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Tardive DyskinesiaPhase 3AIM-TDNCT02291861

Addressing Involuntary Movements in Tardive Dyskinesia

A Phase 3 study testing SD-809 in people with Tardive Dyskinesia, run by Auspex Pharmaceuticals, Inc. at 106 sites in 6 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to determine whether fixed-doses of an investigational drug, SD-809 (deutetrabenazine), will reduce the severity of abnormal involuntary movements of tardive dyskinesia. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Tardive Dyskinesia
What is being tested?
SD-809
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
298 participants
Where
106 sitesin 6 countries
Study dates
31 Oct 2014to 19 Aug 2016
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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
  • Subjects with underlying psychiatric diagnosis are stable and have no change in psychoactive medications
  • Have a mental health provider and does not anticipate any changes to treatment regimen in the next 3 months
  • History of being compliant with prescribed medications
  • Able to swallow study drug whole
  • Be in good general health and is expected to attend all study visits and complete study assessments
  • Female subjects must not be pregnant and must agree to an acceptable method of contraception throughout the study

Who cannot join

  • Currently receiving medication for the treatment of tardive dyskinesia
  • Have a neurological condition other than tardive dyskinesia that may interfere with assessing the severity of dyskinesias
  • Have a serious untreated or undertreated psychiatric illness
  • Have recent history or presence of violent behavior
  • Have unstable or serious medical illness
  • Have evidence of hepatic impairment
Show all 11Show fewer
  • Have evidence of renal impairment
  • Have known allergy to any component of SD-809 or tetrabenazine
  • Has participated in an investigational drug or device trial and received study drug or device within 30 days
  • Have acknowledged use of illicit drugs
  • Have a history of alcohol or substance abuse in the previous 12 months

Trial locations and contacts

106 sites in 6 countries.

