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NCT03085836

A Pharmacokinetic Study of TAK-438 in Healthy Adult Chinese Participants

Completed Phase 1 Results posted Last updated 30 January 2019
What this trial tests

Phase 1 trial testing TAK-438 in Healthy Participants in 33 participants. Completed in 17 August 2017.

Timeline
19 April 2017
Primary endpoint
17 August 2017
17 August 2017

Quick facts

Lead sponsorTakeda
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeother
Enrollment33
Start date19 April 2017
Primary completion17 August 2017
Estimated completion17 August 2017
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Takeda — full company profile →

Who can join

Adults 18 to 45, any sex, with Healthy Participants. 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.

Cmax: Maximum Observed Plasma Concentration for Free Base of TAK-438 (TAK-438F) and Its Metabolites M-I, M-II, M-III and M-IV-Sul on Day 1 Primary · Day 1 pre-dose and at multiple timepoints (up to 48 hours) post-dose
TAK-438F
GroupValue95% CI
TAK-438 10 mg Once Daily9.148± 2.9972
TAK-438 20 mg Once Daily18.18± 4.4973
TAK-438 20 mg Twice Daily25.23± 10.017
M-I
GroupValue95% CI
TAK-438 10 mg Once Daily38.32± 8.6143
TAK-438 20 mg Once Daily67.95± 23.388
TAK-438 20 mg Twice Daily59.02± 18.443
M-II
GroupValue95% CI
TAK-438 10 mg Once Daily2.840± 1.0442
TAK-438 20 mg Once Daily5.155± 2.7868
TAK-438 20 mg Twice Daily4.879± 2.2426
M-III
GroupValue95% CI
TAK-438 10 mg Once Daily15.42± 3.7788
TAK-438 20 mg Once Daily25.63± 7.8650
TAK-438 20 mg Twice Daily25.67± 5.9219
M-IV-Sul
GroupValue95% CI
TAK-438 10 mg Once Daily28.29± 5.0563
TAK-438 20 mg Once Daily60.67± 16.499
TAK-438 20 mg Twice Daily42.28± 9.1174
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-438F and Its Metabolites M-I, M-II, M-III and M-IV-Sul on Day 1 Primary · Day 1 pre-dose and at multiple timepoints (up to 48 hours) post-dose
TAK-438F
GroupValue95% CI
TAK-438 10 mg Once Daily1.7501.00 – 4.02
TAK-438 20 mg Once Daily2.0000.750 – 4.00
TAK-438 20 mg Twice Daily2.5000.750 – 4.00
M-I
GroupValue95% CI
TAK-438 10 mg Once Daily1.5000.750 – 2.00
TAK-438 20 mg Once Daily1.5000.750 – 3.00
TAK-438 20 mg Twice Daily2.0001.00 – 4.00
M-II
GroupValue95% CI
TAK-438 10 mg Once Daily4.0103.00 – 10.0
TAK-438 20 mg Once Daily6.0003.00 – 10.0
TAK-438 20 mg Twice Daily10.003.00 – 12.0
M-III
GroupValue95% CI
TAK-438 10 mg Once Daily1.7501.00 – 2.00
TAK-438 20 mg Once Daily2.0001.50 – 3.00
TAK-438 20 mg Twice Daily2.0001.50 – 4.00
M-IV-Sul
GroupValue95% CI
TAK-438 10 mg Once Daily1.5001.00 – 2.00
TAK-438 20 mg Once Daily1.5001.50 – 3.00
TAK-438 20 mg Twice Daily2.0001.50 – 3.00
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-438F and Its Metabolites M-I, M-II, M-III and M-IV-Sul on Day 1 Primary · Day 1 pre-dose and at multiple timepoints (up to 48 hours) post-dose
TAK-438F
GroupValue95% CI
TAK-438 10 mg Once Daily84.38± 29.197
TAK-438 20 mg Once Daily188.1± 43.066
TAK-438 20 mg Twice Daily226.8± 67.128
M-I
GroupValue95% CI
TAK-438 10 mg Once Daily305.7± 88.227
TAK-438 20 mg Once Daily617.2± 213.56
TAK-438 20 mg Twice Daily578.7± 144.15
M-II
GroupValue95% CI
TAK-438 10 mg Once Daily52.97± 22.843
TAK-438 20 mg Once Daily106.3± 74.306
TAK-438 20 mg Twice Daily117.8± 41.170
M-III
GroupValue95% CI
TAK-438 10 mg Once Daily92.83± 34.769
TAK-438 20 mg Once Daily178.7± 64.779
TAK-438 20 mg Twice Daily193.7± 56.808
M-IV-Sul
GroupValue95% CI
TAK-438 10 mg Once Daily132.5± 44.602
TAK-438 20 mg Once Daily307.5± 89.884
TAK-438 20 mg Twice Daily240.8± 82.555
AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to Tau Over the Dosing Interval for TAK-438F and Its Metabolites M-I, M-II, M-III and M-IV-Sul on Day 1 Primary · Day 1 pre-dose and at multiple timepoints (up to 48 hours) post-dose
TAK-438F
GroupValue95% CI
TAK-438 10 mg Once Daily74.91± 24.835
TAK-438 20 mg Once Daily168.6± 37.455
TAK-438 20 mg Twice Daily154.8± 38.920
M-I
GroupValue95% CI
TAK-438 10 mg Once Daily251.4± 77.758
TAK-438 20 mg Once Daily528.8± 182.62
TAK-438 20 mg Twice Daily344.1± 91.089
M-II
GroupValue95% CI
TAK-438 10 mg Once Daily31.77± 18.646
TAK-438 20 mg Once Daily79.07± 56.206
TAK-438 20 mg Twice Daily41.55± 19.189
M-III
GroupValue95% CI
TAK-438 10 mg Once Daily87.98± 31.136
TAK-438 20 mg Once Daily169.2± 59.474
TAK-438 20 mg Twice Daily149.1± 36.714
M-IV-Sul
GroupValue95% CI
TAK-438 10 mg Once Daily127.1± 43.648
TAK-438 20 mg Once Daily296.0± 86.359
TAK-438 20 mg Twice Daily192.8± 57.176
T1/2z: Terminal Disposition Half-life for TAK-438F and Its Metabolites M-I, M-II, M-III and M-IV-Sul on Day 1 Primary · Day 1 pre-dose and at multiple timepoints (up to 48 hours) post-dose
TAK-438F
GroupValue95% CI
TAK-438 10 mg Once Daily7.879± 1.2352
TAK-438 20 mg Once Daily6.996± 1.0110
TAK-438 20 mg Twice Daily7.116± 0.71638
M-I
GroupValue95% CI
TAK-438 10 mg Once Daily10.82± 4.0923
TAK-438 20 mg Once Daily8.256± 1.2964
TAK-438 20 mg Twice Daily8.385± 0.73316
M-II
GroupValue95% CI
TAK-438 10 mg Once Daily10.52± 4.3311
TAK-438 20 mg Once Daily10.37± 2.9973
TAK-438 20 mg Twice Daily12.29± 4.0538
M-III
GroupValue95% CI
TAK-438 10 mg Once Daily6.695± 1.3786
TAK-438 20 mg Once Daily6.335± 1.1833
TAK-438 20 mg Twice Daily6.791± 0.89228
M-IV-Sul
GroupValue95% CI
TAK-438 10 mg Once Daily4.753± 2.4430
TAK-438 20 mg Once Daily5.698± 1.2625
TAK-438 20 mg Twice Daily5.521± 2.2225
Cmax,ss: Maximum Observed Plasma Concentration, at Steady State for TAK-438F and Its Metabolites M-I, M-II, M-III and M-IV-Sul on Day 9 Primary · Day 9 pre-dose and at multiple timepoints (up to 24 hours for TAK-483 10 mg once daily and 20 mg once daily; up to 12 hours for TAK-438 20 mg twice daily) post-dose
TAK-438F
GroupValue95% CI
TAK-438 10 mg Once Daily11.01± 3.4863
TAK-438 20 mg Once Daily23.43± 6.1433
TAK-438 20 mg Twice Daily37.88± 10.910
M-I
GroupValue95% CI
TAK-438 10 mg Once Daily43.39± 9.6528
TAK-438 20 mg Once Daily79.85± 22.119
TAK-438 20 mg Twice Daily59.55± 15.512
M-II
GroupValue95% CI
TAK-438 10 mg Once Daily3.558± 1.4983
TAK-438 20 mg Once Daily6.554± 2.6078
TAK-438 20 mg Twice Daily9.174± 2.8376
M-III
GroupValue95% CI
TAK-438 10 mg Once Daily16.62± 4.1919
TAK-438 20 mg Once Daily30.15± 7.3228
TAK-438 20 mg Twice Daily33.01± 6.1638
M-IV-Sul
GroupValue95% CI
TAK-438 10 mg Once Daily25.33± 3.6619
TAK-438 20 mg Once Daily54.08± 13.927
TAK-438 20 mg Twice Daily39.74± 7.1405
Tmax, ss: Time to Reach the Maximum Plasma Concentration (Cmax) at Steady State for TAK-438F and Its Metabolites M-I, M-II, M-III and M-IV-Sul on Day 9 Primary · Day 9 pre-dose and at multiple timepoints (up to 24 hours for TAK-483 10 mg once daily and 20 mg once daily; up to 12 hours for TAK-438 20 mg twice daily) post-dose
TAK-438F
GroupValue95% CI
TAK-438 10 mg Once Daily1.5000.750 – 3.02
TAK-438 20 mg Once Daily2.0000.750 – 3.00
TAK-438 20 mg Twice Daily3.0000.750 – 4.00
M-I
GroupValue95% CI
TAK-438 10 mg Once Daily1.5000.750 – 2.02
TAK-438 20 mg Once Daily1.0000.750 – 2.00
TAK-438 20 mg Twice Daily2.5001.00 – 10.0
M-II
GroupValue95% CI
TAK-438 10 mg Once Daily4.0003.00 – 6.00
TAK-438 20 mg Once Daily3.0003.00 – 10.0
TAK-438 20 mg Twice Daily3.5000.00 – 10.0
M-III
GroupValue95% CI
TAK-438 10 mg Once Daily1.7501.00 – 3.00
TAK-438 20 mg Once Daily2.0001.50 – 3.00
TAK-438 20 mg Twice Daily3.0001.50 – 4.00
M-IV-Sul
GroupValue95% CI
TAK-438 10 mg Once Daily2.0001.00 – 3.00
TAK-438 20 mg Once Daily1.5001.50 – 2.00
TAK-438 20 mg Twice Daily3.0001.50 – 4.00
AUCτ,ss: Area Under the Plasma Concentration-time Curve During a Dosing Interval, at Steady State for TAK-438F and Its Metabolites M-I, M-II, M-III and M-IV-Sul on Day 9 Primary · Day 9 pre-dose and at multiple timepoints (up to 24 hours for TAK-483 10 mg once daily and 20 mg once daily; up to 12 hours for TAK-438 20 mg twice daily) post-dose
TAK-438F
GroupValue95% CI
TAK-438 10 mg Once Daily93.90± 28.053
TAK-438 20 mg Once Daily212.7± 57.214
TAK-438 20 mg Twice Daily273.4± 71.830
M-I
GroupValue95% CI
TAK-438 10 mg Once Daily285.5± 77.884
TAK-438 20 mg Once Daily581.1± 198.14
TAK-438 20 mg Twice Daily435.3± 92.064
M-II
GroupValue95% CI
TAK-438 10 mg Once Daily46.31± 24.298
TAK-438 20 mg Once Daily105.5± 51.688
TAK-438 20 mg Twice Daily100.4± 27.966
M-III
GroupValue95% CI
TAK-438 10 mg Once Daily95.94± 29.719
TAK-438 20 mg Once Daily194.6± 53.749
TAK-438 20 mg Twice Daily222.6± 49.670
M-IV-Sul
GroupValue95% CI
TAK-438 10 mg Once Daily117.1± 37.489
TAK-438 20 mg Once Daily256.1± 62.786
TAK-438 20 mg Twice Daily225.7± 52.675
Aet: Total Amount of Drug Excreted in Urine From Time 0 to Time T for TAK-438F and Its Metabolites M-I, M-II, M-III and M-IV-Sul on Day 1 Primary · Day 1 pre-dose and at multiple timepoints (up to 48 hours) post-dose
TAK-438F
GroupValue95% CI
TAK-438 10 mg Once Daily448.5± 159.06
TAK-438 20 mg Once Daily890.3± 243.24
TAK-438 20 mg Twice Daily1478± 405.32
M-I
GroupValue95% CI
TAK-438 10 mg Once Daily176.6± 79.813
TAK-438 20 mg Once Daily253.1± 118.69
TAK-438 20 mg Twice Daily211.2± 124.21
M-II
GroupValue95% CI
TAK-438 10 mg Once Daily0.000± 0.0000
TAK-438 20 mg Once Daily0.000± 0.0000
TAK-438 20 mg Twice Daily0.000± 0.0000
M-III
GroupValue95% CI
