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A Study of TAK-385 in Hormone Treatment-naïve Participants With Prostate Cancer

A Phase 1, Open-label, Multicenter Study to Evaluate the Tolerability, Safety, Pharmacokinetics, and Pharmacodynamics of TAK-385 Alone in Hormone Treatment- naïve Japanese Patients With Non-metastatic Prostate Cancer

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02141659
Enrollment
43
Registered
2014-05-19
Start date
2014-05-01
Completion date
2017-04-20
Last updated
2018-11-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hormone Treatment-naïve Participants With Prostate Cancer

Brief summary

The purpose of this study is to evaluate the tolerability and safety of TAK-385 in hormone treatment-naïve participants with non-metastatic prostate cancer.

Detailed description

The objective of this study is to evaluate the tolerability and safety of TAK-385 in hormone treatment-naive participants with non-metastatic prostate cancer. This study consists of two parts: Part A, multiple dose-rising (MRD) phase and Part B, an expansion phase.

Interventions

TAK-385 Tablets.

Sponsors

Takeda
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Participants judged by the investigator to have the capacity to understand the study and follow the study rules. 2. Participants whose written consent (signature or printed name and personal seal on informed consent form) can be obtained before any study procedures are performed. 3. Japanese male participants 20 or more years of age at the time of informed consent. 4. Participants who, if they have a female partner who could become pregnant, agree to practice appropriate means of contraception from the time of informed consent throughout the entire study treatment period and for 4 months after the last dose of study drug. 5. Participants in stable medical condition, including the absence of acute exacerbations of chronic illnesses, serious infections, or major surgery within 4 weeks (28 days) prior to study treatment initiation. 6. Participants with histologically or cytologically confirmed prostate cancer. 7. Participants whose clinical diagnosis is T1-4 N0 M0, or Tx N0 M0 for participants who have undergone radical prostatectomy. 8. Participants who are considered eligible for hormone therapy for prostate cancer. 9. Participants who have not received hormone therapy (example, gonadotropin-releasing hormone \[GnRH\] agonist, GnRH antagonist, steroidal antiandrogen, non-steroidal androgen) for prostate cancer. 10. Participants who have not undergone surgical castration. 11. Participants with serum testosterone at screening greater than (\>) 150 nanogram per deciliter (ng/dL). 12. Participants meeting either of the following criteria for prostate-specific antigen (PSA) at screening. Untreated prostate cancer: PSA at screening \> 4.0 nanogram per milliliter (ng/mL) Treated\* prostate cancer: PSA at screening \> 0.2 ng/mL. * Participants who have undergone prostatectomy or either or both of high intensity focused ultrasound therapy or radiotherapy (excluding 125I-brachytherapy) prior to the start of this study. 13. Eastern Cooperative Oncology Group (ECOG) Performance Status \[17\] of 0 or 1. 14. Body mass index (BMI) at screening greater than or equal to (\>=) 18.0 kilogram per square meter (kg/m\^2).

