This is a study of TAK-755 in adults with immune-mediated thrombotic thrombocytopenic purpura (iTTP). The main aim of this study is to determine the percentage of participants with a clinical (Part 1) or platelet (Part 2) response without plasma exchange during the study. Participants who have an acute attack of iTTP will receive TAK-755 and immunosuppressive therapy during their stay at the hospital until they achieve a clinical response in Part 1 or platelet response in Part 2. Participants will also be treated with TAK-755 for an additional time of up to 6 weeks after the acute phase. In total, participants will stay in the study for approximately 3 months.
This study consists of 2-parts. Part 1 is a double-blind, randomized study in which participants were randomized 1:1, in a blinded fashion, into 2 TAK-755 dose groups. Part 1, randomization was stratified based on whether the participant had received pre-study PEX and on the participant's Glasgow Coma Scale. Part 2 is an open-label study in which participants with iTTP experiencing an acute iTTP episode will be enrolled and assigned to a single-arm treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
33
TAK-755 IV infusion
University of Florida - Shands
Gainesville, Florida, United States
RECRUITINGMassachusetts General Hospital
Boston, Massachusetts, United States
RECRUITINGBrigham and Women's Hospital
Boston, Massachusetts, United States
NOT_YET_RECRUITINGBeth Israel Deaconess Medical Center
Boston, Massachusetts, United States
RECRUITINGUniversity of Minnesota Clinical Research Unit
Minneapolis, Minnesota, United States
RECRUITINGRutgers University
New Brunswick, New Jersey, United States
RECRUITINGWeill Cornell
New York, New York, United States
RECRUITINGDuke University Medical Center
Durham, North Carolina, United States
RECRUITINGLeo Jenkins Cancer Center/ECU School of Medicine
Greenville, North Carolina, United States
RECRUITINGOhio State University
Columbus, Ohio, United States
RECRUITING...and 12 more locations
Incidence of Adverse Events (AEs), Serious Adverse Events (SAEs), and Adverse Event of Special Interest (AESIs) After Receiving any Dose of Investigational Product (IP)
An 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 (e.g., 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. SAE: Signs, symptoms or outcomes which results in death, requires inpatient hospitalization or prolongation of hospitalization, results in persistent or significant disability/incapacity, results in a congenital abnormality/birth defect, or is an important medical event. Adverse events of special interest include major thrombotic events and treatment-related bleeding events.
Time frame: Through study completion, approximately 12 weeks
Part 1: Achievement of Clinical Response Without On-Study Plasma Exchange (PEX)
Clinical response is defined as normalization of platelets and no clinical evidence of new or progressive ischemic organ injury. Normalization of platelets: First occurrence of normal platelet count (greater than or equal to \[\>=\]150,000/microliter \[mcL\]) that is followed by a confirmatory platelet count of \>=150,000/mcL and a lactate dehydrogenase (LDH) \<1.5×upper limit of normal (ULN) at 48±12 hours after the first occurrence.
Time frame: Through study completion, approximately 12 weeks
Part 2: Achievement of Platelet Response Without On-Study Plasma Exchange (PEX)
Platelet response is defined as first occurrence of normal platelet count (\>=150,000/mcL) that is followed by a confirmatory platelet count of \>=150,000/mcL at 48±12 hours after the first occurrence.
Time frame: Through study completion, approximately 12 weeks
Part 1: Achievement of Clinical Response With Zero or Minimal on-Study PEX
The number of PEX administered considered Zero when no PEX is administered and considered Minimal when 1 to 3 PEX are administered.
Time frame: Through study completion, approximately 12 weeks
Part 2: Achievement of Platelet Response With Zero or Minimal on-Study PEX
The number of PEX administered considered Zero when no PEX is administered and considered Minimal when 1 to 3 PEX are administered.
Time frame: Through study completion, approximately 12 weeks
Part 1: Achievement of Clinical Response Overall
Overall indicates clinical response regardless of whether on-study PEX is administered, or the number of PEX administered.
Time frame: Through study completion, approximately 12 weeks
Part 2: Achievement of Platelet Response Overall
Overall indicates platelet response regardless of whether on-study PEX is administered, or the number of PEX administered.
Time frame: Through study completion, approximately 12 weeks
Part 1: Time to Clinical Response (Acute Phase)
Time frame: Through study completion, approximately 12 weeks
Part 2: Time to Platelet Response (Acute Phase)
Time frame: Through study completion, approximately 12 weeks
Part 1: Occurrence of Refractoriness (Acute Phase)
Time frame: Through study completion, approximately 12 weeks
Part 1: Time to First On-Study PEX in Participants who Achieved Clinical Response
Time frame: Through study completion, approximately 12 weeks
Part 2: Time to First On-Study PEX in Participants who Achieved Platelet Response
Time frame: Through study completion, approximately 12 weeks
Part 1: Number of Days of On-study PEX in Participants to Achieve Clinical Response (Acute Phase)
Time frame: Through study completion, approximately 12 weeks
Part 2: Number of Days of On-study PEX in Participants to Achieve Platelet Response (Acute Phase)
Time frame: Through study completion, approximately 12 weeks
Part 1: Total Volume of Plasma Administered (Acute Phase) to Achieve Clinical Response
Time frame: Through study completion, approximately 12 weeks
Part 2: Total Volume of Plasma Administered (Acute Phase) to Achieve Platelet Response
Time frame: Through study completion, approximately 12 weeks
Part 1: Occurrence of Treatment Failure
Treatment failure is defined as failure to achieve clinical response, or experience iTTP recurrence.
Time frame: Through study completion, approximately 12 weeks
Part 2: Occurrence of Treatment Failure
Treatment failure is defined as failure to achieve platelet response, or experience iTTP recurrence.
Time frame: Through study completion, approximately 12 weeks
Part 1: Occurrence of Immune-Mediated Thrombotic Thrombocytopenic Purpura (iTTP) Recurrence (Following Clinical Response), Exacerbation, or Relapse (Post-acute Phase)
iTTP recurrence comprised of exacerbation or relapse. Clinical exacerbation: Occurs \<30 days after achieving initial clinical response (i.e., before clinical remission) and recurrent thrombocytopenia (platelet levels \<150,000/μL), with or without clinical evidence of new or progressive ischemic organ damage, requiring daily PEX or rescue therapy. Clinical relapses: Occurs \>=30 days after achieving initial clinical response (i.e., after clinical remission) and recurrent thrombocytopenia (platelet levels \<150,000/μL), with or without clinical evidence of new or progressive ischemic organ damage, requiring daily PEX or rescue therapy.
Time frame: Through study completion, approximately 12 weeks
Part 2: Occurrence of iTTP Recurrence (Following Platelet Response), Exacerbation, or Relapse (Post-acute Phase)
iTTP recurrence comprised of exacerbation or relapse. Clinical exacerbation: Occurs \<30 days after achieving initial platelet response (i.e., before clinical remission) and recurrent thrombocytopenia (platelet levels \<150,000/μL), with or without clinical evidence of new or progressive ischemic organ damage, requiring daily PEX or rescue therapy. Clinical relapses: Occurs \>=30 days after achieving initial platelet response (i.e., after clinical remission) and recurrent thrombocytopenia (platelet levels \<150,000/μL), with or without clinical evidence of new or progressive ischemic organ damage, requiring daily PEX or rescue therapy.
Time frame: Through study completion, approximately 12 weeks
Part 1: Time to iTTP Recurrence (Following Clinical Response), Exacerbation, or Relapse
Time frame: Through study completion, approximately 12 weeks
Part 2: Time to iTTP Recurrence (Following Platelet Response), Exacerbation, or Relapse
Time frame: Through study completion, approximately 12 weeks
Part 1: Occurrence of Any One of the Following Events: Clinical Recurrence (Following Clinical Response), iTTP-Related Death, or Major Thrombotic Event From Time of First IP Administration Through Study Completion
Time frame: Through study completion, approximately 12 weeks
Part 2: Occurrence of Any One of the Following Events: Clinical Recurrence (Following Platelet Response), iTTP-Related Death, or Major Thrombotic Event From Time of First IP Administration Through Study Completion
Time frame: Through study completion, approximately 12 weeks
Part 1: Time to Occurrence of Any One of the Following Events: Clinical Recurrence (Following Clinical Response), iTTP-Related Death, or Major Thrombotic Event From Time of First IP Administration Through Study Completion
Time frame: Through study completion, approximately 12 weeks
Part 2: Time to Occurrence of Any One of the Following Events: Clinical Recurrence (Following Platelet Response), iTTP-Related Death, or Major Thrombotic Event From Time of First IP Administration Through Study Completion
Time frame: Through study completion, approximately 12 weeks
Part 1: Change From Baseline in Lactate Dehydrogenase [LDH] Levels at Clinical Response and Study Completion
Time frame: Through study completion, approximately 12 weeks
Part 2: Change From Baseline in LDH Levels at Platelet Response and Study Completion
Time frame: Through study completion, approximately 12 weeks
Part 1: Change From Baseline in Troponin Levels at Clinical Response and Study Completion
Time frame: Through study completion, approximately 12 weeks
Part 2: Change From Baseline in Troponin Levels at Platelet Response and Study Completion
Time frame: Through study completion, approximately 12 weeks
Part 1: Achievement of Clinical Remission
Clinical remission is defined as achieving clinical response and no recurrence for \>=30 days.
Time frame: Through study completion, approximately 12 weeks
Part 2: Achievement of Clinical Remission
Clinical remission is defined as achieving platelet response and no recurrence for \>=30 days.
Time frame: Through study completion, approximately 12 weeks
Part 1 and 2: A Disintegrin and Metalloproteinase With Thrombospondin Motifs 13 (ADAMTS13) Antigen Level Resulting From TAK-755 Administration in Acute and Post-Acute Phases
Time frame: Through study completion, approximately 12 weeks
Part 1 and 2: ADAMTS13 Activity Level Resulting From TAK-755 Administration in Acute and Post-Acute Phases
Time frame: Through study completion, approximately 12 weeks
Part 1: Von Willebrand Factor (VWF) Antigen Level Resulting From TAK-755 Administration in Acute and Post-Acute Phases
Time frame: Through study completion, approximately 12 weeks
Part 1: VWF Activity Level Resulting From TAK-755 Administration in Acute and Post-Acute Phases
Time frame: Through study completion, approximately 12 weeks
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