TAK-438 10 mg Once Daily0.000± 0.0000
TAK-438 20 mg Once Daily0.000± 0.0000
TAK-438 20 mg Twice Daily0.5120± 1.6191
M-IV-Sul
GroupValue95% CI
TAK-438 10 mg Once Daily205.4± 61.587
TAK-438 20 mg Once Daily422.1± 143.24
TAK-438 20 mg Twice Daily387.1± 142.06
Fe,t: Fraction of Drug Excreted in Urine From Time 0 to Time t for TAK-438F and Its Metabolites M-I, M-II, M-III and M-IV-Sul on Day 1 Primary · Day 1 pre-dose and at multiple timepoints (up to 48 hours) post-dose
TAK-438F
GroupValue95% CI
TAK-438 10 mg Once Daily4.485± 1.5906
TAK-438 20 mg Once Daily4.448± 1.2093
TAK-438 20 mg Twice Daily7.399± 2.0335
M-I
GroupValue95% CI
TAK-438 10 mg Once Daily1.760± 0.79678
TAK-438 20 mg Once Daily1.262± 0.59122
TAK-438 20 mg Twice Daily1.053± 0.61992
M-II
GroupValue95% CI
TAK-438 10 mg Once Daily0.000± 0.0000
TAK-438 20 mg Once Daily0.000± 0.0000
TAK-438 20 mg Twice Daily0.000± 0.0000
M-III
GroupValue95% CI
TAK-438 10 mg Once Daily0.000± 0.0000
TAK-438 20 mg Once Daily0.000± 0.0000
TAK-438 20 mg Twice Daily0.002460± 0.0077792
M-IV-Sul
GroupValue95% CI
TAK-438 10 mg Once Daily1.609± 0.48258
TAK-438 20 mg Once Daily1.650± 0.56108
TAK-438 20 mg Twice Daily1.513± 0.55536
CLr: Renal Clearance for TAK-438F and Its Metabolites M-I, M-II, M-III and M-IV-Sul on Day 1 Primary · Day 1 pre-dose and at multiple timepoints (up to 48 hours) post-dose
TAK-438F
GroupValue95% CI
TAK-438 10 mg Once Daily5.443± 1.0398
TAK-438 20 mg Once Daily4.922± 1.4362
TAK-438 20 mg Twice Daily6.733± 1.3109
M-I
GroupValue95% CI
TAK-438 10 mg Once Daily0.6235± 0.16437
TAK-438 20 mg Once Daily0.4465± 0.24193
TAK-438 20 mg Twice Daily0.3753± 0.19679
M-II
GroupValue95% CI
TAK-438 10 mg Once Daily0.000± 0.0000
TAK-438 20 mg Once Daily0.000± 0.0000
TAK-438 20 mg Twice Daily0.000± 0.0000
M-III
GroupValue95% CI
TAK-438 10 mg Once Daily0.000± 0.0000
TAK-438 20 mg Once Daily0.000± 0.0000
TAK-438 20 mg Twice Daily0.001820± 0.0057553
M-IV-Sul
GroupValue95% CI
TAK-438 10 mg Once Daily1.748± 0.65948
TAK-438 20 mg Once Daily1.527± 0.77444
TAK-438 20 mg Twice Daily1.707± 0.47416
Aeτ: Amount of Drug Excreted in Urine During a Dosing Interval for TAK-438F and Its Metabolites M-I, M-II, M-III and M-IV-Sul on Day 9 Primary · Day 9 pre-dose and at multiple timepoints (up to 24 hours for TAK-483 10 mg once daily and 20 mg once daily; up to 12 hours for TAK-438 20 mg twice daily) post-dose
TAK-438F
GroupValue95% CI
TAK-438 10 mg Once Daily437.7± 121.93
TAK-438 20 mg Once Daily859.9± 155.66
TAK-438 20 mg Twice Daily1327± 274.04
M-I
GroupValue95% CI
TAK-438 10 mg Once Daily224.3± 79.531
TAK-438 20 mg Once Daily354.1± 165.88
TAK-438 20 mg Twice Daily340.9± 181.71
M-II
GroupValue95% CI
TAK-438 10 mg Once Daily0.000± 0.0000
TAK-438 20 mg Once Daily0.000± 0.0000
TAK-438 20 mg Twice Daily0.000± 0.0000
M-III
GroupValue95% CI
TAK-438 10 mg Once Daily0.000± 0.0000
TAK-438 20 mg Once Daily0.000± 0.0000
TAK-438 20 mg Twice Daily0.000± 0.0000
M-IV-Sul
GroupValue95% CI
TAK-438 10 mg Once Daily205.2± 52.172
TAK-438 20 mg Once Daily390.7± 99.477
TAK-438 20 mg Twice Daily446.4± 139.39