Exclusion criteria

1. Participants exhibiting symptoms judged related to prostate cancer by the investigator (example, bone pain, pelvic pain, ureteral obstruction) who urgently require hormone therapy such as GnRH agonist, GnRH antagonist, or CAB/MAB therapy, chemotherapy, or radiotherapy. 2. Participants who have received 5-alpha reductase inhibitors (except for participants who have been treated for male-pattern alopecias). 3. Participants who have received chemotherapy for prostate cancer (including estramustine). 4. Participants who have received 125I-brachytherapy. 5. Participants who received radiotherapy (except for 125I-brachytherapy) within 16 weeks (112 days) before study treatment initiation. 6. Participants who underwent prostatectomy within 16 weeks (112 days before study treatment initiation. 7. Treatment with any investigational compound within the 4 weeks (28 days) prior to the first dose of study drug or ongoing participation in another experimental trial related to the treatment of prostate cancer. 8. Diagnosis or treatment for another systemic malignancy within 2 years before study treatment initiation, or who had received a diagnosis of another malignancy before that and have evidence of residual disease. Participants with non-melanoma skin cancer or carcinoma in situ who have undergone complete resection will not be excluded from the study. 9. Participants taking drugs with moderate to strong cytochrome P450 3A4 (CYP3A4) inhibitory or inducing effects, or any medications, supplements, or food products with P-glycoprotein (P-gp) inhibitory effects, in the 2 weeks (14 days) prior to study treatment initiation. 10. Participants who have received TAK-385 in a past clinical study. 11. Participants for whom it would be difficult to collect blood from a peripheral vein. 12. Participants with uncontrolled and clinically significant nervous, circulatory, pulmonary, hepatic, renal, metabolic, gastrointestinal, urogenital, or endocrine disorders, or other abnormalities (except for the targeted disease) that could affect study participation or the study results. Also, participants meeting any of criteria a through c below. A. Participants with uncontrolled diabetes (Hemoglobin A1c \[HbA1C\] \> 8 percent \[%\] at screening). However, participants whose HbA1c is brought under control with diabetes medications may be rescreened. B. Participants with uncontrolled hypertension (systolic blood pressure \> 150 millimeter of mercury (mmHg) and diastolic blood pressure \> 90 mmHg at 2 separate measurements taken no more than 60 minutes apart at screening). Participants whose blood pressure is brought under control by antihypertensive medication may be rescreened. C. Participants with myocardial infarction, unstable symptomatic ischemic heart disease, arrhythmias of common terminology criteria for adverse events (CTCAE) Grade \> 2, thromboembolism (deep vein thrombosis, pulmonary embolism, or symptomatic cerebrovascular events), or other heart diseases (example, pericardial effusion, restrictive cardiomyopathy). However, chronic stable atrial fibrillation controlled by stable anticoagulant therapy will be allowed. 13. Participants with bilateral hydronephrosis or bladder neck outlet obstruction. 14. Known hypersensitivity to TAK-385, TAK-385 excipients, or gonadotropin-releasing hormone (GnRH) antagonists. 15. Participants with a past history of gastrointestinal tract treatments (including gastrectomy) or gastrointestinal disease that could affect the drug absorption or tolerability (malabsorption, esophageal reflux, peptic ulcer, erosive esophagitis). 16. Participants positive for hepatitis B surface antigens (HBsAg), hepatitis C antibodies (HCV), human immunodeficiency virus (HIV) antibodies, or serologic test for syphilis, or with life-threatening disease other than cancer, at screening. 17. Clinically relevant electrocardiogram (ECG) abnormalities, or the following ECG abnormalities, at screening. * Q-wave infarction, unless identified 6 or more months prior to TAK-385 treatment initiation. * QTcF interval \> 450 millisecond (msec) (when calculating the QTc interval, Fridericia's equation \[QT/RR0.33\] will be used). 18. Participants with congenital QT prolongation. 19. Current use of Class 1A or Class 3 antiarrhythmic medications. 20. New York Heart Association Class III or IV heart failure. 21. Participants with clinical laboratory abnormalities suggesting clinically relevant underlying disease, or with any of the following abnormal results, at screening. * Serum creatinine \>= 2.0 mg/dL. * Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>= 1.5\*upper limit of normal (ULN) for the study site. * Total bilirubin \>= 2\*ULN for the study site. * Neutrophil count less than (\<) 1,500 per cubic millimeter (/mm\^3), platelet count \< 100,000 per microliter (/mcL), hemoglobin \< 10.0 g/dL. * Results of heart-related tests (creatine kinase MB \[CK-MB\] and cardiac troponin T) exceeding the study sites reference value. 22. Participants found to have clinical problems on the basis of examination findings, ECG findings, or chest X-ray findings at screening. 23. Participants considered unlikely by investigators to be able to follow the study protocol or considered ineligible for the study by investigators for other reasons.

Design outcomes

Primary

MeasureTime frameDescription
Part B: Number of Participants With Markedly Abnormal Values of ECG ParametersFrom treatment initiation until 40 days after last dose of study drug (Day 712)
Part A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesFrom treatment initiation until 40 days after last dose of study drug (Day 68)Laboratory test abnormalities were graded using the CTCAE. The grades were: Grade 2- (moderate) minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activity of daily living (ADL); Grade 3- (severe) medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limited self-care ADL. Data has been presented for any Grade 2 or higher event in the laboratory test abnormalities.
Part A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersFrom treatment initiation until 40 days after last dose of study drug (Day 68)
Part A: Number of Participants With Markedly Abnormal Values of Electrocardiogram (ECG) ParametersFrom treatment initiation until 40 days after last dose of study drug (Day 68)
Part B: Number of Participants Reporting One or More TEAEFrom treatment initiation until 40 days after last dose of study drug (Day 712)
Part B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesFrom treatment initiation until 40 days after last dose of study drug (Day 712)Laboratory test abnormalities were graded using the CTCAE. The grades were: Grade 2- (moderate) minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental ADL; Grade 3- (severe) medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limited self-care ADL. Data has been presented for any Grade 2 or higher event in the laboratory test abnormalities. Here aspartate aminotransferase (AST) (glutamic-oxaloacetic transaminase \[GOT\]) High, creatine kinase (CK) (creatine phosphokinase \[CPK\]) High, prothrombin time (PT)-international normalized ratio (INR) High.
Part B: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersFrom treatment initiation until 40 days after last dose of study drug (Day 712)Here BP is blood pressure.
Part A: Number of Participants With Dose-limiting Toxicities (DLTs)From treatment initiation until Day 28DLTs were defined as treatment-related adverse events (AEs) that occurred within the first 28 days of treatment as per common terminology criteria for adverse events (CTCAE) version 4.03: any grade 3 or higher toxicity; QT/Fridericia corrected QT (QTcF) greater than (\>) 500 millisecond (msec) after treatment initiation; QT/QTcF interval prolongation \>60 msec postdose.
Part A: Number of Participants Reporting One or More Treatment-emergent Adverse Event (TEAE)From treatment initiation until 40 days after last dose of study drug (Day 68)

