Docetaxel With or Without TAK-117 (MLN1117) in Participants With Locally Advanced or Metastatic Non-small Cell Lung Cancer

Sponsor
Millennium Pharmaceuticals, Inc. (Industry)
Overall Status
Terminated
CT.gov ID
NCT02393209
Collaborator
(none)
14
11
4
19.6
1.3
0.1

Study Details

Study Description

Brief Summary

The purpose of this study is to determine the recommended phase 2 dose (RP2D) of TAK-117 when administered in combination with docetaxel in participants with non-small cell lung cancer (NSCLC) and to evaluate efficacy, safety, and tolerability of TAK-117 administered alone and in combination with docetaxel at the RP2D in participants with locally advanced or metastatic non-small cell lung cancer.

Condition or Disease Intervention/Treatment Phase
Phase 1/Phase 2

Detailed Description

The drug being evaluated in this study is called TAK-117. TAK-117 is tested in combination with docetaxel versus docetaxel alone for the treatment of non-small cell lung cancer (NSCLC).

This study consisted of 2 phases:
  • Phase 1b - dose escalation phase

  • Phase 2 - expansion phase.

The study enrolled 14 patients with NSCLC who have been treated with multiple prior lines of therapies will be enrolled for Phase 1b. The participants will receive docetaxel (36 mg/m^2) intravenous (IV) and TAK-117 tablets, orally administered, once daily in 21-day dosing cycles. The TAK-117 dose will be escalated until recommended Phase 2 dose (RP2D) is determined.

Each part of the adaptive Phase 2 portion of the study is designed as a stand-alone, randomized study evaluating PFS as the primary efficacy measure in a total of 60 participants between the 2 treatment arms: TAK-117 plus docetaxel versus docetaxel alone. An event-driven analysis of PFS will be performed after each part of Phase 2. On the basis of the PFS analysis of the preceding part of the study, the study may be stopped for efficacy or futility, or proceed to the next part. However, Phase 2 of the study was cancelled.

Study drug will be administered in 21-day dosing cycles. During each phase of the study, participants will be treated with a maximum of 9 cycles of either docetaxel alone or docetaxel plus TAK-117. Subsequently, participants treated with docetaxel plus TAK-117 may continue to receive TAK-117 monotherapy until progression of disease, occurrence of unacceptable toxicities or death.

The maximum duration of treatment for participants will be 12 months unless it is determined that a participant would derive benefit from continued treatment beyond 12 months. Participants will continue to be followed after discontinuation of study drug to collect PFS and OS data. Participants may withdraw from therapy at any time.

This multicenter trial will be conducted in North America. The overall time to participate in this study is up to 24 months.

Study Design

Study Type:
Interventional
Actual Enrollment :
14 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1b/Adaptive Phase 2 Study of Docetaxel With or Without MLN1117 in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer
Actual Study Start Date :
Jun 3, 2015
Actual Primary Completion Date :
Jan 12, 2017
Actual Study Completion Date :
Jan 20, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: TAK-117 200 mg + Docetaxel (36 mg/m^2)

TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up ro Cycle 9 (approximately 189 days).

Drug: Docetaxel
Docetaxel intravenous infusion

Drug: TAK-117
TAK-117 Tablets
Other Names:
  • MLN1117
  • Experimental: TAK-117 300 mg + Docetaxel 36 mg/m^2

    TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).

    Drug: Docetaxel
    Docetaxel intravenous infusion

    Drug: TAK-117
    TAK-117 Tablets
    Other Names:
  • MLN1117
  • Experimental: Phase 2 - TAK-117 + Docetaxel 36 mg/m^2

    TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle.

    Drug: Docetaxel
    Docetaxel intravenous infusion

    Drug: TAK-117
    TAK-117 Tablets
    Other Names:
  • MLN1117
  • Experimental: Phase 2 - Docetaxel 75 mg/m^2

    Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.

    Drug: Docetaxel
    Docetaxel intravenous infusion

    Drug: TAK-117
    TAK-117 Tablets
    Other Names:
  • MLN1117
  • Outcome Measures

    Primary Outcome Measures

    1. Number of Participants With Dose-Limiting Toxicity (DLT) in Phase 1b [Cycle 1 (Up to Day 21)]

      DLT was evaluated according to National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.03 and was defined as any of the following events: 1. Grade 4 neutropenia or thrombocytopenia lasting ≥7 consecutive days; 2. Grade 4 neutropenia with fever and/or infection; 3. Platelet count <10,000/mm^3; 4. ≥Grade 3 thrombocytopenia with bleeding; 5. Any other ≥Grade 4 hematologic toxicity; 6. Any other ≥Grade 3 nonhematologic toxicity, with following exceptions: ≥Grade 3 arthralgia/myalgia, ≥Grade 3 nausea/emesis, ≥Grade 3 diarrhoea, Grade 3 fatigue, Grade 3 Rash, Grade 3 nonhematological toxicity that could be controlled to ≤Grade 1 with appropriate treatment; 7. Inability to administer at least 75% of planned doses; 8. Clinically significant occurrence per investigator that is a safety risk.

    2. Maximum Tolerated Dose (MTD) of TAK-117 in Combination With Docetaxel 36 mg/m^2 in Phase 1b [Cycle 1 (Up to Day 21)]

      The MTD is defined as the dose of TAK-117 in combination with docetaxel 36 mg/m^2 at which 1 of 6 evaluable participants experience DLT. DLT was evaluated according to NCI CTCAE version 4.03 and was defined as any of the following events: 1. Grade 4 neutropenia or thrombocytopenia lasting ≥7 consecutive days; 2. Grade 4 neutropenia with fever and/or infection; 3. Platelet count <10,000/mm^3; 4. ≥Grade 3 thrombocytopenia with bleeding; 5. Any other ≥Grade 4 hematologic toxicity; 6. Any other ≥Grade 3 nonhematologic toxicity, with following exceptions: ≥Grade 3 arthralgia/myalgia, ≥Grade 3 nausea/emesis, ≥Grade 3 diarrhoea, Grade 3 fatigue, Grade 3 Rash, Grade 3 nonhematological toxicity that could be controlled to ≤Grade 1 with appropriate treatment; 7. Inability to administer at least 75% of planned doses; 8. Clinically significant occurrence per investigator that is a safety risk.

    3. Recommended Phase 2 Dose of TAK-117 in Phase 1b [Cycle 1 (Up to Day 21)]

      The recommended phase 2 dose was determined in Phase 1b based on participant dose-limiting toxicities and the maximum tolerated dose.

    4. Progression-Free Survival (PFS) in Phase 2 [Approximately 12 months in Phase 2]

      PFS is defined as the time from the date randomization to the date of first documented progressive disease (PD) or death as assessed by the investigator using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria. PD is defined as 20% increase in the sum of the longest diameter of target lesions for measurable neoplastic disease.

    Secondary Outcome Measures

    1. Number of Participants With Significant Change in Vital Signs Reported as Adverse Events in Phase 1b [First dose of study drug through 30 days after the last dose of study drug (Up to Day 223)]

      Clinically significant change from baseline in vital sign measures will be assessed. Vital sign measurements included measurements of diastolic and systolic blood pressure, heart rate, and temperature.

    2. Number of Participants With Significant Change in Physical Examination Reported as Adverse Events in Phase 1b [First dose of study drug through 30 days after the last dose of study drug (Up to Day 223)]

      Physical examination consists of examinations of the following body systems: (1) eyes; (2) ears, nose, throat; (3) cardiovascular system; (4) respiratory system; (5) gastrointestinal system; (6) dermatologic system; (7) extremities; (8) musculoskeletal system; (9) nervous system; (10) lymph nodes; and (11) physical examinations other than body systems described in (1) to (10).

    3. Number of Participants With Electrocardiogram (ECG) Findings Reported as Adverse Events in Phase 1b [First dose of study drug through 30 days after the last dose of study drug (Up to Day 223)]

      A standard 12-lead ECG was performed.

    4. Number of Participants With Clinically Significant Change in Clinical Laboratory Tests Reported as Adverse Events in Phase 1b [First dose of study drug through 30 days after the last dose of study drug (Up to Day 223)]

      The number of participants with any markedly abnormal standard safety laboratory values (Chemistry, Hematology and Urinalysis) collected throughout study.

    5. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) in Phase 1b [From first dose of study drug to 30 days after last dose of study drug (Up to Day 223)]

      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. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A serious adverse event (SAE) is any untoward medical occurrence or effect that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability / incapacity, is a congenital anomaly / birth defect or is medically important due to other reasons than the above mentioned criteria. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.

    6. Number of Participants With Significant Change in Vital Signs Reported as Adverse Events in Phase 2 [Approximately 12 months in Phase 2]

      Vital signs (blood pressure, pulse rate, and oral temperature) measurements were collected throughout the study.

    7. Number of Participants With Significant Change in Physical Examination Reported as Adverse Events in Phase 2 [Approximately 12 months in Phase 2]

      Physical examination consists of examinations of the following body systems: (1) eyes; (2) ears, nose, throat; (3) cardiovascular system; (4) respiratory system; (5) gastrointestinal system; (6) dermatologic system; (7) extremities; (8) musculoskeletal system; (9) nervous system; (10) lymph nodes; and (11) physical examinations other than body systems described in (1) to (10).

    8. Number of Participants With Electrocardiogram (ECG) Findings Reported as Adverse Events in Phase 2 [Approximately 12 months in Phase 2]

      Clinically significant changes from baseline in ECGs will be tabulated by time point including any unscheduled measurements.

    9. Number of Participants With Clinically Significant Change in Clinical Laboratory Tests Reported as Adverse Events in Phase 2 [Approximately 12 months in Phase 2]

      The number of participants with any markedly abnormal standard safety laboratory values (Chemistry, Hematology and Urinalysis) collected throughout study.

    10. Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) in Phase 2 [Approximately 12 months in Phase 2]

      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. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A serious adverse event (SAE) is any untoward medical occurrence or effect that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability / incapacity, is a congenital anomaly / birth defect or is medically important due to other reasons than the above mentioned criteria. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.

    11. Response Rate in Phase 2 [Approximately 12 months in Phase 2]

      Response rate is defined as the percentage of participants with Complete Response (CR) + Partial Response (PR) as assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria 1.1. According to RECIST: CR is defined as disappearance of all target lesions and PR is defined as 30% decrease in the sum of the longest diameter of target lesions.

    12. Disease Control Rate in Phase 2 [Approximately 12 months in Phase 2]

      Disease control rate is defined as percentage of participants with CR + PR + stable disease (SD). According to RECIST: CR is defined as disappearance of all target lesions, PR is defined as 30% decrease in the sum of the longest diameter of target lesions and SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum longest diameter (LD) since the treatment started.

    13. Duration of Response in Phase 2 [Approximately 12 months in Phase 2]

      The duration of response is defined as the time from the date of first documentation of a response to the date of first documentation of progression of disease. As per RECIST 1.1, PD is defined as 20% increase in the sum of the longest diameter of target lesions for measurable neoplastic disease.

    14. Time to Progression in Phase 2 [Approximately 12 months in Phase 2]

      Time to progression is defined as the time from the date of randomization to the date of first documentation of progression of disease. As per RECIST 1.1, PD is defined as 20% increase in the sum of the longest diameter of target lesions for measurable neoplastic disease.

    15. Overall Survival (OS) in Phase 2 [Approximately 12 months in Phase 2]

      Overall survival is defined as the time from the date of randomization to the date of death.

