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TD-1473

Phase 2

Inflammatory Bowel Disease | Small molecule | Gastrointestinal |Theravance Biopharma, Inc.|Trials Updated: Sep 30, 2021

TD-1473 development status

Highest phase Phase 2 (NCT03635112)
Phase scored for TBPHPhase 1
Registered trials 3 across 1 sponsor since Jun 2016

TD-1473 target and mechanism

Molecular targetTyk2
Target classKinase
ModalitySmall molecule

Also known as TD-1473 [Tablet A], TD-1473 oral capsule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials5
Total Enrollment214

FDA Designations

No designations recorded

TD-1473 clinical trials

TD-1473 · 5 trials · 8 indications

Phase 1 5
NCT04587713Single Dose Bioavailability and Ethnobridging PK Study in Healthy SubjectsIntestinal Disorder
COMPLETED58 Analytics
NCT03750565Multiple Dose Ethnobridging PK Study in Healthy SubjectsInflammatory Bowel Diseases
COMPLETED60 Analytics
NCT03555617Food-effect, Drug-Drug Interaction (DDI), and Formulation Bridging StudyInflammatory Bowel Disease
COMPLETED36 Analytics
NCT03408470TD-1473 Absorption, Distribution, Metabolism and Excretion (ADME) Study in Healthy Male SubjectsIntestinal Disorders
COMPLETED20 Analytics
NCT02818686TD-1473 for Active Ulcerative Colitis (UC)Ulcerative Colitis, Active Moderate
COMPLETED40 Analytics
PHASE1COMPLETED
Single Dose Bioavailability and Ethnobridging PK Study in Healthy Subjects
Intestinal DisorderUnlock trial analytics
PHASE1COMPLETED
Multiple Dose Ethnobridging PK Study in Healthy Subjects
Inflammatory Bowel DiseasesUnlock trial analytics
PHASE1COMPLETED
Food-effect, Drug-Drug Interaction (DDI), and Formulation Bridging Study
Inflammatory Bowel DiseaseUnlock trial analytics
PHASE1COMPLETED
TD-1473 Absorption, Distribution, Metabolism and Excretion (ADME) Study in Healthy Male Subjects
Intestinal DisordersUnlock trial analytics
PHASE1COMPLETED
TD-1473 for Active Ulcerative Colitis (UC)
Ulcerative Colitis, Active ModerateUnlock trial analytics

Study Endpoints

Primary Endpoints

AUC0-t
Predose and at prespecified time points up to 5 days after dosing on Day 1 of each period

Area under the concentration-time curve, from time 0 to the last observed non-zero concentration (AUC0-t) of TD-1473 in Plasma

AUC0-inf
Predose and at prespecified time points up to 5 days after dosing on Day 1 of each period

Area under the concentration-time curve, from time 0 extrapolated to infinity (AUC0-inf) of TD-1473 in Plasma

Cmax
Predose and at prespecified time points up to 5 days after dosing on Day 1 of each period

Maximum observed concentration (Cmax) of TD-1473 in Plasma

Area under the concentration-time curve (AUC0 t)
Day 1 & Day 14
Area under the concentration-time curve (AUC0 24)
Day 1 & Day 14
Area under the concentration-time curve (AUCtau)
Day 1 & Day 14
Maximum observed concentration (Cmax)
Day 1 & Day 14
Maximum observed concentration at steady state (Cmax_ss)
Day 1 & Day 14
Maximum observed concentration (Cmax) in Plasma
Up to 8 days post-dose
Time to maximum observed concentration (tmax) in Plasma
Up to 8 days post-dose
Area under the concentration-time curve from hour 0 to the last measurable concentration (AUC0-last) in Plasma
Up to 8 days post-dose
Area under the concentration-time curve extrapolated to infinity (AUC0-inf) in Plasma
Up to 8 days post-dose
Apparent terminal elimination half-life (t1/2) in Plasma
Up to 8 days post-dose
Apparent clearance (Cl/F) in Plasma
Up to 8 days post-dose
Apparent volume of distribution (Vz/F) in Plasma
Up to 8 days post-dose
Absolute bioavailability (%F) in Plasma
Up to 15 days
Treatment-emergent Adverse Events (TEAE)
Baseline to end of follow-up (a maximum of 42 days)

Number of participants who experience one or more treatment-emergent Adverse Events (TEAE)

Moderate or Severe Treatment-emergent Adverse Events (TEAE)
Baseline to end of follow-up (a maximum of 42 days)