Secondary

MeasureTime frame
Part A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Days 1, 14 and 28 pre-dose and at multiple time points (up to 12 hours for Days 1 and 14; up to 72 hours for Day 28) post-dose
Part A: Serum Testosterone Concentrations for TAK-385Up to Day 35
Part B: Percent Change From Baseline in PSA Levels on Week 13 Day 1 Last Observation Carried Forward (LOCF)Baseline, and Week 13 Day 1 (LOCF; up to Week 13 Day 1)
Part B: Plasma Concentration of Unchanged TAK-385Up to Week 49 Day 1
Part B: Serum Testosterone Concentrations for TAK-385Up to Week 97 Day 1
Part A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Days 1, 14 and 28 pre-dose and at multiple time points (up to 12 hours for Days 1 and 14; up to 72 hours for Day 28) post-dose

Countries

Japan

Participant flow

Recruitment details

Participants took part in the study at 7 investigative sites in Japan from 01 May 2014 to 20 April 2017.

Pre-assignment details

Japanese participants with hormone treatment-naive prostate cancer were enrolled in this study to receive TAK-385 loading dose (320 or 360 milligram \[mg\]) and maintenance dose (80, 120 or 160 mg) in two parts: Part A, dose-escalation phase, cohorts 1-4 and Part B, dose-expansion phase, cohorts 1-2.

Participants by arm

ArmCount
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mg
TAK-385 320 mg loading dose, tablet, orally, once on Day 1, followed by TAK-385 80 mg maintenance dose, tablet, orally, once daily through Days 2 to 28.
3
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mg
TAK-385 320 mg loading dose, tablet, orally, once on Day 1, followed by TAK-385 120 mg maintenance dose, tablet, orally, once daily through Days 2 to 28.
4
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mg
TAK-385 320 mg loading dose, tablet, orally, once on Day 1, followed by TAK-385 160 mg maintenance dose, tablet, orally, once daily through Days 2 to 28.
3
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mg
TAK-385 360 mg loading dose, tablet, orally, once on Day 1, followed by TAK-385 120 mg maintenance dose, tablet, orally, once daily through Days 2 to 28.
3
Part B Cohort 1: TAK-385 320 mg + TAK-385 80 mg
TAK-385 320 mg loading dose, tablet, orally, once on Day 1, followed by TAK-385 80 mg maintenance dose, tablet, orally, once daily through Days 2 to 672.
15
Part B Cohort 2: TAK-385 320 mg + TAK-385 120 mg
TAK-385 320 mg loading dose, tablet, orally, once on Day 1, followed by TAK-385 120 mg maintenance dose, tablet, orally, once daily through Days 2 to 672.
15
Total43

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Overall StudyLack of Efficacy000001
Overall StudyMajor Protocol Deviation010000
Overall StudyPretreatment Event/ Adverse Event000021

Baseline characteristics

CharacteristicPart A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart B Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A Cohort 1: TAK-385 320 mg + TAK-385 80 mgTotal
Age, Continuous72.0 years
STANDARD_DEVIATION 5.6
75.0 years
STANDARD_DEVIATION 6.08
71.7 years
STANDARD_DEVIATION 3.51
74.5 years
STANDARD_DEVIATION 4.84
74.4 years
STANDARD_DEVIATION 5.53
73.3 years
STANDARD_DEVIATION 5.51
74.0 years
STANDARD_DEVIATION 5
Body Mass Index (BMI)23.03 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 2.841
22.00 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 1.4
22.17 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 1.498
24.17 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 3.109
21.93 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 2.475
22.90 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 2.1
22.90 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 2.694
Height167.0 centimeter (cm)
STANDARD_DEVIATION 3.92
162.3 centimeter (cm)
STANDARD_DEVIATION 3.06
160.3 centimeter (cm)
STANDARD_DEVIATION 4.16
163.4 centimeter (cm)
STANDARD_DEVIATION 3.94
164.7 centimeter (cm)
STANDARD_DEVIATION 5.27
166.0 centimeter (cm)
STANDARD_DEVIATION 5.57
164.1 centimeter (cm)
STANDARD_DEVIATION 4.57
Race and Ethnicity Not Collected0 Participants
Region of Enrollment
Japan
4 participants3 participants3 participants15 participants15 participants3 participants43 participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
4 Participants3 Participants3 Participants15 Participants15 Participants3 Participants43 Participants
Weight64.40 kilogram (kg)
STANDARD_DEVIATION 9.542
57.97 kilogram (kg)
STANDARD_DEVIATION 2.857
56.80 kilogram (kg)
STANDARD_DEVIATION 1.992
64.43 kilogram (kg)
STANDARD_DEVIATION 7.891
59.34 kilogram (kg)
STANDARD_DEVIATION 5.44
63.27 kilogram (kg)
STANDARD_DEVIATION 8.361
61.59 kilogram (kg)
STANDARD_DEVIATION 7.017