    16. TAK-117 Plasma Concentration in Phase 1b [Cycle 1 Day 1 pre-dose and 0.5, 1, 2, 4, 6, 8 and 24 hours post-dose]

    17. Cmax: Maximum Observed Plasma Concentration for TAK-117 [Cycle 1 Day 1 pre-dose and 0.5, 1, 2, 4, 6, 8 and 24 hours post-dose]

    18. Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-117 [Cycle 1 Day 1 pre-dose and up to 24 hours post-dose]

    19. AUCtau: Area Under the Concentration Time Curve From Time 0 to the Next Dose in Phase 1b for TAK-117 [Cycle 1 Day 1 pre-dose and up to 24 hours post-dose]

    20. AUC(Last): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration in Phase 1b for TAK-117 [Cycle 1 Day 1 pre-dose and up to 24 hours post-dose]

    21. CL/F: Oral Clearance for TAK-117 [Cycle 1 Day 1 pre-dose and up to 24 hours post-dose]

    22. T1/2: Terminal Phase Elimination Half-life (T1/2) for TAK-117 [Cycle 1 Day 1 pre-dose and up to 24 hours post-dose]

    23. TAK-117 Plasma Concentrations When Administered 1 Day After Docetaxel in Phase 2 [1 day post docetaxel dose]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No

    Inclusion Criteria

    • Has a histologically and/or cytologically confirmed diagnosis of NSCLC (squamous or nonsquamous).

    • For Phase 2 of the study, has a diagnosis of mixed squamous and nonsquamous (or adenosquamous) NSLC.

    • Has locally advanced or metastatic disease (Stage IIIb or Stage IV) with radiographically or clinically evaluable lesions.

    • Has experienced failure of at least 1 prior chemotherapy regimen:

    • For Phase 2 of the study:

    • Participants must have received 1 prior platinum-based chemotherapy regimen (excluding a docetaxel-containing regimen) for advanced or metastatic (Stage IIIb or Stage IV) disease followed by documented progressive disease (PD).

    • A drug provided as maintenance therapy following cytotoxic chemotherapy will be considered to be part of that regimen.

    • Participants who received prior therapy with paclitaxel as a part of the platinum-based doublet front-line regimen without PD on therapy.

    • Participants who, after the front-line, platinum-based, non-docetaxel containing chemotherapy, have been treated with 1 line of nivolumab or other immune-checkpoint inhibitors but progressed on or after the therapy.

    • For Phase 1b of the study: Participants who have experienced failure of multiple lines of prior chemotherapy are eligible.

    • For Phase 2, has archived or fresh tumor biopsy samples (obtained during screening) sufficient for genotyping.

    • Has adequate organ function, before the first dose of study drug.

    • Has Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.

    • Female participants who are postmenopausal for at least 1 year before the screening visit or are surgically sterile, or are of childbearing potential, agree to practice 1 highly effective method and 1 additional effective (barrier) method of contraception, at the same time, from the time of signing the informed consent through 30 days (or longer, as mandated by local labeling) after the last dose of study drug, or agree to practice true abstinence.

    • Female participants must agree to not donate eggs (ova) during the course of this study and for 30 days after receiving their last dose of TAK-117 and, for docetaxel, for as long as is mandated by local labeling.

    • Male participants agree to practice highly effective barrier contraception during the entire study treatment period and through 120 days after the last dose of TAK-117 and, for docetaxel, for as long as is mandated by local labeling, or agree to practice true abstinence.

    • Male participants must agree to not donate sperm during the course of the study and for 120 days after receiving their last dose of TAK-117 and, for docetaxel, for as long as is mandated by local labeling.

    • Has suitable venous access for the study-required blood sampling.

    • Has recovered (ie, <= Grade 1 toxicity or eligibility per this protocol is met) from the reversible effects of prior anticancer therapy.

    • In the opinion of the investigator, the participant or legal guardian is capable of understanding and complying with protocol requirements for the duration of the study.

    Exclusion Criteria:
    • Previous treatment with a PI3K or AKT inhibitor.

    • Prior cancer therapy or other investigational therapy within 2 weeks before the first administration of study drug or failed to recover from the reversible effects of prior anticancer therapies. For prior therapies with a half-life longer than 3 days, the interval must be at least 28 days before the first administration of study drug, and the participant must have documented progressive disease.

    • Has poorly controlled diabetes mellitus defined as HbA1c > 6.5%.

    • Has taken strong inhibitors or strong inducers of CYP3A4 within 14 days before the first dose of study drug.

    • Has taken histamine-H2 receptor antagonists and/or neutralizing antacids within 24 hours before the first administration of study drug.

    • Has taken proton pump inhibitors within 7 days before the first administration of study drug.

    • Has a condition that requires the concomitant use of any of the protocol-excluded medications, supplements, or food products during the course of the study .

    • Has any clinically significant co-morbidities.

    • Has acute myocardial infarction within 6 months before starting study drug, current or history of New York Heart Association Class III or IV heart failure; evidence of current uncontrolled cardiovascular conditions including cardiac arrhythmias, angina, pulmonary hypertension, or electrocardiogram (ECG) evidence of acute ischemia or active conduction system abnormalities; Fridericia's corrected QT interval > 475 milliseconds (msec) (males) or > 450 msec (females) on a 12-lead ECG during the Screening period; or abnormalities on 12-lead ECG including, but not limited to, changes in rhythm and intervals that in the opinion of the investigator are considered to be clinically significant.

    • Has known, previously diagnosed human immunodeficiency virus infection or active chronic hepatitis B or C.

    • Has brain metastasis, unless has completed definitive therapy, is not on steroids, has a stable neurologic status for at least 2 weeks after completion of the definitive therapy and steroids, and does not have neurologic dysfunction that would confound the evaluation of neurologic and other adverse events.

    • Has active secondary malignancy that requires treatment.

    • Has any serious medical or psychiatric illness, including drug or alcohol abuse.

    • Male participants who intend to donate sperm during the course of this study or 120 days after receiving their last dose of TAK-117 and, for docetaxel, for as long as is mandated by local labeling.

    • Female participants who are lactating and breastfeeding or have a positive serum pregnancy test during the Screening period or a positive urine pregnancy test on Day 1 before administration of the first dose of study drug.

    • Is unwilling or unable to abide by the requirements of the study.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 San Diego California United States
    2 Atlanta Georgia United States
    3 Farmington Hills Michigan United States
    4 Rochester Minnesota United States
    5 Saint Louis Missouri United States
    6 Chattanooga Tennessee United States
    7 Edmonton Alberta Canada
    8 Toronto Ontario Canada
    9 Amsterdam Netherlands
    10 Hoofddorp Netherlands
    11 Maastricht Netherlands

    Sponsors and Collaborators

    • Millennium Pharmaceuticals, Inc.

