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A Study of Soticlestat Tablets in Healthy Adults

A Phase 1, Open-Label, Randomized, Crossover Study to Evaluate the Bioequivalence of Soticlestat Oral Tablet Formulations and the Effect of Food and Tablet Crushing on the Pharmacokinetics of Soticlestat in Healthy Adult Participants

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05284760
Enrollment
96
Registered
2022-03-17
Start date
2022-03-11
Completion date
2022-06-02
Last updated
2024-02-28

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

Conditions

Healthy Volunteers

Keywords

Drug Therapy

Brief summary

The main aim is to see how soticlestat tablets of different strengths work and to compare how it works alone in contrast to administration along with food. In the study will be 2 groups of participants (part A and part B). Participants in part A will receive 300 mg of soticlestat administered in different kind of tablets (regular tablets, mini-tablets, commercial tablets) and participant in part B will also receive 300 mg of soticlestat in tablets but with food and crushed tablets with applesauce. Participants will complete several assessments including clinical laboratory evaluations, physical examinations, Columbia-Suicide Severity Rating Scale (C-SSRS) assessment, electrocardiographs (ECGs), and vital signs.

Detailed description

The drug being tested in this study is called soticlestat (TAK-935). The study will assess the bioequivalence, effect of food and tablet crushing, safety and tolerability following single oral dose of 3 different soticlestat oral tablet formulations in healthy participants. The study will enroll approximately 96 participants. This study will be conducted in two parts (Part A and Part B) having 6 treatment sequences each. Participants will be randomly assigned (by chance, like flipping a coin) to one of the study parts as per treatment sequence: * Part A, Sequence 1: Treatment A + Treatment B + Treatment C * Part A, Sequence 2: Treatment A + Treatment C + Treatment B * Part A, Sequence 3: Treatment B + Treatment A + Treatment C * Part A, Sequence 4: Treatment B + Treatment C + Treatment A * Part A, Sequence 5: Treatment C + Treatment A + Treatment B * Part A, Sequence 6: Treatment C + Treatment B + Treatment A * Part B, Sequence 1: Treatment D + Treatment E + Treatment F * Part B, Sequence 2: Treatment D + Treatment F + Treatment E * Part B, Sequence 3: Treatment E + Treatment D + Treatment F * Part B, Sequence 4: Treatment E + Treatment F + Treatment D * Part B, Sequence 5: Treatment F + Treatment D + Treatment E * Part B, Sequence 6: Treatment F + Treatment E + Treatment D This single center trial will be conducted in the United States. The overall duration of the study is approximately 51 days. Participants will be followed up for 14 days after the last dose of study drug for a follow-up assessment.

Interventions

Soticlestat T4 tablets.

Sponsors

Takeda
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

Key Inclusion Criteria: 1. Body mass index (BMI) greater than or equal to (\>=) 18.0 and less than or equal to (\<=) 32.0 kilogram per square meter (kg/m\^2) at screening. 2. Continuous non-smoker who has not used nicotine-containing products for at least 90 days prior to the first dosing. 3. Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs, and ECGs, as deemed by the Investigator or designee. 4. Able to swallow multiple tablets. Key