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 30 / 40 / 30 / 30 / 150 / 15
other
Total, other adverse events
3 / 32 / 43 / 32 / 315 / 1515 / 15
serious
Total, serious adverse events
0 / 30 / 40 / 30 / 33 / 153 / 15

Outcome results

Primary

Part A: Number of Participants Reporting One or More Treatment-emergent Adverse Event (TEAE)

Time frame: From treatment initiation until 40 days after last dose of study drug (Day 68)

Population: The safety analysis set included all participants who received at least 1 dose of study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Number of Participants Reporting One or More Treatment-emergent Adverse Event (TEAE)3 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Number of Participants Reporting One or More Treatment-emergent Adverse Event (TEAE)2 Participants
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Number of Participants Reporting One or More Treatment-emergent Adverse Event (TEAE)3 Participants
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Number of Participants Reporting One or More Treatment-emergent Adverse Event (TEAE)2 Participants
Primary

Part A: Number of Participants With Dose-limiting Toxicities (DLTs)

DLTs were defined as treatment-related adverse events (AEs) that occurred within the first 28 days of treatment as per common terminology criteria for adverse events (CTCAE) version 4.03: any grade 3 or higher toxicity; QT/Fridericia corrected QT (QTcF) greater than (\>) 500 millisecond (msec) after treatment initiation; QT/QTcF interval prolongation \>60 msec postdose.

Time frame: From treatment initiation until Day 28

Population: The DLT analysis set included all participants enrolled in cohort A that meeting the following; who had taken at least 80 percent (%) of the doses of TAK-385 (23 doses) during the DLT evaluation period and for whom the DLT evaluation period observations had been completed or who had experienced DLTs during the DLT evaluation period.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Number of Participants With Dose-limiting Toxicities (DLTs)0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Number of Participants With Dose-limiting Toxicities (DLTs)0 Participants
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Number of Participants With Dose-limiting Toxicities (DLTs)0 Participants
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Number of Participants With Dose-limiting Toxicities (DLTs)0 Participants
Primary

Part A: Number of Participants With Grade 2 or Higher Laboratory Test Abnormalities

Laboratory test abnormalities were graded using the CTCAE. The grades were: Grade 2- (moderate) minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activity of daily living (ADL); Grade 3- (severe) medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limited self-care ADL. Data has been presented for any Grade 2 or higher event in the laboratory test abnormalities.

Time frame: From treatment initiation until 40 days after last dose of study drug (Day 68)

Population: The safety analysis set included all participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: White Blood Cell Low1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Neutrophil Count Low0 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Lymphocyte Count Low1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Potassium Low0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Neutrophil Count Low0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Lymphocyte Count Low1 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Potassium Low0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: White Blood Cell Low0 Participants
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Lymphocyte Count Low0 Participants
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Neutrophil Count Low0 Participants
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Potassium Low1 Participants
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: White Blood Cell Low0 Participants
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Potassium Low0 Participants
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Neutrophil Count Low1 Participants
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: White Blood Cell Low1 Participants
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Lymphocyte Count Low0 Participants
Primary

Part A: Number of Participants With Markedly Abnormal Values of Electrocardiogram (ECG) Parameters

Time frame: From treatment initiation until 40 days after last dose of study drug (Day 68)

Population: The safety analysis set included all participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Number of Participants With Markedly Abnormal Values of Electrocardiogram (ECG) ParametersHeart Rate <50 bpm1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Number of Participants With Markedly Abnormal Values of Electrocardiogram (ECG) ParametersQT Interval >=460 millisecond (msec)1 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Number of Participants With Markedly Abnormal Values of Electrocardiogram (ECG) ParametersQT Interval >=460 millisecond (msec)2 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Number of Participants With Markedly Abnormal Values of Electrocardiogram (ECG) ParametersHeart Rate <50 bpm2 Participants
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Number of Participants With Markedly Abnormal Values of Electrocardiogram (ECG) ParametersHeart Rate <50 bpm0 Participants
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Number of Participants With Markedly Abnormal Values of Electrocardiogram (ECG) ParametersQT Interval >=460 millisecond (msec)0 Participants
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Number of Participants With Markedly Abnormal Values of Electrocardiogram (ECG) ParametersHeart Rate <50 bpm0 Participants
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Number of Participants With Markedly Abnormal Values of Electrocardiogram (ECG) ParametersQT Interval >=460 millisecond (msec)1 Participants
Primary

