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NCT03166215

Study of TAK-935 as an Adjunctive Therapy in Participants With Developmental and/or Epileptic Encephalopathies

Completed Phase 1, PHASE2 Results posted Last updated 7 January 2021
What this trial tests

Phase 1, PHASE2 trial testing TAK-935 in Developmental and/or Epileptic Encephalopathies in 18 participants. Completed in 19 September 2018.

Timeline
17 August 2017
Primary endpoint
19 September 2018
19 September 2018

Quick facts

Lead sponsorTakeda
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment18
Start date17 August 2017
Primary completion19 September 2018
Estimated completion19 September 2018
Sites11 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Takeda — full company profile →

Who can join

Adults 18 to 65, any sex, with Developmental and/or Epileptic Encephalopathies. 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.

Percentage of Participants With at Least One Treatment-Emergent Adverse Event (TEAE), as Reported by the Participants or Participant's Caregivers or Observed by the Investigator, After TAK-935 Treatment Primary · From first dose up to 30 days post last dose (approximately up to 120 days)

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. An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug

GroupValue95% CI
Part 1: Placebo100
Part 1: TAK-93571.4
Part 2: TAK-93568.8
Drug Clearance (CL) and Intercompartmental Clearance (Q) for TAK-935 Calculated Using the Observed Value of the Last Quantifiable Concentration Secondary · Day 1 pre-dose and at multiple timepoints (up to 5 hours) post-dose; Days 11 and 21 pre-dose and 1-hour post-dose; Days 31, 41, and 85 pre-dose
CL
GroupValue95% CI
TAK-935 100 mg BID259.4± 148.1
TAK-935 200 mg BID195.8± 116.3
TAK-935 300 mg BID190± 108.5
Q
GroupValue95% CI
TAK-935 100 mg BID100.6± 22.24
TAK-935 200 mg BID70.99± 14.6
TAK-935 300 mg BID57.77± 11.36
Apparent Volume of Distribution (Vz/F) of Central Compartment (Vc) and Peripheral Compartment (Vp) for TAK-935 Calculated Using the Observed Value of the Last Quantifiable Concentration Secondary · Day 1 pre-dose and at multiple timepoints (up to 5 hours) post-dose; Days 11 and 21 pre-dose and 1-hour post-dose; Days 31, 41, and 85 pre-dose
Vc
GroupValue95% CI
TAK-935 100 mg BID56.59± 22.72
TAK-935 200 mg BID60.51± 23.79
TAK-935 300 mg BID62± 26.54
Vp
GroupValue95% CI
TAK-935 100 mg BID677.1± 296.2
TAK-935 200 mg BID474.3± 201.9
TAK-935 300 mg BID352.9± 138.7
Absorption Rate Constant (Ka) for TAK-935 Secondary · Day 1 pre-dose and at multiple timepoints (up to 5 hours) post-dose; Days 11 and 21 pre-dose and 1-hour post-dose; Days 31, 41, and 85 pre-dose
GroupValue95% CI
TAK-935 100 mg BID2.13± 0
TAK-935 200 mg BID2.13± 0
TAK-935 300 mg BID2.13± 0
Cmax,ss: Maximum Observed Plasma Concentration for TAK-935 at Steady State Secondary · Day 1 pre-dose and at multiple timepoints (up to 5 hours) post-dose; Days 11 and 21 pre-dose and 1-hour post-dose; Days 31, 41, and 85 pre-dose
GroupValue95% CI
TAK-935 100 mg BID269.6± 159.6
TAK-935 200 mg BID639.8± 354.8
TAK-935 300 mg BID975.3± 411.5
AUC0-tau,ss: Area Under the Plasma Concentration-time Curve Over the Dosing Interval for TAK-935 at Steady State Secondary · Day 1 pre-dose and at multiple timepoints (up to 5 hours) post-dose; Days 11 and 21 pre-dose and 1-hour post-dose; Days 31, 41, and 85 pre-dose
GroupValue95% CI
TAK-935 100 mg BID562.5± 406.8
TAK-935 200 mg BID1437± 909
TAK-935 300 mg BID2188± 1357
Cav,ss: Average Plasma Concentration During a Dosing Interval at Steady State for TAK-935 Secondary · Day 1 pre-dose and at multiple timepoints (up to 5 hours) post-dose; Days 11 and 21 pre-dose and 1-hour post-dose; Days 31, 41, and 85 pre-dose
GroupValue95% CI
TAK-935 100 mg BID46.9± 33.9
TAK-935 200 mg BID119.8± 75.75
TAK-935 300 mg BID182.3± 113.1
Ctrough,ss: Plasma Concentration Immediately Prior to Dosing for TAK-935 at Steady State Secondary · Days 1, 11, 21; Days 31, 41 and 85 pre-dose
GroupValue95% CI
TAK-935 100 mg BID10.5± 13.83
TAK-935 200 mg BID26± 29.2
TAK-935 300 mg BID30.2± 29.12
Percentage of Participants With at Least 1 Markedly Abnormal Value for Clinical Laboratory Evaluations After TAK-935 Secondary · From first dose up to last dose (up to Day 85)

