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A Single- and Multiple-Dose Study of the Pharmacokinetics of TAK-491 in Healthy Chinese Participants

A Randomized, Open-Label and Double-Blind, Placebo-Controlled, Single- and Multiple-Dose, Phase 1 Study of the Pharmacokinetics of TAK-491 40 mg and 80 mg in Healthy Chinese Subjects

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02541669
Enrollment
64
Registered
2015-09-04
Start date
2015-11-20
Completion date
2017-03-17
Last updated
2020-02-05

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

Conditions

Healthy Volunteer

Keywords

Drug therapy

Brief summary

The purpose of this study is to assess the pharmacokinetics and safety of single- and multiple-dose of TAK-491 in healthy Chinese participants.

Detailed description

The drug being tested in this study is called TAK-491. TAK-491 is being tested to treat people who have hypertension. This study will look at the pharmacokinetics of TAK-491 in Chinese participants who take TAK-491. The study will enroll approximately 64 participants. The first 16 enrolled participants have been randomly assigned (by chance, like flipping a coin) to 1 of the 2 treatment groups: * TAK-491 40 mg * TAK-491 80 mg All participants will be asked to take 1 tablet at the same time on Day 1 and Day 4 to 10 during the study. The following 48 randomized participants will be randomly assigned (by chance, like flipping a coin) to 1 of the 3 treatment groups: * TAK-491 40 mg * TAK-491 80 mg * TAK-491 placebo All participants will be asked to take two tablets at the same time on Day 1 and Day 4 to 10 during the study. This single-center trial will be conducted in China. The overall time to participate in this study is approximately 52 days. Participants will be admitted in the clinic for the first 12 days, and will be contacted by telephone 14 days after last dose of study drug for a follow-up assessment.

Interventions

DRUGTAK-491

TAK-491 tablets

DRUGTAK-491 placebo

TAK-491 placebo-matching tablets

Sponsors

Takeda
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

1. Is capable of understanding and complying with protocol requirements. 2. The participant or, when applicable, the legally acceptable representative signs and dates a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures. 3. Is a healthy adult male or female of Chinese descent. 4. Is aged 18 to 45 years, inclusive, at the time of informed consent and first study medication dose. 5. Has a body mass index (BMI) greater than or equal to (\>=) 19.0 kilogram per square meter (kg/m\^2) and less than (\<) 24.0 kg/m\^2, inclusive at Screening. 6. Has clinical laboratory evaluations (including clinical chemistry \[fasted for at least 8 hours for the screening assessment\], hematology, and complete urinalysis) within the reference range for the testing laboratory, unless the results were deemed by the investigator to be not clinically significant at Screening and Check-in (Day -1). 7. Is willing to refrain from strenuous exercise, from 72 hours before Check-in (Day-1) until after Final Visit. 8. A female of childbearing potential who is sexually active with a nonsterilized male partner agrees to use routinely adequate contraception from signing of informed consent throughout the duration of the study and for 30 days after the last dose of study drug.

