NBI-98854 for the Treatment of Tardive Dyskinesia in Subjects With Schizophrenia or Schizoaffective Disorder (KINECT Study)

NCT ID: NCT01688037

Last Updated: 2017-11-08

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

109 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2013-10-31

Brief Summary

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The purpose of this study is to evaluate the efficacy, safety, and tolerability of two doses (50 and 100 mg) of NBI-98854 administered once daily for the treatment of Tardive Dyskinesia (TD) symptoms.

Detailed Description

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This is a Phase 2, multicenter, randomized, double-blind, placebo-controlled, parallel group study to evaluate the efficacy, safety, and tolerability of two doses (50 and 100 mg) of NBI-98854 administered once daily for up to 2 weeks. The study will also allow for an evaluation of the efficacy of NBI-98854 50 mg once daily for up to 6 weeks and the safety and tolerability of NBI 98854 50 mg once daily for up to 12 weeks.

The double-blind placebo-controlled treatment period the study has three arms:

* NBI-98854 50 mg once daily for 6 weeks
* NBI-98854 100 mg once daily for 2 weeks followed by 50 mg once daily for the remaining 4 weeks
* placebo

At the end of the 6-week placebo-controlled double-blind treatment period, subjects will continue in the study for an additional 6-week open-label period where all subjects who have completed the double-blind treatment period will receive NBI-98854 50 mg once daily. Two and four weeks after the last dose of study drug, follow-up assessments will be performed.

Conditions

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Tardive Dyskinesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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NBI-98854 50 mg

NBI-98854 50 mg administered as two (2) 25 mg capsules by mouth, taken every morning between 7:00am - 10:00am for 6 weeks.

Group Type EXPERIMENTAL

NBI-98854

Intervention Type DRUG

25 mg capsule

NBI-98854 100 mg and 50 mg

NBI-98854 100 mg administered as two (2) 50 mg capsules taken every morning between 7:00am - 10:00am for 2 weeks. After 2 weeks, NBI-98854 50 mg administered by two (2) 25 mg capsules by mouth, taken every morning between 7:00am - 10:00am for remaining 4 weeks.

Group Type EXPERIMENTAL

NBI-98854

Intervention Type DRUG

25 mg capsule

NBI-98854

Intervention Type DRUG

50 mg capsule

Placebo

Capsule containing no active substance, manufactured to mimic NBI-98854 25 mg and 50 mg capsules.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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NBI-98854

25 mg capsule

Intervention Type DRUG

NBI-98854

50 mg capsule

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Have a clinical diagnosis of schizophrenia or schizoaffective disorder and a clinical diagnosis of neuroleptic-induced tardive dyskinesia for at least 3 months prior to screening.
* Be receiving a stable dose of antipsychotic medication for a minimum of 30 days before study start. Subjects who are not using antipsychotic medication must have stable psychiatric status.
* Have the doses of concurrent medications and the conditions being treated be stable for a minimum of 30 days before study start and be expected to remain stable during the study.
* Subjects of childbearing potential must agree to use hormonal or two forms of nonhormonal birth control during the study.
* Female subjects must not be pregnant.
* Be in good general health and expected to complete the clinical study as designed.
* Have a body mass index (BMI) of 18 to 38 kg/m2 (both inclusive).
* Have a negative urine drug screen (negative for amphetamines, barbiturates, benzodiazepine, phencyclidine, cocaine, opiates, or cannabinoids) at screening and study start, except for any subject receiving a stable dose of benzodiazepine.
* Have a negative alcohol breath test at screening and study start.

Exclusion Criteria

* Have an active clinically significant unstable medical condition within 1 month (30 days) prior to screening.
* Have a history of substance dependence or substance (drug) or alcohol abuse within the 3 months before study start(nicotine and caffeine dependence are not exclusionary).
* Have a known history of neuroleptic malignant syndrome.
* Have a significant risk of suicidal or violent behavior.
* Receiving any excluded concomitant medication such as reserpine, metoclopramide, stimulants, or tetrabenazine.
* Receiving medication for the treatment of tardive dyskinesia.
* Have a positive human immunodeficiency virus antibody, (HIV-Ab), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV) antibody result at screening or have a history of positive result.
* Have received an investigational drug within 30 days before screening or plan to use an investigational drug (other than NBI-98854) during the study.
* Have an allergy, hypersensitivity, or intolerance to tetrabenazine.
* Have had previous exposure with NBI-98854.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Neurocrine Biosciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chris O'Brien, MD

Role: STUDY_DIRECTOR

Neurocrine Biosciences

Locations

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Little Rock, Arkansas, United States

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Anaheim, California, United States

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Carson, California, United States

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Colton, California, United States

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Costa Mesa, California, United States

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Downey, California, United States

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Fountain Valley, California, United States

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Glendale, California, United States

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National City, California, United States

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Oceanside, California, United States

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Paramount, California, United States

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San Bernardino, California, United States

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San Diego, California, United States

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San Diego, California, United States

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San Diego, California, United States

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San Diego, California, United States

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Santa Ana, California, United States

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Fort Lauderdale, Florida, United States

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Hialeah, Florida, United States

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Lauderhill, Florida, United States

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Melbourne, Florida, United States

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Miami Springs, Florida, United States

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North Miami, Florida, United States

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Orange City, Florida, United States

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Atlanta, Georgia, United States

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Chicago, Illinois, United States

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Chicago, Illinois, United States

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Schaumburg, Illinois, United States

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New Orleans, Louisiana, United States

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Shreveport, Louisiana, United States

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Baltimore, Maryland, United States

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Glen Burnie, Maryland, United States

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St Louis, Missouri, United States

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St Louis, Missouri, United States

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Toms River, New Jersey, United States

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Albany, New York, United States

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Brooklyn, New York, United States

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Wards Island, New York, United States

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Hope Mills, North Carolina, United States

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Beachwood, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Conshohocken, Pennsylvania, United States

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Charleston, South Carolina, United States

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Memphis, Tennessee, United States

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DeSoto, Texas, United States

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Irving, Texas, United States

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Bothell, Washington, United States

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Kirkland, Washington, United States

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Spokane, Washington, United States

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Caguas, , Puerto Rico

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San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

References

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Sajatovic M, Alexopoulos GS, Burke J, Farahmand K, Siegert S. The effects of valbenazine on tardive dyskinesia in older and younger patients. Int J Geriatr Psychiatry. 2020 Jan;35(1):69-79. doi: 10.1002/gps.5218. Epub 2019 Oct 31.

Reference Type DERIVED
PMID: 31617235 (View on PubMed)

Other Identifiers

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NBI-98854-1201

Identifier Type: -

Identifier Source: org_study_id