    Investigators

    • Study Director: Medical Director Clinical Science, Millennium Pharmaceuticals, Inc.

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Millennium Pharmaceuticals, Inc.
    ClinicalTrials.gov Identifier:
    NCT02393209
    Other Study ID Numbers:
    • MLN1117-1501
    • 2014-004281-25
    • U1111-1160-1736
    First Posted:
    Mar 19, 2015
    Last Update Posted:
    Feb 7, 2018
    Last Verified:
    Jan 1, 2018
    Keywords provided by Millennium Pharmaceuticals, Inc.
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Participants took part in the study at 5 investigative sites in United States and 1 in Canada from 03 June 2015 to 20 January 2017. The Phase 2 portion of the study was cancelled by the sponsor.
    Pre-assignment Detail Participants with a diagnosis of metastatic non-small lung cancer were enrolled in a dose escalation study and received one of 2 doses: TAK-117 (200 mg) plus docetaxel or TAK-117 (300 mg) plus docetaxel.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2 Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days). TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Period Title: Overall Study
    STARTED 6 8 0 0
    COMPLETED 0 0 0 0
    NOT COMPLETED 6 8 0 0

    Baseline Characteristics

    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2 Total
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days). Total of all reporting groups
    Overall Participants 6 8 14
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    64.0
    (8.10)
    62.1
    (11.32)
    62.9
    (9.75)
    Sex: Female, Male (Count of Participants)
    Female
    1
    16.7%
    2
    25%
    3
    21.4%
    Male
    5
    83.3%
    6
    75%
    11
    78.6%
    Race/Ethnicity, Customized (Count of Participants)
    Hispanic or Latino
    1
    16.7%
    0
    0%
    1
    7.1%
    Not Hispanic or Latino
    5
    83.3%
    7
    87.5%
    12
    85.7%
    Not Reported
    0
    0%
    1
    12.5%
    1
    7.1%
    Race/Ethnicity, Customized (Count of Participants)
    White
    4
    66.7%
    5
    62.5%
    9
    64.3%
    Black or African American
    1
    16.7%
    2
    25%
    3
    21.4%
    Asian
    1
    16.7%
    0
    0%
    1
    7.1%
    Not reported
    0
    0%
    1
    12.5%
    1
    7.1%
    Height (cm) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [cm]
    171.53
    (5.854)
    172.95
    (6.102)
    172.34
    (5.810)
    Weight (kg) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [kg]
    69.48
    (21.630)
    72.69
    (9.157)
    71.31
    (15.093)
    Body Surface Area (m^2) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [m^2]
    1.805
    (0.2987)
    1.865
    (0.1231)
    1.839
    (0.2084)

    Outcome Measures

    1. Primary Outcome
    Title Number of Participants With Dose-Limiting Toxicity (DLT) in Phase 1b
    Description DLT was evaluated according to National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.03 and was defined as any of the following events: 1. Grade 4 neutropenia or thrombocytopenia lasting ≥7 consecutive days; 2. Grade 4 neutropenia with fever and/or infection; 3. Platelet count <10,000/mm^3; 4. ≥Grade 3 thrombocytopenia with bleeding; 5. Any other ≥Grade 4 hematologic toxicity; 6. Any other ≥Grade 3 nonhematologic toxicity, with following exceptions: ≥Grade 3 arthralgia/myalgia, ≥Grade 3 nausea/emesis, ≥Grade 3 diarrhoea, Grade 3 fatigue, Grade 3 Rash, Grade 3 nonhematological toxicity that could be controlled to ≤Grade 1 with appropriate treatment; 7. Inability to administer at least 75% of planned doses; 8. Clinically significant occurrence per investigator that is a safety risk.
    Time Frame Cycle 1 (Up to Day 21)

    Outcome Measure Data

    Analysis Population Description
    The DLT-evaluable population was defined as all participants who either experienced DLT during Cycle 1 or complete treatment with at least 75% of the planned doses of TAK-117 plus docetaxel and have sufficient follow-up data to allow investigators and sponsor to determine whether DLT occurred.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 6 8
    Number [participants]
    0
    0%
    1
    12.5%
    2. Primary Outcome
    Title Maximum Tolerated Dose (MTD) of TAK-117 in Combination With Docetaxel 36 mg/m^2 in Phase 1b
    Description The MTD is defined as the dose of TAK-117 in combination with docetaxel 36 mg/m^2 at which 1 of 6 evaluable participants experience DLT. DLT was evaluated according to NCI CTCAE version 4.03 and was defined as any of the following events: 1. Grade 4 neutropenia or thrombocytopenia lasting ≥7 consecutive days; 2. Grade 4 neutropenia with fever and/or infection; 3. Platelet count <10,000/mm^3; 4. ≥Grade 3 thrombocytopenia with bleeding; 5. Any other ≥Grade 4 hematologic toxicity; 6. Any other ≥Grade 3 nonhematologic toxicity, with following exceptions: ≥Grade 3 arthralgia/myalgia, ≥Grade 3 nausea/emesis, ≥Grade 3 diarrhoea, Grade 3 fatigue, Grade 3 Rash, Grade 3 nonhematological toxicity that could be controlled to ≤Grade 1 with appropriate treatment; 7. Inability to administer at least 75% of planned doses; 8. Clinically significant occurrence per investigator that is a safety risk.
    Time Frame Cycle 1 (Up to Day 21)

    Outcome Measure Data

    Analysis Population Description
    The DLT-evaluable population was defined as all participants who either experienced DLT during Cycle 1 or complete treatment with at least 75% of the planned doses of TAK-117 plus docetaxel and have sufficient follow-up data to allow investigators and sponsor to determine whether DLT occurred.
    Arm/Group Title TAK-117 + Docetaxel
    Arm/Group Description TAK-117 200 mg or 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days).
    Measure Participants 14
    Number [mg]
    300
    3. Primary Outcome
    Title Recommended Phase 2 Dose of TAK-117 in Phase 1b
    Description The recommended phase 2 dose was determined in Phase 1b based on participant dose-limiting toxicities and the maximum tolerated dose.
    Time Frame Cycle 1 (Up to Day 21)

