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TAK-648 Multiple-Rising Dose Study in Healthy Japanese Participants and Non-Japanese Participants With Type 2 Diabetes Mellitus

A Phase 1, Randomized, Double-Blind, Placebo-Controlled, Safety, Tolerability, and Pharmacokinetic Study of Escalating Multiple Oral TAK-648 Doses in Healthy Japanese Subjects and Subjects With Type 2 Diabetes Mellitus

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02430870
Enrollment
48
Registered
2015-04-30
Start date
2015-04-30
Completion date
2015-11-30
Last updated
2016-08-31

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

Conditions

Type 2 Diabetes Mellitus

Keywords

Drug therapy

Brief summary

This is a phase 1, randomized, double-blind, placebo-controlled, 2-center, multiple-dose study in healthy participants and participants with type 2 diabetes mellitus (T2DM). This study will evaluate the safety, tolerability and pharmacokinetics (PK) of TAK-648 when administered as multiple oral doses of TAK-648 solution at escalating dose levels in healthy participants of Japanese decent and participants with T2DM.

Detailed description

The drug being evaluated in this study is TAK-648 for the treatment of T2DM. This study will consist of 2 parts: (1) multiple ascending doses in participants with T2DM treated with a stable dose of metformin, (2) multiple ascending doses in healthy participants of Japanese descent. Part 1 of this study will consist of 2 multiple dose treatment cohorts (Cohorts 1-2 designated as P1C1 and P1C2) dosed sequentially in escalating order. The projected doses of TAK-648 for Part 1 are 0.15 and 0.35 mg of TAK-648, but may be adjusted higher or lower, and additional cohorts may be added, based on available safety and pharmacokinetic (PK) data. All cohorts in Part 1 will consist of 8 (2 placebo) T2DM participants. Part 2 of this study will consist of 3 multiple dose treatment cohorts (Cohorts 1-3 designated as P2C1, P2C2 and P2C3) in healthy participants of Japanese descent dosed sequentially in escalating order. The projected doses of TAK-648 chosen for Part 2 are 0.05, 0.15 and 0.35 mg of TAK-648, but may be adjusted higher or lower based on available safety and PK data. All cohorts in Part 2 will consist of 8 (2 placebo) healthy participants of Japanese descent. Additional cohorts may be recruited and studied as necessary to better evaluate safety, tolerability, PK, and/or PD parameters.

Interventions

TAK-648 solution

DRUGPlacebo

TAK-648 placebo-matching solution

Sponsors

Takeda
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

Part 1: 1. Is an adult male or female and has a historical diagnosis of type 2 diabetes mellitus (T2DM) disease. 2. Is aged 18 to 65 years, inclusive, at the time of informed consent and first study medication dose. 3. Weighs at least 55 kg and has a body mass index (BMI) ≥23.0 kg/m\^2 and ≤35.0 kg/m\^2 at Screening. 4. Has a systolic blood pressure \>90 and ≤150 mm Hg and a diastolic blood pressure of \>60 and ≤90 mm Hg at Screening and at Check-in (Day -2). If out of range, may be repeated once for eligibility determination within a maximum of5 minutes. 5. Has a calculated creatinine clearance \>60 mL/min at Screening and Check-in (Day -2). 6. Has been treated for inadequate glycemic control with a stable dose of metformin for the least 8 weeks prior to Screening. 7. Has a glycosylated hemoglobin (HbA1c) level between 6.5% and 10.0%, inclusive at Check-in (Day -2). 8. Has a fasting C-peptide concentration ≥0.8 ng/mL at Screening. 9. Has no medical history of type 1 diabetes mellitus (T1DM), hypoglycemia unawareness, diabetic ketoacidosis or hyperosmolar coma. Part 2: 1. Is a healthy adult male or female of Japanese descent (born to Japanese parents and grandparents) and have lived outside of Japan for less than 5 years, inclusive. 2. Is aged 20 to 55 years, inclusive, at the time of informed consent and first study medication dose. 3. Weighs at least 45 kg and has a BMI from 17.0 to 25.0 kg/m\^2, inclusive at Screening. 4. Has a systolic blood pressure \>90 and ≤150 mm Hg and a diastolic blood pressure of \>60 and ≤90 mm Hg at Screening and at Check-in (Day -2). If out of range, may be repeated once for eligibility determination within a maximum of 5 minutes. 5. Has a calculated creatinine clearance \>60 mL/min at Screening and Check-in (Day -2).

