ClinicalTrials.gg
Not yet recruitingNCT07794735Updated Sep 8, 2026

A Study of TAK-664 in People With Primary Immunodeficiency Diseases Who Have Not Yet Been Treated With Immunoglobulins

A Phase 4 interventional study of TAK-664 in Primary Immunodeficiency Diseases (PID), sponsored by Takeda. Not yet recruiting. Open to participants aged 6 Years and older. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by Takeda · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
6 Years and older
Sex
All
01

Study summary

Primary immunodeficiency disease (or PIDD) is a group of conditions in which the immune system does not work properly. Some people with PIDD do not make enough antibodies. Antibodies are proteins that help to either protect the body from infections or fight infections. The main type of antibodies that helps protect the body from infection is IgG. People who do not make enough IgG often need medical treatment that gives the body those antibodies. This treatment is called IgG replacement therapy. It can be given through a vein (intravenous or IV) or under the skin (subcutaneous SC). TAK-664 is approved worldwide for SC IG replacement therapy.

The study wants to learn more about TAK-664 given to people with PIDD who have not yet been treated with IG (called 'treatment-naïve').

The main aim of the study is to check if giving TAK-664 daily for 5 days, and then once more 3 days later (Day 8), can raise IgG to the target level and keep IgG there.

Another aim of the study is to learn if TAK-664 given once a week can keep the IgG at the target levels during the study. The study also wants to find out how much the IgG levels raise and learn how many infections occur and how they are treated.

02

Conditions studied

  • Primary Immunodeficiency Diseases (PID)
03

In context

Primary Immunodeficiency Diseases

211 studies on the registry are indexed under Primary Immunodeficiency Diseases; 51 are open to participants now.

This study's planned enrollment of 9 is below the median of 36 across 125 interventional studies indexed under Primary Immunodeficiency Diseases.

Browse Primary Immunodeficiency Diseases studies →

Lead sponsor

Takeda is the lead sponsor of 1,026 studies on the registry; 89 are open to participants now.

Of its 178 completed or terminated interventional studies of FDA-regulated products, 154 (87%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. The participant or the participant's legally authorized representative is willing and able to understand and fully comply with trial procedures and requirements, in the opinion of the investigator.
  2. The participant or the participant's legally authorized representative has provided or assent, if applicable (that is, in writing, documented via a signed and dated informed consent form [ICF]), and any required privacy authorization before the initiation of any trial procedures.
  3. The participant is at least 6 years of age at the time of signing the ICF or assent, if applicable.
  4. The participant has a documented diagnosis of a form of primary humoral immunodeficiency involving a defect in antibody formation and requiring IG replacement, as defined according to the International Union of Immunological Societies (IUIS) Committee (Human Inborn Errors of Immunity: 2024 update on the phenotypic classification from the IUIS Expert Committee).
  5. The participant has never received immunoglobulin (IG) replacement treatment (that is, no prior IG replacement therapy).
  6. The participant must have an immunoglobulin G (IgG) level of less than or equal to (\<=) 400 milligrams per deciliter (mg/dL) at screening.
  7. If a participant has the potential to become pregnant, they must have a negative pregnancy test at screening and agree to employ a highly effective measure throughout the course of the trial and for at least 30 days after the last administration of TAK-664.

Exclusion criteria

Exclusion Criteria:

  1. The participant has significant proteinuria (greater than or equal to [>=] 3 and/or known urinary protein loss greater than [>]1 gram per 24 [g/24] hours or nephrotic syndrome), has acute renal failure, is on dialysis, and/or has severe renal impairment on screening laboratory testing (blood urea nitrogen [BUN] or creatinine >2.5 × [ULN]).
  2. The participant has immunoglobulin A (IgA) deficiency (IgA less than [\<] 0.07 grams per liter [g/L]) associated with known anti-IgA antibodies and a history of .
  3. The participant has a condition(s) that could alter protein catabolism and/or IgG use (for example, protein-losing enteropathies or nephrotic syndrome).
  4. The participant has a known history of a positive result or is positive at screening for one or more of the following: virus surface antigen (HBsAg), polymerase chain reaction (PCR) for virus (HCV), or PCR for (HIV) Type 1 and Type 2. Note: Cured participants with a history of hepatitis C infection who have a negative PCR test at screening are eligible.
  5. The participant has a known history or current diagnosis of thromboembolic episodes, such as deep vein thrombosis, pulmonary embolism, myocardial infarction, ischemic stroke, , or peripheral artery disease, within 6 months before screening.
  6. The participant has a history of with less than 2 years of complete remission before screening or active malignancy requiring chemotherapy and/or radiotherapy.

