A Study to Evaluate the Relative Bioavailability, Effect of Food, and Gastric Potential Hydrogen (pH) Modification on the Pharmacokinetics of TAK-117 (MLN1117) in Healthy Participants

Sponsor
Millennium Pharmaceuticals, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT02625259
Collaborator
(none)
54
5
6.4

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the relative bioavailability of a new tablet formulation of TAK-117 (new clinical trial material [NTM]) compared to the TAK-117 Process B capsules (current clinical trial material [CTM]) (Part 1), to assess the effects of food on the oral bioavailability and pharmacokinetics (PK) of TAK-117 (Part 2), and to assess the effects of gastric pH-modifying agent on the PK of TAK-117 in healthy participants (Part 3).

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

The drug being tested in this study is called TAK-117. TAK-117 is being tested to treat people who have advanced solid tumors. This study will look at the PK and relative bioavailability of new tablet formulation of TAK-117 as compare to current capsule formulation in Part 1. In Part 2 and Part 3, interaction of TAK-117 with food and a gastric pH modifying agent will be evaluated respectively in healthy participants, and will commence only after the completion of Part 1.

The study will enroll approximately 54 participants. In Part 1, participants will be randomly assigned (by chance, like flipping a coin) to 1 of the 2 crossover sequences:

  • Sequence A: TAK-117 capsules (9100 mg) first then TAK-117 tablets (3300 mg)

  • Sequence B: TAK-117 tablets (3300 mg) first then TAK-117 capsules (9100 mg)

Part 2 and Part 3 will be evaluated only on the new tablet formulation of TAK-117 at the dose determined in Part 1. In Part 2, participants will be randomly assigned to receive a single dose of TAK-117 in the fasted state followed by TAK-117 with standard high-fat breakfast in Sequence A or vice-versa in Sequence B. In Part 3, participants will receive a single dose of TAK-117 on Day 1 followed by lansoprazole 30 mg on Day 10 for 6 days and then second dose of TAK-117 on Day 15. Blood samples will be collected at predose and up to 72 hours postdose at prespecified time points on Days 1 and 15. Urine samples will be collected predose, 0 to 12 hours, and 12 to 24 hours postdose in Part 1 only.

This single center trial will be conducted in the United States. The overall time to participate in this study is approximately 45 days. Participants will make 2 visits to the clinic in each part, during which they will remain confined to the clinic for a 4 to 10 day period for drug dosing and other study procedures. Participants will also complete a final visit 30 to 33 days after their last dose of study drug for a follow-up assessment (Day 45).

Study Design

Study Type:
Interventional
Actual Enrollment :
54 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Open-Label Study to Evaluate the Relative Bioavailability, Effect of Food, and Gastric pH Modification on the Pharmacokinetics of MLN1117 in Healthy Subjects
Actual Study Start Date :
Jan 8, 2016
Actual Primary Completion Date :
May 16, 2016
Actual Study Completion Date :
Jul 22, 2016

Arms and Interventions

Arm Intervention/Treatment
Experimental: Part 1: TAK-117 9*100 mg + TAK-117 3*300 mg

TAK-117900 milligram (mg), capsules, orally, once on Day 1, followed by 2 weeks of washout, followed by TAK-117 900 mg, tablets, orally, once on Day 15.

Drug: TAK-117
TAK-117 capsules

Drug: TAK-117
TAK-117 tablets

Experimental: Part 1: TAK-117 3*300 mg + TAK-117 9*100 mg

TAK-117 900 mg tablets, orally, once on Day 1, followed by 2 weeks of washout, followed by TAK-117 900 mg, capsules, orally, once on Day 15.

Drug: TAK-117
TAK-117 capsules

Drug: TAK-117
TAK-117 tablets

Experimental: Part 2: TAK-117 Fasted + TAK-117 Fed

TAK-117 at the dose determined in Part 1, tablets, in fasted condition, orally, once on Day 1, followed by 2 weeks of washout, followed by TAK-117 at the dose determined in Part 1, tablets, with a standard high-fat meal, orally, once on Day 15.