Exclusion criteria

Part 1: 1. Has Screening or Check-in (Day -2) laboratory values of serum creatinine ≥1.5 mg/dL for males or ≥1.4 mg/dL \[females\] or abnormal creatinine clearance. 2. Has a history of T1DM, hypoglycemia unawareness, diabetic ketoacidosis, or hyperosmolar coma. 3. Has a history of any clinically significant retinopathy, which is defined as more than moderate nonproliferative diabetic retinopathy or any stage of proliferative diabetic retinopathy or any history of laser-treated retinopathy. 4. Has received any antihyperglycemic medication with the exception of metformin within the previous 12 weeks of Check-in (Day -2) or the subject has changed the dose of metformin within the previous 8 weeks of Screening. 5. Is expecting to receive, receiving or has received systemic glucocorticoid therapy for a duration longer than 5 days within the previous 12 weeks of Check-in (Day -2). Parts 1 and 2: 1. Has received any investigational compound within 30 days prior to the first dose of study medication. 2. Has received TAK-648 in a previous clinical study or as a therapeutic agent. 3. Has any significant medical histories or currently uncontrolled clinical conditions, which may not be safe for participants to participate in the study, may impact the ability of the participant to participate in the study, or may potentially confound the study results. The concerned significant medical histories and uncontrolled clinical conditions include (may not be limited to) cardiovascular (such as ischemic heart disease, heart failure, cardiomyopathy, clinically significant arrhythmia, uncontrolled or unstable blood pressure), central nervous system, hepatic or hematopoietic disease(s), renal dysfunction, metabolic or endocrine dysfunction, pulmonary diseases including serious allergy and asthma hypoxemia, seizures, or allergic skin rash. 4. Has a history of significant GI disorders manifested with persistent, chronic or intermittent nausea, vomiting or diarrhea, or has a current or recent (within 6 months) GI disease that would influence the absorption of drugs (eg, a history or malabsorption, severe esophageal reflux, peptic ulcer disease or erosive esophagitis with frequent \[more than once per week\] occurrence of heartburn). 5. Has diagnosis of major depression, bipolar disorder or anxiety disorders, or has a risk of anxiety, depression, or insomnia according to the investigator's clinical judgment per HAM-D17 at Screening or has received any medication to treat any psychological disorders within 1 year. 6. Has a risk of suicide according to the investigator's clinical judgment per C-SSRS at Screening or has made a suicide attempt in the past 6 months prior to Screening. 7. Has a known hypersensitivity to any component of the formulation ofTAK-648, or to a PDE4 inhibitor (eg, roflumilast) or Listerine strips. 8. Has a positive urine drug result for drugs of abuse at Screening or Check-in (Day -2). 9. Has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse within 1 year prior to the Screening visit or is unwilling to agree to abstain from alcohol and drugs throughout the study. 10. Has taken any excluded medication, supplements, or food products. 11. If female, is pregnant or lactating or intending to become pregnant before, during, or within 12 weeks after participating in this study; or intending to donate ova during such time period. 12. If male, intends to donate sperm during the course of this study or for 12 weeks thereafter. 13. Has a history of cancer, except basal cell carcinoma that has been in remission for at least 5 years prior to Day 1. 14. Has a positive test result for HBsAg, anti-HCV, at Screening or a known history of human immunodeficiency virus infection. 15. Has used nicotine-containing products (including but not limited to cigarettes, pipes, cigars, chewing tobacco, nicotine patch or nicotine gum) within 6 weeks prior to Check-in (Day -2). Cotinine test is positive at Screening or Check-in (Day -2). 16. Has poor peripheral venous access. 17. Has donated or lost 450 mL or more of his or her blood volume (including plasmapheresis), or had a transfusion of any blood product within 30 days prior to Day 1. 18. Has a Screening or Check-in (Day -2) abnormal (clinically significant) ECG, including but not limited to those with evidence of prolonged QT/QTc interval at Baseline (eg, QTc interval \>450 milliseconds) or those at risk for QT prolongation (eg with a family history of long QT syndrome). Entry of any subject with an abnormal (not clinically significant) ECG must be approved, and documented by signature by the principal investigator or medically qualified subinvestigator. 19. Has abnormal Screening or Check-in (Day -2) laboratory values that suggest a clinically significant underlying disease or participant with the following laboratory abnormalities: ALT and/or AST \>2.5×ULN.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants Who Have at Least 1 Treatment-Emergent Adverse Event (TEAE) for Part 1Up to Day 34An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.
Percentage of Participants Who Have at Least 1 Treatment-Emergent Adverse Event (TEAE) for Part 2Up to Day 26An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.
Percentage of Participants With Markedly Abnormal Laboratory Values at Least Once Post-dose During Dosing for Part 1Up to Day 20
Percentage of Participants With Markedly Abnormal Laboratory Values at Least Once Post-dose During Dosing for Part 2Up to Day 13
Percentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 1Up to Day 20Vital signs included body temperature (oral), sitting blood pressure (after 5 minutes resting), respiration rate and pulse (bpm).
Percentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 2Up to Day 13Vital signs included body temperature (oral), sitting blood pressure (after 5 minutes resting), respiration rate and pulse (bpm),
Percentage of Participants Who Have Severe Hypoglycemia at Least Once Post-dose During Dosing For Part 1Up to Day 20Severe hypoglycemia was defined as an event requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions.
Percentage of Participants Who Have Severe Hypoglycemia at Least Once Post-dose During Dosing For Part 2Up to Day 13Severe hypoglycemia was defined as an event requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions.