106 sites in 6 countries

United States53 sites
  • Teva Investigational Site 128

    Albuquerque, New Mexico, 87106

  • Teva Investigational Site 107

    Anaheim, California, 92804

  • Teva Investigational Site 108

    Anaheim, California, 92805

  • Teva Investigational Site 138

    Asheville, North Carolina, 28805

  • Teva Investigational Site 155

    Augusta, Georgia, 30912

  • Teva Investigational Site 154

    Baltimore, Maryland, 21287

  • Teva Investigational Site 157

    Boca Raton, Florida, 33486

  • Teva Investigational Site 135

    Boston, Massachusetts, 02215

  • Teva Investigational Site 168

    Burlington, Vermont, 05401

  • Teva Investigational Site 133

    Charleston, South Carolina, 29425

  • Teva Investigational Site 171

    Charlottesville, Virginia, 22903

  • Teva Investigational Site 131

    Chicago, Illinois, 60611

  • Teva Investigational Site 113

    Chicago, Illinois, 60612

  • Teva Investigational Site 172

    Commack, New York, 11725

  • Teva Investigational Site 118

    Creve Coeur, Missouri, 63141

  • Teva Investigational Site 165

    Decatur, Georgia, 30033

  • Teva Investigational Site 129

    Englewood, Colorado, 80113

  • Teva Investigational Site 151

    Fort Worth, Texas, 76104

  • Teva Investigational Site 117

    Gainesville, Florida, 32607

  • Teva Investigational Site 101

    Glen Burnie, Maryland, 21061

  • Teva Investigational Site 123

    Glendale, California, 91206

  • Teva Investigational Site 177

    Imperial, California, 92251

  • Teva Investigational Site 160

    Irvine, California, 92614

  • Teva Investigational Site 106

    Irvine, California, 92697

  • Teva Investigational Site 164

    Kansas City, Kansas, 66160

  • Teva Investigational Site 142

    Kansas City, Missouri, 64108

  • Teva Investigational Site 150

    Lake City, Florida, 32025

  • Teva Investigational Site 178

    Lincoln, Nebraska, 68526-9467

  • Teva Investigational Site 176

    Loma Linda, California, 92354

  • Teva Investigational Site 121

    Los Angeles, California, 90033

  • Teva Investigational Site 147

    Los Angeles, California, 90095-1769

  • Teva Investigational Site 149

    Memphis, Tennessee, 38163

  • Teva Investigational Site 153

    Miami, Florida, 33135

  • Teva Investigational Site 162

    Miami, Florida, 33165

  • Teva Investigational Site 139

    New Haven, Connecticut, 06519

  • Teva Investigational Site 148

    New York, New York, 10032

  • Teva Investigational Site 174

    Norwalk, California, 90650

  • Teva Investigational Site 170

    Oceanside, California, 92056

  • Teva Investigational Site 102

    Orange, California, 92868

  • Teva Investigational Site 112

    Orlando, Florida, 32803

  • Teva Investigational Site 144

    Port Charlotte, Florida, 33980

  • Teva Investigational Site 146

    Raleigh, North Carolina, 27610

  • Teva Investigational Site 167

    Richland, Washington, 99352

  • Teva Investigational Site 115

    Salt Lake City, Utah, 84105

  • Teva Investigational Site 141

    Salt Lake City, Utah, 84108

  • Teva Investigational Site 104

    San Bernardino, California, 92408

  • Teva Investigational Site 110

    San Diego, California, 92108

  • Teva Investigational Site 169

    San Rafael, California, 94901

  • Teva Investigational Site 175

    St Louis, Missouri, 63104

  • Teva Investigational Site 161

    St Louis, Missouri, 63109

  • Teva Investigational Site 145

    Tuscaloosa, Alabama, 35404

  • Teva Investigational Site 156

    Washington D.C., District of Columbia, 20007

  • Teva Investigational Site 166

    Waukesha, Wisconsin, 53188

Other trials in United States

Poland23 sites
  • Teva Investigational Site 514

    Bełchatów, 97-400

  • Teva Investigational Site 554

    Bialystok, 15-756

  • Teva Investigational Site 510

    Bydgoszcz, 85-015

  • Teva Investigational Site 519

    Bydgoszcz, 85-080

  • Teva Investigational Site 536

    Bydgoszcz, 85-156

  • Teva Investigational Site 523

    Chełmno, 86-200

  • Teva Investigational Site 517

    Choroszcz, 16-070

  • Teva Investigational Site 513

    Gdansk, 80-952

  • Teva Investigational Site 512

    Katowice, 40-097

  • Teva Investigational Site 552

    Katowice, 40-123

  • Teva Investigational Site 520

    Krakow, 30-349

  • Teva Investigational Site 509

    Krakow, 31-505

  • Teva Investigational Site 508

    Lodz, 90-130

  • Teva Investigational Site 511

    Lublin, 20-064

  • Teva Investigational Site 515

    Lublin, 20-090

  • Teva Investigational Site 524

    Lublin, 20-831

  • Teva Investigational Site 549

    Olsztyn, 10-443

  • Teva Investigational Site 521

    Pruszków, 05-802

  • Teva Investigational Site 518

    Sosnowiec, 41-200

  • Teva Investigational Site 522

    Torun, 87-100

  • Teva Investigational Site 550

    Warsaw, 00-465

  • Teva Investigational Site 555

    Warsaw, 00-669

  • Teva Investigational Site 516

    Wroclaw, 50-227

Other trials in Poland

Czechia10 sites
  • Teva Investigational Site 559

    Havířov, 736 01

  • Teva Investigational Site 556

    Hostivice, 999999

  • Teva Investigational Site 558

    Hradec Králové, 503 41

  • Teva Investigational Site 535

    Litoměřice, 412 01

  • Teva Investigational Site 557

    Pilsen, 312 00

  • Teva Investigational Site 533

    Prague, 100 00

  • Teva Investigational Site 532

    Prague, 158 00

  • Teva Investigational Site 530

    Prague, 16000

  • Teva Investigational Site 531

