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TV-46046

Phase 1

Contraception | Small molecule | Endocrine |Teva Pharmaceutical Industries Limited|Trials Updated: Feb 26, 2024

TV-46046 development status

Highest phase Phase 1
Registered trials 2 across 1 sponsor since Oct 2018

TV-46046 target and mechanism

ModalitySmall molecule

Also known as TV-46046-mL

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials3
Total Enrollment99

FDA Designations

No designations recorded

TV-46046 clinical trials

TV-46046 · 3 trials · 2 indications

Phase 1 3
NCT04682353A Study to Evaluate the Pharmacokinetics (PK) of Medroxyprogesterone Acetate Following an Injection of TV-46046 in Healthy Women of Reproductive AgeContraception
COMPLETED60 Analytics
NCT03700658A Study to Evaluate Injection Pain and Local Tolerability Following Subcutaneous (SC) Administration of TV-46046Contraception
COMPLETED27 Analytics
NCT02817464Study to Evaluate Suppression of Ovulation and Pharmacokinetics of Medroxyprogesterone Acetate Following Administration of TV-46046 in Women With Ovulatory CyclePregnancy
COMPLETED12 Analytics
PHASE1COMPLETED
A Study to Evaluate the Pharmacokinetics (PK) of Medroxyprogesterone Acetate Following an Injection of TV-46046 in Healthy Women of Reproductive Age
ContraceptionUnlock trial analytics
PHASE1COMPLETED
A Study to Evaluate Injection Pain and Local Tolerability Following Subcutaneous (SC) Administration of TV-46046
ContraceptionUnlock trial analytics
PHASE1COMPLETED
Study to Evaluate Suppression of Ovulation and Pharmacokinetics of Medroxyprogesterone Acetate Following Administration of TV-46046 in Women With Ovulatory Cycle
PregnancyUnlock trial analytics

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).

Part 1: Serum Medroxyprogesterone Acetate (MPA) Concentration at Day 1
Day 1

'Overall number of participants analyzed' = participants evaluable for this outcome measure.

Part 1: Serum MPA Concentration at Day 7
Day 7
Part 1: Serum MPA Concentration at Day 28
Day 28
Part 1: Serum MPA Concentration at Day 91
Day 91
Part 1: Serum MPA Concentration at Day 182
Day 182
Part 1: Serum MPA Concentration at Day 210
Day 210
Part 1: Maximum Observed Serum Concentration (Cmax) of MPA
Day 0 up to Week 52
Part 1: Observed Serum Drug Concentration at Day 182 (C182) of MPA
Day 182
Part 1: Time to Reach Cmax (Tmax) of MPA
Day 0 up to Week 52
Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Day 182 (AUC0-182) of MPA
Day 0 up to Day 182
Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Day 210 (AUC0-210) of MPA
Day 0 up to Day 210
Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Infinity (AUC0-∞) of MPA
Day 0 up to Week 52
Part 1: Apparent Terminal Half-life (t1/2) of MPA
Day 0 up to Week 52
Part 2: Time to Ovulation
Day 0 up to Week 78

Ovulation was defined as a single elevated serum progesterone ≥4.7 ng/mL.

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.
TV-46046 - 1EXPERIMENTAL -
TV-46046 - 2EXPERIMENTAL -

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.
TV-46046 - 400 mg/mLDRUGA single subcutaneous injection in the abdomen of undiluted TV-46046 - 400 mg/mL
TV-46046 - 200 mg/mLDRUGA single subcutaneous injection in the abdomen of saline-diluted TV-46046 - 200 mg/mL
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Eligibility Criteria

Age Range18 Years to 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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Frequently asked questions about TV-46046

What is TV-46046?

TV-46046 is an investigational injectable contraceptive developed by Teva Pharmaceutical Industries Limited. It is a small molecule formulation studied for contraception in women of reproductive age. The product is also referenced as TV-46046 - 400 mg/mL and TV-46046-mL. It remains in clinical development and is not approved for marketing.

What is TV-46046 used for?

TV-46046 is being studied for contraception in women of reproductive age. Clinical trials have also listed pregnancy among the conditions evaluated. The program is designed around injectable administration of medroxyprogesterone acetate, with studies assessing pharmacokinetics, ovulation suppression, and injection tolerability in healthy female volunteers.

Who is developing TV-46046?

TV-46046 is developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. Teva has sponsored the Phase 1 clinical program evaluating the injectable contraceptive candidate in healthy women of reproductive age across sites in the United States and the Dominican Republic.

What phase is TV-46046 in?

TV-46046 is in Phase 1 clinical development. It is an investigational product and has not been approved by the FDA. Three completed Phase 1 trials have evaluated its pharmacokinetics, ovulation suppression, and subcutaneous injection pain and local tolerability in healthy female volunteers.

What clinical trials is TV-46046 in?

TV-46046 has been studied in completed Phase 1 trials including NCT04682353, which evaluated medroxyprogesterone acetate pharmacokinetics after injection in 60 healthy women; NCT03700658, which assessed injection pain and local tolerability after subcutaneous administration in 27 women; and NCT02817464, which evaluated ovulation suppression and pharmacokinetics in 12 women with ovulatory cycles.