NCT05353985

Brief Summary

The main aim is to see how TAK-062 works to reduce celiac-related symptoms and improve small intestinal damage due to gluten exposure, in participants with celiac disease (CeD) attempting to maintain a gluten-free diet (GFD) in treated participants versus placebo controls.

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
153

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jun 2022

Geographic Reach
8 countries

102 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 26, 2022

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 29, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

June 30, 2022

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 6, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 6, 2024

Completed
10 months until next milestone

Results Posted

Study results publicly available

August 20, 2025

Completed
Last Updated

August 20, 2025

Status Verified

August 1, 2025

Enrollment Period

2.4 years

First QC Date

April 26, 2022

Results QC Date

August 1, 2025

Last Update Submit

August 1, 2025

Conditions

Keywords

Drug Therapy

Outcome Measures

Primary Outcomes (1)

  • Change in Weekly Celiac Disease Symptom Diary (CDSD) Gastrointestinal (GI) Symptom Severity Score From Baseline to Week 12

    CDSD GI symptom severity score is an average of the daily GI symptom severity scores during the week. The daily GI symptom severity score is the average of the severity score for diarrhea, abdominal pain, bloating and nausea, ranging from 0 to 4. Symptom severity is evaluated using 5-point Likert-type scales (none, mild, moderate, severe, and very severe). Higher scores indicate more severe symptoms. Results are reported as least squares (LS) mean change from baseline at Week 12, determined using a mixed-effect model for repeated measures (MMRM). A negative change from baseline indicates improvement.

    Baseline (Week -1) to Week 12

Secondary Outcomes (3)

  • Change in Villous Height to Crypt Depth Ratio (Vh:Cd) From Baseline to Week 24

    Baseline (Week -4, Run-in Period) to Week 24

  • Percentage of Participants Experiencing at Least One Treatment-Emergent Adverse Event (TEAE), Serious Treatment-Emergent Adverse Events (Serious TEAEs) and Treatment-Related TEAEs

    Up to Week 28

  • Number of Participants With Positive Antidrug Antibodies (ADA) in Serum for TAK-062

    Up to Week 28

Study Arms (8)

Cohort 1: TAK-062 Placebo + SIGE Gluten-Bar

PLACEBO COMPARATOR

TAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.

Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-BarDrug: TAK-062 Placebo

Cohort 1: TAK-062 Dose 1 + SIGE Gluten-Bar

EXPERIMENTAL

TAK-062 Dose 1, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.

Drug: TAK-062Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar

Cohort 2: TAK-062 Placebo + SIGE Gluten-Bar

PLACEBO COMPARATOR

TAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.

Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-BarDrug: TAK-062 Placebo

Cohort 2: TAK-062 Dose 2 + SIGE Gluten-Bar

EXPERIMENTAL

TAK-062 Dose 2, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.

Drug: TAK-062Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar

Cohort 2: TAK-062 Dose 3 + SIGE Gluten-Bar

EXPERIMENTAL

TAK-062 Dose 3, 4 tablets, orally, taken within pre-determined time before the start of a meal and SIGE gluten bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.

Drug: TAK-062Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-Bar

Cohort 2: TAK-062 Placebo + Gluten-free SIGE Bar

PLACEBO COMPARATOR

TAK-062 placebo-matching 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.

Drug: TAK-062 PlaceboDietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free Bar

Cohort 2: TAK-062 Dose 1 + Gluten-free SIGE Bar

EXPERIMENTAL

TAK-062 Dose 1, 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.

Drug: TAK-062Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free Bar

Cohort 2: TAK-062 Dose 2 + Gluten-free SIGE Bar

EXPERIMENTAL

TAK-062 4 tablets, orally, taken within pre-determined time before the start of a meal and gluten-free SIGE bar, orally, with a meal, at protocol defined timepoints, for up to 24 weeks.

Drug: TAK-062Dietary Supplement: Simulated Inadvertent Gluten Exposure (SIGE) Gluten-free Bar

Interventions

TAK-062 tablets.

