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NCT03708211

A Study to Assess the Relative Bioavailability, Effect of Food, and Gastric Potential Hydrogen (pH) Modification on the Pharmacokinetics (PK) of TAK-931 in Participants With Advanced Solid Tumors

Completed Phase 1 Results posted Last updated 29 December 2020
What this trial tests

Phase 1 trial testing TAK-931 PIC in Neoplasms, Advanced Solid in 20 participants. Completed in 3 December 2019.

Timeline
28 March 2019
Primary endpoint
3 December 2019
3 December 2019

Quick facts

Lead sponsorMillennium Pharmaceuticals, Inc.
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposeother
Enrollment20
Start date28 March 2019
Primary completion3 December 2019
Estimated completion3 December 2019
Sites4 locations across Netherlands

Drugs / interventions tested

Conditions studied

Sponsor

Millennium Pharmaceuticals, Inc. — full company profile →

Who can join

18 and older, any sex, with Neoplasms, Advanced Solid. 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.

Part 1, Cmax: Maximum Observed Plasma Concentration for TAK-931 Tablets in Reference to PIC Primary · Cycle 0 Days 1 and 3 pre-dose and at multiple time points (up to 48 hours) post-dose (Cycle 0 length is equal to [=] 16 days)
GroupValue95% CI
TAK-931 80 mg PIC251.45± 41.91
TAK-931 80 mg Tablet270.09± 36.44
Part 1, AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-931 Tablets in Reference to PIC Primary · Cycle 0 Days 1 and 3 pre-dose and at multiple time points (up to 48 hours) post-dose (Cycle 0 length = 16 days)
GroupValue95% CI
TAK-931 80 mg PIC1869.0329± 44.7484
TAK-931 80 mg Tablet1898.9016± 45.2980
Part 1, AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-931 Tablets in Reference to PIC Primary · Cycle 0 Days 1 and 3 pre-dose and at multiple time points (up to 48 hours) post-dose (Cycle 0 length = 16 days)
GroupValue95% CI
TAK-931 80 mg PIC1901.1447± 44.6999
TAK-931 80 mg Tablet1925.8648± 45.2966
Part 1, Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-931 as PIC and Tablets Secondary · Cycle 0 Days 1 and 3 pre-dose and at multiple time points (up to 48 hours) post-dose (Cycle 0 length = 16 days)
GroupValue95% CI
TAK-931 80 mg PIC1.68300.917 – 4.117
TAK-931 80 mg Tablet1.98300.483 – 4.033
Part 1, CL/F: Oral Clearance for TAK-931 Secondary · Cycle 0 Days 1 and 3 pre-dose and at multiple time points (up to 48 hours) post-dose (Cycle 0 length = 16 days)
GroupValue95% CI
TAK-931 80 mg PIC42.0799± 44.6999
TAK-931 80 mg Tablet41.5397± 45.2966
Part 1, T1/2z: Terminal Disposition Phase Half-life for TAK-931 Secondary · Cycle 0 Days 1 and 3 pre-dose and at multiple time points (up to 48 hours) post-dose (Cycle 0 length = 16 days)
GroupValue95% CI
TAK-931 80 mg PIC7.3250± 25.4121
TAK-931 80 mg Tablet7.3683± 18.6369
Part 1: Overall Response Rate (ORR) Secondary · Baseline up to 8 months

ORR was defined as the percentage of participants achieving complete response (CR) and partial response (PR) as assessed by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1), CR was defined as disappearance of all lesions, PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of lesions, taking as reference the baseline sum LD.

GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet0
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC0
Part 1: Progression-free Survival (PFS) Secondary · From the date of randomization to the date of first documentation of PD or death due to any cause, whichever occurred first (up to 8 months)

PFS was defined as the time from the date of randomization to the date of first documentation of PD or death due to any cause, whichever occured first. Per RECIST V1.1, PD was defined as at least a 20% increase in the SoD (Sum of Diameters) of target lesions, taking as a reference the smallest (nadir) SoD since (and including) baseline. In addition to the relative increase of 20%, the SoD must also demonstrate an absolute increase of at least 5 millimeter (mm).

GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet1.91.7 – 2.8
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC2.01.4 – 3.6
Part 1: Disease Control Rate (DCR) Secondary · Baseline up to 8 months

DCR was defined as the percentage of participants with CR, PR plus stable disease (SD) greater than or equal to (\>=) 1 post baseline computed tomography (CT) scan evaluation from treatment initiation to qualify for DCR. Per RECIST v 1.1, CR was defined as disappearance of all lesions. PR was defined as at least a 30% decrease in the sum of the LD of lesions, taking as reference the baseline sum LD. PD was defined as at least a 20% increase in the SoD of target lesions, taking as a reference the smallest (nadir) SoD since (and including) baseline. In addition to the relative increase of 20%, t

GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet18.2
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC25.0
Part 1: Percentage of Participants With Serious Adverse Events (SAEs), Treatment-emergent Adverse Events (TEAEs), and TEAEs Leading to Discontinuation or Dose Modification Secondary · From the start of the study drug up to Day 30 after the last dose of study drug (up to 8 months)
SAEs
GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet16.7
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC25.0
TEAEs
GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet91.7
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC100
TEAEs Leading to Discontinuation or Dose Modification
GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet8.3
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC0
Part 1: Percentage of Participants With Grade 3 or Higher TEAEs Secondary · From the start of the study drug up to Day 30 after the last dose of study drug (up to 8 months)

