
COMPLETED25 Analytics
NCT03748979A Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of TAK-925 in Healthy Volunteers and Participants With NarcolepsyHealthy Participants
COMPLETED57 Analytics
PHASE1COMPLETED
A Study of Danavorexton (TAK-925) in Adults With Obstructive Sleep Apnea
Sleep ApneaUnlock trial analytics
PHASE1COMPLETED
Study of TAK-925 in Participants With Obstructive Sleep Apnea (OSA) Who Are Experiencing Excessive Daytime Sleepiness (EDS) Despite Adequate Use of Continuous Positive Airway Pressure (CPAP)
Obstructive Sleep ApneaUnlock trial analytics
PHASE1COMPLETED
A Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of TAK-925 in Healthy Volunteers and Participants With Narcolepsy
Healthy ParticipantsUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With at Least one Treatment-emergent Adverse Event (TEAE)
From the first dose of danavorexton in Treatment Period 1 up to approximately 7 days after the last dose of danavorexton in Treatment Period 3 (up to 41 days)
Percentage of Participants who Experience at Least One Treatment Emergent Adverse Event (TEAE)
Up to approximately 43 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. A TEAE is defined as an AE with an onset that occurs after receiving study drug.

Percentage of Participants who Meet the Markedly Abnormal Criteria for Clinical Safety Laboratory Tests at Least Once Post a Regimen
Up to approximately 43 days

Clinical laboratory evaluations include hematology, blood chemistry, and urinalysis.

Percentage of Participants who Meet the Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post a Regimen
Up to approximately 43 days

Vital signs include heart rate, respiratory rate, systolic blood pressure (SBP) and diastolic blood pressure (DBP).

Percentage of Participants who Meet the Markedly Abnormal Criteria for 12-Lead Safety Electrocardiogram (ECG) Parameters at Least Once Post a Regimen
Up to approximately 43 days

A standard 12-lead ECG will be performed.

Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)
From the first dose of study drug up to 7 days after the last dose of study drug (up to Day 15)

An Adverse Event (AE) was 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. A TEAE was defined as an AE with an onset that occurs after receiving study drug.

Secondary Endpoints

Change From Baseline in Upper Airway Collapsibility Index (UACI)
Baseline (-15 minutes from the start of infusion [first UACI]), and at 20 minutes (second UACI), and 55 minutes (third UACI) on Day 1 of each Treatment Period
Apnea-Hypopnea Index (AHI) Observed During Overnight Polysomnographys (PSGs)
Day 1 up to Day 2 of each Treatment Period
Ceoi: Observed Plasma Concentration at the end of Infusion for TAK-925
Pre-dose, at multiple time points (up to 9 hours) after start of infusion, and at multiple time points (up to 15 hours) after end of infusion on Day 1 each Treatment Period
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORPlacebo infusion, intravenously, administered overnight for approximately 10-hours on Days 1 to 2 in each Treatment Period 1, 2, or 3.
Danavorexton LDEXPERIMENTALDanavorexton LD regimen, infusion, intravenously, administered overnight for approximately 10-hours on Days 1 to 2 in each Treatment Period 1, 2, or 3.
Danavorexton HDEXPERIMENTALDanavorexton HD regimen, infusion, intravenously, administered overnight for approximately 10-hours on Days 1 to 2 in each Treatment Period 1, 2, or 3.
TAK-925 Dose AEXPERIMENTALTAK-925 dose A intravenous (IV) infusion in each treatment sequence (crossover design).
TAK-925 Dose BEXPERIMENTALTAK-925 dose B IV infusion in each treatment sequence (cross over design).
Cohort A1; TAK-925 (Dose Level A1)EXPERIMENTALTAK-925, Dose Level A, once daily for up to 7 days in healthy participants.
Cohort A2; TAK-925 (Dose Level A2)EXPERIMENTALTAK-925, Dose Level A2, once daily for up to 7 days in healthy participants. Dose level will be determined based on the data of safety, tolerability and PK data from previous cohorts.
Cohort A3; TAK-925 (Dose Level A3)EXPERIMENTALTAK-925, Dose Level A3, once daily for up to 7 days in healthy participants. This group is an additional optional cohort and dose level will be determined based on the data of safety, tolerability and PK data from previous cohorts.
Cohort A4; TAK-925 (Dose Level A4)EXPERIMENTALTAK-925, Dose Level A4, once daily for up to 7 days in healthy participants. This group is an additional optional cohort and dose level will be determined based on the data of safety, tolerability and PK data from previous cohorts.
Cohort A5; TAK-925 (Dose Level A5)EXPERIMENTALTAK-925, Dose Level A5, once daily for up to 7 days in healthy participants. This group is an additional optional cohort and dose level will be determined based on the data of safety, tolerability and PK data from previous cohorts.
Cohort A6; TAK-925 (Dose Level A6)EXPERIMENTALTAK-925, Dose Level A6, once daily for up to 7 days in healthy elderly participants. This group is an additional optional cohort and dose level will be determined based on the data of safety, tolerability and PK data from previous cohorts.
Part A (Cohorts A1-A6); TAK-925 PlaceboPLACEBO_COMPARATORTAK-925 Placebo, once daily for up to 7 days in healthy participants.
Cohort B1; TAK-925 (Dose Level B1)EXPERIMENTALTAK-925, Dose Level B1, once daily for up to 7 days in participants with narcolepsy.
Cohort B2; TAK-925 (Dose Level B2)EXPERIMENTALTAK-925, Dose Level B2, once daily for up to 7 days in participants with narcolepsy. Dose level will be determined based on the data of safety, tolerability and PK data from previous cohorts.
Cohort B3; TAK-925 (Dose Level B3)EXPERIMENTALTAK-925, Dose Level B3, once daily for up to 7 days in participants with narcolepsy. This group is an additional optional cohort and dose level will be determined based on the data of safety, tolerability and PK data from previous cohorts.
Cohort B4; TAK-925 (Dose Level B4)EXPERIMENTALTAK-925, Dose Level B4, once daily for up to 7 days in participants with narcolepsy. This group is an additional optional cohort and dose level will be determined based on the data of safety, tolerability and PK data from previous cohorts.
Part B (Cohorts B1-B4); TAK-925 PlaceboPLACEBO_COMPARATORTAK-925 Placebo, once daily for up to 7 days in participants with narcolepsy.
Cohort C1; TAK-925 (Dose Level C1)EXPERIMENTALTAK-925, Dose Level C1, once daily for up to 7 days in participants with narcolepsy. Dose level will be determined based on the data of safety, tolerability and PK data from previous cohorts.
Cohort C2; TAK-925 (Dose Level C2)EXPERIMENTALTAK-925, Dose Level C2, once daily for up to 7 days in participants with narcolepsy. This group is an additional optional cohort and dose level will be determined based on the data of safety, tolerability and PK data from previous cohorts.
Part C (Cohorts C1-C2); TAK-925 PlaceboPLACEBO_COMPARATORTAK-925 Placebo, once daily for up to 7 days in participants with narcolepsy.
Cohort A'1; TAK-925 (Dose Level A'1)EXPERIMENTALTAK-925, Dose Level A'1, single dose in healthy participants.
Cohort A'2; TAK-925 (Dose Level A'2)EXPERIMENTALTAK-925, Dose Level A'2, single dose in healthy participants. Dose level will be determined based on the data of safety, tolerability and PK data from previous cohorts.

