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NCT03228433

A Study to Evaluate Safety, Tolerability and Pharmacokinetics of Ascending Oral Single Dose of TAK-418 in Healthy Participants

Completed Phase 1 Results posted Last updated 9 September 2019
What this trial tests

Phase 1 trial testing TAK-418 in Healthy Participants in 40 participants. Completed in 12 May 2018.

Timeline
21 July 2017
Primary endpoint
12 May 2018
12 May 2018

Quick facts

Lead sponsorTakeda
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingquadruple
Primary purposeother
Enrollment40
Start date21 July 2017
Primary completion12 May 2018
Estimated completion12 May 2018
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Takeda — full company profile →

Who can join

Adults 18 to 55, 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.

Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs) Primary · Baseline Up to Day 184
GroupValue95% CI
Cohorts 1-5: Placebo4
Cohort 1: TAK-418 5 mg2
Cohort 2: TAK-418 15 mg2
Cohort 3A: TAK-418 30 mg Fasted3
Cohort 3B: TAK-418 30 mg Fed1
Cohort 4: TAK-418 40 mg3
Cohort 5: TAK-418 60 mg3
Number of Participants Who Discontinued Due to an Adverse Event (AE) Primary · Baseline Up to Day 184
GroupValue95% CI
Cohorts 1-5: Placebo0
Cohort 1: TAK-418 5 mg0
Cohort 2: TAK-418 15 mg0
Cohort 3A: TAK-418 30 mg Fasted0
Cohort 3B: TAK-418 30 mg Fed0
Cohort 4: TAK-418 40 mg0
Cohort 5: TAK-418 60 mg0
Number of Participants Who Meet the Markedly Abnormal Criteria for Neurological Assessment Measurements at Least Once Post Dose Primary · Baseline Up to Day 184
GroupValue95% CI
Cohorts 1-5: Placebo0
Cohort 1: TAK-418 5 mg0
Cohort 2: TAK-418 15 mg0
Cohort 3A: TAK-418 30 mg Fasted0
Cohort 3B: TAK-418 30 mg Fed0
Cohort 4: TAK-418 40 mg0
Cohort 5: TAK-418 60 mg0
Number of Participants Who Meet the Markedly Abnormal Criteria for Safety Laboratory Tests at Least Once Post Dose Primary · Baseline Up to Day 184
GroupValue95% CI
Cohorts 1-5: Placebo0
Cohort 1: TAK-418 5 mg0
Cohort 2: TAK-418 15 mg0
Cohort 3A: TAK-418 30 mg Fasted0
Cohort 3B: TAK-418 30 mg Fed0
Cohort 4: TAK-418 40 mg0
Cohort 5: TAK-418 60 mg0
Number of Participants Who Meet the Markedly Abnormal Criteria for Vital Sign Measurements at Least Once Post Dose Primary · Baseline Up to day 184
Diastolic blood pressure less than (<) 50 mmHg
GroupValue95% CI
Cohorts 1-5: Placebo0
Cohort 1: TAK-418 5 mg1
Cohort 2: TAK-418 15 mg1
Cohort 3A: TAK-418 30 mg Fasted0
Cohort 3B: TAK-418 30 mg Fed0
Cohort 4: TAK-418 40 mg0
Cohort 5: TAK-418 60 mg0
Systolic blood pressure < 85 mmHg