An AE was defined as any untoward medical occurrence in a participant who has enrolled in a study; it does not necessarily have a causal relationship with this treatment. A treatment-emergent adverse event (TEAE) was defined as an adverse event with an onset that occurs after receiving study drug. A severity grade was defined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0. As per NCI-CTCAE, Grade 1 scales as Mild; Grade 2 scales as Moderate; Grade 3 scales as severe or medically significant but not immediately life threatening; Grade 4 s

GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet41.7
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC37.5
Part 1: Percentage of Participants With Shift From Baseline Values to Post-baseline Values in Laboratory Parameters Secondary · From the start of the study drug up to Day 30 after the last dose of study drug (up to 8 months)
Eosinophils: Grade 0 to Grade 0
GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet83.3
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC87.5
Eosinophils: Grade 0 to Grade 1
GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet8.3
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC0.0
Eosinophils: Grade 1 to Grade 0
GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet8.3
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC12.5
Hemoglobin: Grade 0 to Grade 0
GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet33.3
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC0.0
Hemoglobin: Grade 0 to Grade 1
GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet8.3
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC12.5
Hemoglobin: Grade 1 to Grade 0
GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet8.3
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC0.0
Hemoglobin: Grade 1 to Grade 1
GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet41.7
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC50.0
Hemoglobin: Grade 1 to Grade 2
GroupValue95% CI
Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet8.3
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC12.5

Adverse events — posted to ClinicalTrials.gov

Time frame: TEAEs are adverse events (AE) that started after the first dose of study drug up to 30 days after the last dose of study drug (up to 8 months). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1, Sequence A: TAK-931 80 mg PIC + TAK-931 80 mg Tablet
Serious: 2/12 (17%)
Deaths: 0/12
Part 1, Sequence B: TAK-931 80 mg Tablet + TAK-931 80 mg PIC
Serious: 2/8 (25%)
Deaths: 1/8

Serious adverse events (4 terms)

ReactionSystemPart 1, Sequence A: TAK-93…Part 1, Sequence B: TAK-93…
IleusGastrointestinal disorders
Bundle branch block leftCardiac disorders
Rectal cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cholecystitis infectiveInfections and infestations
Other adverse events (48 terms — click to expand)

ReactionSystemPart 1, Sequence A: TAK-93…Part 1, Sequence B: TAK-93…
FatigueGeneral disorders
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
Weight decreasedInvestigations
DiarrhoeaGastrointestinal disorders
Abdominal painGastrointestinal disorders
Dry mouthGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Gastrointestinal disorderGastrointestinal disorders
Oedema peripheralGeneral disorders
Dry skinSkin and subcutaneous tissue disorders
Night sweatsSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Aspartate aminotransferase increasedInvestigations
Blood creatinine increasedInvestigations
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
HypophosphataemiaMetabolism and nutrition disorders
Oral candidiasisInfections and infestations
Otitis mediaInfections and infestations
PneumoniaInfections and infestations
Rash pustularInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
AphasiaNervous system disorders
Disturbance in attentionNervous system disorders
DizzinessNervous system disorders
Facial nerve disorderNervous system disorders
Peripheral sensory neuropathyNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Rhinitis allergicRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Ileus, Bundle branch block left, Rectal cancer, Cholecystitis infective.

Data from ClinicalTrials.gov NCT03708211 adverse events section.

Sponsor's own description

The purpose of this study is to estimate the relative bioavailability of TAK-931 tablets in reference to powder-in capsule (PIC) and to assess the effect of food and esomeprazole on the pharmacokinetics (PK) of TAK-931 as a tablet.

Publications & conference data

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

  1. Drug repurposing for cancer therapy.
    Xia Y, Sun M, Huang H, Jin WL. · · 2024 · cited 229× · PMID 38637540 · DOI 10.1038/s41392-024-01808-1
  2. Safety, Tolerability, and Pharmacokinetics of TAK-931, a Cell Division Cycle 7 Inhibitor, in Patients with Advanced Solid Tumors: A Phase I First-in-Human Study.
    Kuboki Y, Shimizu T, Yonemori K, Kojima T, et al · · 2022 · cited 11× · PMID 36970056 · DOI 10.1158/2767-9764.crc-22-0277
  3. Population Pharmacokinetics of TAK-931, a Cell Division Cycle 7 Kinase Inhibitor, in Patients With Advanced Solid Tumors.
    Zhou X, Ouerdani A, Diderichsen PM, Gupta N. · · 2022 · cited 3× · PMID 34564871 · DOI 10.1002/jcph.1974
  4. A phase 1 open-label study to assess the relative bioavailability of TAK-931 tablets in reference to powder-in-capsule in patients with advanced solid tumors.
    Steeghs N, Pruis M, van Herpen C, Lu V, et al · · 2023 · cited 2× · PMID 36409435 · DOI 10.1007/s10637-022-01318-3
  5. Assessment of Effects of Investigational TAK-931, an Oral Cell Division Cycle 7 Kinase Inhibitor on the QTc Intervals in Patients With Advanced Solid Tumors.
    Zhou X, Diderichsen PM, Gupta N. · · 2022 · cited 2× · PMID 35187855 · DOI 10.1002/cpdd.1075

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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/NCT03708211.

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