Exclusion criteria

1. History or presence of alcoholism or drug abuse within the past 2 years prior to the first dosing. 2. Positive urine drug or alcohol results at screening or check-in. 3. Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV). 4. Unable to refrain from or anticipates the use of: * Any drug, including prescription and non-prescription medications, herbal remedies, or vitamin supplements within 14 days prior to the first dosing. Thyroid hormone replacement medication may be permitted if the participant has been on the same stable dose for the immediate 3 months prior to the first dosing. * Any drugs known to be significant inducers of cytochrome P450 (CYP) 3A, CYP2C19, uridine 5'-diphospho-glucuronosyltransferase (UGT) 1A9 or UGT2B4 enzymes and/or P-glycoprotein (P-gp), including St. John's Wort, within 28 days prior to the first dosing. Appropriate sources will be consulted to confirm lack of PK/pharmacodynamics interaction with study drug. 5. History of alcohol consumption exceeding 2 standard drinks per day on average (1 glass is approximately equivalent to the following: beer \[354 milliliter per 12 ounce {mL/12 oz}\], wine \[118 mL/4 oz\], or distilled spirits \[29.5 mL/1 oz\] per day). 6. Consumes excessive amounts, defined as greater than 4 servings (1 serving is approximately equivalent to 120mg of caffeine), of coffee, tea, cola, energy drinks, or other caffeinated beverages per day. 7. Has been on a diet incompatible with the on-study diet, in the opinion of the Investigator or designee, within the 30 days prior to the first dosing and throughout the study. 8. Donation of blood or significant blood loss within 56 days prior to the first dosing. 9. Plasma donation within 7 days prior to the first dosing.

Design outcomes

Primary

MeasureTime frame
Cmax: Maximum Observed Plasma Concentration for SoticlestatDay 1 pre-dose and at multiple time points (up to 96 hours) post-dose
AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for SoticlestatDay 1 pre-dose and at multiple time points (up to 96 hours) post-dose
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for SoticlestatDay 1 pre-dose and at multiple time points (up to 96 hours) post-dose

Secondary

MeasureTime frameDescription
Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)From screening up to 14 days after the last dose of soticlestat (Day 51)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 TEAE is defined as an adverse event with an onset that occurs after receiving study drug.