    Outcome Measure Data

    Analysis Population Description
    The DLT-evaluable population was defined as all participants who either experienced DLT during Cycle 1 or complete treatment with at least 75% of the planned doses of TAK-117 plus docetaxel and have sufficient follow-up data to allow investigators and sponsor to determine whether DLT occurred.
    Arm/Group Title TAK-117 + Docetaxel
    Arm/Group Description TAK-117 200 mg or 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days).
    Measure Participants 14
    Number [mg]
    200
    4. Primary Outcome
    Title Progression-Free Survival (PFS) in Phase 2
    Description PFS is defined as the time from the date randomization to the date of first documented progressive disease (PD) or death as assessed by the investigator using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria. PD is defined as 20% increase in the sum of the longest diameter of target lesions for measurable neoplastic disease.
    Time Frame Approximately 12 months in Phase 2

    Outcome Measure Data

    Analysis Population Description
    Data was not analyzed as Phase 2 of the study was cancelled.
    Arm/Group Title Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Measure Participants 0 0
    5. Secondary Outcome
    Title Number of Participants With Significant Change in Vital Signs Reported as Adverse Events in Phase 1b
    Description Clinically significant change from baseline in vital sign measures will be assessed. Vital sign measurements included measurements of diastolic and systolic blood pressure, heart rate, and temperature.
    Time Frame First dose of study drug through 30 days after the last dose of study drug (Up to Day 223)

    Outcome Measure Data

    Analysis Population Description
    Safety population was defined as all participants who received at least 1 dose of any study drug.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 6 8
    Bradycardia
    1
    16.7%
    0
    0%
    Sinus tachycardia
    0
    0%
    1
    12.5%
    6. Secondary Outcome
    Title Number of Participants With Significant Change in Physical Examination Reported as Adverse Events in Phase 1b
    Description Physical examination consists of examinations of the following body systems: (1) eyes; (2) ears, nose, throat; (3) cardiovascular system; (4) respiratory system; (5) gastrointestinal system; (6) dermatologic system; (7) extremities; (8) musculoskeletal system; (9) nervous system; (10) lymph nodes; and (11) physical examinations other than body systems described in (1) to (10).
    Time Frame First dose of study drug through 30 days after the last dose of study drug (Up to Day 223)

    Outcome Measure Data

    Analysis Population Description
    Safety population was defined as all participants who received at least 1 dose of any study drug.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 6 8
    Number [participants]
    0
    0%
    1
    12.5%
    7. Secondary Outcome
    Title Number of Participants With Electrocardiogram (ECG) Findings Reported as Adverse Events in Phase 1b
    Description A standard 12-lead ECG was performed.
    Time Frame First dose of study drug through 30 days after the last dose of study drug (Up to Day 223)

    Outcome Measure Data

    Analysis Population Description
    Safety population was defined as all participants who received at least 1 dose of any study drug.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 6 8
    Bradycardia
    1
    16.7%
    0
    0%
    Tachycardia
    0
    0%
    1
    12.5%
    8. Secondary Outcome
    Title Number of Participants With Clinically Significant Change in Clinical Laboratory Tests Reported as Adverse Events in Phase 1b
    Description The number of participants with any markedly abnormal standard safety laboratory values (Chemistry, Hematology and Urinalysis) collected throughout study.
    Time Frame First dose of study drug through 30 days after the last dose of study drug (Up to Day 223)

    Outcome Measure Data

    Analysis Population Description
    Safety population was defined as all participants who received at least 1 dose of any study drug.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 6 8
    Anemia
    2
    33.3%
    2
    25%
    Hypokalemia
    1
    16.7%
    3
    37.5%
    Hypomagnesemia
    0
    0%
    3
    37.5%
    Hypophosphatemia
    0
    0%
    3
    37.5%
    Aspartate aminotransferase increased
    1
    16.7%
    2
    25%
    Febrile neutropenia
    1
    16.7%
    2
    25%
    Hyponatremia
    1
    16.7%
    2
    25%
    Hyperglycemia
    0
    0%
    2
    25%
    Leukopenia
    0
    0%
    1
    12.5%
    Pancytopenia
    0
    0%
    1
    12.5%
    Thrombocytopenia
    1
    16.7%
    0
    0%
    Blood creatinine increased
    1
    16.7%
    1
    12.5%
    Alanine aminotransferase increased
    0
    0%
    1
    12.5%
    Blood cholesterol increased
    0
    0%
    1
    12.5%
    Neutrophil count decreased
    1
    16.7%
    0
    0%
    White blood cell count decreased
    0
    0%
    1
    12.5%
    Hyperkalaemia
    1
    16.7%
    0
    0%
    Hypernatraemia
    0
    0%
    1
    12.5%
    Hypoalbuminaemia
    1
    16.7%
    0
    0%
    Hypocalcaemia
    0
    0%
    1
    12.5%
    9. Secondary Outcome
    Title Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) in Phase 1b
    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. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A serious adverse event (SAE) is any untoward medical occurrence or effect that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability / incapacity, is a congenital anomaly / birth defect or is medically important due to other reasons than the above mentioned criteria. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.
    Time Frame From first dose of study drug to 30 days after last dose of study drug (Up to Day 223)

    Outcome Measure Data

    Analysis Population Description
    Safety population was defined as all participants who received at least 1 dose of any study drug.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 6 8
    TEAEs
    6
    100%
    8
    100%
    SAEs
    5
    83.3%
    6
    75%
    10. Secondary Outcome
    Title Number of Participants With Significant Change in Vital Signs Reported as Adverse Events in Phase 2
    Description Vital signs (blood pressure, pulse rate, and oral temperature) measurements were collected throughout the study.
    Time Frame Approximately 12 months in Phase 2

