Trial Outcomes & Findings for Study of the Effectiveness of Valbenazine on Patient- and Clinician-Reported Outcomes in Participants With Tardive Dyskinesia (NCT NCT05859698)

NCT ID: NCT05859698

Last Updated: 2026-01-16

Results Overview

The TDIS assesses the impact of impairment and disability associated with dyskinesia. It defines impact of tardive dyskinesia (TD) in terms of 6 scales: Mouth/Throat Function (3 items), Dexterity (2 items), Mobility (2 items), Pain (1 item), Emotional (2 items), and Social (1 item). Each item measured the impact of dyskinetic movements in terms of difficulty or frequency over the last 7 days on a 5-point scale, with scores ranging from 0 to 4. Response options for the difficulty items ranged from not at all (0) to extremely (4); those for the frequency items ranged from never (0) to all of the time (4). The TDIS total score was the sum of the scores of TDIS Items 1 to 11. Total scores ranged from 0 to 44, with higher scores representing greater TD impact.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

59 participants

Primary outcome timeframe

Baseline, Week 24

Results posted on

2026-01-16

Participant Flow

Results are reported for the overall population as a single arm irrespective of dose, as pre-specified in the protocol. Individual participants could receive different dose levels over the duration of the treatment period.

Participant milestones

Participant milestones
Measure
Valbenazine
Participants received valbenazine oral capsules once a day (qd) at a dose of either 40 milligrams (mg), 60 mg or 80 mg for up to 24 weeks.
Overall Study
STARTED
59
Overall Study
Received at Least 1 Dose of Valbenazine
59
Overall Study
COMPLETED
51
Overall Study
NOT COMPLETED
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Valbenazine
Participants received valbenazine oral capsules once a day (qd) at a dose of either 40 milligrams (mg), 60 mg or 80 mg for up to 24 weeks.
Overall Study
Adverse Event
1
Overall Study
Death
1
Overall Study
Physician Decision
1
Overall Study
Lost to Follow-up
2
Overall Study
Other Than Specified
2
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Study of the Effectiveness of Valbenazine on Patient- and Clinician-Reported Outcomes in Participants With Tardive Dyskinesia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Valbenazine
n=59 Participants
Participants received valbenazine oral capsules qd at a dose of either 40 mg, 60 mg or 80 mg for up to 24 weeks.
Age, Continuous
61.3 years
STANDARD_DEVIATION 11.99 • n=9 Participants
Sex: Female, Male
Female
34 Participants
n=9 Participants
Sex: Female, Male
Male
25 Participants
n=9 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
24 Participants
n=9 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
35 Participants
n=9 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=9 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=9 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=9 Participants
Race/Ethnicity, Customized
Black or African American
17 Participants
n=9 Participants
Race/Ethnicity, Customized
White
38 Participants
n=9 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=9 Participants
Race/Ethnicity, Customized
Other
2 Participants
n=9 Participants
Race/Ethnicity, Customized
Multiple
1 Participants
n=9 Participants

PRIMARY outcome

Timeframe: Baseline, Week 24

Population: The Full Analysis Set included all enrolled participants with at least one baseline efficacy data point for any measure and at least one postbaseline efficacy data point for any measure. Here, "Overall Number of Participants Analyzed" = the number of participants evaluable at the timepoint assessed.

The TDIS assesses the impact of impairment and disability associated with dyskinesia. It defines impact of tardive dyskinesia (TD) in terms of 6 scales: Mouth/Throat Function (3 items), Dexterity (2 items), Mobility (2 items), Pain (1 item), Emotional (2 items), and Social (1 item). Each item measured the impact of dyskinetic movements in terms of difficulty or frequency over the last 7 days on a 5-point scale, with scores ranging from 0 to 4. Response options for the difficulty items ranged from not at all (0) to extremely (4); those for the frequency items ranged from never (0) to all of the time (4). The TDIS total score was the sum of the scores of TDIS Items 1 to 11. Total scores ranged from 0 to 44, with higher scores representing greater TD impact.

Outcome measures

Outcome measures
Measure
Valbenazine
n=45 Participants
Participants received valbenazine oral capsules qd at a dose of either 40 mg, 60 mg or 80 mg for up to 24 weeks.
Change From Baseline in the Tardive Dyskinesia Impact Scale (TDIS) Total Score at Week 24
-8.0 score on a scale
Interval -10.48 to -5.44

PRIMARY outcome

Timeframe: Baseline, Week 24

Population: The Full Analysis Set included all enrolled participants with at least one baseline efficacy data point for any measure and at least one postbaseline efficacy data point for any measure. Here, "Overall Number of Participants Analyzed" = the number of participants evaluable at the timepoint assessed. "Number Analyzed" = participants evaluable for specified SDS item.

The SDS included 3 self-rated items designed to measure how work, social life, and family life are impaired by current psychiatric symptoms. Each item includes an 11-point analog scale that uses visual-spatial, numeric, and verbal descriptive anchors to represent the degree of disruption from 0 (none at all) to 10 (extremely). Participants who had not worked for pay or attended school in the previous 7 days for reasons unrelated to TD did not respond to Item 1 and were therefore excluded from the analysis of that item.

Outcome measures

Outcome measures
Measure
Valbenazine
n=45 Participants
Participants received valbenazine oral capsules qd at a dose of either 40 mg, 60 mg or 80 mg for up to 24 weeks.
Change From Baseline in the Sheehan Disability Scale (SDS) Items 1, 2, and 3 Score at Week 24
Item 1: Work/School Impairment
-1.2 score on a scale
Interval -2.98 to 0.58
Change From Baseline in the Sheehan Disability Scale (SDS) Items 1, 2, and 3 Score at Week 24
Item 2: Social Life Impairment
-2.3 score on a scale
Interval -3.23 to -1.43
Change From Baseline in the Sheehan Disability Scale (SDS) Items 1, 2, and 3 Score at Week 24
Item 3: Family Life/Home Responsibilities
-1.6 score on a scale
Interval -2.54 to -0.57

PRIMARY outcome

Timeframe: Baseline, Week 24

Population: The Full Analysis Set included all enrolled participants with at least one baseline efficacy data point for any measure and at least one postbaseline efficacy data point for any measure. Here, "Overall Number of Participants Analyzed" = the number of participants evaluable at the timepoint assessed.

Participants rated their overall health on a 0 to 100 hash-marked, vertical EQ-VAS where 0 represents 'The worst health you can imagine' and 100 represents 'The best health you can imagine.' An increase from baseline indicates an increase in overall health.

Outcome measures

Outcome measures
Measure
Valbenazine
n=45 Participants
Participants received valbenazine oral capsules qd at a dose of either 40 mg, 60 mg or 80 mg for up to 24 weeks.
Change From Baseline in the Euro Quality of Life Visual Analogue Scale (EQ-VAS) Score at Week 24
13.1 score on a scale
Interval 7.7 to 18.48

SECONDARY outcome

Timeframe: Week 24

Population: The Full Analysis Set included all enrolled participants with at least one baseline efficacy data point for any measure and at least one postbaseline efficacy data point for any measure. Here, "Overall Number of Participants Analyzed" = the number of participants evaluable at the timepoint assessed.

Participants rated the change in their TD symptoms from the initiation of study treatment dosing by choosing one of 7 responses (1=very much improved, 2=much improved, 3=minimally improved, 4=not changed, 5=minimally worse, 6=much worse, and 7=very much worse). Number of participants with PGI-C score responses are reported.

