CClinicalTrials.gg
WithdrawnNCT05309902Updated Aug 19, 2026

A Study of Soticlestat in Healthy Adults To Evaluate the Effect on QTc Interval

A Phase 1 interventional study of Soticlestat and Placebo in Healthy Volunteers, sponsored by Takeda. Withdrawn. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-19.

Sponsored by Takeda · Phase 1, Interventional, and Other

Why this study was withdrawn
Study not needed
Phase
Phase 1
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The main aim is to see if soticlestat has any effect in the heart rate.

Participants will receive 4 doses of soticlestat in tablets and will complete some assessment which include to record activity of the heart and collection of blood samples.

Then, the clinic will contact the participants 14 days after their final dose of soticlestat to check if they have any health problems.

Read the detailed description

The drug being tested in this study is called soticlestat. Soticlestat is being tested in healthy participants for the purpose of this study. This study will assess the effect of single-dose of soticlestat on the heart rate (QTc prolongation). The study will enroll approximately 60 participants.

Participants will be randomly assigned (by chance, like flipping a coin) to 1 of the 4 treatments sequences.

  • Sequence 1: (Regimen A+ Regimen B + Regimen C + Regimen D)
  • Sequence 2: (Regimen B+ Regimen D + Regimen A + Regimen C)
  • Sequence 3: (Regimen C+ Regimen A + Regimen D + Regimen B)
  • Sequence 4: (Regimen D+ Regimen C + Regimen B + Regimen A)

All participants will receive all 4 treatment regimens. Treatment order will remain undisclosed to the participants and study doctor (unless there is an urgent medical need). This is a single-center trial. Participants will be followed up for up to 14 days after the last dose of study drug for a follow-up assessment. The overall time to participate in this study is approximately 63 days including screening period and follow-up period.

02

Conditions studied

  • Healthy Volunteers

Keywords

  • Drug Therapy
03

In context

Lead sponsor

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.

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Male participants agree to comply with any applicable contraceptive requirements of the protocol.
  2. Body mass index (BMI) greater than or equal to (>=)18.0 and \<=32.0 kilogram per square meter (kg/m\^2) at screening.
  3. Continuous non-smoker who has not used nicotine-containing products for at least 90 days prior to the first dosing, based on participant self-reporting.
  4. No clinically significant history or presence of ECG findings as judged by the Investigator or designee, including each criterion as listed below:

    • Normal sinus rhythm (HR between 45 bpm and 100 bpm inclusive) at screening and check-in;
    • QTcF is \<=450 ms (males) or \<=470 ms (females) at screening and check-in;
    • QRS interval \<=110 ms; if >110 ms, result will be confirmed by a manual over read at screening and check-in;
    • PR interval \<=220 ms at screening and check-in.

Exclusion criteria

Exclusion Criteria:

  1. Mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected during the conduct of the study.
  2. History or presence of any of the following, deemed clinically significant by the Investigator or designee:

    • epilepsy, seizure, or convulsion, tremor or related symptoms;
    • risk factors for Torsade de Pointes (TdP) (example, heart failure, unexplained syncope, cardiomyopathy, or family history of Long QT Syndrome);
    • family history of sudden death;
    • sick sinus syndrome, second or third degree atrioventricular block, myocardial infarction, pulmonary congestion, symptomatic or significant cardiac arrhythmia, prolonged QTcF interval, or conduction abnormalities;
    • ischemic heart disease, poorly controlled hypertension, or other cardiovascular disorder;
    • T wave flattening or other abnormalities which in the opinion of the investigator or designee may interfere with the analysis of QT intervals;
    • clinically significant hyper- or hypokalemia.
  3. Any positive responses on the Columbia-Suicide Severity Rating Scale (C-SSRS) that in the clinical judgement of the Investigator has a risk of suicide or has made a suicide attempt in the previous 12 months prior to the first dosing.
  4. Positive urine drug or alcohol results at screening or at check-in.
  5. Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or antibody test for hepatitis C virus (HCV).
  6. Unable to refrain from or anticipates the use of:

    • Any vaccines, drugs, including prescription and non-prescription medications, herbal remedies, or vitamin supplements within 14 days prior to the first dosing. Thyroid hormone replacement medication may be permitted if the participant has been on the same stable dose for the immediate 3 months prior to first dosing.
    • Any drugs known to be significant inducers of cytochrome P450 (CYP)3A, CYP2C19, uridine 5' diphospho-glucuronosyltransferase (UGT)1A9 or (UGT)2B4 enzymes and/or P-glycoprotein (P-gp), including St. John's Wort, within 28 days prior to the first dosing. Appropriate sources (example, Flockhart TableTM) will be consulted to confirm lack of Pharmacokinetics (PK)/pharmacodynamics interaction with study drug.
  7. Consumes excessive amounts, defined as greater than 4 servings (1 serving is approximately equivalent to 120 mg of caffeine) of coffee, tea, cola, energy drinks or other caffeinated beverages per day.
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Sequence 1: (Regimen A + Regimen B + Regimen C + Regimen D)

    Regimen A (soticlestat 300 milligram \[mg\] tablets + soticlestat placebo-matching tablets + moxifloxacin placebo-matching capsule), orally, in fasting condition once on Day 1 of Treatment Period 1, followed by at least 7 days washout period, followed by Regimen B (soticlestat 900 mg tablets + moxifloxacin placebo-matching capsule), orally, in fasting condition once on Day 1 of Treatment Period 2, followed by at least 7 days washout period, followed by Regimen C (soticlestat placebo-matching tablets + moxifloxacin 400 mg over-encapsulated tablet), orally, in fasting condition, once on Day 1 of Treatment Period 3, followed by at least 7 days washout period, followed by Regimen D (soticlestat placebo-matching tablets + moxifloxacin placebo-matching capsule), orally, in fasting condition once on Day 1 of Treatment Period 4.

    Drug: Soticlestat · Drug: Placebo · Drug: Moxifloxacin

  • Experimental
    Sequence 2: (Regimen B + Regimen D + Regimen A + Regimen C)

    Regimen B (soticlestat 900 mg tablets + moxifloxacin placebo-matching capsule), orally, in fasting condition once on Day 1 of Treatment Period 1, followed by at least 7 days washout period, followed by Regimen D (soticlestat placebo-matching tablets + moxifloxacin placebo-matching capsule), orally, in fasting condition once on Day 1 of Treatment Period 2, followed by at least 7 days washout period, followed by Regimen A (soticlestat 300 mg tablets + soticlestat placebo-matching tablets + moxifloxacin placebo-matching capsule), orally, in fasting condition, once on Day 1 of Treatment Period 3, followed by at least 7 days washout period, followed by Regimen C (soticlestat -matching tablets + moxifloxacin 400 mg over-encapsulated tablet), orally, in fasting condition once on Day 1 of Treatment Period 4.

    Drug: Soticlestat · Drug: Placebo · Drug: Moxifloxacin

  • Experimental
    Sequence 3: (Regimen C + Regimen A + Regimen D + Regimen B)

    Regimen C (soticlestat placebo-matching tablets + moxifloxacin 400 mg over-encapsulated tablet), orally, in fasting condition once on Day 1 of Treatment Period 1, followed by at least 7 days washout period, followed by Regimen A (soticlestat 300 mg tablets + soticlestat placebo-matching tablets + moxifloxacin placebo-matching capsule), orally, in fasting condition once on Day 1 of Treatment Period 2, followed by at least 7 days washout period, followed by Regimen D (soticlestat placebo-matching tablets + moxifloxacin placebo-matching capsule), orally, in fasting condition, once on Day 1 of Treatment Period 3, followed by at least 7 days washout period, followed by Regimen B (soticlestat 900 mg tablets + moxifloxacin placebo-matching capsule), orally, in fasting condition once on Day 1 of Treatment Period 4.

