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NCT02716987

Study to Determine D-amino Acid Oxidase Brain Enzyme Occupancy of TAK-831 After Single-dose Oral Administration

Completed Phase 1 Results posted Last updated 14 June 2021
What this trial tests

Phase 1 trial testing TAK-831 in Healthy in 20 participants. Completed in 30 August 2016.

Timeline
21 March 2016
Primary endpoint
30 August 2016
30 August 2016

Quick facts

Lead sponsorNeurocrine Biosciences
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeother
Enrollment20
Start date21 March 2016
Primary completion30 August 2016
Estimated completion30 August 2016
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Neurocrine Biosciences — full company profile →

Who can join

Adults 25 to 55, male only, with Healthy. 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.

Total Volume of Distribution (VT) of [18F]PGM299 in the Cerebellar Grey Matter (GM) for Each PET Scan Primary · Set A: Baseline (PET scan 1), 2 hours (PET scan 2) and 26 hours (PET scan 3) post-TAK-831 dose; Set B: Day 1 (PET scan 1) and Day 10 (PET scan 2)
Participant 1- PET Scan 1
GroupValue95% CI
Set A: TAK-831 100 mg1.211
Set A: TAK-831 200 mg1.247
Set A: TAK-831 250 mg1.349
Set A: TAK-831 500 mg1.683
Set B: [18F]PGM2990.658
Set A: [18F]PGM299 Baseline0.863
Participant 1- PET Scan 2
GroupValue95% CI
Set A: TAK-831 100 mg0.400
Set A: TAK-831 200 mg0.126
Set A: TAK-831 250 mg0.247
Set A: TAK-831 500 mg0.114
Set B: [18F]PGM2991.109
Set A: [18F]PGM299 BaselineNA
Participant 1- PET Scan 3
GroupValue95% CI
Set A: TAK-831 100 mg1.467
Set A: TAK-831 200 mg0.543
Set A: TAK-831 250 mg0.58
Set A: TAK-831 500 mg1.182
Set B: [18F]PGM299NA
Set A: [18F]PGM299 BaselineNA
Participant 2- PET Scan 1
GroupValue95% CI
Set A: TAK-831 100 mg0.663
Set A: TAK-831 200 mg1.585
Set A: TAK-831 250 mg0.743
Set A: TAK-831 500 mg2.095
Set B: [18F]PGM2990.884
Set A: [18F]PGM299 BaselineNA
Participant 2- PET Scan 2
GroupValue95% CI
Set A: TAK-831 100 mg0.241
Set A: TAK-831 200 mg0.217
Set A: TAK-831 250 mg0.266
Set A: TAK-831 500 mg0.172
Set B: [18F]PGM2991.130
Set A: [18F]PGM299 BaselineNA
Participant 2- PET Scan 3
GroupValue95% CI
Set A: TAK-831 100 mg0.809
Set A: TAK-831 200 mg0.77
Set A: TAK-831 250 mg0.425
Set A: TAK-831 500 mg0.553
Set B: [18F]PGM299NA
Set A: [18F]PGM299 BaselineNA
Participant 3- PET Scan 1
GroupValue95% CI