Secondary

MeasureTime frame
AUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 1Days 1 and 17 pre-dose and multiple time-points post-dose (Up to 72 hours)
Cmax: Maximum Plasma Concentration for TAK-648 for Part 1Days 1 and 17 pre-dose and multiple time-points post-dose (Up to 72 hours)
AUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 2Days 1 and 10 pre-dose and multiple time-points post-dose (Up to 72 hours)
Cmax: Maximum Plasma Concentration for TAK-648 for Part 2Days 1 and 10 pre-dose and multiple time-points post-dose (Up to 72 hours)
Tmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 1Days 1 and 17 pre-dose and multiple time-points post-dose (Up to 72 hours)
Tmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 2Days 1 and 10 pre-dose and multiple time-points post-dose (Up to 72 hours)
AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 1Days 1 and 17 pre-dose and multiple time-points post-dose (Up to 72 hours)
AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 2Days 1 and 10 pre-dose and multiple time-points post-dose (Up to 72 hours)
AUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 1Days 1 and 17 pre-dose and multiple time-points post-dose (Up to 72 hours)
AUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 2Days 1 and 10 pre-dose and multiple time-points post-dose (Up to 72 hours)

Countries

United States

Participant flow

Recruitment details

Participants took part in the study at 2 investigative sites in the United States from 02 April 2015 to 04 November 2015.

Pre-assignment details

Participants with a diagnosis of Type 2 Diabetes Mellitus (T2DM) were enrolled in 1 of 3 treatment groups: placebo, 0.35 mg or 0.80 mg TAK-648 in Part 1. Healthy Japanese volunteers were enrolled in 1 of 5 treatment groups: placebo, 0.05 mg, 0.15 mg, 0.35 mg or 0.80 mg TAK-648 in Part 2.

Participants by arm

ArmCount
Part 1 Cohort 1: TAK-648 0.35 mg
Participants with T2DM in study Part 1, Cohort 1 received TAK-648 0.35 mg, solution, orally, single dose on Day 1, no drug administration on Days 2 to 3, followed by once daily (QD) doses starting on Day 4 and continuing through Day 17 (14 days).
6
Part 1 Cohort 2: TAK-648 0.80 mg
Participants with T2DM in study Part 1, Cohort 2 received TAK-648 0.80 mg, solution, orally, single dose on Day 1, no drug administration on Days 2 to 3, followed by once daily (QD) doses starting on Day 4 and continuing through Day 17 (14 days).
6
Part 1: Placebo Cohort 1-2
Participants with T2DM in study Part 1 received placebo-matching TAK-648, solution, orally, single dose on Day 1, no drug administration on Days 2 to 3, followed by once daily (QD) doses starting on Day 4 and continuing through Day 17 (14 days).
4
Part 2 Cohort 1: TAK-648 0.05 mg
Healthy participants of Japanese descent in study Part 2, Cohort 1 received TAK-648 0.05 mg, solution , orally, single dose on Day 1, no drug administration on Days 2 to 3, followed by multiple QD doses starting on Day 4 and continuing through Day 10 (7 days).
6
Part 2 Cohort 2: TAK-648 0.15 mg
Healthy participants of Japanese descent in study Part 2, Cohort 2 received TAK-648 0.15 mg, solution, orally, single dose on Day 1, no drug administration on Days 2 to 3, followed by multiple QD doses starting on Day 4 and continuing through Day 10 (7 days).
6
Part 2 Cohort 3: TAK-648 0.35 mg
Healthy participants of Japanese descent in study Part 2, Cohort 3 received TAK-648 0.35 mg, solution, orally, single dose on Day 1, no drug administration on Days 2 to 3, followed by multiple QD doses starting on Day 4 and continuing through Day 10 (7 days).
6
Part 2 Cohort 4: TAK-648 0.80 mg
Healthy participants of Japanese descent in study Part 2, Cohort 4 received TAK-648 0.80 mg, solution, orally, single dose on Day 1, no drug administration on Days 2 to 3, followed by multiple QD doses starting on Day 4 and continuing through Day 10 (7 days).
6
Part 2: Placebo Cohort 1-4
Healthy participants of Japanese descent in study Part 2, received TAK-648 placebo-matching solution, orally, single dose on Day 1, no drug administration on Days 2 to 3, followed by multiple QD doses starting on Day 4 and continuing through Day 10 (7 days).
8
Total48

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Part 2Other Reason Not Specified00000001
Part 2Voluntary Withdrawal00000010