Interventions

NameTypeDescription
DanavorextonDRUGDanavorexton intravenous infusion.
PlaceboDRUGPlacebo intravenous infusion.
TAK-925DRUGTAK-925 IV infusion
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Has OSA diagnosed according to the International Classification of Sleep Disorders-3 (ICSD-3) criteria and an AHI of 12-50 events/hour sleep (documented by an in-clinic PSG or at-home sleep test within the last 12 months). Participants who do not have PSG results from within ...

Countries:AustraliaUnited StatesJapan
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Frequently asked questions about TAK-925

What is TAK-925?

TAK-925 is an investigational small molecule being developed by Takeda Pharmaceutical Company Limited. It is being studied in Phase 1 clinical trials for narcolepsy and for obstructive sleep apnea in patients who experience excessive daytime sleepiness despite adequate use of continuous positive airway pressure (CPAP).

What is TAK-925 used for in narcolepsy and obstructive sleep apnea?

TAK-925 is being evaluated to treat narcolepsy and obstructive sleep apnea in participants who have excessive daytime sleepiness despite adequate use of continuous positive airway pressure (CPAP). It is investigational and has not been approved for any indication. Clinical testing to date has been limited to Phase 1 studies.

Who makes TAK-925?

TAK-925 is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. Takeda is the sponsor of the Phase 1 clinical trials evaluating the compound in narcolepsy and in obstructive sleep apnea with excessive daytime sleepiness.

What phase is TAK-925 in?

TAK-925 is in Phase 1 clinical development. It is an investigational small molecule and has not been approved by the FDA or any other regulatory agency. The completed Phase 1 studies enrolled a total of 57 participants across narcolepsy and obstructive sleep apnea populations.

What clinical trials is TAK-925 in?

TAK-925 has been studied in two completed Phase 1 trials. NCT03748979 evaluated safety, tolerability, pharmacokinetics and pharmacodynamics in healthy volunteers and participants with narcolepsy in Japan. NCT04091425 studied TAK-925 in participants with obstructive sleep apnea experiencing excessive daytime sleepiness despite adequate CPAP use in the United States.

How was TAK-925 studied in clinical trials?

The TAK-925 Phase 1 trials were randomized, double-blind and placebo-controlled. NCT03748979 enrolled 57 participants, including healthy volunteers and people with narcolepsy, in Japan. NCT04091425 enrolled 25 participants with obstructive sleep apnea and excessive daytime sleepiness in the United States. Both studies are completed.