    Outcome Measure Data

    Analysis Population Description
    Data was not analyzed as Phase 2 of study was cancelled.
    Arm/Group Title Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Measure Participants 0 0
    11. Secondary Outcome
    Title Number of Participants With Significant Change in Physical Examination Reported as Adverse Events in Phase 2
    Description Physical examination consists of examinations of the following body systems: (1) eyes; (2) ears, nose, throat; (3) cardiovascular system; (4) respiratory system; (5) gastrointestinal system; (6) dermatologic system; (7) extremities; (8) musculoskeletal system; (9) nervous system; (10) lymph nodes; and (11) physical examinations other than body systems described in (1) to (10).
    Time Frame Approximately 12 months in Phase 2

    Outcome Measure Data

    Analysis Population Description
    Data was not analyzed as Phase 2 of study was cancelled.
    Arm/Group Title Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Measure Participants 0 0
    12. Secondary Outcome
    Title Number of Participants With Electrocardiogram (ECG) Findings Reported as Adverse Events in Phase 2
    Description Clinically significant changes from baseline in ECGs will be tabulated by time point including any unscheduled measurements.
    Time Frame Approximately 12 months in Phase 2

    Outcome Measure Data

    Analysis Population Description
    Data was not analyzed as Phase 2 of study was cancelled.
    Arm/Group Title Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Measure Participants 0 0
    13. Secondary Outcome
    Title Number of Participants With Clinically Significant Change in Clinical Laboratory Tests Reported as Adverse Events in Phase 2
    Description The number of participants with any markedly abnormal standard safety laboratory values (Chemistry, Hematology and Urinalysis) collected throughout study.
    Time Frame Approximately 12 months in Phase 2

    Outcome Measure Data

    Analysis Population Description
    Safety population was defined as all participants who received at least 1 dose of any study drug.
    Arm/Group Title Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Measure Participants 0 0
    14. Secondary Outcome
    Title Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) in Phase 2
    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. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug. A serious adverse event (SAE) is any untoward medical occurrence or effect that at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability / incapacity, is a congenital anomaly / birth defect or is medically important due to other reasons than the above mentioned criteria. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.
    Time Frame Approximately 12 months in Phase 2

    Outcome Measure Data

    Analysis Population Description
    Safety population was defined as all participants who received at least 1 dose of any study drug.
    Arm/Group Title Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Measure Participants 0 0
    15. Secondary Outcome
    Title Response Rate in Phase 2
    Description Response rate is defined as the percentage of participants with Complete Response (CR) + Partial Response (PR) as assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria 1.1. According to RECIST: CR is defined as disappearance of all target lesions and PR is defined as 30% decrease in the sum of the longest diameter of target lesions.
    Time Frame Approximately 12 months in Phase 2

    Outcome Measure Data

    Analysis Population Description
    Data was not analyzed as Phase 2 of the study was cancelled.
    Arm/Group Title Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Measure Participants 0 0
    16. Secondary Outcome
    Title Disease Control Rate in Phase 2
    Description Disease control rate is defined as percentage of participants with CR + PR + stable disease (SD). According to RECIST: CR is defined as disappearance of all target lesions, PR is defined as 30% decrease in the sum of the longest diameter of target lesions and SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum longest diameter (LD) since the treatment started.
    Time Frame Approximately 12 months in Phase 2

    Outcome Measure Data

    Analysis Population Description
    Data was not analyzed as Phase 2 of the study was cancelled.
    Arm/Group Title Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Measure Participants 0 0
    17. Secondary Outcome
    Title Duration of Response in Phase 2
    Description The duration of response is defined as the time from the date of first documentation of a response to the date of first documentation of progression of disease. As per RECIST 1.1, PD is defined as 20% increase in the sum of the longest diameter of target lesions for measurable neoplastic disease.
    Time Frame Approximately 12 months in Phase 2

    Outcome Measure Data

    Analysis Population Description
    Data was not analyzed as Phase 2 of the study was cancelled.
    Arm/Group Title Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Measure Participants 0 0
    18. Secondary Outcome
    Title Time to Progression in Phase 2
    Description Time to progression is defined as the time from the date of randomization to the date of first documentation of progression of disease. As per RECIST 1.1, PD is defined as 20% increase in the sum of the longest diameter of target lesions for measurable neoplastic disease.
    Time Frame Approximately 12 months in Phase 2

    Outcome Measure Data

    Analysis Population Description
    Data was not analyzed as Phase 2 of the study was cancelled.
    Arm/Group Title Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Measure Participants 0 0
    19. Secondary Outcome
    Title Overall Survival (OS) in Phase 2
    Description Overall survival is defined as the time from the date of randomization to the date of death.
    Time Frame Approximately 12 months in Phase 2

    Outcome Measure Data

    Analysis Population Description
    Data was not analyzed as Phase 2 of the study was cancelled.
    Arm/Group Title Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Measure Participants 0 0
    20. Secondary Outcome
    Title TAK-117 Plasma Concentration in Phase 1b
    Description
    Time Frame Cycle 1 Day 1 pre-dose and 0.5, 1, 2, 4, 6, 8 and 24 hours post-dose

    Outcome Measure Data

    Analysis Population Description
    The PK-evaluable population was defined as all participants for whom there are sufficient dosing and TAK-117 concentration-time data to permit non-compartmental PK analysis. Here 'Number Analyzed' are participants analyzed at the specific timepoint.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 6 7
    Predose
    114.00
    (254.912)
    0.00
    (0.000)
    0.5 Hour Postdose
    1208.60
    (1080.782)
    847.39
    (966.346)
    1 Hour Postdose
    1907.00
    (1307.124)
    1973.29
    (1688.210)
    2 Hours Postdose
    2597.83
    (1612.233)
    3021.43
    (2162.417)
    4 Hours Postdose
    2477.50
    (1407.465)
    4185.71
    (2156.439)
    6 Hours Postdose
    2143.00
    (1290.395)
    3648.57
    (1636.892)
    8 Hours Postdose
    1902.50
    (1210.553)
    3677.14
    (1941.020)
    24 Hours Postdose
    652.17
    (472.315)
    1771.57
    (1347.864)
    21. Secondary Outcome
    Title Cmax: Maximum Observed Plasma Concentration for TAK-117
    Description
    Time Frame Cycle 1 Day 1 pre-dose and 0.5, 1, 2, 4, 6, 8 and 24 hours post-dose

