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TV-46046

Phase 1

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

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials2
Total Enrollment87

FDA Designations

No designations recorded

Clinical trial landscape

TV-46046 · 2 trials · 1 indication

Phase 1 2
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
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

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 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 used for?

TV-46046 is an investigational small molecule being developed for contraception and pregnancy prevention. It is a long-acting injectable formulation of medroxyprogesterone acetate intended for use in women of reproductive age. The drug is currently in Phase 1 clinical development and is not yet approved by regulatory authorities.

Who makes TV-46046?

TV-46046 is being developed by Teva Pharmaceutical Industries Limited, a company publicly traded under the ticker symbol TEVA. The drug is an investigational product candidate in the company's endocrine therapeutic area pipeline, focused on women's reproductive health and contraception.

What phase is TV-46046 in?

TV-46046 is in Phase 1 clinical development. Three Phase 1 trials have been completed, with a total of 87 participants enrolled across studies conducted in the United States and the Dominican Republic. The drug remains investigational and has not received regulatory approval for any indication.

What clinical trials is TV-46046 in?

TV-46046 has completed three Phase 1 clinical trials: NCT02817464 evaluated suppression of ovulation and pharmacokinetics in 12 women with ovulatory cycles; NCT03700658 assessed injection pain and local tolerability in 27 women; and NCT04682353 studied pharmacokinetics in 60 healthy women of reproductive age. All trials were completed.

How does TV-46046 work?

TV-46046 is a small molecule formulation of medroxyprogesterone acetate, a progestin hormone. It works by delivering a sustained release of medroxyprogesterone acetate to suppress ovulation, thereby preventing pregnancy. The drug is administered via subcutaneous injection to provide long-acting contraceptive effects.

Is TV-46046 the same as medroxyprogesterone acetate?

TV-46046 is a proprietary long-acting injectable formulation of medroxyprogesterone acetate, not the same as standard immediate-release versions. It is designed to provide sustained drug release over an extended period. The active pharmaceutical ingredient is medroxyprogesterone acetate, but TV-46046 is a distinct product candidate in development.