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NCT02141659

A Study of TAK-385 in Hormone Treatment-naïve Participants With Prostate Cancer

Completed Phase 1 Results posted Last updated 19 November 2018
What this trial tests

Phase 1 trial testing TAK-385 in Hormone Treatment-naïve Participants With Prostate Cancer in 43 participants. Completed in 20 April 2017.

Timeline
1 May 2014
Primary endpoint
20 April 2017
20 April 2017

Quick facts

Lead sponsorTakeda
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment43
Start date1 May 2014
Primary completion20 April 2017
Estimated completion20 April 2017
Sites6 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

Takeda — full company profile →

Who can join

20 and older, male only, with Hormone Treatment-naïve Participants With Prostate Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Part A: Number of Participants With Dose-limiting Toxicities (DLTs) Primary · From treatment initiation until Day 28

DLTs were defined as treatment-related adverse events (AEs) that occurred within the first 28 days of treatment as per common terminology criteria for adverse events (CTCAE) version 4.03: any grade 3 or higher toxicity; QT/Fridericia corrected QT (QTcF) greater than (\>) 500 millisecond (msec) after treatment initiation; QT/QTcF interval prolongation \>60 msec postdose.

GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg0
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0
Part A: Number of Participants Reporting One or More Treatment-emergent Adverse Event (TEAE) Primary · From treatment initiation until 40 days after last dose of study drug (Day 68)
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg3
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg2
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg3
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg2
Part A: Number of Participants With Grade 2 or Higher Laboratory Test Abnormalities Primary · From treatment initiation until 40 days after last dose of study drug (Day 68)

Laboratory test abnormalities were graded using the CTCAE. The grades were: Grade 2- (moderate) minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activity of daily living (ADL); Grade 3- (severe) medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limited self-care ADL. Data has been presented for any Grade 2 or higher event in the laboratory test abnormalities.

Grade 2: White Blood Cell Low
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg1
Grade 2: Neutrophil Count Low
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg0
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg1
Grade 2: Lymphocyte Count Low
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg1
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0
Grade 2: Potassium Low
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg0
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg1
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0
Part A: Number of Participants With Markedly Abnormal Values of Vital Signs Parameters Primary · From treatment initiation until 40 days after last dose of study drug (Day 68)
Body Temperature <35.6 degree Celsius
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg1
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0
Systolic BP >180 millimeter of Mercury (mmHg)
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0
Diastolic BP <50 mmHg
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0
Pulse <50 beats per minute (bpm)
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg1
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0
Part A: Number of Participants With Markedly Abnormal Values of Electrocardiogram (ECG) Parameters Primary · From treatment initiation until 40 days after last dose of study drug (Day 68)
Heart Rate <50 bpm
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg2
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0
QT Interval >=460 millisecond (msec)
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg2
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg1
Part B: Number of Participants Reporting One or More TEAE Primary · From treatment initiation until 40 days after last dose of study drug (Day 712)
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg15
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg15
Part B: Number of Participants With Grade 2 or Higher Laboratory Test Abnormalities Primary · From treatment initiation until 40 days after last dose of study drug (Day 712)

Laboratory test abnormalities were graded using the CTCAE. The grades were: Grade 2- (moderate) minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental ADL; Grade 3- (severe) medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limited self-care ADL. Data has been presented for any Grade 2 or higher event in the laboratory test abnormalities. Here aspartate aminotransferase (AST) (glutamic-oxaloacetic transaminase \[GOT\]) High, creatine kinase (CK) (creatine phosphokinase \[CPK\

Grade 2: White Blood Cell Low
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg3
Grade 3: White Blood Cell Low
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg0
Grade 3: Hemoglobin Low
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg0
Grade 2: Neutrophil Count Low
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg2
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg2
Grade 2: Lymphocyte Count Low
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg1
Grade 3: Lymphocyte Count Low
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg0
Grade 2: Glucose High
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg2
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg2
Grade 3: Bilirubin Total High
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg0
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg1
Part B: Number of Participants With Markedly Abnormal Values of Vital Signs Parameters Primary · From treatment initiation until 40 days after last dose of study drug (Day 712)

Here "BP" is blood pressure.