Number of participants who experience one or more moderate or severe treatment-emergent Adverse Events (TEAE)

Serious Treatment-emergent Adverse Events (TEAE)
Baseline to end of follow-up (a maximum of 42 days)

Number of participants who experience one or more serious treatment-emergent Adverse Events (TEAE)

Clinical Laboratory Measurements
Baseline to end of follow-up (a maximum of 42 days)

Number of participants who experienced a Clinically Significant Clinical Laboratory Measurements

Electrocardiogram
Baseline to Day 14

Number of participants who experienced a Clinically Significant Electrocardiogram (ECG) Result

Vital Signs
Baseline to end of follow-up (a maximum of 42 days)

Number of participants who experienced a Clinically Significant Vital Sign Measurement

Cmax in plasma
Day 1 and Day 14

Maximum Observed Plasma Concentration of TD-1473

Tmax in plasma
Day 1 and Day 14

Time to Reach Maximum Observed Plasma Concentration (Cmax) of TD-1473

Tlast in plasma
Day 1 and Day 14

Time to Last Quantifiable Concentration of TD-1473

Ctrough in plasma
Day 14 (Pre-dose)

Trough Concentration of TD-1473

AUC0-4 in plasma
Day 1 and Day 14

Area Under the Concentration-time Curve from Time Zero to 4 hours Post-Dose of TD-1473

Ctissue in plasma
Day 28

Tissue Concentration of TD-1473

Secondary Endpoints

Adverse events
Day 1 through Day 7 of each period
Amount excreted in urine (Aeu) over the sampling interval in Urine
Up to 15 days
Renal clearance (CLr) in Urine
Up to 15 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A, Sequence 1EXPERIMENTALPart A, Sequence 1 = Treatment (Tx) C, Tx A, Tx C, Tx A Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout between treatments
Part A, Sequence 2EXPERIMENTALPart A, Sequence 2: Tx D, Tx B, Tx D, Tx B Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Part A, Sequence 3EXPERIMENTALPart A, Sequence 3: Tx C, Tx A, Tx D, Tx B Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Part A, Sequence 4EXPERIMENTALPart A, Sequence 4: Tx D, Tx B, Tx C, Tx A Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Part A, Sequence 5EXPERIMENTALPart A, Sequence 5: Tx A, Tx C, Tx A, Tx C Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Part A, Sequence 6EXPERIMENTALPart A, Sequence 6: Tx B, Tx D, Tx B, Tx D Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Part A, Sequence 7EXPERIMENTALPart A, Sequence 7: Tx A, Tx C, Tx B, Tx D Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Part A, Sequence 8EXPERIMENTALPart A, Sequence 8: Tx B, Tx D, Tx A, Tx C Single oral dose of treatment on Day 1 of each period in a 4-way crossover design with a ≥10-day washout period between treatments
Part B,Treatment AEXPERIMENTALSingle oral dose of Treatment A on Day 1
Cohort 1EXPERIMENTALJapanese subjects will receive oral doses of either TD-1473 - Dose A or placebo (15 healthy Japanese subjects randomized 3:1 to 12 active and 3 placebo) once daily (QD) for 14 consecutive days.
Cohort 2EXPERIMENTALJapanese subjects will receive oral doses of either TD-1473 - Dose B or placebo (15 healthy Japanese subjects randomized 3:1 to 12 active and 3 placebo) once daily (QD) for 14 consecutive days.
Cohort 3EXPERIMENTALCaucasian subjects will receive oral doses of either TD-1473 - Dose B or placebo (15 healthy Caucasian subjects randomized 3:1 to 12 active and 3 placebo) once daily (QD) for 14 consecutive days.
Cohort 4EXPERIMENTALJapanese subjects will receive oral doses of either TD-1473 - Dose C or placebo (15 healthy Japanese subjects randomized 3:1 to 12 active and 3 placebo) once daily (QD) for 14 consecutive days.
TD-1473 formulation bridging & food effectEXPERIMENTALSubjects will receive, on Day 1 of each period, a single 100 mg oral dose of the tablet formulation of TD-1473 in the fed or fasted state, or the PIC formulation of TD-1473 in the fasted state, as part of a 3-period, crossover design.
TD-1473 with ItraconazoleEXPERIMENTALSubjects will receive a single 100 mg oral dose of the tablet formulation of TD-1473 in the fasted state on Day 1 of Period 1. In Period 2, subjects will receive, in the fasted state, single oral doses of 200 mg itraconazole solution on Days -4 through 7 for a total of 11 days, with a single 100 mg oral dose of the tablet formulation of TD-1473 co-administered on Day 1.
TD-1473 without ItraconazoleEXPERIMENTALSubjects will receive a single 100 mg oral dose of the tablet formulation of TD-1473 in the fasted state on Day 1 of Period 1.
TD-1473 Oral Capsule & [14C]-TD-1473 IV bolusEXPERIMENTALCohort 1 - One oral dose and IV bolus administered 1 hr after oral dose of TD-1473
[14C]-TD-1473 Oral CapsuleEXPERIMENTALCohort 2 - One oral dose
TD-1473 low doseEXPERIMENTAL10 subjects will be randomized to receive low-dose TD-1473 orally daily for 28 days
TD-1473 mid doseEXPERIMENTAL10 subjects will be randomized to receive mid-dose TD-1473 orally daily for 28 days
TD-1473 high doseEXPERIMENTAL10 subjects will be randomized to receive high-dose TD-1473 orally daily for 28 days
PlaceboPLACEBO_COMPARATOR10 subjects will be randomized to receive placebo orally daily for 28 days

