MLN3126 Single Rising Dose Study

Phase 1

Terminated

• Conditions: Healthy Volunteers
• Interventions: Drug: MLN3126; Drug: MLN3126 Placebo

• Registration Number: NCT02447458
• Lead Sponsor: Takeda

Brief Summary

The purpose of this study was to evaluate the safety, tolerability, and pharmacokinetics of MLN3126 when administered as a single dose of tablets at escalating dose levels in healthy participants.

Detailed Description

The drug tested in this study is called MLN3126. The study evaluated the safety, tolerability, pharmacokinetics (PK), pharmacodynamics and the potential effect of food on the PK of MLN3126 and its M-I metabolite following single oral dose administrations.

This study planned to enroll approximately 48 healthy participants, who were to be enrolled in 1 of the 6 dose cohorts or matching placebo in an ascending fashion. Participants were randomly assigned to MLN3126 or placebo within each cohort- which remained undisclosed to the participant and study doctor during the study (unless there was an urgent medical need):

* Cohort 1 - MLN3126 300 mg or matching placebo

* Cohort 2 - MLN3126 600 mg or matching placebo

* Cohort 3 - MLN3126 1000 mg or matching placebo

* Cohort 3 - MLN3126 1000 mg or matching placebo (fed regimen)

* Cohort 4 - MLN3126 1500 mg or matching placebo

* Cohort 5 - MLN3126 2000 mg or matching placebo

* Cohort 6 - Did not taken place due to termination of the study

All participants were asked to take the required tablets at the same time throughout the study.

This single-centre trial was conducted in The United States. Participants were confined to the clinic for 5 days, and were contacted by telephone on day 14 (±2days) for a follow-up assessment.

This study was terminated after completion of Cohort 5 due to findings of study site non-compliance to Good Clinical Practice (GCP) regarding study documentation. There were no safety concerns.

Study Timeline

• Study Start: 2013-09
• Primary Completion: 2014-01
• Study Completion: 2014-02
• Study First Submitted: 2015-05-14
• Study First Submitted QC: 2015-05-14
• Study First Posted: 2015-05-18
• Status Verified: 2015-07
• Results First Submitted: 2015-07-07
• Results First Submitted QC: 2015-07-07
• Last Update Submitted: 2015-07-07
• Results First Posted: 2015-08-05
• Last Update Posted: 2015-08-05

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 39

Inclusion Criteria

1. In the opinion of the investigator, the participant was capable of understanding and complying with protocol requirements.
2. The participant or, when applicable, the participant's legally acceptable representative signed and dated a written, informed consent form and any required privacy authorization prior to the initiation of any study procedures.
3. Is a male or female adult, aged 18 to 55 years, inclusive, at the time of informed consent and study drug dosing.
4. Is a healthy adult male or female subject as evidenced by their medical history, complete physical examination, vital signs, ECG, and safety laboratory evaluations.
5. Weighed at least 45 kg (99 lbs) and had a body mass index (BMI) between 18 and 30.0 kg/m2 inclusive at Screening.
6. A male participant who was nonsterilized and sexually active with a female partner of childbearing potential agreed to use adequate contraception from signing of informed consent throughout the duration of the study and for 12 weeks after last dose. In addition, participants were advised not to donate sperm during this period.
7. A female participant of childbearing potential who was sexually active with a nonsterilized male partner agreed to use routinely adequate contraception from signing of informed consent throughout the duration of the study to their next postconfinement menstruation. In addition participants were advised not to donate ova during this period.

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Exclusion Criteria

Any participant who meets any of the following criteria will not qualify for entry into the study:

1. Has received any investigational compound within 30 days prior to the first dose of study medication.
2. Is an immediate family member, study site employee, or in a dependent relationship with a study site employee who is involved in the conduct of this study (eg, spouse, parent, child, sibling) or may consent under duress.
3. Has uncontrolled, clinically significant neurologic, cardiovascular, pulmonary, hepatic, renal, metabolic, GI, or endocrine disease or other abnormality, which may impact the ability of the participant to participate or potentially confound the study results.
4. Has a known hypersensitivity to any component of the formulation of MLN3126.
5. Has a positive urine drug result for drugs of abuse at Screening or Check-in (Day -1).
6. Has a history of drug abuse (defined as any illicit drug use) or a history of alcohol abuse (defined as 4 alcoholic beverages per day) within 1 year prior to the Screening visit or is unwilling to agree to abstain from alcohol and drugs throughout the study.
7. Has taken any excluded medication, supplements, or food products listed in the Excluded Medications and Dietary Products section of the protocol.
8. If female, the participant is pregnant or lactating or intending to become pregnant, or intending to donate ova, before or during, the study; including the timeframe to participant's next postconfinement menstruation after participating in this study.
9. If male, the participant intends to donate sperm during the course of this study or for 12 weeks thereafter.
10. Has evidence of current cardiovascular, central nervous system, hepatic, hematopoietic disease, renal dysfunction, metabolic or endocrine dysfunction, serious allergy, asthma hypoxemia, hypertension, seizures, or allergic skin rash. There is any finding in the participant's medical history, physical examination, or safety laboratory tests giving reasonable suspicion of a disease that would contra indicate taking MLN3126 or a similar drug in the same class, or that might interfere with the conduct of the study. This includes, but is not limited to, peptic ulcer disease, seizure disorders, and cardiac arrhythmias.
11. Has current or recent (within 6 months) GI disease that would be expected to influence the absorption of drugs (ie, a history of malabsorption, any surgical intervention known to impact absorption [eg, bariatric surgery or bowel resection], esophageal reflux, peptic ulcer disease, erosive esophagitis or frequent [more than once per week] occurrence of heartburn).
12. Has a history of cancer or other malignancy, except basal cell carcinoma that has been in remission for at least 5 years prior to Day 1.
13. Has a positive test result for hepatitis B surface antigen, antibody to hepatitis C virus, at Screening or a known history of human immunodeficiency virus infection.
14. Has used nicotine-containing products (this includes, but is 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).
15. Has poor peripheral venous access.
16. 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 45 days prior to Day 1.
17. Has a Screening or Check-in (Day -1) abnormal (clinically significant) ECG. 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.
18. Has abnormal Screening or Check-in (Day -1) laboratory values that suggest a clinically significant underlying disease or participant with the following laboratory abnormalities: alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) >1.5×ULN.
19. Has QT interval with Fridericia correction method (QTcF) >430 ms for men and >450 ms for women or PR outside the range of 120 to 220 ms confirmed upon repeat testing within a maximum of 5 minutes, at the Screening Visit or Check-in (Day -1).