Drug: TAK-117
TAK-117 tablets

Experimental: Part 2: TAK-117 Fed + TAK-117 Fasted

TAK-117 at the dose determined in Part 1, tablets, with a standard high-fat meal, orally, once on Day 1, followed by 2 weeks of washout, followed by TAK-117 at the dose determined in Part 1, tablets, in fasted condition, orally, once on Day 15.

Drug: TAK-117
TAK-117 tablets

Experimental: Part 3: TAK-117 + Lansoprazole

TAK-117 at the dose determined in Part 1, tablets, orally, once on Day 1, followed by lansoprazole 30 mg, tablets or capsules, once daily from Day 10 to Day 15, followed by TAK-117 at the dose determined in Part 1, tablets, orally, once on Day 15.

Drug: Lansoprazole
Lansoprazole capsules

Drug: TAK-117
TAK-117 tablets

Outcome Measures

Primary Outcome Measures

  1. Cmax: Maximum Observed Plasma Concentration for TAK-117 [Part 1 and 2: Day 1 or 15 pre-dose and at multiple time points (up to 72 hours) post-dose; Part 3: Day 1 (TAK-117) and Day 15 (TAK-117 + Lansoprazole) pre-dose and at multiple time points (up to 72 hours) post-dose]

  2. Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-117 [Part 1 and 2: Day 1 or 15 pre-dose and at multiple time points (up to 72 hours) post-dose; Part 3: Day 1 (TAK-117) and Day 15 (TAK-117 + Lansoprazole) pre-dose and at multiple time points (up to 72 hours) post-dose]

  3. AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-117 [Part 1 and 2: Day 1 or 15 pre-dose and at multiple time points (up to 72 hours) post-dose; Part 3: Day 1 (TAK-117) and Day 15 (TAK-117 + Lansoprazole) pre-dose and at multiple time points (up to 72 hours) post-dose]

  4. AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-117 [Part 1 and 2: Day 1 or 15 pre-dose and at multiple time points (up to 72 hours) post-dose; Part 3: Day 1 (TAK-117) and Day 15 (TAK-117 + Lansoprazole) pre-dose and at multiple time points (up to 72 hours) post-dose]

Secondary Outcome Measures

  1. Part 1: Renal Clearance (CLr) of TAK-117 [Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 45 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  1. Is aged 18 to 45 years inclusive, at the time of consent.

  2. Is healthy adult male or female.

  3. Weighs greater than or equal to (>=) 45 kilogram (kg) (female) or >=55 kg (male), and body mass index (BMI) between 18.0 and 30.0 kilogram per square meter (kg/m^2), inclusive, at screening.

  4. Suitable venous access for the study-required blood sampling, including PK sampling.

  5. Has provided the voluntary written consent.

Exclusion Criteria:
  1. Any clinically significant abnormality at screening or medical history of cardiac, hepatic, renal, respiratory, gastrointestinal (GI), endocrine, immunologic, dermatologic, hematologic, neurologic, or psychiatric disease.

  2. Manifestations of malabsorption due to prior GI surgery, GI disease, or for an unknown other reason that may alter the PK of TAK-117 or lansoprazole.

  3. Creatinine clearance less than or equal to (<=) 90 milliliter per minute (mL/min) based either on Cockroft-Gault estimate or based on a 12- or 24-hour urine collection during screening.

  4. Known intolerance to TAK-117 or lansoprazole, or any of the excipients of either drug.

  5. A positive test result for human immunodeficiency virus (HIV), hepatitis A antibody (HAVAb), hepatitis B surface antigen (HBsAg), hepatitis B core (HBc) antibody Anti-HBc (IgM), or hepatitis C antibody (HCVAb) tests at screening, or serological reactions for syphilis during screening.

  6. Has Lactose intolerance (only for Part 2).

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Millennium Pharmaceuticals, Inc.

