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

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

675 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-24

Study Completion Date

2025-01-27

Brief Summary

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The primary objective of this study is to evaluate the efficacy of TV-44749 in adult participants with schizophrenia.

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.

Detailed Description

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Participants with exacerbation of schizophrenia may be included. The study will be composed of 2 periods: Period 1 (the double-blind, placebo-controlled, efficacy and safety period) and Period 2 (open-label long term safety period). For each participant, the duration of Period 1 will be 8 weeks, and the duration of Period 2 will be up to 48 weeks. In Period 1, participants will be randomized to one of 3 TV-44749 treatment groups or a placebo group in a 1:1:1:1 ratio. All participants will be randomized again to one of the TV44749 treatment groups in a 1:1:1 ratio for Period 2. The end-of-treatment and follow-up visits will be at 4 and 8 weeks after the last dose of investigational medicinal product administration, respectively.

Conditions

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Schizophrenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

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.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

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.

Group Type EXPERIMENTAL

TV-44749

Intervention Type DRUG

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.

Group Type EXPERIMENTAL

TV-44749

Intervention Type DRUG

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.

Group Type EXPERIMENTAL

TV-44749

Intervention Type DRUG

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.

Group Type EXPERIMENTAL

TV-44749

Intervention Type DRUG

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.

Group Type EXPERIMENTAL

TV-44749

Intervention Type DRUG

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.

Group Type EXPERIMENTAL

TV-44749

Intervention Type DRUG

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

Intervention Type DRUG

Placebo

In Period 1, 2 monthly injections (Period 1 only)

Intervention Type DRUG

Other Intervention Names

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Olanzapine for Extended-Release Injectable Suspension

Eligibility Criteria

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Inclusion Criteria

* The participant has a current confirmed diagnosis of schizophrenia according to the DSM-5, for \>1 year
* 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 current clinically significant DSM-5 diagnosis other than schizophrenia (has a primary current diagnosis other than schizophrenia or a comorbid diagnosis that is primarily responsible for the current symptoms and functional impairment).
* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Teva Branded Pharmaceutical Products R&D LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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

Site Status

Teva Investigational Site 15465

Little Rock, Arkansas, United States

Site Status

Teva Investigational Site 15453

Rogers, Arkansas, United States

Site Status

Teva Investigational Site 15470

Anaheim, California, United States

Site Status

Teva Investigational Site 15459

Bellflower, California, United States

Site Status

Teva Investigational Site 15490

Garden Grove, California, United States

Site Status

Teva Investigational Site 15474

La Habra, California, United States

Site Status

Teva Investigational Site 15481

Lemon Grove, California, United States

Site Status

Teva Investigational Site 15491

Long Beach, California, United States

Site Status

Teva Investigational Site 15497

Los Angeles, California, United States

Site Status

Teva Investigational Site 15482

Los Angeles, California, United States

Site Status

Teva Investigational Site 15450

Orange, California, United States

Site Status

Teva Investigational Site 15455

Pico Rivera, California, United States

Site Status

Teva Investigational Site 15471

Riverside, California, United States

Site Status

Teva Investigational Site 15444

San Diego, California, United States

Site Status

Teva Investigational Site 15449

Santee, California, United States

Site Status

Teva Investigational Site 15461

Sherman Oaks, California, United States

Site Status

Teva Investigational Site 15483

Torrance, California, United States

Site Status

Teva Investigational Site 15457

Hialeah, Florida, United States

Site Status

Teva Investigational Site 15488

Hollywood, Florida, United States

Site Status

Teva Investigational Site 15498

Hollywood, Florida, United States

Site Status

Teva Investigational Site 15458

Hollywood, Florida, United States

Site Status

Teva Investigational Site 15489

Homestead, Florida, United States

Site Status

Teva Investigational Site 15452

Miami, Florida, United States

Site Status

Teva Investigational Site 15495

Miami, Florida, United States

Site Status

Teva Investigational Site 15446

Miami, Florida, United States

Site Status

Teva Investigational Site 15456

Miami, Florida, United States

Site Status

Teva Investigational Site 15479

Miami, Florida, United States

Site Status

Teva Investigational Site 15462

Miami, Florida, United States

Site Status

Teva Investigational Site 15496

Miami, Florida, United States

Site Status

Teva Investigational Site 15494

Miami Lakes, Florida, United States

Site Status

Teva Investigational Site 15467

Miami Lakes, Florida, United States

Site Status

Teva Investigational Site 15473

Miami Lakes, Florida, United States

Site Status

Teva Investigational Site 15484

Miami Springs, Florida, United States

Site Status

Teva Investigational Site 15477

West Palm Beach, Florida, United States

Site Status

Teva Investigational Site 15468

Atlanta, Georgia, United States

Site Status

Teva Investigational Site 15469

Decatur, Georgia, United States

Site Status

Teva Investigational Site 15500

Peachtree Corners, Georgia, United States

Site Status

Teva Investigational Site 15485

Chicago, Illinois, United States

Site Status

Teva Investigational Site 15480

Chicago, Illinois, United States

Site Status

Teva Investigational Site 15447

Shreveport, Louisiana, United States

Site Status

Teva Investigational Site 15442

Gaithersburg, Maryland, United States

Site Status

Teva Investigational Site 15466

Flowood, Mississippi, United States

Site Status

Teva Investigational Site 15487

St Louis, Missouri, United States

Site Status

Teva Investigational Site 15451

Marlton, New Jersey, United States

Site Status

Teva Investigational Site 15441

Charlotte, North Carolina, United States

Site Status

Teva Investigational Site 15454

Dayton, Ohio, United States

Site Status

Teva Investigational Site 15472

North Canton, Ohio, United States

Site Status

Teva Investigational Site 15478

Oklahoma City, Oklahoma, United States

Site Status

Teva Investigational Site 15448

Austin, Texas, United States

Site Status

Teva Investigational Site 15486

DeSoto, Texas, United States

Site Status

Teva Investigational Site 15464

Irving, Texas, United States

Site Status

Teva Investigational Site 15443

Richardson, Texas, United States

Site Status

Teva Investigational Site 59210

Burgas, , Bulgaria

Site Status

Teva Investigational Site 59203

Kazanlak, , Bulgaria

Site Status

Teva Investigational Site 59208

Lovech, , Bulgaria

Site Status

Teva Investigational Site 59214

Pleven, , Bulgaria

Site Status

Teva Investigational Site 59207

Plovdiv, , Bulgaria

Site Status

Teva Investigational Site 59215

Razgrad, , Bulgaria

Site Status

Teva Investigational Site 59202

Rousse, , Bulgaria

Site Status

Teva Investigational Site 59211

Sliven, , Bulgaria

Site Status

Teva Investigational Site 59205

Sofia, , Bulgaria

Site Status

Teva Investigational Site 59212

Sofia, , Bulgaria

Site Status

Teva Investigational Site 59209

Veliko Tarnovo, , Bulgaria

Site Status

Teva Investigational Site 59206

Vratsa, , Bulgaria

Site Status

Teva Investigational Site 88052

Beijing, , China

Site Status

Teva Investigational Site 88044

Hangzhou, , China

Site Status

Teva Investigational Site 88060

Hefei, , China

Site Status

Teva Investigational Site 88055

Jining Shi, , China

Site Status

Teva Investigational Site 88068

Nanchang, , China

Site Status

Teva Investigational Site 88053

Shanghai, , China

Site Status

Teva Investigational Site 88054

Tianjin, , China

Site Status

Teva Investigational Site 88071

Wuhan, , China

Site Status

Teva Investigational Site 88072

Xinxiang, , China

Site Status

Teva Investigational Site 88064

Zhumadian, , China

Site Status

Teva Investigational Site 52124

Bucharest, , Romania

Site Status

Teva Investigational Site 52127

Bucharest, , Romania

Site Status

Teva Investigational Site 52123

Iași, , Romania

Site Status

Teva Investigational Site 52126

Iași, , Romania

Site Status

Teva Investigational Site 82058

Adapazarı, , Turkey (Türkiye)

Site Status

Teva Investigational Site 82059

Ankara, , Turkey (Türkiye)

Site Status

Teva Investigational Site 82057

Bursa, , Turkey (Türkiye)

Site Status

Countries

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United States Bulgaria China Romania Turkey (Türkiye)

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.

Reference Type DERIVED
PMID: 41496255 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

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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