Exclusion criteria

1. Has received any investigational compound within 30 days prior to Screening. 2. Has received TAK-491 in a previous clinical study or as a therapeutic agent. 3. Is an immediate family member, study site employee, or in a dependant relationship with a study site employee who is involved in the conduct of this study (example, spouse, parent, child, sibling) or may consent under duress. 4. Has history of uncontrolled, clinically significant manifestations of metabolic (including diabetes mellitus, hypercholesterolemia, or dyslipidemia), endocrine, hematologic, pulmonary, cardiovascular, gastrointestinal, neurological, rheumatologic, skin and subcutaneous tissue disorders, infectious, hepatic, renal, urologic, immunologic, psychiatric or mood disorders (including any past history of suicide attempt), or a history of lactose intolerance, which may impact the ability of the participant to participate or potentially confound the study results. 5. Has a known hypersensitivity to any component of the formulation of TAK-491 or other AII inhibitors or related compounds. 6. Has a positive urine drug result for drugs of abuse or breath alcohol test at Screening or Check-in (Day -1). 7. 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. 8. Has taken any excluded medication, supplements, or food products. 9. If female, the participant is pregnant or lactating or intending to become pregnant before, during, or within 30 days after participating in this study; or intending to donate ova during such time period. 10. Has current or recent (within 6 months) gastrointestinal disease that would be expected to influence the absorption of drugs (that is, a history of malabsorption, esophageal reflux, peptic ulcer disease, erosive esophagitis frequent \[more than once per week\] occurrence of heartburn, or any surgical intervention \[example, cholecystectomy\]). 11. Has a history of cancer, except basal cell carcinoma which has been in remission for at least 5 years prior to Day 1. 12. Has positive test result for anti-Human immunodeficiency virus (HIV), anti- hepatitis C virus (HCV) antibodies, or for hepatitis B surface antigen (HBsAg) at Screening. 13. Has used nicotine-containing products (including but not limited to cigarettes, pipes, cigars, chewing tobacco, nicotine patch or nicotine gum) within 28 days prior to Check-in (Day -1). Cotinine test is positive at Screening or Check-in (Day -1). 14. Has poor peripheral venous access. 15. Has donated or lost 450 milliliter (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. 16. Has a Screening or Check-in (Day -1) abnormal (clinically significant) electrocardiogram (ECG). Entry of any participants with an abnormal (not clinically significant) ECG must be approved, and documented by signature by the principal investigator. 17. Has abnormal Screening or Check-in (Day -1) laboratory values that suggest a clinically significant underlying disease or participant with the following lab abnormalities: alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) greater than (\>) 1.5 times the upper limits of normal. 18. Has a hemoglobin value \<12 gram per deciliter (g/dL) at Screening. 19. Has a systolic blood pressure \<110 and \>=160 millimeter of Mercury (mmHg) or a diastolic blood pressure \<60 and \>=100 mmHg at Screening or Check-in (Day -1).

Design outcomes

Primary

MeasureTime frame
Cmax: Maximum Observed Plasma Concentration for TAK-536 (the Active Moiety Derived From TAK-491) on Day 1Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose
Cmax: Maximum Observed Plasma Concentration for TAK-536 (the Active Moiety Derived From TAK-491) on Day 10Day 10 pre-dose and at multiple time points (up to 24 hours) post-dose
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 1Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 10Day 10 pre-dose and at multiple time points (up to 24 hours) post-dose
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-536 (the Active Moiety Derived From TAK-491) on Day 1Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose
AUC(0-24): Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours Post-dose for TAK-536 (the Active Moiety Derived From TAK-491) on Day 10Day 10 pre-dose and at multiple time points (up to 24 hours) post-dose
Terminal Phase Elimination Half-life (T1/2) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 1Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

Countries

China

Participant flow

Recruitment details

Participants took part in the study at 1 investigative site in China from 17 November 2015 to 17 March 2017.

Pre-assignment details

Healthy Chinese participants were enrolled in the study in 2-parts, Open-label in which participants were allocated equally and randomly to TAK-491 40 milligram (mg) and TAK-491 80 mg and Double-blind in which participants were allocated equally and randomly to 1 of 3 regimens Placebo, TAK-491 40 mg, and TAK-491 80 mg.

Participants by arm

ArmCount
Open Label: TAK-491 40 mg
TAK-491 40 mg, tablet, orally, once daily on Day 1 and Days 4 to 10 as an open-label treatment.
8
Open Label: TAK-491 80 mg
TAK-491 80 mg, tablet, orally, once daily on Day 1 and Days 4 to 10 as an open-label treatment.
8
Double-blind: Placebo
TAK-491 placebo-matching tablet, orally, once daily on Day 1 and Days 4 to 10 as a double blinded treatment.
16
Double-blind: TAK-491 40 mg
TAK-491 40 mg, tablet, orally, once daily and TAK-491 placebo-matching tablets, orally, once daily on Day 1 and Days 4 to 10 as a double blinded treatment.
16
Double-blind: TAK-491 80 mg
TAK-491 80 mg, tablet, orally, once daily and TAK-491 placebo-matching tablets, orally, once daily on Day 1 and Days 4 to 10 as a double blinded treatment.
16
Total64

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Double-Blinded Treatment PeriodWithdrawal by Subject00101