Investigators

  • Study Director: Medical Director, Takeda

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Millennium Pharmaceuticals, Inc.
ClinicalTrials.gov Identifier:
NCT02625259
Other Study ID Numbers:
  • MLN1117-1002
  • U1111-1159-5909
First Posted:
Dec 9, 2015
Last Update Posted:
Jan 8, 2018
Last Verified:
Jul 1, 2017
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Millennium Pharmaceuticals, Inc.
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Participants took part in the study at 1 investigative site in the United States from 08 January 2016 to 22 July 2016.
Pre-assignment Detail Healthy participants were enrolled in this 3-part study to receive TAK-117 in Part 1 as: Crossover of 9*100 milligram (mg) capsules or 3*300 mg tablets, Part 2: Crossover of TAK-117 in fasted or fed state and Part 3: TAK-117 with lansoprazole.
Arm/Group Title Part-1: TAK-117 900 mg Capsules + TAK-117 900 mg Tablets Part-1: TAK-117 900 mg Tablets + TAK-117 900 mg Capsules Part-2: TAK-117 600 mg Fasted + TAK-117 600 mg Fed Part-2: TAK-117 600 mg Fed + TAK-117 600 mg Fasted Part-3: TAK-117 900 mg + Lansoprazole 30 mg
Arm/Group Description TAK-117 9*100 mg, capsules (current clinical trial material [CTM]), orally, once on Day 1 (first intervention), followed by washout from Day 2 to Day 14, further followed by TAK-117 3*300 mg, tablets (new clinical trial material [NTM]), orally, once on Day 15 (second intervention). TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1 (first intervention), followed by washout from Day 2 to Day 14, further followed by TAK-117 9*100 mg, capsules (CTM), orally, once on Day 15 (second intervention). TAK-117 2*300 mg, tablets (NTM), orally, once in the fasted state on Day 1 (first intervention), followed by washout from Day 2 to Day 14, further followed by TAK-117 2*300 mg, tablets (NTM), orally, with a standard high-fat breakfast, once on Day 15 (second intervention). TAK-117 2*300 mg, tablets (NTM), orally, once with a standard high-fat breakfast on Day 1 (first intervention), followed by washout from Day 2 to Day 14, further followed by TAK-117 2*300 mg, tablets (NTM), orally, in the fasted state, once on Day 15 (second intervention). TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1, followed by lansoprazole 30 mg, capsule, orally, once daily from Day 10 to Day 15 along with TAK-117 3*300 mg, tablets (NTM), orally, once on Day 15 approximately 1 hour (hr) after the last dose of lansoprazole 30 mg.
Period Title: First Intervention (Day 1)
STARTED 11 9 8 10 16
COMPLETED 9 8 7 9 16
NOT COMPLETED 2 1 1 1 0
Period Title: First Intervention (Day 1)
STARTED 9 8 7 9 0
COMPLETED 9 8 7 9 0
NOT COMPLETED 0 0 0 0 0
Period Title: First Intervention (Day 1)
STARTED 9 8 7 9 0
COMPLETED 9 8 7 9 0
NOT COMPLETED 0 0 0 0 0

