TAK-653 Escalating Single and Multiple Dose Study in Healthy Participants
Condition: Depressive Disorder
MeSH terms: Depressive Disorder
Intervention: TAK-653 Placebo; TAK-653
Intervention description: TAK-653 placebo-matching tablets.; TAK-653 tablets.
Phase: Phase 1
Study type: Interventional
Primary purpose: Other
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Enrollment: 88.0
Sex: All
Minimum age: 18 Years
Maximum age: 55 Years
Healthy volunteers: Accepts Healthy Volunteers
Keywords: Drug therapy

Summary:

      The purpose of this study is to assess the safety, tolerability and pharmacokinetics (PK) of
      TAK-653 when administered as single and multiple oral doses at escalating dose levels in
      healthy participants.
    

Eligibility criteria:

        Inclusion Criteria:

          1. Is capable of understanding and complying with protocol requirements.

          2. Signs and dates a written, informed consent form and any required privacy
             authorization prior to the initiation of any study procedures including requesting
             that a participant fasts for any laboratory evaluations.

          3. Weighs at least 45 kilogram (kg) and has a body mass index (BMI) between 18.0 and 30.0
             kilogram per square meter (kg/m^2), inclusive at Screening.

          4. Male participant who is nonsterilized and sexually active with a female partner of
             childbearing potential agrees to use adequate contraception from signing of informed
             consent throughout the duration of the study and for 90 days after 5 half-lives have
             elapsed since last dose of study drug. This should be interpreted as 90 days from the
             Follow-up Call/Visit unless data indicates otherwise.

          5. Female participant of childbearing potential who is sexually active with a
             nonsterilized male partner agrees to routinely use highly effective contraception with
             low user dependency from signing of informed consent, throughout the duration of the
             study, and for 30 days after 5 half-lives have elapsed since the last dose of study
             drug. This should be interpreted as 30 days from the Follow-up Call/Visit unless data
             indicates otherwise.

        Exclusion Criteria:

          1. Has received any investigational compound within 90 days prior to the first dose of
             study drug.

          2. Is an immediate family member, study site employee, or is in a dependent relationship
             with a study site employee who is involved in the conduct of this study (example,
             spouse, parent, child, sibling) or may consent under duress.

          3. Has any clinically significant illness, such as cardiovascular, neurologic, pulmonary,
             hepatic, renal, metabolic, gastrointestinal, urologic, immunologic, endocrine, or
             psychiatric disease or disorder, or other abnormality, which may affect safety,
             increase risk of seizure or lower the seizure threshold, or potentially confound the
             study results. It is the responsibility of the investigator to assess the clinical
             significance; however, consultation with the Takeda Medical Monitor may be warranted.

          4. Has a known hypersensitivity to any component of the formulation of TAK-653.

          5. Has taken any excluded medication, supplements, or food products during the time
             periods.

          6. Is pregnant or lactating or intending to become pregnant before, during, or within 30
             days after 5 half-lives have elapsed since the last dose of study drug (30 days from
             the Follow-up Call/Visit unless available data indicates otherwise); or intending to
             donate ova during such time period.

          7. If male, intends to donate sperm during the course of this study or within 90 days
             after 5 half-lives have elapsed since the last dose of study drug. This should be
             interpreted as 90 days from the Follow-up Call/Visit unless data indicates otherwise.

          8. Has had previous episodes of seizures or convulsion (lifetime), including absence
             seizure and febrile convulsion.

          9. Participant or any immediate family member has a history of epilepsy (including
             febrile convulsions).

         10. Has a history of neurological abnormalities including abnormal EEG at screening or
             brain injury including traumatic injury, perinatal cerebropathy and postnatal brain
             damage, blood-brain barrier abnormality, and angioma cavernous.

         11. Has a history of cerebral arteriosclerosis.

         12. Has a condition that can potentially reduce drug clearance (example, renal or hepatic
             insufficiency).

         13. Has current or recent (within 6 months) gastrointestinal disease that would be
             expected to influence the absorption of drugs (that is, a history of malabsorption,
             any surgical intervention known to impact absorption [example, bariatric surgery or
             bowel resection], esophageal reflux, peptic ulcer disease, erosive esophagitis, or
             frequent [more than once per week] occurrence of heartburn).

         14. Has a history of cancer, except basal cell carcinoma which has been in remission for
             at least 5 years prior to Check-in (Day 1).

         15. Has a positive test result for hepatitis B surface antigen (HBsAg), hepatitis C virus
             (HCV) antibody, or a known history of human immunodeficiency virus (HIV) infection at
             Screening.

         16. Has poor peripheral venous access.

         17. Has a positive urine/blood result for drugs of abuse (defined as any illicit drug use)
             at Screening or Check-in (Day -1).

         18. Has a history of drug abuse (defined as any illicit drug use) or a history of alcohol
             abuse within 1 year prior to Screening or is unwilling to agree to abstain from
             alcohol and drugs throughout the study.

         19. Has used nicotine-containing products (including but not limited to cigarettes, pipes,
             cigars, chewing tobacco, nicotine patch, or nicotine gum) within 28 days prior to
             Check-in Day -1. Cotinine test is positive at Screening or Check-in (Day -1).

         20. Has donated or lost 450 milliliter (mL) or more of his or her blood volume (including
             plasmapheresis), or had a transfusion of any blood product within 90 days prior to
             first dose of study drug.

         21. Has a Screening or Check-in (Day -1) abnormal (clinically significant [CS]) ECG. Entry
             of any participant with an abnormal (not clinically significant [NCS]) ECG must be
             approved, and documented by signature of the principal investigator or medically
             qualified subinvestigator. In the case of a QT interval corrected using Fridericia's
             formula (QTcF) interval greater than (>) 450 millisecond (msec) or >480 msec
             (participants with Bundle Branch Block) or PR outside the range of 120 to 220 msec,
             assessment may be repeated once for eligibility determination at the Screening Visit
             and/or Check-in (Day -1) Visit.

         22. Has a supine blood pressure outside the ranges of greater than or equal to (>=) 90 to
             less than or equal to (<=)140 millimeter of mercury (mmHg) for systolic and >= 50 to
             <= 90 mm Hg for diastolic. If out of range, assessment may be repeated once for
             eligibility determination at the Screening Visit and/or Check-in (Day -1).

         23. Has a resting heart rate outside the range of 50 to 90 bpm (not on ECGs). If out of
             range, the assessment may be repeated once for eligibility determination at the
             Screening Visit and/or Check-in (Day -1).

         24. Has abnormal Screening or Check-in (Day -1) laboratory values that suggest a
             clinically significant underlying disease or participant has the following lab
             abnormalities: Alanine transaminase (ALT) and/or Aspartate aminotransferase (AST) >1.5
             upper limit of normal (ULN).

         25. Has a risk of suicide per the C-SSRS (a score of 4 or 5 on ideation or any suicidal
             behavior) or according to the investigator's clinical judgment, has made a suicide
             attempt in the previous 6 months, or has a history of deliberate self-harm in the past
             6 months.

        Additional exclusion criteria for CSF collection in Cohort 3 in Part 2:

          1. Has had CSF collected within 6 months prior to Check-in (Day -1).

          2. Has a known hypersensitivity to the anesthetic or its derivatives used during CSF
             collection or any medication used to prepare the area of lumbar puncture.

          3. Has any skin condition, abnormality of the lumbar spine, medical or surgical condition
             that would preclude lumbar puncture (example, coagulopathy, local or systemic
             infection, left ventricular outflow obstruction, aortic stenosis, raised intracranial
             pressure, previous back surgery).