Outcome measures

Outcome measures
Measure
Valbenazine
n=45 Participants
Participants received valbenazine oral capsules qd at a dose of either 40 mg, 60 mg or 80 mg for up to 24 weeks.
Patient Global Impression of Change (PGI-C) Score at Week 24
3 = Minimally Improved
10 Participants
Patient Global Impression of Change (PGI-C) Score at Week 24
4 = Not Changed
2 Participants
Patient Global Impression of Change (PGI-C) Score at Week 24
5 = Minimal Worse
1 Participants
Patient Global Impression of Change (PGI-C) Score at Week 24
6 = Much Worse
0 Participants
Patient Global Impression of Change (PGI-C) Score at Week 24
7 = Very Much Worse
0 Participants
Patient Global Impression of Change (PGI-C) Score at Week 24
1 = Very Much Improved
13 Participants
Patient Global Impression of Change (PGI-C) Score at Week 24
2 = Much Improved
19 Participants

SECONDARY outcome

Timeframe: Baseline, Week 24

Population: The Full Analysis Set included all enrolled participants with at least one baseline efficacy data point for any measure and at least one postbaseline efficacy data point for any measure. Here, "Overall Number of Participants Analyzed" = the number of participants evaluable at the timepoint assessed.

The CGI-TD-S is based on a 7-point scale (range; 1=normal, not at all ill to 7=among the most extremely ill patients), was used to rate the overall global severity of TD.

Outcome measures

Outcome measures
Measure
Valbenazine
n=45 Participants
Participants received valbenazine oral capsules qd at a dose of either 40 mg, 60 mg or 80 mg for up to 24 weeks.
Change From Baseline in the Clinical Global Impression of Severity - Tardive Dyskinesia (CGI-TD-S) Score at Week 24
-1.47 score on a scale
Interval -1.8 to -1.2

SECONDARY outcome

Timeframe: Baseline, Week 24

Population: The Full Analysis Set included all enrolled participants with at least one baseline efficacy data point for any measure and at least one postbaseline efficacy data point for any measure. Here, "Overall Number of Participants Analyzed" = the number of participants evaluable at the timepoint assessed.

The AIMS dyskinesia total score was defined as the sum of the scores of AIMS items 1 through 7. The scores for each item ranged from 0 (no dyskinesia) to 4 (severe dyskinesia). If any of the seven items had a missing value, the total score for that participant/visit was set equal to missing. The AIMS dyskinesia total score can therefore range from 0 to 28, with higher scores indicating greater severity.

Outcome measures

Outcome measures
Measure
Valbenazine
n=45 Participants
Participants received valbenazine oral capsules qd at a dose of either 40 mg, 60 mg or 80 mg for up to 24 weeks.
Change From Baseline in the Abnormal Involuntary Movement Scale (AIMS) Dyskinesia Total Score at Week 24
-6.8 score on a scale
Interval -7.75 to -5.81

Adverse Events

Valbenazine

Serious events: 6 serious events
Other events: 6 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Valbenazine
n=59 participants at risk
Participants received valbenazine oral capsules qd at a dose of either 40 mg, 60 mg or 80 mg for up to 24 weeks.
Injury, poisoning and procedural complications
Medication error
1.7%
1/59 • Up to 26 weeks
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
Injury, poisoning and procedural complications
Road traffic accident
1.7%
1/59 • Up to 26 weeks
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
Psychiatric disorders
Suicidal ideation
1.7%
1/59 • Up to 26 weeks
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
Gastrointestinal disorders
Peptic ulcer
1.7%
1/59 • Up to 26 weeks
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
General disorders
Chest pain
1.7%
1/59 • Up to 26 weeks
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
1.7%
1/59 • Up to 26 weeks
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.

Other adverse events

Other adverse events
Measure
Valbenazine
n=59 participants at risk
Participants received valbenazine oral capsules qd at a dose of either 40 mg, 60 mg or 80 mg for up to 24 weeks.
Gastrointestinal disorders
Nausea
5.1%
3/59 • Up to 26 weeks
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
Nervous system disorders
Somnolence
5.1%
3/59 • Up to 26 weeks
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.

Additional Information

Neurocrine Medical Information

Neurocrine Biosciences

Phone: +1 877-641-3461

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place