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NCT03370302

A Study to Evaluate the Safety, Tolerability, and Pharmacokinetics (PK) of TAK-228 as Single Agent in Adult East Asian Participants With Advanced Nonhematological Malignancies

Terminated Phase 1 Results posted Last updated 8 February 2023
What this trial tests

Phase 1 trial testing TAK-228 in Advanced Nonhematological Neoplasms in 28 participants. Terminated before completion.

Timeline
17 January 2018
Primary endpoint
28 August 2019
28 August 2019

Quick facts

Lead sponsorCalithera Biosciences, Inc
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposeother
Enrollment28
Start date17 January 2018
Primary completion28 August 2019
Estimated completion28 August 2019
Sites4 locations across Taiwan, Japan, South Korea

Drugs / interventions tested

Conditions studied

Sponsor

Calithera Biosciences, Inc — full company profile →

Who can join

18 and older, any sex, with Advanced Nonhematological Neoplasms. 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 With Treatment Emergent Adverse Events (TEAEs) Primary · Baseline up to 30 days after the last dose of study drug (up to Cycle 12 Day 58) (Cycle length= 28 days)
GroupValue95% CI
Dose Escalation, Daily Dosing Arm: TAK-228 2 mg3
Dose Escalation, Daily Dosing Arm: TAK-228 3 mg6
Dose Escalation, Daily Dosing Arm: TAK-228 4 mg7
Dose Expansion, Daily Dosing Arm: TAK-228 3 mg6
Dose Escalation, Weekly Dosing Arm: TAK-228 20 mg3
Dose Escalation, Weekly Dosing Arm: TAK-228 30 mg3
Number of Participants With Grade 3 or Higher TEAEs Primary · Baseline up to 30 days after the last dose of study drug (up to Cycle 12 Day 58) (Cycle length= 28 days)

Adverse event (AE) Grades were evaluated as per National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE), version 4.03. Grade 1 scaled as Mild; Grade 2 scaled as Moderate; Grade 3 scaled as severe or medically significant but not immediately life-threatening; Grade 4 scaled as life-threatening consequences; and Grade 5 scaled as death related to AE.

GroupValue95% CI
Dose Escalation, Daily Dosing Arm: TAK-228 2 mg1
Dose Escalation, Daily Dosing Arm: TAK-228 3 mg2
Dose Escalation, Daily Dosing Arm: TAK-228 4 mg6
Dose Expansion, Daily Dosing Arm: TAK-228 3 mg5
Dose Escalation, Weekly Dosing Arm: TAK-228 20 mg3
Dose Escalation, Weekly Dosing Arm: TAK-228 30 mg1
Number of Participants With Serious TEAEs Primary · Baseline up to 30 days after the last dose of study drug (up to Cycle 12 Day 58) (Cycle length= 28 days)
GroupValue95% CI
Dose Escalation, Daily Dosing Arm: TAK-228 2 mg0
Dose Escalation, Daily Dosing Arm: TAK-228 3 mg2
Dose Escalation, Daily Dosing Arm: TAK-228 4 mg3
Dose Expansion, Daily Dosing Arm: TAK-228 3 mg1
Dose Escalation, Weekly Dosing Arm: TAK-228 20 mg2
Dose Escalation, Weekly Dosing Arm: TAK-228 30 mg1
Dose Escalation Phase: Number of Participants With Dose-limiting Toxicities (DLTs) During Cycle 1 Primary · Baseline up to Day 28 in Cycle 1 (Cycle length= 28 days)

Toxicity was evaluated according to NCI CTCAE version 4.03. DLT was defined as any of the following occurred events within the first 28 days of the administration of TAK-228 that were considered by investigator to be possibly related to therapy: Grade \>=3 nonhematologic toxicity except for inadequately treated Grade 3 nausea and/or vomiting and diarrhea, Grade 3 hyperglycemia lasting \<=14 days, Grade 3 rash lasting \<=3 days; Grade 3 thrombocytopenia with hemorrhage or requiring platelet transfusion; Grade 3 anemia requiring blood transfusion; Grade 4 neutropenia lasting \>7 days; Grade \>=3