Baseline characteristics

CharacteristicPart 1 Cohort 1: TAK-648 0.35 mgPart 1 Cohort 2: TAK-648 0.80 mgPart 1: Placebo Cohort 1-2Part 2 Cohort 1: TAK-648 0.05 mgPart 2 Cohort 2: TAK-648 0.15 mgPart 2 Cohort 3: TAK-648 0.35 mgPart 2 Cohort 4: TAK-648 0.80 mgPart 2: Placebo Cohort 1-4Total
Age, ContinuousNA yearsNA yearsNA years37.3 years
STANDARD_DEVIATION 9.63
36.0 years
STANDARD_DEVIATION 10.45
32.2 years
STANDARD_DEVIATION 12.48
33.0 years
STANDARD_DEVIATION 4.1
35.3 years
STANDARD_DEVIATION 9.82
34.8 years
STANDARD_DEVIATION 9.26
Body Mass Index (BMI)31.12 kg/m^2
STANDARD_DEVIATION 2.176
29.12 kg/m^2
STANDARD_DEVIATION 4.599
30.00 kg/m^2
STANDARD_DEVIATION 4.146
NA kg/m^2NA kg/m^2NA kg/m^2NA kg/m^2NA kg/m^222.16 kg/m^2
STANDARD_DEVIATION 2.072
Duration of Type 2 Diabetes Mellitus (T2DM)12.7 years
STANDARD_DEVIATION 5.68
9.3 years
STANDARD_DEVIATION 5.16
9.0 years
STANDARD_DEVIATION 3.37
NA yearsNA yearsNA yearsNA yearsNA years10.5 years
STANDARD_DEVIATION 4.99
HeightNA cmNA cmNA cm172.7 cm
STANDARD_DEVIATION 5.32
169.0 cm
STANDARD_DEVIATION 13.02
164.5 cm
STANDARD_DEVIATION 6.57
166.3 cm
STANDARD_DEVIATION 8.19
164.9 cm
STANDARD_DEVIATION 8.43
165.6 cm
STANDARD_DEVIATION 9.75
Metformin Dose1425.0 mg
STANDARD_DEVIATION 534.56
1400.0 mg
STANDARD_DEVIATION 709.93
1812.5 mg
STANDARD_DEVIATION 645.98
NA mgNA mgNA mgNA mgNA mg1512.5 mg
STANDARD_DEVIATION 615.49
Race/Ethnicity, Customized
Asian
NA participants
534.56
NA participants
709.93
NA participants
645.98
6 participants6 participants6 participants6 participants8 participantsNA participants
Race/Ethnicity, Customized
Hispanic or Latino
6 participants
4.09
5 participants
9.95
4 participants
8.7
NA participantsNA participantsNA participantsNA participantsNA participantsNA participants
Race/Ethnicity, Customized
Non-Hispanic and Latino
0 participants1 participants0 participantsNA participantsNA participantsNA participantsNA participantsNA participantsNA participants
Race/Ethnicity, Customized
White
6 participants
2.176
6 participants
4.599
4 participants
4.146
NA participantsNA participantsNA participantsNA participantsNA participantsNA participants
Region of Enrollment
United States
NA participantsNA participantsNA participants6 participants
9.63
6 participants
10.45
6 participants
12.48
6 participants
4.1
8 participants
9.82
NA participants
Sex: Female, Male
Female
NA ParticipantsNA ParticipantsNA Participants1 Participants3 Participants3 Participants3 Participants5 ParticipantsNA Participants
Sex: Female, Male
Male
6 Participants3 Participants0 ParticipantsNA ParticipantsNA ParticipantsNA ParticipantsNA ParticipantsNA ParticipantsNA Participants
Weight91.45 kg
STANDARD_DEVIATION 5.082
81.22 kg
STANDARD_DEVIATION 17.359
73.38 kg
STANDARD_DEVIATION 17.068
NA kgNA kgNA kgNA kgNA kg83.09 kg
STANDARD_DEVIATION 14.895

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
EG006
affected / at risk
EG007
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
5 / 62 / 64 / 46 / 62 / 64 / 65 / 63 / 8
serious
Total, serious adverse events
0 / 60 / 60 / 40 / 60 / 60 / 60 / 60 / 8

Outcome results

Primary

Percentage of Participants Who Have at Least 1 Treatment-Emergent Adverse Event (TEAE) for Part 1

An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.

