A Phase 1 interventional study of TAK-058 and TAK-058 Placebo in Healthy Volunteers, sponsored by Takeda. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-02-23.
Sponsored by Takeda · Phase 1, Interventional, and Treatment
The purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics of multiple doses of TAK-058 in healthy non-elderly and elderly participants.
The drug being tested in this study is TAK-058, which is under evaluation for the treatment of schizophrenia.
This study will enroll approximately 32 healthy non-elderly and 8 healthy elderly participants. Participants will be randomly assigned (by chance, like flipping a coin) to one of the five treatment groups-which will remain undisclosed to the patient and study doctor during the study (unless there is an urgent medical need):
The overall time to participate in this study is 14 days if assigned to Cohort 5. Participants will be confined to the clinic for 4 days, and will be contacted by telephone 14 days after last dose of study drug for a follow-up assessment (Day 14).
Takeda is the lead sponsor of 1,002 studies on the registry; 92 are open to participants now.
Of its 173 completed or terminated interventional studies of FDA-regulated products, 149 (86%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
TAK-058 25 mg solution, orally, once daily on Day 1 and Days 4 through 10, in non-elderly healthy participants.
Drug: TAK-058
TAK-058 75 mg solution, orally, once daily on Day 1 and Days 4 through 10, in non-elderly healthy participants.
Drug: TAK-058
TAK-058 150 mg solution, orally, once daily on Day 1 and Days 4 through 10, in non-elderly healthy participants.
Drug: TAK-058
TAK-058 25 mg solution, orally, once daily on Day 1 and Days 4 through 10, in elderly healthy participants.
Drug: TAK-058
TAK-058 300 mg solution, orally, once daily on Day 1, in non-elderly healthy participants.
Drug: TAK-058
TAK-058 placebo-matching solution, orally, once daily on Day 1 and Days 4 through 10 (Cohorts 1, 2 and 3), or TAK-058 placebo-matching solution, orally, once on Day 1 (Cohort 5), in non-elderly healthy participants.
Drug: TAK-058 Placebo
TAK-058 placebo-matching solution, orally, once daily on Day 1 and Days 4 through 10, in non-elderly healthy participants.
Drug: TAK-058 Placebo
TAK-058 Solution
TAK-058 placebo-matching solution
Percentage of Participants Who Experienced at Least 1 Treatment-Emergent Adverse Event
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 (eg, 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 treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.
Time frame: Cohorts 1-4 Day 1 to Day 40; Cohort 5 Day 1 to Day 14
Percentage of Participants Who Meet the Markedly Abnormal Criteria for Safety Laboratory Tests at Least Once Post-Dose
The percentage of participants with any markedly abnormal standard safety laboratory values (chemistry and hematology) collected throughout study.
Time frame: Cohorts 1-4 Day 1 to Day 40; Cohort 5 Day 1 to Day 14
Percentage of Participants Who Meet the Markedly Abnormal Criteria for Vital Signs at Least Once Post-Dose
The percentage of participants with any markedly abnormal standard vital sign values collected throughout study. Vital signs included blood pressure (after 5 minutes supine and at 1 and 3 minutes after standing), pulse and oral temperature.
Time frame: Cohorts 1-4 Day 1 to Day 40; Cohort 5 Day 1 to Day 14
Mean Cmax: Maximum Observed Plasma Concentration for TAK-058
Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.
Time frame: Day 1 predose and at multiple time points (up to 72 hours) postdose, and Day 10 predose and at multiple time points (up to 24 hours) postdose
Mean AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-058
AUClast is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration.
Time frame: Day 1 predose and at multiple time points (up to 72 hours) postdose
Mean AUC24: Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours Postdose for TAK-058
AUC24 is measure of area under the curve from time 0 to 24 hours postdose.
Time frame: Day 1 predose and at multiple time points (up to 24 hours) postdose
Mean AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for TAK-058
Area under the plasma concentration-time curve during a dosing interval, where tau (τ) is the length of the dosing interval.