Part A: Number of Participants With Markedly Abnormal Values of Vital Signs Parameters

Time frame: From treatment initiation until 40 days after last dose of study drug (Day 68)

Population: The safety analysis set included all participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersBody Temperature <35.6 degree Celsius1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersSystolic BP >180 millimeter of Mercury (mmHg)1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersDiastolic BP <50 mmHg1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersPulse <50 beats per minute (bpm)1 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersSystolic BP >180 millimeter of Mercury (mmHg)0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersPulse <50 beats per minute (bpm)1 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersBody Temperature <35.6 degree Celsius1 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersDiastolic BP <50 mmHg0 Participants
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersDiastolic BP <50 mmHg0 Participants
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersPulse <50 beats per minute (bpm)0 Participants
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersBody Temperature <35.6 degree Celsius0 Participants
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersSystolic BP >180 millimeter of Mercury (mmHg)0 Participants
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersPulse <50 beats per minute (bpm)0 Participants
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersBody Temperature <35.6 degree Celsius0 Participants
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersSystolic BP >180 millimeter of Mercury (mmHg)0 Participants
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersDiastolic BP <50 mmHg0 Participants
Primary

Part B: Number of Participants Reporting One or More TEAE

Time frame: From treatment initiation until 40 days after last dose of study drug (Day 712)

Population: The safety analysis set included all participants who received at least 1 dose of study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants Reporting One or More TEAE15 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants Reporting One or More TEAE15 Participants
Primary

Part B: Number of Participants With Grade 2 or Higher Laboratory Test Abnormalities

Laboratory test abnormalities were graded using the CTCAE. The grades were: Grade 2- (moderate) minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental ADL; Grade 3- (severe) medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limited self-care ADL. Data has been presented for any Grade 2 or higher event in the laboratory test abnormalities. Here aspartate aminotransferase (AST) (glutamic-oxaloacetic transaminase \[GOT\]) High, creatine kinase (CK) (creatine phosphokinase \[CPK\]) High, prothrombin time (PT)-international normalized ratio (INR) High.

Time frame: From treatment initiation until 40 days after last dose of study drug (Day 712)

Population: The safety analysis set included all participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: White Blood Cell Low1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 3: White Blood Cell Low1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 3: Hemoglobin Low1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Neutrophil Count Low2 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Lymphocyte Count Low1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 3: Lymphocyte Count Low1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Glucose High2 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 3: Bilirubin Total High0 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: AST (GOT) High1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Gamma-glutamyl Transferase (GGT) High2 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: CK (CPK) High2 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Potassium Low1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Corrected Calcium Low1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: PT- INR High0 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Triglycerides High1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 3: Triglycerides High0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 3: Triglycerides High1 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: White Blood Cell Low3 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: AST (GOT) High0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 3: White Blood Cell Low0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Corrected Calcium Low0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 3: Hemoglobin Low0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Gamma-glutamyl Transferase (GGT) High0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Neutrophil Count Low2 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Triglycerides High1 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Lymphocyte Count Low1 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: CK (CPK) High1 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 3: Lymphocyte Count Low0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: PT- INR High1 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Glucose High2 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 2: Potassium Low1 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Grade 2 or Higher Laboratory Test AbnormalitiesGrade 3: Bilirubin Total High1 Participants
Primary

Part B: Number of Participants With Markedly Abnormal Values of ECG Parameters

Time frame: From treatment initiation until 40 days after last dose of study drug (Day 712)

Population: The safety analysis set included all participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Markedly Abnormal Values of ECG ParametersHeart Rate <50 bpm4 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Markedly Abnormal Values of ECG ParametersQT Interval >=460 msec5 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Markedly Abnormal Values of ECG ParametersQTcF Interval >=500 msec2 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Markedly Abnormal Values of ECG ParametersHeart Rate <50 bpm2 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Markedly Abnormal Values of ECG ParametersQT Interval >=460 msec4 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Markedly Abnormal Values of ECG ParametersQTcF Interval >=500 msec5 Participants
Primary

Part B: Number of Participants With Markedly Abnormal Values of Vital Signs Parameters

Here BP is blood pressure.

