MLN3126 Single Rising Dose Study

Sponsor
Takeda (Industry)
Overall Status
Terminated
CT.gov ID
NCT02447458
Collaborator
(none)
39
1
7
5
7.8

Study Details

Study Description

Brief Summary

The purpose of this study was to evaluate the safety, tolerability, and pharmacokinetics of MLN3126 when administered as a single dose of tablets at escalating dose levels in healthy participants.

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

The drug tested in this study is called MLN3126. The study evaluated the safety, tolerability, pharmacokinetics (PK), pharmacodynamics and the potential effect of food on the PK of MLN3126 and its M-I metabolite following single oral dose administrations.

This study planned to enroll approximately 48 healthy participants, who were to be enrolled in 1 of the 6 dose cohorts or matching placebo in an ascending fashion. Participants were randomly assigned to MLN3126 or placebo within each cohort- which remained undisclosed to the participant and study doctor during the study (unless there was an urgent medical need):

  • Cohort 1 - MLN3126 300 mg or matching placebo

  • Cohort 2 - MLN3126 600 mg or matching placebo

  • Cohort 3 - MLN3126 1000 mg or matching placebo

  • Cohort 3 - MLN3126 1000 mg or matching placebo (fed regimen)

  • Cohort 4 - MLN3126 1500 mg or matching placebo

  • Cohort 5 - MLN3126 2000 mg or matching placebo

  • Cohort 6 - Did not taken place due to termination of the study

All participants were asked to take the required tablets at the same time throughout the study.

This single-centre trial was conducted in The United States. Participants were confined to the clinic for 5 days, and were contacted by telephone on day 14 (±2days) for a follow-up assessment.

This study was terminated after completion of Cohort 5 due to findings of study site non-compliance to Good Clinical Practice (GCP) regarding study documentation. There were no safety concerns.

Study Design

Study Type:
Interventional
Actual Enrollment :
39 participants
Allocation:
Randomized
Intervention Model:
Single Group Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Safety, Tolerability, and Pharmacokinetics Study of Escalating Single Doses of MLN3126 in Healthy Subjects
Study Start Date :
Sep 1, 2013
Actual Primary Completion Date :
Jan 1, 2014
Actual Study Completion Date :
Feb 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: Cohort 1: MLN3126 300 mg

MLN3126 300 mg tablets, orally, fasting, once on Day 1.

Drug: MLN3126
MLN3126 tablets

Experimental: Cohort 2: MLN3126 600 mg

MLN3126 600 mg tablets, orally, fasting, once on Day 1.

Drug: MLN3126
MLN3126 tablets

Experimental: Cohort 3: MLN3126 1000 mg

MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.

Drug: MLN3126
MLN3126 tablets

Experimental: Cohort 4: MLN3126 1500 mg

MLN3126 1500 mg administered orally as tablets, once on Day 1.

Drug: MLN3126
MLN3126 tablets

Experimental: Cohort 5: MLN3126 2000 mg

MLN3126 2000 mg tablets, orally, fasting, once on Day 1.

Drug: MLN3126
MLN3126 tablets

Experimental: Cohort 6

Did not take place due to termination of the study.

Drug: MLN3126
MLN3126 tablets

Placebo Comparator: Placebo: Cohort 1-6

Placebo-matching MLN3126 tablets, orally, once on Day 1.

Drug: MLN3126 Placebo
MLN3126 placebo-matching tablets

Outcome Measures

Primary Outcome Measures

  1. Number of Participants That Experience At Least One Treatment-Emergent Adverse Event (TEAE) Post-Dose [Up to Day 22]

    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.

  2. Percentage of Participants With Markedly Abnormal Clinical Laboratory Results Post-Dose [Up to Day 16]

    Clinical safety laboratory tests included clinical chemistry, hematology and urinalysis. The percentage of participants with any markedly abnormal laboratory finding during the study.

