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Safety, Tolerability, and Pharmacokinetic Study of TV-44749 in Chinese Patients With Schizophrenia

Phase 1
Active, not recruiting
Conditions
Schizophrenia
Interventions
Registration Number
NCT06253546
Lead Sponsor
Teva Branded Pharmaceutical Products R&D, Inc.
Brief Summary

Primary Objective:

To evaluate the safety and tolerability of single doses of TV-44749 for subcutaneous (sc) use in Chinese participants with schizophrenia.

Secondary Objectives:

* To evaluate the pharmacokinetics (PK) of single doses of TV-44749 administered sc.

* To evaluate the pharmacokinetics of oral olanzapine tablets following multiple dose administration.

* To monitor the safety and tolerability of multiple doses of oral olanzapine tablets given in the study.

Detailed Description

The total study duration for participants is planned to be approximately 13 weeks, including 40 days of screening, 1-week oral olanzapine treatment, a 1-week washout period, 4-week TV-44749 treatment, and 2-week follow-up period after the last dosing interval.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
36
Inclusion Criteria
  • Body weight >50 kg and body mass index (BMI) between 18.5 to 38.0 kg/m2, inclusive, at the time of screening.
  • A current confirmed diagnosis of schizophrenia according to an evaluation by the investigator, using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
  • Are clinically stable, on oral olanzapine (i.e., dose has not changed in the last 4 weeks), and not currently on other antipsychotic treatment at the time of screening.
  • No hospitalization for worsening of schizophrenic symptoms and no significant exacerbation of schizophrenic symptoms, as judged by the investigator, within the 3 months prior to screening.
  • Female participants must have a negative serum pregnancy test at screening, are sterile or postmenopausal, and not planning pregnancy within the study period and for an additional 6 months after last dose administration.
  • Male participants must be surgically sterile, or, if capable of producing offspring, has exclusively same-sex partners or is currently using an approved method of birth control.
  • Agree to maintain current smoking or nonsmoking status at the time informed consent is obtained and throughout the study until completion of the end of study (EOS)/early termination (ET) visit.
  • Have no ongoing or expected significant life events (such as pending loss of housing, marital status change, long travel abroad, surgery, etc.) that could affect study outcomes expected throughout the period of study participation.

NOTE: Additional criteria apply, please contact the investigator for more information.

Exclusion Criteria
  • Presence or have a history of clinically significant diseases of the renal, hepatic, gastrointestinal, cardiovascular, musculoskeletal system or presence or history of clinically significant immunological, endocrine, metabolic, neurological, or psychiatric disorder(s) (other than schizophrenia), or a history of any illness that, in the opinion of the principal investigator, might pose additional risk to the participant by participation in the study or confound the results of the study
  • Major trauma or surgery in the 2 months before screening or at any time between screening and the first dose of the investigational medicinal product (IMP), surgery scheduled during the study or follow-up period, or open biopsy within 4 months prior to screening
  • History of malignancy or treatment of malignancy in the last 5 years, excluding resected basal cell or squamous cell carcinoma of the skin.

NOTE: Additional criteria apply, please contact the investigator for more information.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Olanzapine Dose 1Oral OlanzapinePeriod 1: Participants will receive oral olanzapine daily Period 2: Participants will receive subcutaneous (sc) injection of TV-44749
Olanzapine Dose 1TV-44749Period 1: Participants will receive oral olanzapine daily Period 2: Participants will receive subcutaneous (sc) injection of TV-44749
Olanzapine Dose 2Oral OlanzapinePeriod 1: Participants will receive oral olanzapine daily Period 2: Participants will receive sc injection of TV-44749
Olanzapine Dose 3Oral OlanzapinePeriod 1: Participants will receive oral olanzapine daily Period 2: Participants will receive sc injection of TV-44749
Olanzapine Dose 3TV-44749Period 1: Participants will receive oral olanzapine daily Period 2: Participants will receive sc injection of TV-44749
Olanzapine Dose 2TV-44749Period 1: Participants will receive oral olanzapine daily Period 2: Participants will receive sc injection of TV-44749
Primary Outcome Measures
NameTimeMethod
Period 2: Number of Participants with Treatment Emergent Adverse Events (TEAEs)Day 1 Up to Day 43
Period 2: Number of Participants with Treatment Emergent Serious Adverse Events (SAEs)Day 1 Up to Day 43
Period 2: Number of Participants with Injection Site Adverse EventsDay 1 Up to Day 43
Secondary Outcome Measures
NameTimeMethod
Period 2: Time to Maximum Observed Concentration (Tmax) of TV-44749Day 1 Up to Day 43
Period 2: Apparent Elimination Half-Life (t½) of TV-44749Day 1 Up to Day 43
Period 2: Maximum Observed Plasma Drug Concentration (Cmax) of TV-44749Day 1 Up to Day 43
Period 2: Area Under the Plasma Drug Concentration versus Time Curve (AUC) of TV-44749Day 1 Up to Day 43
Period 2: AUC of TV-44749 Extrapolated to Infinity (AUC0-∞)Day 1 Up to Day 43
Period 1: Number of Participants with TEAEsDay 1 Up to Day 7
Period 1: Time to Maximum Concentration of Oral Olanzapine at Steady State (Tmax,ss[oral olanzapine])Day 7
Period 1: AUC of Oral Olanzapine at Steady State (AUC0-τ,ss[oral olanzapine])Day 7
Period 1: Calculated AUC of Oral Olanzapine at Steady State Extrapolated Over 28 Days (AUC0-τ,ss[oral olanzapine] × 28)Day 7
Period 1: Number of Participants with Treatment Emergent SAEsDay 1 Up to Day 7
Period 1: Maximum Observed Plasma Drug concentration at Steady State (Cmax,ss[oral olanzapine])Day 7

Trial Locations

Locations (6)

Teva Investigational Site 88056

🇨🇳

Xi'an Shi, China

Teva Investigational Site 88046

🇨🇳

Shanghai, China

Teva Investigational Site 88050

🇨🇳

Wuhan Shi, China

Teva Investigational Site 88049

🇨🇳

Beijing, China

Teva Investigational Site 88048

🇨🇳

Beijing, China

Teva Investigational Site 88047

🇨🇳

Guangzhou, China

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