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| ID | Type | Description | Link |
|---|---|---|---|
| 2014-003135-19 | EudraCT Number |
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The purpose of this study is to determine whether fixed-doses of an investigational drug, SD-809 (deutetrabenazine), will reduce the severity of abnormal involuntary movements of tardive dyskinesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Placebo tablets taken twice daily for 12 weeks. |
|
| SD-809 12 mg/day | Experimental | SD-809 tablets 6 mg taken twice a day (BID) for 12 weeks. |
|
| SD-809 24 mg/day | Experimental | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 12 mg BID. The total daily dose of 24 mg was maintained for an additional 8 weeks. |
|
| SD-809 36 mg/day | Experimental | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 18 mg BID. The total daily dose of 36 mg was maintained for an additional 8 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SD-809 | Drug | SD-809 tablets dose titrated for 4 weeks until target randomized dose is reached. The dose is maintained for an additional 8 weeks. Tablets were swallowed whole with water and taken with food. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Total Motor Abnormal Involuntary Movement Scale (AIMS) Score From Baseline to Week 12 Using a Mixed Model For Repeated Measures (MMRM) | AIMS is an assessment tool used to detect and follow the severity of tardive dyskinesia (TD) over time. AIMS is composed of 12 clinician-administered and scored items. The exam was digitally video recorded using a standard protocol, and independently reviewed by blinded central raters who were experts in movement disorders. This outcome sums items 1 through 7 which cover orofacial movements, as well as extremity and truncal dyskinesia (the total motor AIMS score). Ratings were based on a 5-point scale of severity from 0 (none), 1 (minimal), 2 (mild), 3 (moderate), to 4 (severe) for a total scale of 0-28. A negative change from baseline score indicates improvement. MMRM with treatment group, visit, treatment group-by-visit interaction, and baseline use of dopamine receptor antagonist (DRAs) as fixed effects and the baseline value as a covariate. The model was fit using an unstructured covariance structure. | Day 0 (Baseline), Weeks 2, 4, 8 and 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Patients Considered a Treatment Success at Week 12 as Assessed by the Clinical Global Impression of Change (CGIC) | The CGIC is a single-item questionnaire that asks the investigator to assess a patient's TD symptoms at specific visits after initiating therapy. The CGIC uses a 7 point Likert Scale, ranging from very much worse (-3) to very much improved (+3), to assess overall response to therapy. A treatment success was defined as "much improved" or "very much improved" at the week 12 visit. Patients whose status at week 12 was not known, as well as patients who were not "much improved" or "very much improved" at the week 12 visit, were considered treatment failures. The success 95% confidence interval (CI) was calculated with the Wilson (score) confidence limits. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
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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 145 | Tuscaloosa | Alabama | 35404 | United States | ||
| Teva Investigational Site 107 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28668671 | Result | Anderson KE, Stamler D, Davis MD, Factor SA, Hauser RA, Isojarvi J, Jarskog LF, Jimenez-Shahed J, Kumar R, McEvoy JP, Ochudlo S, Ondo WG, Fernandez HH. Deutetrabenazine for treatment of involuntary movements in patients with tardive dyskinesia (AIM-TD): a double-blind, randomised, placebo-controlled, phase 3 trial. Lancet Psychiatry. 2017 Aug;4(8):595-604. doi: 10.1016/S2215-0366(17)30236-5. Epub 2017 Jun 28. | |
| 38557959 |
Not provided
Not provided
Participants were randomly assigned in a 1:1:1:1 ratio to receive 1 of 3 fixed-dose regimens of SD-809 (deutetrabenazine) or placebo following a screening period.
This study was performed at 75 study centers (38 in the US, 19 in Poland, 7 in Hungary, 6 in the Czech Republic, 3 in Slovakia, and 2 in Germany) by 75 investigators; 298 patients were enrolled.