Time frame: From treatment initiation until 40 days after last dose of study drug (Day 712)

Population: The safety analysis set included all participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersSystolic BP >180 mmHg1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersDiastolic BP <50 mmHg0 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersDiastolic BP >110 mmHg1 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersPulse <50 bpm2 Participants
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersBody Temperature <35.6 degree Celsius7 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersPulse <50 bpm1 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersBody Temperature <35.6 degree Celsius4 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersSystolic BP >180 mmHg0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersDiastolic BP >110 mmHg0 Participants
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Number of Participants With Markedly Abnormal Values of Vital Signs ParametersDiastolic BP <50 mmHg1 Participants
Secondary

Part A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28

Time frame: Days 1, 14 and 28 pre-dose and at multiple time points (up to 12 hours for Days 1 and 14; up to 72 hours for Day 28) post-dose

Population: The PK evaluable population included participants who received at least 1 dose of study drug, without major protocol deviations, and met the minimum protocol prescription. The PK analysis population where data at specified time points was available.

ArmMeasureGroupValue (MEAN)Dispersion
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Day 1679.7 hour*nanogram per milliter (h*ng/mL)Standard Deviation 96.34
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Day 28239.0 hour*nanogram per milliter (h*ng/mL)Standard Deviation 75.02
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Day 14199.0 hour*nanogram per milliter (h*ng/mL)Standard Deviation 49.487
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Day 1933.0 hour*nanogram per milliter (h*ng/mL)Standard Deviation 604.3
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Day 28323.4 hour*nanogram per milliter (h*ng/mL)Standard Deviation 230.4
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Day 14363.8 hour*nanogram per milliter (h*ng/mL)Standard Deviation 291
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Day 14741.7 hour*nanogram per milliter (h*ng/mL)Standard Deviation 385.96
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Day 1761.7 hour*nanogram per milliter (h*ng/mL)Standard Deviation 249.78
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Day 28469.0 hour*nanogram per milliter (h*ng/mL)Standard Deviation 458.21
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Day 1663.3 hour*nanogram per milliter (h*ng/mL)Standard Deviation 501.85
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Day 28227.5 hour*nanogram per milliter (h*ng/mL)Standard Deviation 138.37
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to (Tau) Over the Dosing Interval for Unchanged TAK-385 on Day 1, 14 and 28Day 14379.0 hour*nanogram per milliter (h*ng/mL)Standard Deviation 199.65
Secondary

Part A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28

Time frame: Days 1, 14 and 28 pre-dose and at multiple time points (up to 12 hours for Days 1 and 14; up to 72 hours for Day 28) post-dose

Population: The pharmacokinetic (PK) evaluable population included participants who received at least 1 dose of study drug, without major protocol deviations, and met the minimum protocol prescription. The PK analysis population where data at specified time points was available.

ArmMeasureGroupValue (MEAN)Dispersion
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Day 1191.7 nanogram per milliliter (ng/mL)Standard Deviation 94.405
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Day 2838.10 nanogram per milliliter (ng/mL)Standard Deviation 21.743
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Day 1423.53 nanogram per milliliter (ng/mL)Standard Deviation 1.4189
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Day 1198.0 nanogram per milliliter (ng/mL)Standard Deviation 62.386
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Day 2834.43 nanogram per milliliter (ng/mL)Standard Deviation 24.962
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Day 1494.40 nanogram per milliliter (ng/mL)Standard Deviation 115.08
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Day 14216.1 nanogram per milliliter (ng/mL)Standard Deviation 151.78
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Day 1250.0 nanogram per milliliter (ng/mL)Standard Deviation 207.56
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Day 2894.70 nanogram per milliliter (ng/mL)Standard Deviation 114.98
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Day 1254.0 nanogram per milliliter (ng/mL)Standard Deviation 330.58
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Day 2825.56 nanogram per milliliter (ng/mL)Standard Deviation 16.275
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Cmax: Maximum Observed Plasma Concentration for Unchanged TAK-385 on Day 1, 14 and 28Day 1465.57 nanogram per milliliter (ng/mL)Standard Deviation 40.84
Secondary

Part A: Serum Testosterone Concentrations for TAK-385

Time frame: Up to Day 35

Population: The full analysis set included all participants who received at least 1 dose of study drug. The full analysis set where data at specified time points was available.