    Note: Participants with adequately treated basal cell or squamous cell carcinoma of the skin, carcinoma in situ of the cervix, or stable prostate cancer not requiring treatment are eligible.

  7. The participant has congestive heart failure ( class III/IV), unstable angina, unstable cardiac arrhythmias, or uncontrolled hypertension (defined as diastolic blood pressure >100 millimeters of mercury (mm Hg) and/or systolic blood pressure >160 mm Hg during the screening period confirmed on 2 measures >30 minutes apart).
  8. The participant has an acquired or inherited thrombophilic disorder, such as protein C deficiency, protein S deficiency, antithrombin deficiency, or primary antiphospholipid antibody syndrome.
  9. The participant has malignancies of lymphoid cells, such as chronic lymphocytic leukemia and non-Hodgkin's lymphoma, which may lead to secondary hypogammaglobulinemia.
  10. The participant has a medical condition, laboratory finding, or physical examination finding that precludes participation or clinical evidence of any significant acute or chronic disease that, in the opinion of the investigator, may interfere with the successful completion of the trial or place the participant at undue medical risk.
  11. The participant has abnormal laboratory values at screening that meet any one of the following criteria (abnormal tests may be repeated once to determine if they are persistent):

    • Persistent (ALT) and aspartate aminotransferase (AST) >2.5 × ULN for the testing laboratory.
    • Persistent severe neutropenia (defined as an (ANC) \<=500 per cubic millimeters [/mm\^3]).
  12. The participant has anemia that would preclude phlebotomy for laboratory studies, according to standard practice at the site, at the discretion of the investigator.
  13. The participant has a known or suspected intolerance or hypersensitivity to compounds closely related to TAK-664 or any of the stated ingredients.
  14. The participant has an active infection and is receiving systemic antibiotic therapy for the treatment of infection at the time of screening.
  15. The participant is required to take or has taken:

    1. Immunomodulatory/ agents that include but are not limited to specific complement inhibitors, rituximab, neonatal Fc receptor inhibitors (for example, efgartigimod), and chemotherapeutic drugs, within 12 months of screening or 5 times the half-life (t1/2) plus 6 months before screening, whichever is longer.
    2. Long-term systemic defined as a daily dose >1 mg/kg of prednisone-equivalent/day for >30 days within 3 months of screening. Note: Participants using short-pulse dose corticosteroid course and oral daily corticosteroids \<=10 milligrams per day (mg/day) prednisone-equivalent are allowed.
  16. The participant has received a live-attenuated viral vaccination within 3 months of screening.
  17. The participant has known substance or prescription drug abuse within 12 months of screening.
  18. The participant is pregnant or breastfeeding at the time of screening or planning to become pregnant during participation in the trial.
  19. The participant has a current or relevant history of physical or psychiatric illness or any medical disorder that may require treatment or make the participant unlikely to fully complete the trial or any condition that presents undue risk from the trial intervention or procedures.
  20. The participant has participated or is scheduled to participate in another clinical trial involving a trial intervention or device within 30 days before screening and during the trial.
  21. The participant is a trial site employee, an immediate family member (for example, spouse, parent, child, or sibling), or is in a dependent relationship with a trial site employee who is involved in the conduct of this trial or may consent under duress.
Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (estimated)

Study arms

  • Experimental
    TAK-664, 150 mg/kg

    Participants will receive a loading regimen of TAK-664 infusions consisting of 5 consecutive daily doses of 150 milligrams per kilogram (mg/kg) from Days 1 to 5 during the loading period, followed by maintenance period with the same dose of weekly infusion from Week 1 to Week 8.

    Biological: TAK-664

Interventions

  • BiologicalTAK-664

    Participants will receive TAK-664 infusion.

    Also known as: CUVITRU, Immune globulin subcutaneous (IGSC) 20 percent (%) Solution

06

What researchers measure

Primary outcomes

  1. Percentage of Participants who Achieve a Total Serum IgG Trough Level of >=500 mg/dL

    Serum trough levels of total IgG will be determined by using validated assay methods.

