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TV-45070

Phase 2

Osteoarthritis of the Knee | Small molecule | Musculoskeletal |Teva Pharmaceutical Industries Limited|Trials Updated: Nov 9, 2021

TV-45070 development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since Feb 2014

TV-45070 target and mechanism

ModalitySmall molecule

Also known as funapide, XEN402

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment689

FDA Designations

No designations recorded

TV-45070 clinical trials

TV-45070 · 2 trials · 2 indications

Phase 2 2
NCT02365636A Study to Evaluate the Safety and Efficacy of Topically Applied TV 45070 Ointment in Patients With Postherpetic Neuralgia (PHN)Postherpetic Neuralgia
COMPLETED300 Analytics
NCT02068599A Study to Evaluate the Safety and Efficacy of Topically Applied TV-45070 (Ointment) in Participants With Primary Osteoarthritis (OA) Affecting a Single KneeOsteoarthritis of the Knee
COMPLETED389 Analytics
PHASE2COMPLETED
A Study to Evaluate the Safety and Efficacy of Topically Applied TV 45070 Ointment in Patients With Postherpetic Neuralgia (PHN)
Postherpetic NeuralgiaUnlock trial analytics
PHASE2COMPLETED
A Study to Evaluate the Safety and Efficacy of Topically Applied TV-45070 (Ointment) in Participants With Primary Osteoarthritis (OA) Affecting a Single Knee
Osteoarthritis of the KneeUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline to Week 4 in the Weekly Average of the Daily Average Numeric Rating Scale (NRS) Pain Scores Using a Mixed Model for Repeated Measures
Baseline (day -7 to day -1), Week 4 (day 22 to day 28)

The primary efficacy endpoint was the change from baseline to week 4 in the weekly average of the daily average NRS scores. The NRS is a widely-used, standard one-dimensional 11-point scale from 0=no pain to 10=worst pain imaginable as reported by patients. The daily average NRS scores is the average of the 2 NRS scores (recorded in the morning and evening) of average pain, defined as the patient-reported average pain intensity over the prior 12 hours. At least 1 of the 2 daily scores had to be recorded (non-missing) or the daily average was considered missing. Negative change from baseline values indicate a lessening of pain. The Mixed Model Repeated Measures (MMRM) model with change from baseline in the weekly average of the daily average NRS scores at week 4 as the dependent variable; week, pooled study center, treatment, and treatment by visit interaction as fixed factors, baseline weekly average of the daily average NRS scores as covariate; and patient as a random effect.

Change From Baseline to Last 5 Days of Treatment in the Average Evening Pain Intensity In the Target Knee When Walking on a Flat Surface Using a Mixed Model for Repeated Measures (MMRM)
Baseline (day -5 to day -1), Last 5 days of treatment (day 24 to day 28)

The Western Ontario and McMasters Universities Arthritis Index \[WOMAC\] is a widely used, validated, patient-reported questionnaire used to assess pain, stiffness, and physical function in patients with OA of the knee. It consists of 24 items separated into 3 domains (pain \[5 items\], stiffness \[2 items\], and physical function \[17 items\]). WOMAC Question 1 is the first question in the pain domain and asks patients to rate their pain in the target knee while walking on a flat surface. The possible score for each item ranges from 0 (no pain) to 100 mm (worst pain). Participants record their response to WOMAC Question 1 in the study diary based on average pain upon walking since the last assessment or over the past 12 hours. Negative change from baseline scores indicate improvement in pain. MMRM includes week, treatment, study center, and treatment by week interaction as fixed factors; baseline average evening WOMAC Question 1 score as a covariate; and patient as a random factor.

Secondary Endpoints

Change From Baseline to Week 4 in the Weekly Average of the Average Numeric Rating Scale (NRS) Pain Scores Recorded in the Evening Using a Mixed Model for Repeated Measures
Baseline (day -7 to day -1), Week 4 (day 22 to day 28)
Change From Baseline to Week 4 in the Weekly Average of the Average Numeric Rating Scale (NRS) Pain Scores Recorded in the Morning Using a Mixed Model for Repeated Measures
Baseline (day -7 to day -1), Week 4 (day 22 to day 28)
Change From Baseline to Week 4 in the Weekly Average of the Worst Numeric Rating Scale (NRS) Pain Scores Recorded in the Evening Using a Mixed Model for Repeated Measures
Baseline (day -7 to day -1), Week 4 (day 22 to day 28)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TV-45070 4%EXPERIMENTALTV-45070 ointment in a 4% strength applied topically twice daily to the area of postherpetic neuralgia (PHN) pain during the treatment period from days 1 through 28.
TV-45070 8%EXPERIMENTALTV-45070 ointment in a 8% strength applied topically twice daily to the area of postherpetic neuralgia (PHN) pain during the treatment period from days 1 through 28.
PlaceboPLACEBO_COMPARATORPlacebo ointment applied topically twice daily to the area of postherpetic neuralgia (PHN) pain during the treatment period from days 1 through 28.

Interventions

NameTypeDescription
TV-45070DRUGTV-45070 is an ointment applied topically twice daily to area of pain.
PlaceboDRUGThe matching placebo ointment contained only the excipients of the active treatment; also applied topically twice daily to area of pain.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites77

Inclusion Criteria: * Patient has chronic Postherpetic Neuralgia (PHN), defined as pain present for more than 6 months and less than 10 years after onset of herpes zoster skin rash affecting a single dermatome. Patients with more than 1 involved dermatome may also be included, provided the affected...

Countries:United States
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Competitive Landscape -Osteoarthritis 143 trials (matched to "Osteoarthritis of the Knee")

Frequently asked questions about TV-45070

What is TV-45070?

TV-45070 is an investigational small molecule developed by Teva Pharmaceutical Industries Limited as a topical ointment. It has been studied in Phase 2 clinical trials for two pain conditions: postherpetic neuralgia and primary osteoarthritis affecting a single knee. It is not an approved medicine and remains in clinical development.

What is TV-45070 used for?

TV-45070 has been evaluated for postherpetic neuralgia, a nerve pain condition that can follow shingles, and for osteoarthritis of the knee. Both uses were studied in Phase 2 trials, and the drug is investigational rather than approved for any indication.

Who makes TV-45070?

TV-45070 is developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. Teva sponsored the Phase 2 clinical program testing the topical ointment in postherpetic neuralgia and knee osteoarthritis.

What phase is TV-45070 in?

TV-45070 is in Phase 2 development. Two Phase 2 trials have been completed, one in postherpetic neuralgia and one in knee osteoarthritis, and no Phase 3 program has been reported. The drug is investigational and has not been approved by the FDA.

What clinical trials is TV-45070 in?

TV-45070 has been tested in two completed Phase 2 trials. NCT02365636 evaluated the topical ointment in 300 patients with postherpetic neuralgia in the United States. NCT02068599 tested it in 389 participants with primary osteoarthritis of a single knee, also in the United States. Both were randomized, double-blind, and placebo-controlled.

How does TV-45070 work?

TV-45070 is a small molecule formulated as a topical ointment, meaning it is applied to the skin rather than taken systemically. It was studied for localized pain conditions, postherpetic neuralgia and knee osteoarthritis, with the goal of delivering treatment directly to the affected area.