Baseline Characteristics

Arm/Group Title Part-1: TAK-117 900 mg Capsules + TAK-117 900 mg Tablets Part-1: TAK-117 900 mg Tablets + TAK-117 900 mg Capsules Part-2: TAK-117 600 mg Fasted + TAK-117 600 mg Fed Part-2: TAK-117 600 mg Fed + TAK-117 600 mg Fasted Part-3: TAK-117 900 mg + Lansoprazole 30 mg Total
Arm/Group Description TAK-117 9*100 mg, capsules (current clinical trial material [CTM]), orally, once on Day 1 (first intervention), followed by washout from Day 2 to Day 14, further followed by TAK-117 3*300 mg, tablets (new clinical trial material [NTM]), orally, once on Day 15 (second intervention). TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1 (first intervention), followed by washout from Day 2 to Day 14, further followed by TAK-117 9*100 mg, capsules (CTM), orally, once on Day 15 (second intervention). TAK-117 2*300 mg, tablets (NTM), orally, once in the fasted state on Day 1 (first intervention), followed by washout from Day 2 to Day 14, further followed by TAK-117 2*300 mg, tablets (NTM), orally, with a standard high-fat breakfast, once on Day 15 (second intervention). TAK-117 2*300 mg, tablets (NTM), orally, once with a standard high-fat breakfast on Day 1 (first intervention), followed by washout from Day 2 to Day 14, further followed by TAK-117 2*300 mg, tablets (NTM), orally, in the fasted state, once on Day 15 (second intervention). TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1, followed by lansoprazole 30 mg, capsule, orally, once daily from Day 10 to Day 15 along with TAK-117 3*300 mg, tablets (NTM), orally, once on Day 15 approximately 1 hour (hr) after the last dose of lansoprazole 30 mg. Total of all reporting groups
Overall Participants 11 9 8 10 16 54
Age, Customized (participants) [Number]
18-45 years
11
(7.63) 100%
9
(7.79) 100%
8
(7.15) 100%
10
(6.13) 100%
16
(6.88) 100%
54
100%
Sex: Female, Male (Count of Participants)
Female
8
72.7%
7
77.8%
4
50%
10
100%
9
56.3%
38
70.4%
Male
3
27.3%
2
22.2%
4
50%
0
0%
7
43.8%
16
29.6%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
6
54.5%
4
44.4%
4
50%
4
40%
6
37.5%
24
44.4%
Not Hispanic or Latino
5
45.5%
5
55.6%
4
50%
6
60%
10
62.5%
30
55.6%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
1
11.1%
0
0%
0
0%
1
6.3%
2
3.7%
Asian
1
9.1%
0
0%
1
12.5%
0
0%
0
0%
2
3.7%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Black or African American
2
18.2%
3
33.3%
3
37.5%
3
30%
8
50%
19
35.2%
White
8
72.7%
5
55.6%
4
50%
7
70%
5
31.3%
29
53.7%
More than one race
0
0%
0
0%
0
0%
0
0%
2
12.5%
2
3.7%
Unknown or Not Reported
0
0%
0
0%
0
0%
0
0%
0
0%
0
0%
Region of Enrollment (participants) [Number]
United States
11
100%
9
100%
8
100%
10
100%
16
100%
54
100%

Outcome Measures

1. Primary Outcome
Title Cmax: Maximum Observed Plasma Concentration for TAK-117
Description
Time Frame Part 1 and 2: Day 1 or 15 pre-dose and at multiple time points (up to 72 hours) post-dose; Part 3: Day 1 (TAK-117) and Day 15 (TAK-117 + Lansoprazole) pre-dose and at multiple time points (up to 72 hours) post-dose

Outcome Measure Data

Analysis Population Description
The pharmacokinetic (PK)-evaluable population included participants who received both doses of TAK-117 study drug in each sequence and had sufficient PK data to reliably estimate PK parameters that were used for PK analyses.
Arm/Group Title Part-1: TAK-117 900 mg Capsules (9*100 mg Capsules) Part-1: TAK-117 900 mg Tablets (3*300 mg Tablets) Part-2: TAK-117 600 mg Fasted (2*300 mg Tablets) Part-2: TAK-117 600 mg Fed (2*300 mg Tablets) Part-3: TAK-117 900 mg (3*300 mg Tablets) Part-3: TAK-117 900 mg (3*300 mg Tablets) + Lansoprazole 30 mg
Arm/Group Description TAK-117 9*100 mg, capsules (CTM), orally, once on Day 1 or 15 of intervention period. TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1 or 15 of intervention period. TAK-117 2*300 mg, tablets (NTM), orally, once in a fasted state on Day 1 or 15 of intervention period. TAK-117 2*300 mg, tablets (NTM), orally, with a standard high-fat breakfast, once on Day 1 or 15 of intervention period. TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1. Lansoprazole 30 mg, capsule, orally, once daily from Day 10 to Day 15 along with TAK-117 3*300 mg, tablets (NTM), orally once on Day 15.
Measure Participants 17 17 16 16 16 16
Geometric Mean (Geometric Coefficient of Variation) [nanogram per milliliter (ng/mL)]
4632.992
(71)
6225.347
(53)
6455.111
(48)
7847.591
(24)
5859.156
(58)
190.172
(144)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part-1: TAK-117 900 mg Capsules (9*100 mg Capsules), Part-1: TAK-117 900 mg Tablets (3*300 mg Tablets)
Comments Analysis of variance was performed for calculating 90 percent (%) confidence intervals (CIs) for the ratios of log-transformed geometric mean Cmax of TAK-117 tablet versus capsule dosage form.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 1.36
Confidence Interval (2-Sided) 90%
1.00 to 1.83
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Part-2: TAK-117 600 mg Fasted (2*300 mg Tablets), Part-2: TAK-117 600 mg Fed (2*300 mg Tablets)
Comments Analysis of variance was performed for calculating 90% CIs for the ratios of log-transformed geometric mean Cmax of TAK-117 tablet dosage form with food versus without food.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 1.20
Confidence Interval (2-Sided) 90%
0.86 to 1.67
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Part-3: TAK-117 900 mg (3*300 mg Tablets), Part-3: TAK-117 900 mg (3*300 mg Tablets) + Lansoprazole 30 mg
Comments Analysis of variance was performed for calculating 90% CIs for the ratios of log-transformed geometric mean Cmax of TAK-117 tablet dosage form with lansoprazole versus a single dose of TAK-117 alone.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 0.03
Confidence Interval (2-Sided) 90%
0.02 to 0.07
Parameter Dispersion Type:
Value:
Estimation Comments
2. Primary Outcome
Title Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-117
Description
Time Frame Part 1 and 2: Day 1 or 15 pre-dose and at multiple time points (up to 72 hours) post-dose; Part 3: Day 1 (TAK-117) and Day 15 (TAK-117 + Lansoprazole) pre-dose and at multiple time points (up to 72 hours) post-dose

Outcome Measure Data

Analysis Population Description
The PK-evaluable population included participants who received both doses of TAK-117 study drug in each sequence and had sufficient PK data to reliably estimate PK parameters that were used for PK analyses.
Arm/Group Title Part-1: TAK-117 900 mg Capsules (9*100 mg Capsules) Part-1: TAK-117 900 mg Tablets (3*300 mg Tablets) Part-2: TAK-117 600 mg Fasted (2*300 mg Tablets) Part-2: TAK-117 600 mg Fed (2*300 mg Tablets) Part-3: TAK-117 900 mg (3*300 mg Tablets) Part-3: TAK-117 900 mg (3*300 mg Tablets) + Lansoprazole 30 mg
Arm/Group Description TAK-117 9*100 mg, capsules (CTM), orally, once on Day 1 or 15 of intervention period. TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1 or 15 of intervention period. TAK-117 2*300 mg, tablets (NTM), orally, once in a fasted state on Day 1 or 15 of intervention period. TAK-117 2*300 mg, tablets (NTM), orally, with a standard high-fat breakfast, once on Day 1 or 15 of intervention period. TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1. Lansoprazole 30 mg, capsule, orally, once daily from Day 10 to Day 15 along with TAK-117 3*300 mg, tablets (NTM), orally once on Day 15.
Measure Participants 17 17 16 16 16 16
Median (Full Range) [hours]
2.067
3.000
3.000
6.033
3.000
3.517
3. Primary Outcome
Title AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-117
Description
Time Frame Part 1 and 2: Day 1 or 15 pre-dose and at multiple time points (up to 72 hours) post-dose; Part 3: Day 1 (TAK-117) and Day 15 (TAK-117 + Lansoprazole) pre-dose and at multiple time points (up to 72 hours) post-dose

Outcome Measure Data

Analysis Population Description
The PK-evaluable population included participants who received both doses of TAK-117 study drug in each sequence and had sufficient PK data to reliably estimate PK parameters that were used for PK analyses.
Arm/Group Title Part-1: TAK-117 900 mg Capsules (9*100 mg Capsules) Part-1: TAK-117 900 mg Tablets (3*300 mg Tablets) Part-2: TAK-117 600 mg Fasted (2*300 mg Tablets) Part-2: TAK-117 600 mg Fed (2*300 mg Tablets) Part-3: TAK-117 900 mg (3*300 mg Tablets) Part-3: TAK-117 900 mg (3*300 mg Tablets) + Lansoprazole 30 mg
Arm/Group Description TAK-117 9*100 mg, capsules (CTM), orally, once on Day 1 or 15 of intervention period. TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1 or 15 of intervention period. TAK-117 2*300 mg, tablets (NTM), orally, once in a fasted state on Day 1 or 15 of intervention period. TAK-117 2*300 mg, tablets (NTM), orally, with a standard high-fat breakfast, once on Day 1 or 15 of intervention period. TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1. Lansoprazole 30 mg, capsule, orally, once daily from Day 10 to Day 15 along with TAK-117 3*300 mg, tablets (NTM), orally once on Day 15.
Measure Participants 17 17 16 16 16 16
Geometric Mean (Geometric Coefficient of Variation) [nanogram*hour per milliliter (ng*hr/mL)]
45727.280
(94)
66015.952
(91)
71442.968
(67)
127143.511
(39)
63165.064
(91)
1018.650
(129)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part-1: TAK-117 900 mg Capsules (9*100 mg Capsules), Part-1: TAK-117 900 mg Tablets (3*300 mg Tablets)
Comments Analysis of variance was performed for calculating 90 % CIs for the ratios of log-transformed geometric mean AUClast of TAK-117 tablet versus capsule dosage form.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 1.47
Confidence Interval (2-Sided) 90%
0.98 to 2.18
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Part-2: TAK-117 600 mg Fasted (2*300 mg Tablets), Part-2: TAK-117 600 mg Fed (2*300 mg Tablets)
Comments Analysis of variance was performed for calculating 90% CIs for the ratios of log-transformed geometric mean AUClast of TAK-117 tablet dosage form with food versus without food.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 1.76
Confidence Interval (2-Sided) 90%
1.11 to 2.78
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Part-3: TAK-117 900 mg (3*300 mg Tablets), Part-3: TAK-117 900 mg (3*300 mg Tablets) + Lansoprazole 30 mg
Comments Analysis of variance was performed for calculating 90% CIs for the ratios of log-transformed geometric mean AUClast of TAK-117 tablet dosage form with lansoprazole versus a single dose of TAK-117 alone.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 0.02
Confidence Interval (2-Sided) 90%
0.01 to 0.04
Parameter Dispersion Type:
Value:
Estimation Comments
4. Primary Outcome
Title AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-117
Description
Time Frame Part 1 and 2: Day 1 or 15 pre-dose and at multiple time points (up to 72 hours) post-dose; Part 3: Day 1 (TAK-117) and Day 15 (TAK-117 + Lansoprazole) pre-dose and at multiple time points (up to 72 hours) post-dose

Outcome Measure Data

Analysis Population Description
The PK-evaluable population where data at specified time points were available. The PK-evaluable population included participants who received both doses of TAK-117 study drug in each sequence and had sufficient PK data to reliably estimate PK parameters that were used for PK analyses.
Arm/Group Title Part-1: TAK-117 900 mg Capsules (9*100 mg Capsules) Part-1: TAK-117 900 mg Tablets (3*300 mg Tablets) Part-2: TAK-117 600 mg Fasted (2*300 mg Tablets) Part-2: TAK-117 600 mg Fed (2*300 mg Tablets) Part-3: TAK-117 900 mg (3*300 mg Tablets) Part-3: TAK-117 900 mg (3*300 mg Tablets) + Lansoprazole 30 mg
Arm/Group Description TAK-117 9*100 mg, capsules (CTM), orally, once on Day 1 or 15 of intervention period. TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1 or 15 of intervention period. TAK-117 2*300 mg, tablets (NTM), orally, once in a fasted state on Day 1 or 15 of intervention period. TAK-117 2*300 mg, tablets (NTM), orally, with a standard high-fat breakfast, once on Day 1 or 15 of intervention period. TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1. Lansoprazole 30 mg, capsule, orally, once daily from Day 10 to Day 15 along with TAK-117 3*300 mg, tablets (NTM), orally once on Day 15.
Measure Participants 13 13 15 16 15 4
Geometric Mean (Geometric Coefficient of Variation) [ng*hr/mL]
64165.340
(77)
96293.083
(77)
81595.634
(61)
128336.896
(39)
85782.122
(85)
6547.254
(66)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Part-1: TAK-117 900 mg Capsules (9*100 mg Capsules), Part-1: TAK-117 900 mg Tablets (3*300 mg Tablets)
Comments Analysis of variance was performed for calculating 90 % CIs for the ratios of log-transformed geometric mean AUC∞ of TAK-117 tablet versus capsule dosage form.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 1.53
Confidence Interval (2-Sided) 90%
0.93 to 2.51
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Part-2: TAK-117 600 mg Fasted (2*300 mg Tablets), Part-2: TAK-117 600 mg Fed (2*300 mg Tablets)
Comments Analysis of variance was performed for calculating 90% CIs for the ratios of log-transformed geometric mean AUC∞ of TAK-117 tablet dosage form with food versus without food.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 1.50
Confidence Interval (2-Sided) 90%
1.00 to 2.25
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Part-3: TAK-117 900 mg (3*300 mg Tablets), Part-3: TAK-117 900 mg (3*300 mg Tablets) + Lansoprazole 30 mg
Comments Analysis of variance was performed for calculating 90% CIs for the ratios of log-transformed geometric mean AUC∞ of TAK-117 tablet dosage form with lansoprazole versus a single dose of TAK-117 alone.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Geometric mean ratio
Estimated Value 0.08
Confidence Interval (2-Sided) 90%
0.03 to 0.18
Parameter Dispersion Type:
Value:
Estimation Comments
5. Secondary Outcome
Title Part 1: Renal Clearance (CLr) of TAK-117
Description
Time Frame Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose

Outcome Measure Data

Analysis Population Description
The PK-evaluable population included participants who received both doses of TAK-117 study drug in each sequence and had sufficient PK data to reliably estimate PK parameters that were used for PK analyses.
Arm/Group Title Part-1: TAK-117 900 mg Capsules (9*100 mg Capsules) Part-1: TAK-117 900 mg Tablets (3*300 mg Tablets)
Arm/Group Description TAK-117 9*100 mg, capsules (CTM), orally, once on Day 1 or 15 of intervention period. TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1 or 15 of intervention period.
Measure Participants 17 17
Mean (Standard Deviation) [liter per hour (L/hr)]
0.314
(0.1179)
0.311
(0.1304)

Adverse Events

Time Frame Treatment-emergent adverse events are adverse events that started after the first dose of study drug and no more than 30 days (Day 46) after the last dose of study drug
Adverse Event Reporting Description At each visit, investigator had to document any occurrence of adverse events and abnormal laboratory findings.Any event spontaneously reported by participant/observed by investigator was recorded,irrespective of relation to study treatment.Number at risk included those participants who have actually received the mentioned intervention during study.
Arm/Group Title Part-1: TAK-117 900 mg Capsules Part-1: TAK-117 900 mg Tablets Part-2: TAK-117 600 mg Fasted Part-2: TAK-117 600 mg Fed Part-3: TAK-117 900 mg Part-3: Lansoprazole 30 mg Part 3: Lansoprazole 30 mg + TAK-117 900 mg
Arm/Group Description TAK-117 9*100 mg, capsules (CTM), orally, once on Day 1 or 15 of intervention period. TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1 or 15 of intervention period. TAK-117 2*300 mg, tablets (NTM), orally, once in a fasted state on Day 1 or 15 of intervention period. TAK-117 2*300 mg, tablets (NTM), orally, with a standard high-fat breakfast, once on Day 1 or 15 of intervention period. TAK-117 3*300 mg, tablets (NTM), orally, once on Day 1. Lansoprazole 30 mg, capsule, orally, once daily from Day 10 to Day 14. Lansoprazole 30 mg, capsule, orally, once daily on Day 15 along with TAK-117 3*300 mg, tablets (NTM), orally, once on Day 15.
All Cause Mortality
Part-1: TAK-117 900 mg Capsules Part-1: TAK-117 900 mg Tablets Part-2: TAK-117 600 mg Fasted Part-2: TAK-117 600 mg Fed Part-3: TAK-117 900 mg Part-3: Lansoprazole 30 mg Part 3: Lansoprazole 30 mg + TAK-117 900 mg
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)
Serious Adverse Events
Part-1: TAK-117 900 mg Capsules Part-1: TAK-117 900 mg Tablets Part-2: TAK-117 600 mg Fasted Part-2: TAK-117 600 mg Fed Part-3: TAK-117 900 mg Part-3: Lansoprazole 30 mg Part 3: Lansoprazole 30 mg + TAK-117 900 mg
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 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/17 (0%) 0/16 (0%) 0/16 (0%) 0/16 (0%)
