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TD-9855

Phase 2

Attention-Deficit/Hyperactivity Disorder | Small molecule | Psychiatry |Theravance Biopharma, Inc.|Last Updated: Sep 26, 2022

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment295

FDA Designations

No designations recorded

Clinical trial landscape

TD-9855 · 4 trials · 12 indications

Phase 2 2Phase 1 2
NCT02705755TD-9855 Phase 2 in Neurogenic Orthostatic Hypotension (nOH)Neurogenic Orthostatic Hypotension
COMPLETED34 Analytics
NCT01458340A Study of TD-9855 in Adults With Attention-Deficit/Hyperactivity Disorder (ADHD)Attention-Deficit/Hyperactivity Disorder
COMPLETED295 Analytics
PHASE2COMPLETED
TD-9855 Phase 2 in Neurogenic Orthostatic Hypotension (nOH)
Neurogenic Orthostatic HypotensionUnlock trial analytics
PHASE2COMPLETED
A Study of TD-9855 in Adults With Attention-Deficit/Hyperactivity Disorder (ADHD)
Attention-Deficit/Hyperactivity DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Part A: Change From Time-matched Placebo in Seated Systolic Blood Pressure (SBP)
7 hours post-dose on Day 1 (Placebo dosing) and on each of Days 2 to 5 (TD-9855 dosing)

Placebo referred to the Day 1 visit, and the change from placebo referred to the time-matched difference from each TD-9855 dosing day (Days 2 through 5) relative to placebo dosing (Day 1).

Part B: Change From Baseline in Seated SBP
Baseline and 7 hours post-dose on Day 1

Baseline was defined as the pre-dose measurement on Day 1 of Part B.

Part C: Change From Baseline in Likert Scale Score at Week 4
Baseline to Week 4

The Likert Scale is question 1 of the Orthostatic Hypotension Symptom Assessment (OHSA). The question asks participants to rate the severity of their orthostatic hypotension symptoms (dizziness, lightheadedness, feeling faint, or feeling like you might black out) on an 11-point scale from 0 to 10, with 0 indicating no symptoms/no interference and 10 indicating the worst possible symptoms/complete interference. A higher score indicates a worse outcome. Baseline was defined as the pre-lunch measurement on Day -1.

Change From Baseline in AISRS Total Score at Day 42
Baseline and Day 42

The AISRS is a modified version of the ADHD Rating Scale that more accurately reflects the impact and severity of ADHD among adults. It is a clinician-administered scale that measures all 18 symptoms of adult ADHD using a Likert scale from 0 (not present) to 3 (severe). The total score ranges from 0 to 54 with a negative change from baseline indicating an improvement in severity/reduction in symptoms.

Change in TD-9855 plasma exposure when administered with itraconazole or fluvoxamine
Day 9 and Day 24
To define the routes and rates of elimination and mass balance of [14C]-labeled TD-9855
1-21 Days

Urinary and fecal recovery of total radioactivity. Whole blood and plasma concentrations of total radioactivity.

Secondary Endpoints

Part A and Part B: Change From Baseline in Likert Scale Score at 6 to 8 Hours
Baseline to a single time point between 6 to 8 hours post-dose
Part A and Part B: Change From Baseline in the Composite Orthostatic Hypotension Symptom Assessment (OHSA) Score
Baseline to a single time point between 6 to 8 hours post-dose
Part A: Change From Time-matched Placebo in Standing SBP
4 and 7 hours post-dose on Day 1 (Placebo dosing) and on each of Days 2 to 5 (TD-9855 dosing)
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TD-9855 Part AEXPERIMENTALSubjects will receive placebo and escalating single doses of TD-9855
TD-9855 Part BEXPERIMENTALSubjects will receive a single dose of TD-9855 or placebo.
TD-9855 Part CEXPERIMENTALSubjects will receive once daily doses of TD-9855 for up to 5 months as part of an optional outpatient open-label extension arm.
TD-9855 Dose 1EXPERIMENTAL -
PlaceboEXPERIMENTAL -
TD-9855 Dose 2EXPERIMENTAL -
TD-9855 + Fluvoxamine + CaffeineEXPERIMENTALMale smokers will receive TD-9855, fluvoxamine, and caffeine
TD-9855 + Itraconazole + CaffeineEXPERIMENTALMale non-smokers will receive TD-9855, itraconazole, and caffeine
TD-9855EXPERIMENTAL -

Interventions

NameTypeDescription
TD-9855DRUGAdministered orally.
PlaceboDRUGAdministered orally.
FluvoxamineDRUGoral tablet, QD
ItraconazoleDRUGoral tablet solution, QD
CaffeineDRUGoral solution, single dose
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Eligibility Criteria

Age Range40 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: * Diagnosed with symptomatic orthostatic hypotension due to Parkinson's disease, multiple system atrophy, or pure autonomic failure, (i.e. neurogenic orthostatic hypotension). * At screening, subject must meet the diagnostic criteria of neurogenic orthostatic hypotension, as dem...

Countries:United States
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Frequently asked questions about TD-9855

What is TD-9855 used for?

TD-9855 is an investigational small molecule being studied for attention-deficit/hyperactivity disorder (ADHD), neurogenic orthostatic hypotension, and drug-drug interactions. It is being developed by Theravance Biopharma, Inc. (TBPH) and is currently in clinical development, with completed trials in these indications.

What does TD-9855 target?

TD-9855 is a small molecule being developed by Theravance Biopharma, Inc. (TBPH). The specific molecular target of TD-9855 has not been disclosed in the available clinical trial information. It is being studied for conditions including ADHD and neurogenic orthostatic hypotension.

Who makes TD-9855?

TD-9855 is being developed by Theravance Biopharma, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol TBPH. The company has conducted clinical trials of TD-9855 in the United States for ADHD, neurogenic orthostatic hypotension, and drug-drug interaction studies.

What phase is TD-9855 in?

TD-9855 is an investigational drug that has completed Phase 1 and Phase 2 clinical trials. It is not FDA approved and remains in clinical development. Theravance Biopharma, Inc. (TBPH) has completed trials in ADHD, neurogenic orthostatic hypotension, and drug-drug interaction studies.

What clinical trials is TD-9855 in?

TD-9855 has completed several clinical trials, including NCT01458340 in ADHD (Phase 2, 295 participants), NCT01924143 a mass balance study (Phase 1, 6 participants), NCT02705755 in neurogenic orthostatic hypotension (Phase 2, 34 participants), and NCT03432793 a drug-drug interaction study (Phase 1, 41 participants). All trials were conducted in the United States.

Is TD-9855 the same as any other drug?

TD-9855 is the investigational name used by Theravance Biopharma, Inc. (TBPH) for this compound. No alternative names have been disclosed in the clinical trial records. It is being studied for ADHD, neurogenic orthostatic hypotension, and drug-drug interactions.