Set A: TAK-831 100 mg1.397
Set A: TAK-831 200 mgNA
Set A: TAK-831 250 mg0.981
Set A: TAK-831 500 mgNA
Set B: [18F]PGM2991.504
Set A: [18F]PGM299 BaselineNA
Participant 3- PET Scan 2
GroupValue95% CI
Set A: TAK-831 100 mg0.858
Set A: TAK-831 200 mgNA
Set A: TAK-831 250 mg0.189
Set A: TAK-831 500 mgNA
Set B: [18F]PGM2991.388
Set A: [18F]PGM299 BaselineNA
Non-displaceable Binding Potential (BPND) of [18F]PGM299 in the Cerebellar GM for Each PET Scan Primary · Set A: Baseline (PET scan 1), 2 hours (PET scan 2) and 26 hours (PET scan 3) post-TAK-831 dose; Set B: Day 1 (PET scan 1) and Day 10 (PET scan 2)
Participant 1- PET Scan 1
GroupValue95% CI
Set A: TAK-831 100 mg10.99
Set A: TAK-831 200 mg7.31
Set A: TAK-831 250 mg6.71
Set A: TAK-831 500 mg8.96
Set B: [18F]PGM2993.77
Set A: [18F]PGM299 Baseline5.49
Participant 1- PET Scan 2
GroupValue95% CI
Set A: TAK-831 100 mg3.26
Set A: TAK-831 200 mg-0.28
Set A: TAK-831 250 mg0.47
Set A: TAK-831 500 mg-0.20
Set B: [18F]PGM2994.99
Set A: [18F]PGM299 BaselineNA
Participant 1- PET Scan 3
GroupValue95% CI
Set A: TAK-831 100 mg7.89
Set A: TAK-831 200 mg4.22
Set A: TAK-831 250 mg4.32
Set A: TAK-831 500 mg11.19
Set B: [18F]PGM299NA
Set A: [18F]PGM299 BaselineNA
Participant 2- PET Scan 1
GroupValue95% CI
Set A: TAK-831 100 mg3.88
Set A: TAK-831 200 mg8.38
Set A: TAK-831 250 mg3.53
Set A: TAK-831 500 mg13.35
Set B: [18F]PGM29913.49
Set A: [18F]PGM299 BaselineNA
Participant 2- PET Scan 2
GroupValue95% CI
Set A: TAK-831 100 mg1.01
Set A: TAK-831 200 mg0.16
Set A: TAK-831 250 mg0.25
Set A: TAK-831 500 mg0.06
Set B: [18F]PGM2995.89
Set A: [18F]PGM299 BaselineNA
Participant 2- PET Scan 3
GroupValue95% CI
Set A: TAK-831 100 mg4.39
Set A: TAK-831 200 mg6.06
Set A: TAK-831 250 mg2.17
Set A: TAK-831 500 mg4.59
Set B: [18F]PGM299NA
Set A: [18F]PGM299 BaselineNA
Participant 3- PET Scan 1
GroupValue95% CI
Set A: TAK-831 100 mg7.22
Set A: TAK-831 200 mgNA
Set A: TAK-831 250 mg4.80
Set A: TAK-831 500 mgNA
Set B: [18F]PGM2997.13
Set A: [18F]PGM299 BaselineNA
Participant 3- PET Scan 2
GroupValue95% CI
Set A: TAK-831 100 mg5.13
Set A: TAK-831 200 mgNA
Set A: TAK-831 250 mg0.01
Set A: TAK-831 500 mgNA
Set B: [18F]PGM2997.46
Set A: [18F]PGM299 BaselineNA
Set A: EC50- Plasma Concentration of TAK-831 That Corresponds to 50 Percent (%) DAO Brain Enzyme Occupancy in Cerebellum Secondary · Set A: Baseline, 2 and 26 hours post-TAK-831 dose

