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SD-809

Phase 4FDA approved 2017

Chorea | Small molecule | Neurology |Teva Pharmaceutical Industries Limited|Trials Updated: Sep 20, 2024

SD-809 development status

FDA approval Apr 3, 2017 as Austedo
Approval holderTeva Branded Pharm
ApplicationNDA208082
Highest phase Phase 4 (NCT07601516)
Phase scored for TEVAPhase 3
Registered trials 8 across 4 sponsors since Feb 2013

Label indication AUSTEDO XR ® and AUSTEDO ® are indicated in adults for the treatment of: chorea associated with Huntington’s disease [see Clinical Studies ( 14.1 )] tardive dyskinesia [see Clinical Studies ( 14.2 )] AUSTEDO XR and AUSTEDO are vesicular monoamine transporter 2 (VMAT2) inhibitors indicated in adults for the treatment of: Chorea associated with Huntington’s disease ( 1 ) Tardive dyskinesia ( 1 ) FDA label

SD-809 target and mechanism

ModalitySmall molecule

Also known as deutetrabenzine, Austedo, deutetrabenazine

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials7
Total Enrollment1,005

FDA Designations

No designations recorded

SD-809 clinical trials

SD-809 · 7 trials · 5 indications

Phase 3 4Phase 2 1Phase 1 2
NCT02198794Reducing Involuntary Movements in Participants With Tardive DyskinesiaTardive Dyskinesia
COMPLETED343 Analytics
NCT02291861Addressing Involuntary Movements in Tardive DyskinesiaTardive Dyskinesia
COMPLETED298 Analytics
NCT01897896Alternatives for Reducing Chorea in Huntington DiseaseChorea Associated With Huntington Disease
COMPLETED119 Analytics
NCT01795859First Time Use of SD-809 in Huntington DiseaseChorea
COMPLETED90 Analytics
PHASE3COMPLETED
Reducing Involuntary Movements in Participants With Tardive Dyskinesia
Tardive DyskinesiaUnlock trial analytics
PHASE3COMPLETED
Addressing Involuntary Movements in Tardive Dyskinesia
Tardive DyskinesiaUnlock trial analytics
PHASE3COMPLETED
Alternatives for Reducing Chorea in Huntington Disease
Chorea Associated With Huntington DiseaseUnlock trial analytics
PHASE3COMPLETED
First Time Use of SD-809 in Huntington Disease
ChoreaUnlock trial analytics

Study Endpoints

Primary Endpoints

Part A, B, and C: Number of Participants With Treatment-Emergent AEs (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal
Baseline up to the end of follow-up (4 weeks after the last dose of study drug; mean exposure: up to approximately 866.1 days)

AEs were analyzed as one group combined for parts A and B per planned analysis. An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AE=prevents normal daily activities. Drug-related TEAEs: TEAEs with possible, probable, or definite relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A treatment-emergent AE was defined as an AE that began after the first administration of study medication or existing AEs that worsened after the first dose of study medication. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Part B: Change From Day 1 Visit in Total Motor AIMS Score at Day 7 Visit, as Assessed by Blinded Central Video Rating
Day 1 of Part B, Day 7 of Part B

The AIMS is an assessment tool used to detect and follow the severity of TD over time. The AIMS is composed of 12 clinician-administered and -scored items. A total motor score from Items 1 to 7 (orofacial, extremity, and truncal movements) was calculated. Items 1 through 7 included facial and oral movements (Items 1-4), extremity movements (Items 5-6), and trunk movements (Item 7). Each item was rated on a 5-point anchored scale ranging from 0 (no dyskinesia) to 4 (severe dyskinesia). Total motor AIMS score for Items 1-7 ranged from 0 to 28, with higher scores indicative of more severe dyskinesia.

Change in Total Motor Abnormal Involuntary Movement Scale (AIMS) Score From Baseline to Week 12 Using a Mixed Model For Repeated Measures (MMRM)
Day 0 (Baseline), Weeks 2, 4, 8 and 12

AIMS is an assessment tool used to detect and follow the severity of tardive dyskinesia (TD) over time. AIMS is composed of 12 clinician-administered and scored items. The exam was digitally video recorded using a standard protocol, and independently reviewed by blinded central raters who were experts in movement disorders. This outcome sums items 1 through 7 which cover orofacial movements, as well as extremity and truncal dyskinesia (the total motor AIMS score). Ratings were based on a 5-point scale of severity from 0 (none), 1 (minimal), 2 (mild), 3 (moderate), to 4 (severe) for a total scale of 0-28. A negative change from baseline score indicates improvement. MMRM with treatment group, visit, treatment group-by-visit interaction, and baseline use of dopamine receptor antagonist (DRAs) as fixed effects and the baseline value as a covariate. The model was fit using an unstructured covariance structure.

Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Entire Treatment Period
Baseline to follow-up visit (up to approximately 3 years 9 months)

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AE=inability to carry out usual activities. Drug-related TEAEs: TEAEs with possible, probable, definite, or missing relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: events that 1) began after treatment with study drug in current study and that were not present at baseline or 2) if present at baseline, had worsened in severity. Any TEAEs included both serious and non-serious TEAEs. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Rollover Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Titration
Day 1 to end of Week 8

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AEs=inability to carry out usual activities. Drug-related TEAEs: TEAEs with a possible, probable, definite, or missing relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: events that 1) began after treatment with study drug in current study and that were not present at baseline or 2) if present at baseline, had worsened in severity. Any TEAEs included both serious and non-serious TEAEs. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Switch Cohort: Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Dose Adjustment
Day 1 to end of Week 4

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AEs=inability to carry out usual activities. Drug-related TEAEs: TEAEs with a possible, probable, definite, or missing relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: events that 1) began after treatment with study drug in current study and that were not present at baseline or 2) if present at baseline, had worsened in severity. Any TEAEs included both serious and non-serious TEAEs. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Number of Participants With TEAEs, Serious TEAEs, Severe TEAEs, Drug-Related TEAEs, and TEAEs Leading to Withdrawal During Long Term Stable Dose Treatment
Week 8 to follow-up visit (up to approximately 3 years 9 months)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severe AEs=inability to carry out usual activities. Drug-related TEAEs: TEAEs with a possible, probable, definite, or missing relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs: events that 1) began after treatment with study drug in current study and that were not present at baseline or 2) if present at baseline, had worsened in severity. Any TEAEs included both serious and non-serious TEAEs. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Change From Baseline (Average of Screening and Day 0) in the Average TMC Scores From Weeks 9 & 12
Screening, Day 0, Weeks 9, 12

Total TMC score is a sum of chorea scores which range 0-28, with a decrease indicating improvement in chorea

Change in Centrally Read Abnormal Involuntary Movement Scale (AIMS) Score From Baseline to Week 12 Using Mixed Model Repeated Measures (MMRM) Analysis
Day 0 (Baseline), Weeks 2, 4, 6, 9 and 12

AIMS is an assessment tool used to detect and follow the severity of TD over time. The AIMS is composed of 12 clinician-administered and scored items. AIMS was digitally video recorded using a standard protocol and independently reviewed by blinded central raters who were experts in movement disorders. This outcome sums items 1 through 7 which cover orofacial movements, and extremity and truncal dyskinesia. Severity ratings were from 0 (none) to 4 (severe) for a total scale of 0 (no orofacial, truncal, and extremity dyskinesia) to 28 (severe orofacial, truncal, and extremity dyskinesia). A negative change from baseline score indicates improvement. A MMRM analysis with change from baseline in AIMS score as dependent variable was used. The model included fixed effects for treatment, time point, treatment-by-time point interaction, DRA status, and baseline AIMS as a covariate. An unstructured covariance model was used.

Proportion of Study Subjects Able to Titrate up to the Maximum Tolerated Dose
3 months

Proportion of study subjects able to titrate up to 48 mg/d (or up to 36 mg/d if receiving a strong CYP2D6 inhibitor) and able to complete the study at this dosage

Safety
8 weeks

Incidence of adverse events (AEs), serious AEs, severe AEs, drug related AEs, AEs leading to withdrawal.