    Drug: Soticlestat · Drug: Placebo · Drug: Moxifloxacin

  • Experimental
    Sequence 4: (Regimen D + Regimen C + Regimen B + Regimen A)

    Regimen D (soticlestat placebo-matching tablets + moxifloxacin placebo-matching capsule), orally, in fasting condition once on Day 1 of Treatment Period 1, followed by at least 7 days washout period, followed by Regimen C (soticlestat placebo-matching tablets + moxifloxacin 400 mg over-encapsulated tablet), orally, in fasting condition once on Day 1 of Treatment Period 2, followed by at least 7 days washout period, followed by Regimen B (soticlestat 900 mg tablets + moxifloxacin placebo-matching capsule), orally, in fasting condition, once on Day 1 of Treatment Period 3, followed by at least 7 days washout period, followed by Regimen A (soticlestat 300 mg tablets + soticlestat placebo-matching tablets + moxifloxacin placebo-matching capsule), orally, in fasting condition once on Day 1 of Treatment Period 4.

    Drug: Soticlestat · Drug: Placebo · Drug: Moxifloxacin

Interventions

  • DrugSoticlestat

    Soticlestat tablet.

    Also known as: TAK-935

  • DrugPlacebo

    Soticlestat placebo-matching tablet.

  • DrugMoxifloxacin

    Moxifloxacin over-encapsulated tablet.

  • DrugPlacebo

    Moxifloxacin placebo-matching capsule.

06

What researchers measure

Primary outcomes

  1. Placebo-corrected Change From Baseline in Corrected QT Interval (QTc)

    The QTc interval will be measured by continuous electrocardiogram (ECG) recordings. The primary QT correction method will be Fridericia's correction. In case a substantial HR effect is observed on-treatment with soticlestat, drug-free QT/RR data will be collected over a range of Heart Rate (HR) seen off-treatment to allow the generation of individualized QT correction methods. QTc will be calculated from Day -1 of the first treatment period both during the periods of supine rest (QTcS) and from all evaluable QT/RR pairs in the 24-hour recording (QTcI). The method that removes the HR dependence of the QT interval most efficiently will be chosen as primary correction method. The analysis for QTc will be based on a linear mixed-effects model with ΔQTc as the dependent variable, period, sequence, time (that is, nominal post-dose time point), treatment, and time-by-treatment interaction as fixed effects, and baseline QTc as a covariate.

    Time frame: Day -1 up to 24 hours post-dose

Secondary outcomes

  1. Change From Baseline in HR

    HR will be measured by continuous ECG recordings.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  2. Change From Baseline in QTc With the Methods Not Selected as Primary

    The QTc interval will be measured by continuous ECG recordings. Pre-dose will be the average of the derived ECG intervals from the 3 ECG time-points (-0.75, -0.5, and -0.25 hours) prior to treatment administration on Day 1 within each respective period.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  3. Change From Baseline in Individualized HR-corrected QT interval (QTcS)

    The QTcS interval will be measured by continuous ECG recordings and QT/RR interval of ECG (RR) data obtained at supine resting time points. The analysis for QTcS will be based on a linear mixed-effects model.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  4. Change From Baseline in Optimized QT Interval (QTcI)

    The QTcI interval will be measured by continuous ECG recordings and QT/RR data obtained at supine resting time points. The analysis for QTcI will be based on a linear regression model.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  5. Change From Baseline in PR Interval of the ECG (PR)

    PR will be measured by continuous ECG recordings.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  6. Change From Baseline in QRS Interval of the ECG (QRS)

    QRS will be measured by continuous ECG recordings.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  7. Placebo-corrected Change From Baseline in HR

    Placebo-corrected HR will be measured by continuous ECG recordings.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  8. Placebo-corrected Change From Baseline in QTc With the Methods Not Selected as Primary