Time frame: Day 10 predose and at multiple time points (up to 24 hours) postdose
Participants took part in the study at 1 investigative site in the United States from 20 February 2015 to 3 December 2015.
| Milestone | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo |
|---|---|---|---|---|---|---|---|
| Started | 6 | 6 | 6 | 6 | 6 | 8 | 2 |
| Completed | 6 | 6 | 6 | 6 | 6 | 8 | 2 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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 (eg, 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 treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.
| percentage of participants | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo |
|---|---|---|---|---|---|---|---|
| Percentage of Participants Who Experienced at Least 1 Treatment-Emergent Adverse Event | 50.0 | 50.0 | 33.3 | 66.7 | 33.3 | 25.0 | 50.0 |
The percentage of participants with any markedly abnormal standard safety laboratory values (chemistry and hematology) collected throughout study.
| percentage of participants | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo |
|---|---|---|---|---|---|---|---|
| Percentage of Participants Who Meet the Markedly Abnormal Criteria for Safety Laboratory Tests at Least Once Post-Dose | 0 | 0 | 0 | 0 | 0 | 12.5 | 0 |
The percentage of participants with any markedly abnormal standard vital sign values collected throughout study. Vital signs included blood pressure (after 5 minutes supine and at 1 and 3 minutes after standing), pulse and oral temperature.
| percentage of participants | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo |
|---|---|---|---|---|---|---|---|
| Any Markedly Abnormal Vital Sign | 16.7 | 66.7 | 50.0 | 50.0 | 50.0 | 12.5 | 100.0 |
| Pulse Rate | 0.0 | 33.3 | 50.0 | 16.7 | 16.7 | 12.5 | 0.0 |
| Systolic Blood Pressure | 16.7 | 16.7 | 16.7 | 0.0 | 0.0 | 0.0 | 0.0 |
| Diastolic Blood Pressure | 16.7 | 16.7 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
| Temperature | 0.0 | 16.7 | 16.7 | 33.3 | 33.3 | 0.0 | 100.0 |
Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.
| ng/mL | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg |
|---|---|---|---|---|---|
| Day 1 | 1076.0 ± 272.66 | 2085.0 ± 492.70 | 2366.7 ± 738.88 | 811.8 ± 179.48 | 3361.7 ± 479.85 |
| Day 10 | 1035.0 ± 404.58 | 2021.7 ± 577.91 | 2158.3 ± 560.69 | 886.2 ± 332.50 | NA ± NA |
AUClast is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration.
| ng*hr/mL | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg |
|---|---|---|---|---|---|
| Mean AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-058 | 4414.6 ± 1461.59 | 9223.2 ± 5433.05 | 12262.6 ± 4671.88 | 4326.8 ± 1287.86 | 15143.1 ± 3471.42 |
AUC24 is measure of area under the curve from time 0 to 24 hours postdose.
| ng*hr/mL | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg |
|---|---|---|---|---|---|
| Mean AUC24: Area Under the Plasma Concentration-Time Curve From Time 0 to 24 Hours Postdose for TAK-058 | 4372.6 ± 1436.73 | 8862.9 ± 4782.64 | 12013.0 ± 4495.56 | 4244.9 ± 1243.28 | 14852.3 ± 3348.62 |
Area under the plasma concentration-time curve during a dosing interval, where tau (τ) is the length of the dosing interval.
| ng*hr/mL | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg |
|---|---|---|---|---|
| Mean AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for TAK-058 | 4295.3 ± 2208.92 | 8325.4 ± 4642.29 | 11905.9 ± 4447.14 | 4539.2 ± 1509.66 |
Collected over Collection of AEs commenced from the time that the participant was first administered study medication on Day 1 until 30 days following last dose (up to Day 40 for Cohorts 1-4 and up to Day 30 for Cohort 5).. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Cohort 1 Non-elderly Healthy: TAK-058 25 mg | — | 0/6 (0%) | 3/6 (50%) |