Cohort 1: TAK-062 Dose 1 + SIGE Gluten-BarCohort 2: TAK-062 Dose 1 + Gluten-free SIGE BarCohort 2: TAK-062 Dose 2 + Gluten-free SIGE BarCohort 2: TAK-062 Dose 2 + SIGE Gluten-BarCohort 2: TAK-062 Dose 3 + SIGE Gluten-Bar

SIGE gluten bars.

Cohort 1: TAK-062 Dose 1 + SIGE Gluten-BarCohort 1: TAK-062 Placebo + SIGE Gluten-BarCohort 2: TAK-062 Dose 2 + SIGE Gluten-BarCohort 2: TAK-062 Dose 3 + SIGE Gluten-BarCohort 2: TAK-062 Placebo + SIGE Gluten-Bar

TAK-062 placebo-matching tablets.

Cohort 1: TAK-062 Placebo + SIGE Gluten-BarCohort 2: TAK-062 Placebo + Gluten-free SIGE BarCohort 2: TAK-062 Placebo + SIGE Gluten-Bar

SIGE gluten-free bars.

Cohort 2: TAK-062 Dose 1 + Gluten-free SIGE BarCohort 2: TAK-062 Dose 2 + Gluten-free SIGE BarCohort 2: TAK-062 Placebo + Gluten-free SIGE Bar

Eligibility Criteria

Age12 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Has an adequate comprehension of a gluten-free diet (GFD) assessed by the site investigator after review of responses to a knowledge test. The final determination of a participant's adequate comprehension of a GFD is at the discretion of the investigator.
  • Has at least 1 CeD-related GI symptom of moderate or greater severity, as measured by the CDSD, on at least 3 days out of any consecutive 7-day period during the screening period (Week -8 visit until Week -4 visit), felt by the investigator to be related to gluten exposure. The CeD-related symptom(s) may vary day by day as long as the severity of at least 1 symptom is moderate or greater. The participants must meet symptom criteria to undergo esophagogastroduodenoscopy (EGD)/video capsule endoscopy (VCE).
  • Has been attempting to maintain a GFD for at least 12 months as self-reported by the participant.
  • Has small intestinal villous atrophy on duodenal biopsy defined as Vh:Cd \<2.5 at Week -4.
  • The participant is human leukocyte antigen (HLA)-DQ2 and/or HLA-DQ8 positive.
  • The participant is in a good general state of health according to clinical history and physical examination, in the opinion of the investigator.
  • Have a body mass index (BMI) between 16 and 45 kilogram per meter square (kg/m\^2), inclusive.
  • Note: Individuals with BMI of 40 to 45 should be discussed with the medical monitor and confirmed to be appropriate for endoscopy according to local site guidelines.
  • The participant is willing and able to continue any current dietary and/or medical regimens (including gastric acid suppression) in effect at the first visit (Visit 1).
  • There should be no changes to diet, medications (prescription or over-the-counter) or supplements during study participation.

You may not qualify if:

  • Has the presence of other inflammatory GI disorders or systemic autoimmune diseases that either have the potential to cause persistent GI symptoms similar to CeD or are not well controlled without the use of excluded medication.
  • Examples of conditions that may be permissible after discussion with the medical monitor include systemic autoimmune disease such as scleroderma, psoriatic or rheumatoid arthritis, or lupus that is stable and without GI involvement; well controlled autoimmune thyroid disease; well-controlled type 1 diabetes; or proton pump inhibitor (PPI) responsive eosinophilic esophagitis in symptomatic and histologically confirmed remission.
  • Has ongoing systemic immunosuppressant, systemic corticosteroid treatment excluding medication given for the endoscopies, or treatment with systemic immunosuppressants or systemic corticosteroids in the 12 weeks before Screening.
  • The participant is receiving immunosuppressive doses of corticosteroids: 3 mg per day or more of budesonide for more than 3 consecutive days within 3 months before Screening, more than 20 mg of prednisone given daily or on alternative days for 2 weeks or more within 90 days before the first dose, any dose of oral or intravenous (IV) corticosteroids within 30 days of the first dose, or high-dose inhaled corticosteroids (\>960 micrograms per day \[μg/day\] of beclomethasone dipropionate or equivalent), or other systemic immunosuppressive agents.
  • Has ongoing use of over-the-counter digestive enzymes or digestive supplements, other than lactase, including those for gluten digestion. Probiotics are allowable if they were started before Screening and not discontinued or changed in dose or type during the study.
  • Has completed the CDSD on ≤75% of the evaluable days during the run-in period until randomization.
  • Has active microscopic colitis requiring treatment in the 6 months before Screening.
  • Microscopic colitis detected at screening if sigmoidoscopy is performed would exclude the participant.
  • Has known or suspected type 2 refractory CeD or ulcerative jejunitis.
  • Has ongoing chronic use (defined as \>7 days continuous use) of a nonsteroidal anti-inflammatory drug aside from \<100 mg aspirin, daily, for prophylactic use.
  • Has ongoing use, or use in the 3 months before screening, of medications known to cause villous abnormalities (e.g., mycophenolate mofetil, angiotensin receptor blockers, colchicine).
  • Has a contraindication to endoscopy with duodenal biopsy.
  • Has additional food allergies (tapioca syrup, oats, almonds, rice crisp, chocolate, almond, butter, wheat gluten, cocoa butter, oat flour, glycerin, sunflower lecithin, salt, and natural flavors) to nongluten ingredients in the SIGE bar study food or significant symptoms upon ingestion of the gluten-free SIGE bar during screening.
  • Has a history of intolerance, hypersensitivity, or idiosyncratic reaction to an aminoglycoside.
  • Has a known human immunodeficiency virus (HIV) infection or positive tests for hepatitis B or C. The participant has a known clinically significant chronically active hepatopathy of any origin, including cirrhosis, and participants with persistent positive hepatitis B virus surface antigen and quantitative hepatitis B virus polymerase chain reaction (PCR), or positive serology for hepatitis C virus (HCV) and quantitative HCV PCR within 6 months before the screening visit.
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (102)

University of Alabama at Birmingham

Birmingham, Alabama, 35233, United States

Location

Research Solutions of Arizona, PC

Litchfield Park, Arizona, 85340, United States

Location

One of a Kind Clinical Research Center LLC

Paradise Valley, Arizona, 85253, United States

Location

Mayo Clinic- Arizona

Scottsdale, Arizona, 85259, United States

Location

GI Alliance- Sun City

Sun City, Arizona, 85351, United States

Location

Adobe Clinical Research LLC

Tucson, Arizona, 85712, United States

Location

Gastroenterology and Liver Institute

Escondido, California, 92025, United States

Location

Om Research LLC

Lancaster, California, 93534, United States

Location

So. California Research Institute Med Group Inc./West Gastroenterology Med Group

Los Angeles, California, 90045, United States

Location

UCLA

Los Angeles, California, 90404, United States

Location

Providence Facey Medical Foundation

Mission Hills, California, 91345, United States

Location

Stanford University School of Medicine

Redwood City, California, 94063, United States

Location

Medical Associates Research Group, Inc.

San Diego, California, 92123, United States

Location

Asthma and Allergy Associates, PC

Colorado Springs, Colorado, 80907, United States

Location

Medical Research Center of Connecticut, LLC 300143562

Hamden, Connecticut, 06518, United States

Location

Central Connecticut Endoscopy Center

Plainville, Connecticut, 06062, United States

Location

Nature Coast Clinical Research, LLC

Inverness, Florida, 34452, United States

Location

University of Miami Medical Center

Miami, Florida, 33136, United States

Location

Wellness Clinical Research

Miami Lakes, Florida, 33016, United States

Location

Gastroenterology Associates of Pensacola, PA

Pensacola, Florida, 32503, United States

Location

St. Johns Center for Clinical Research

Saint Augustine, Florida, 32086, United States

Location

GCP Clinical Research, LLC

Tampa, Florida, 33609, United States

Location

Agile Clinical Research Trials

Alpharetta, Georgia, 30022, United States

Location

Lemah Creek Clinical Research

Oakbrook Terrace, Illinois, 60181, United States

Location

Indiana University -GI

Indianapolis, Indiana, 46202, United States

Location

University of Iowa Hospital and Clinics

Iowa City, Iowa, 52242, United States

Location

University Medical Center New Orleans

New Orleans, Louisiana, 70112, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Location