    Prague, 181 02

  • Teva Investigational Site 534

    Prague, 190 00

Other trials in Czechia

Hungary9 sites
  • Teva Investigational Site 540

    Balassagyarmat, 999999

  • Teva Investigational Site 538

    Budapest, 1135

  • Teva Investigational Site 541

    Budapest, 1148

  • Teva Investigational Site 537

    Budapest, 1204

  • Teva Investigational Site 542

    Budapest, H-1135

  • Teva Investigational Site 539

    Doba, 8482

  • Teva Investigational Site 546

    Győr, 9024

  • Teva Investigational Site 545

    Kalocsa, 6300

  • Teva Investigational Site 547

    Szeged, 6725

Other trials in Hungary

Germany6 sites
  • Teva Investigational Site 502

    Gera, 07551

  • Teva Investigational Site 503

    Haag in Oberbayern, 83527

  • Teva Investigational Site 504

    Mainz, 55131

  • Teva Investigational Site 507

    Prien am Chiemsee, 83209

  • Teva Investigational Site 544

    Taufkirchen, 84416

  • Teva Investigational Site 501

    Wolfach, 77709

Other trials in Germany

Slovakia5 sites
  • Teva Investigational Site 529

    Bratislava, 826 06

  • Teva Investigational Site 525

    Domaša, 935 61

  • Teva Investigational Site 527

    Košice, 04017

  • Teva Investigational Site 528

    Rimavská Sobota, 979 12

  • Teva Investigational Site 526

    Rožňava, 04801

Other trials in Slovakia

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Fixed-Dose Study of SD-809 (Deutetrabenazine) for the Treatment of Moderate to Severe Tardive Dyskinesia

The purpose of this study is to determine whether fixed-doses of an investigational drug, SD-809 (deutetrabenazine), will reduce the severity of abnormal involuntary movements of tardive dyskinesia.

Being tested
SD-809, Placebo
Keywords
Dyskinesias, Movement Disorders, Central Nervous System Diseases, Nervous System Diseases, Neurologic Manifestations, Signs and Symptoms
Medical subject headings
Tardive Dyskinesia, Dyskinesias, Movement Disorders, Central Nervous System Diseases, Nervous System Diseases, Neurologic Manifestations, Signs and Symptoms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SD-809Drug

    Also called deutetrabenzine, Austedo

    SD-809 tablets dose titrated for 4 weeks until target randomized dose is reached. The dose is maintained for an additional 8 weeks. Tablets were swallowed whole with water and taken with food.

  • PlaceboDrug

    Placebo tablets taken twice daily for 12 weeks. Tablets were swallowed whole with water and taken with food.

Study groups in NCT02291861
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPlacebo tablets taken twice daily for 12 weeks.
Receives: Drug: Placebo
SD-809 12 mg/dayExperimentalSD-809 tablets 6 mg taken twice a day (BID) for 12 weeks.
Receives: Drug: SD-809
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.
Receives: Drug: SD-809
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.
Receives: Drug: SD-809

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Total Motor Abnormal Involuntary Movement Scale (AIMS) Score From Baseline to Week 12 Using a Mixed Model For Repeated Measures (MMRM)

    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.

    Measured: Day 0 (Baseline), Weeks 2, 4, 8 and 12

Secondary outcomes (7)
  1. Percentage of Patients Considered a Treatment Success at Week 12 as Assessed by the Clinical Global Impression of Change (CGIC)

    The CGIC is a single-item questionnaire that asks the investigator to assess a patient's TD symptoms at specific visits after initiating therapy. The CGIC uses a 7 point Likert Scale, ranging from very much worse (-3) to very much improved (+3), to assess overall response to therapy.

    A treatment success was defined as "much improved" or "very much improved" at the week 12 visit.

    Patients whose status at week 12 was not known, as well as patients who were not "much improved" or "very much improved" at the week 12 visit, were considered treatment failures.

    The success 95% confidence interval (CI) was calculated with the Wilson (score) confidence limits.

    Measured: Week 12

  2. Change in the Modified Craniocervical Dystonia Questionnaire (mCDQ-24) Total Score From Baseline to Week 12

    The CDQ-24 is a disease-specific quality of life questionnaire developed for use in patients with craniocervical dystonia, including both cervical dystonia (CD) and blepharospasm (BPS). The CDQ 24 was modified such that the questions focus more directly on the impact of TD (as opposed to CD/BPS) on quality of life.

    The following domains are evaluated in the mCDQ-24: stigma, emotional well-being, pain, activities of daily living, and social/family life. Each of the 24 questions were rated by patients on a scale of 0=no impairment to 4=severest impairment for a total scale of 0 - 96. Negative change from baseline scores indicate improvement.

    For patients with missing data at week 12, the baseline or last available value was used as the week 12 value.

    Measured: Day 0 (Baseline), Week 12

  3. Percentage of Patients Considered a Treatment Success at Week 12 as Assessed by the Patient Global Impression of Change (PGIC)

    The PGIC is a single-item questionnaire that asks the patient to assess their TD symptoms at specific visits after initiating therapy. The PGIC uses a 7 point Likert Scale, ranging from very much worse (-3) to very much improved (+3), to assess overall response to therapy. A treatment success was defined as "much improved" or "very much improved" at the week 12 visit.