ArmMeasureGroupValue (MEAN)Dispersion
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Serum Testosterone Concentrations for TAK-385Day 280.137 ng/mLStandard Deviation 0.0577
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Serum Testosterone Concentrations for TAK-385Day 350.130 ng/mLStandard Deviation 0.0436
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Serum Testosterone Concentrations for TAK-385Day 30.350 ng/mLStandard Deviation 0.0917
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Serum Testosterone Concentrations for TAK-385Day 210.143 ng/mLStandard Deviation 0.0635
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Serum Testosterone Concentrations for TAK-385Day 20.603 ng/mLStandard Deviation 0.1457
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Serum Testosterone Concentrations for TAK-385Baseline5.440 ng/mLStandard Deviation 1.6829
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Serum Testosterone Concentrations for TAK-385Day 310.137 ng/mLStandard Deviation 0.0416
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Serum Testosterone Concentrations for TAK-385Day 140.140 ng/mLStandard Deviation 0.0173
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart A: Serum Testosterone Concentrations for TAK-385Day 70.283 ng/mLStandard Deviation 0.0764
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 140.213 ng/mLStandard Deviation 0.1102
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 280.200 ng/mLStandard Deviation 0.07
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 210.220 ng/mLStandard Deviation 0.1044
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 350.290 ng/mLStandard Deviation 0.2433
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 20.977 ng/mLStandard Deviation 0.5288
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Baseline6.505 ng/mLStandard Deviation 2.6175
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 30.460 ng/mLStandard Deviation 0.1852
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 70.380 ng/mLStandard Deviation 0.2177
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 310.217 ng/mLStandard Deviation 0.1002
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Serum Testosterone Concentrations for TAK-385Day 140.213 ng/mLStandard Deviation 0.1012
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Serum Testosterone Concentrations for TAK-385Baseline6.317 ng/mLStandard Deviation 1.7503
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Serum Testosterone Concentrations for TAK-385Day 70.377 ng/mLStandard Deviation 0.1332
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Serum Testosterone Concentrations for TAK-385Day 20.777 ng/mLStandard Deviation 0.2485
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Serum Testosterone Concentrations for TAK-385Day 30.483 ng/mLStandard Deviation 0.1762
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Serum Testosterone Concentrations for TAK-385Day 210.207 ng/mLStandard Deviation 0.0635
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Serum Testosterone Concentrations for TAK-385Day 280.190 ng/mLStandard Deviation 0.0693
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Serum Testosterone Concentrations for TAK-385Day 310.170 ng/mLStandard Deviation 0.0436
Part A Cohort 3: TAK-385 320 mg + TAK-385 160 mgPart A: Serum Testosterone Concentrations for TAK-385Day 350.153 ng/mLStandard Deviation 0.0321
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 280.243 ng/mLStandard Deviation 0.0802
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 70.337 ng/mLStandard Deviation 0.0416
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 30.623 ng/mLStandard Deviation 0.3232
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 350.167 ng/mLStandard Deviation 0.0473
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 310.210 ng/mLStandard Deviation 0.0854
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 21.477 ng/mLStandard Deviation 1.354
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 210.207 ng/mLStandard Deviation 0.0666
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Day 140.203 ng/mLStandard Deviation 0.0379
Part A Cohort 4: TAK-385 360 mg + TAK-385 120 mgPart A: Serum Testosterone Concentrations for TAK-385Baseline7.853 ng/mLStandard Deviation 1.1885
Secondary

Part B: Percent Change From Baseline in PSA Levels on Week 13 Day 1 Last Observation Carried Forward (LOCF)

Time frame: Baseline, and Week 13 Day 1 (LOCF; up to Week 13 Day 1)

Population: The full analysis set included all participants who received at least 1 dose of study drug. The full analysis set where data at specified time points was available.

ArmMeasureValue (MEAN)Dispersion
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Percent Change From Baseline in PSA Levels on Week 13 Day 1 Last Observation Carried Forward (LOCF)-89.77 percent changeStandard Deviation 13.886
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Percent Change From Baseline in PSA Levels on Week 13 Day 1 Last Observation Carried Forward (LOCF)-93.91 percent changeStandard Deviation 5.161
Secondary

Part B: Plasma Concentration of Unchanged TAK-385

Time frame: Up to Week 49 Day 1

Population: The PK evaluable population included participants who received at least 1 dose of study drug, without major protocol deviations, and met the minimum protocol prescription. The PK analysis population where data at specified time points was available.

