A Study of TAK-659 as a Single Agent in Adult East Asian Participants With Non-Hodgkin Lymphoma (NHL)

NCT03238651 | Terminated Phase 1 Results

• 2 other identifiers: C34007U1111-1186-6838
• Study Type: interventional
• Target: 17
• Locations: 2 countries
• Sites: 4

Brief Summary

The purpose of this study is to determine the safety, tolerability, maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D) of TAK-659 when administered in East Asian participants with NHL who do not have an effective standard treatment available and to characterize the plasma and urine pharmacokinetic (PK) of TAK-659 in East Asian participants with NHL.

Conditions

Lymphoma, Non-Hodgkin; Lymphoma, Follicular, Marginal Zone

Keywords

Drug therapy

Outcome Measures

Primary Outcomes (12)

• Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)

  From first dose of study drug up to 28 days after the last dose of study drug or before the start of subsequent anticancer therapy (up to Cycle 31) (Cycle length =28 days)

• Percentage of Participants With Grade 3 or Higher TEAEs

  TEAEs were graded as per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 4.03. As per the NCI-CTCAE, Grade 1 (mild, asymptomatic or mild symptoms); Grade 2 (moderate, minimal, local or noninvasive intervention indicated); Grade 3 (severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated); Grade 4 (life-threatening consequences, urgent intervention indicated); Grade 5 (death related to adverse event \[AE\]).

  From first dose of study drug up to 28 days after the last dose of study drug or before the start of subsequent anticancer therapy (up to Cycle 31) (Cycle length =28 days)

• Percentage of Participants With Serious TEAEs

  From first dose of study drug up to 28 days after the last dose of study drug or before the start of subsequent anticancer therapy (up to Cycle 31) (Cycle length =28 days)

• Dose Escalation Part: Percentage of Participants With Dose-limiting Toxicities (DLTs) During Cycle 1

  DLT was evaluated as per NCI-CTCAE, v4.03 and defined as any of the following events occurring during Cycle 1 that were considered by the investigator to be possibly related to therapy: Grade 4 neutropenia unresolved to less than or equal to (\<=) Grade 1 or baseline for more than 7 days in the absence of growth factor support; greater than or equal to (\>=) Grade 3 neutropenia with fever and/or infection;Grade 4 thrombocytopenia unresolved to \<=Grade 1 or baseline for more than 7 days; \>=Grade 3 thrombocytopenia with clinically significant bleeding; Grade \>=3 nonhematologic toxicity except for treated \>=Grade 3 nausea and/or emesis and diarrhea resolved to less than (\<) Grade 3 within 3 days, Grade 3 fatigue \<=72 hours, isolated asymptomatic \>=Grade 3 laboratory abnormalities resolved to \<=Grade 1 or baseline in \<=7 days;received \<75% of planned doses of study drug in Cycle 1;TAK-659-related \>=Grade 2 nonhematologic toxicities that required dose reduction or discontinuation of therapy.

  Cycle 1 (Cycle length =28 days)

• Percentage of Participants Who Discontinued Study Drug Due to TEAEs

  From first dose of study drug up to 28 days after the last dose of study drug or before the start of subsequent anticancer therapy (up to Cycle 31) (Cycle length =28 days)

• Cmax: Maximum Observed Plasma Concentration for TAK-659 on Cycle 1 Day 1

  Cycle 1 Day 1: pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length= 28 days)

• Cmax: Maximum Observed Plasma Concentration for TAK-659 on Cycle 1 Day 7 (Dosing Schedule B) and Cycle 1 Day 15 (Dosing Schedule A)

  Cycle 1 Day 7 (Dosing Schedule B) and Day 15 (Dosing Schedule A): pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length= 28 days)

• Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-659 on Cycle 1 Day 1

  Cycle 1 Day 1: pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length= 28 days)

• Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-659 on Cycle 1 Day 7 (Dosing Schedule B) and Cycle 1 Day 15 (Dosing Schedule A)

  Cycle 1 Day 7 (Dosing Schedule B) and Day 15 (Dosing Schedule A): pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length= 28 days)

• AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for TAK-659 on Cycle 1 Day 1

  Cycle 1 Day 1: pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length= 28 days)

• AUCτ: Area Under the Plasma Concentration-time Curve From Time 0 to Time Tau Over the Dosing Interval for TAK-659 on Cycle 1 Day 7 (Dosing Schedule B) and Day 15 (Dosing Schedule A)

  Cycle 1 Day 7 (Dosing Schedule B) and Day 15 (Dosing Schedule A): pre-dose and at multiple time points (up to 24 hours) post-dose (Cycle length= 28 days)

• CLR: Renal Clearance for TAK-659 on Cycle 1 Day 15

  Cycle 1 Day 15: pre-dose and at multiple time points (up to 8 hours) post-dose (Cycle length= 28 days)

Study Arms (3)

Dose Escalation Part Schedule A: TAK-659 60 mg in Cohort 1

EXPERIMENTAL

TAK-659, tablet, orally, once daily, in a 28-day treatment cycle for up to 12 months or until disease progression or unacceptable toxicity, with a starting dose of 60 milligram (mg) in Cohort 1. Dose escalation will follow a standard 3+3 schema . If 60 mg, once daily is safe and tolerable, then the dose will be escalated to 80 mg, once daily and subsequently in 20 mg increments until MTD and/or RP2D is determined. Based on emerging safety, tolerability, PK data, a lower dose will be permitted.

Drug: TAK-659

Dose Escalation Part Schedule B: TAK-659 80 mg in Cohort 1

EXPERIMENTAL

TAK-659, tablet, orally, once daily as 7 days on and 7 days off treatment (dosing on 7 days followed by 7 days of rest) in a 28-day treatment cycle for up to 12 months or until disease progression or unacceptable toxicity, with a starting dose of 80 mg in Cohort 1. Dose escalation will follow a standard 3+3 schema. An alternative intermittent regimen may be evaluated if deemed necessary per the emerging data.

Drug: TAK-659

Expansion Part: TAK-659 MTD/RP2D

EXPERIMENTAL

TAK-659, tablet, orally, once daily, in a 28-day treatment cycle until disease progression or unacceptable toxicity in participants with follicular lymphoma (FL) or marginal zone lymphoma (MZL) who are relapsed and/or refractory. Dose and dosing schedule for this part will be MTD/RP2D determined from results of dose escalation part.

Drug: TAK-659

Interventions

TAK-659 DRUG

TAK-659 Tablets.

Dose Escalation Part Schedule A: TAK-659 60 mg in Cohort 1; Dose Escalation Part Schedule B: TAK-659 80 mg in Cohort 1; Expansion Part: TAK-659 MTD/RP2D

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• To be enrolled to the dose escalation part, participants must have histologically or cytologically confirmed diagnosis of NHL for which no effective standard treatment is available.
• To be enrolled in the expansion part, participants must meet the following criteria:
• Must have pathologically confirmed FL (Grade 1, 2, or 3A) or MZL.
• Relapsed and/or refractory to \>=2 prior lines of chemotherapy based on standard of care that include at least 1 anti-CD20-based regimen, as well as alkylating agents (example cyclophosphamide or bendamustine).
• Participants must be ineligible for or refusal to hematopoietic stem cell transplant.
• If the participants have relapsed or progressed after achieving a response (defined as CR or PR), documented, investigator-assessed relapse or progression after the last treatment is required.
• Measurable disease per IWG 2007 criteria.
• Eastern Cooperative Oncology Group performance status score of 0 or 1.
• Life expectancy of longer than 3 months.
• Adequate organ function, including the following:
• Bone marrow reserve: absolute neutrophil count \>=1,000 per cubic millimeter (/mm\^3), platelet count \>=75,000/mm\^3 (\>=50,000/mm\^3 for participants with bone marrow involvement), and hemoglobin \>=8 gram per deciliter (g/dL) (red blood cell \[RBC\] and platelet transfusion allowed \>=14 days before assessment).
• Hepatic function: total bilirubin less than or equal to (\<=) 1.5\*the upper limit of the normal range (ULN); alanine aminotransferase and aspartate aminotransferase \<=2.5\*ULN.
• Renal function: creatinine clearance \>=60 milliliter per minute (mL/min) either as estimated by the Cockcroft-Gault equation.