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Placebo tablets taken twice daily for 12 weeks. |
| FG001 | SD-809 12 mg/Day | SD-809 tablets 6 mg taken twice a day (BID) for 12 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
Not provided
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|
| Placebo | Drug | Placebo tablets taken twice daily for 12 weeks. Tablets were swallowed whole with water and taken with food. |
|
| Week 12 |
| Change in the Modified Craniocervical Dystonia Questionnaire (mCDQ-24) Total Score From Baseline to Week 12 | The CDQ-24 is a disease-specific quality of life questionnaire developed for use in patients with craniocervical dystonia, including both cervical dystonia (CD) and blepharospasm (BPS). The CDQ 24 was modified such that the questions focus more directly on the impact of TD (as opposed to CD/BPS) on quality of life. The following domains are evaluated in the mCDQ-24: stigma, emotional well-being, pain, activities of daily living, and social/family life. Each of the 24 questions were rated by patients on a scale of 0=no impairment to 4=severest impairment for a total scale of 0 - 96. Negative change from baseline scores indicate improvement. For patients with missing data at week 12, the baseline or last available value was used as the week 12 value. | Day 0 (Baseline), Week 12 |
| Percentage of Patients Considered a Treatment Success at Week 12 as Assessed by the Patient Global Impression of Change (PGIC) | The PGIC is a single-item questionnaire that asks the patient to assess their TD symptoms at specific visits after initiating therapy. The PGIC uses a 7 point Likert Scale, ranging from very much worse (-3) to very much improved (+3), to assess overall response to therapy. A treatment success was defined as "much improved" or "very much improved" at the week 12 visit. Patients whose status at week 12 was not known, as well as patients who were not "much improved" or "very much improved" at the week 12 visit, were considered treatment failures. The success 95% CI was calculated with the Wilson (score) confidence limits. | Week 12 |
| Percentage of Participants Who Had a 50% or Greater Reduction in Total Motor Abnormal Involuntary Movement Scale (AIMS) From Baseline to Week 12 | Responders who had a 50% or greater improvement in total motor modified AIMS at Week 12 as compared to baseline were reported as a percentage of participants with an outcome at Week 12. The responder 95% CI is calculated with the Wilson (score) confidence limits. AIMS is an assessment tool used to detect and follow the severity of TD over time. AIMS is composed of 12 clinician-administered and scored items. The exam was digitally video recorded using a standard protocol, and independently reviewed by blinded central raters who were experts in movement disorders. This outcome sums items 1 through 7 which cover orofacial movements, as well as extremity and truncal dyskinesia (the total motor AIMS score). Ratings were based on a 5-point scale of severity from 0 (none), 1 (minimal), 2 (mild), 3 (moderate), to 4 (severe) for a total scale of 0-28. A negative change from baseline score indicates improvement. | Day 0 (Baseline), Week 12 |
| Percent Change in Total Motor Abnormal Involuntary Movement Scale (AIMS) Score From Baseline to Week 12 Using a Mixed Model for Repeated Measures (MMRM) | AIMS is an assessment tool used to detect and follow the severity of TD over time. AIMS is composed of 12 clinician-administered and scored items. The exam was digitally video recorded using a standard protocol, and independently reviewed by blinded central raters who were experts in movement disorders. This outcome sums items 1 through 7 which cover orofacial movements, as well as extremity and truncal dyskinesia (the total motor AIMS score). Ratings were based on a 5-point scale of severity from 0 (none), 1 (minimal), 2 (mild), 3 (moderate), to 4 (severe) for a total scale of 0-28. A negative change from baseline score indicates improvement. MMRM with treatment group, visit, treatment group-by-visit interaction, and baseline use of DRAs as fixed effects and the baseline value as a covariate. The model was fit using an unstructured covariance structure. | Day 0 (Baseline), Weeks 2, 4, 8 and 12 |
| Cumulative Percentage of Responders Based on Change in in Total Motor Abnormal Involuntary Movement Scale (AIMS) Score From Baseline to Week 12 Recorded in Incremental Steps of 10 Percentage Points | AIMS is an assessment tool used to detect and follow the severity of TD over time, composed of 12 clinician-administered and scored items. The exam was digitally video recorded using a standard protocol, and independently reviewed by blinded central raters who were experts in movement disorders. This outcome sums items 1 through 7 which cover orofacial movements, as well as extremity and truncal dyskinesia (the total motor AIMS score). Ratings were based on a 5-point scale of severity from 0 (none), 1 (minimal), 2 (mild), 3 (moderate), to 4 (severe) for a total scale of 0-28. A negative change from baseline score indicates improvement. Participants with missing data are classified as non-responders. The responder 95% CI is calculated with the Wilson (score) confidence limits. If any of the expected cell counts are < 5, exact Clopper Pearson limits are presented. Data report the percentage of participants who responded to the percentage improvement indicated in each row. | Day 0 (Baseline), Week 12 |
| Participants With Adverse Events During the Overall Treatment Period | An adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents normal daily activities. Relation of AE to treatment was determined by the investigator and includes possibly, probably and definitely related categories. Serious AEs (SAE) include death, a life-threatening adverse event, 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 the patient and required medical intervention to prevent the previously listed serious outcomes. | Day 1 to Week 12 |
| Anaheim |
| California |
| 92804 |
| United States |
| Teva Investigational Site 108 | Anaheim | California | 92805 | United States |
| Teva Investigational Site 123 | Glendale | California | 91206 | United States |
| Teva Investigational Site 177 | Imperial | California | 92251 | United States |
| Teva Investigational Site 160 | Irvine | California | 92614 | United States |
| Teva Investigational Site 106 | Irvine | California | 92697 | United States |
| Teva Investigational Site 176 | Loma Linda | California | 92354 | United States |
| Teva Investigational Site 121 | Los Angeles | California | 90033 | United States |
| Teva Investigational Site 147 | Los Angeles | California | 90095-1769 | United States |
| Teva Investigational Site 174 | Norwalk | California | 90650 | United States |
| Teva Investigational Site 170 | Oceanside | California | 92056 | United States |
| Teva Investigational Site 102 | Orange | California | 92868 | United States |
| Teva Investigational Site 104 | San Bernardino | California | 92408 | United States |
| Teva Investigational Site 110 | San Diego | California | 92108 | United States |
| Teva Investigational Site 169 | San Rafael | California | 94901 | United States |
| Teva Investigational Site 129 | Englewood | Colorado | 80113 | United States |
| Teva Investigational Site 139 | New Haven | Connecticut | 06519 | United States |
| Teva Investigational Site 156 | Washington D.C. | District of Columbia | 20007 | United States |
| Teva Investigational Site 157 | Boca Raton | Florida | 33486 | United States |
| Teva Investigational Site 117 | Gainesville | Florida | 32607 | United States |
| Teva Investigational Site 150 | Lake City | Florida | 32025 | United States |
| Teva Investigational Site 153 | Miami | Florida | 33135 | United States |
| Teva Investigational Site 162 | Miami | Florida | 33165 | United States |
| Teva Investigational Site 112 | Orlando | Florida | 32803 | United States |
| Teva Investigational Site 144 | Port Charlotte | Florida | 33980 | United States |
| Teva Investigational Site 155 | Augusta | Georgia | 30912 | United States |
| Teva Investigational Site 165 | Decatur | Georgia | 30033 | United States |
| Teva Investigational Site 131 | Chicago | Illinois | 60611 | United States |
| Teva Investigational Site 113 | Chicago | Illinois | 60612 | United States |
| Teva Investigational Site 164 | Kansas City | Kansas | 66160 | United States |
| Teva Investigational Site 154 | Baltimore | Maryland | 21287 | United States |
| Teva Investigational Site 101 | Glen Burnie | Maryland | 21061 | United States |
| Teva Investigational Site 135 | Boston | Massachusetts | 02215 | United States |
| Teva Investigational Site 118 | Creve Coeur | Missouri | 63141 | United States |
| Teva Investigational Site 142 | Kansas City | Missouri | 64108 | United States |
| Teva Investigational Site 175 | St Louis | Missouri | 63104 | United States |
| Teva Investigational Site 161 | St Louis | Missouri | 63109 | United States |
| Teva Investigational Site 178 | Lincoln | Nebraska | 68526-9467 | United States |
| Teva Investigational Site 128 | Albuquerque | New Mexico | 87106 | United States |
| Teva Investigational Site 172 | Commack | New York | 11725 | United States |
| Teva Investigational Site 148 | New York | New York | 10032 | United States |
| Teva Investigational Site 138 | Asheville | North Carolina | 28805 | United States |
| Teva Investigational Site 146 | Raleigh | North Carolina | 27610 | United States |
| Teva Investigational Site 133 | Charleston | South Carolina | 29425 | United States |
| Teva Investigational Site 149 | Memphis | Tennessee | 38163 | United States |
| Teva Investigational Site 151 | Fort Worth | Texas | 76104 | United States |
| Teva Investigational Site 115 | Salt Lake City | Utah | 84105 | United States |
| Teva Investigational Site 141 | Salt Lake City | Utah | 84108 | United States |
| Teva Investigational Site 168 | Burlington | Vermont | 05401 | United States |
| Teva Investigational Site 171 | Charlottesville | Virginia | 22903 | United States |
| Teva Investigational Site 167 | Richland | Washington | 99352 | United States |
| Teva Investigational Site 166 | Waukesha | Wisconsin | 53188 | United States |
| Teva Investigational Site 559 | HavÃÅ™ov | 736 01 | Czechia |
| Teva Investigational Site 556 | Hostivice | 999999 | Czechia |
| Teva Investigational Site 558 | Hradec Králové | 503 41 | Czechia |
| Teva Investigational Site 535 | Litoměřice | 412 01 | Czechia |
| Teva Investigational Site 557 | Pilsen | 312 00 | Czechia |
| Teva Investigational Site 533 | Prague | 100 00 | Czechia |
| Teva Investigational Site 532 | Prague | 158 00 | Czechia |
| Teva Investigational Site 530 | Prague | 16000 | Czechia |
| Teva Investigational Site 531 | Prague | 181 02 | Czechia |
| Teva Investigational Site 534 | Prague | 190 00 | Czechia |
| Teva Investigational Site 502 | Gera | 07551 | Germany |
| Teva Investigational Site 503 | Haag in Oberbayern | 83527 | Germany |
| Teva Investigational Site 504 | Mainz | 55131 | Germany |
| Teva Investigational Site 507 | Prien am Chiemsee | 83209 | Germany |
| Teva Investigational Site 544 | Taufkirchen | 84416 | Germany |
| Teva Investigational Site 501 | Wolfach | 77709 | Germany |
| Teva Investigational Site 540 | Balassagyarmat | 999999 | Hungary |
| Teva Investigational Site 538 | Budapest | 1135 | Hungary |
| Teva Investigational Site 541 | Budapest | 1148 | Hungary |
| Teva Investigational Site 537 | Budapest | 1204 | Hungary |
| Teva Investigational Site 542 | Budapest | H-1135 | Hungary |
| Teva Investigational Site 539 | Doba | 8482 | Hungary |
| Teva Investigational Site 546 | Győr | 9024 | Hungary |
| Teva Investigational Site 545 | Kalocsa | 6300 | Hungary |
| Teva Investigational Site 547 | Szeged | 6725 | Hungary |
| Teva Investigational Site 514 | Bełchatów | 97-400 | Poland |
| Teva Investigational Site 554 | Bialystok | 15-756 | Poland |
| Teva Investigational Site 510 | Bydgoszcz | 85-015 | Poland |
| Teva Investigational Site 519 | Bydgoszcz | 85-080 | Poland |
| Teva Investigational Site 536 | Bydgoszcz | 85-156 | Poland |
| Teva Investigational Site 523 | Chełmno | 86-200 | Poland |
| Teva Investigational Site 517 | Choroszcz | 16-070 | Poland |
| Teva Investigational Site 513 | Gdansk | 80-952 | Poland |
| Teva Investigational Site 512 | Katowice | 40-097 | Poland |
| Teva Investigational Site 552 | Katowice | 40-123 | Poland |
| Teva Investigational Site 520 | Krakow | 30-349 | Poland |
| Teva Investigational Site 509 | Krakow | 31-505 | Poland |
| Teva Investigational Site 508 | Lodz | 90-130 | Poland |
| Teva Investigational Site 511 | Lublin | 20-064 | Poland |
| Teva Investigational Site 515 | Lublin | 20-090 | Poland |
| Teva Investigational Site 524 | Lublin | 20-831 | Poland |
| Teva Investigational Site 549 | Olsztyn | 10-443 | Poland |
| Teva Investigational Site 521 | Pruszków | 05-802 | Poland |
| Teva Investigational Site 518 | Sosnowiec | 41-200 | Poland |
| Teva Investigational Site 522 | Torun | 87-100 | Poland |
| Teva Investigational Site 550 | Warsaw | 00-465 | Poland |
| Teva Investigational Site 555 | Warsaw | 00-669 | Poland |
| Teva Investigational Site 516 | Wroclaw | 50-227 | Poland |
| Teva Investigational Site 529 | Bratislava | 826 06 | Slovakia |
| Teva Investigational Site 525 | Domaša | 935 61 | Slovakia |
| Teva Investigational Site 527 | Košice | 04017 | Slovakia |
| Teva Investigational Site 528 | Rimavská Sobota | 979 12 | Slovakia |
| Teva Investigational Site 526 | Rožňava | 04801 | Slovakia |
| Derived |
| Frank S, Anderson KE, Fernandez HH, Hauser RA, Claassen DO, Stamler D, Factor SA, Jimenez-Shahed J, Barkay H, Wilhelm A, Alexander JK, Chaijale N, Barash S, Savola JM, Gordon MF, Chen M. Safety of Deutetrabenazine for the Treatment of Tardive Dyskinesia and Chorea Associated with Huntington Disease. Neurol Ther. 2024 Jun;13(3):655-675. doi: 10.1007/s40120-024-00600-1. Epub 2024 Apr 1. |
| FG002 | SD-809 24 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 12 mg BID. The total daily dose of 24 mg was maintained for an additional 8 weeks. |
| FG003 | SD-809 36 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 18 mg BID. The total daily dose of 36 mg was maintained for an additional 8 weeks. |
| Safety Population |
|
| Modified Intent to Treat Pop (mITT) |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
The Safety Population was a subset of randomized participants and included all patients who were administered study drug (N=293).
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Placebo tablets taken twice daily for 12 weeks. |
| BG001 | SD-809 12 mg/Day | SD-809 tablets 6 mg taken twice a day (BID) for 12 weeks. |
| BG002 | SD-809 24 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 12 mg BID. The total daily dose of 24 mg was maintained for an additional 8 weeks. |
| BG003 | SD-809 36 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 18 mg BID. The total daily dose of 36 mg was maintained for an additional 8 weeks. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||
| Sex: Female, Male | Count of Participants | Participants | No |
| ||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants | No |
| ||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants | No |
| ||||||||||
| Weight | Mean | Standard Deviation | kg |
| ||||||||||
| Height | Mean | Standard Deviation | cm |
| ||||||||||
| Body Mass Index | Mean | Standard Deviation | kg/m^2 |
| ||||||||||
| Education Level | Count of Participants | Participants | No |
| ||||||||||
| Time Since Tardive Dyskinesia (TD) Diagnosis | Mean | Standard Deviation | years |
| ||||||||||
| Total Motor Abnormal Involuntary Movement Scale (AIMS) Score | The AIMS is an assessment tool used to detect and follow the severity of TD over time. The AIMS is composed of 12 clinician-administered and scored items. Total Motor assessment sums items 1 through 7 which cover orofacial movements, as well as extremity and truncal dyskinesia. Ratings were based on a 5-point scale of severity from 0 (none), 1 (minimal), 2 (mild), 3 (moderate), to 4 (severe) for a total scale of 0-28. | Mean | Standard Deviation | units on a scale |
| |||||||||
| Modified Craniocervical Dystonia Questionnaire (mCDQ-24) | The CDQ-24 is a disease-specific quality of life questionnaire developed for use in patients with craniocervical dystonia, including both cervical dystonia (CD) and blepharospasm (BPS). The CDQ 24 was modified such that the questions focus more directly on the impact of TD (as opposed to CD/BPS) on quality of life. Each of the 24 questions was rated by patients on a scale of 0=no impairment to 4=severest impairment for a total scale of 0 - 96. | One participant in the SD-809 12 mg/day group was missing a baseline mCDQ-24 total score. | Mean | Standard Deviation | units on a scale |
| ||||||||
| Baseline Use of a Dopamine Receptor Antagonist (DRA) | The randomization was stratified by baseline use of DRA (currently taking versus not currently taking a DRA). | Count of Participants | Participants | No |
|
| 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 | Change in Total Motor Abnormal Involuntary Movement Scale (AIMS) Score From Baseline to Week 12 Using a Mixed Model For Repeated Measures (MMRM) | AIMS is an assessment tool used to detect and follow the severity of tardive dyskinesia (TD) over time. AIMS is composed of 12 clinician-administered and scored items. The exam was digitally video recorded using a standard protocol, and independently reviewed by blinded central raters who were experts in movement disorders. This outcome sums items 1 through 7 which cover orofacial movements, as well as extremity and truncal dyskinesia (the total motor AIMS score). Ratings were based on a 5-point scale of severity from 0 (none), 1 (minimal), 2 (mild), 3 (moderate), to 4 (severe) for a total scale of 0-28. A negative change from baseline score indicates improvement. MMRM with treatment group, visit, treatment group-by-visit interaction, and baseline use of dopamine receptor antagonist (DRAs) as fixed effects and the baseline value as a covariate. The model was fit using an unstructured covariance structure. | The mITT Population (N=222) included all patients in the ITT Population with a baseline AIMS score ≥6 as assessed by central video rating, were randomized to treatment, received study drug, and had at least 1 postbaseline AIMS assessment. For this outcome, participants with baseline readings and during-study readings through Week 12 are included. | Posted | Least Squares Mean | Standard Error | units on a scale | Day 0 (Baseline), Weeks 2, 4, 8 and 12 |
|
|
|
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| Secondary | Percentage of Patients Considered a Treatment Success at Week 12 as Assessed by the Clinical Global Impression of Change (CGIC) | The CGIC is a single-item questionnaire that asks the investigator to assess a patient's TD symptoms at specific visits after initiating therapy. The CGIC uses a 7 point Likert Scale, ranging from very much worse (-3) to very much improved (+3), to assess overall response to therapy. A treatment success was defined as "much improved" or "very much improved" at the week 12 visit. Patients whose status at week 12 was not known, as well as patients who were not "much improved" or "very much improved" at the week 12 visit, were considered treatment failures. The success 95% confidence interval (CI) was calculated with the Wilson (score) confidence limits. | The mITT Population (N=222) included all patients in the ITT Population with a baseline AIMS score ≥6 as assessed by central video rating, were randomized to treatment, received study drug, and had at least 1 postbaseline AIMS assessment. | Posted | Number | 95% Confidence Interval | percentage of participants | Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in the Modified Craniocervical Dystonia Questionnaire (mCDQ-24) Total Score From Baseline to Week 12 | The CDQ-24 is a disease-specific quality of life questionnaire developed for use in patients with craniocervical dystonia, including both cervical dystonia (CD) and blepharospasm (BPS). The CDQ 24 was modified such that the questions focus more directly on the impact of TD (as opposed to CD/BPS) on quality of life. The following domains are evaluated in the mCDQ-24: stigma, emotional well-being, pain, activities of daily living, and social/family life. Each of the 24 questions were rated by patients on a scale of 0=no impairment to 4=severest impairment for a total scale of 0 - 96. Negative change from baseline scores indicate improvement. For patients with missing data at week 12, the baseline or last available value was used as the week 12 value. | The mITT Population (N=222) included all patients in the ITT Population with a baseline AIMS score ≥6 as assessed by central video rating, were randomized to treatment, received study drug, and had at least 1 postbaseline AIMS assessment. One SD-809 12 mg/day participant was missing a baseline mCDQ-24. | Posted | Least Squares Mean | Standard Error | units on a scale | Day 0 (Baseline), Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Patients Considered a Treatment Success at Week 12 as Assessed by the Patient Global Impression of Change (PGIC) | The PGIC is a single-item questionnaire that asks the patient to assess their TD symptoms at specific visits after initiating therapy. The PGIC uses a 7 point Likert Scale, ranging from very much worse (-3) to very much improved (+3), to assess overall response to therapy. A treatment success was defined as "much improved" or "very much improved" at the week 12 visit. Patients whose status at week 12 was not known, as well as patients who were not "much improved" or "very much improved" at the week 12 visit, were considered treatment failures. The success 95% CI was calculated with the Wilson (score) confidence limits. | mITT population | Posted | Number | 95% Confidence Interval | percentage of participants | Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants Who Had a 50% or Greater Reduction in Total Motor Abnormal Involuntary Movement Scale (AIMS) From Baseline to Week 12 | Responders who had a 50% or greater improvement in total motor modified AIMS at Week 12 as compared to baseline were reported as a percentage of participants with an outcome at Week 12. The responder 95% CI is calculated with the Wilson (score) confidence limits. AIMS is an assessment tool used to detect and follow the severity of TD over time. AIMS is composed of 12 clinician-administered and scored items. The exam was digitally video recorded using a standard protocol, and independently reviewed by blinded central raters who were experts in movement disorders. This outcome sums items 1 through 7 which cover orofacial movements, as well as extremity and truncal dyskinesia (the total motor AIMS score). Ratings were based on a 5-point scale of severity from 0 (none), 1 (minimal), 2 (mild), 3 (moderate), to 4 (severe) for a total scale of 0-28. A negative change from baseline score indicates improvement. | mITT population of participants. Participants with missing Week 12 data were considered non-responders. | Posted | Number | 95% Confidence Interval | percentage of participants | Day 0 (Baseline), Week 12 |
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| Secondary | Percent Change in Total Motor Abnormal Involuntary Movement Scale (AIMS) Score From Baseline to Week 12 Using a Mixed Model for Repeated Measures (MMRM) | AIMS is an assessment tool used to detect and follow the severity of TD over time. AIMS is composed of 12 clinician-administered and scored items. The exam was digitally video recorded using a standard protocol, and independently reviewed by blinded central raters who were experts in movement disorders. This outcome sums items 1 through 7 which cover orofacial movements, as well as extremity and truncal dyskinesia (the total motor AIMS score). Ratings were based on a 5-point scale of severity from 0 (none), 1 (minimal), 2 (mild), 3 (moderate), to 4 (severe) for a total scale of 0-28. A negative change from baseline score indicates improvement. MMRM with treatment group, visit, treatment group-by-visit interaction, and baseline use of DRAs as fixed effects and the baseline value as a covariate. The model was fit using an unstructured covariance structure. | The mITT Population (N=222) included all patients in the ITT Population with a baseline AIMS score ≥6 as assessed by central video rating, were randomized to treatment, received study drug, and had at least 1 postbaseline AIMS assessment. For this outcome, participants with baseline readings and during-study readings through Week 12 are included. | Posted | Least Squares Mean | Standard Error | percentage of baseline | Day 0 (Baseline), Weeks 2, 4, 8 and 12 |
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| Secondary | Cumulative Percentage of Responders Based on Change in in Total Motor Abnormal Involuntary Movement Scale (AIMS) Score From Baseline to Week 12 Recorded in Incremental Steps of 10 Percentage Points | AIMS is an assessment tool used to detect and follow the severity of TD over time, composed of 12 clinician-administered and scored items. The exam was digitally video recorded using a standard protocol, and independently reviewed by blinded central raters who were experts in movement disorders. This outcome sums items 1 through 7 which cover orofacial movements, as well as extremity and truncal dyskinesia (the total motor AIMS score). Ratings were based on a 5-point scale of severity from 0 (none), 1 (minimal), 2 (mild), 3 (moderate), to 4 (severe) for a total scale of 0-28. A negative change from baseline score indicates improvement. Participants with missing data are classified as non-responders. The responder 95% CI is calculated with the Wilson (score) confidence limits. If any of the expected cell counts are < 5, exact Clopper Pearson limits are presented. Data report the percentage of participants who responded to the percentage improvement indicated in each row. | The mITT Population (N=222) included all patients in the ITT Population with a baseline AIMS score ≥6 as assessed by central video rating, were randomized to treatment, received study drug, and had at least 1 postbaseline AIMS assessment. | Posted | Number | 95% Confidence Interval | percentage of participants | Day 0 (Baseline), Week 12 |
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| Secondary | Participants With Adverse Events During the Overall Treatment Period | An adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents normal daily activities. Relation of AE to treatment was determined by the investigator and includes possibly, probably and definitely related categories. Serious AEs (SAE) include death, a life-threatening adverse event, 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 the patient and required medical intervention to prevent the previously listed serious outcomes. | The Safety Population was a subset of randomized participants and included all patients who were administered study drug (N=293). | Posted | Count of Participants | Participants | Day 1 to Week 12 |
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Day 1 to Week 12
Not provided
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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 | Placebo | Placebo tablets taken twice daily for 12 weeks. | 0 | 72 | 4 | 72 | 14 | 72 |
| EG001 | SD-809 12 mg/Day | SD-809 tablets 6 mg taken twice a day (BID) for 12 weeks. | 0 | 74 | 2 | 74 | 9 | 74 |
| EG002 | SD-809 24 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 12 mg BID. The total daily dose of 24 mg was maintained for an additional 8 weeks. | 1 | 73 | 6 | 73 | 9 | 73 |
| EG003 | SD-809 36 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 18 mg BID. The total daily dose of 36 mg was maintained for an additional 8 weeks. | 1 | 74 | 4 | 74 | 10 | 74 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cardio-respiratory arrest | Cardiac disorders | MedDRA (17.0) | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA (17.0) | Systematic Assessment |
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| Pancreatic mass | Gastrointestinal disorders | MedDRA (17.0) | Systematic Assessment |
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| Alcohol interaction | General disorders | MedDRA (17.0) | Systematic Assessment |
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| Sudden cardiac death | General disorders | MedDRA (17.0) | Systematic Assessment |
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| Appendicitis | Infections and infestations | MedDRA (17.0) | Systematic Assessment |
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| Cellulitis | Infections and infestations | MedDRA (17.0) | Systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA (17.0) | Systematic Assessment |
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| Face injury | Injury, poisoning and procedural complications | MedDRA (17.0) | Systematic Assessment |
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| Head injury | Injury, poisoning and procedural complications | MedDRA (17.0) | Systematic Assessment |
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| Skeletal injury | Injury, poisoning and procedural complications | MedDRA (17.0) | Systematic Assessment |
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| Neuroendocrine carcinoma metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (17.0) | Systematic Assessment |
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| Psychomotor hyperactivity | Nervous system disorders | MedDRA (17.0) | Systematic Assessment |
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| Bipolar disorder | Psychiatric disorders | MedDRA (17.0) | Systematic Assessment |