Lahey Hospital and Medical

Burlington, Massachusetts, 01805, United States

Location

Hawthorn Medical Associates LLC

South Dartmouth, Massachusetts, 02747, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Clinical Research Institute of Michigan, LLC

Chesterfield, Michigan, 48047, United States

Location

Revive Research Institute, Inc

Farmington Hills, Michigan, 48334, United States

Location

Mayo Clinic - Rochester

Rochester, Minnesota, 55905, United States

Location

Washington University, School of Medicine

St Louis, Missouri, 63110, United States

Location

Manhattan Clinical Research, LLC

Manhattan, New York, 10016, United States

Location

New York University Medical Center PRIME

New York, New York, 10016, United States

Location

Blair S Lewis MD

New York, New York, 10032, United States

Location

Rochester Clinical Research

Rochester, New York, 14618, United States

Location

Tryon Medical Partners

Charlotte, North Carolina, 28210, United States

Location

Carolina Digestive Diseases

Greenville, North Carolina, 27834, United States

Location

Gastro Health Research

Cincinnati, Ohio, 45219, United States

Location

Cleveland Clinic - Gastroenterology and Hepatology

Cleveland, Ohio, 44195, United States

Location

Dayton Gastroenterology, Inc

Englewood, Ohio, 45415, United States

Location

Eastern Pennsylvania Gastroeneterology and Liver Specialists

Allentown, Pennsylvania, 18104, United States

Location

Thomas Jefferson University

Philadelphia, Pennsylvania, 19107, United States

Location

Gastroenterology Associates, PA

Greenville, South Carolina, 29607, United States

Location

Rapid City Medical Center, LLC

Rapid City, South Dakota, 57701, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

The Methodist Hospital 150520246

Houston, Texas, 77030, United States

Location

Biopharma Informatic, LLC

Houston, Texas, 77084, United States

Location

Spring Clinical Research

Houston, Texas, 77090, United States

Location

Biopharma Informatic, LLC

McAllen, Texas, 78503, United States

Location

Victoria Gastroenterology

Victoria, Texas, 77904, United States

Location

University of Virginia Medical Center

Charlottesville, Virginia, 22903, United States

Location

Blue Ridge Medical Research

Lynchburg, Virginia, 24502, United States

Location

Clinical Research Partners, LLC

Richmond, Virginia, 23220, United States

Location

Swedish Gastroenterology

Seattle, Washington, 98104, United States

Location

University of Washington Division of Gastroenterology

Seattle, Washington, 98195, United States

Location

Velocity Clinical Research

Spokane, Washington, 99218, United States

Location

AZ Sint-Lucas

Bruges, 8310, Belgium

Location

AZ Maria Middelares

Ghent, 9000, Belgium

Location

Vitaz

Sint-Niklaas, 9100, Belgium

Location

Gastroenterology and Internal Medicine Research Institute (GIRI)

Edmonton, Alberta, T5R 1W2, Canada

Location

St. Boniface Hospital Inc. Section of Nephrology BG 007

Winnipeg, Manitoba, R2H 2A6, Canada

Location

Kensington Screening Clinic

Toronto, Ontario, M5T 3A9, Canada

Location

McGill University Health Center McGill University

Montreal, Quebec, H3A 1A1, Canada

Location

Hopital Rangueil Service de Gastro Enterologie et Nutrition

Toulouse, Haute Garonne, 31059, France

Location

Institut des MICI

Neuilly, Hauts De Seine, 92200, France

Location

CHU Lille - Hopital Claude Huriez Service des maladies de I'appareil digestif

Lille, Nord, 59037, France

Location

CHU Saint Etienne - Hopital Nord Service de Gastro-Enterologie et Hepatologie

Saint-Étienne-de-Montluc, Pays de la Loire Region, 42055, France

Location

Hopital Europeen Georges Pompidou Gastro Enterologie et Oncologie Digestive

Paris, 75015, France

Location

Azienda Ospedaliero Universitaria di Ferrara

Cona, Ferrara, 44124, Italy

Location

Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico

Milan, Milano, 20122, Italy

Location

Azienda Ospedaliero Universitaria Ospedali Riuniti- Ospedale Pediatrico UOC Pediatria - G. Salesi

