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Renal ImpairmentPhase 1NCT03296787

A Study to Evaluate the Effect of Renal Impairment and Dialysis Treatment on the Pharmacokinetics (PK) of a Single Intravenous (IV) TAK-954

A Phase 1 study testing TAK-954 in people with Renal Impairment and Healthy Volunteers, run by Takeda at 4 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the effect of varying degrees of renal function on the PK of TAK-954 following single-dose IV administration and to investigate the impact of hemodialysis on the PK of single IV doses of TAK-954. Read more about this study

Who is it for?
Ages 18 to 75 yearsHealthy volunteers can take part
Conditions the study is for
Renal Impairment, Healthy Volunteers
What is being tested?
TAK-954
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
32 participants
Where
4 sitesin 2 countries
Study dates
21 Nov 2017to 9 Aug 2019
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • All participants: Male and female participants (non-childbearing potential) who are aged 18 to 75 years, inclusive, with a body mass index (BMI) between 18 to 35 kilogram per square meter (kg/m^2).
  • Group A: As much as possible, the healthy participants with normal renal function (creatinine clearance [CLcr] greater than or equal to [>=] 90 milliliter per minute [mL/min]) should be comparable to participants with renal impairment with respect to median age and weight (approximately 50 percent [%] of healthy participants on each side of the median age and weight of currently enrolled renally-impaired participants grouped together), sex, and race. This will be decided by the investigators in discussion with Takeda.
  • Groups B to E: Participants who have stable RI, defined as no clinically significant change in disease status, as documented by the participant's most recent CLcr assessment; serum creatinine must not vary more than approximately 30% from Screening to Day -1 to confirm stable disease. Participants should also be in good health commensurate with their renal status.
  • Group B: Participants with mild RI (CLcr 60 to less than [<] 90 mL/min).
  • Group C: Participants with moderate RI (CLcr 30 to <60 mL/min).
  • Group D: Participants with severe RI or ESRD but not requiring dialysis (CLcr <30 mL/min).
  • Group E: Participants with ESRD requiring dialysis (<15 mL/min requiring hemodialysis at least 3 times/week, and having been on the same dialysis treatment regimen for at least 1 month before trial entry).
  • Participants should be on a stable drug regimen defined as not starting a new drug or changing dosage within 7 days or 5 half-lives (whichever is longer) before dosing with TAK-954.

Who cannot join

  • All participants:
  • Are renal allograft recipients within 1 year of screening.
  • Have a history of gastrointestinal (GI) motility disorder or intestinal obstruction.
  • Have urinary incontinence without catheterization.
  • Group A: Participants who, in the discretion of the investigator, have a history of clinically significant endocrine, GI, cardiovascular, hematological, hepatic, immunological, renal, respiratory, genitourinary, or major neurological (including stroke and chronic seizures) abnormalities or diseases will be excluded from the trial.
  • Groups B to E:
Show all 9Show fewer
  • Receive dialysis other than intermittent dialysis (except Group E).
  • Have renal disease secondary to hepatic disease (hepatorenal syndrome).
  • At the discretion of the investigators, have any significant hepatic, cardiac, or pulmonary disease or participants who are clinically nephrotic.

Trial locations and contacts

4 sites in 2 countries.

4 sites in 2 countries

Czechia2 sites
  • Fakultni Nemocnice Hradec Kralove

    Hradec Králové, 500 05

  • PRA CZ, s.r.o

    Prague, Prague, 170 00

Other trials in Czechia

Hungary2 sites
  • PRA Magyarorszag Kft.

    Budapest, 1077

  • Szent Imre Egyetemi Oktatokorhaz Belgyogyazati Szakmak Matrix Intezet

    Budapest, 1115

Other trials in Hungary

About this study

Official title: A Phase 1, Open-Label, Parallel Group Trial to Evaluate the Effect of Renal Impairment and Dialysis Treatment on the Pharmacokinetics of a Single Intravenous Dose of TAK-954

The purpose of this study is to evaluate the effect of varying degrees of renal function on the PK of TAK-954 following single-dose IV administration and to investigate the impact of hemodialysis on the PK of single IV doses of TAK-954.

Read the detailed description

The drug being tested in this study is called TAK-954. This study will evaluate the effect of varying degrees of renal function on the PK of TAK-954 following single-dose IV administration and to investigate the impact of hemodialysis on the PK of single IV doses of TAK-954.

The study will enroll approximately up to 40 participants. Participants will be enrolled in one of the 5 treatment groups based on their renal impairment which will be determined based on Cockcroft and Gault (CG) equation as follows:

  • Group A TAK-954 0.2 mg: Healthy Participants
  • Group B TAK-954 0.2 mg: Mild Renal Impairment
  • Group C TAK-954 0.2 mg: Moderate Renal Impairment
  • Group D TAK-954 0.2 mg: Severe Renal Impairment or End-stage Renal Disease (ESRD) Without Hemodialysis
  • Group E TAK-954 0.2 mg: End-stage Renal Disease (ESRD) With Hemodialysis

All participants in groups A to D will receive a single dose of TAK-954 and two single doses in Group E.

Enrollment in Group B (Mild) and Group E (ESRD requiring dialysis) will be based on assessment of safety and available PK data from Group C and Group D respectively.

