A Randomized, Double-Blind, Placebo-Controlled Study With an Open-Label, Long-Term Safety Phase to Evaluate the Efficacy and Safety of TV-44749 in Adults With Schizophrenia
NCT ID: NCT05693935
Last Updated: 2026-01-09
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE3
675 participants
INTERVENTIONAL
2023-01-24
2025-01-27
Brief Summary
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A key secondary objective is to further evaluate the efficacy of TV-44749 based on additional parameters in adult participants with schizophrenia.
A secondary objective is to evaluate the safety and tolerability of TV-44749 in adult participants with schizophrenia
Another secondary objective of this study is to evaluate the efficacy of TV-44749 from baseline to endpoint in Period 1 in adult participants with schizophrenia.
Total study duration is up to 61 weeks, and treatment duration is up to 56 weeks, with weekly visits during the first 8 weeks and then monthly in-clinic visits with weekly calls during the remainder of the treatment period.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
QUADRUPLE
Study Groups
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Double-blind Period: Placebo
Participants will receive placebo matched to TV-44749 subcutaneously (SC) once monthly over 8 weeks in double-blind period.
Placebo
In Period 1, 2 monthly injections (Period 1 only)
Double-blind Period: TV-44749 318 mg
Participants will receive TV-44749 extended-release injectable suspension at a dose of 318 milligrams (mg) SC once monthly over 8 weeks in double-blind period.
TV-44749
In Period 1, 2 monthly injections. In Period 2, up to 12 monthly injections
Double-blind Period: TV-44749 425 mg
Participants will receive TV-44749 extended-release injectable suspension at a dose of 425 mg SC once monthly over 8 weeks in double-blind period.
TV-44749
In Period 1, 2 monthly injections. In Period 2, up to 12 monthly injections
Double-blind Period: TV-44749 531 mg
Participants will receive TV-44749 extended-release injectable suspension at a dose of 531 mg SC once monthly over 8 weeks in double-blind period.
TV-44749
In Period 1, 2 monthly injections. In Period 2, up to 12 monthly injections
Open-label Period: Placebo to TV-44749 318 mg
Participants who receive placebo during the double-blind period, will receive TV-44749 extended-release injectable suspension at a dose of 318 mg SC once monthly for up to 48 weeks in open-label period.
TV-44749
In Period 1, 2 monthly injections. In Period 2, up to 12 monthly injections
Open-label Period: Placebo to TV-44749 425 mg
Participants who receive placebo during the double-blind period, will receive TV-44749 extended-release injectable suspension at a dose of 425 mg SC once monthly for up to 48 weeks in open-label period.
TV-44749
In Period 1, 2 monthly injections. In Period 2, up to 12 monthly injections
Open-label Period: Placebo to TV-44749 531 mg
Participants who receive placebo during the double-blind period, will receive TV-44749 extended-release injectable suspension at a dose of 531 mg SC once monthly for up to 48 weeks in open-label period.
TV-44749
In Period 1, 2 monthly injections. In Period 2, up to 12 monthly injections
Interventions
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TV-44749
In Period 1, 2 monthly injections. In Period 2, up to 12 monthly injections
Placebo
In Period 1, 2 monthly injections (Period 1 only)
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* The participant has exacerbation of schizophrenia that started ≤8 weeks prior to screening and would benefit from psychiatric hospitalization or continued hospitalization for symptoms of schizophrenia.
* Participants who have received an antipsychotic treatment (other than clozapine) in the past year must have been responsive based on the investigator's judgment (and based on discussions with family members, caregivers, or healthcare professionals, as applicable).
* Body mass index between 18.0 and 40.0 kg/m2, inclusive, at the time of screening
* Women may be included only if they have a negative beta-human chorionic gonadotropin (β-HCG) test at screening and baseline
* Women of childbearing potential must agree not to try to become pregnant, and, unless they have exclusively same-sex partners, must agree to use a highly effective method of contraception prior to the first administration of IMP, and agree to continue the use of this method for the duration of the study, and for 70 days after the last dose of IMP
* The participant is in adequate health as determined by medical and psychiatric history, medical examination, electrocardiogram (ECG), serum chemistry, hematology, coagulation urinalysis, and serology.
* NOTE- Additional criteria apply, please contact the investigator for more information
Exclusion Criteria
* The participant has a known history of the following: (a) borderline personality disorder, antisocial personality disorder, or bipolar disorder; (b) traumatic brain injury causing ongoing cognitive difficulties, Alzheimer's disease, or another form of dementia, or any chronic organic disease of the central nervous system; and (c) intellectual disability of a severity that would impact ability to participate in the study.
* The participant was hospitalized for \>14 days (with the exception of social or administrative hospitalization) in the current exacerbation episode prior to screening.
* The participant has a significant risk of violent behavior based on the participant's medical history or investigator's judgment.
* The participant has a significant risk of committing suicide based on the participant's medical history or C-SSRS, and the investigator's judgment.
* The participant is currently using an LAI antipsychotic or is still under the coverage period of the specific LAI at time of screening.
* The participant has taken clozapine or has received electroconvulsive therapy within the last 12 months prior to screening.
* The participant is currently receiving daily oral olanzapine at a dose \>20 mg/day.
* The participant has current or a history of known hypersensitivity to olanzapine or any of the excipients of TV-44749 or the oral formulation of olanzapine.
* The participant has had a significant sedation or delirium after antipsychotic treatment according to medical and psychiatric history and as judged by the investigator or suffered from delirium due to a medical condition.
* The participant has a non-fasting glucose level of ≥200 mg/dL at screening
* The participant meets criteria for moderate to severe substance use disorder (based on DSM-5 criteria) within the past 6 months (excluding those related to caffeine or nicotine)
* NOTE- Additional criteria apply, please contact the investigator for more information
18 Years
64 Years
ALL
No
Sponsors
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Teva Branded Pharmaceutical Products R&D LLC
INDUSTRY
Responsible Party
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Principal Investigators
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Teva Medical Expert, MD
Role: STUDY_DIRECTOR
Teva Branded Pharmaceutical Products R&D LLC
Locations
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Teva Investigational Site 15460
Bentonville, Arkansas, United States
Teva Investigational Site 15465
Little Rock, Arkansas, United States
Teva Investigational Site 15453
Rogers, Arkansas, United States
Teva Investigational Site 15470
Anaheim, California, United States
Teva Investigational Site 15459
Bellflower, California, United States
Teva Investigational Site 15490
Garden Grove, California, United States
Teva Investigational Site 15474
La Habra, California, United States
Teva Investigational Site 15481
Lemon Grove, California, United States
Teva Investigational Site 15491
Long Beach, California, United States
Teva Investigational Site 15497
Los Angeles, California, United States
Teva Investigational Site 15482
Los Angeles, California, United States
Teva Investigational Site 15450
Orange, California, United States
Teva Investigational Site 15455
Pico Rivera, California, United States
Teva Investigational Site 15471
Riverside, California, United States
Teva Investigational Site 15444
San Diego, California, United States
Teva Investigational Site 15449
Santee, California, United States
Teva Investigational Site 15461
Sherman Oaks, California, United States
Teva Investigational Site 15483
Torrance, California, United States
Teva Investigational Site 15457
Hialeah, Florida, United States
Teva Investigational Site 15488
Hollywood, Florida, United States
Teva Investigational Site 15498
Hollywood, Florida, United States
Teva Investigational Site 15458
Hollywood, Florida, United States
Teva Investigational Site 15489
Homestead, Florida, United States
Teva Investigational Site 15452
Miami, Florida, United States
Teva Investigational Site 15495
Miami, Florida, United States
Teva Investigational Site 15446
Miami, Florida, United States
Teva Investigational Site 15456
Miami, Florida, United States
Teva Investigational Site 15479
Miami, Florida, United States
Teva Investigational Site 15462
Miami, Florida, United States
Teva Investigational Site 15496
Miami, Florida, United States
Teva Investigational Site 15494
Miami Lakes, Florida, United States
Teva Investigational Site 15467
Miami Lakes, Florida, United States
Teva Investigational Site 15473
Miami Lakes, Florida, United States
Teva Investigational Site 15484
Miami Springs, Florida, United States
Teva Investigational Site 15477
West Palm Beach, Florida, United States
Teva Investigational Site 15468
Atlanta, Georgia, United States
Teva Investigational Site 15469
Decatur, Georgia, United States
Teva Investigational Site 15500
Peachtree Corners, Georgia, United States
Teva Investigational Site 15485
Chicago, Illinois, United States
Teva Investigational Site 15480
Chicago, Illinois, United States
Teva Investigational Site 15447
Shreveport, Louisiana, United States
Teva Investigational Site 15442
Gaithersburg, Maryland, United States
Teva Investigational Site 15466
Flowood, Mississippi, United States
Teva Investigational Site 15487
St Louis, Missouri, United States
Teva Investigational Site 15451
Marlton, New Jersey, United States
Teva Investigational Site 15441
Charlotte, North Carolina, United States
Teva Investigational Site 15454
Dayton, Ohio, United States
Teva Investigational Site 15472
North Canton, Ohio, United States
Teva Investigational Site 15478
Oklahoma City, Oklahoma, United States
Teva Investigational Site 15448
Austin, Texas, United States
Teva Investigational Site 15486
DeSoto, Texas, United States
Teva Investigational Site 15464
Irving, Texas, United States
Teva Investigational Site 15443
Richardson, Texas, United States
Teva Investigational Site 59210
Burgas, , Bulgaria
Teva Investigational Site 59203
Kazanlak, , Bulgaria
Teva Investigational Site 59208
Lovech, , Bulgaria
Teva Investigational Site 59214
Pleven, , Bulgaria
Teva Investigational Site 59207
Plovdiv, , Bulgaria
Teva Investigational Site 59215
Razgrad, , Bulgaria
Teva Investigational Site 59202
Rousse, , Bulgaria
Teva Investigational Site 59211
Sliven, , Bulgaria
Teva Investigational Site 59205
Sofia, , Bulgaria
Teva Investigational Site 59212
Sofia, , Bulgaria
Teva Investigational Site 59209
Veliko Tarnovo, , Bulgaria
Teva Investigational Site 59206
Vratsa, , Bulgaria
Teva Investigational Site 88052
Beijing, , China
Teva Investigational Site 88044
Hangzhou, , China
Teva Investigational Site 88060
Hefei, , China
Teva Investigational Site 88055
Jining Shi, , China
Teva Investigational Site 88068
Nanchang, , China
Teva Investigational Site 88053
Shanghai, , China
Teva Investigational Site 88054
Tianjin, , China
Teva Investigational Site 88071
Wuhan, , China
Teva Investigational Site 88072
Xinxiang, , China
Teva Investigational Site 88064
Zhumadian, , China
Teva Investigational Site 52124
Bucharest, , Romania
Teva Investigational Site 52127
Bucharest, , Romania
Teva Investigational Site 52123
Iași, , Romania
Teva Investigational Site 52126
Iași, , Romania
Teva Investigational Site 82058
Adapazarı, , Turkey (Türkiye)
Teva Investigational Site 82059
Ankara, , Turkey (Türkiye)
Teva Investigational Site 82057
Bursa, , Turkey (Türkiye)
Countries
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References
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Perlstein I, Cherniakov I, Elgart A, Gomeni R, Gutman D, Merenlender Wagner A, Singh R. Population Pharmacokinetic Model-Based Dose Selection of Extended-Release Injectable Olanzapine (TV-44749) for Subcutaneous Use in Phase 3 Clinical Trial in Adults with Schizophrenia. J Clin Pharmacol. 2026 Jan;66(1):e70144. doi: 10.1002/jcph.70144.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
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2022-001865-11
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
TV44749-CNS-30096
Identifier Type: -
Identifier Source: org_study_id
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