    Time frame: At Day 15

Secondary outcomes

  1. Percentage of Participants who Achieve a Total Serum IgG Trough level of >=500 mg/dL on Day 8

    Serum trough levels of total IgG will be determined by using validated assay methods.

    Time frame: At Day 8

  2. Percentage of Participants who Achieve a Total Serum IgG Trough level of >=500 mg/dL at Weeks 4, 6, and 9

    Serum trough levels of total IgG will be determined by using validated assay methods.

    Time frame: At Weeks 4, 6, and 9

  3. Percentage of Participants who Achieve a Total Serum IgG Trough Level of >=700 mg/dL

    Serum trough levels of total IgG will be determined by using validated assay methods.

    Time frame: At Weeks 6, and 9

  4. Change in Total Serum IgG Trough Level of >=100 mg/dL From Baseline to Days 8 and 15

    Serum trough levels of total IgG will be determined by using validated assay methods.

    Time frame: Baseline up to Days 8 and 15

  5. Annualized Rate of All Infections

    The annual rate of infections will be calculated as the mean number of infections per participant per year.

    Time frame: From first dose of study drug up to end of trial (EOT) (up to 10 weeks)

  6. Annualized Rate of Acute Serious Bacterial Infections (ASBIs)

    The ASBI rate will be calculated as the mean number of acute serious bacterial infections per participant per year.

    Time frame: From first dose of study drug up to EOT (up to 10 weeks)

  7. Duration of Infections

    The duration of an infection will be calculated as the number of days between the AE start date and the AE end date. Infections will be extracted from adverse events (AE) reporting.

    Time frame: From first dose of study drug up to EOT (up to 10 weeks)

  8. Annualized Rate of Days on Oral or Parenteral Antibiotics for Prophylaxis or Treatment of Infections

    Annualized rate of days on oral or parenteral antibiotics will be calculated as the total number of days participants received oral or parenteral antibiotics for prophylaxis or treatment of infections divided by the total participant-years of follow-up.

    Time frame: From first dose of study drug up to EOT (up to 10 weeks)

  9. Number of Hospitalizations Due to Infections

    Number of hospitalizations due to infections will be standardized to per year.

    Time frame: From first dose of study drug up to EOT (up to 10 weeks)

  10. Total Number of Days of Hospital Stay Due to Infections

    Total number of days of hospital stay due to infections will be standardized to per year.

    Time frame: From first dose of study drug up to EOT (up to 10 weeks)

  11. Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Related to TAK-664

    An adverse event (AE) is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of the trial intervention, whether or not the occurrence is considered related to the trial intervention. TEAEs are defined as AEs that started at or after the initiation of the first administration of TAK-664. Serious TEAEs are the AEs that result in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged in-patient hospitalization; congenital anomaly/birth defect or are otherwise considered medically important. Any TEAE that is recorded by the investigator as related to TAK-664 is considered as TEAE related to TAK-664.

    Time frame: From first dose of study drug up to EOT (up to 10 weeks)

  12. Number of Participants With TEAEs Temporally Associated With TAK-664

    Temporally associated TEAEs are defined as TEAEs which begin during or within 72 hours of the completion of TAK-664 infusion.

    Time frame: From first dose of study drug up to EOT (up to 10 weeks)

  13. Number of Infusions of TAK-664 Without Infusion Rate Reduction, Interruption, or Infusion Withdrawals due to TAK-664-related TEAEs

    Number of infusions of TAK-664 without infusion rate reduction, interruption, or infusion withdrawals due to TAK-664-related TEAEs will be reported.

    Time frame: From first dose of study drug up to EOT (up to 10 weeks)

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, Statistical analysis plan, Informed consent form, Clinical study report

Access criteria: IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.

Data sharing details ↗ · vivli.org

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Nov 2026; primary completion for Dec 2027, 13 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 26, 2026
First posted
Aug 31, 2026
StartEst.
Nov 1, 2026
Primary completionEst.
Dec 1, 2027
CompletionEst.
Dec 1, 2027
Last update
Sep 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07794735
Lead sponsor
Takeda
Responsible party
Sponsor
First posted
Aug 31, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Dec 1, 2027 (estimated)
Completion
Dec 1, 2027 (estimated)
Last update
Sep 8, 2026

Study contacts

Takeda Contact
Contact
medinfoUS@takeda.com
+1-877-825-3327
Study Director
study director · Takeda

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 not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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