Baseline characteristics

CharacteristicTotalOpen Label: TAK-491 40 mgOpen Label: TAK-491 80 mgDouble-blind: PlaceboDouble-blind: TAK-491 40 mgDouble-blind: TAK-491 80 mg
Age, Continuous29.9 years
STANDARD_DEVIATION 5.19
28.8 years
STANDARD_DEVIATION 4.4
30.3 years
STANDARD_DEVIATION 4.98
33.0 years
STANDARD_DEVIATION 5.07
27.4 years
STANDARD_DEVIATION 4.19
29.7 years
STANDARD_DEVIATION 5.63
Body Mass Index (BMI)22.18 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 1.382
22.96 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 1.289
21.94 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 1.707
21.89 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 1.143
22.23 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 1.703
22.16 kilogram per square meter (kg/m^2)
STANDARD_DEVIATION 1.109
Female Reproductive Status
Having Childbearing Potential
11 Participants3 Participants3 Participants1 Participants1 Participants3 Participants
Female Reproductive Status
Male Participants
53 Participants5 Participants5 Participants15 Participants15 Participants13 Participants
Female Reproductive Status
Postmenopausal
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Female Reproductive Status
Surgically Sterile
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Height170.2 centimeter (cm)
STANDARD_DEVIATION 6.41
169.9 centimeter (cm)
STANDARD_DEVIATION 6.66
165.3 centimeter (cm)
STANDARD_DEVIATION 6.36
171.0 centimeter (cm)
STANDARD_DEVIATION 6.07
170.4 centimeter (cm)
STANDARD_DEVIATION 5.8
171.9 centimeter (cm)
STANDARD_DEVIATION 6.75
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
64 Participants8 Participants8 Participants16 Participants16 Participants16 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Region of Enrollment
China
64 participants8 participants8 participants16 participants16 participants16 participants
Sex: Female, Male
Female
11 Participants3 Participants3 Participants1 Participants1 Participants3 Participants
Sex: Female, Male
Male
53 Participants5 Participants5 Participants15 Participants15 Participants13 Participants
Smoking classification
Current smoker
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Smoking classification
Ex-smoker
7 Participants0 Participants0 Participants2 Participants2 Participants3 Participants
Smoking classification
Never smoked
57 Participants8 Participants8 Participants14 Participants14 Participants13 Participants
Weight64.40 kilogram (kg)
STANDARD_DEVIATION 6.619
66.23 kilogram (kg)
STANDARD_DEVIATION 4.785
59.83 kilogram (kg)
STANDARD_DEVIATION 4.951
64.09 kilogram (kg)
STANDARD_DEVIATION 6.012
64.79 kilogram (kg)
STANDARD_DEVIATION 7.916
65.69 kilogram (kg)
STANDARD_DEVIATION 6.934

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 80 / 160 / 160 / 16
other
Total, other adverse events
4 / 84 / 86 / 164 / 1610 / 16
serious
Total, serious adverse events
0 / 80 / 80 / 160 / 160 / 16

Outcome results

Primary

AUC(0-24): Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours Post-dose for TAK-536 (the Active Moiety Derived From TAK-491) on Day 10

Time frame: Day 10 pre-dose and at multiple time points (up to 24 hours) post-dose

Population: PK set where Day 10 assessments were available. The PK set consisted of all participants who received study drug and had at least 1 measurable plasma concentration for TAK-536.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Open Label: TAK-491 40 mgAUC(0-24): Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours Post-dose for TAK-536 (the Active Moiety Derived From TAK-491) on Day 1025087 h*ng/mLGeometric Coefficient of Variation 21.5
Open Label: TAK-491 80 mgAUC(0-24): Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours Post-dose for TAK-536 (the Active Moiety Derived From TAK-491) on Day 1045320 h*ng/mLGeometric Coefficient of Variation 14.7
Double-blind: TAK-491 40 mgAUC(0-24): Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours Post-dose for TAK-536 (the Active Moiety Derived From TAK-491) on Day 1021872 h*ng/mLGeometric Coefficient of Variation 19.1
Double-blind: TAK-491 80 mgAUC(0-24): Area Under the Plasma Concentration-time Curve From Time 0 to 24 Hours Post-dose for TAK-536 (the Active Moiety Derived From TAK-491) on Day 1047993 h*ng/mLGeometric Coefficient of Variation 31.8
Primary

AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-536 (the Active Moiety Derived From TAK-491) on Day 1

Time frame: Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

Population: The PK set consisted of all participants who received study drug and had at least 1 measurable plasma concentration for TAK-536.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Open Label: TAK-491 40 mgAUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-536 (the Active Moiety Derived From TAK-491) on Day 125905 hour*nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 27.3
Open Label: TAK-491 80 mgAUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-536 (the Active Moiety Derived From TAK-491) on Day 150359 hour*nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 12.1
Double-blind: TAK-491 40 mgAUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-536 (the Active Moiety Derived From TAK-491) on Day 123439 hour*nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 22.6
Double-blind: TAK-491 80 mgAUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-536 (the Active Moiety Derived From TAK-491) on Day 145698 hour*nanogram per milliliter (h*ng/mL)Geometric Coefficient of Variation 32.1
Primary