  3. Percentage of Participants With Markedly Abnormal Vital Signs Post-Dose [Up to Day 16]

    Vital signs included oral body temperature measurement, blood pressure, respiration rate, and pulse rate [beats per minute (bpm) or heart rate]. The percentage of participant with markedly abnormal vital signs findings during the study. OBP=Orthostatic Blood Pressure. All OBP measurements were standing.

  4. Percentage of Participants With Markedly Abnormal Electrocardiogram (ECG) Findings Post-Dose [Up to Day 16]

    A standard 12-lead ECG was performed. The percentage of participants with markedly abnormal electrocardiogram (ECG) findings during the study.

Secondary Outcome Measures

  1. Cmax: Maximum Plasma Concentration of MLN3126 and Metabolite M-I [Pre-dose and multiple timepoints post-dose (Up to 96 Hours)]

    Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.

  2. Tmax: Time to Maximum Plasma Concentration of MLN3126 and Metabolite M-I [Pre-dose and multiple timepoints post-dose (Up to 96 Hours)]

    Tmax is the time to reach the maximum plasma concentration (Cmax), equal to time (hours) to Cmax.

  3. AUC(0-tlqc): Area Under the Plasma Concentration Time Curve of MLN3126 and Metabolite M-I From Time 0 to the Last Quantifiable Concentration [Pre-dose and multiple timepoints post-dose (Up to 96 Hours)]

    AUC(0-tlqc) is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration (AUC[0-tlqc]).

  4. AUC(0-inf): Area Under the Plasma Concentration Time Curve of MLN3126 and Metabolite M-I From Time 0 to Infinity [Pre-dose and multiple timepoints post-dose (Up to 96 Hours)]

    AUC(0-inf) is measure of area under the curve from time 0 to infinity.

  5. CL/F: Oral Clearance of MLN3126 [Pre-dose and multiple timepoints post-dose (Up to 96 Hours)]

    CL/F is apparent clearance of the drug from the plasma, after extravascular administration.

  6. T ½: Half-life of MLN3126 and Metabolite M-I [Pre-dose and multiple timepoints post-dose (Up to 96 Hours)]

    Terminal phase elimination half-life (T1/2) is the time required for half of the drug to be eliminated from the plasma.

  7. Ae (0-96): Total Amount of MLN3126 and Metabolite M-I Excreted in the Urine [Pre-dose and multiple timepoints post-dose (Up to 96 Hours)]

    Ae (0-96) is the total amount of drug excreted in urine from time 0 to time 96 hours.

  8. Fe: Fraction of MLN3126 Excreted in the Urine [Pre-dose and multiple timepoints post-dose (Up to 96 Hours)]

    Fe is the Fraction of drug excreted in urine, calculated as Fe=(Ae[0-t]/dose)×100.

  9. Renal Clearance (CLr) of MLN3126 and Metabolite M-I [Pre-dose and multiple timepoints post-dose (Up to 96 Hours)]

    Renal clearance was calculated as CLr=Ae(0-96)/AUC (0-96).

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 55 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  1. In the opinion of the investigator, the participant was capable of understanding and complying with protocol requirements.

  2. The participant or, when applicable, the participant's legally acceptable representative signed and dated a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.

  3. Is a male or female adult, aged 18 to 55 years, inclusive, at the time of informed consent and study drug dosing.

  4. Is a healthy adult male or female subject as evidenced by their medical history, complete physical examination, vital signs, ECG, and safety laboratory evaluations.

  5. Weighed at least 45 kg (99 lbs) and had a body mass index (BMI) between 18 and 30.0 kg/m2 inclusive at Screening.

  6. A male participant who was nonsterilized and sexually active with a female partner of childbearing potential agreed to use adequate contraception from signing of informed consent throughout the duration of the study and for 12 weeks after last dose. In addition, participants were advised not to donate sperm during this period.