Secondary Endpoints

Part A: Change From Baseline in Total Motor AIMS Score at Week 145, as Assessed by the Site Rating
Baseline, Week 145
Part A: Change From Baseline in Total Motor AIMS Score at Week 158, as Assessed by the Site Rating
Baseline, Week 158
Part A: Percent Change From Baseline in Total Motor AIMS Score at Week 145, as Assessed by the Site Rating
Baseline, Week 145
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A: SD-809EXPERIMENTALParticipants will receive SD-809 orally twice daily (BID) starting at 12 mg/day, which will be titrated based on dyskinesia control and tolerability up to a maximum total dose of 48 mg/day. Participants who decline to participate in Part B, will continue at their stable dose of SD-809 BID up to Week 158.
Part B: PlaceboPLACEBO_COMPARATORParticipants will receive placebo matched to SD-809 for 1 week in randomized withdrawal period and thereafter will receive SD-809 (stable dose) for 12 weeks.
Part B: SD-809ACTIVE_COMPARATORParticipants will receive SD-809 (stable dose) for 1 week in randomized withdrawal period and will continue to receive the same dose of SD-809 for an additional 12 weeks.
Part C: SD-809EXPERIMENTALEU participants who complete Part B and willing to continue in the study will continue treatment with SD-809 for 52 weeks at the dose administered during the 12-week open-label period of Part B.
PlaceboPLACEBO_COMPARATORPlacebo tablets taken twice daily for 12 weeks.
SD-809 12 mg/dayEXPERIMENTALSD-809 tablets 6 mg taken twice a day (BID) for 12 weeks.
SD-809 24 mg/dayEXPERIMENTALSD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 12 mg BID. The total daily dose of 24 mg was maintained for an additional 8 weeks.
SD-809 36 mg/dayEXPERIMENTALSD-809 tablets dose starting at 6 mg twice a day (BID) and titrated over 4 weeks to 18 mg BID. The total daily dose of 36 mg was maintained for an additional 8 weeks.
Rollover Cohort: SD-809 EREXPERIMENTALParticipants who completed study SD-809-C-15 (NCT01795859, including 1-week washout period and Week 13 evaluation), will receive 6 milligrams (mg) SD-809 ER tablet once daily as a starting dose in this study. Dose titration will be continued through Week 8 to optimize dose. Dose of SD-809 ER can be adjusted weekly in increments of 6 milligrams per day (mg/day) (6 or 12 mg/day after a total daily dose of 48 mg is reached) based on chorea control and adverse events. Daily doses of SD-809 ER 12 mg and higher will be administered twice daily. Maximum total daily dose of SD-809 ER will be 72 mg/day (36 mg twice daily), unless participant is receiving a strong CYP2D6 inhibitor(such as, paroxetine, buproprion, fluoxetine), in which case maximum total daily dose will be 42 mg (21 mg twice daily). Long-term treatment with SD-809 ER at a stable dose (further dose adjustments are permitted, if clinically indicated) will be continued until SD-809 ER become commercially available in United States.
Switch Cohort: SD-809 EREXPERIMENTALParticipants who were receiving an approved dosing regimen of tetrabenazine for at least 8 weeks prior to screening, will be converted overnight from their existing tetrabenazine regimen to SD-809 ER regimen to achieve targeted steady-state area under the curve (AUC) of total (alpha+beta)- Dihydrotetrabenazine (HTBZ) metabolites that is predicted to be comparable to that of participant's prior tetrabenazine regimen. Participants will remain on initial dose of SD-809 ER through Week 1. Dose adjustment will be continued through Week 4 to optimize the dose. Dose of SD-809 ER can be adjusted weekly (upward or downward) in increments of 6 mg per day (6 mg/day or 12 mg/day after a total daily dose of 48 mg is reached), based on chorea control and treatment regimen tolerability. Long-term treatment with SD-809 ER at a stable dose (although further dose adjustments are permitted, if clinically indicated) will be continued until SD-809 ER become commercially available in United States.
SD-809 ER TabletsEXPERIMENTALSD-809 ER tablets are available in three dose strengths: 6, 9 and 12 mg, all of which are identical in size, shape and color (white). All are administered three times a day, with the 6 mg final dose is placebo.
SD-809 TabletsEXPERIMENTALSD-809 tablets are available in three dose strengths: 6, 9 and 12 mg, all of which are identical in size, shape and color (white). All are administered three times a day, with the 6 mg final dose is placebo.
SD-809EXPERIMENTALSD-809 tablets taken twice daily for 12 weeks.
Sugar PillPLACEBO_COMPARATORPlacebo tablets taken twice daily for 12 weeks.
Intervention arm - Oral DeutetrabenazineEXPERIMENTALThis is the only arm for this trial. All subjects will receive oral Deutetrabanazine.

Interventions

NameTypeDescription
SD-809DRUGSD-809 will be administered per dose and schedule specified in the arm.
PlaceboDRUGPlacebo matching to SD-809 will be administered per schedule specified in the arm.
Deutetrabenazine 6 MGDRUGIncreasing doses of Deutetrabenazine
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites82

Inclusion Criteria: * History of using a dopamine receptor antagonist for at least 3 months * Clinical diagnosis of tardive dyskinesia and has had symptoms for at least 3 months prior to screening * Participant has successfully completed a controlled study of SD-809 for treatment of moderate to sev...

Countries:United StatesCzechiaGermanyHungaryPolandSlovakiaAustraliaCanada
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Frequently asked questions about SD-809

What is SD-809 used for?

SD-809 is an investigational small molecule being developed for neurological conditions involving involuntary movements. Its studied indications include chorea, chorea associated with Huntington disease, tardive dyskinesia, and Tourette syndrome. It is not approved and remains in clinical development.

Who makes SD-809?

SD-809 is being developed by Teva Pharmaceutical Industries Limited, whose stock trades under the ticker TEVA. The company has sponsored multiple clinical trials of the drug across the United States, Australia, Canada, and European countries.

What phase is SD-809 in?

SD-809 has completed Phase 3 clinical trials for chorea associated with Huntington disease and tardive dyskinesia. It also completed a Phase 2 trial for tardive dyskinesia. The drug is investigational and not FDA approved.

What clinical trials is SD-809 in?

SD-809 has completed several trials, including NCT01795859 and NCT01897896 for chorea in Huntington disease, and NCT02195700 and NCT02198794 for tardive dyskinesia. All trials are completed, with no active trials ongoing.

Is SD-809 the same as deutetrabenazine?

SD-809 is also known as deutetrabenazine, a vesicular monoamine transporter 2 inhibitor. It is being studied for chorea and tardive dyskinesia. The drug is not approved and remains in clinical development.