This multi-center trial will be conducted in Czech Republic and Hungary. The overall time to participate in this study is approximately 8 weeks. Participants in Groups A to D will remain confined to clinic for 3 days. For both treatments, participants in Group E requiring dialysis will remain confined to clinic for 3 days. All participants will make a final visit to the clinic 10-14 days after receiving their last dose for a follow-up assessment.

Being tested
TAK-954
Keywords
Drug therapy
Medical subject headings
Renal Insufficiency

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TAK-954Drug

    TAK-954 intravenous infusion.

Study groups in NCT03296787
Study groupRoleWhat they receive
Group A TAK-954 0.2 mg: Healthy ParticipantsExperimentalParticipants with normal renal function receive TAK-954 0.2 milligram (mg), infusion, intravenously in fasted state, once on Day 1 of a 6-day period.
Receives: Drug: TAK-954
Group B TAK-954 0.2 mg: Mild Renal ImpairmentExperimentalParticipants receive TAK-954 0.2 mg, infusion, intravenously in fasted state, once on Day 1 of a 6-day period.
Receives: Drug: TAK-954
Group C TAK-954 0.2 mg: Moderate Renal ImpairmentExperimentalParticipants receive TAK-954 0.2 mg, infusion, intravenously in fasted state, once on Day 1 of a 6-day period.
Receives: Drug: TAK-954
Group D TAK-954 0.2 mg: Severe Renal ImpairmentExperimentalParticipants without hemodialysis or End-stage Renal Disease (ESRD) receive TAK-954 0.2 mg, infusion, intravenously in fasted state, once on Day 1 of a 6-day period.
Receives: Drug: TAK-954
Group E TAK-954 0.2 mg: End-stage Renal Disease (ESRD)ExperimentalParticipants with hemodialysis receive TAK-954 0.2 mg, infusion, intravenously in fasted state, once on Day 1 of a 4-day period followed by a minimum 13-day washout period, further followed by TAK-954 0.2 mg, infusion, intravenously in fasted state, once on Day 1 of a 4-day period.
Receives: Drug: TAK-954

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Groups A, C and D; Cmax: Maximum Observed Plasma Concentration for TAK-954 (Total and Free)

    Measured: Day 1 pre-infusion and at multiple time points (up to 120 hours) post-infusion

  2. Groups A, C and D; AUC(0-72): Area Under the Plasma Concentration-time Curve From Time 0 to 72 Hours Post-dose for TAK-954 (Free and Total)

    Measured: Day 1 pre-infusion and at multiple time points (up to 72 hours) post-infusion

  3. Groups A, C and D; AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-954 (Free and Total)

    Measured: Day 1 pre-infusion and at multiple time points (up to 120 hours) post-infusion

  4. Groups A, C and D; AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-954 (Free and Total)

    Measured: Day 1 pre-infusion and at multiple time points (up to 120 hours) post-infusion

  5. Groups A, C and D; Ae: Amount of TAK-954 Excreted in Urine

    Measured: Day 1 pre-infusion and at multiple time points (up to 24 hours) post-infusion

  6. Group E; Ae: Amount of TAK-954 Excreted in Urine in Period 1

    Measured: Day 1 pre-infusion and at multiple time points (up to 24 hours) post-infusion

  7. Group E; Ae: Amount of TAK-954 Excreted in Urine in Period 2

    Measured: Day 1 pre-infusion and at multiple time points (up to 24 hours) post-infusion

  8. Groups A, C and D; Fe: Fraction of TAK-954 Excreted in Urine

    Measured: Day 1 pre-infusion and at multiple time points (up to 24 hours) post-infusion

  9. Group E; Fe: Fraction of TAK-954 Excreted in Urine in Period 1

    Measured: Day 1 pre-infusion and at multiple time points (up to 24 hours) post-infusion

  10. Group E; Fe: Fraction of TAK-954 Excreted in Urine in Period 2

    Measured: Day 1 pre-infusion and at multiple time points (up to 24 hours) post-infusion

  11. Groups A, C and D; CLR: Renal Clearance for TAK-954

    Measured: Day 1 pre-infusion and at multiple time points (up to 24 hours) post-infusion

  12. Group E; CLR: Renal Clearance for TAK-954 in Period 1

    Measured: Day 1 pre-infusion and at multiple time points (up to 24 hours) post-infusion

  13. Group E; CLR: Renal Clearance for TAK-954 in Period 2

    Measured: Day 1 pre-infusion and at multiple time points (up to 24 hours) post-infusion

  14. Group E; CLD: Clearance of Dialysate for TAK-954 in Period 2

    Measured: Day 1 pre-infusion and at multiple time points (up to 4 hours) post-infusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Sep 2017
  2. Study start21 Nov 2017
  3. Primary completion9 Aug 2019
  4. Study completion9 Aug 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03296787
Sponsor's protocol ID
TAK-954-1007
Other IDs
U1111-1196-9206, 2017-000715-16, 2017
Status last verified
Aug 2020
First submitted
25 Sep 2017
Last updated
25 Aug 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TAK-954 in people with Renal Impairment and Healthy Volunteers, run by Takeda at 4 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Czechia, Hungary. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 Aug 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Groups A, C and D; Cmax: Maximum Observed Plasma Concentration for TAK-954 (Total and Free) (time frame: Day 1 pre-infusion and at multiple time points (up to 120 hours) post-infusion). The study lists 14 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Aug 2020.

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