  7. A female participant of childbearing potential who was sexually active with a nonsterilized male partner agreed to use routinely adequate contraception from signing of informed consent throughout the duration of the study to their next postconfinement menstruation. In addition participants were advised not to donate ova during this period.

Exclusion Criteria:

Any participant who meets any of the following criteria will not qualify for entry into the study:

  1. Has received any investigational compound within 30 days prior to the first dose of study medication.

  2. Is an immediate family member, study site employee, or in a dependent relationship with a study site employee who is involved in the conduct of this study (eg, spouse, parent, child, sibling) or may consent under duress.

  3. Has uncontrolled, clinically significant neurologic, cardiovascular, pulmonary, hepatic, renal, metabolic, GI, or endocrine disease or other abnormality, which may impact the ability of the participant to participate or potentially confound the study results.

  4. Has a known hypersensitivity to any component of the formulation of MLN3126.

  5. Has a positive urine drug result for drugs of abuse at Screening or Check-in (Day -1).

  6. Has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse (defined as 4 alcoholic beverages per day) within 1 year prior to the Screening visit or is unwilling to agree to abstain from alcohol and drugs throughout the study.

  7. Has taken any excluded medication, supplements, or food products listed in the Excluded Medications and Dietary Products section of the protocol.

  8. If female, the participant is pregnant or lactating or intending to become pregnant, or intending to donate ova, before or during, the study; including the timeframe to participant's next postconfinement menstruation after participating in this study.

  9. If male, the participant intends to donate sperm during the course of this study or for 12 weeks thereafter.

  10. Has evidence of current cardiovascular, central nervous system, hepatic, hematopoietic disease, renal dysfunction, metabolic or endocrine dysfunction, serious allergy, asthma hypoxemia, hypertension, seizures, or allergic skin rash. There is any finding in the participant's medical history, physical examination, or safety laboratory tests giving reasonable suspicion of a disease that would contra indicate taking MLN3126 or a similar drug in the same class, or that might interfere with the conduct of the study. This includes, but is not limited to, peptic ulcer disease, seizure disorders, and cardiac arrhythmias.

  11. Has current or recent (within 6 months) GI disease that would be expected to influence the absorption of drugs (ie, a history of malabsorption, any surgical intervention known to impact absorption [eg, bariatric surgery or bowel resection], esophageal reflux, peptic ulcer disease, erosive esophagitis or frequent [more than once per week] occurrence of heartburn).

  12. Has a history of cancer or other malignancy, except basal cell carcinoma that has been in remission for at least 5 years prior to Day 1.

  13. Has a positive test result for hepatitis B surface antigen, antibody to hepatitis C virus, at Screening or a known history of human immunodeficiency virus infection.

  14. Has used nicotine-containing products (this includes, but is not limited to, cigarettes, pipes, cigars, chewing tobacco, nicotine patch or nicotine gum) within 28 days prior to Check-in Day -1. Cotinine test is positive at Screening or Check-in (Day -1).

  15. Has poor peripheral venous access.

  16. Has donated or lost 450 mL or more of his or her blood volume (including plasmapheresis), or had a transfusion of any blood product within 45 days prior to Day

  17. Has a Screening or Check-in (Day -1) abnormal (clinically significant) ECG. Entry of any subject with an abnormal (not clinically significant) ECG must be approved, and documented by signature by the principal investigator or medically qualified subinvestigator.

  18. Has abnormal Screening or Check-in (Day -1) laboratory values that suggest a clinically significant underlying disease or participant with the following laboratory abnormalities: alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST)

1.5×ULN.

  1. Has QT interval with Fridericia correction method (QTcF) >430 ms for men and >450 ms for women or PR outside the range of 120 to 220 ms confirmed upon repeat testing within a maximum of 5 minutes, at the Screening Visit or Check-in (Day -1).

