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TV-44749

Phase 3

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment852
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
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 SchizophreniaPHASE3 COMPLETED 675Jan 24, 2023Jan 27, 2025Mar 17, 202682 United States, Bulgaria +3
NCT06315283An Open-Label Trial to Assess the Comparative Bioavailability of TV-44749 to Oral Olanzapine in Participants With SchizophreniaPHASE1 COMPLETED 153Mar 20, 2024Sep 4, 2025Jan 14, 20269 United States, Croatia +2
NCT06253546Safety, Tolerability, and Pharmacokinetic Study of TV-44749 in Chinese Patients With SchizophreniaPHASE1 COMPLETED 24Mar 28, 2024Jun 12, 2025Aug 1, 20256 China
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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 — 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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