    Patients whose status at week 12 was not known, as well as patients who were not "much improved" or "very much improved" at the week 12 visit, were considered treatment failures. The success 95% CI was calculated with the Wilson (score) confidence limits.

    Measured: Week 12

  4. Percentage of Participants Who Had a 50% or Greater Reduction in Total Motor Abnormal Involuntary Movement Scale (AIMS) From Baseline to Week 12

    Responders who had a 50% or greater improvement in total motor modified AIMS at Week 12 as compared to baseline were reported as a percentage of participants with an outcome at Week 12. The responder 95% CI is calculated with the Wilson (score) confidence limits.

    AIMS is an assessment tool used to detect and follow the severity of 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.

    Measured: Day 0 (Baseline), Week 12

  5. Percent Change in Total Motor Abnormal Involuntary Movement Scale (AIMS) Score From Baseline to Week 12 Using a Mixed Model for Repeated Measures (MMRM)

    AIMS is an assessment tool used to detect and follow the severity of 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 DRAs as fixed effects and the baseline value as a covariate. The model was fit using an unstructured covariance structure.

    Measured: Day 0 (Baseline), Weeks 2, 4, 8 and 12

  6. Cumulative Percentage of Responders Based on Change in in Total Motor Abnormal Involuntary Movement Scale (AIMS) Score From Baseline to Week 12 Recorded in Incremental Steps of 10 Percentage Points

    AIMS is an assessment tool used to detect and follow the severity of TD over time, 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.

    Participants with missing data are classified as non-responders. The responder 95% CI is calculated with the Wilson (score) confidence limits. If any of the expected cell counts are < 5, exact Clopper Pearson limits are presented.

    Data report the percentage of participants who responded to the percentage improvement indicated in each row.

    Measured: Day 0 (Baseline), Week 12

  7. Participants With Adverse Events During the Overall Treatment Period

    An adverse event was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Severity was rated by the investigator on a scale of mild, moderate and severe, with severe= an AE which prevents normal daily activities. Relation of AE to treatment was determined by the investigator and includes possibly, probably and definitely related categories. Serious AEs (SAE) include death, a life-threatening adverse event, 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 patient and required medical intervention to prevent the previously listed serious outcomes.

    Measured: Day 1 to Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Nov 2014 (estimated)
  2. Study start31 Oct 2014
  3. Primary completion19 Aug 2016
  4. Study completion19 Aug 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
298 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02291861
Sponsor's protocol ID
SD-809-C-23
Other IDs
2014-003135-19, 2014
Acronym
AIM-TD
Status last verified
May 2026
First submitted
12 Nov 2014
Last updated
23 Jun 2026
Data monitoring committee
Yes

Publications

  • Anderson KE, Stamler D, Davis MD, Factor SA, Hauser RA, Isojarvi J, Jarskog LF, Jimenez-Shahed J, Kumar R, McEvoy JP, Ochudlo S, Ondo WG, Fernandez HH. Deutetrabenazine for treatment of involuntary movements in patients with tardive dyskinesia (AIM-TD): a double-blind, randomised, placebo-controlled, phase 3 trial. Lancet Psychiatry. 2017 Aug;4(8):595-604. doi: 10.1016/S2215-0366(17)30236-5. Epub 2017 Jun 28.

    PubMed 28668671
  • Frank S, Anderson KE, Fernandez HH, Hauser RA, Claassen DO, Stamler D, Factor SA, Jimenez-Shahed J, Barkay H, Wilhelm A, Alexander JK, Chaijale N, Barash S, Savola JM, Gordon MF, Chen M. Safety of Deutetrabenazine for the Treatment of Tardive Dyskinesia and Chorea Associated with Huntington Disease. Neurol Ther. 2024 Jun;13(3):655-675. doi: 10.1007/s40120-024-00600-1. Epub 2024 Apr 1.

    PubMed 38557959

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing SD-809 in people with Tardive Dyskinesia, run by Auspex Pharmaceuticals, Inc. at 106 sites in 6 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 106 sites in United States, Poland, Czechia, Hungary, Germany and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 Apr 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Total Motor Abnormal Involuntary Movement Scale (AIMS) Score From Baseline to Week 12 Using a Mixed Model For Repeated Measures (MMRM) (time frame: Day 0 (Baseline), Weeks 2, 4, 8 and 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02291861, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jun 2026.

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