EC50 was obtained from global VT model. The affinity constant relating plasma concentration of TAK-831 to DAO occupancy (EC50) was estimated by fitting the PET and plasma concentration data (VT, Cp). It was calculated as VT= VsBase (EC50/EC50+Cp) + VND, where Vs Base was the group-level (global) volume of distribution of the specific binding in the target region (cerebellar GM) and VND was the volume of distribution of the non-displaceable component (non-specific bound and free radiotracer) of the target region.

GroupValue95% CI
Set A: All Participants12.72.3 – 23.1
Set A: Dose of TAK-831 That Corresponds to 50% DAO Brain Enzyme Occupancy in Cerebellum Secondary · Set A: At 2 and 26 hours post-TAK-831 dose

Dose of TAK-831 that corresponds to 50% DAO brain enzyme occupancy in cerebellum at the time of maximum observed plasma concentration (Tmax) of TAK-831 was estimated.

GroupValue95% CI
Set A: All Participants100
Set B: Coefficient of Variation (CoV) of [18F]PGM299 Binding in Healthy Human Brain Secondary · Set B: Baseline up to Day 10

CoV was calculated as COV (P)(%) = 100 \* mean/ standard deviation, where P was different participant scanned under baseline condition.

GroupValue95% CI
Set B: [18F]PGM29930.13
Set A: Plasma Concentrations of TAK-831 During Each Post-TAK-831 Dosing PET Scan Periods Secondary · Set A: Days 1 and 2 At time 0 (at tracer injection), 60 minutes after tracer injection and 120 minutes after tracer injection for each post TAK-831 dosing PET scan period
Day 1: pre-tracer dose
GroupValue95% CI
Set A: TAK-831 100 mg211.250163.00 – 271.00
Set A: TAK-831 200 mg416.500201.00 – 632.00
Set A: TAK-831 250 mg273.750168.00 – 321.00
Set A: TAK-831 500 mg1404.500889.00 – 1920.00
Day 1: 60 minutes post-tracer dose
GroupValue95% CI
Set A: TAK-831 100 mg83.37555.40 – 95.80
Set A: TAK-831 200 mg129.05078.10 – 180.00
Set A: TAK-831 250 mg122.72568.90 – 196.00
Set A: TAK-831 500 mg376.500254.00 – 499.00
Day 1: 120 minutes post-tracer dose
GroupValue95% CI
Set A: TAK-831 100 mg42.50024.70 – 48.70
Set A: TAK-831 200 mg82.00064.00 – 100.00
Set A: TAK-831 250 mg89.92546.00 – 176.00
Set A: TAK-831 500 mg176.000130.00 – 222.00
Day 2: pre-tracer dose
GroupValue95% CI
Set A: TAK-831 100 mg4.0282.74 – 7.21
Set A: TAK-831 200 mg7.3605.89 – 8.83
Set A: TAK-831 250 mg11.0258.17 – 14.20
Set A: TAK-831 500 mg23.40012.70 – 34.10
Day 2: 60 minutes post-tracer dose
GroupValue95% CI
Set A: TAK-831 100 mg3.1401.62 – 5.74
Set A: TAK-831 200 mg5.2054.41 – 6.00
Set A: TAK-831 250 mg9.6586.60 – 13.80
Set A: TAK-831 500 mg28.4559.61 – 47.30
Day 2: 120 minutes post-tracer dose
GroupValue95% CI
Set A: TAK-831 100 mg3.1231.26 – 5.89
Set A: TAK-831 200 mg5.3803.82 – 6.94
Set A: TAK-831 250 mg8.6655.70 – 14.60
Set A: TAK-831 500 mg33.9758.15 – 59.80
Set A: Percent Change From Baseline to Post-TAK-831 Dose in AUEC(0-24)Serine: Area Under the Effect-time Curve From Time 0 to 24 Hours Post-TAK-831 Dose for Dextro-serine (D-serine) and Levo-serine (L-serine) Secondary · Set A: Baseline, 24 hours post-TAK-831 dose
D-serine
GroupValue95% CI
Set A: TAK-831 100 mg8.65± 7.209
