A Study to Test if TV-46000 is Safe for Maintenance Treatment of Schizophrenia (SHINE)
Schizophrenia
About this trial
This is an interventional treatment trial for Schizophrenia
Eligibility Criteria
Inclusion Criteria:
Participants Rolling Over from the Pivotal Efficacy Study TV46000-CNS-30072:
- The participant must have participated in the pivotal efficacy study (Study TV46000-CNS-30072) without experiencing relapse events and without important protocol deviations.
- If the participant was taking antidepressants or mood stabilizers in Study TV46000-CNS-30072, no dose changes or initiation of treatment with these medications will be permitted.
- The participant, in the investigator's judgment, requires chronic treatment with an antipsychotic medication.
- The participant is able to understand the nature of the study and follow protocol requirements, including the prescribed dosage regimens (oral and SC administration) and non-use of prohibited concomitant medications; can read and understand the written word in order to complete participant-reported outcomes measures; and can be reliably rated on assessment scales.
- The participant has had a stable place of residence for the previous 3 months before the baseline visit in this study, and changes in residence are not anticipated over the course of study participation.
- The participant has no significant life events (such as pending loss of housing, family status change, long travel abroad, surgery, etc) that could affect study outcomes expected throughout the period of study participation.
- Women of childbearing potential and sexually active female adolescents must agree not to try to become pregnant, and, unless they have exclusively same-sex partners, must agree to use a highly effective method of contraception and agree to continue use of this method beginning 1 month before the first administration of study drug and for the duration of the study and for 120 days after the last injection of study drug.
- The participant, if adult or adolescent male, is surgically sterile, or, if capable of producing offspring, has exclusively same-sex partners or is currently using an approved method of birth control and agrees to the continued use of this method for the duration of the study (and for 120 days after the last dose of study drug). Male participants with sex partners who are women of childbearing potential must use condoms even if surgically sterile. In addition, male participants may not donate sperm for the duration of the study and for 120 days after taking the study drug.
New Participants (Not Rolling Over from the Pivotal Efficacy Study TV46000-CNS-30072):
- The participant has a diagnosis of schizophrenia
- The participant has been responsive to an antipsychotic treatment (other than clozapine) in the past year based on investigator judgment (and discussions with family members, caregivers, or healthcare professionals as applicable).
- The participant, in the investigator's judgment, requires chronic treatment with an antipsychotic medication.
- The participant is able to understand the nature of the study and follow protocol requirements, including the prescribed dosage regimens (oral and sc administration) and non-use of prohibited concomitant medications; can read and understand the written word in order to complete participant-reported outcomes measures; and can be reliably rated on assessment scales.
- The participant has had a stable place of residence for the previous 3 months before screening, and changes in residence are not anticipated over the course of study participation.
- The participant has no significant life events (such as pending loss of housing, family status change, long travel abroad, surgery, etc) that could affect study outcomes expected throughout the period of study participation.
- The participant has a body mass index between 18.0 and 38.0 kilograms (kg)/square meter (m^2), inclusive.
- Women of childbearing potential and sexually active female adolescents must agree not to try to become pregnant, and, unless they have exclusively same-sex partners, must agree to use a highly effective method of contraception and agree to continue use of this method beginning 1 month before the first administration of study drug and for the duration of the study and for 120 days after the last injection of study drug.
- The participant, if adult or adolescent male, is surgically sterile, or, if capable of producing offspring, has exclusively same-sex partners or is currently using an approved method of birth control and agrees to the continued use of this method for the duration of the study (and for 120 days after the last dose of study drug). Male participants with sex partners who are women of childbearing potential must use condoms even if surgically sterile. In addition, male participants may not donate sperm for the duration of the study and for 120 days after taking the study drug.
- Additional criteria apply, please contact the investigator for more information.
Exclusion Criteria:
Participants Rolling Over from the Pivotal Efficacy Study TV46000-CNS-30072:
- The participant has a finding in the baseline 12-lead electrocardiogram (ECG) that is considered clinically significant in the judgment of the investigator.
- Poor compliance with study procedures (in the opinion of the investigator or sponsor) during the pivotal efficacy Study TV46000-CNS-30072. This should be discussed on a case-by-case basis.
New Participants (Not Rolling Over from the Pivotal Efficacy Study TV46000-CNS-30072) and Roll-Over Participants:
- The participant is currently on clozapine or has received electroconvulsive therapy in the last 12 months.
- The participant has a history of epilepsy or seizures, neuroleptic malignant syndrome, tardive dyskinesia, or other medical condition that would expose the participant to undue risk.
- The participant has a positive serology for human immunodeficiency virus (HIV)-1, HIV-2, hepatitis B surface antigen, and/or hepatitis C.
- The participant has current or a history of known hypersensitivity to risperidone or any of the excipients of TV-46000 or the oral formulation of risperidone used in the stabilization phase.
- The participant has a substance use disorder, including alcohol and benzodiazepines but excluding nicotine and caffeine.
- The participant is a pregnant or lactating female.
- The participant has used an investigational drug other than TV-46000 within 3 months prior to screening or has participated in a non-drug clinical trial within 30 days prior to screening.
- Vulnerable participants (for example, people kept in detention).
- Additional criteria apply, please contact the investigator for more information.
Sites / Locations
- Teva Investigational Site 14391
- Teva Investigational Site 14401
- Teva Investigational Site 14405
- Teva Investigational Site 14796
- Teva Investigational Site 14811
- Teva Investigational Site 14794
- Teva Investigational Site 14776
- Teva Investigational Site 14802
- Teva Investigational Site 14773
- Teva Investigational Site 14774
- Teva Investigational Site 14817
- Teva Investigational Site 14771
- Teva Investigational Site 14863
- Teva Investigational Site 14816
- Teva Investigational Site 14786
- Teva Investigational Site 14827
- Teva Investigational Site 14777
- Teva Investigational Site 14815
- Teva Investigational Site 14785
- Teva Investigational Site 14818
- Teva Investigational Site 14788
- Teva Investigational Site 14783
- Teva Investigational Site 14865
- Teva Investigational Site 14787
- Teva Investigational Site 14814
- Teva Investigational Site 14861
- Teva Investigational Site 14390
- Teva Investigational Site 14799
- Teva Investigational Site 14389
- Teva Investigational Site 14875
- Teva Investigational Site 14400
- Teva Investigational Site 14832
- Teva Investigational Site 14810
- Teva Investigational Site 14860
- Teva Investigational Site 14396
- Teva Investigational Site 14821
- Teva Investigational Site 14770
- Teva Investigational Site 14415
- Teva Investigational Site 14829
- Teva Investigational Site 14805
- Teva Investigational Site 14871
- Teva Investigational Site 14862
- Teva Investigational Site 14869
- Teva Investigational Site 14866
- Teva Investigational Site 14764
- Teva Investigational Site 14791
- Teva Investigational Site 14813
- Teva Investigational Site 14826
- Teva Investigational Site 14809
- Teva Investigational Site 14414
- Teva Investigational Site 14792
- Teva Investigational Site 14772
- Teva Investigational Site 14876
- Teva Investigational Site 14780
- Teva Investigational Site 14867
- Teva Investigational Site 14416
- Teva Investigational Site 14763
- Teva Investigational Site 14782
- Teva Investigational Site 14859
- Teva Investigational Site 14793
- Teva Investigational Site 14778
- Teva Investigational Site 14868
- Teva Investigational Site 14801
- Teva Investigational Site 14807
- Teva Investigational Site 14393
- Teva Investigational Site 14856
- Teva Investigational Site 14395
- Teva Investigational Site 59148
- Teva Investigational Site 59152
- Teva Investigational Site 59151
- Teva Investigational Site 59149
- Teva Investigational Site 59144
- Teva Investigational Site 59154
- Teva Investigational Site 59150
- Teva Investigational Site 59146
- Teva Investigational Site 11169
- Teva Investigational Site 11171
- Teva Investigational Site 11173
- Teva Investigational Site 11170
- Teva Investigational Site 11174
- Teva Investigational Site 35259
- Teva Investigational Site 35257
- Teva Investigational Site 35260
- Teva Investigational Site 35256
- Teva Investigational Site 80162
- Teva Investigational Site 80161
- Teva Investigational Site 80156
- Teva Investigational Site 80155
- Teva Investigational Site 80157
- Teva Investigational Site 80160
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
TV-46000 q1m
TV-46000 q2m
Participants will receive a subcutaneous (SC) injection of TV-46000 at baseline and every 4 weeks (q4w) thereafter for up to 56 weeks. The maximal dose administered to adult participants is comparable to an oral risperidone dose of 5 mg/day, and the maximal dose administered to adolescents is comparable to 4 mg/day.
Participants will receive an SC injection of TV-46000 at baseline and every 8 weeks (q8w) thereafter, and a placebo SC injection 4 weeks after baseline and q8w thereafter for up to 56 weeks. The maximal dose administered to adult participants is comparable to an oral risperidone dose of 5 mg/day, and the maximal dose administered to adolescents is comparable to 4 mg/day.