Clinical Laboratory parameters: hematology, serum chemistry and urinalysis. Participants with at least 1 markedly abnormal values during treatment period were reported: Erythrocytes: \<0.8xLLN-\>1.5xULN, Hematocrit: \<0.8x LLN \>1.2xULN,Hemoglobin: \<0.8xLLN-\>1.2xULN Leukocytes: \<0.5xLLN, Platelets (10\^9/L): \<75x10\^9/L-\>600x10\^9/L, Prothrombin Ratio: \>1.5xULN, Alanine Aminotransferase: \>3xULN, Albumin:\<25 g/L, Alkaline Phosphatase: \>3xULN,Alpha-1 Acid Glycoprotein: \<47 mg/DL-\>125 mg/DL, Aspartate Aminotransferase:\>3xULN, Bicarbonate:\<8.0 mmol/L, Calcium:\<1.75 mmol/L-\>2.88 mmol

Alpha-1 Acid Glycoprotein (>125 mg/DL)
GroupValue95% CI
Part 1: Placebo0
Part 1: TAK-93511.1
Part 2: TAK-93514.3
Gamma Glutamyl Transferase ( >3 x ULN)
GroupValue95% CI
Part 1: Placebo0
Part 1: TAK-9359.1
Part 2: TAK-9356.7
HDL Cholesterol (<1.04 mmol/L)
GroupValue95% CI
Part 1: Placebo75.0
Part 1: TAK-93518.2
Part 2: TAK-93540.0
HDL Cholesterol (>1.55 mmol/L)
GroupValue95% CI
Part 1: Placebo0
Part 1: TAK-93527.3
Part 2: TAK-93513.3
LDL Cholesterol (>4.14 mmol/L)
GroupValue95% CI
Part 1: Placebo0
Part 1: TAK-9359.1
Part 2: TAK-9350
Potassium (>6.0 mmol/L)
GroupValue95% CI
Part 1: Placebo0
Part 1: TAK-9359.1
Part 2: TAK-9350
Percentage of Participants With at Least 1 Markedly Abnormal Value for Vital Signs After TAK-935 Secondary · From first dose up to 30 days post last dose (approximately up 120 days)

Vital signs included heart rate, blood pressure and body temperature. markedly abnormal values during treatment period were categorized as: heart rate 1,3 and 5 min standing (beats/min) \<50-\>120, systolic blood pressure 1,3 and 5 min standing (mmHg) \<85-\>180, diastolic blood pressure 1,3 and 5 min standing (mmHg) \<50-\>110 and body temperature (degree centigrade) \<35.6- \>37.7. Only categories with values have been reported.

Diastolic Blood Pressure 3 min Standing (<50 mmHg)
GroupValue95% CI
Part 1: Placebo33.3
Part 1: TAK-9350
Part 2: TAK-9350
Diastolic Blood Pressure 5 min Sitting (<50 mmHg)
GroupValue95% CI
Part 1: Placebo0
Part 1: TAK-9357.1
Part 2: TAK-9350
Diastolic Blood Pressure 5 min Supine (<50 mmHg)
GroupValue95% CI
Part 1: Placebo25.0
Part 1: TAK-9350
Part 2: TAK-9350
Heart Rate 1 min Standing (>120 beats/min)
GroupValue95% CI
Part 1: Placebo0
Part 1: TAK-93516.7
Part 2: TAK-9350
Heart Rate 5 min Sitting (<50 beats/min)
GroupValue95% CI
Part 1: Placebo50.0
Part 1: TAK-9350
Part 2: TAK-9356.3
Heart Rate 5 min Supine (<50 beats/min)
GroupValue95% CI
Part 1: Placebo25.0
Part 1: TAK-9350
Part 2: TAK-9350
Systolic Blood Pressure 5 min Sitting (<85 mmHg)
GroupValue95% CI
Part 1: Placebo0
Part 1: TAK-9357.1
Part 2: TAK-9350
Temperature (<35.6 C)
GroupValue95% CI
Part 1: Placebo25.0
Part 1: TAK-9357.7
Part 2: TAK-93518.8
Percentage of Participants With at Least 1 Markedly Abnormal Value for Electrocardiogram (ECG) Parameters After TAK-935 Secondary · From first dose up to last dose (up to Day 85)

