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TV-44749

Phase 4

Schizophrenia | Small molecule | Psychiatry |Teva Pharmaceutical Industries Limited|Trials Updated: Mar 17, 2026

TV-44749 development status

Highest phase Phase 4 run by Nathan Kline Institute for Psychiatric Research (NCT00287820)
Phase scored for TEVAPhase 3
Registered trials 113 across 43 sponsors since May 2002

TV-44749 target and mechanism

ModalitySmall molecule

Also known as Olanzapine, Olanzapine for Extended-Release Injectable Suspension

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials3
Total Enrollment852

FDA Designations

No designations recorded

TV-44749 clinical trials

TV-44749 · 3 trials · 1 indication

Phase 3 1Phase 1 2
NCT05693935A 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 SchizophreniaSchizophrenia
COMPLETED675 Analytics
PHASE3COMPLETED
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
SchizophreniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Double-blind Period: Change in the Positive and Negative Syndrome Scale (PANSS) Total Score From Baseline to Week 8
Baseline, Week 8

The PANSS is a 30-item scale used to evaluate positive and negative symptoms of schizophrenia. The PANSS was used to identify the presence and severity of psychopathology symptoms, the relationship of these symptoms to one another, and the global psychopathology. Each item was scored on a 7-point scale ranging from 1 (absent) to 7 (extreme). The positive symptom scale includes 7 items with a maximum score of 49; the negative symptom scale includes 7 items with a maximum score of 49; and the general psychopathology scale includes 16 items with a maximum score of 112. The total score was the sum of 30-item scale, ranging from 30 (absent) to 210 (extreme), with a higher score indicating greater severity of symptoms. Least square (LS) mean was calculated using a repeated measures model with treatment, study visit, treatment visit interaction, stratification variables (sex and geographic region), age, and PANSS total score at baseline as covariates.

Area under the curve (AUC) of TV-44749
Days 57 to 85
AUC of oral olanzapine
24-hour period following administration of the 7th dose
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 Events
Day 1 Up to Day 43

Secondary Endpoints

Double-blind Period: Change in Clinical Global Impression-Severity (CGI-S) Scale Score From Baseline to Week 8
Baseline, Week 8
Double-blind Period: Change in Personal and Social Performance Scale (PSP) Score From Baseline to Week 8
Baseline, Week 8
Double-blind Period: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline up to Week 8
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Double-blind Period: PlaceboPLACEBO_COMPARATORParticipants will receive placebo matched to TV-44749 subcutaneously (SC) once monthly over 8 weeks in double-blind period.
Double-blind Period: TV-44749 318 mgEXPERIMENTALParticipants 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.
Double-blind Period: TV-44749 425 mgEXPERIMENTALParticipants will receive TV-44749 extended-release injectable suspension at a dose of 425 mg SC once monthly over 8 weeks in double-blind period.
Double-blind Period: TV-44749 531 mgEXPERIMENTALParticipants will receive TV-44749 extended-release injectable suspension at a dose of 531 mg SC once monthly over 8 weeks in double-blind period.
Open-label Period: Placebo to TV-44749 318 mgEXPERIMENTALParticipants 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.
Open-label Period: Placebo to TV-44749 425 mgEXPERIMENTALParticipants 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.
Open-label Period: Placebo to TV-44749 531 mgEXPERIMENTALParticipants 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.
Oral olanzapineACTIVE_COMPARATOR -
TV-44749EXPERIMENTAL -
Olanzapine Dose 1EXPERIMENTALPeriod 1: Participants will receive oral olanzapine daily Period 2: Participants will receive subcutaneous (sc) injection of TV-44749
Olanzapine Dose 2EXPERIMENTALPeriod 1: Participants will receive oral olanzapine daily Period 2: Participants will receive sc injection of TV-44749
Olanzapine Dose 3EXPERIMENTALPeriod 1: Participants will receive oral olanzapine daily Period 2: Participants will receive sc injection of TV-44749

Interventions

NameTypeDescription
TV-44749DRUGIn Period 1, 2 monthly injections. In Period 2, up to 12 monthly injections
PlaceboDRUGIn Period 1, 2 monthly injections (Period 1 only)
Oral olanzapineDRUGAdministered orally
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Eligibility Criteria

Age Range18 Years to 64 Years
SexALL
Healthy VolunteersNo
Study Sites82

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 ...

Countries:United StatesBulgariaChinaRomaniaTurkey (Türkiye)CroatiaSpainUnited Kingdom
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Frequently asked questions about TV-44749

What is TV-44749?

TV-44749 is an investigational small molecule being developed by Teva Pharmaceutical Industries Limited for the treatment of schizophrenia. It is a Phase 3 candidate that has been studied in randomized, double-blind, placebo-controlled clinical trials in adults with schizophrenia. It is not described as an approved product.

What is TV-44749 used for in schizophrenia?

TV-44749 is being developed as a treatment for schizophrenia in adults. Its clinical program includes a Phase 3 randomized, double-blind, placebo-controlled trial with an open-label long-term safety phase, plus two Phase 1 studies, all conducted in participants with schizophrenia rather than healthy volunteers.

Who makes TV-44749?

TV-44749 is developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. Teva is the sponsor of the clinical program for the asset, which includes three completed trials in schizophrenia across the United States, China, and several European and other countries.

What phase is TV-44749 in?

TV-44749 is in Phase 3 development. Its Phase 3 trial, NCT05693935, was a randomized, double-blind, placebo-controlled study with an open-label long-term safety phase in adults with schizophrenia, and it has completed. Two completed Phase 1 studies, NCT06315283 and NCT06253546, support the program.

What clinical trials is TV-44749 in?

Three completed trials have studied TV-44749: the Phase 3 trial NCT05693935 in adults with schizophrenia, the Phase 1 comparative bioavailability trial NCT06315283 versus oral olanzapine, and the Phase 1 safety, tolerability, and pharmacokinetic study NCT06253546 in Chinese patients with schizophrenia. Total enrollment across the program was 852 participants.

How many patients were enrolled in TV-44749 trials?

Across the three completed TV-44749 trials, total enrollment was 852 participants. The Phase 3 study NCT05693935 enrolled 675 adults with schizophrenia, the Phase 1 bioavailability study NCT06315283 enrolled 153 participants, and the Phase 1 Chinese pharmacokinetic study NCT06253546 enrolled 24 patients.