Contacts and Locations

Locations

Site City State Country Postal Code
1 Eatontown New Jersey United States

Sponsors and Collaborators

  • Takeda

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Takeda
ClinicalTrials.gov Identifier:
NCT02447458
Other Study ID Numbers:
  • MLN3126_102
  • U1111-1163-1717
First Posted:
May 18, 2015
Last Update Posted:
Aug 5, 2015
Last Verified:
Jul 1, 2015
Keywords provided by Takeda

Study Results

Participant Flow

Recruitment Details Participants took part in the study at 1 investigative site in the United States from 19 August 2013 (first participant signed informed consent form) to 05 February 2014.
Pre-assignment Detail Healthy volunteers were enrolled in 1 of 5 MLN3126 ascending dose treatment groups: once a day 300 mg, 600 mg, 1000 mg under fed or fasting conditions,1500 mg or 2000 mg OR once a day placebo.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg Placebo
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. Placebo-matching MLN3126 tablets, orally, fasting, once on Day 1.
Period Title: Overall Study
STARTED 5 6 6 6 6 10
COMPLETED 5 6 5 6 6 10
NOT COMPLETED 0 0 1 0 0 0

Baseline Characteristics

Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg Placebo Total
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. Placebo-matching MLN3126 tablets, orally, fasting, once on Day 1. Total of all reporting groups
Overall Participants 5 6 6 6 6 10 39
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
36.8
(10.43)
30.3
(6.50)
41.2
(10.42)
32.3
(11.78)
30.0
(8.39)
32.8
(6.32)
33.7
(9.10)
Sex: Female, Male (Count of Participants)
Female
3
60%
3
50%
2
33.3%
3
50%
1
16.7%
3
30%
15
38.5%
Male
2
40%
3
50%
4
66.7%
3
50%
5
83.3%
7
70%
24
61.5%
Race/Ethnicity, Customized (participants) [Number]
American Indian or Alaska Native
1
20%
0
0%
0
0%
0
0%
0
0%
0
0%
1
2.6%
Black or African American
2
40%
6
100%
3
50%
5
83.3%
5
83.3%
7
70%
28
71.8%
White
2
40%
0
0%
3
50%
1
16.7%
1
16.7%
3
30%
10
25.6%
Race/Ethnicity, Customized (participants) [Number]
Hispanic or Latino
2
40%
0
0%
2
33.3%
2
33.3%
1
16.7%
3
30%
10
25.6%
Non-Hispanic or Latino
3
60%
6
100%
4
66.7%
4
66.7%
5
83.3%
7
70%
29
74.4%
Height (cm) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [cm]
170.8
(10.64)
172.3
(5.47)
174.7
(10.42)
169.8
(5.71)
173.3
(6.09)
174.9
(13.08)
172.9
(9.14)
Weight (kg) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [kg]
78.00
(12.900)
81.98
(8.538)
83.67
(15.871)
72.22
(7.165)
75.87
(10.016)
82.58
(7.420)
79.44
(10.498)
Body Mass Index (BMI) (kg/m^2) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [kg/m^2]
26.65
(2.643)
27.56
(2.127)
27.18
(2.293)
25.01
(1.811)
25.16
(2.329)
27.22
(3.251)
26.54
(2.587)
Caffeine Consumption (participants) [Number]
Yes
1
20%
1
16.7%
2
33.3%
3
50%
0
0%
3
30%
10
25.6%
No
4
80%
5
83.3%
4
66.7%
3
50%
6
100%
7
70%
29
74.4%
Smoking Classification (participants) [Number]
Never smoked
5
100%
6
100%
4
66.7%
6
100%
6
100%
10
100%
37
94.9%
Current smoker
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Ex-smoker
0
0%
0
0%
2
33.3%
0
0%
0
0%
0
0%
2
5.1%

Outcome Measures

1. Primary Outcome
Title Number of Participants That Experience At Least One Treatment-Emergent Adverse Event (TEAE) Post-Dose
Description 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 Up to Day 22