| Cohort 2 Non-elderly Healthy: TAK-058 75 mg | — | 0/6 (0%) | 3/6 (50%) |
| Cohort 3 Non-elderly Healthy: TAK-058 150 mg | — | 0/6 (0%) | 2/6 (33.3%) |
| Cohort 4 Elderly Healthy: TAK-058 25 mg | — | 0/6 (0%) | 4/6 (66.7%) |
| Cohort 5 Non-elderly Healthy: TAK-058 300 mg | — | 0/6 (0%) | 2/6 (33.3%) |
| Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | — | 0/8 (0%) | 2/8 (25%) |
| Cohort 4 Elderly Healthy: Placebo | — | 0/2 (0%) | 1/2 (50%) |
| Event | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo |
|---|---|---|---|---|---|---|---|
| Infrequent bowel movementsGastrointestinal disorders | 2/6 | 1/6 | 2/6 | 3/6 | 0/6 | 0/8 | 0/2 |
| Skin irritationSkin and subcutaneous tissue disorders | 0/6 | 0/6 | 0/6 | 0/6 | 0/6 | 1/8 | 1/2 |
| Application site irritationGeneral disorders | 0/6 | 0/6 | 0/6 | 3/6 | 0/6 | 0/8 | 0/2 |
| HeadacheNervous system disorders | 0/6 | 1/6 | 0/6 | 0/6 | 2/6 | 0/8 | 0/2 |
| DizzinessNervous system disorders | 0/6 | 2/6 | 0/6 | 0/6 | 0/6 | 0/8 | 0/2 |
| Abdominal distensionGastrointestinal disorders | 0/6 | 1/6 | 1/6 | 0/6 | 0/6 | 0/8 | 0/2 |
| ConstipationGastrointestinal disorders | 1/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/8 | 0/2 |
| Haemorrhoidal haemorrhageGastrointestinal disorders | 1/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/8 | 0/2 |
| Salivary hypersecretionGastrointestinal disorders | 1/6 | 0/6 | 0/6 | 0/6 | 0/6 | 0/8 | 0/2 |
| NauseaGastrointestinal disorders | 0/6 | 0/6 | 0/6 | 1/6 | 0/6 | 0/8 | 0/2 |
Safety Set, all enrolled participants who received at least 1 dose of study drug.
| Age, Continuous(years) | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| Mean | 44.3 ± 6.77 | 36.2 ± 11.65 | 42.2 ± 11.23 | 68.2 ± 1.83 | 41.0 ± 15.39 | 40.9 ± 13.67 | 72.5 ± 2.12 | 46.6 ± 15.56 |
| Gender(Participants) | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| Female | 2 | 2 | 2 | 2 | 2 | 0 | 2 | 12 |
| Male | 4 | 4 | 4 | 4 | 4 | 8 | 0 | 28 |
| Race/Ethnicity, Customized(Participants) | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| Native Hawaiian or Other Pacific Islander | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 2 |
| Black or African American | 0 | 3 | 2 | 0 | 1 | 2 | 0 | 8 |
| White | 5 | 3 | 4 | 5 | 5 | 4 | 2 | 28 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 2 |
| Race/Ethnicity, Customized(Participants) | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 5 | 1 | 2 | 1 | 1 | 3 | 1 | 14 |
| Not Hispanic or Latino | 1 | 5 | 4 | 5 | 5 | 5 | 1 | 26 |
| Region of Enrollment(Participants) | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| United States | 6 | 6 | 6 | 6 | 6 | 8 | 2 | 40 |
| Height(cm) | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| Mean | 171.5 ± 10.17 | 171.0 ± 7.95 | 173.2 ± 10.23 | 173.7 ± 12.21 | 171.0 ± 9.42 | 176.1 ± 4.52 | 154.5 ± 2.12 | 172.0 ± 9.45 |
| Weight(kg) | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| Mean | 76.15 ± 9.291 | 75.63 ± 10.397 | 83.55 ± 12.902 | 83.08 ± 10.778 | 74.17 ± 15.687 | 79.63 ± 9.721 | 68.35 ± 5.869 | 78.23 ± 11.322 |
| Body Mass Index (BMI)(kg/m^2) | Cohort 1 Non-elderly Healthy: TAK-058 25 mg | Cohort 2 Non-elderly Healthy: TAK-058 75 mg | Cohort 3 Non-elderly Healthy: TAK-058 150 mg | Cohort 4 Elderly Healthy: TAK-058 25 mg | Cohort 5 Non-elderly Healthy: TAK-058 300 mg | Cohorts 1, 2, 3 and 5 Non-elderly Healthy: Placebo | Cohort 4 Elderly Healthy: Placebo | Total |
|---|---|---|---|---|---|---|---|---|
| Mean | 25.87 ± 1.742 | 25.80 ± 2.392 | 27.68 ± 1.451 | 27.48 ± 1.094 | 25.17 ± 3.463 | 25.66 ± 2.942 | 28.60 ± 1.697 | 26.36 ± 2.416 |
4 further baseline measures are reported on the registry.
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