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NBI-98854

Phase 3

Tardive Dyskinesia | Small molecule | Dermatology |Neurocrine Biosciences, Inc.|Last Updated: Nov 30, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials6
Total Enrollment659
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02405091Safety and Tolerability Study of NBI-98854 for the Treatment of Tardive DyskinesiaPHASE3 COMPLETED 167Mar 1, 2015Mar 1, 2017Nov 30, 201848 United States, Canada +1
NCT02274558A Phase 3 Study of NBI-98854 for the Treatment of Tardive DyskinesiaPHASE3 COMPLETED 234Oct 1, 2014Jul 1, 2016Jul 11, 201754 United States, Canada +1
NCT01733121NBI-98854 Dose Titration Study for the Treatment of Tardive DyskinesiaPHASE2 COMPLETED 102Dec 1, 2012Dec 1, 2013Aug 10, 201722 United States, Puerto Rico
NCT01688037NBI-98854 for the Treatment of Tardive Dyskinesia in Subjects With Schizophrenia or Schizoaffective Disorder (KINECT Study)PHASE2 COMPLETED 109Sep 1, 2012Oct 1, 2013Nov 8, 201751 United States, Puerto Rico
NCT01393600NBI-98854 for the Treatment of Tardive Dyskinesia in Subjects With Schizophrenia or Schizoaffective DisorderPHASE2 COMPLETED 37Aug 1, 2011Feb 1, 2012Aug 10, 201711 United States
NCT01267188Efficacy and Safety of NBI-98854 in Subjects With Tardive DyskinesiaPHASE2 COMPLETED 10Jan 1, 2011Mar 1, 2011Apr 20, 20111 Canada
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Study Endpoints
Primary Endpoints
Number of Participants Monitored for Long-Term Safety of Valbenazine
52 weeks

Number of participants monitored for long-term safety through reporting of treatment-emergent adverse events and monitoring of vital signs, clinical laboratory values, and ECG. Summaries of all treatment-emergent AEs, treatment-related AEs, SAEs, and AEs leading to study drug discontinuation were prepared.

Abnormal Involuntary Movement Scale (AIMS) Dyskinesia Total Score Change From Baseline at Week 6
Baseline and Week 6

Severity of TD symptoms assessed by AIMS dyskinesia total score (sum of items 1 through 7), as assessed by blinded central AIMS video raters. 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.

Abnormal Involuntary Movement Scale (AIMS) Dyskinesia Total Score
Day 15 and 29, averaged

Severity of TD symptoms assessed by AIMS dyskinesia total score (sum of items 1 through 7), as assessed by blinded central AIMS video raters. 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.

Assessment of Tardive Dyskinesia symptoms
19 days

Abnormal Involuntary Movements Scale (AIMS) and Clinical Global Impression - Global Improvement of TD (CGI-TD) scale

Secondary Endpoints
Severity of Tardive Dyskinesia (TD) Symptoms Assessed by Abnormal Involuntary Movements Scale (AIMS) Dyskinesia Total Score Change From Baseline at Week 48; On-site AIMS Raters
Baseline and Week 48
Severity of Tardive Dyskinesia (TD) Symptoms Assessed by Abnormal Involuntary Movements Scale (AIMS) Dyskinesia Total Score Change From Baseline; Central AIMS Video Raters
Baseline, Change from Baseline at Week 8, and Change from Baseline at Week 52
Severity of Tardive Dyskinesia (TD) Symptoms Assessed by Abnormal Involuntary Movements Scale (AIMS) Dyskinesia Total Score Change From Baseline; On-Site AIMS Raters
Baseline, Change from Baseline at Week 8, and Change from Baseline at Week 52
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Dose Group 1EXPERIMENTALFixed dose of NBI-98854 administered once daily for 48 weeks
Dose Group 2EXPERIMENTALFixed dose of NBI-98854 administered once daily up to 48 weeks
NBI-98854 40 mgEXPERIMENTALNBI-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.
NBI-98854 80 mgEXPERIMENTALSubjects 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.
PlaceboEXPERIMENTALPlacebo 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.
NBI-98854EXPERIMENTALDose titration to determine a subject's optimal dose in the range of 25 to 75 mg NBI-98854. Dose titration is performed in increments of 25 mg. NBI-98854 administered as one (1) 25 mg capsule, two (2) 25 mg capsules, or one (1) 25 mg capsule and one (1) 50 mg capsule by mouth, taken every morning between 7:00am - 10:00am for 6 weeks.
NBI-98854 50 mgEXPERIMENTALNBI-98854 50 mg administered as two (2) 25 mg capsules by mouth, taken every morning between 7:00am - 10:00am for 6 weeks.
NBI-98854 100 mg and 50 mgEXPERIMENTALNBI-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.
NBI-98854 12.5 mgEXPERIMENTALDuring the Cross-Over Study, subjects will be randomly assigned to receive one of the following treatment sequences: Sequence 1: Placebo once daily dose for Days 1-14 and 12.5 mg NBI-98854 once daily dose for Days 15-28. Sequence 2: 12.5 mg NBI-98854 once daily dose for Days 1-14 and placebo once daily dose for Days 15-28.
Interventions
NameTypeDescription
NBI-98854DRUG -
PlaceboDRUGNBI-98854 placebo capsules
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Eligibility Criteria
Age Range18 Years — 85 Years
SexALL
Healthy VolunteersNo
Study Sites48

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 ...

Countries:United StatesCanadaPuerto Rico
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