You may not qualify if:

• Central nervous system (CNS) lymphoma; active brain or leptomeningeal metastases as indicated by positive cytology from lumbar puncture or computed tomography (CT)/magnetic resonance imaging (MRI) by local assessment.
• Systemic anticancer treatment (including investigational agents) less than 3 weeks before the first dose of study treatment (\<=4 weeks for antibody-based therapy including unconjugated antibody, antibody-drug conjugate, and bi-specific T-cell engager agent; \<=8 weeks for cell-based therapy or anti-tumor vaccine).
• Radiotherapy less than (\<) 3 weeks before the first dose of study treatment. If prior radiotherapy occurred \<4 to 6 weeks before the study start, as radiated lesions cannot be reliably assessed by fluoro-2-deoxy-D-glucose (FDG)-positron emission tomography (PET), nonradiated target lesions are required for eligibility.
• Prior autologous stem cell transplant (ASCT) within 6 months or prior ASCT at any time without full hematopoietic recovery before Cycle 1 Day 1, or allogeneic stem cell transplant at any time.
• Any clinically significant comorbidities, such as uncontrolled pulmonary disease (example, severe chronic obstructive pulmonary disease with hypoxemia, interstitial lung disease, radiation induced lung injury), known impaired cardiac function or clinically significant cardiac disease, active CNS disease, or any other condition that could, in the opinion of the investigator, compromise the participant's safety and participation in the study per protocol.
• Known gastrointestinal (GI) disease or GI procedure that could interfere with the oral absorption or tolerance of TAK-659.
• Use or consumption of any of the following substances:
• Received medications, supplements, or food/beverages that are P-glycoprotein (P-gp) inhibitors or inducers or strong cytochrome P450 (CYP) 3A inhibitors or inducers within a certain time frame prior to the first dose of study drug. Depending on the substance, the washout period for P-gp inhibitors or inducers or strong CYP3A inhibitors or inducers will be either 7 days or 5 times the half-life (half-life is related to the time required for elimination from the body). The washout period for grapefruit containing food or beverages is 5 days.

Sponsors & Collaborators

• Calithera Biosciences, Inc: lead

Study Sites (4)

NHO Nagoya Medical Center

Nagoya, Aichi-ken, 460-0001, Japan

Location

National Cancer Center Hospital

Chuo-ku, Tokyo, 104-0045, Japan

Location

Seoul National University Hospital

Seoul, 3080, South Korea

Location

Samsung Medical Center

Seoul, 6315, South Korea

Location

MeSH Terms

Conditions

Lymphoma, Non-Hodgkin; Lymphoma

Interventions

TAK-659

Condition Hierarchy (Ancestors)

Neoplasms by Histologic Type; Neoplasms; Lymphoproliferative Disorders; Lymphatic Diseases; Hemic and Lymphatic Diseases; Immunoproliferative Disorders; Immune System Diseases

Results Point of Contact

• Title: Study Director
• Organization: Takeda

TrialDisclosures@takeda.com

+1-877-825-3327

Study Officials

• Study Director

  Takeda

  STUDY DIRECTOR

Publication Agreements

• PI is Sponsor Employee: No
• Restriction Type: OTHER
• Restrictive Agreement: Yes

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 1, 2017
• First Posted: August 3, 2017
• Study Start: August 1, 2017
• Primary Completion: August 17, 2020
• Study Completion: August 17, 2020
• Last Updated: February 8, 2023
• Results First Posted: September 14, 2021

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR
• Access Criteria: IPD from eligible studies will be shared with qualified researchers according to the criteria and process described on https://vivli.org/ourmember/takeda/. For approved requests, the researchers will be provided access to anonymized data (to respect patient privacy in line with applicable laws and regulations) and with information necessary to address the research objectives under the terms of a data sharing agreement.

Locations

JP (2); KR (2)