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| Name | Class |
|---|---|
| Teva Branded Pharmaceutical Products R&D, Inc. | INDUSTRY |
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This is a single-center, open-label study of AUSTEDO in study subjects with dystonia. The study will provide preliminary experience of the safety, tolerability, and clinical activity of AUSTEDO in study subjects with dystonia. Study duration will be up to 13 weeks from screening (Visit 1) to the post treatment evaluation (Visit 5). Treatment period from drug initiation to final on-treatment Visit will be 12 weeks, or less, as follows: during the ramp-up period, study drug will start at 12 mg/day (6 mg twice daily) and will be titrated weekly by 6 mg/day increments until either 1) the maximal allowable dose (48 mg/day) is reached, or 2) dose-limiting side-effects occur. In study subjects receiving a strong CYP2D6 inhibitor, the maximum allowed dose of AUSTEDO will be 36 mg/day, reducing study duration (due to a reduction in the ramp-up period) to 11 weeks. Study subjects who experience dose-limiting side effects will be maintained on their maximum tolerated dose. Once the maximal dose is established for each participant, they will complete 6 continuous weeks on this dose (maintenance period), followed by a 1-week washout. For study subjects unable to titrate up to 48 mg/day due to side effects, the 6 weeks of maintenance will start once they reduce the study drug back to the maximum well-tolerated dose. Adverse events will be monitored throughout the study and will be reported after drug initiation. Dose reductions, suspensions, and withdrawals due to adverse events will be recorded. ECG readings will be measured at screening, during week 2, during the first week of the maintenance period (whenever this is established to be, typically week 7 for subjects able to titrate up to 48 mg/day), immediately before washout (week 12 for those study subjects who are able to titrate up to 48 mg/day) and during week 13. Assessment of Columbia Suicide Severity Rating Scale and Epworth Sleepiness Scale scores will occur at screening and all clinic Visits. The Mini Mental (MMSE) Scale will be performed at screening and at the final on-treatment Visit (week 12). A video examination of the study subjects will be made at screening (right before initiation of the study drug), and after 6 weeks on AUSTEDO at a steady dose (right before drug cessation). Part III of the MDS-UPDRS will be performed at both of these Visits as well to screen for the appearance of drug-induced parkinsonism. Videos will be sent to raters blinded to treatment, Visit number and recording date.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention arm - Oral Deutetrabenazine | Experimental | This is the only arm for this trial. All subjects will receive oral Deutetrabanazine. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Deutetrabenazine 6 MG | Drug | Increasing doses of Deutetrabenazine |
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| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Study Subjects Able to Titrate up to the Maximum Tolerated Dose | Proportion of study subjects able to titrate up to 48 mg/d (or up to 36 mg/d if receiving a strong CYP2D6 inhibitor) and able to complete the study at this dosage | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Change in Suicidality | Documentation of change in the Columbia Suicide Severity Rating Scale. Items on this scale are both binary (Yes/No) and numeric (0-5). "No" answers and lower numeric values indicate a better outcome. | Baseline and 3 months |
| Change in Median Daytime Somnolence Score Among Subjects |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pennsylvania | Philadelphia | Pennsylvania | 19107 | United States |
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All subjects received IP; there was no placebo arm.
Fifteen subjects were recruited between April 2021 and December 2023.
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| ID | Title | Description |
|---|---|---|
| FG000 | Intervention Arm - Oral Deutetrabenazine | This is the only arm for this trial. All subjects will receive oral Deutetrabanazine. Deutetrabenazine 6 MG: Increasing doses of Deutetrabenazine |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jan 20, 2021 |
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Documentation of change in the Stanford Sleepiness Scale. Scale was assessed at the initial and last study visit; difference was calculated between both scores, and reported herein as a median among all participants' scores and full range. Items on this scale are numeric (1-7). Lower numeric values indicate a better outcome. |
| Baseline and 3 months |
| Change in Median MMSE Score Among Subjects | Documentation of change in the Mini Mental Scale. Scale was assessed at the initial and last study visit; difference was calculated between both scores, and reported herein as a median among all participants' scores and full range. The higher the total score on this scale, the better the outcome. Values range from 0 to a maximum of 30. | Baseline and 3 months |
| Development of Parkinsonism, as Determined by Change in Median MDS-UPDRS III Score Among Subjects | Documentation of change in the MDS-Unified Parkinson's Disease Rating Scale, Part III. Scale was assessed at the initial and last study visit; difference was calculated between both scores, and reported herein as a median among all participants' scores and full range. The lower the total score on this scale, the better the outcome. Values range from 0 to a maximum of 128. | Baseline and 3 months |
| Change in Median PGI-I Score | Documentation of change in the Patient Global Impression of Improvement Scale (PGI-I). This is a Likert scale, with values from 1-7. A value of 1 indicates the best outcome. A value of 4 indicates no perceived change. | Baseline and 3 months |
