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TD-1473

Phase 1

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment36

FDA Designations

No designations recorded

Clinical trial landscape

TD-1473 · 4 trials · 6 indications

Phase 1 4
NCT04587713Single Dose Bioavailability and Ethnobridging PK Study in Healthy SubjectsIntestinal Disorder
COMPLETED58 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
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

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
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-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)
PlaceboDRUG -
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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 used for?

TD-1473 is an investigational small molecule being developed for gastrointestinal conditions, including inflammatory bowel disease, ulcerative colitis, and other intestinal disorders. It has been studied in patients with active moderate to severe ulcerative colitis. The drug is still in clinical development and is not approved by the FDA.

Who makes TD-1473?

TD-1473 is being developed by Theravance Biopharma, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker TBPH. The company has conducted Phase 1 clinical trials of TD-1473 in the United States and other countries.

What phase is TD-1473 in?

TD-1473 is in Phase 1 clinical development. Multiple Phase 1 trials have been completed, including studies in patients with ulcerative colitis and healthy volunteers. The drug remains investigational and has not received FDA approval for any indication.

What clinical trials is TD-1473 in?

TD-1473 has been studied in several completed Phase 1 trials, including NCT02818686 for active ulcerative colitis, NCT03408470 an ADME study in healthy males, NCT03555617 a food-effect and drug-drug interaction study, and NCT04587713 a bioavailability and ethnobridging PK study. These trials enrolled a total of 58 participants.

Is TD-1473 the same as other drugs?

TD-1473 is a distinct investigational compound developed by Theravance Biopharma. No alternative names for TD-1473 have been reported in the clinical trial data. It is being studied specifically for gastrointestinal inflammatory conditions.