ArmMeasureGroupValue (MEAN)Dispersion
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 5 Day 1: 2 hours postdose20.90 ng/mLStandard Deviation 19.603
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 9 Day 14.076 ng/mLStandard Deviation 2.1577
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 2 Day 13.972 ng/mLStandard Deviation 1.7426
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 13 Day 14.239 ng/mLStandard Deviation 2.2374
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 1 Day 1: 2 hours postdose72.89 ng/mLStandard Deviation 123.81
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 17 Day 14.759 ng/mLStandard Deviation 2.9601
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 3 Day 14.123 ng/mLStandard Deviation 2.2959
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 21 Day 14.254 ng/mLStandard Deviation 2.0265
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 1 Day 44.683 ng/mLStandard Deviation 2.7897
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 25 Day 15.592 ng/mLStandard Deviation 3.2911
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 5 Day 14.122 ng/mLStandard Deviation 1.8301
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 37 Day 14.924 ng/mLStandard Deviation 3.7682
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 1 Day 26.406 ng/mLStandard Deviation 6.0223
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 49 Day 14.683 ng/mLStandard Deviation 3.1686
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Plasma Concentration of Unchanged TAK-385Week 1 Day 10.000 ng/mLStandard Deviation 0
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 49 Day 110.08 ng/mLStandard Deviation 8.1482
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 1 Day 10.000 ng/mLStandard Deviation 0
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 1 Day 1: 2 hours postdose88.58 ng/mLStandard Deviation 124.65
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 1 Day 29.854 ng/mLStandard Deviation 7.4824
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 1 Day 47.565 ng/mLStandard Deviation 5.0412
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 2 Day 18.146 ng/mLStandard Deviation 5.337
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 3 Day 18.618 ng/mLStandard Deviation 6.8455
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 5 Day 19.105 ng/mLStandard Deviation 6.6634
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 5 Day 1: 2 hours postdose30.82 ng/mLStandard Deviation 35.77
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 9 Day 19.496 ng/mLStandard Deviation 6.6435
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 13 Day 19.820 ng/mLStandard Deviation 7.286
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 17 Day 19.269 ng/mLStandard Deviation 6.2961
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 21 Day 111.08 ng/mLStandard Deviation 10.873
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 25 Day 111.95 ng/mLStandard Deviation 11.792
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Plasma Concentration of Unchanged TAK-385Week 37 Day 111.32 ng/mLStandard Deviation 10.759
Secondary

Part B: Serum Testosterone Concentrations for TAK-385

Time frame: Up to Week 97 Day 1

Population: The full analysis set included all participants who received at least 1 dose of study drug. The full analysis set where data at specified time points was available.

ArmMeasureGroupValue (MEAN)Dispersion
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 1 Day 20.975 ng/mLStandard Deviation 0.5247
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 21 Day 10.222 ng/mLStandard Deviation 0.0844
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 5 Day 10.213 ng/mLStandard Deviation 0.0701
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 25 Day 10.218 ng/mLStandard Deviation 0.0816
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 2 Day 10.285 ng/mLStandard Deviation 0.0741
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 37 Day 10.229 ng/mLStandard Deviation 0.1046
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 9 Day 10.195 ng/mLStandard Deviation 0.0554
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 49 Day 10.228 ng/mLStandard Deviation 0.0922
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 1 Day 40.384 ng/mLStandard Deviation 0.0968
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 61 Day 10.204 ng/mLStandard Deviation 0.0823
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 13 Day 10.209 ng/mLStandard Deviation 0.0746
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 73 Day 10.218 ng/mLStandard Deviation 0.0974
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 3 Day 10.207 ng/mLStandard Deviation 0.058
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 85 Day 10.253 ng/mLStandard Deviation 0.0878
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 17 Day 10.217 ng/mLStandard Deviation 0.0757
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Week 97 Day 10.283 ng/mLStandard Deviation 0.1364
Part A Cohort 1: TAK-385 320 mg + TAK-385 80 mgPart B: Serum Testosterone Concentrations for TAK-385Baseline6.367 ng/mLStandard Deviation 1.993
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 97 Day 10.311 ng/mLStandard Deviation 0.1792
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Baseline7.243 ng/mLStandard Deviation 2.2424
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 1 Day 20.867 ng/mLStandard Deviation 0.5835
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 1 Day 40.463 ng/mLStandard Deviation 0.2313
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 2 Day 10.318 ng/mLStandard Deviation 0.1165
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 3 Day 10.235 ng/mLStandard Deviation 0.0925
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 5 Day 10.190 ng/mLStandard Deviation 0.067
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 9 Day 10.191 ng/mLStandard Deviation 0.0818
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 13 Day 10.181 ng/mLStandard Deviation 0.0631
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 17 Day 10.175 ng/mLStandard Deviation 0.0548
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 21 Day 10.179 ng/mLStandard Deviation 0.0794
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 25 Day 10.202 ng/mLStandard Deviation 0.1069
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 37 Day 10.208 ng/mLStandard Deviation 0.1177
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 49 Day 10.196 ng/mLStandard Deviation 0.0849
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 61 Day 10.212 ng/mLStandard Deviation 0.1111
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 73 Day 10.203 ng/mLStandard Deviation 0.1206
Part A Cohort 2: TAK-385 320 mg + TAK-385 120 mgPart B: Serum Testosterone Concentrations for TAK-385Week 85 Day 10.259 ng/mLStandard Deviation 0.1358

Source: ClinicalTrials.gov · Data processed: Feb 20, 2026