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| Depression | Psychiatric disorders | MedDRA (17.0) | Systematic Assessment |
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| Psychotic disorder | Psychiatric disorders | MedDRA (17.0) | Systematic Assessment |
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| Suicidal ideation | Psychiatric disorders | MedDRA (17.0) | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | MedDRA (17.0) | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (17.0) | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA (17.0) | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (17.0) | 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 Inc | 215-591-3000 | ustevatrials@tevapharm.com |
| ID | Term |
|---|---|
| D000071057 | Tardive Dyskinesia |
| D020820 | Dyskinesias |
| D009069 | Movement Disorders |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| ID | Term |
|---|---|
| D004409 | Dyskinesia, Drug-Induced |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| C000609690 | deutetrabenazine |
Not provided
Not provided
Not provided
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| Superiority |
| A hierarchical (fixed-sequence) testing approach was used for the analysis of the primary and key secondary endpoints to maintain the experiment-wise type I error rate of 5%. This key secondary endpoint compared the change in total motor AIMS score from baseline to week 12 between the SD-809 24 mg/day group and the placebo group, and is the third analysis in the fixed-sequence. | mixed model for repeated measures | 0.003 | Treatment group, visit, treatment group-by-visit interaction, and baseline use of DRAs as fixed effects and the baseline value as a covariate. The model was fit using an unstructured covariance structure. | LSM difference | -1.8 | 2-Sided | 95 | -3.00 | -0.63 | SD-809 - placebo | Superiority |
| A hierarchical (fixed-sequence) testing approach was used for the analysis of the primary and key secondary endpoints to maintain the experiment-wise type I error rate of 5%. This key secondary endpoint compared the change in total motor AIMS score from baseline to week 12 between the SD-809 12 mg/day group and the placebo group, and is the fifth analysis in the fixed-sequence. | mixed model for repeated measures | 0.217 | Treatment group, visit, treatment group-by-visit interaction, and baseline use of DRAs as fixed effects and the baseline value as a covariate. The model was fit using an unstructured covariance structure. | LSM difference | -0.7 | 2-Sided | 95 | -1.84 | 0.42 | SD-809 - placebo | Superiority |
SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 12 mg BID. The total daily dose of 24 mg was maintained for an additional 8 weeks. |
| OG003 | SD-809 36 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 18 mg BID. The total daily dose of 36 mg was maintained for an additional 8 weeks. |
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| OG002 | SD-809 24 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 12 mg BID. The total daily dose of 24 mg was maintained for an additional 8 weeks. |
| OG003 | SD-809 36 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 18 mg BID. The total daily dose of 36 mg was maintained for an additional 8 weeks. |
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| OG003 | SD-809 36 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 18 mg BID. The total daily dose of 36 mg was maintained for an additional 8 weeks. |
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|
| OG002 | SD-809 24 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 12 mg BID. The total daily dose of 24 mg was maintained for an additional 8 weeks. |
| OG003 | SD-809 36 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 18 mg BID. The total daily dose of 36 mg was maintained for an additional 8 weeks. |
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|
| SD-809 12 mg/Day |
SD-809 tablets 6 mg taken twice a day (BID) for 12 weeks. |
| OG002 | SD-809 24 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 12 mg BID. The total daily dose of 24 mg was maintained for an additional 8 weeks. |
| OG003 | SD-809 36 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 18 mg BID. The total daily dose of 36 mg was maintained for an additional 8 weeks. |
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|
|
| SD-809 12 mg/Day |
SD-809 tablets 6 mg taken twice a day (BID) for 12 weeks. |
| OG002 | SD-809 24 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 12 mg BID. The total daily dose of 24 mg was maintained for an additional 8 weeks. |
| OG003 | SD-809 36 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 18 mg BID. The total daily dose of 36 mg was maintained for an additional 8 weeks. |
|
|
SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 12 mg BID. The total daily dose of 24 mg was maintained for an additional 8 weeks. |
| OG003 | SD-809 36 mg/Day | SD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 18 mg BID. The total daily dose of 36 mg was maintained for an additional 8 weeks. |
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