GroupValue95% CI
Dose Escalation, Daily Dosing Arm: TAK-228 2 mg0
Dose Escalation, Daily Dosing Arm: TAK-228 3 mg0
Dose Escalation, Daily Dosing Arm: TAK-228 4 mg3
Dose Escalation, Weekly Dosing Arm: TAK-228 20 mg0
Dose Escalation, Weekly Dosing Arm: TAK-228 30 mg0
Number of Participants With TEAEs Leading to Study Drug Discontinuation Primary · Baseline up to 30 days after the last dose of study drug (up to Cycle 12 Day 58) (Cycle length= 28 days)
GroupValue95% CI
Dose Escalation, Daily Dosing Arm: TAK-228 2 mg1
Dose Escalation, Daily Dosing Arm: TAK-228 3 mg0
Dose Escalation, Daily Dosing Arm: TAK-228 4 mg2
Dose Expansion, Daily Dosing Arm: TAK-228 3 mg0
Dose Escalation, Weekly Dosing Arm: TAK-228 20 mg0
Dose Escalation, Weekly Dosing Arm: TAK-228 30 mg1
Cmax: Maximum Observed Plasma Concentration for TAK-228 on Cycle 1 Day 1 Primary · Cycle 1 Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length= 28 days)
GroupValue95% CI
Dose Escalation, Daily Dosing Arm: TAK-228 2 mg23.83± 9.6
Dose Escalation, Daily Dosing Arm: TAK-228 3 mg41.35± 29.6
Dose Escalation, Daily Dosing Arm: TAK-228 4 mg55.25± 26.2
Dose Expansion, Daily Dosing Arm: TAK-228 3 mg41.78± 23.7
Dose Escalation, Weekly Dosing Arm: TAK-228 20 mg252.29± 75.2
Dose Escalation, Weekly Dosing Arm: TAK-228 30 mg268.61± 57.8
Cmax: Maximum Observed Plasma Concentration for TAK-228 on Cycle 1 Day 15 Primary · Cycle 1 Day 15 pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length= 28 days)
GroupValue95% CI
Dose Escalation, Daily Dosing Arm: TAK-228 2 mg31.07± 48.6
Dose Escalation, Daily Dosing Arm: TAK-228 3 mg46.85± 31.6
Dose Escalation, Daily Dosing Arm: TAK-228 4 mg52.68± 47.2
Dose Expansion, Daily Dosing Arm: TAK-228 3 mg45.02± 44.5
Dose Escalation, Weekly Dosing Arm: TAK-228 20 mg182.75± 70.5
Dose Escalation, Weekly Dosing Arm: TAK-228 30 mg364.58± 37.1
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-228 on Cycle 1 Day 1 Primary · Cycle 1 Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length= 28 days)
GroupValue95% CI
Dose Escalation, Daily Dosing Arm: TAK-228 2 mg0.8700.50 – 2.03
Dose Escalation, Daily Dosing Arm: TAK-228 3 mg0.9900.42 – 1.77
Dose Escalation, Daily Dosing Arm: TAK-228 4 mg1.0000.50 – 2.00
Dose Expansion, Daily Dosing Arm: TAK-228 3 mg0.5000.40 – 1.02
Dose Escalation, Weekly Dosing Arm: TAK-228 20 mg0.4700.40 – 2.08
Dose Escalation, Weekly Dosing Arm: TAK-228 30 mg1.9701.00 – 2.02
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-228 on Cycle 1 Day 15 Primary · Cycle 1 Day 15 pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length= 28 days)
GroupValue95% CI
Dose Escalation, Daily Dosing Arm: TAK-228 2 mg1.0000.50 – 2.08
Dose Escalation, Daily Dosing Arm: TAK-228 3 mg0.9650.52 – 1.98
Dose Escalation, Daily Dosing Arm: TAK-228 4 mg1.5000.92 – 3.00
Dose Expansion, Daily Dosing Arm: TAK-228 3 mg1.0000.85 – 2.08
Dose Escalation, Weekly Dosing Arm: TAK-228 20 mg2.6301.97 – 4.10
Dose Escalation, Weekly Dosing Arm: TAK-228 30 mg2.0000.50 – 2.00
Daily Dosing Arms, AUC24: Area Under the Plasma Concentration-time Curve From 0 to 24 Hours for TAK-228 on Cycle 1 Day 1 Primary · Cycle 1 Day 1 pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length= 28 days)
GroupValue95% CI
Dose Escalation, Daily Dosing Arm: TAK-228 2 mg131.0311± 43.269
Dose Escalation, Daily Dosing Arm: TAK-228 3 mg192.2467± 32.263
Dose Escalation, Daily Dosing Arm: TAK-228 4 mg295.5497± 41.724
Dose Expansion, Daily Dosing Arm: TAK-228 3 mg177.9464± 38.813
Daily Dosing Arms, AUC24: Area Under the Plasma Concentration-time Curve From 0 to 24 Hours for TAK-228 on Cycle 1 Day 15 Primary · Cycle 1 Day 15 pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length= 28 days)
GroupValue95% CI
Dose Escalation, Daily Dosing Arm: TAK-228 2 mg221.0132± 47.912
Dose Escalation, Daily Dosing Arm: TAK-228 3 mg250.4458± 29.806
Dose Escalation, Daily Dosing Arm: TAK-228 4 mg341.1219± 44.219
Dose Expansion, Daily Dosing Arm: TAK-228 3 mg278.5369± 74.527
Weekly Dosing Arms, AUC168: Area Under the Concentration-time Curve From 0 to 168 Hours for TAK-228 on Cycle 1 Day 1 Primary · Cycle 1 Day 1 pre-dose and at multiple time points (up to 168 hours) post-dose (Cycle length= 28 days)
GroupValue95% CI
Dose Escalation, Weekly Dosing Arm: TAK-228 20 mg1636.7580± 49.907
Dose Escalation, Weekly Dosing Arm: TAK-228 30 mg2010.5661± 53.631