Set A: TAK-831 200 mg21.90± NA
Set A: TAK-831 250 mg18.08± 8.309
Set A: TAK-831 500 mg8.70± NA
L-serine
GroupValue95% CI
Set A: TAK-831 100 mg10.88± 5.905
Set A: TAK-831 200 mg2.00± NA
Set A: TAK-831 250 mg-2.46± 10.301
Set A: TAK-831 500 mg5.10± NA
Set A: Percent Change From Baseline to Post-TAK-831 Dose in AUEC(0-24)Serine: Area Under the Effect-time Curve From Time 0 to 24 Hours Post-TAK-831 Dose for Ratio of D-serine to Total Serine Secondary · Set A: Baseline, 24 hours post-TAK-831 dose
GroupValue95% CI
Set A: TAK-831 100 mg-1.18± 4.748
Set A: TAK-831 200 mg19.75± NA
Set A: TAK-831 250 mg21.30± 6.958
Set A: TAK-831 500 mg6.25± NA
Set A: Percent Change in Maximum Drug-induced Effect (Emax,Serine) on Change in Plasma Concentrations of D-serine and L-serine Secondary · Set A: Baseline, 24 hours post-TAK-831 dose
D-serine
GroupValue95% CI
Set A: TAK-831 100 mg9.58± 9.769
Set A: TAK-831 200 mg27.05± NA
Set A: TAK-831 250 mg17.46± 9.122
Set A: TAK-831 500 mg40.30± NA
L-serine
GroupValue95% CI
Set A: TAK-831 100 mg17.40± 7.318
Set A: TAK-831 200 mg11.50± NA
Set A: TAK-831 250 mg-2.02± 12.917
Set A: TAK-831 500 mg16.10± NA
Set A: Percent Change in Maximum Drug-induced Effect (Emax, D: Total Serine Ratio) on the Ratio of D-serine to Total Serine Secondary · Set A: Baseline, 24 hours post-TAK-831 dose
GroupValue95% CI
Set A: TAK-831 100 mg-1.40± 9.515
Set A: TAK-831 200 mg20.95± NA
Set A: TAK-831 250 mg25.38± 12.604
Set A: TAK-831 500 mg20.45± NA
Set A: Time to Reach the Maximum PD Effect (Time to Emax,Serine) for D-serine and L-serine Secondary · Set A: Day -1 At 1, 4 and 12 hours post check-in and Day 1 pre-dose and at multiple time points (up to 24 hours) post-TAK-831 dose
D-serine: Day -1
GroupValue95% CI
Set A: TAK-831 100 mg4.9551.00 – 12.00
Set A: TAK-831 200 mg1.0001.00 – 1.00
Set A: TAK-831 250 mg3.3201.00 – 10.60
Set A: TAK-831 500 mg11.90011.90 – NA
D-serine: Day 1
GroupValue95% CI
Set A: TAK-831 100 mg18.00012.00 – 20.00
Set A: TAK-831 200 mg18.00012.00 – 24.00
Set A: TAK-831 250 mg15.2064.03 – 20.00
Set A: TAK-831 500 mg25.10020.00 – 30.20
L-serine: Day -1
GroupValue95% CI
Set A: TAK-831 100 mg4.2671.00 – 10.80
Set A: TAK-831 200 mg5.7501.00 – 10.50
Set A: TAK-831 250 mg6.0862.33 – 10.60
Set A: TAK-831 500 mg2.3502.35 – NA
L-serine: Day 1
GroupValue95% CI
Set A: TAK-831 100 mg13.9933.97 – 20.00
Set A: TAK-831 200 mg24.00024.00 – 24.00
Set A: TAK-831 250 mg12.0264.03 – 20.00
Set A: TAK-831 500 mg30.20030.20 – NA
Set A: Time to Reach the Maximum PD Effect (Time to Emax,Serine) for Ratio of D-serine to Total Serine Secondary · Set A: Day -1 At 1, 4 and 12 hours post check-in and Day 1 pre-dose and at multiple time points (up to 24 hours) post-TAK-831 dose
Day -1
GroupValue95% CI
Set A: TAK-831 100 mg6.8751.00 – 12.00
Set A: TAK-831 200 mg1.0001.00 – NA
Set A: TAK-831 250 mg1.8751.00 – 2.50
Set A: TAK-831 500 mg11.10010.30 – 11.90
Day 1
GroupValue95% CI
Set A: TAK-831 100 mg26.72523.60 – 29.90
Set A: TAK-831 200 mg25.00020.00 – 30.00
Set A: TAK-831 250 mg23.7508.05 – 30.40
Set A: TAK-831 500 mg30.10030.00 – 30.20