Outcome Measure Data

Analysis Population Description
Safety population included all enrolled participants who received at least 1 dose of study drug.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg Placebo MLN3126 1000 mg (Fed) Placebo (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. Placebo-matching MLN3126 tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. Placebo matching MLN3126 tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 6 6 6 10 5 2
Number [Participants]
1
20%
0
0%
1
16.7%
0
0%
1
16.7%
1
10%
1
2.6%
0
NaN
2. Primary Outcome
Title Percentage of Participants With Markedly Abnormal Clinical Laboratory Results Post-Dose
Description Clinical safety laboratory tests included clinical chemistry, hematology and urinalysis. The percentage of participants with any markedly abnormal laboratory finding during the study.
Time Frame Up to Day 16

Outcome Measure Data

Analysis Population Description
Safety population included all enrolled participants who received at least 1 dose of study drug.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg Placebo MLN3126 1000 mg (Fed) Placebo (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. Placebo-matching MLN3126 tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. Placebo matching MLN3126 tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 6 6 6 10 5 2
Number [Percentage of Participants]
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
NaN
3. Primary Outcome
Title Percentage of Participants With Markedly Abnormal Vital Signs Post-Dose
Description Vital signs included oral body temperature measurement, blood pressure, respiration rate, and pulse rate [beats per minute (bpm) or heart rate]. The percentage of participant with markedly abnormal vital signs findings during the study. OBP=Orthostatic Blood Pressure. All OBP measurements were standing.
Time Frame Up to Day 16

Outcome Measure Data

Analysis Population Description
Safety population included all enrolled participants who received at least 1 dose of study drug.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg Placebo MLN3126 1000 mg (Fed) Placebo (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. Placebo-matching MLN3126 tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. Placebo matching MLN3126 tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 6 6 6 10 5 2
Pulse - supine
0
0%
33.3
555%
33.3
555%
16.7
278.3%
33.3
555%
40.0
400%
0
0%
0
NaN
Pulse - standing 1 minute
40.0
800%
50.0
833.3%
0
0%
16.7
278.3%
16.7
278.3%
20.0
200%
40.0
102.6%
0
NaN
Pulse - standing 3 minutes
20.0
400%
50.0
833.3%
0
0%
16.7
278.3%
0
0%
10.0
100%
40.0
102.6%
0
NaN
Systolic Blood pressure (BP) - supine
20.0
400%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
NaN
Systolic Blood pressure - standing 1 minute
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
20.0
51.3%
0
NaN
Systolic Blood pressure - standing 3 minutes
0
0%
0
0%
16.7
278.3%
16.7
278.3%
0
0%
0
0%
20.0
51.3%
0
NaN
Diastolic blood pressure - supine
40.0
800%
33.3
555%
0
0%
16.7
278.3%
16.7
278.3%
20.0
200%
20.0
51.3%
50.0
NaN
Diastolic blood pressure - standing 1 minute
20.0
400%
33.3
555%
33.3
555%
0
0%
16.7
278.3%
30.0
300%
40.0
102.6%
50.0
NaN
Diastolic blood pressure - standing 3 minutes
20.0
400%
0
0%
0
0%
16.7
278.3%
0
0%
20.0
200%
40.0
102.6%
0
NaN
OBP systolic - 1 minutes (Decrease of >40 mmHg)
0
0%
0
0%
0
0%
16.7
278.3%
0
0%
0
0%
0
0%
0
NaN
OBP systolic - 3 minutes (Decrease of >40 mmHg)
0
0%
0
0%
0
0%
16.7
278.3%
0
0%
0
0%
0
0%
0
NaN
OBP diastolic - 1 minutes (Decrease >20 mmHg)
40.0
800%
0
0%
33.3
555%
33.3
555%
33.3
555%
40.0
400%
20.0
51.3%
100.0
NaN
OBP diastolic - 3 minutes (Decrease >20 mmHg)
0
0%
16.7
278.3%
33.3
555%
50.0
833.3%
33.3
555%
50.0
500%
0
0%
50.0
NaN
4. Primary Outcome
Title Percentage of Participants With Markedly Abnormal Electrocardiogram (ECG) Findings Post-Dose
Description A standard 12-lead ECG was performed. The percentage of participants with markedly abnormal electrocardiogram (ECG) findings during the study.
Time Frame Up to Day 16