Body Temperature <35.6 degree Celsius
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg7
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg4
Systolic BP >180 mmHg
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg0
Diastolic BP >110 mmHg
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg1
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg0
Diastolic BP <50 mmHg
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg0
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg1
Pulse <50 bpm
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg2
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg1
Part B: Number of Participants With Markedly Abnormal Values of ECG Parameters Primary · From treatment initiation until 40 days after last dose of study drug (Day 712)
Heart Rate <50 bpm
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg4
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg2
QT Interval >=460 msec
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg5
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg4
QTcF Interval >=500 msec
GroupValue95% CI
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg2
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg5
Part A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28 Secondary · Days 1, 14 and 28 pre-dose and at multiple time points (up to 12 hours for Days 1 and 14; up to 72 hours for Day 28) post-dose
Day 1
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg191.7± 94.405
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg198.0± 62.386
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg250.0± 207.56
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg254.0± 330.58
Day 14
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg23.53± 1.4189
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg94.40± 115.08
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg216.1± 151.78
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg65.57± 40.840
Day 28
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg38.10± 21.743
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg34.43± 24.962
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg94.70± 114.98
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg25.56± 16.275
Part A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28 Secondary · Days 1, 14 and 28 pre-dose and at multiple time points (up to 12 hours for Days 1 and 14; up to 72 hours for Day 28) post-dose
Day 1
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg679.7± 96.340
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg933.0± 604.30
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg761.7± 249.78
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg663.3± 501.85
Day 14
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg199.0± 49.487
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg363.8± 291.00
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg741.7± 385.96
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg379.0± 199.65
Day 28
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg239.0± 75.020
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg323.4± 230.40
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg469.0± 458.21
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg227.5± 138.37
Part A: Serum Testosterone Concentrations for TAK-385 Secondary · Up to Day 35
Baseline
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg5.440± 1.6829
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg6.505± 2.6175
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg6.317± 1.7503
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg7.853± 1.1885
Day 2
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg0.603± 0.1457
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0.977± 0.5288
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0.777± 0.2485
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg1.477± 1.3540
Day 3
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg0.350± 0.0917
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0.460± 0.1852
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0.483± 0.1762
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0.623± 0.3232
Day 7
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg0.283± 0.0764
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0.380± 0.2177
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0.377± 0.1332
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0.337± 0.0416
Day 14
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg0.140± 0.0173
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0.213± 0.1102
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0.213± 0.1012
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0.203± 0.0379
Day 21
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg0.143± 0.0635
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0.220± 0.1044
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0.207± 0.0635
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0.207± 0.0666
Day 28
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg0.137± 0.0577
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0.200± 0.0700
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0.190± 0.0693
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0.243± 0.0802
Day 31
GroupValue95% CI
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg0.137± 0.0416
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg0.217± 0.1002
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg0.170± 0.0436
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg0.210± 0.0854

Adverse events — posted to ClinicalTrials.gov

Time frame: From treatment initiation until 40 days after last dose of study drug (Day 68 for Part A and Day 712 for Part B). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg
Serious: 0/3 (0%)
Deaths: 0/3
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg
Serious: 0/4 (0%)
Deaths: 0/4
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg
Serious: 0/3 (0%)
Deaths: 0/3
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg
Serious: 0/3 (0%)
Deaths: 0/3
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg
Serious: 3/15 (20%)
Deaths: 0/15
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg
Serious: 3/15 (20%)
Deaths: 0/15

Serious adverse events (9 terms)

ReactionSystemPart A Cohort 1: TAK-385 3…Part A Cohort 2: TAK-385 3…Part A Cohort 3: TAK-385 3…Part A Cohort 4: TAK-385 3…Part B Cohort 1: TAK-385 3…Part B Cohort 2: TAK-385 3…
Gastrointestinal haemorrhageGastrointestinal disorders
Inguinal herniaGastrointestinal disorders
Jaundice cholestaticHepatobiliary disorders
Appendicitis perforatedInfections and infestations
Postoperative wound infectionInfections and infestations
Oesophageal carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebral infarctionNervous system disorders
Device looseningProduct Issues
HydronephrosisRenal and urinary disorders
Other adverse events (125 terms — click to expand)

ReactionSystemPart A Cohort 1: TAK-385 3…Part A Cohort 2: TAK-385 3…Part A Cohort 3: TAK-385 3…Part A Cohort 4: TAK-385 3…Part B Cohort 1: TAK-385 3…Part B Cohort 2: TAK-385 3…
Hot flushVascular disorders
DiarrhoeaGastrointestinal disorders
Viral upper respiratory tract infectionInfections and infestations
ConstipationGastrointestinal disorders
Aspartate aminotransferase increasedInvestigations
Weight increasedInvestigations
Hepatic function abnormalHepatobiliary disorders
Alanine aminotransferase increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
Dental cariesGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
CystitisInfections and infestations
Blood cholesterol increasedInvestigations
Liver function test increasedInvestigations
Diabetes mellitusMetabolism and nutrition disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
DysuriaRenal and urinary disorders
GynaecomastiaReproductive system and breast disorders
EczemaSkin and subcutaneous tissue disorders
Drug eruptionSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
BradycardiaCardiac disorders
ArrhythmiaCardiac disorders
Bundle branch block leftCardiac disorders
Bundle branch block rightCardiac disorders
ConjunctivitisInfections and infestations
Dermatophytosis of nailInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
White blood cell count decreasedInvestigations
Musculoskeletal painMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
PollakiuriaRenal and urinary disorders
HypotensionVascular disorders
Tinea manuumInfections and infestations
AstigmatismEye disorders

Most-reported serious reactions: Gastrointestinal haemorrhage, Inguinal hernia, Jaundice cholestatic, Appendicitis perforated, Postoperative wound infection, Oesophageal carcinoma, Cerebral infarction, Device loosening.

Data from ClinicalTrials.gov NCT02141659 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the tolerability and safety of TAK-385 in hormone treatment-naïve participants with non-metastatic prostate cancer.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Phase I trial of TAK-385 in hormone treatment-naïve Japanese patients with nonmetastatic prostate cancer.
    Suzuki H, Uemura H, Mizokami A, Hayashi N, et al · · 2019 · cited 29× · PMID 31429205 · DOI 10.1002/cam4.2442

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