GroupValue95% CI
Cohorts 1-5: Placebo0
Cohort 1: TAK-418 5 mg0
Cohort 2: TAK-418 15 mg1
Cohort 3A: TAK-418 30 mg Fasted0
Cohort 3B: TAK-418 30 mg Fed1
Cohort 4: TAK-418 40 mg0
Cohort 5: TAK-418 60 mg0
Temperature < 35.6 degrees celsius (°C)
GroupValue95% CI
Cohorts 1-5: Placebo0
Cohort 1: TAK-418 5 mg0
Cohort 2: TAK-418 15 mg0
Cohort 3A: TAK-418 30 mg Fasted1
Cohort 3B: TAK-418 30 mg Fed1
Cohort 4: TAK-418 40 mg1
Cohort 5: TAK-418 60 mg0
Temperature greater than (>) 37.7 (°C)
GroupValue95% CI
Cohorts 1-5: Placebo0
Cohort 1: TAK-418 5 mg0
Cohort 2: TAK-418 15 mg0
Cohort 3A: TAK-418 30 mg Fasted0
Cohort 3B: TAK-418 30 mg Fed0
Cohort 4: TAK-418 40 mg0
Cohort 5: TAK-418 60 mg2
Number of Participants Who Meet the Markedly Abnormal Criteria for Safety 12-lead Electrocardiogram (ECG) Parameters at Least Once Post Dose Primary · Baseline Up to Day 14
ECG ventricular rate(Beats/ minute)
GroupValue95% CI
Cohorts 1-5: Placebo1
Cohort 1: TAK-418 5 mg2
Cohort 2: TAK-418 15 mg1
Cohort 3A: TAK-418 30 mg Fasted0
Cohort 3B: TAK-418 30 mg Fed0
Cohort 4: TAK-418 40 mg0
Cohort 5: TAK-418 60 mg0
QT interval (Milliseconds)
GroupValue95% CI
Cohorts 1-5: Placebo0
Cohort 1: TAK-418 5 mg1
Cohort 2: TAK-418 15 mg0
Cohort 3A: TAK-418 30 mg Fasted0
Cohort 3B: TAK-418 30 mg Fed0
Cohort 4: TAK-418 40 mg0
Cohort 5: TAK-418 60 mg1
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration of TAK-418F (TAK-418 Free Base) Secondary · Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose
GroupValue95% CI
Cohort 1: TAK-418 5 mg77.3± 47.1
Cohort 2: TAK-418 15 mg290.4± 21.8
Cohort 3A: TAK-418 30 mg Fasted649.4± 8.5
Cohort 3B: TAK-418 30 mg Fed616.2± 23.1
Cohort 4: TAK-418 40 mg674.1± 27.0
Cohort 5: TAK-418 60 mg1576.3± 33.5
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-418F Secondary · Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose
GroupValue95% CI
Cohort 1: TAK-418 5 mg84.9± 47.4
Cohort 2: TAK-418 15 mg296.3± 22.1
Cohort 3A: TAK-418 30 mg Fasted659.6± 8.0
Cohort 3B: TAK-418 30 mg Fed626.0± 22.7
Cohort 4: TAK-418 40 mg681.0± 26.9
Cohort 5: TAK-418 60 mg1519.9± 33.3
Cmax: Maximum Observed Plasma Concentration for TAK-418F Secondary · Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose
GroupValue95% CI
Cohort 1: TAK-418 5 mg21.54± 35.9
Cohort 2: TAK-418 15 mg61.90± 26.6
Cohort 3A: TAK-418 30 mg Fasted163.64± 20.9
Cohort 3B: TAK-418 30 mg Fed94.93± 33.8
Cohort 4: TAK-418 40 mg155.32± 34.3
Cohort 5: TAK-418 60 mg321.52± 14.1
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-418F Secondary · Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

