The purpose of this study is to determine brain LSD1 enzyme occupancy and the relationship of occupancy to TAK-418 dose and plasma exposure after single oral dosing of TAK-418 in healthy participants using \[18F\]MNI-1054 positron emission tomography (PET) imaging.
The drug being tested in this study is called TAK-418. TAK-418 is being tested to determine the relationship between brain LSD1 enzyme occupancy and TAK-418 plasma concentration. This study will utilize the PET radiotracer \[18F\]MNI-1054 to evaluate the brain LSD1 enzyme occupancy of TAK-418 after single dose oral administration in healthy adult participants. The study will enroll approximately 16 participants. The TAK-418 starting dose is 1.5 mg, given on Day 1. Each participant will receive one dose of TAK-418 and up to 3 dynamic \[18F\]MNI-1054 PET scans to assess enzyme occupancy on baseline, Day 1 and Day 2 or 3 post-TAK-418 dosing. This single center trial will be conducted in the United States. The overall time to participate in this study is 62 days. Participants will be followed up on Day 14 for follow-up safety assessments.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
7
TAK-418 orally.
\[18F\]MNI-1054 injection.
Invicro, A Konica Minolta Company
New Haven, Connecticut, United States
Quantitative Estimates of Binding of [18F]MNI-1054 Based on PET Radiotracer Kinetic Models At Baseline Scan on Day -1
Enzyme binding parameter \[Ki\] was obtained from irreversible 2-tissue compartment model (mL/cm\^3/min). Data is reported for the following brain regions: cerebellum, frontal lobe, hippocampus, occipital Lobe, pons, and striatum. Here, mL/cm\^3/min signifies 'milliliter per cubic centimeter per minute'.
Time frame: Day -1
Quantitative Estimates of Binding of [18F]MNI-1054 Based on PET Radiotracer Kinetic Models on Day 1
Enzyme binding parameter \[Ki\] was obtained from irreversible 2-tissue compartment model (mL/cm\^3/min). Data is reported for the following brain regions: cerebellum, frontal lobe, hippocampus, occipital Lobe, pons, and striatum. Here, mL/cm\^3/min signifies 'milliliter per cubic centimeter per minute'.
Time frame: Day 1
Quantitative Estimates of Binding of [18F]MNI-1054 Based on PET Radiotracer Kinetic Models on Day 2
Enzyme binding parameter \[Ki\] was obtained from irreversible 2-tissue compartment model (mL/cm\^3/min). Data is reported for the following brain regions: cerebellum, frontal lobe, hippocampus, occipital Lobe, pons, and striatum. Here, mL/cm\^3/min signifies 'milliliter per cubic centimeter per minute'.
Time frame: Day 2
Percent Enzyme Occupancy Based on Quantitative Estimates of Binding for TAK-418 on Day 1
Lysine-Specific Demethylase 1A (LSD1) enzyme occupancy (%) in region of interest (ROI) after a single dose of TAK-418 was obtained from the baseline and postdose Ki values as follows: occupancy (1st postdose) = 100\*(Ki \[baseline\] - Ki \[1st postdose\]) / Ki (baseline). Data is reported for following brain regions: cerebellum, frontal lobe, hippocampus, occipital Lobe, pons, and striatum.
Time frame: Day 1
Percent Enzyme Occupancy Based on Quantitative Estimates of Binding for TAK-418 on Day 2
LSD1 enzyme occupancy (%) in ROI after a single dose of TAK-418 was obtained from the baseline and postdose Ki values as follows: occupancy (2nd postdose) = 100\*(Ki \[baseline\] - Ki \[2nd postdose\]) / Ki (baseline). Data is reported for following brain regions: cerebellum, frontal lobe, hippocampus, occipital Lobe, pons, and striatum.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Day 2
Cmax: Maximum Observed Plasma Concentration for TAK-418
Time frame: Day 1: pre-dose and at multiple time points (up to 3 hours) post-dose, immediately before and after the Day 1 PET scan, and within 30 minutes before and 30 minutes after Day 2 or 3 PET scan
AUClast: Area Under the Plasma Concentration-time Curve (AUC) From Time 0 to Time of the Last Quantifiable Concentration for TAK-418
Time frame: Day 1: pre-dose and at multiple time points (up to 3 hours) post-dose, immediately before and after the Day 1 PET scan, and within 30 minutes before and 30 minutes after Day 2 or 3 PET scan
AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-418
Time frame: Day 1: pre-dose and at multiple time points (up to 3 hours) post-dose, immediately before and after the Day 1 PET scan, and within 30 minutes before and 30 minutes after Day 2 or 3 PET scan
ED50 PET Enzyme Occupancy
The relationship between PET enzyme occupancy and TAK-418 dose level was investigated using an Emax model containing the regression parameters maximal target occupancy (Emax) and dose that gives 50 percent (%) of Emax (ED50). ED50 values are reported for following brain regions: cerebellum, frontal lobe, hippocampus, occipital Lobe, pons, and striatum. The data tabulated are the estimated value and confidence intervals of the ED50 value derived from an Emax model fit across all data points from all arms. ED50 is the dose at which 50% enzyme occupancy is expected.
Time frame: Days 1 to 2
Number of Participants Reporting One or More Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: From first dose of [18F]MNI-1054 radiotracer injection up to Day 14
Number of Participants With Clinically Significant Abnormal Laboratory Values
Time frame: From first dose of [18F]MNI-1054 radiotracer injection up to Day 14
Number of Participants With Clinically Significant Abnormal Vital Signs
Time frame: From first dose of [18F]MNI-1054 radiotracer injection up to Day 14