A 12-lead ECG was performed. Markedly abnormal values during treatment period were categorized as: ECG ventricular rate \<50-\>120, PR Interval, (msec) \<=80-\>=200, QRS Duration, (msec) \<=80-\>=180, QT Interval, (msec) \<=50-\>=460, QTcF Interval, (msec) \<=50-\>=500 OR \>=30 change from baseline and \>=450 milliseconds, RR interval \<600-\>=1440.

ECG Ventricular Rate (<50 beats/min)
GroupValue95% CI
Part 1: Placebo33.3
Part 1: TAK-9350
Part 2: TAK-9350
QRS Duration (<=80 msec)
GroupValue95% CI
Part 1: Placebo0
Part 1: TAK-93512.5
Part 2: TAK-9356.7
RR Interval (<=600 msec)
GroupValue95% CI
Part 1: Placebo0
Part 1: TAK-9350
Part 2: TAK-93513.3

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose up to 30 days post last dose (approximately up to 120 days). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1: Placebo
Serious: 0/4 (0%)
Deaths: 0/4
Part 1: TAK-935
Serious: 1/14 (7%)
Deaths: 0/14
Part 2: TAK-935
Serious: 3/16 (19%)
Deaths: 0/16

Serious adverse events (2 terms)

ReactionSystemPart 1: PlaceboPart 1: TAK-935Part 2: TAK-935
Seizure ClusterNervous system disorders
SeizureNervous system disorders
Other adverse events (48 terms — click to expand)

ReactionSystemPart 1: PlaceboPart 1: TAK-935Part 2: TAK-935
InsomniaPsychiatric disorders
DysarthriaNervous system disorders
SeizureNervous system disorders
Upper respiratory tract infectionInfections and infestations
HeadacheNervous system disorders
LethargyNervous system disorders
FatigueGeneral disorders
FallInjury, poisoning and procedural complications
BronchitisInfections and infestations
Ear infectionInfections and infestations
InfluenzaInfections and infestations
RhinitisInfections and infestations
SinusitisInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
AgitationPsychiatric disorders
Communication disorderPsychiatric disorders
IrritabilityPsychiatric disorders
ListlessPsychiatric disorders
Sleep talkingPsychiatric disorders
TicPsychiatric disorders
Balance disorderNervous system disorders
SomnolenceNervous system disorders
Burning sensationNervous system disorders
Repetitive speechNervous system disorders
SedationNervous system disorders
Tonic convulsionNervous system disorders
HaematomaVascular disorders
CoughRespiratory, thoracic and mediastinal disorders
WheezingRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
RashSkin and subcutaneous tissue disorders
HyperhidrosisSkin and subcutaneous tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Urinary incontinenceRenal and urinary disorders
ProteinuriaRenal and urinary disorders
PyrexiaGeneral disorders
AstheniaGeneral disorders

Most-reported serious reactions: Seizure Cluster, Seizure.

Data from ClinicalTrials.gov NCT03166215 adverse events section.

Sponsor's own description

The purpose of this study is to characterize the multiple-dose safety and tolerability profile of TAK-935 in adult participants with developmental and/or epileptic encephalopathies.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Epileptic seizures.
    Anwar H, Khan QU, Nadeem N, Pervaiz I, et al · · 2020 · cited 83× · PMID 32577498 · DOI 10.15190/d.2020.7
  2. A phase 1b/2a study of soticlestat as adjunctive therapy in participants with developmental and/or epileptic encephalopathies.
    Halford JJ, Sperling MR, Arkilo D, Asgharnejad M, et al · · 2021 · cited 40× · PMID 33940389 · DOI 10.1016/j.eplepsyres.2021.106646
  3. Pharmacological diversity amongst approved and emerging antiseizure medications for the treatment of developmental and epileptic encephalopathies.
    Sills GJ. · · 2023 · cited 19× · PMID 37655228 · DOI 10.1177/17562864231191000
  4. Epilepsy Characteristics in Neurodevelopmental Disorders: Research from Patient Cohorts and Animal Models Focusing on Autism Spectrum Disorder.
    Chakraborty S, Parayil R, Mishra S, Nongthomba U, et al · · 2022 · cited 18× · PMID 36142719 · DOI 10.3390/ijms231810807

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03166215.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing