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TEV-48574

Phase 3

Crohn Disease | Small molecule | Gastrointestinal |Teva Pharmaceutical Industries Limited|Trials Updated: Mar 27, 2026

TEV-48574 development status

Highest phase Phase 3 run by Sanofi (NCT07184944)
Phase scored for TEVAPhase 2
Registered trials 7 across 2 sponsors since Sep 2020

TEV-48574 target and mechanism

Molecular targetTL1A
Target classProtein
ModalitySmall molecule

Also known as duvakitug

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment290

FDA Designations

No designations recorded

TEV-48574 clinical trials

TEV-48574 · 1 trial · 2 indications

Phase 2 1
NCT05499130A Study to Test the Effect of TEV-48574 in Moderate to Severe Ulcerative Colitis or Crohn's DiseaseCrohn Disease
COMPLETED290 Analytics
PHASE2COMPLETED
A Study to Test the Effect of TEV-48574 in Moderate to Severe Ulcerative Colitis or Crohn's Disease
Crohn DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Moderate to Severe UC Who Showed Clinical Remission as Defined by the MMS
Week 14

The MMS is a tool designed to measure disease activity for UC. It consisted of 3 subscores: stool frequency, rectal bleeding and endoscopic subscore as determined during central review. Each subscore was graded from 0 (normal) to 3 (severe). These individual subscores were summed up to give a total MMS ranging from 0 (normal or inactive disease) to 9 (severe disease), where higher scores indicated more severe disease activity. Clinical remission was defined as MMS ≤2 points with Mayo stool frequency subscore of 0 or 1, Mayo rectal bleeding subscore of 0, and centrally read endoscopic score of 0 or 1, where a score of 1 did not include "friability".

Number of Participants With Moderate to Severe CD Who Showed an Endoscopic Response as Defined by the SES-CD
Baseline to Week 14

The SES-CD assessed the degree of inflammation. The SES-CD assesses the following 4 components: presence of ulcers, percentage of ulcerated surfaces, affected surface, and presence of strictures. Each of these components was scored on a scale of 0 (none/unaffected) to 3 (worst). In the SES-CD, each of these 4 components was assessed in the 5 segments: the rectum, sigmoid and left colon, transverse colon, right colon, and ileum. The SES-CD was the sum of the individual scores of each of the components across the 5 segments. The range of SES-CD scores was 0 (none) - 12 (severe) for each segment, and 0 (none) - 60 (severe) for the overall SES-CD score, with larger scores indicating greater degree of inflammation. Endoscopic response at Week 14 in participants with moderate to severe CD was defined as a reduction in SES-CD of at least 50% from baseline.

Secondary Endpoints

Number of Participants With Moderate to Severe UC With a Clinical Response as Defined by the MMS
Baseline to Week 14
Number of Participants With Moderate to Severe UC With Endoscopic Improvement as Defined by the Mayo Endoscopic Subscore (MES)
Week 14
Number of Participants With Moderate to Severe UC With Endoscopic Remission as Defined by the MES
Week 14
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TEV-48574, 450 mg (UC)EXPERIMENTALAdministered by subcutaneous infusion for participants with UC
TEV-48574, 900 mg (UC)EXPERIMENTALAdministered by subcutaneous infusion for participants with UC
TEV-48574, 1800 mg (UC)EXPERIMENTALAdministered by subcutaneous infusion for participants with UC. This arm was discontinued with Amend 03.
TEV-48574, 450 mg (CD)EXPERIMENTALAdministered by subcutaneous infusion for participants with CD
TEV-48574, 900 mg (CD)EXPERIMENTALAdministered by subcutaneous infusion for participants with CD
TEV-48574, 1800 mg (CD)EXPERIMENTALAdministered by subcutaneous infusion for participants with CD. This arm was discontinued with Amend 03.
Placebo UCPLACEBO_COMPARATORMatching Placebo
Placebo CDPLACEBO_COMPARATORMatching Placebo

Interventions

NameTypeDescription
TEV-48574DRUGSubcutaneous infusion
PlaceboDRUGMatching Placebo
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites164

Inclusion Criteria: * Diagnosis of Ulcerative Colitis (UC) or Crohn's Disease (CD) for ≥3 months * The participant is able to communicate satisfactorily with the investigator and to participate in, and comply with, the requirements of the study * The participant is able to understand the nature of ...

Countries:United StatesAustriaBelgiumBulgariaCanadaCzechiaFranceGeorgiaGermanyHungaryIsraelItalyJapanNorwayPolandSlovakiaSpainUkraineUnited Kingdom
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Frequently asked questions about TEV-48574

What is TEV-48574?

TEV-48574 is an investigational small molecule drug being developed by Teva Pharmaceutical Industries Limited for inflammatory bowel disease. It has been studied in a Phase 2 clinical trial in adults with moderate to severe Crohn disease or ulcerative colitis. It is not approved and remains in clinical development.

What is TEV-48574 used for in Crohn disease?

TEV-48574 is being studied as a treatment for moderate to severe Crohn disease in adults. Its Phase 2 trial also enrolled patients with ulcerative colitis. The drug is investigational, so it is not yet available as a prescribed therapy for Crohn disease outside of clinical research.

What does TEV-48574 target?

TEV-48574 targets TL1A, a protein involved in inflammatory signaling. By acting on TL1A, the small molecule is designed to modulate the inflammatory pathways associated with Crohn disease and ulcerative colitis. This target-directed approach is the basis for its development in gastrointestinal inflammatory conditions.

Who is developing TEV-48574?

TEV-48574 is being developed by Teva Pharmaceutical Industries Limited, which trades on the Nasdaq under the ticker TEVA. Teva sponsored the Phase 2 study of the drug in Crohn disease and ulcerative colitis. The asset is part of the company's gastrointestinal pipeline.

What phase is TEV-48574 in?

TEV-48574 is in Phase 2 development. One Phase 2 trial has been completed, and no active trials are currently listed. The drug is investigational and has not been approved by the FDA for any indication, including Crohn disease.

What clinical trials is TEV-48574 in?

TEV-48574 has been evaluated in the Phase 2 trial NCT05499130, titled A Study to Test the Effect of TEV-48574 in Moderate to Severe Ulcerative Colitis or Crohn's Disease. The completed trial enrolled 290 adults across the United States, Europe, Canada, Israel, and Japan. It was randomized, double blind, and placebo controlled.