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TVP-1012

Phase 3

Parkinson's Disease | Small molecule | Neurology |Takeda Pharmaceutical Company Limited|Last Updated: Mar 2, 2022

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 Trials4
Total Enrollment1,068
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02337751A Phase 3, Long-term, Extension Study of TVP-1012 (1 mg) in Early Parkinson's Disease ParticipantsPHASE3 COMPLETED 198Jul 10, 2015Mar 14, 2017Mar 2, 202256 Japan
NCT02337725A Phase 3 Study of TVP-1012 (1 mg) in Early Parkinson's Disease PatientsPHASE3 COMPLETED 244Feb 7, 2015Sep 15, 2016Mar 2, 202255 Japan
NCT02337764A Long-term, Phase 3 Study of TVP-1012 (1 mg) in Levodopa Treated Parkinson's Disease ParticipantsPHASE3 COMPLETED 222Feb 3, 2015Sep 29, 2016Mar 2, 202224 Japan
NCT02337738A Phase 2/3 Study of TVP-1012 at 0.5 mg or 1 mg in Levodopa Treated Parkinson's Disease ParticipantsPHASE2 COMPLETED 404Jan 27, 2015Sep 17, 2016Mar 2, 202257 Japan
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Study Endpoints
Primary Endpoints
Number of Participants Who Experience at Least One Treatment Emergent Adverse Event (TEAE)
Up to 52 weeks

Reported data was the number collected from the first dose of TVP-1012 to the end of study (up to 52 weeks). Timeframe was 52 weeks that was total duration of both this study (26 weeks) and the preceding study (TVP-1012/CCT-001: NCT02337725; 26 weeks).

Change From Baseline in Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part II + Part III Total Score
From Baseline to Week 26 (LOCF)

Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) retains the four-scale structure with a reorganization of the various subscale; (Part I; 13 items) non-motor experiences of daily living, (Part II; 13) motor experiences of daily living, (Part III; 34) motor examination, and (Part IV; 6) motor complications. Each items had 0-4 ratings, where 0 (normal) to 4 (severe) and score for each was summed to calculate the total scores. The scale range for Part II+III Total Score was 0-188, with higher scores reflecting greater severity.

Number of Participants Who Experience at Least One Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Up to Week 52
Change From Baseline in Mean Daily OFF-time During Treatment Period
From Baseline to Week 26

Reported change from baseline during treatment period which was calculated as follows: Mean for a total of 21 days, consisting of three separate 7-day periods preceding the visits at Week 6, 14 and 26 of the treatment period - Mean for the 7 days preceding the visit at the end of the run-in period. Off-time refers to times when levodopa is not working well, causing worsening symptoms.

Secondary Endpoints
Number of Participants With TEAE Related to Clinical Laboratory Tests
Up to 52 weeks
Number of Participants With Markedly Abnormal Vital Signs Values
Up to 52 weeks
Number of Participants With TEAE Related to Electrocardiograms (ECG) (ECG QT Prolonged)
Up to 52 weeks
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TVP-1012 1mg GroupEXPERIMENTALTVP-1012 (1 mg/day) once daily, either before or after breakfast.
TVP-1012 1 mgEXPERIMENTALFor 2 weeks during the run-in period, one tablet of placebo orally, once daily before or after breakfast, followed by 26 weeks during the treatment period, one tablet of TVP-1012 1 mg orally, once daily before or after breakfast.
PlaceboPLACEBO_COMPARATORFor 2 weeks during the run-in period, one tablet of placebo orally, once daily before or after breakfast, followed by 26 weeks during the treatment period, one tablet of placebo orally, once daily before or after breakfast.
TVP-1012 1mgEXPERIMENTALTVP-1012 1 mg once daily orally, either before or after breakfast, concomitantly with levodopa tablet for 52 weeks as treatment period after 2 weeks of run-in period.
TVP-1012 0.5mgEXPERIMENTALTVP-1012 0.5 mg once daily orally, before or after breakfast, concomitantly with levodopa tablet for 26 weeks as treatment period after 2 weeks of run-in period.
Interventions
NameTypeDescription
TVP-1012 1mgDRUGTVP-1012 1mg Tablets
TVP-1012DRUGTVP-1012 1mg Tablets
PlaceboDRUGPlacebo tablets
TVP-1012 0.5mgDRUGTVP-1012 0.5mg Tablets
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Eligibility Criteria
Age Range30 Years — 79 Years
SexALL
Healthy VolunteersNo
Study Sites56

Inclusion Criteria: * The participant has completed the preceding study. * The participant has shown no safety issues during the study treatment in the preceding study, in the opinion of the investigator or subinvestigator. Exclusion Criteria: * The participant has undergone blood collection of \...

Countries:Japan
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