Countries

United States

Participant flow

Participants by arm

ArmCount
Part A, Sequence 1: Treatment A + Treatment B + Treatment C
Soticlestat T4 tablets 300 mg, orally, once on Day 1 of Period 1 under fasted condition as Treatment A, followed by soticlestat T3 mini-tablets 300 mg, orally, once on Day 1 of Period 2 under fasted condition as Treatment B, and followed by soticlestat T3 commercial tablets 300 mg, orally, once on Day 1 of Period 3 under fasted condition as Treatment C. A washout interval of exactly 4 days was maintained between each Treatment Period.
12
Part A, Sequence 2: Treatment A + Treatment C + Treatment B
Soticlestat T4 tablets 300 mg, orally, once on Day 1 of Period 1 under fasted condition as Treatment A, followed by soticlestat T3 commercial tablets 300 mg, orally, once on Day 1 of Period 2 under fasted condition as Treatment C, and followed by soticlestat T3 mini-tablets 300 mg, orally, once on Day 1 of Period 3 under fasted condition as Treatment B. A washout interval of exactly 4 days was maintained between each Treatment Period.
12
Part A, Sequence 3: Treatment B + Treatment A + Treatment C
Soticlestat T3 mini-tablets 300 milligram (mg), orally, once on Day 1 of Period 1 under fasted condition as Treatment B, followed by soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 2 under fasted condition as Treatment A, and followed by soticlestat T3 commercial tablets 300 mg, orally, once on Day 1 of Period 3 under fasted condition as Treatment C. A washout interval of exactly 4 days was maintained between each Treatment Period.
12
Part A, Sequence 4: Treatment B + Treatment C + Treatment A
Soticlestat T3 mini-tablets 300 mg, orally, once on Day 1 of Period 1 under fasted condition as Treatment B, followed by soticlestat T3 commercial tablets 300 mg, orally, once on Day 1 of Period 2 under fasted condition as Treatment C, and followed by soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 3 under fasted condition as Treatment A. A washout interval of exactly 4 days was maintained between each Treatment Period.
12
Part A, Sequence 5: Treatment C + Treatment A + Treatment B
Soticlestat T3 commercial tablets 300 mg, orally, once on Day 1 of Period 1 under fasted condition as Treatment C, followed by soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 2 under fasted condition as Treatment A, and followed by soticlestat T3 mini-tablets 300 mg, orally, once on Day 1 of Period 3 under fasted condition as Treatment B. A washout interval of exactly 4 days was maintained between each Treatment Period.
12
Part A, Sequence 6: Treatment C + Treatment B + Treatment A
Soticlestat T3 commercial tablets 300 mg, orally, once on Day 1 of Period 1 under fasted condition as Treatment C, followed by soticlestat T3 mini-tablets 300 mg, tablets, orally, once on Day 1 of Period 2 under fasted condition as Treatment B, and followed by soticlestat T4 tablets 300 mg, orally, once on Day 1 of Period 3 under fasted condition as Treatment A. A washout interval of exactly 4 days was maintained between each Treatment Period.
12
Part B, Sequence 1: Treatment D + Treatment E + Treatment F
Soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 1 under fasted condition as Treatment D, followed by soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 2 under fed condition as Treatment E, and followed by soticlestat T4 300 mg tablets crushed and mixed with applesauce, orally, once on Day 1 of Period 3 under fasted condition as Treatment F. A washout interval of exactly 4 days was maintained between each Treatment Period.
4
Part B, Sequence 2: Treatment D + Treatment F + Treatment E
Soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 1 under fasted condition as Treatment D, followed by soticlestat T4 300 mg, tablets crushed and mixed with applesauce, orally, once on Day 1 of Period 2 under fasted condition as Treatment F, and followed by soticlestat T4 300 mg, orally, once on Day 1 of Period 3 under fed condition as Treatment E. A washout interval of exactly 4 days was maintained between each Treatment Period.
4
Part B, Sequence 3: Treatment E + Treatment D + Treatment F
Soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 1 under fed condition as Treatment E, followed by soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 2 under fasted condition as Treatment D, and followed by soticlestat T4 300 mg, tablets crushed and mixed with applesauce, orally, once on Day 1 of Period 3 under fasted condition as Treatment F. A washout interval of exactly 4 days was maintained between each Treatment Period.
4
Part B, Sequence 4: Treatment E + Treatment F + Treatment D
Soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 1 under fed condition as Treatment E, followed by soticlestat T4 300 mg tablets crushed and mixed with applesauce, orally, once on Day 1 of Period 2 under fasted condition as Treatment F, and followed by soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 3 under fasted condition as Treatment D. A washout interval of exactly 4 days was maintained between each Treatment Period.
4
Part B, Sequence 5: Treatment F + Treatment D + Treatment E
Soticlestat T4 300 mg tablets crushed and mixed with applesauce, orally, once on Day 1 of Period 1 under fasted condition as Treatment F, followed by soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 2 under fasted condition as Treatment D, and followed by soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 3 under fed condition as Treatment E. A washout interval of exactly 4 days was maintained between each Treatment Period.
4
Part B, Sequence 6: Treatment F + Treatment E + Treatment D
Soticlestat T4 300 mg tablets, crushed and mixed with applesauce, orally, once on Day 1 of Period 1 under fasted condition as Treatment F, followed by soticlestat T4 300 mg, tablets, orally, once on Day 1 of Period 2 under fed condition as Treatment E, and followed by soticlestat T4 300 mg tablets, orally, once on Day 1 of Period 3 under fasted condition as Treatment D. A washout interval of exactly 4 days was maintained between each Treatment Period.
4
Total96