Other (Not Including Serious) Adverse Events
Part-1: TAK-117 900 mg Capsules Part-1: TAK-117 900 mg Tablets Part-2: TAK-117 600 mg Fasted Part-2: TAK-117 600 mg Fed Part-3: TAK-117 900 mg Part-3: Lansoprazole 30 mg Part 3: Lansoprazole 30 mg + TAK-117 900 mg
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 3/19 (15.8%) 5/18 (27.8%) 8/17 (47.1%) 4/17 (23.5%) 6/16 (37.5%) 1/16 (6.3%) 1/16 (6.3%)
Eye disorders
Vision blurred 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/17 (0%) 0/16 (0%) 0/16 (0%) 0/16 (0%)
Gastrointestinal disorders
Nausea 3/19 (15.8%) 3/18 (16.7%) 7/17 (41.2%) 4/17 (23.5%) 5/16 (31.3%) 0/16 (0%) 0/16 (0%)
Vomiting 3/19 (15.8%) 2/18 (11.1%) 1/17 (5.9%) 1/17 (5.9%) 0/16 (0%) 0/16 (0%) 0/16 (0%)
Diarrhoea 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/17 (0%) 1/16 (6.3%) 0/16 (0%) 0/16 (0%)
Abdominal pain 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/17 (0%) 1/16 (6.3%) 0/16 (0%) 0/16 (0%)
General disorders
Fatigue 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/17 (0%) 1/16 (6.3%) 0/16 (0%) 0/16 (0%)
Vessel puncture site pain 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/17 (0%) 1/16 (6.3%) 0/16 (0%) 0/16 (0%)
Infections and infestations
Nasopharyngitis 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 0/17 (0%) 0/16 (0%) 0/16 (0%) 0/16 (0%)
Metabolism and nutrition disorders
Decreased appetite 1/19 (5.3%) 0/18 (0%) 0/17 (0%) 0/17 (0%) 1/16 (6.3%) 0/16 (0%) 0/16 (0%)
Musculoskeletal and connective tissue disorders
Back pain 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/17 (0%) 0/16 (0%) 0/16 (0%) 0/16 (0%)
Nervous system disorders
Dizziness 1/19 (5.3%) 0/18 (0%) 1/17 (5.9%) 0/17 (0%) 1/16 (6.3%) 0/16 (0%) 0/16 (0%)
Headache 1/19 (5.3%) 0/18 (0%) 2/17 (11.8%) 0/17 (0%) 2/16 (12.5%) 1/16 (6.3%) 0/16 (0%)
Somnolence 1/19 (5.3%) 0/18 (0%) 0/17 (0%) 0/17 (0%) 0/16 (0%) 0/16 (0%) 0/16 (0%)
Paraesthesia 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/17 (0%) 0/16 (0%) 0/16 (0%) 1/16 (6.3%)
Reproductive system and breast disorders
Menstruation delayed 0/19 (0%) 1/18 (5.6%) 0/17 (0%) 0/17 (0%) 0/16 (0%) 0/16 (0%) 0/16 (0%)
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain 0/19 (0%) 0/18 (0%) 1/17 (5.9%) 0/17 (0%) 0/16 (0%) 0/16 (0%) 0/16 (0%)
Cough 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/17 (0%) 0/16 (0%) 1/16 (6.3%) 0/16 (0%)
Dry throat 0/19 (0%) 0/18 (0%) 0/17 (0%) 0/17 (0%) 1/16 (6.3%) 0/16 (0%) 0/16 (0%)
Skin and subcutaneous tissue disorders
Rash macular 0/19 (0%) 0/18 (0%) 0/17 (0%) 1/17 (5.9%) 0/16 (0%) 0/16 (0%) 0/16 (0%)

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:
NCT02625259
Other Study ID Numbers:
  • MLN1117-1002
  • U1111-1159-5909
First Posted:
Dec 9, 2015
Last Update Posted:
Jan 8, 2018
Last Verified:
Jul 1, 2017