Time frame: Up to Day 34

Population: Safety Analysis Set included of all participants who were enrolled and received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
Part 1 Cohort 1: TAK-648 0.35 mgPercentage of Participants Who Have at Least 1 Treatment-Emergent Adverse Event (TEAE) for Part 183.3 percentage of participants
Part 1 Cohort 2: TAK-648 0.80 mgPercentage of Participants Who Have at Least 1 Treatment-Emergent Adverse Event (TEAE) for Part 133.3 percentage of participants
Part 1: Placebo Cohort 1-2Percentage of Participants Who Have at Least 1 Treatment-Emergent Adverse Event (TEAE) for Part 1100.0 percentage of participants
Primary

Percentage of Participants Who Have at Least 1 Treatment-Emergent Adverse Event (TEAE) for Part 2

An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A treatment-emergent adverse event (TEAE) is defined as an adverse event with an onset that occurs after receiving study drug.

Time frame: Up to Day 26

Population: Safety Analysis Set included of all participants who were enrolled and received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
Part 1 Cohort 1: TAK-648 0.35 mgPercentage of Participants Who Have at Least 1 Treatment-Emergent Adverse Event (TEAE) for Part 2100.0 percentage of participants
Part 1 Cohort 2: TAK-648 0.80 mgPercentage of Participants Who Have at Least 1 Treatment-Emergent Adverse Event (TEAE) for Part 233.3 percentage of participants
Part 1: Placebo Cohort 1-2Percentage of Participants Who Have at Least 1 Treatment-Emergent Adverse Event (TEAE) for Part 266.7 percentage of participants
Part 2 Cohort 4: TAK-648 0.80 mgPercentage of Participants Who Have at Least 1 Treatment-Emergent Adverse Event (TEAE) for Part 283.3 percentage of participants
Part 2: Placebo Cohort 1-4Percentage of Participants Who Have at Least 1 Treatment-Emergent Adverse Event (TEAE) for Part 237.5 percentage of participants
Primary

Percentage of Participants Who Have Severe Hypoglycemia at Least Once Post-dose During Dosing For Part 1

Severe hypoglycemia was defined as an event requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions.

Time frame: Up to Day 20

Population: Safety Analysis Set included of all participants who were enrolled and received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
Part 1 Cohort 1: TAK-648 0.35 mgPercentage of Participants Who Have Severe Hypoglycemia at Least Once Post-dose During Dosing For Part 10 percentage of participants
Part 1 Cohort 2: TAK-648 0.80 mgPercentage of Participants Who Have Severe Hypoglycemia at Least Once Post-dose During Dosing For Part 10 percentage of participants
Part 1: Placebo Cohort 1-2Percentage of Participants Who Have Severe Hypoglycemia at Least Once Post-dose During Dosing For Part 10 percentage of participants
Primary

Percentage of Participants Who Have Severe Hypoglycemia at Least Once Post-dose During Dosing For Part 2

Severe hypoglycemia was defined as an event requiring assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions.

Time frame: Up to Day 13

Population: Safety Analysis Set included of all participants who were enrolled and received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
Part 1 Cohort 1: TAK-648 0.35 mgPercentage of Participants Who Have Severe Hypoglycemia at Least Once Post-dose During Dosing For Part 20 percentage of participants
Part 1 Cohort 2: TAK-648 0.80 mgPercentage of Participants Who Have Severe Hypoglycemia at Least Once Post-dose During Dosing For Part 20 percentage of participants
Part 1: Placebo Cohort 1-2Percentage of Participants Who Have Severe Hypoglycemia at Least Once Post-dose During Dosing For Part 20 percentage of participants
Part 2 Cohort 4: TAK-648 0.80 mgPercentage of Participants Who Have Severe Hypoglycemia at Least Once Post-dose During Dosing For Part 20 percentage of participants
Part 2: Placebo Cohort 1-4Percentage of Participants Who Have Severe Hypoglycemia at Least Once Post-dose During Dosing For Part 20 percentage of participants
Primary

Percentage of Participants With Markedly Abnormal Laboratory Values at Least Once Post-dose During Dosing for Part 1

Time frame: Up to Day 20

Population: Safety Analysis Set included of all participants who were enrolled and received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
Part 1 Cohort 1: TAK-648 0.35 mgPercentage of Participants With Markedly Abnormal Laboratory Values at Least Once Post-dose During Dosing for Part 10 percentage of participants
Part 1 Cohort 2: TAK-648 0.80 mgPercentage of Participants With Markedly Abnormal Laboratory Values at Least Once Post-dose During Dosing for Part 10 percentage of participants
Part 1: Placebo Cohort 1-2Percentage of Participants With Markedly Abnormal Laboratory Values at Least Once Post-dose During Dosing for Part 10 percentage of participants
Primary

Percentage of Participants With Markedly Abnormal Laboratory Values at Least Once Post-dose During Dosing for Part 2