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Cohort 5: MLN3126 2000 mg	MLN3126	MLN3126 2000 mg tablets, orally, fasting, once on Day 1.
Cohort 6	MLN3126	Did not take place due to termination of the study.
Placebo: Cohort 1-6	MLN3126 Placebo	Placebo-matching MLN3126 tablets, orally, once on Day 1.
Cohort 1: MLN3126 300 mg	MLN3126	MLN3126 300 mg tablets, orally, fasting, once on Day 1.
Cohort 2: MLN3126 600 mg	MLN3126	MLN3126 600 mg tablets, orally, fasting, once on Day 1.
Cohort 3: MLN3126 1000 mg	MLN3126	MLN3126 1000 mg tablets, orally, fasting, once on Day 1. Participants returned to the clinic then received MLN3126 1000 mg tablets, orally, fed (30 minutes after the start of a high-fat breakfast), once on Day 1.
Cohort 4: MLN3126 1500 mg	MLN3126	MLN3126 1500 mg administered orally as tablets, once on Day 1.

Primary Outcome Measures

Name	Time	Method
Percentage of Participants With Markedly Abnormal Electrocardiogram (ECG) Findings Post-Dose	Up to Day 16	A standard 12-lead ECG was performed. The percentage of participants with markedly abnormal electrocardiogram (ECG) findings during the study.
Number of Participants That Experience At Least One Treatment-Emergent Adverse Event (TEAE) Post-Dose	Up to Day 22	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. An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. 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 Clinical Laboratory Results Post-Dose	Up to Day 16	Clinical safety laboratory tests included clinical chemistry, hematology and urinalysis. The percentage of participants with any markedly abnormal laboratory finding during the study.
Percentage of Participants With Markedly Abnormal Vital Signs Post-Dose	Up to Day 16	Vital signs included oral body temperature measurement, blood pressure, respiration rate, and pulse rate \[beats per minute (bpm) or heart rate\]. The percentage of participant with markedly abnormal vital signs findings during the study. OBP=Orthostatic Blood Pressure. All OBP measurements were standing.

Secondary Outcome Measures

Name	Time	Method
Tmax: Time to Maximum Plasma Concentration of MLN3126 and Metabolite M-I	Pre-dose and multiple timepoints post-dose (Up to 96 Hours)	Tmax is the time to reach the maximum plasma concentration (Cmax), equal to time (hours) to Cmax.
CL/F: Oral Clearance of MLN3126	Pre-dose and multiple timepoints post-dose (Up to 96 Hours)	CL/F is apparent clearance of the drug from the plasma, after extravascular administration.
T ½: Half-life of MLN3126 and Metabolite M-I	Pre-dose and multiple timepoints post-dose (Up to 96 Hours)	Terminal phase elimination half-life (T1/2) is the time required for half of the drug to be eliminated from the plasma.
AUC(0-inf): Area Under the Plasma Concentration Time Curve of MLN3126 and Metabolite M-I From Time 0 to Infinity	Pre-dose and multiple timepoints post-dose (Up to 96 Hours)	AUC(0-inf) is measure of area under the curve from time 0 to infinity.
Cmax: Maximum Plasma Concentration of MLN3126 and Metabolite M-I	Pre-dose and multiple timepoints post-dose (Up to 96 Hours)	Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.
Ae (0-96): Total Amount of MLN3126 and Metabolite M-I Excreted in the Urine	Pre-dose and multiple timepoints post-dose (Up to 96 Hours)	Ae (0-96) is the total amount of drug excreted in urine from time 0 to time 96 hours.
Fe: Fraction of MLN3126 Excreted in the Urine	Pre-dose and multiple timepoints post-dose (Up to 96 Hours)	Fe is the Fraction of drug excreted in urine, calculated as Fe=(Ae\[0-t\]/dose)×100.
Renal Clearance (CLr) of MLN3126 and Metabolite M-I	Pre-dose and multiple timepoints post-dose (Up to 96 Hours)	Renal clearance was calculated as CLr=Ae(0-96)/AUC (0-96).
AUC(0-tlqc): Area Under the Plasma Concentration Time Curve of MLN3126 and Metabolite M-I From Time 0 to the Last Quantifiable Concentration	Pre-dose and multiple timepoints post-dose (Up to 96 Hours)	AUC(0-tlqc) is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration (AUC\[0-tlqc\]).