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment-emergent adverse events are adverse events that started after the first dose of study drug up to Day 15 in set A and up to Day 12 in set B.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Set A: [18F]PGM299 Dose 1 to Prior TAK-831 100 mg Dose
Serious: 0/4 (0%)
Deaths:
Set A: [18F]PGM299 Dose 1 to Prior TAK-831 200 mg Dose
Serious: 0/2 (0%)
Deaths:
Set A: [18F]PGM299 Dose 1 to Prior TAK-831 250 mg Dose
Serious: 0/5 (0%)
Deaths:
Set A: [18F]PGM299 Dose 1 to Prior TAK-831 500 mg Dose
Serious: 0/2 (0%)
Deaths:
Set A: TAK-831 100 mg Dose to Prior [18F]PGM299 Dose 2
Serious: 0/4 (0%)
Deaths:
Set A: TAK-831 200 mg Dose to Prior [18F]PGM299 Dose 2
Serious: 0/2 (0%)
Deaths:
Set A: TAK-831 250 mg Dose to Prior [18F]PGM299 Dose 2
Serious: 0/5 (0%)
Deaths:
Set A: TAK-831 500 mg Dose to Prior [18F]PGM299 Dose 2
Serious: 0/2 (0%)
Deaths:
SetA:TAK-831 100mg:[18F]PGM299 Dose 3 up to Follow-up (Day 15)
Serious: 0/4 (0%)
Deaths:
SetA:TAK-831 200mg:[18F]PGM299 Dose 3 up to Follow-up (Day 15)
Serious: 0/2 (0%)
Deaths:
SetA:TAK-831 250mg:[18F]PGM299 Dose 3 up to Follow-up (Day 15)
Serious: 0/5 (0%)
Deaths:
SetA:TAK-831 500mg:[18F]PGM299 Dose 3 up to Follow-up (Day 15)
Serious: 0/2 (0%)
Deaths:
Set B: [18F]PGM299
Serious: 0/6 (0%)
Deaths:
Set A: [18F]PGM299 Baseline
Serious: 0/1 (0%)
Deaths:
Other adverse events (9 terms — click to expand)

ReactionSystemSet A: [18F]PGM299 Dose 1 …Set A: [18F]PGM299 Dose 1 …Set A: [18F]PGM299 Dose 1 …Set A: [18F]PGM299 Dose 1 …Set A: TAK-831 100 mg Dose…Set A: TAK-831 200 mg Dose…Set A: TAK-831 250 mg Dose…Set A: TAK-831 500 mg Dose…SetA:TAK-831 100mg:[18F]PG…SetA:TAK-831 200mg:[18F]PG…SetA:TAK-831 250mg:[18F]PG…SetA:TAK-831 500mg:[18F]PG…Set B: [18F]PGM299Set A: [18F]PGM299 Baseline
Catheter site painGeneral disorders
Throat irritationRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
NauseaGastrointestinal disorders
DizzinessNervous system disorders
Catheter site bruiseGeneral disorders
Catheter site haematomaGeneral disorders
ParaesthesiaNervous system disorders
Peripheral coldnessVascular disorders

Data from ClinicalTrials.gov NCT02716987 adverse events section.

Sponsor's own description

The purpose of this study is to determine the relationship between TAK-831 dose, plasma exposure, extent and duration of brain D-amino acid oxidase (DAO) enzyme occupancy following single oral dosing of TAK-831 in healthy participants.

Publications & conference data

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

  1. Therapeutic potential of D-amino acid oxidase inhibitors for cognitive impairment associated with schizophrenia: learnings from luvadaxistat.
    Terry-Lorenzo RT, Fan RH, Khin NA, Singh JB. · · 2024 · cited 5× · PMID 39756412 · DOI 10.1093/ijnp/pyae066

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