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 follow-up (Day 1 up to Day 18). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

TAK-438 10 mg Once Daily
Serious: 0/12 (0%)
Deaths: 0/12
TAK-438 20 mg Once Daily
Serious: 0/11 (0%)
Deaths: 0/11
TAK-438 20 mg Twice Daily
Serious: 0/10 (0%)
Deaths: 0/10
Other adverse events (13 terms — click to expand)

ReactionSystemTAK-438 10 mg Once DailyTAK-438 20 mg Once DailyTAK-438 20 mg Twice Daily
White blood cells urine positiveInvestigations
Red blood cells urine positiveInvestigations
Atrioventricular block first degreeCardiac disorders
Abdominal pain upperGastrointestinal disorders
Abdominal painGastrointestinal disorders
Urinary tract infectionInfections and infestations
Neutrophil count increasedInvestigations
White blood cell count increasedInvestigations
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
Glucose urine presentInvestigations
Protein urine presentInvestigations

Data from ClinicalTrials.gov NCT03085836 adverse events section.

Sponsor's own description

The purpose of this study is to determine the pharmacokinetics (PK) of TAK-438 in healthy adult Chinese participants after both single and multiple dose administration.

Publications & conference data

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

  1. Fluorescent Yellow Urine Induced by Vonoprazan Fumarate: A Case Report of a Benign Phenomenon.
    Sheng L, Li X. · · 2026 · PMID 41694875 · DOI 10.7759/cureus.101472

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