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TV-46046

Phase 1

Contraception | Small molecule | Other |Teva Pharmaceutical Industries Limited|Last Updated: Feb 26, 2024

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-BlindACTIVE_CONTROLLEDBiomarker
Total Trials2
Total Enrollment87
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04682353A Study to Evaluate the Pharmacokinetics (PK) of Medroxyprogesterone Acetate Following an Injection of TV-46046 in Healthy Women of Reproductive AgePHASE1 COMPLETED 60Dec 14, 2020Jan 12, 2023Feb 26, 20243 United States, Dominican Republic
NCT03700658A Study to Evaluate Injection Pain and Local Tolerability Following Subcutaneous (SC) Administration of TV-46046PHASE1 COMPLETED 27Jan 15, 2019Oct 2, 2020Jan 26, 20221 Dominican Republic
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Study Endpoints
Primary Endpoints
Maximum Observed Serum Concentration (Cmax) of Medroxyprogesterone Acetate (MPA)
Day 0 to Day 365
Time to Reach Cmax (Tmax) of MPA
Day 0 to Day 365
Serum MPA Concentration at Day 91 (C91)
Day 91
Serum MPA Concentration at Day 182 (C182)
Day 182
Serum MPA Concentration at Day 210 (C210)
Day 210
Area Under the Serum Drug Concentration-Time Curve From Time 0 to Day 182 (AUC0-182) of MPA
Day 0 to Day 182
Area Under the Serum Drug Concentration-Time Curve From Time 0 to Day 210 (AUC0-210) of MPA
Day 0 to Day 210
Area Under the Serum Drug Concentration-Time Curve From Time 0 to Infinity (AUC0-inf) of MPA
Day 0 to Day 365
Apparent Terminal Half-life (t½) of MPA
Day 0 to Day 365
Number of Participants With Injection Site Reactions (ISRs) (Excluding Injection Site Pain)
Day 0 (immediately after and 1 hour after the injection) up to Month 18

ISRs were assessed by self-reports and direct observation for each injection at least twice on the day of injection. ISRs included erythema (redness), swelling, pruritus (itching), bleeding, bruising, injection site discoloration (for example, hypopigmentation), or atrophy (that is, dimple).

Secondary Endpoints
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Day 0 up to Week 78
Number of Participants With at Least 1 Concomitant Medication Use During Treatment
Day 0 up to Week 78
Number of Participants With Clinically Significant Changes in Vital Signs
Day 0 to Day 365
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeOTHER
Treatment Arms
ArmTypeDescription
Group 1 - 120 mg/0.4 mLEXPERIMENTAL -
Group 2 - 180 mg/0.6 mLEXPERIMENTAL -
Group 3 - 240 mg/0.8 mLEXPERIMENTAL -
Group 4 - 104 mg/0.65 mLACTIVE_COMPARATOR -
TV-46046 UndilutedEXPERIMENTALParticipants will receive TV-46046 undiluted (120 mg/0.3 mL of 400 mg/mL) SC injection as a test formulation in a crossover design with the other 3 SC study drug injections. The 4 study drug injections will be administered approximately 1 hour apart.
TV-46046 DilutedEXPERIMENTALParticipants will receive TV-46046 saline-diluted (60 mg/0.3 mL of 200 mg/mL) SC injection as a test formulation in a crossover design with the other 3 SC study drug injections. The 4 study drug injections will be administered approximately 1 hour apart.
TV-46046 PlaceboPLACEBO_COMPARATORParticipants will receive TV-46046 placebo (0.3 mL) SC injection in a crossover design with the other 3 SC study drug injections. The 4 study drug injections will be administered approximately 1 hour apart.
Depo-subQ 104ACTIVE_COMPARATORParticipants will receive Depo-subQ 104 (medroxyprogesterone acetate injectable suspension; 104 mg/0.65 mL) SC injection as a reference formulation in a crossover design with the other 3 SC study drug injections. The 4 study drug injections will be administered approximately 1 hour apart.
Interventions
NameTypeDescription
TV-46046DRUGSC injection of 300 mg/mL (120 mg/0.4mL; 180 mg/0.6mL; 240 mg/0.8mL)
Depo-subQ ProveraDRUGSC injection of 104 mg/0.65 mL
Depo-subQ 104DRUGDepo-subQ 104 will be administered per dose and schedule specified in the arm.
TV-46046 PlaceboDRUGTV-46046 Placebo will be administered per schedule specified in the arm.
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Eligibility Criteria
Age Range18 Years — 45 Years
SexFEMALE
Healthy VolunteersYes
Study Sites3

Inclusion Criteria: * has regular menstrual cycle (21 to 35 days) * has a low risk of pregnancy (ie, sterilized, in exclusively same-sex partnership, abstinent, in monogamous relationship with vasectomized partner, using nonhormonal intrauterine device (IUD), or consistently using barrier methods o...

Countries:United StatesDominican Republic
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