Outcome Measure Data

Analysis Population Description
Safety population included all enrolled participants who received at least 1 dose of study drug.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg Placebo MLN3126 1000 mg (Fed) Placebo (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. Placebo-matching MLN3126 tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. Placebo matching MLN3126 tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 6 6 6 10 5 2
Heart Rate
0
0%
16.7
278.3%
0
0%
16.7
278.3%
33.3
555%
20.0
200%
0
0%
0
NaN
PR Interval
0
0%
16.7
278.3%
33.3
555%
0
0%
33.3
555%
10.0
100%
40.0
102.6%
0
NaN
QRS Interval
0
0%
0
0%
0
0%
0
0%
0
0%
10.0
100%
0
0%
0
NaN
QTc - Fredericia's
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
NaN
QTc Interval
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
0
NaN
5. Secondary Outcome
Title Cmax: Maximum Plasma Concentration of MLN3126 and Metabolite M-I
Description 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 Pre-dose and multiple timepoints post-dose (Up to 96 Hours)

Outcome Measure Data

Analysis Population Description
Pharmacokinetic (PK) analysis set included all participants who received study drug and who had at least 1 measurable PK plasma concentration.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg MLN3126 1000 mg (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 6 6 6 5
MLN3126
2466.00
(387.208)
3605.00
(920.885)
4061.67
(1192.299)
5490.00
(1110.531)
8200.00
(1937.431)
9444.00
(1929.632)
MLN3126 M-I Metabolite
125.26
(44.940)
238.17
(101.275)
278.17
(176.552)
374.00
(78.908)
424.83
(131.574)
684.40
(556.234)
6. Secondary Outcome
Title Tmax: Time to Maximum Plasma Concentration of MLN3126 and Metabolite M-I
Description Tmax is the time to reach the maximum plasma concentration (Cmax), equal to time (hours) to Cmax.
Time Frame Pre-dose and multiple timepoints post-dose (Up to 96 Hours)

Outcome Measure Data

Analysis Population Description
PK analysis set included all participants who received study drug and who had at least 1 measurable PK plasma concentration.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg MLN3126 1000 mg (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 6 6 6 5
MLN3126
2.00
(1.884)
3.00
(0.894)
3.14
(0.902)
2.50
(2.345)
3.01
(0.752)
6.00
MLN3126 M-I Metabolite
4.00
4.00
4.00
4.00
4.00
8.00
7. Secondary Outcome
Title AUC(0-tlqc): Area Under the Plasma Concentration Time Curve of MLN3126 and Metabolite M-I From Time 0 to the Last Quantifiable Concentration
Description AUC(0-tlqc) is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration (AUC[0-tlqc]).
Time Frame Pre-dose and multiple timepoints post-dose (Up to 96 Hours)

Outcome Measure Data

Analysis Population Description
PK analysis set included all participants who received study drug and who had at least 1 measurable PK plasma concentration.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg MLN3126 1000 mg (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 6 6 6 5
MLN3126
41480.14
(7541.025)
63117.71
(26292.596)
73474.61
(29655.501)
108475.58
(20425.152)
133029.91
(44849.002)
248462.35
(72106.157)
MLN3126 M-I Metabolite
1961.73
(1106.451)
4096.06
(2261.405)
5550.19
(5139.476)
6724.92
(2067.765)
6110.64
(1936.969)
11989.43
(10546.217)
8. Secondary Outcome
Title AUC(0-inf): Area Under the Plasma Concentration Time Curve of MLN3126 and Metabolite M-I From Time 0 to Infinity
Description AUC(0-inf) is measure of area under the curve from time 0 to infinity.
Time Frame Pre-dose and multiple timepoints post-dose (Up to 96 Hours)

