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The primary objective of the study is to characterize the pharmacokinetics of 3 formulations of olanzapine.
A secondary objective is to evaluate the safety and tolerability of 3 formulations of olanzapine.
Another secondary objective is to characterize the pharmacokinetics of ZYPREXA.
The planned duration of the study for each participant is 19 weeks.
All participants received immediate-release ZYPREXA and then were randomized into 1 of 3 extended-release olanzapine formulations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Olanzapine (Fast-D) 425mg | Experimental | Single-dose injection |
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| Olanzapine (To-be-marketed) 425mg | Experimental | Single-dose injection |
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| Olanzapine (Slow-C) 425mg | Experimental | Single-dose injection |
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| ZYPREXA 5mg | Experimental | Single-dose injection |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Olanzapine Extended Release | Drug | Powder and vehicle for injectable suspension |
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| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed Plasma Concentration (Cmax) of Olanzapine (Extended-release Formulation) | Randomization Day 1 to 84 days after randomization | |
| Area Under the Plasma Concentration-time Curve From Study Drug Administration to the Last Measurable Concentration (AUC0-t) of Olanzapine (Extended-release Formulation) | Randomization Day 1 to 84 days after randomization | |
| Area Under the Plasma Concentration-time Curve Extrapolated to Infinity (AUC0-inf) of Olanzapine (Extended-release Formulation) | Randomization Day 1 to 84 days after randomization |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With at Least 1 Treatment-emergent Adverse Event (TEAE) Over the 28-day Period Following Administration of 1 of the SC Olanzapine Formulations | An adverse event (AE) was defined as any untoward medical occurrence in a participant who received the study drug without regard to possibility of causal relationship. A TEAE was defined as an AE that occurred after the first dose of study drug administration through the end of trial. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in the Reported AE section. |
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Inclusion Criteria:
NOTE- Additional criteria apply, please contact the investigator for more information
Exclusion Criteria:
NOTE- Additional criteria apply, please contact the investigator for more information
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| Name | Affiliation | Role |
|---|---|---|
| Teva Medical Expert, MD | Teva Branded Pharmaceutical Products R&D, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Teva Investigational Site 15730 | Los Alamitos | California | 90720 | United States | ||
| Teva Investigational Site 15727 |
Qualified researchers may request access to patient level data and related study documents including the study protocol and the statistical analysis plan. Requests will be assessed for scientific merit, product approval status, and conflicts of interest. If the request is approved, patient level data will be de-identified and study documents will be redacted to protect the privacy of trial participants and to protect commercially confidential information. Please visit USMedInfo@tevapharm.com to make your request.
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A total of 183 participants signed the informed consent form for screening. Of these, 106 participants met eligibility criteria and were enrolled in the study. 91 participants were randomized to treatment arms.
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| ID | Title | Description |
|---|---|---|
| FG000 | ZYPREXA | Participants received a single injection of 5 milligrams (mg) of ZYPREXA, immediate-release solution, administered intramuscularly (IM) to the gluteal muscle. |
| FG001 | Cohort 1: Olanzapine (Fast-D) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| 1-Day Treatment Period |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | May 11, 2024 | Jan 8, 2026 |
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| Olanzapine Immediate Release | Drug | IntraMuscular Injection |
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| Randomization Day 1 through Randomization Day 29 |
| Number of Participants With at Least 1 Serious Adverse Event (SAE) Over the 28-day Period Following Administration of 1 of the SC Olanzapine Formulations | The SAEs were defined as death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in the Reported AE section. | Randomization Day 1 through Randomization Day 29 |
| Cmax of ZYPREXA (Immediate-release Formulation) | Up to 24 hours after administration of ZYPREXA (Day 4) |
| AUC0-t of ZYPREXA (Immediate-release Formulation) | Predose (Day 4) up to 216 hours after administration of ZYPREXA (Day 13) |
| Apparent Plasma Terminal Elimination Rate Constant (λz) of ZYPREXA (Immediate-release Formulation) | Predose (Day 4) up to 216 hours after administration of ZYPREXA (Day 13) |
| Hollywood |
| Florida |
| 33024 |
| United States |
| Teva Investigational Site 15729 | Atlanta | Georgia | 30331 | United States |
| Teva Investigational Site 15728 | Decatur | Georgia | 30030 | United States |
| Teva Investigational Site 15726 | Marlton | New Jersey | 08053 | United States |
Participants received a single injection of 425 mg of olanzapine (Fast-D), extended-release formulation, administered subcutaneously (SC) to the abdomen.
| FG002 | Cohort 2: Olanzapine (To-be-marketed) | Participants received a single injection of 425 mg of olanzapine (To-be-marketed), extended-release formulation, administered SC to the abdomen. |
| FG003 | Cohort 3: Olanzapine (Slow-C) | Participants received a single injection of 425 mg of olanzapine (Slow-C), extended-release formulation, administered SC to the abdomen. |
| Received at Least 1 Dose of Study Drug |
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| COMPLETED |
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| NOT COMPLETED |
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| 28-Day Treatment Period |
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| 8-Week Follow-up Period |
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The Enrolled Analysis Set included all participants who signed an informed consent form (ICF) and were enrolled in the trial.