Baseline characteristics

CharacteristicPart A, Sequence 2: Treatment A + Treatment C + Treatment BTotalPart B, Sequence 6: Treatment F + Treatment E + Treatment DPart B, Sequence 5: Treatment F + Treatment D + Treatment EPart B, Sequence 4: Treatment E + Treatment F + Treatment DPart B, Sequence 3: Treatment E + Treatment D + Treatment FPart B, Sequence 2: Treatment D + Treatment F + Treatment EPart B, Sequence 1: Treatment D + Treatment E + Treatment FPart A, Sequence 6: Treatment C + Treatment B + Treatment APart A, Sequence 5: Treatment C + Treatment A + Treatment BPart A, Sequence 4: Treatment B + Treatment C + Treatment APart A, Sequence 3: Treatment B + Treatment A + Treatment CPart A, Sequence 1: Treatment A + Treatment B + Treatment C
Age, Continuous38.3 years40.1 years38.3 years30.3 years42.3 years49.5 years37.8 years40.0 years40.3 years40.4 years38.3 years43.1 years41.1 years
Body Mass Index (BMI)27.249 kilogram per meters squared (kg/m^2)27.286 kilogram per meters squared (kg/m^2)26.960 kilogram per meters squared (kg/m^2)26.130 kilogram per meters squared (kg/m^2)27.120 kilogram per meters squared (kg/m^2)28.030 kilogram per meters squared (kg/m^2)26.285 kilogram per meters squared (kg/m^2)26.843 kilogram per meters squared (kg/m^2)26.626 kilogram per meters squared (kg/m^2)26.840 kilogram per meters squared (kg/m^2)27.943 kilogram per meters squared (kg/m^2)27.859 kilogram per meters squared (kg/m^2)26.626 kilogram per meters squared (kg/m^2)
Ethnicity (NIH/OMB)
Hispanic or Latino
8 Participants75 Participants2 Participants4 Participants4 Participants4 Participants4 Participants4 Participants9 Participants10 Participants10 Participants7 Participants9 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants21 Participants2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants3 Participants2 Participants2 Participants5 Participants3 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Height169.4 centimeters (cm)170.1 centimeters (cm)170.0 centimeters (cm)172.0 centimeters (cm)168.0 centimeters (cm)172.0 centimeters (cm)171.8 centimeters (cm)172.3 centimeters (cm)168.5 centimeters (cm)171.8 centimeters (cm)167.5 centimeters (cm)174.8 centimeters (cm)166.8 centimeters (cm)
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
2 Participants10 Participants0 Participants0 Participants1 Participants0 Participants1 Participants0 Participants0 Participants2 Participants1 Participants3 Participants0 Participants
Race (NIH/OMB)
More than one race
1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
9 Participants85 Participants4 Participants4 Participants3 Participants4 Participants3 Participants4 Participants12 Participants10 Participants11 Participants9 Participants12 Participants
Sex: Female, Male
Female
3 Participants23 Participants1 Participants0 Participants1 Participants0 Participants1 Participants1 Participants3 Participants3 Participants5 Participants1 Participants4 Participants
Sex: Female, Male
Male
9 Participants73 Participants3 Participants4 Participants3 Participants4 Participants3 Participants3 Participants9 Participants9 Participants7 Participants11 Participants8 Participants
Weight78.38 kg79.02 kg78.80 kg77.78 kg77.03 kg82.90 kg77.33 kg79.35 kg79.67 kg78.83 kg78.12 kg85.33 kg74.09 kg

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 / 720 / 720 / 720 / 240 / 240 / 24
other
Total, other adverse events
4 / 725 / 720 / 720 / 242 / 241 / 24
serious
Total, serious adverse events
0 / 720 / 720 / 720 / 240 / 240 / 24

Outcome results

Primary

AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Soticlestat

Time frame: Day 1 pre-dose and at multiple time points (up to 96 hours) post-dose

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile (eg, exposure to treatment, availability of measurements, and absence of major protocol violations) were included in the PK set.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A - Treatment AAUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Soticlestat1659 ng.hr/mlGeometric Coefficient of Variation 51
Part A - Treatment BAUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Soticlestat1459 ng.hr/mlGeometric Coefficient of Variation 58.1
Part A - Treatment CAUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Soticlestat1639 ng.hr/mlGeometric Coefficient of Variation 53.7
Part B - Treatment DAUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Soticlestat1525 ng.hr/mlGeometric Coefficient of Variation 50.6
Part B - Treatment EAUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Soticlestat1354 ng.hr/mlGeometric Coefficient of Variation 35.1
Part B - Treatment FAUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Soticlestat1395 ng.hr/mlGeometric Coefficient of Variation 49.6
90% CI: [92.84, 106.1]
90% CI: [81.33, 93.03]
90% CI: [78.92, 100.99]
90% CI: [81.77, 105.25]
Primary

AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Soticlestat

Time frame: Day 1 pre-dose and at multiple time points (up to 96 hours) post-dose

Population: All participants who complied sufficiently with the protocol and displayed an evaluable PK profile (eg, exposure to treatment, availability of measurements, and absence of major protocol violations) were included in the PK set.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A - Treatment AAUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Soticlestat1649 ng.hour (hr)/mlGeometric Coefficient of Variation 50.2
Part A - Treatment BAUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Soticlestat1433 ng.hour (hr)/mlGeometric Coefficient of Variation 54.8
Part A - Treatment CAUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Soticlestat1606 ng.hour (hr)/mlGeometric Coefficient of Variation 51.6
Part B - Treatment DAUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Soticlestat1503 ng.hour (hr)/mlGeometric Coefficient of Variation 49.1
Part B - Treatment EAUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Soticlestat1317 ng.hour (hr)/mlGeometric Coefficient of Variation 37
Part B - Treatment FAUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Soticlestat1435 ng.hour (hr)/mlGeometric Coefficient of Variation 61.9
90% CI: [92.17, 103.17]
90% CI: [82.14, 91.89]
90% CI: [75.92, 101.15]
90% CI: [82.73, 110.22]
Primary

Cmax: Maximum Observed Plasma Concentration for Soticlestat

Time frame: Day 1 pre-dose and at multiple time points (up to 96 hours) post-dose

Population: All participants who complied sufficiently with the protocol and displayed an evaluable Pharmacokinetic (PK) profile (eg, exposure to treatment, availability of measurements, and absence of major protocol violations) were included in the PK set.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A - Treatment ACmax: Maximum Observed Plasma Concentration for Soticlestat1762 nanogram per milllilitre (ng/ml)Geometric Coefficient of Variation 66.3
Part A - Treatment BCmax: Maximum Observed Plasma Concentration for Soticlestat1428 nanogram per milllilitre (ng/ml)Geometric Coefficient of Variation 76
Part A - Treatment CCmax: Maximum Observed Plasma Concentration for Soticlestat1708 nanogram per milllilitre (ng/ml)Geometric Coefficient of Variation 65.1
Part B - Treatment DCmax: Maximum Observed Plasma Concentration for Soticlestat1509 nanogram per milllilitre (ng/ml)Geometric Coefficient of Variation 65.7
Part B - Treatment ECmax: Maximum Observed Plasma Concentration for Soticlestat565.6 nanogram per milllilitre (ng/ml)Geometric Coefficient of Variation 49
Part B - Treatment FCmax: Maximum Observed Plasma Concentration for Soticlestat1350 nanogram per milllilitre (ng/ml)Geometric Coefficient of Variation 63.1
90% CI: [87.66, 107.96]
90% CI: [73.06, 89.89]
90% CI: [31.1, 45.17]
90% CI: [74.24, 107.79]
Secondary

Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)

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 TEAE is defined as an adverse event with an onset that occurs after receiving study drug.

Time frame: From screening up to 14 days after the last dose of soticlestat (Day 51)

Population: All participants who received at least one dose of the study drug(s) were included in the safety set.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part A - Treatment ANumber of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)6 Participants
Part A - Treatment BNumber of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)12 Participants
Part A - Treatment CNumber of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)7 Participants
Part B - Treatment DNumber of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)0 Participants
Part B - Treatment ENumber of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)2 Participants
Part B - Treatment FNumber of Participants Reporting One or More Treatment-emergent Adverse Events (TEAEs)1 Participants

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