| Change in Dystonia Severity, as Determined by the Change in Median GDS Score | Documentation of change in the Global Dystonia Rating Scale. Scale was assessed blindly from videos captured at the initial and last study visit; difference was calculated between both scores, and reported herein as a median among all participants' scores and full range. The lower the total score on this scale, the better the outcome. Values range from 0 to a maximum of 140. | Baseline and 3 months |
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| NOT COMPLETED |
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Adults with non-dopa responsive isolated dystonia
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| ID | Title | Description |
|---|---|---|
| BG000 | Intervention Arm - Oral Deutetrabenazine | This is the only arm for this trial. All subjects will receive oral Deutetrabanazine. Deutetrabenazine 6 MG: Increasing doses of Deutetrabenazine |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||
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| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Median | Full Range | years |
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| Sex: Female, Male | The variable "sex" referred to sex assigned at birth, self reported. | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | 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 | Proportion of Study Subjects Able to Titrate up to the Maximum Tolerated Dose | Proportion of study subjects able to titrate up to 48 mg/d (or up to 36 mg/d if receiving a strong CYP2D6 inhibitor) and able to complete the study at this dosage | Posted | Count of Participants | Participants | 3 months |
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| Secondary | Number of Participants With Change in Suicidality | Documentation of change in the Columbia Suicide Severity Rating Scale. Items on this scale are both binary (Yes/No) and numeric (0-5). "No" answers and lower numeric values indicate a better outcome. | Posted | Count of Participants | Participants | Baseline and 3 months |
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| Secondary | Change in Median Daytime Somnolence Score Among Subjects | Documentation of change in the Stanford Sleepiness Scale. Scale was assessed at the initial and last study visit; difference was calculated between both scores, and reported herein as a median among all participants' scores and full range. Items on this scale are numeric (1-7). Lower numeric values indicate a better outcome. | Posted | Median | Full Range | score on a scale | Baseline and 3 months |
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| Secondary | Change in Median MMSE Score Among Subjects | Documentation of change in the Mini Mental Scale. Scale was assessed at the initial and last study visit; difference was calculated between both scores, and reported herein as a median among all participants' scores and full range. The higher the total score on this scale, the better the outcome. Values range from 0 to a maximum of 30. | Posted | Median | Full Range | score on a scale | Baseline and 3 months |
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| Secondary | Development of Parkinsonism, as Determined by Change in Median MDS-UPDRS III Score Among Subjects | Documentation of change in the MDS-Unified Parkinson's Disease Rating Scale, Part III. Scale was assessed at the initial and last study visit; difference was calculated between both scores, and reported herein as a median among all participants' scores and full range. The lower the total score on this scale, the better the outcome. Values range from 0 to a maximum of 128. | Posted | Median | Full Range | score on a scale | Baseline and 3 months |
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| Secondary | Change in Median PGI-I Score | Documentation of change in the Patient Global Impression of Improvement Scale (PGI-I). This is a Likert scale, with values from 1-7. A value of 1 indicates the best outcome. A value of 4 indicates no perceived change. | Posted | Median | Full Range | score on a scale | Baseline and 3 months |
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| Secondary | Change in Dystonia Severity, as Determined by the Change in Median GDS Score | Documentation of change in the Global Dystonia Rating Scale. Scale was assessed blindly from videos captured at the initial and last study visit; difference was calculated between both scores, and reported herein as a median among all participants' scores and full range. The lower the total score on this scale, the better the outcome. Values range from 0 to a maximum of 140. | Posted | Median | Full Range | score on a scale | Baseline and 3 months |
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Up to 13 weeks
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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 | Intervention Arm - Oral Deutetrabenazine | All subjects in this study received IP in an open label fashion | 0 | 15 | 0 | 15 | 15 | 15 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Suicidal depression | Psychiatric disorders | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Fatigue | Nervous system disorders | Systematic Assessment |
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| Somnolence | Nervous system disorders | Systematic Assessment |
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| COVID-19 infection | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Diarrhea | Gastrointestinal disorders | Systematic Assessment |
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| Headache | Nervous system disorders | Systematic Assessment |
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| Akathisia | Nervous system disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Andres Deik | University of Pennsylvania | 2158297049 | adeik@upenn.edu |
| May 16, 2024 |
| Prot_SAP_002.pdf |
| ICF | No | No | Yes | Informed Consent Form | Nov 7, 2023 | May 16, 2024 | ICF_003.pdf |
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| ID | Term |
|---|---|
| D020821 | Dystonic Disorders |
| ID | Term |
|---|---|
| D009069 | Movement Disorders |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| C000609690 | deutetrabenazine |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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