Outcome Measure Data

Analysis Population Description
PK analysis set included all participants who received study drug and who had at least 1 measurable PK plasma concentration.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg MLN3126 1000 mg (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 6 6 6 5
MLN3126
41765.17
(7549.827)
63508.18
(26520.426)
78964.45
(40182.582)
110437.12
(20911.078)
134119.22
(45470.528)
250789.67
(73569.482)
MLN3126 M-I Metabolite
1993.65
(1099.291)
4132.89
(2266.377)
6668.14
(7725.447)
6949.52
(2129.918)
6177.45
(1977.067)
12068.75
(10609.268)
9. Secondary Outcome
Title CL/F: Oral Clearance of MLN3126
Description CL/F is apparent clearance of the drug from the plasma, after extravascular administration.
Time Frame Pre-dose and multiple timepoints post-dose (Up to 96 Hours)

Outcome Measure Data

Analysis Population Description
PK analysis set included all participants who received study drug and who had at least 1 measurable PK plasma concentration.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg MLN3126 1000 mg (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 6 6 6 5
Mean (Standard Deviation) [L/hr]
7.39
(1.457)
11.34
(5.934)
15.12
(6.345)
13.97
(2.473)
16.76
(6.656)
4.23
(1.066)
10. Secondary Outcome
Title T ½: Half-life of MLN3126 and Metabolite M-I
Description Terminal phase elimination half-life (T1/2) is the time required for half of the drug to be eliminated from the plasma.
Time Frame Pre-dose and multiple timepoints post-dose (Up to 96 Hours)

Outcome Measure Data

Analysis Population Description
PK analysis set included all participants who received study drug and who had at least 1 measurable PK plasma concentration.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg MLN3126 1000 mg (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 6 6 6 5
MLN3126
13.94
(0.992)
12.80
(0.624)
16.07
(5.899)
16.31
(3.706)
13.63
(1.888)
13.92
(0.894)
MLN3126 M-I Metabolite
13.44
(1.815)
13.47
(1.524)
19.88
(16.767)
20.89
(9.006)
14.09
(3.053)
13.56
(1.960)
11. Secondary Outcome
Title Ae (0-96): Total Amount of MLN3126 and Metabolite M-I Excreted in the Urine
Description Ae (0-96) is the total amount of drug excreted in urine from time 0 to time 96 hours.
Time Frame Pre-dose and multiple timepoints post-dose (Up to 96 Hours)

Outcome Measure Data

Analysis Population Description
PK analysis set included all participants who received study drug and who had at least 1 measurable PK urine concentration.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg MLN3126 1000 mg (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 6 6 6 5
MLN3126
65864.50
(13803.378)
128194.87
(41264.086)
115101.67
(101342.371)
115443.11
(45489.137)
179199.95
(94480.203)
216883.09
(193535.668)
MLN3126 M-I Metabolite
1606271.00
(661316.505)
3785848.92
(1487530.534)
3669719.92
(3805989.870)
3042712.33
(1087430.529)
4934093.92
(2367261.267)
7969436.83
(9141564.346)
12. Secondary Outcome
Title Fe: Fraction of MLN3126 Excreted in the Urine
Description Fe is the Fraction of drug excreted in urine, calculated as Fe=(Ae[0-t]/dose)×100.
Time Frame Pre-dose and multiple timepoints post-dose (Up to 96 Hours)