Adverse events — posted to ClinicalTrials.gov

Time frame: TEAEs are AEs that started after the first dose of study drug and no more than 30 days after the last dose of study drug (up to Cycle 12 Day 58). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Dose Escalation, Daily Dosing Arm: TAK-228 2 mg
Serious: 0/3 (0%)
Deaths: 0/3
Dose Escalation, Daily Dosing Arm: TAK-228 3 mg
Serious: 2/6 (33%)
Deaths: 0/6
Dose Escalation, Daily Dosing Arm: TAK-228 4 mg
Serious: 3/7 (43%)
Deaths: 0/7
Dose Expansion, Daily Dosing Arm: TAK-228 3 mg
Serious: 1/6 (17%)
Deaths: 0/6
Dose Escalation, Weekly Dosing Arm: TAK-228 20 mg
Serious: 2/3 (67%)
Deaths: 0/3
Dose Escalation, Weekly Dosing Arm: TAK-228 30 mg
Serious: 1/3 (33%)
Deaths: 0/3

Serious adverse events (10 terms)

ReactionSystemDose Escalation, Daily Dos…Dose Escalation, Daily Dos…Dose Escalation, Daily Dos…Dose Expansion, Daily Dosi…Dose Escalation, Weekly Do…Dose Escalation, Weekly Do…
Genital HerpesInfections and infestations
SepsisInfections and infestations
Acute myocardial infarctionCardiac disorders
Jaundice cholestaticHepatobiliary disorders
Cerebrovascular accidentNervous system disorders
Renal impairmentRenal and urinary disorders
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to central nervous systemNeoplasms benign, malignant and unspecified (incl cysts and polyps)
EnteritisGastrointestinal disorders
Cholangitis acuteHepatobiliary disorders
Other adverse events (90 terms — click to expand)

ReactionSystemDose Escalation, Daily Dos…Dose Escalation, Daily Dos…Dose Escalation, Daily Dos…Dose Expansion, Daily Dosi…Dose Escalation, Weekly Do…Dose Escalation, Weekly Do…
StomatitisGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Weight decreasedInvestigations
Platelet count decreasedInvestigations
White blood cell count decreasedInvestigations
FatigueGeneral disorders
AnaemiaBlood and lymphatic system disorders
Blood alkaline phosphatase increasedInvestigations
ConstipationGastrointestinal disorders
Gastrointestinal inflammationGastrointestinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
UrticariaSkin and subcutaneous tissue disorders
Rash erythmatousSkin and subcutaneous tissue disorders
Aspartate aminotransferase increasedInvestigations
Alanine aminotransferase increasedInvestigations
Lymphocyte count decreasedInvestigations
Gamma-glutamyltransferase increasesInvestigations
Neutrophil count decreasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
PyrexiaGeneral disorders
DiarrhoeaGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
DyspepsiaGastrointestinal disorders
GastritisGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Gingival painGastrointestinal disorders
HaematocheziaGastrointestinal disorders
ErythemaSkin and subcutaneous tissue disorders
Erythema multiformeSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
Dry skinSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
Seborrhoeic dermatitisSkin and subcutaneous tissue disorders
Blood cholesterol increasedInvestigations
Blood creatinine phosphokinase increasedInvestigations
Blood creatinine increasedInvestigations
Weight increasedInvestigations

Most-reported serious reactions: Genital Herpes, Sepsis, Acute myocardial infarction, Jaundice cholestatic, Cerebrovascular accident, Renal impairment, Malignant neoplasm progression, Metastases to central nervous system.

Data from ClinicalTrials.gov NCT03370302 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety and tolerability, recommended phase 2 dose (RP2D), and to characterize PK of TAK-228 administered once daily or once weekly to East Asian participants with advanced nonhematological malignancies.

Publications & conference data

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

  1. A Phase 1 Study of Sapanisertib (TAK-228) in East Asian Patients with Advanced Nonhematological Malignancies.
    Shimizu T, Kuboki Y, Lin CC, Yonemori K, et al · · 2022 · cited 7× · PMID 34843044 · DOI 10.1007/s11523-021-00855-w

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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/NCT03370302.

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