A Phase 3 Study of NBI-98854 for the Treatment of Tardive Dyskinesia

NCT ID: NCT02274558

Last Updated: 2017-07-11

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

PHASE3

Total Enrollment

234 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2016-07-31

Brief Summary

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

Detailed Description

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This is a Phase 3, randomized, double-blind, placebo-controlled, parallel, fixed-dose study to evaluate the efficacy, safety, and tolerability of two doses of NBI-98854 (40 mg and 80 mg) compared to placebo, administered once daily. The study design includes a double-blind, placebo-controlled treatment period for 6 weeks and a double-blind NBI-98854 treatment period for an additional 42 weeks, for a total of 48 weeks of treatment. Final follow-up assessments will be conducted 4 weeks after the last dose of the study drug.

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 40 mg

NBI-98854 administered as one (1) 40 mg capsule and one (1) placebo capsule, taken by mouth, every morning between 7:00am - 10:00am for 6 weeks. At the end of Week 6, subjects will enter a double-blind NBI-98854 treatment period and continue with their current dose.

Group Type EXPERIMENTAL

NBI-98854

Intervention Type DRUG

NBI-98854 40 mg capsules

Placebo

Intervention Type DRUG

NBI-98854 placebo capsules

NBI-98854 80 mg

Subjects randomized to the NBI-98854 80 mg dose will receive NBI-98854 40 mg for the first week (administered as one (1) 40 mg capsule and one (1) placebo capsule), followed by NBI-98854 80 mg administered as two (2) 40 mg capsules, taken by mouth, every morning between 7:00am - 10:00am for 5 weeks. At the end of Week 6, subjects will enter a double-blind NBI-98854 treatment period and continue with their current dose.

Group Type EXPERIMENTAL

NBI-98854

Intervention Type DRUG

NBI-98854 40 mg capsules

Placebo

Intervention Type DRUG

NBI-98854 placebo capsules

Placebo

Placebo administered as two (2) placebo capsules, taken by mouth, every morning between 7:00am - 10:00am for 6 weeks. At the end of Week 6, subjects will enter a double-blind NBI-98854 treatment period and be randomized to either a 40 mg or 80 mg dose. Subjects re-randomized to receive NBI-98854 80 mg will receive 40 mg for the first week.

Group Type EXPERIMENTAL

NBI-98854

Intervention Type DRUG

NBI-98854 40 mg capsules

Placebo

Intervention Type DRUG

NBI-98854 placebo capsules

Interventions

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NBI-98854

NBI-98854 40 mg capsules

Intervention Type DRUG

Placebo

NBI-98854 placebo capsules

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Subjects of childbearing potential must agree to use hormonal or two forms of nonhormonal contraception (dual contraception) consistently during the screening, treatment and follow-up periods of the study.
2. Female subjects must not be pregnant.
3. Have one of the following clinical diagnoses for at least 3 months prior to screening: Schizophrenia or Schizoaffective Disorder, or Mood Disorder.
4. Have a clinical diagnosis of neuroleptic-induced TD for at least 3 months prior to screening.
5. Have moderate or severe TD.
6. If using maintenance medication(s) for schizophrenia or schizoaffective disorder, or mood disorder, be on stable doses.
7. Be in good general health.
8. Have adequate hearing, vision, and language skills to perform the procedures specified in the protocol.
9. Have a negative drug screen for amphetamines,barbiturates, benzodiazepines, phencyclidine, cocaine, opiates, or cannabinoids

Exclusion Criteria

1. Have an active, clinically significant unstable medical condition within 1 month prior to screening.
2. Have a known history of substance dependence, or substance (drug) or alcohol abuse
3. Have a significant risk of suicidal or violent behavior.
4. Have a known history of neuroleptic malignant syndrome.
5. Have a known history of long QT syndrome or cardiac tachy-arrhythmia.
6. Have a cancer diagnosis within 3 years of screening (some exceptions allowed)
7. Have received an investigational drug within 30 days prior to screening or plan to use an investigational drug (other than NBI-98854) during the study.
8. Have a blood loss ≥550 mL or donated blood within 30 days prior to Baseline.
9. Have an allergy, hypersensitivity, or intolerance to tetrabenazine.
10. Have had previous exposure with NBI-98854 or had previously participated in an NBI-98854 clinical study.
11. Are currently pregnant or breastfeeding.
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: PRINCIPAL_INVESTIGATOR