Ancona, 60123, Italy

Location

Ospedale Valduce 300205849

Como, 22100, Italy

Location

Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone Internal Medicine

Palermo, 90127, Italy

Location

Fondazione IRCCS Policlinico San Matteo Sezione di Medicina Interna

Pavia, 27100, Italy

Location

Azienda Ospedaliero Universitaria Pisana (Presidio di Cisanello) U.O. Gastroenterologia

Pisa, 56124, Italy

Location

Fondazione Policlinico Universitario Agostino Gemelli IRCCS UOC Medicina Interna e Gastroenterologia

Roma, 168, Italy

Location

Azienda Ospedaliera Universitaria OO. RR. S. Giovanni di Dio e Ruggi D'Aragona

Salerno, 84131, Italy

Location

Ospedale Umberto I di Torino S.C. Gastroenterologia

Torino, 10128, Italy

Location

FutureMeds Krakow prev. Krakowskie Centrum Medyczne Sp. z o.o.

Krakow, 31-501, Poland

Location

ALLMEDICA sp. z o. o.

Nowy Targ, 34-400, Poland

Location

Gabinet Lekarski Bartosz Korczowski

Rzeszów, 35-302, Poland

Location

Centrum Medyczne Medyk

Rzeszów, 35-326, Poland

Location

Warsaw IBD Point Profesor Kierkus

Warsaw, 00-728, Poland

Location

Komisja Bioetyczna przy Okregowej Izbie Lekarskiej w Warszawie

Warsaw, 02-172, Poland

Location

Melita Medical SP . Z O. O.

Wroclaw, 50-449, Poland

Location

ETG Zamosc

Zamość, 22-400, Poland

Location

Vall d'Hebron Research Institute

Barcelona, 8035, Spain

Location

Hospital Universitario Ramon y Cajal Servicio de Gastroenterologia

Madrid, 28034, Spain

Location

Hospital Clinico Universitario Virgen de la Victoria Digestive Service

Málaga, 29010, Spain

Location

Hospital Universitario Virgen Macarena Digestive Service

Seville, 41009, Spain

Location

Hospital Universitario Miguel Servet Servicio de Aparato Digestivo

Zaragoza, 50009, Spain

Location

Royal London Hospital Dept of Gastroenterology

London, Greater London, E1 1FR, United Kingdom

Location

King's College Hospital Dept of Gastroenterology

London, Greater London, SE5 9RS, United Kingdom

Location

John Radcliffe Hospital Dept of Gastroenterology

Oxford, Oxfordshire, OX3 9DU, United Kingdom

Location

Royal Hallamshire Hospital Dept of Gastroenterology

Sheffield, South Yorkshire, S10 2JF, United Kingdom

Location

Bradford Teaching Hospitals NHS Foundation Trust

Bradford, West Yorkshire, BD9 6RJ, United Kingdom

Location

The Ulster Hospital Department of Gastroenterology

Belfast, BT16 1RH, United Kingdom

Location

Related Links

MeSH Terms

Conditions

Celiac Disease

Condition Hierarchy (Ancestors)

Malabsorption SyndromesIntestinal DiseasesGastrointestinal DiseasesDigestive System DiseasesMetabolic DiseasesNutritional and Metabolic Diseases

Results Point of Contact

Title
Study Director
Organization
Takeda

Study Officials

  • Medical Director

    Takeda

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 26, 2022

First Posted

April 29, 2022

Study Start

June 30, 2022

Primary Completion

November 6, 2024

Study Completion

November 6, 2024

Last Updated

August 20, 2025

Results First Posted

August 20, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will share

Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

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.
More information

Locations