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.
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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
24
Pharmaceutical form: extended-release injectable suspension Route of administration: subcutaneous injection
Pharmaceutical form: tablet Route of administration: oral
Pharmaceutical form: extended-release injectable suspension Route of administration: subcutaneous injection
Teva Investigational Site 88049
Beijing, China
Teva Investigational Site 88048
Beijing, China
Teva Investigational Site 88047
Guangzhou, China
Teva Investigational Site 88046
Shanghai, China
Period 2: Number of Participants With Treatment Emergent Adverse Events (TEAEs)
An adverse event (AE) was defined as any untoward medical occurrence in a participant who received the study drug without regard to possibility of causal relationship. Treatment-emergent AEs were defined as AEs that occurred after the first dose of study drug was administered in Period 1 through end of the trial. A summary of other non-serious AEs and all serious AEs (SAEs), regardless of causality is located in the Reported AE section.
Time frame: Day 1 Up to Day 43
Period 2: Number of Participants With Treatment Emergent SAEs
An AE was defined as any untoward medical occurrence in a participant who received the study drug without regard to possibility of causal relationship. The SAEs were defined as death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. Treatment-emergent AEs were defined as AEs that occurred after the first dose of study drug was administered in Period 1 through end of the trial. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the Reported AE section.
Time frame: Day 1 Up to Day 43
Period 2: Number of Participants With Injection Site AEs
Injection site AEs included injection site pruritus, induration, warmth, and abscess. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the Reported AE section. All injection site AEs are reported in this outcome measure and the AE module only reports non-serious AEs at the 5% threshold. In the AE module, a participant could have been included for multiple injection site AEs.
Time frame: Day 1 Up to Day 43
Period 2: Maximum Observed Plasma Drug Concentration (Cmax) of TV-44749
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Pharmaceutical form: tablet Route of administration: oral
Pharmaceutical form: extended-release injectable suspension Route of administration: subcutaneous injection
Pharmaceutical form: tablet Route of administration: oral
Teva Investigational Site 88050
Wuhan, China
Teva Investigational Site 88056
Xi'an, China
Time frame: Day 1 Up to Day 43
Period 2: Area Under the Plasma Drug Concentration-time Curve (AUC) Over the Period Following Administration on Day 1 to the Time of the Last Measurable Concentration (AUC0-t) of TV-44749
Time frame: Day 1 Up to Day 43
Period 2: AUC of TV-44749 Over the Period Following Administration on Day 1 Extrapolated to Infinity (AUC0-inf)
Time frame: Day 1 Up to Day 43
Period 2: Time to Maximum Observed Concentration (Tmax) of TV-44749
Time frame: Day 1 Up to Day 43
Period 2: Apparent Elimination Half-Life (t½) of TV-44749
Time frame: Day 1 Up to Day 43
Period 1: Maximum Observed Plasma Drug Concentration at Steady State (Cmax,ss[Oral Olanzapine])
Time frame: Day -8
Period 1: AUC of Oral Olanzapine From Time 0 to the End of the Dosing Interval (24 Hour) at Steady State (AUC0-tau,ss[Oral Olanzapine])
Time frame: Day -8
Period 1: Calculated AUC of Oral Olanzapine at Steady State Extrapolated Over 28 Days (AUC0-tau,ss[Oral Olanzapine] * 28)
The steady-state AUC of oral olanzapine over a 28-day dosing interval was calculated by extrapolating the 24-hour AUC obtained following administration of the seventh oral dose (Day -8) to a 28-day period (AUC0-tau,ss\[oral olanzapine\] \* 28).
Time frame: Day -8 up to Day 20
Period 1: Time to Maximum Concentration of Oral Olanzapine at Steady State (Tmax,ss[Oral Olanzapine])
Time frame: Day -8
Period 1: Number of Participants With TEAEs
An AE was defined as any untoward medical occurrence in a participant who received the study drug without regard to possibility of causal relationship. Treatment-emergent AEs were defined as AEs that occurred after the first dose of study drug was administered in Period 1 through end of the trial. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the Reported AE section.
Time frame: Day -14 up to Day -8
Period 1: Number of Participants With Treatment Emergent SAEs
An AE was defined as any untoward medical occurrence in a participant who received the study drug without regard to possibility of causal relationship. The SAEs were defined as death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. Treatment-emergent AEs were defined as AEs that occurred after the first dose of study drug was administered in Period 1 through end of the trial. A summary of other non-SAEs and all serious AEs, regardless of causality is located in the Reported AE section.
Time frame: Day -14 up to Day -8