Cmax: Maximum Observed Plasma Concentration for TAK-536 (the Active Moiety Derived From TAK-491) on Day 1

Time frame: Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

Population: The pharmacokinetic (PK) set consisted of all participants who received study drug and had at least 1 measurable plasma concentration for TAK-536.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Open Label: TAK-491 40 mgCmax: Maximum Observed Plasma Concentration for TAK-536 (the Active Moiety Derived From TAK-491) on Day 12877 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 25
Open Label: TAK-491 80 mgCmax: Maximum Observed Plasma Concentration for TAK-536 (the Active Moiety Derived From TAK-491) on Day 16250 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 20.5
Double-blind: TAK-491 40 mgCmax: Maximum Observed Plasma Concentration for TAK-536 (the Active Moiety Derived From TAK-491) on Day 12444 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 22.5
Double-blind: TAK-491 80 mgCmax: Maximum Observed Plasma Concentration for TAK-536 (the Active Moiety Derived From TAK-491) on Day 15460 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 30.4
Primary

Cmax: Maximum Observed Plasma Concentration for TAK-536 (the Active Moiety Derived From TAK-491) on Day 10

Time frame: Day 10 pre-dose and at multiple time points (up to 24 hours) post-dose

Population: PK set where Day 10 assessments were available. The PK set consisted of all participants who received study drug and had at least 1 measurable plasma concentration for TAK-536.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Open Label: TAK-491 40 mgCmax: Maximum Observed Plasma Concentration for TAK-536 (the Active Moiety Derived From TAK-491) on Day 103070 ng/mLGeometric Coefficient of Variation 4.6
Open Label: TAK-491 80 mgCmax: Maximum Observed Plasma Concentration for TAK-536 (the Active Moiety Derived From TAK-491) on Day 106019 ng/mLGeometric Coefficient of Variation 29.5
Double-blind: TAK-491 40 mgCmax: Maximum Observed Plasma Concentration for TAK-536 (the Active Moiety Derived From TAK-491) on Day 102628 ng/mLGeometric Coefficient of Variation 23.3
Double-blind: TAK-491 80 mgCmax: Maximum Observed Plasma Concentration for TAK-536 (the Active Moiety Derived From TAK-491) on Day 106226 ng/mLGeometric Coefficient of Variation 19.9
Primary

Terminal Phase Elimination Half-life (T1/2) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 1

Time frame: Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

Population: The PK set consisted of all participants who received study drug and had at least 1 measurable plasma concentration for TAK-536.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Open Label: TAK-491 40 mgTerminal Phase Elimination Half-life (T1/2) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 111.18 hourGeometric Coefficient of Variation 19.4
Open Label: TAK-491 80 mgTerminal Phase Elimination Half-life (T1/2) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 110.18 hourGeometric Coefficient of Variation 24.1
Double-blind: TAK-491 40 mgTerminal Phase Elimination Half-life (T1/2) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 111.12 hourGeometric Coefficient of Variation 16.9
Double-blind: TAK-491 80 mgTerminal Phase Elimination Half-life (T1/2) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 111.10 hourGeometric Coefficient of Variation 18.9
Primary

Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 1

Time frame: Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

Population: The PK set consisted of all participants who received study drug and had at least 1 measurable plasma concentration for TAK-536.

ArmMeasureValue (MEDIAN)
Open Label: TAK-491 40 mgTmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 13.03 hour
Open Label: TAK-491 80 mgTmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 12.50 hour
Double-blind: TAK-491 40 mgTmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 13.00 hour
Double-blind: TAK-491 80 mgTmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 12.50 hour
Primary

Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 10

Time frame: Day 10 pre-dose and at multiple time points (up to 24 hours) post-dose

Population: PK set where Day 10 assessments were available. The PK set consisted of all participants who received study drug and had at least 1 measurable plasma concentration for TAK-536.

ArmMeasureValue (MEDIAN)
Open Label: TAK-491 40 mgTmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 103.00 hour
Open Label: TAK-491 80 mgTmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 102.52 hour
Double-blind: TAK-491 40 mgTmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 103.49 hour
Double-blind: TAK-491 80 mgTmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-536 (the Active Moiety Derived From TAK-491) on Day 102.00 hour

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