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| ID | Title | Description |
|---|---|---|
| BG000 | ZYPREXA Only (Not Randomized) | Participants received a single injection of 5 mg of ZYPREXA, immediate-release solution, administered IM to the gluteal muscle. |
| BG001 | Cohort 1: Olanzapine (Fast-D) | Participants received a single injection of 425 mg of olanzapine (Fast-D), extended-release formulation, administered SC to the abdomen. |
| BG002 | Cohort 2: Olanzapine (To-be-marketed) | Participants received a single injection of 425 mg of olanzapine (To-be-marketed), extended-release formulation, administered SC to the abdomen. |
| BG003 | Cohort 3: Olanzapine (Slow-C) | Participants received a single injection of 425 mg of olanzapine (Slow-C), extended-release formulation, administered SC to the abdomen. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Maximum Observed Plasma Concentration (Cmax) of Olanzapine (Extended-release Formulation) | The Pharmacokinetic (PK) Analysis Set included all participants who had sufficient data to calculate at least 1 PK parameter for any of the olanzapine formulations (IM immediate release or SC extended release) and had no intercurrent events or deviations that affected the calculation of PK parameters. 'Overall number of participants analyzed' = participants evaluable for this outcome measure. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanograms (ng)/milliliter (mL) | Randomization Day 1 to 84 days after randomization |
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| Primary | Area Under the Plasma Concentration-time Curve From Study Drug Administration to the Last Measurable Concentration (AUC0-t) of Olanzapine (Extended-release Formulation) | The PK Analysis Set included all participants who had sufficient data to calculate at least 1 PK parameter for any of the olanzapine formulations (IM immediate release or SC extended release) and had no intercurrent events or deviations that affected the calculation of PK parameters. 'Overall number of participants analyzed' = participants evaluable for this outcome measure. | Posted | Geometric Mean | Geometric Coefficient of Variation | hours*ng/mL | Randomization Day 1 to 84 days after randomization |
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| Primary | Area Under the Plasma Concentration-time Curve Extrapolated to Infinity (AUC0-inf) of Olanzapine (Extended-release Formulation) | The PK Analysis Set included all participants who had sufficient data to calculate at least 1 PK parameter for any of the olanzapine formulations (IM immediate release or SC extended release) and had no intercurrent events or deviations that affected the calculation of PK parameters. 'Overall number of participants analyzed' = participants evaluable for this outcome measure. | Posted | Geometric Mean | Geometric Coefficient of Variation | hours*ng/mL | Randomization Day 1 to 84 days after randomization |
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| Secondary | Number of Participants With at Least 1 Treatment-emergent Adverse Event (TEAE) Over the 28-day Period Following Administration of 1 of the SC Olanzapine Formulations | An adverse event (AE) was defined as any untoward medical occurrence in a participant who received the study drug without regard to possibility of causal relationship. A TEAE was defined as an AE that occurred after the first dose of study drug administration through the end of trial. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in the Reported AE section. | The Safety Analysis Set included all participants who received at least 1 dose of study drug (ZYPREXA IM or one of the Olanzapine SC extended-release formulations). This outcome measure reports data for the participants who received one of the Olanzapine SC extended-release formulations only. | Posted | Count of Participants | Participants | Randomization Day 1 through Randomization Day 29 |
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| Secondary | Number of Participants With at Least 1 Serious Adverse Event (SAE) Over the 28-day Period Following Administration of 1 of the SC Olanzapine Formulations | The SAEs were defined as death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in the Reported AE section. | The Safety Analysis Set included all participants who received at least 1 dose of study drug (ZYPREXA IM or one of the Olanzapine SC extended-release formulations). This outcome measure reports data for the participants who received one of the Olanzapine SC extended-release formulations only. | Posted | Count of Participants | Participants | Randomization Day 1 through Randomization Day 29 |
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| Secondary | Cmax of ZYPREXA (Immediate-release Formulation) | The PK Analysis Set included all participants who had sufficient data to calculate at least 1 PK parameter for any of the olanzapine formulations (IM immediate release or SC extended release) and had no intercurrent events or deviations that affected the calculation of PK parameters. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Up to 24 hours after administration of ZYPREXA (Day 4) |
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| Secondary | AUC0-t of ZYPREXA (Immediate-release Formulation) | The PK Analysis Set included all participants who had sufficient data to calculate at least 1 PK parameter for any of the olanzapine formulations (IM immediate release or SC extended release) and had no intercurrent events or deviations that affected the calculation of PK parameters. 'Overall number of participants analyzed' = participants evaluable for this outcome measure. | Posted | Geometric Mean | Geometric Coefficient of Variation | hours*ng/mL | Predose (Day 4) up to 216 hours after administration of ZYPREXA (Day 13) |
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| Secondary | Apparent Plasma Terminal Elimination Rate Constant (λz) of ZYPREXA (Immediate-release Formulation) | The PK Analysis Set included all participants who had sufficient data to calculate at least 1 PK parameter for any of the olanzapine formulations (IM immediate release or SC extended release) and had no intercurrent events or deviations that affected the calculation of PK parameters. 'Overall number of participants analyzed' = participants evaluable for this outcome measure. | Posted | Mean | Standard Deviation | 1/hour | Predose (Day 4) up to 216 hours after administration of ZYPREXA (Day 13) |
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Day 1 up to Day 84
All-cause mortality data were collected and reported for all enrolled participants; and Serious and Non-serious adverse events data were collected and reported for all participants who received at least 1 dose of study drug (ZYPREXA IM or one of the Olanzapine SC extended-release formulations).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | ZYPREXA | Participants received a single injection of 5 mg of ZYPREXA, immediate-release solution, administered IM to the gluteal muscle. | 0 | 106 | 0 | 98 | 18 | 98 |
| EG001 | Cohort 1: Olanzapine (Fast-D) | Participants received a single injection of 425 mg of olanzapine (Fast-D), extended-release formulation, administered SC to the abdomen. | 0 | 29 | 0 | 29 | 8 | 29 |
| EG002 | Cohort 2: Olanzapine (To-be-marketed) | Participants received a single injection of 425 mg of olanzapine (To-be-marketed), extended-release formulation, administered SC to the abdomen. | 0 | 31 | 1 | 31 | 11 | 31 |
| EG003 | Cohort 3: Olanzapine (Slow-C) | Participants received a single injection of 425 mg of olanzapine (Slow-C), extended-release formulation, administered SC to the abdomen. | 0 | 31 | 0 | 31 | 6 | 31 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Suicidal ideation | Psychiatric disorders | MedDRA 26.1 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Injection site irritation | General disorders | MedDRA 26.1 | Systematic Assessment |
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| Injection site pain | General disorders | MedDRA 26.1 | Systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA 26.1 | Systematic Assessment |
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| Alanine aminotransferase increased | Investigations | MedDRA 26.1 | Systematic Assessment |
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| Aspartate aminotransferase increased | Investigations | MedDRA 26.1 | Systematic Assessment |
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| Blood creatine phosphokinase increased | Investigations | MedDRA 26.1 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA 26.1 | Systematic Assessment |
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| Psychotic disorder | Psychiatric disorders | MedDRA 26.1 | Systematic Assessment |
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Sponsor has the right 60 days before submission for publication to review/provide comments. If the Sponsor's review shows that potentially patentable subject matter would be disclosed, publication or public disclosure shall be delayed for up to 90 additional days in order for the Sponsor, or Sponsor's designees, to file the necessary patent applications. In multicenter trials, each PI will postpone single center publications until after disclosure or publication of multicenter data.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director, Clinical Research | Teva Branded Pharmaceutical Products R&D LLC | 888-483-8279 | USMedInfo@tevapharm.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Feb 11, 2025 | Jan 8, 2026 | SAP_001.pdf |
| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| D011618 | Psychotic Disorders |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000077152 | Olanzapine |
| ID | Term |
|---|---|
| D001569 | Benzodiazepines |
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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| Other Than Specified |
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| Withdrawal by Subject |
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| Other Than Specified |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Black or African American |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Other |
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| Units | Counts |
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| Participants |
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| Cohort 3: Olanzapine (Slow-C) |
Participants received a single injection of 425 mg of olanzapine (Slow-C), extended-release formulation, administered SC to the abdomen. |
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| OG002 | Cohort 3: Olanzapine (Slow-C) | Participants received a single injection of 425 mg of olanzapine (Slow-C), extended-release formulation, administered SC to the abdomen. |
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