Neurocrine Biosciences

Locations

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Little Rock, Arkansas, United States

Site Status

Anaheim, California, United States

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Glendale, California, United States

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Irvine, California, United States

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Long Beach, California, United States

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Los Angeles, California, United States

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National City, California, United States

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Norwalk, California, United States

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Oakland, California, United States

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Oceanside, 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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Torrance, California, United States

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Bradenton, Florida, United States

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Hialeah, Florida, United States

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Kissimmee, Florida, United States

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Leesburg, Florida, United States

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Maitland, Florida, United States

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Miami, Florida, United States

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North Miami, Florida, United States

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Chicago, Illinois, United States

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Oak Brook, Illinois, 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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Worcester, Massachusetts, United States

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Flowood, Mississippi, United States

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St Louis, Missouri, United States

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Lincoln, Nebraska, United States

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Amherst, New York, United States

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Cedarhurst, New York, United States

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Rochester, New York, United States

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Durham, North Carolina, United States

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Pinehurst, North Carolina, United States

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Dayton, Ohio, United States

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Shaker Heights, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Conshohocken, Pennsylvania, United States

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Norristown, Pennsylvania, United States

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Phoenixville, Pennsylvania, United States

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Scranton, 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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Fort Worth, Texas, United States

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Irving, Texas, United States

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Petersburg, Virginia, United States

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Spokane, Washington, United States

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Vancouver, British Columbia, Canada

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London, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Caguas, , Puerto Rico

Site Status

San Juan, , Puerto Rico

Site Status

Countries

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United States Canada 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)

Correll CU, Cutler AJ, Kane JM, McEvoy JP, Liang GS, O'Brien CF. Characterizing Treatment Effects of Valbenazine for Tardive Dyskinesia: Additional Results From the KINECT 3 Study. J Clin Psychiatry. 2018 Dec 18;80(1):18m12278. doi: 10.4088/JCP.18m12278.

Reference Type DERIVED
PMID: 30695293 (View on PubMed)

Factor SA, Remington G, Comella CL, Correll CU, Burke J, Jimenez R, Liang GS, O'Brien CF. The Effects of Valbenazine in Participants with Tardive Dyskinesia: Results of the 1-Year KINECT 3 Extension Study. J Clin Psychiatry. 2017 Nov/Dec;78(9):1344-1350. doi: 10.4088/JCP.17m11777.

Reference Type DERIVED
PMID: 29141124 (View on PubMed)

Grigoriadis DE, Smith E, Hoare SRJ, Madan A, Bozigian H. Pharmacologic Characterization of Valbenazine (NBI-98854) and Its Metabolites. J Pharmacol Exp Ther. 2017 Jun;361(3):454-461. doi: 10.1124/jpet.116.239160. Epub 2017 Apr 12.

Reference Type DERIVED
PMID: 28404690 (View on PubMed)

Hauser RA, Factor SA, Marder SR, Knesevich MA, Ramirez PM, Jimenez R, Burke J, Liang GS, O'Brien CF. KINECT 3: A Phase 3 Randomized, Double-Blind, Placebo-Controlled Trial of Valbenazine for Tardive Dyskinesia. Am J Psychiatry. 2017 May 1;174(5):476-484. doi: 10.1176/appi.ajp.2017.16091037. Epub 2017 Mar 21.

Reference Type DERIVED
PMID: 28320223 (View on PubMed)

Other Identifiers

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NBI-98854-1304

Identifier Type: -

Identifier Source: org_study_id

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