    Placebo-corrected QTc interval will be measured by continuous ECG recordings. Pre-dose will be the average of the derived ECG intervals from the 3 ECG time-points (-0.75, -0.5, and -0.25 hours) prior to treatment administration on Day 1 within each respective period.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  9. Placebo-corrected Change From Baseline in PR Interval of ECG

    Placebo-corrected PR interval will be measured by continuous ECG recordings.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  10. Placebo-corrected Change From Baseline in QRS Interval of ECG

    Placebo-corrected QRS interval will be measured by continuous ECG recordings.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  11. Number of Participants with Categorical Outlier Values for HR

    Number of participants with categorical outlier values for HR will be determined. A participant will be determined as an outlier if the following criteria were met for the ECG intervals at any time point: Decrease of HR from baseline greater than (\>) 25 percent (%) resulting in HR less than (\<) 50 beats per minute (bpm) and increase in HR from baseline resulting in HR \>100 bpm.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  12. Number of Participants with Categorical Outliers Values for PR

    Number of participants with categorical outlier values for PR will be determined. A participant will be determined as an outlier if the following criteria were met for the ECG interval at any time point: Increase of PR from Baseline \>25% resulting in PR \>200 millisecond (ms).

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  13. Number of Participants with Categorical Outliers Values for QRS

    Number of participants with categorical outliers values for QRS will be determined. A participant will be determined as an outlier if the following criteria were met for the ECG interval at any time point: Increase of QRS from Baseline \>25% resulting in QRS \>120 ms.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  14. Number of Participants with Categorical Outliers Values for QTc

    Number of participants with categorical outliers values for QTc will be determined. A participant will be determined as an outlier if the following criteria were met for the ECG interval at any time point: Increase in treatment-emergent value \>450 and less than or equal to (\<=) 480 ms; \>480 and \<=500; change from Baseline of \>30 and \<=60 ms or \>60 ms.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  15. Percentage of Participants with Change From Baseline in ECG Morphology

    ECG morphological analyses will be performed using the ECG waveform interpretation as defined by the central ECG laboratory's cardiologist.

    Time frame: Day 1: Pre-dose up to 24 hours post-dose

  16. Number of Participants Reporting one or More Treatment-emergent Adverse Events (TEAEs)

    An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant who has signed informed consent to participate in a study; it does not necessarily have to have a causal relationship with the treatment. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug.

    Time frame: Baseline (Day 1) up to 14 days after the last dose of study drug in Period 4 (Day 39)

  17. Cmax: Maximum Observed Plasma Concentration for Soticlestat

    Time frame: Day 1: Pre-dose and at multiple timepoints (up to 24 hours) post-dose

  18. AUC∞: Area Under the Plasma Concentration-time Curve from Time 0 to Infinity for Soticlestat

    Time frame: Day 1: Pre-dose and at multiple timepoints (up to 24 hours) post-dose

  19. AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Soticlestat

    Time frame: Day 1: Pre-dose and at multiple timepoints (up to 24 hours) post-dose

  20. Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for Soticlestat

    Time frame: Day 1: Pre-dose and at multiple timepoints (up to 24 hours) post-dose

  21. T1/2z: Terminal Phase Elimination Half-life for Soticlestat

    Time frame: Day 1: Pre-dose and at multiple timepoints (up to 24 hours) post-dose

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

Supporting information: Study protocol, Sap, Icf, Csr

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05309902
Lead sponsor
Takeda
Responsible party
Sponsor
First posted
Apr 4, 2022
Start date
Oct 11, 2022 (estimated)
Primary completion
Dec 6, 2022 (estimated)
Completion
Dec 6, 2022 (estimated)
Last update
Aug 19, 2026

Study contacts

Study Director
study director · Takeda (Note: This product was divested to Mistrau Bio in 2026)

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion