Takeda Announces Positive Topline Results from Pivotal Phase 2/3 Clinical Trial of TAK-881 in Primary Immunodeficiency Disease (PID)
- Investigational TAK-881 was comparable to established HYQVIA while also demonstrating reduced infusion volume and duration for PID patients
The TAK-881-3001 clinical trial evaluated the PK, efficacy, safety, tolerability and immunogenicity of TAK-881 in adults and pediatric patients aged 2 years and older with PID previously treated with IG therapy and compared them with HYQVIA in patients aged 16 years and older. Initial topline data show TAK-881:
- Achieved comparable PK: The study met its primary endpoint demonstrating equivalent immunoglobulin G (IgG) exposure between TAK-881 and HYQVIA as shown by a geometric mean ratio of 99.67% (90% CI: 95.10% to 104.46%) for the areas under the concentration-time profiles over one dosing interval at the steady state (AUC0-tau,ss).
- Provided immune protection: TAK‑881 demonstrated comparable infection rates and immune protection to HYQVIA, with protective IgG levels consistently maintained throughout the study.
- Demonstrated a comparable safety profile: The safety and tolerability profiles of TAK-881 shown were comparable to HYQVIA, with no new safety signals observed. The safety profile of TAK-881 will continue to be evaluated in the ongoing TAK-881-3002 extension study.
“These Phase 2/3 results showed the pharmacokinetic profile of TAK-881 was comparable to HYQVIA, an established IG standard of care in patients with PID, while offering the potential advantages of fewer injection sites, a flexible treatment schedule and shorter infusion times,” said
For many patients with PID, IG replacement is the only treatment option to maintain immune protection against infections. While existing IG therapies are effective, many patients continue to experience treatment burden, including frequent or high-volume infusions.
“Patients needing lifelong IG therapy for PID experience a significant burden of care. Improving the administration process can diminish the burden of care by substantively impacting the treatment experience,” said
Analyses from TAK-881-3001 are ongoing, and Takeda anticipates sharing additional results in an upcoming medical forum. Takeda expects to submit applications for TAK-881 to regulatory authorities in
About TAK-881-3001 and TAK-881-3002
TAK-881-3001 was a pivotal Phase 2/3 clinical trial evaluating the pharmacokinetics, efficacy, safety, tolerability and immunogenicity of TAK-881 in adults and pediatric patients aged 2 years and older with Primary Immunodeficiency Disease (PID) who were previously treated with immunoglobulin (IG) therapy. Study participants aged 16 and older were randomized to be treated with TAK-881 followed by HYQVIA or HYQVIA followed by TAK-881 with the same dose and dosing interval of IG for up to 51 weeks in the open label, randomized cross-over study part. Participants aged 2 to < 16 were treated with only TAK-881 for up to 27 weeks in the open label single-arm study part. Further information about the TAK-881-3001 clinical trial is available at ClinicalTrials.gov under study identifier NCT05755035.
TAK-881-3002 is a Phase 3 study evaluating the long-term safety and tolerability of TAK-881 in patients with PID and is the extension study of TAK-881-3001. Further information about the TAK-881-3002 clinical trial is available at ClinicalTrials.gov under study identifier NCT06076642.
About TAK-881
TAK-881 [Immune Globulin Subcutaneous (Human), 20% Solution (SCIG 20%) and Recombinant Human Hyaluronidase] is an investigational liquid medicine comprised of one vial of immunoglobulin (IG) 20% and one vial of Halozyme’s recombinant human hyaluronidase (rHuPH20). IG is collected from human plasma and maintains the body’s immune system. TAK-881 is infused under the skin into the fatty subcutaneous tissue where the hyaluronidase facilitates the dispersion and increases the absorption of immunoglobulin in the subcutaneous tissue, allowing larger volumes to be infused at a given infusion site. As a SCIG 20% facilitated with hyaluronidase, TAK-881 is being developed with the goal of reducing infusion volume and duration while providing effective immune protection for patients with PID.
About Primary Immunodeficiency Disease (PID)
Primary Immunodeficiency Disease (PID) is a group of more than 550 rare and chronic disorders, where a part of the body’s immune system is missing or does not function the way it should.1 These conditions result from genetic mutations, which are usually inherited.2 The symptoms of PID vary and can include frequent and/or persistent infections and unusual autoimmunity, often leading to prolonged periods of misdiagnosis despite consultations with multiple specialists.3 In
About HYQVIA®
HYQVIA® [Immune Globulin Infusion 10% (Human) with Recombinant Human Hyaluronidase] is a liquid medicine containing immunoglobulin (IG) 10% and Halozyme’s recombinant human hyaluronidase (rHuPH20). HYQVIA is approved by the
In
HYQVIA is infused under the skin into the fatty subcutaneous tissue and contains IG collected from human plasma. IGs are antibodies that maintain the body’s immune system. The hyaluronidase part of HYQVIA facilitates the dispersion and absorption of IG in the subcutaneous space between the skin and the muscle. HYQVIA is infused up to once a month (every two, three or four weeks for CIDP; every three or four weeks for PID).
HyQvia® (Human normal immunoglobulin) 100 mg/ml solution for infusion for subcutaneous use
Important Safety Information (
Please consult the HyQvia (Human normal immunoglobulin (SCIg)) Summary of Product Characteristics (SmPC) before prescribing, particularly in relation to dosing and treatment monitoring.
GUIDANCE FOR USE: Therapy should be initiated and monitored under the supervision of a physician experienced in the treatment of immunodeficiency/CIDP. The medicinal product should be administered via the subcutaneous (SC) route. The dose and dose regimens are dependent on the indication. The dose may need to be individualized for each patient dependent on the PK and clinical response. Dose based on bodyweight may require adjustment in underweight or overweight patients.
CONTRAINDICATIONS: Not be given intravenously or intramuscularly. Hypersensitivity to the active substance or to any of the excipients. Hypersensitivity to human immunoglobulins, especially in very rare cases of IgA deficiency when the patient has antibodies against IgA. Systemic hypersensitivity to hyaluronidase or rHuPH20.
SPECIAL POPULATIONS: Paediatric population: The dosing schedule for children and adolescents (0 to 18 years) for replacement and immunomodulatory therapies is the same as for adults. The warnings and precautions listed in the SmPC apply both to adults and children. Pregnancy: the safety of this medicinal product for use in human pregnancy has not been established in controlled clinical studies and therefore should only be given with caution to pregnant women and breast-feeding mothers. Clinical experience with immunoglobulins suggests that no harmful effects on the course of pregnancy, or on the foetus and the neonate are to be expected. Fertility: there are currently no clinical safety data available. Clinical experience with immunoglobulins suggests that no harmful effects on fertility are to be expected.
SPECIAL WARNINGS AND PRECAUTIONS FOR USE: Traceability: in order to improve the traceability of biological medicinal products, the name and the batch number of the administered product should be clearly recorded. Precautions for use: if HyQvia is accidentally administered into a blood vessel, patients could develop shock; Certain adverse reactions may occur more frequently in patients who receive human normal immunoglobulin for the first time or, in rare cases, when the human normal immunoglobulin product is switched or when there has been a long interval since the previous infusion; potential complications can often be avoided by initially infusing the product slowly and ensuring that patients are carefully monitored. All other patients should be observed for at least 20 minutes after the administration. When treatment is given at home, support from another responsible person should be available. Patients on self-home treatment and/or their guardian should also be trained to detect early signs of hypersensitivity. In case of adverse reaction, either the rate of administration must be reduced, or the infusion stopped. No chronic changes in the skin were observed in the clinical studies. Patients should be reminded to report any chronic inflammation, nodules or inflammation that occurs at the infusion site and lasts more than a few days. Hypersensitivity to IG 10%:Patients with anti-IgA antibodies, in whom treatment with SCIg products remains the only option, should be treated with HyQvia only under close medical supervision. Rarely, human normal immunoglobulin can induce a fall in blood pressure with anaphylactic reaction, even in patients who had tolerated previous treatment with human normal immunoglobulin, please read the SmPC for more information. Hypersensitivity to rHuPH20: any suspicion of allergic or anaphylactic like reactions following rHuPH20 administration requires immediate discontinuation of the infusion and standard medical treatment should be administered, if necessary. Immunogenicity of rHuPH20: development of non-neutralizing antibodies and neutralizing antibodies to the rHuPH20 component has been reported in patients receiving HyQvia in clinical studies. Arterial and venous thromboembolic events have been associated with the use of immunoglobulins. Patients should be sufficiently hydrated before using immunoglobulins. Caution should be exercised in patients with pre-existing risk factors for thromboembolic events. Monitor for signs and symptoms of thrombosis and assess blood viscosity in patients at risk for hyperviscosity. Thrombosis may also occur in the absence of known risk factors. Patients should be informed about first symptoms of thromboembolic events and be advised to contact their physician immediately upon onset of symptom. Haemolytic anaemia: immunoglobulin products contain antibodies to blood groups (e.g. A,
INTERACTIONS: Live attenuated virus vaccines Immunoglobulin administration may impair for a period of at least 6-weeks and up to 3-months the efficacy of live attenuated virus vaccines. After administration of this medicinal product, an interval of 3-months should elapse before vaccination with live attenuated virus vaccines. In the case of measles, this impairment may persist for up to 1 year. Therefore, patients receiving measles vaccine should have their antibody status checked.
UNDESIRABLE EFFECTS: The most frequently reported adverse reactions (Ars) were local reactions. The most frequently reported systemic Ars were headache, fatigue, nausea, and pyrexia. The majority of these Ars were mild to moderate. Cases of transient aseptic meningitis, transient haemolytic reactions, increase in serum creatinine level and/or acute renal failure have been observed with human normal immunoglobulin. ADRs frequency per infusion: very common (≥ 1/10): Local reactions (Total, see SmPC for the detailed list of local reactions); common (≥ 1/100 to < 1/10): Headache, Nausea, Abdominal pain, Abdominal pain lower, Abdominal pain upper and Abdominal tenderness, Erythema, Asthenia, Fatigue, Lethargy and Malaise; uncommon (≥ 1/1 000 to < 1/100): Dizziness, Migraine, Tremor, Paraesthesia, Sinus tachycardia and Tachycardia, Blood pressure increased and Hypertension, Diarrhoea, Vomiting, Abdominal distension, Pruritus, Rash, Rash erythematous, Rash macular, Rash maculo-papular and Rash papula, Urticaria, Myalgia, Arthralgia, Limb discomfort and Pain in extremity Back pain, Joint stiffness, Musculoskeletal chest pain, Chills, Oedema, Oedema peripheral and Swelling (systemic), Localised oedema, Peripheral swelling and Skin oedema, Gravitational oedema, Oedema genital, Scrotal swelling and Vulvovaginal swelling, Burning sensation; rare (≥ 1/10 000 to < 1/1 000): Cerebrovascular accident and Ischaemic stroke, Hypotension, Dyspnoea, Groin pain, Haemosiderinuria, Hyperhidrosis, Coombs direct test positive and Coombs test positive.
For EU SmPC, please visit: https://www.ema.europa.eu/en/documents/product-information/hyqvia-epar-product-information_en.pdf
For
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| 4 Kobrynski L, Powell RW, Bowen S. J Clin Immunol. 2014;34(8):954-961 | |
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