Outcome Measure Data

Analysis Population Description
PK analysis set included all participants who received study drug and who had at least 1 measurable PK urine concentration.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg MLN3126 1000 mg (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 6 6 6 5
Mean (Standard Deviation) [Percentage]
0.02
(0.005)
0.02
(0.007)
0.01
(0.002)
0.01
(0.003)
0.01
(0.005)
0.01
(0.007)
13. Secondary Outcome
Title Renal Clearance (CLr) of MLN3126 and Metabolite M-I
Description Renal clearance was calculated as CLr=Ae(0-96)/AUC (0-96).
Time Frame Pre-dose and multiple timepoints post-dose (Up to 96 Hours)

Outcome Measure Data

Analysis Population Description
PK analysis set included all participants who received study drug and who had at least 1 measurable PK urine concentration.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg MLN3126 1000 mg (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Measure Participants 5 6 5 6 6 4
MLN3126
0.03
(0.010)
0.04
(0.010)
0.02
(0.010)
0.02
(0.010)
0.02
(0.012)
0.01
(0.004)
MLN3126 M-I Metabolite
16.00
(9.945)
16.15
(3.426)
10.34
(7.285)
7.89
(2.544)
13.69
(7.728)
9.05
(5.598)

Adverse Events

Time Frame First dose of study drug to 30 days post last dose (Up to Day 31)
Adverse Event Reporting Description At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Arm/Group Title MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg Placebo MLN3126 1000 mg (Fed) Placebo (Fed)
Arm/Group Description MLN3126 300 mg tablets, orally, fasting, once on Day 1. MLN3126 600 mg tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. MLN3126 1500 mg tablets, orally, fasting, once on Day 1. MLN3126 2000 mg tablets, orally, fasting once on Day 1. Placebo-matching MLN3126 tablets, orally, fasting, once on Day 1. MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1. Placebo matching MLN3126 tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
All Cause Mortality
MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg Placebo MLN3126 1000 mg (Fed) Placebo (Fed)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg Placebo MLN3126 1000 mg (Fed) Placebo (Fed)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/5 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%) 0/10 (0%) 0/5 (0%) 0/2 (0%)
Other (Not Including Serious) Adverse Events
MLN3126 300 mg MLN3126 600 mg MLN3126 1000 mg MLN3126 1500 mg MLN3126 2000 mg Placebo MLN3126 1000 mg (Fed) Placebo (Fed)
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1/5 (20%) 0/6 (0%) 1/6 (16.7%) 0/6 (0%) 1/6 (16.7%) 1/10 (10%) 1/5 (20%) 0/2 (0%)
General disorders
Chills 0/5 (0%) 0/6 (0%) 1/6 (16.7%) 0/6 (0%) 0/6 (0%) 0/10 (0%) 0/5 (0%) 0/2 (0%)
Infections and infestations
Nasopharyngitis 0/5 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%) 1/6 (16.7%) 0/10 (0%) 0/5 (0%) 0/2 (0%)
Nervous system disorders
Headache 1/5 (20%) 0/6 (0%) 1/6 (16.7%) 0/6 (0%) 0/6 (0%) 0/10 (0%) 0/5 (0%) 0/2 (0%)
Dizziness 0/5 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%) 0/10 (0%) 1/5 (20%) 0/2 (0%)
Skin and subcutaneous tissue disorders
Rash 0/5 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%) 1/10 (10%) 0/5 (0%) 0/2 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Research Organization shall not publish any articles or papers nor make any presentations, nor assist any other person in publishing any articles or papers or in making any presentations relating or referring to the Study or any results, data or insights from or any data, information or materials obtained or generated in the performance of its obligations without the prior written consent of Takeda, which consent may be granted or withheld in Takeda's sole discretion.

Results Point of Contact

Name/Title Takeda Study Registration Call Center
Organization Takeda
Phone +1-877-825-3327
Email medicalinformation@tpna.com
Responsible Party:
Takeda
ClinicalTrials.gov Identifier:
NCT02447458
Other Study ID Numbers:
  • MLN3126_102
  • U1111-1163-1717
First Posted:
May 18, 2015
Last Update Posted:
Aug 5, 2015
Last Verified:
Jul 1, 2015