Time frame: Up to Day 13

Population: Safety Analysis Set included of all participants who were enrolled and received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
Part 1 Cohort 1: TAK-648 0.35 mgPercentage of Participants With Markedly Abnormal Laboratory Values at Least Once Post-dose During Dosing for Part 20 percentage of participants
Part 1 Cohort 2: TAK-648 0.80 mgPercentage of Participants With Markedly Abnormal Laboratory Values at Least Once Post-dose During Dosing for Part 20 percentage of participants
Part 1: Placebo Cohort 1-2Percentage of Participants With Markedly Abnormal Laboratory Values at Least Once Post-dose During Dosing for Part 20 percentage of participants
Part 2 Cohort 4: TAK-648 0.80 mgPercentage of Participants With Markedly Abnormal Laboratory Values at Least Once Post-dose During Dosing for Part 20 percentage of participants
Part 2: Placebo Cohort 1-4Percentage of Participants With Markedly Abnormal Laboratory Values at Least Once Post-dose During Dosing for Part 20 percentage of participants
Primary

Percentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 1

Vital signs included body temperature (oral), sitting blood pressure (after 5 minutes resting), respiration rate and pulse (bpm).

Time frame: Up to Day 20

Population: Safety Analysis Set included of all participants who were enrolled and received at least 1 dose of study drug.

ArmMeasureGroupValue (NUMBER)
Part 1 Cohort 1: TAK-648 0.35 mgPercentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 1< Lower Criteria0 percentage of participants
Part 1 Cohort 1: TAK-648 0.35 mgPercentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 1> Upper Criteria16.7 percentage of participants
Part 1 Cohort 2: TAK-648 0.80 mgPercentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 1< Lower Criteria16.7 percentage of participants
Part 1 Cohort 2: TAK-648 0.80 mgPercentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 1> Upper Criteria0 percentage of participants
Part 1: Placebo Cohort 1-2Percentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 1< Lower Criteria50.0 percentage of participants
Part 1: Placebo Cohort 1-2Percentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 1> Upper Criteria0 percentage of participants
Primary

Percentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 2

Vital signs included body temperature (oral), sitting blood pressure (after 5 minutes resting), respiration rate and pulse (bpm),

Time frame: Up to Day 13

Population: Safety Analysis Set included of all participants who were enrolled and received at least 1 dose of study drug.

ArmMeasureGroupValue (NUMBER)
Part 1 Cohort 1: TAK-648 0.35 mgPercentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 2< Lower Criteria50.0 percentage of participants
Part 1 Cohort 1: TAK-648 0.35 mgPercentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 2> Upper Criteria0 percentage of participants
Part 1 Cohort 2: TAK-648 0.80 mgPercentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 2< Lower Criteria50.0 percentage of participants
Part 1 Cohort 2: TAK-648 0.80 mgPercentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 2> Upper Criteria16.7 percentage of participants
Part 1: Placebo Cohort 1-2Percentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 2< Lower Criteria33.3 percentage of participants
Part 1: Placebo Cohort 1-2Percentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 2> Upper Criteria0 percentage of participants
Part 2 Cohort 4: TAK-648 0.80 mgPercentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 2> Upper Criteria0 percentage of participants
Part 2 Cohort 4: TAK-648 0.80 mgPercentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 2< Lower Criteria33.3 percentage of participants
Part 2: Placebo Cohort 1-4Percentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 2< Lower Criteria37.5 percentage of participants
Part 2: Placebo Cohort 1-4Percentage of Participants With Markedly Abnormal Vital Sign Values at Least Once Post-dose During Dosing for Part 2> Upper Criteria0 percentage of participants
Secondary

AUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 1

Time frame: Days 1 and 17 pre-dose and multiple time-points post-dose (Up to 72 hours)

Population: The PK Set included all participants in the safety set with at least 1 measurable plasma concentration.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1 Cohort 1: TAK-648 0.35 mgAUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 1Day 131.973 ng*hr/mLStandard Deviation 10.3893
Part 1 Cohort 1: TAK-648 0.35 mgAUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 1Day 1746.827 ng*hr/mLStandard Deviation 21.8685
Part 1 Cohort 2: TAK-648 0.80 mgAUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 1Day 189.043 ng*hr/mLStandard Deviation 29.063
Part 1 Cohort 2: TAK-648 0.80 mgAUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 1Day 17110.882 ng*hr/mLStandard Deviation 41.8979
Secondary

AUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 2

Time frame: Days 1 and 10 pre-dose and multiple time-points post-dose (Up to 72 hours)

Population: The PK Set included all participants in the safety set with at least 1 measurable plasma concentration.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1 Cohort 1: TAK-648 0.35 mgAUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 2Day 15.147 ng*hr/mLStandard Deviation 1.3861
Part 1 Cohort 1: TAK-648 0.35 mgAUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 2Day 105.538 ng*hr/mLStandard Deviation 1.5656
Part 1 Cohort 2: TAK-648 0.80 mgAUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 2Day 1019.922 ng*hr/mLStandard Deviation 3.8508
Part 1 Cohort 2: TAK-648 0.80 mgAUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 2Day 115.078 ng*hr/mLStandard Deviation 3.0768
Part 1: Placebo Cohort 1-2AUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 2Day 139.160 ng*hr/mLStandard Deviation 12.8099
Part 1: Placebo Cohort 1-2AUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 2Day 1039.103 ng*hr/mLStandard Deviation 14.5245
Part 2 Cohort 4: TAK-648 0.80 mgAUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 2Day 164.694 ng*hr/mLStandard Deviation 20.2316
Part 2 Cohort 4: TAK-648 0.80 mgAUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for TAK-648 for Part 2Day 1077.369 ng*hr/mLStandard Deviation 36.7414
Secondary

AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 1

Time frame: Days 1 and 17 pre-dose and multiple time-points post-dose (Up to 72 hours)

Population: The PK Set included all participants in the safety set with at least 1 measurable plasma concentration.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1 Cohort 1: TAK-648 0.35 mgAUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 1Day 131.676 ng*hr/mLStandard Deviation 10.2111
Part 1 Cohort 1: TAK-648 0.35 mgAUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 1Day 1743.908 ng*hr/mLStandard Deviation 18.4433
Part 1 Cohort 2: TAK-648 0.80 mgAUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 1Day 188.168 ng*hr/mLStandard Deviation 28.2484
Part 1 Cohort 2: TAK-648 0.80 mgAUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 1Day 17107.492 ng*hr/mLStandard Deviation 39.621
Secondary

AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 2

Time frame: Days 1 and 10 pre-dose and multiple time-points post-dose (Up to 72 hours)

Population: The PK Set included all participants in the safety set with at least 1 measurable plasma concentration.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1 Cohort 1: TAK-648 0.35 mgAUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 2Day 15.018 ng*hr/mLStandard Deviation 1.3681
Part 1 Cohort 1: TAK-648 0.35 mgAUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 2Day 105.355 ng*hr/mLStandard Deviation 1.5083
Part 1 Cohort 2: TAK-648 0.80 mgAUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 2Day 1019.274 ng*hr/mLStandard Deviation 3.5884
Part 1 Cohort 2: TAK-648 0.80 mgAUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 2Day 114.861 ng*hr/mLStandard Deviation 3.0267
Part 1: Placebo Cohort 1-2AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 2Day 138.878 ng*hr/mLStandard Deviation 12.7876
Part 1: Placebo Cohort 1-2AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 2Day 1038.123 ng*hr/mLStandard Deviation 14.0762
Part 2 Cohort 4: TAK-648 0.80 mgAUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 2Day 163.376 ng*hr/mLStandard Deviation 19.613
Part 2 Cohort 4: TAK-648 0.80 mgAUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for TAK-648 for Part 2Day 1075.183 ng*hr/mLStandard Deviation 35.8763
Secondary

AUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 1

Time frame: Days 1 and 17 pre-dose and multiple time-points post-dose (Up to 72 hours)

Population: The PK Set included all participants in the safety set with at least 1 measurable plasma concentration.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1 Cohort 1: TAK-648 0.35 mgAUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 1Day 130.209 ng*hr/mLStandard Deviation 9.0944
Part 1 Cohort 1: TAK-648 0.35 mgAUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 1Day 1739.283 ng*hr/mLStandard Deviation 15.7882
Part 1 Cohort 2: TAK-648 0.80 mgAUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 1Day 182.148 ng*hr/mLStandard Deviation 21.9186
Part 1 Cohort 2: TAK-648 0.80 mgAUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 1Day 1795.028 ng*hr/mLStandard Deviation 28.9547
Secondary

AUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 2

Time frame: Days 1 and 10 pre-dose and multiple time-points post-dose (Up to 72 hours)

Population: The PK Set included all participants in the safety set with at least 1 measurable plasma concentration.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1 Cohort 1: TAK-648 0.35 mgAUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 2Day 14.833 ng*hr/mLStandard Deviation 1.2018
Part 1 Cohort 1: TAK-648 0.35 mgAUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 2Day 105.036 ng*hr/mLStandard Deviation 1.3032
Part 1 Cohort 2: TAK-648 0.80 mgAUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 2Day 1017.215 ng*hr/mLStandard Deviation 2.8909
Part 1 Cohort 2: TAK-648 0.80 mgAUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 2Day 113.902 ng*hr/mLStandard Deviation 2.5432
Part 1: Placebo Cohort 1-2AUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 2Day 136.570 ng*hr/mLStandard Deviation 11.8662
Part 1: Placebo Cohort 1-2AUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 2Day 1034.661 ng*hr/mLStandard Deviation 13.0489
Part 2 Cohort 4: TAK-648 0.80 mgAUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 2Day 159.507 ng*hr/mLStandard Deviation 18.5291
Part 2 Cohort 4: TAK-648 0.80 mgAUCtau: Area Under the Plasma Concentration-time Curve From Time 0 Over the Dosing Interval for TAK-648 for Part 2Day 1067.785 ng*hr/mLStandard Deviation 28.2776
Secondary