    Outcome Measure Data

    Analysis Population Description
    This analysis was not performed due to lack of data.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 0 0
    22. Secondary Outcome
    Title Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-117
    Description
    Time Frame Cycle 1 Day 1 pre-dose and up to 24 hours post-dose

    Outcome Measure Data

    Analysis Population Description
    This analysis was not performed due to lack of data.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 0 0
    23. Secondary Outcome
    Title AUCtau: Area Under the Concentration Time Curve From Time 0 to the Next Dose in Phase 1b for TAK-117
    Description
    Time Frame Cycle 1 Day 1 pre-dose and up to 24 hours post-dose

    Outcome Measure Data

    Analysis Population Description
    This analysis was not performed due to lack of data.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 0 0
    24. Secondary Outcome
    Title AUC(Last): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration in Phase 1b for TAK-117
    Description
    Time Frame Cycle 1 Day 1 pre-dose and up to 24 hours post-dose

    Outcome Measure Data

    Analysis Population Description
    This analysis was not performed due to lack of data.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 0 0
    25. Secondary Outcome
    Title CL/F: Oral Clearance for TAK-117
    Description
    Time Frame Cycle 1 Day 1 pre-dose and up to 24 hours post-dose

    Outcome Measure Data

    Analysis Population Description
    This analysis was not performed due to lack of data.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 0 0
    26. Secondary Outcome
    Title T1/2: Terminal Phase Elimination Half-life (T1/2) for TAK-117
    Description
    Time Frame Cycle 1 Day 1 pre-dose and up to 24 hours post-dose

    Outcome Measure Data

    Analysis Population Description
    This analysis was not performed due to lack of data.
    Arm/Group Title Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    Measure Participants 0 0
    27. Secondary Outcome
    Title TAK-117 Plasma Concentrations When Administered 1 Day After Docetaxel in Phase 2
    Description
    Time Frame 1 day post docetaxel dose

    Outcome Measure Data

    Analysis Population Description
    Data was not analyzed as Phase 2 of study was cancelled.
    Arm/Group Title Phase 2 - TAK-117 + Docetaxel 36 mg/m^2 Phase 2 - Docetaxel 75 mg/m^2
    Arm/Group Description TAK-117 tablets, at the dose determined in the dose escalation phase, on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of a 21-day cycle plus Docetaxel 36 mg/m^2 IV infusion on Days 1 and 8 of a 21-day cycle. Docetaxel 75 mg/m^2, IV infusion once every 3 weeks (per approved prescribing information) with dosing on Day 1 of each 21-day cycle.
    Measure Participants 0 0