The pharmacokinetic analysis set included all participants who received at least 1 dose of study drug and had at least one measurable plasma concentration or amount of drug in urine for TAK-418-F.

GroupValue95% CI
Cohort 1: TAK-418 5 mg1.0000.98 – 1.02
Cohort 2: TAK-418 15 mg1.0001.00 – 2.00
Cohort 3A: TAK-418 30 mg Fasted1.0000.50 – 1.00
Cohort 3B: TAK-418 30 mg Fed3.0001.50 – 3.02
Cohort 4: TAK-418 40 mg1.2501.00 – 1.52
Cohort 5: TAK-418 60 mg1.0001.00 – 1.00

Adverse events — posted to ClinicalTrials.gov

Time frame: Treatment-emergent adverse events are adverse events that started after the first dose of the study drug up to Day 184. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohorts 1-5: Placebo
Serious: 0/10 (0%)
Deaths: 0/10
Cohort 1: TAK-418 5 mg
Serious: 0/6 (0%)
Deaths: 0/6
Cohort 2: TAK-418 15 mg
Serious: 0/6 (0%)
Deaths: 0/6
Cohort 3A: TAK-418 30 mg Fasted
Serious: 0/6 (0%)
Deaths: 0/6
Cohort 3B: TAK-418 30 mg Fed
Serious: 0/5 (0%)
Deaths: 0/5
Cohort 4: TAK-418 40 mg
Serious: 0/6 (0%)
Deaths: 0/6
Cohort 5: TAK-418 60 mg
Serious: 0/6 (0%)
Deaths: 0/6
Other adverse events (20 terms — click to expand)

ReactionSystemCohorts 1-5: PlaceboCohort 1: TAK-418 5 mgCohort 2: TAK-418 15 mgCohort 3A: TAK-418 30 mg F…Cohort 3B: TAK-418 30 mg FedCohort 4: TAK-418 40 mgCohort 5: TAK-418 60 mg
Upper respiratory tract infectionInfections and infestations
Eye irritationEye disorders
NauseaGastrointestinal disorders
Dental cariesGastrointestinal disorders
VomitingGastrointestinal disorders
Abdominal painGastrointestinal disorders
Groin painMusculoskeletal and connective tissue disorders
Limb discomfortMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
DizzinessNervous system disorders
SomnolenceNervous system disorders
Testicular painReproductive system and breast disorders
Erectile dysfunctionReproductive system and breast disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Dermatitis contactSkin and subcutaneous tissue disorders
Dry skinSkin and subcutaneous tissue disorders
Night sweatsSkin and subcutaneous tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders

Data from ClinicalTrials.gov NCT03228433 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety and tolerability of TAK-418 following single oral doses in healthy participants.

Publications & conference data

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

  1. Targeting epigenetic regulators to overcome drug resistance in cancers.
    Wang N, Ma T, Yu B, Yu B. · · 2023 · cited 213× · PMID 36797239 · DOI 10.1038/s41392-023-01341-7
  2. Epigenetics-targeted drugs: current paradigms and future challenges.
    Dai W, Qiao X, Fang Y, Guo R, et al · · 2024 · cited 131× · PMID 39592582 · DOI 10.1038/s41392-024-02039-0
  3. Targeting epigenetic regulators for inflammation: Mechanisms and intervention therapy.
    Zhang S, Meng Y, Zhou L, Qiu L, et al · · 2022 · cited 48× · PMID 36176733 · DOI 10.1002/mco2.173
  4. LSD1 enzyme inhibitor TAK-418 unlocks aberrant epigenetic machinery and improves autism symptoms in neurodevelopmental disorder models.
    Baba R, Matsuda S, Arakawa Y, Yamada R, et al · · 2021 · cited 34× · PMID 33712455 · DOI 10.1126/sciadv.aba1187
  5. Safety, pharmacokinetics and pharmacodynamics of TAK-418, a novel inhibitor of the epigenetic modulator lysine-specific demethylase 1A.
    Yin W, Arkilo D, Khudyakov P, Hazel J, et al · · 2021 · cited 16× · PMID 33990969 · DOI 10.1111/bcp.14912
  6. Biological and therapeutic role of LSD1 in Alzheimer's diseases.
    Li Y, Zhao Y, Li X, Zhai L, et al · · 2022 · cited 12× · PMID 36386192 · DOI 10.3389/fphar.2022.1020556
  7. Unraveling the relationship between histone methylation and nonalcoholic fatty liver disease.
    Xu L, Fan YH, Zhang XJ, Bai L. · · 2024 · cited 3× · PMID 38818286 · DOI 10.4254/wjh.v16.i5.703
  8. CoREST in pieces: Dismantling the CoREST complex for cancer therapy and beyond.
    Ismail H, Chagraoui J, Sauvageau G. · · 2025 · cited 2× · PMID 40479062 · DOI 10.1126/sciadv.ads6556

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Trials by the same sponsor.

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