Cmax: Maximum Plasma Concentration for TAK-648 for Part 1

Time frame: Days 1 and 17 pre-dose and multiple time-points post-dose (Up to 72 hours)

Population: The Pharmacokinetic (PK) Set included all participants in the safety set with at least 1 measurable plasma concentration.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1 Cohort 1: TAK-648 0.35 mgCmax: Maximum Plasma Concentration for TAK-648 for Part 1Day 16.342 ng/mLStandard Deviation 1.3552
Part 1 Cohort 1: TAK-648 0.35 mgCmax: Maximum Plasma Concentration for TAK-648 for Part 1Day 177.950 ng/mLStandard Deviation 2.3885
Part 1 Cohort 2: TAK-648 0.80 mgCmax: Maximum Plasma Concentration for TAK-648 for Part 1Day 116.150 ng/mLStandard Deviation 3.2073
Part 1 Cohort 2: TAK-648 0.80 mgCmax: Maximum Plasma Concentration for TAK-648 for Part 1Day 1716.283 ng/mLStandard Deviation 4.6521
Secondary

Cmax: Maximum Plasma Concentration for TAK-648 for Part 2

Time frame: Days 1 and 10 pre-dose and multiple time-points post-dose (Up to 72 hours)

Population: The PK Set included all participants in the safety set with at least 1 measurable plasma concentration.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1 Cohort 1: TAK-648 0.35 mgCmax: Maximum Plasma Concentration for TAK-648 for Part 2Day 10.764 mg/mLStandard Deviation 0.2436
Part 1 Cohort 1: TAK-648 0.35 mgCmax: Maximum Plasma Concentration for TAK-648 for Part 2Day 100.670 mg/mLStandard Deviation 0.2054
Part 1 Cohort 2: TAK-648 0.80 mgCmax: Maximum Plasma Concentration for TAK-648 for Part 2Day 102.355 mg/mLStandard Deviation 0.1499
Part 1 Cohort 2: TAK-648 0.80 mgCmax: Maximum Plasma Concentration for TAK-648 for Part 2Day 11.955 mg/mLStandard Deviation 0.3455
Part 1: Placebo Cohort 1-2Cmax: Maximum Plasma Concentration for TAK-648 for Part 2Day 15.925 mg/mLStandard Deviation 1.9491
Part 1: Placebo Cohort 1-2Cmax: Maximum Plasma Concentration for TAK-648 for Part 2Day 106.430 mg/mLStandard Deviation 2.5774
Part 2 Cohort 4: TAK-648 0.80 mgCmax: Maximum Plasma Concentration for TAK-648 for Part 2Day 110.080 mg/mLStandard Deviation 5.2665
Part 2 Cohort 4: TAK-648 0.80 mgCmax: Maximum Plasma Concentration for TAK-648 for Part 2Day 109.612 mg/mLStandard Deviation 3.5611
Secondary

Tmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 1

Time frame: Days 1 and 17 pre-dose and multiple time-points post-dose (Up to 72 hours)

Population: The PK Set included all participants in the safety set with at least 1 measurable plasma concentration.

ArmMeasureGroupValue (MEDIAN)
Part 1 Cohort 1: TAK-648 0.35 mgTmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 1Day 10.500 hours (hr)
Part 1 Cohort 1: TAK-648 0.35 mgTmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 1Day 170.500 hours (hr)
Part 1 Cohort 2: TAK-648 0.80 mgTmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 1Day 11.000 hours (hr)
Part 1 Cohort 2: TAK-648 0.80 mgTmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 1Day 170.710 hours (hr)
Secondary

Tmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 2

Time frame: Days 1 and 10 pre-dose and multiple time-points post-dose (Up to 72 hours)

Population: The PK Set included all participants in the safety set with at least 1 measurable plasma concentration.

ArmMeasureGroupValue (MEDIAN)
Part 1 Cohort 1: TAK-648 0.35 mgTmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 2Day 11.000 hr
Part 1 Cohort 1: TAK-648 0.35 mgTmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 2Day 101.500 hr
Part 1 Cohort 2: TAK-648 0.80 mgTmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 2Day 100.750 hr
Part 1 Cohort 2: TAK-648 0.80 mgTmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 2Day 11.000 hr
Part 1: Placebo Cohort 1-2Tmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 2Day 11.000 hr
Part 1: Placebo Cohort 1-2Tmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 2Day 101.000 hr
Part 2 Cohort 4: TAK-648 0.80 mgTmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 2Day 11.000 hr
Part 2 Cohort 4: TAK-648 0.80 mgTmax: Time to Reach Maximum Plasma Concentration (Tmax) for TAK-648 for Part 2Day 101.000 hr

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026