- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01688037
NBI-98854 for the Treatment of Tardive Dyskinesia in Subjects With Schizophrenia or Schizoaffective Disorder (KINECT Study)
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of NBI-98854 for the Treatment of Tardive Dyskinesia in Subjects With Schizophrenia or Schizoaffective Disorder
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
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.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Caguas, Puerto Rico, 00725
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San Juan, Puerto Rico, 00927
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Arkansas
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Little Rock, Arkansas, United States, 72211
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California
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Anaheim, California, United States, 92804
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Carson, California, United States, 90746
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Colton, California, United States, 92324
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Costa Mesa, California, United States, 92626
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Downey, California, United States, 90241
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Fountain Valley, California, United States, 92708
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Glendale, California, United States, 91206
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National City, California, United States, 91950
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Oceanside, California, United States, 92056
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Paramount, California, United States, 90723
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San Bernardino, California, United States, 92408
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San Diego, California, United States, 92103
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San Diego, California, United States, 92108
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San Diego, California, United States, 92123
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San Diego, California, United States, 92121
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Santa Ana, California, United States, 92705
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Florida
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Fort Lauderdale, Florida, United States, 33334
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Hialeah, Florida, United States, 33012
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Lauderhill, Florida, United States, 33319
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Melbourne, Florida, United States, 32901
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Miami Springs, Florida, United States, 33166
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North Miami, Florida, United States, 33161
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Orange City, Florida, United States, 32763
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Georgia
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Atlanta, Georgia, United States, 30342
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Illinois
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Chicago, Illinois, United States, 60612
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Chicago, Illinois, United States, 60640
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Schaumburg, Illinois, United States, 60194
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Louisiana
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New Orleans, Louisiana, United States, 70114
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Shreveport, Louisiana, United States, 71104
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Maryland
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Baltimore, Maryland, United States, 21285
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Glen Burnie, Maryland, United States, 21061
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Missouri
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Saint Louis, Missouri, United States, 63141
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Saint Louis, Missouri, United States, 63118
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New Jersey
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Toms River, New Jersey, United States, 08755
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New York
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Albany, New York, United States, 12208
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Brooklyn, New York, United States, 11203
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Wards Island, New York, United States, 10035
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North Carolina
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Hope Mills, North Carolina, United States, 28348
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Ohio
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Beachwood, Ohio, United States, 44122
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73112
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Pennsylvania
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Conshohocken, Pennsylvania, United States, 19428
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South Carolina
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Charleston, South Carolina, United States, 29407
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Tennessee
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Memphis, Tennessee, United States, 38119
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Texas
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DeSoto, Texas, United States, 75115
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Irving, Texas, United States, 75062
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Washington
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Bothell, Washington, United States, 98011
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Kirkland, Washington, United States, 98033
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Spokane, Washington, United States, 99204
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: 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.
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25 mg capsule
50 mg capsule
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Experimental: 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.
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25 mg capsule
50 mg capsule
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Placebo Comparator: Placebo
Capsule containing no active substance, manufactured to mimic NBI-98854 25 mg and 50 mg capsules.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Abnormal Involuntary Movement Scale (AIMS) Dyskinesia Total Score Change From Baseline at Week 6
Time Frame: Baseline and Week 6
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The AIMS Total Dyskinesia Score rates a total of 7 items, rating involuntary movement from 0 (no dyskinesia) to 4 (severe dyskinesia).
Items 1 through 7 include facial and oral movements (Items 1-4), extremity movements (Items 5-6), and trunk movements (Item 7).
The AIMS dyskinesia total score for Items 1-7 ranges from 0 to 28; a higher score reflects increased severity.
The primary efficacy endpoint was the change from baseline in the AIMS dyskinesia total score at Week 6 between the pooled NBI-98854 50+100 mg group and placebo group analyzed using the ANCOVA model (LOCF, ITT analysis set).
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Baseline and Week 6
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Clinical Global Impression - Global Improvement of TD (CGI-TD)
Time Frame: Week 6
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Clinician's perspective of the participant's overall improvement of TD symptoms over time.
The CGI-TD is based on a 7-point scale (range: 1=very much improved to 7=very much worse).
The ANOVA analysis of CGI-TD was conducted for the pooled NBI-98854 50+100 mg group and placebo group.
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Week 6
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Clinical Global Impression - Global Improvement of TD (CGI-TD) at Week 2
Time Frame: Week 2
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Clinician's perspective of the participant's overall improvement of TD symptoms over time.
The CGI-TD is based on a 7-point scale (range: 1=very much improved to 7=very much worse).
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Week 2
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- 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.
- Josiassen RC, Kane JM, Liang GS, Burke J, O'Brien CF. Long-Term Safety and Tolerability of Valbenazine (NBI-98854) in Subjects with Tardive Dyskinesia and a Diagnosis of Schizophrenia or Mood Disorder. Psychopharmacol Bull. 2017 Aug 1;47(3):61-68.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Mental Disorders
- Central Nervous System Diseases
- Nervous System Diseases
- Neurologic Manifestations
- Schizophrenia Spectrum and Other Psychotic Disorders
- Movement Disorders
- Dyskinesia, Drug-Induced
- Schizophrenia
- Psychotic Disorders
- Dyskinesias
- Tardive Dyskinesia
- Physiological Effects of Drugs
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Neurotransmitter Uptake Inhibitors
- Membrane Transport Modulators
- Adrenergic Uptake Inhibitors
- Tetrabenazine
Other Study ID Numbers
- NBI-98854-1201
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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