    Adverse Events

    Time Frame First dose of study drug through 30 days from the last dose (up to Day 223)
    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 Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Arm/Group Description TAK-117 200 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, intravenous (IV) infusion, on Days 1 and 8 of the 21-day cycle up to 9 cycles (approximately 189 days). TAK-117 300 mg, tablets, orally on Days 2, 3, 4, 9, 10, 11, 16, 17, and 18 of the 21-day cycle and docetaxel 36 mg/m^2, IV infusion, on Days 1 and 8 of the 21-day cycle up to 6 cycles (approximately 126 days).
    All Cause Mortality
    Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 1/6 (16.7%) 3/8 (37.5%)
    Serious Adverse Events
    Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 5/6 (83.3%) 6/8 (75%)
    Blood and lymphatic system disorders
    Febrile neutropenia 1/6 (16.7%) 2/8 (25%)
    Cardiac disorders
    Cardio-respiratory arrest 1/6 (16.7%) 0/8 (0%)
    Cardiogenic shock 1/6 (16.7%) 0/8 (0%)
    Gastrointestinal disorders
    Diarrhoea 2/6 (33.3%) 1/8 (12.5%)
    Nausea 0/6 (0%) 2/8 (25%)
    Vomiting 0/6 (0%) 2/8 (25%)
    Gastric haemorrhage 1/6 (16.7%) 0/8 (0%)
    Odynophagia 0/6 (0%) 1/8 (12.5%)
    Oesophagitis 0/6 (0%) 1/8 (12.5%)
    Stomatitis 1/6 (16.7%) 0/8 (0%)
    Infections and infestations
    Pneumonia 2/6 (33.3%) 1/8 (12.5%)
    Bacterial sepsis 0/6 (0%) 1/8 (12.5%)
    Legionella infection 0/6 (0%) 1/8 (12.5%)
    Sepsis 0/6 (0%) 1/8 (12.5%)
    Metabolism and nutrition disorders
    Dehydration 0/6 (0%) 2/8 (25%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Squamous cell carcinoma 0/6 (0%) 1/8 (12.5%)
    Reproductive system and breast disorders
    Postmenopausal haemorrhage 0/6 (0%) 1/8 (12.5%)
    Respiratory, thoracic and mediastinal disorders
    Respiratory failure 2/6 (33.3%) 0/8 (0%)
    Acute respiratory distress syndrome 0/6 (0%) 1/8 (12.5%)
    Pleural effusion 0/6 (0%) 1/8 (12.5%)
    Other (Not Including Serious) Adverse Events
    Phase 1 - TAK-117 200 mg + Docetaxel 36 mg/m^2 Phase 1 - TAK-117 300 mg + Docetaxel 36 mg/m^2
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 6/6 (100%) 8/8 (100%)
    Blood and lymphatic system disorders
    Anaemia 2/6 (33.3%) 2/8 (25%)
    Febrile neutropenia 0/6 (0%) 1/8 (12.5%)
    Leukopenia 0/6 (0%) 1/8 (12.5%)
    Pancytopenia 0/6 (0%) 1/8 (12.5%)
    Thrombocytopenia 1/6 (16.7%) 0/8 (0%)
    Cardiac disorders
    Bradycardia 1/6 (16.7%) 0/8 (0%)
    Sinus tachycardia 0/6 (0%) 1/8 (12.5%)
    Eye disorders
    Vision blurred 0/6 (0%) 1/8 (12.5%)
    Gastrointestinal disorders
    Nausea 2/6 (33.3%) 5/8 (62.5%)
    Diarrhoea 1/6 (16.7%) 5/8 (62.5%)
    Constipation 2/6 (33.3%) 2/8 (25%)
    Vomiting 1/6 (16.7%) 2/8 (25%)
    Stomatitis 0/6 (0%) 2/8 (25%)
    Diarrhoea haemorrhagic 1/6 (16.7%) 0/8 (0%)
    Dry mouth 1/6 (16.7%) 0/8 (0%)
    Dyspepsia 0/6 (0%) 1/8 (12.5%)
    General disorders
    Fatigue 3/6 (50%) 4/8 (50%)
    Oedema peripheral 2/6 (33.3%) 2/8 (25%)
    Pyrexia 1/6 (16.7%) 1/8 (12.5%)
    Chills 0/6 (0%) 1/8 (12.5%)
    Non-cardiac chest pain 0/6 (0%) 1/8 (12.5%)
    Pain 1/6 (16.7%) 0/8 (0%)
    Systemic inflammatory response syndrome 0/6 (0%) 1/8 (12.5%)
    Infections and infestations
    Pneumonia 1/6 (16.7%) 1/8 (12.5%)
    Upper respiratory tract infection 1/6 (16.7%) 1/8 (12.5%)
    Oral candidiasis 1/6 (16.7%) 0/8 (0%)
    Pseudomonas infection 0/6 (0%) 1/8 (12.5%)
    Investigations
    Aspartate aminotransferase increased 1/6 (16.7%) 2/8 (25%)
    Blood creatinine increased 1/6 (16.7%) 1/8 (12.5%)
    Alanine aminotransferase increased 0/6 (0%) 1/8 (12.5%)
    Blood cholesterol increased 0/6 (0%) 1/8 (12.5%)
    Ejection fraction decreased 1/6 (16.7%) 0/8 (0%)
    Neutrophil count decreased 1/6 (16.7%) 0/8 (0%)
    Weight decreased 0/6 (0%) 1/8 (12.5%)
    White blood cell count decreased 0/6 (0%) 1/8 (12.5%)
    Metabolism and nutrition disorders
    Decreased appetite 1/6 (16.7%) 3/8 (37.5%)
    Hypokalaemia 1/6 (16.7%) 3/8 (37.5%)
    Hypomagnesaemia 0/6 (0%) 3/8 (37.5%)
    Hyponatraemia 1/6 (16.7%) 2/8 (25%)
    Hypophosphataemia 0/6 (0%) 3/8 (37.5%)
    Dehydration 2/6 (33.3%) 0/8 (0%)
    Hyperglycaemia 0/6 (0%) 2/8 (25%)
    Electrolyte imbalance 1/6 (16.7%) 0/8 (0%)
    Hyperkalaemia 1/6 (16.7%) 0/8 (0%)
    Hypernatraemia 0/6 (0%) 1/8 (12.5%)
    Hypoalbuminaemia 1/6 (16.7%) 0/8 (0%)
    Hypocalcaemia 0/6 (0%) 1/8 (12.5%)
    Musculoskeletal and connective tissue disorders
    Back pain 1/6 (16.7%) 0/8 (0%)
    Musculoskeletal pain 0/6 (0%) 1/8 (12.5%)
    Myalgia 0/6 (0%) 1/8 (12.5%)
    Pain in extremity 0/6 (0%) 1/8 (12.5%)
    Trismus 0/6 (0%) 1/8 (12.5%)
    Nervous system disorders
    Dizziness 0/6 (0%) 1/8 (12.5%)
    Hypoaesthesia 0/6 (0%) 1/8 (12.5%)
    Peripheral sensory neuropathy 0/6 (0%) 1/8 (12.5%)
    Psychiatric disorders
    Insomnia 1/6 (16.7%) 1/8 (12.5%)
    Anxiety 0/6 (0%) 1/8 (12.5%)
    Depression 0/6 (0%) 1/8 (12.5%)
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea 2/6 (33.3%) 3/8 (37.5%)
    Cough 1/6 (16.7%) 2/8 (25%)
    Dysphonia 1/6 (16.7%) 0/8 (0%)
    Dyspnoea exertional 1/6 (16.7%) 0/8 (0%)
    Haemoptysis 1/6 (16.7%) 0/8 (0%)
    Oropharyngeal pain 0/6 (0%) 1/8 (12.5%)
    Pleural effusion 1/6 (16.7%) 0/8 (0%)
    Pneumonitis 0/6 (0%) 1/8 (12.5%)
    Skin and subcutaneous tissue disorders
    Dermatitis acneiform 0/6 (0%) 1/8 (12.5%)
    Eczema 0/6 (0%) 1/8 (12.5%)
    Nail discolouration 0/6 (0%) 1/8 (12.5%)
    Night sweats 0/6 (0%) 1/8 (12.5%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    In general, Investigators may publish clinical data after the earlier of (i) publication by the Sponsor or (ii) 12 months following the abandonment, early termination or database lock; provided a copy of the publication provided to Sponsor at least 30 days ahead of publication, the Sponsor's confidential information is removed as may be requested by Sponsor and Investigator defers publication for up to 60 days in the event Sponsor provides notice that it intends to file a patent application.

    Results Point of Contact

    Name/Title Medical Director
    Organization Takeda
    Phone +1-877-825-3327
    Email trialdisclosures@takeda.com
    Responsible Party:
    Millennium Pharmaceuticals, Inc.
    ClinicalTrials.gov Identifier:
    NCT02393209
    Other Study ID Numbers:
    • MLN1117-1501
    • 2014-004281-25
    • U1111-1160-1736
    First Posted:
    Mar 19, 2015
    Last Update Posted:
    Feb 7, 2018
    Last Verified:
    Jan 1, 2018