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TAK-935

Phase 2

Epilepsy | Small molecule | Neurology |Takeda Pharmaceutical Company Limited|Last Updated: Feb 18, 2021

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-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment181
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03650452A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy, Safety, and Tolerability of TAK-935 (OV935) as an Adjunctive Therapy in Pediatric Participants With Developmental and/or Epileptic EncephalopathiesPHASE2 COMPLETED 141Aug 8, 2018Jul 20, 2020Feb 18, 202144 United States, Australia +6
NCT02539134TAK-935 Multiple Rising Dose Study in Healthy ParticipantsPHASE1 COMPLETED 40Sep 1, 2015Apr 1, 2016Jul 12, 20171 United States
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Study Endpoints
Primary Endpoints
Percent Change From Baseline in Seizure Frequency Per 28 Days During the Maintenance Period
Baseline; Maintenance Period: Weeks 9 to 20

Seizure frequency per 28 days is defined as total number of seizures (convulsive seizures for DS, drop seizures for LGS) reported during the period divided by number of days during the period seizures were assessed multiplied by 28. Percent change from Baseline is defined as (frequency of seizures per 28 days during maintenance period - frequency of seizures per 28 days at baseline) divided by frequency of seizures per 28 days at baseline multiplied by 100. Negative percent change from Baseline indicates improvement.

Percentage of Participants Who Experience at Least One Treatment-emergent Adverse Event (TEAE)
Day 1 up to Day 28
Percentage of Participants Who Meet the Takeda Markedly Abnormal Criteria for Safety Laboratory Tests at Least Once Post Dose
Baseline up to Day 15
Percentage of Participants Who Meet the Takeda Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post Dose
Baseline up to Day 15
Percentage of Participants Who Meet the Takeda Markedly Abnormal Criteria for Safety 12-lead Electrocardiogram (ECG) Parameters at Least Once Post Dose
Baseline up to Day 15
Secondary Endpoints
Percent Change From Baseline in Seizure Frequency Per 28 Days During the Treatment Period
Baseline; Treatment Period: Weeks 0 to 20
Percent Change From Baseline in Convulsive Seizure Frequency Per 28 Days in Participants With Dravet Syndrome Stratum During the Maintenance Period
Baseline; Maintenance Period: Weeks 9 to 20
Percent Change From Baseline in Drop Seizure Frequency Per 28 Days in Participants With the Lennox-Gastaut Syndrome (LGS) Stratum During the Maintenance Period
Baseline; Maintenance Period: Weeks 9 to 20
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORTAK-935 placebo-matching tablets, orally or via gastrostomy tube (G-tube)/percutaneous endoscopic gastrostomy (PEG), twice a day (BID) up to Week 20.
TAK-935EXPERIMENTALTAK-935 tablets orally or via G-tube/PEG tube, BID. Participants weighing \<60 kg received total daily dose of study drug calculated based on body weight. Participants weighing ≥60 kg at Baseline, were administered with 200 mg/day followed by 400 mg/day, then 600 mg/day, up to Week 20.
Part 1, Cohort 1: TAK-935 100 mg QDEXPERIMENTALTAK-935 100 milligram (mg), solution, orally, once daily (QD) or TAK-935 placebo-matching solution, orally, QD for up to 14 days.
Part 1, Cohort 2: TAK-935 300 mg QDEXPERIMENTALTAK-935 300 mg, solution, orally, QD or TAK-935 placebo-matching solution, orally, QD for up to 14 days.
Part 1, Cohort 3: TAK-935 300 mg BIDEXPERIMENTALTAK-935 300 mg, solution, orally, twice daily (BID) or TAK-935 placebo-matching solution, orally, BID for up to 10 days.
Part 1, Cohort 4: TAK-935 600 mg QDEXPERIMENTALTAK-935 600 mg, solution, orally, QD or TAK-935 placebo-matching solution, orally, QD for up to 10 days.
Part 1, Cohort 5: TAK-935 400 mg QDEXPERIMENTALTAK-935 400 mg, solution, orally, QD or TAK-935 placebo-matching solution, orally, QD for up to 14 days.
Part 2, Cohort 6: TAK-935 Dose 1EXPERIMENTALTAK-935 first decided dose as determined from other TAK-935 trials and Cohorts 1 to 4 of Part 1, solution, orally, QD or TAK-935 placebo-matching solution, orally, QD for up to 14 days.
Part 2, Cohort 7: TAK-935 Dose 2EXPERIMENTALTAK-935 second decided dose as determined from other TAK-935 trials and Cohorts 1 to 4 of Part 1, solution, orally, QD or TAK-935 placebo-matching solution, orally, QD for up to 14 days.
Interventions
NameTypeDescription
TAK-935DRUGTAK-935 tablets or mini-tablets.
PlaceboDRUGTAK-935 placebo-matching tablets or mini-tablets.
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Eligibility Criteria
Age Range2 Years — 17 Years
SexALL
Healthy VolunteersNo
Study Sites44

Inclusion Criteria: 1. Male and female participants aged greater than or equal to (\>=) 2 and less than or equal to (\<=) 17 years 2. Clinical diagnosis of DS or LGS 3. Weight of \>=10 kilogram (kg) at the Screening visit 4. Currently taking 1 to 4 anti-epileptic drugs (AEDs) at a stable dose 5. Fa...

Countries:United StatesAustraliaCanadaChinaIsraelPolandPortugalSpain
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