Interventions

NameTypeDescription
TD-1473 [Tablet A]DRUGTD-1473 \[Tablet A\] (1 Tablet = Dose A) proposed commercial tablet formulation
TD-1473 [Tablet B]DRUGTD-1473 \[Tablet B\] (2 Tablets = Dose A) current clinical tablet formulation
TD-1473 - Dose ADRUGoral capsule/tablet, QD
TD-1473 - Dose BDRUGoral capsule/tablet, QD
TD-1473 - Dose CDRUGoral capsule/tablet, QD
PlaceboDRUGoral capsule/tablet, QD
TD-1473DRUGoral capsule/tablet, QD
ItraconazoleDRUGoral solution, QD
TD-1473 oral capsuleDRUG(Intervention description included in arm description)
[14C]-TD-1473 IV bolusDRUG(Intervention description included in arm description)
[14C]-TD-1473 Oral CapsuleDRUG(Intervention description included in arm description)
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Eligibility Criteria

Age Range19 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites2

Inclusion Criteria: * Subject is a non-smoking male or female adult * Subject (females) must be of non-childbearing potential or if of childbearing potential, subject must not be pregnant or breastfeeding, and must agree to use highly effective birth control and must not donate ova through 30 days ...

Countries:United StatesGeorgiaMoldovaRomania
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Frequently asked questions about TD-1473

What is TD-1473?

TD-1473 is an investigational oral small molecule developed by Theravance Biopharma, Inc. (TBPH) for inflammatory bowel disease, including ulcerative colitis and active moderate disease. It is a Phase 1 asset that has been studied in healthy volunteers in the United States. TD-1473 is also known by the alternate names TD-1473 [Tablet A], TD-1473 - Dose A, TD-1473- Dose A, and TD-1473 oral capsule.

What does TD-1473 target?

TD-1473 targets Tyk2, a kinase. Tyk2 is part of the Janus kinase family and is involved in cytokine signaling pathways relevant to inflammatory conditions. By targeting this kinase, TD-1473 is designed to act on inflammatory signaling in the gastrointestinal tract, which is the basis for its study in inflammatory bowel disease and ulcerative colitis.

Who makes TD-1473?

TD-1473 is developed by Theravance Biopharma, Inc., which trades under the ticker TBPH. The company is the sponsor behind the clinical program for this oral small molecule in inflammatory bowel disease and related intestinal disorders.

What phase is TD-1473 in?

TD-1473 is in Phase 1 development. It is an investigational drug and is not approved. The program includes completed Phase 1 studies conducted in healthy volunteers in the United States, and no active trials are currently listed for TD-1473.

What clinical trials is TD-1473 in?

TD-1473 has been evaluated in completed Phase 1 trials, including NCT04587713, a single dose bioavailability and ethnobridging PK study; NCT03750565, a multiple dose ethnobridging PK study; NCT03555617, a food-effect, drug-drug interaction, and formulation bridging study; and NCT03408470, an ADME study in healthy male subjects. All were conducted in the United States.

Is TD-1473 the same as TD-1473 oral capsule?

Yes. TD-1473 oral capsule is one of the alternate names for TD-1473, along with TD-1473 [Tablet A], TD-1473 - Dose A, and TD-1473- Dose A. These names refer to the same investigational oral small molecule developed by Theravance Biopharma for inflammatory bowel disease and ulcerative colitis.